Posts for: January, 2020
Other than the common cold, tooth decay is the most prevalent disease in the world. And while a cavity or two may seem like a minor matter, tooth decay’s full destructive potential is anything but trivial. Without proper prevention and treatment, tooth decay can cause pain, tooth loss and, in rare cases, even death.
This common disease begins with bacteria in the mouth. Though these microscopic organisms’ presence is completely normal and at times beneficial, certain strains cause problems: they consume left over carbohydrates in the mouth like sugar and produce acid as a byproduct. The higher the levels of bacteria the higher the amount of acid, which disrupts the mouth’s normal neutral pH.
This is a problem because acid is the primary enemy of enamel, the teeth’s hard protective outer shell. Acid causes enamel to lose its mineral content (de-mineralization), eventually producing cavities. Saliva neutralizes acid that arises normally after we eat, but if the levels are too high for too long this process can be overwhelmed. The longer the enamel is exposed to acid, the more it softens and dissolves.
While tooth decay is a global epidemic, dental advances of the last century have made it highly preventable. The foundation for prevention is fluoride in toothpaste and effective oral hygiene — daily brushing and flossing to removing plaque, a thin film of food remnant on teeth that’s a feeding ground for bacteria, along with regular dental visits for more thorough cleaning and examination. This regular regimen should begin in infancy when teeth first appear in the mouth. For children especially, further prevention measures in the form of sealants or topical fluoride applications performed in the dentist office can provide added protection for those at higher risk.
You can also help your preventive measures by limiting sugar or other carbohydrates in your family’s diet, and eating more fresh vegetables, fruit and dairy products, especially as snacks. Doing so reduces food sources for bacteria, which will lower their multiplication and subsequently the amount of acid produced.
In this day and age, tooth decay isn’t a given. Keeping it at bay, though, requires a personal commitment to effective hygiene, lifestyle choices and regular dental care. Doing these things will help ensure you and your family’s teeth remain free from this all too common disease.
If you would like more information on preventing and treating 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 “Tooth Decay.”
Although we begin our New Year's resolutions with high hopes, many of them fall by the wayside by the end of January. It simply takes tremendous willpower to lose weight or exercise more. So to improve your resolution success rate, why not throw in some with a little more zing, like trying every item on the menu at your favorite restaurant or learning a new magic trick every month? Or how about this one: Resolve to do four things this year to change your smile.
Okay, it doesn't have to be exactly four. But we just happen to have four suggestions—one for each quarter of the new year—that can make your smile the best it can be in 2020.
Brighten up your smile. A professional whitening procedure can improve a stained, dingy smile. Our advanced bleaching techniques give your teeth that brighter look that could last for years with proper care and regular touchups. We can also control the level of whiteness to give your teeth a softer natural look or one that's dazzling bright.
Fix a chipped tooth with bonding. You may have a great smile, except for that one tooth that's missing a little piece. We can repair minor chips and other defects with composite resin material bonded directly to the tooth. Composite resin can be color-matched and shaped to fit the tooth being repaired so that it looks completely natural. Best of all, we can transform your tooth's appearance in just one visit.
Gain a new look with veneers. If you have one or more teeth with mild to moderate chipping, staining or misalignment, dental veneers could change their appearance altogether. These thin wafers of dental porcelain are bonded to the front of teeth to permanently mask imperfections. They're so lifelike, others will have a hard time telling the difference between your teeth with veneers and those without.
Straighten your smile. It's never too late to have a crooked smile straightened. And you might not even have to wear braces: Clear aligners are computer-generated plastic trays worn in sequence to straighten teeth. They're removable, so you can take them out to eat or clean your teeth. Best of all, they're hardly noticeable—and they can give you a more attractive smile.
These and other cosmetic treatments are relatively easy ways to make a big impact on your appearance. Be resolved, then, that with a little help from us this can be the year you'll gain a more attractive smile through the art of dentistry.
If you would like more information about smile enhancements, please contact us or schedule an appointment. To learn more, read the Dear Doctor magazine articles “Cosmetic Dentistry: A Time for Change” and “Beautiful Smiles by Design.”
Osteoporosis is a major health condition affecting millions of people, mostly women over 50. The disease weakens bone strength to the point that a minor fall or even coughing can result in broken bones. And, in an effort to treat it, some patients might find themselves at higher risk of complications during invasive dental procedures.
Over the years a number of drugs have been used to slow the disease’s progression and help the bone resist fracturing. Two of the most common kinds are bisphosphonates (Fosamax) and RANKL inhibitors (Prolia). They work by eliminating certain bone cells called osteoclasts, which normally break down and eliminate older bone cells to make way for newer cells created by osteoblasts.
By reducing the osteoclast cells, older bone cells live longer, which can reduce the weakening of the bone short-term. But these older cells, which normally wouldn’t survive as long, tend to become brittle and fragile after a few years of taking these drugs.
This may even cause the bone itself to begin dying, a relatively rare condition called osteonecrosis. Besides the femur in the leg, the bone most susceptible to osteonecrosis is the jawbone. This could create complications during oral procedures like jaw surgery or tooth extractions.
For this reason, doctors recommend reevaluating the need for these types of medications after 3-5 years. Dentists further recommend, in conjunction with the physician treating osteoporosis, that a patient take a “drug holiday” from either of these two medications for several months before and after any planned oral surgery or invasive dental procedure.
If you have osteoporosis, you may also want to consider alternatives to bisphosphonates and RANKL inhibitors. New drugs like raloxifene (which may also decrease the risk of breast cancer) and teriparatide work differently than the two more common drugs and may avoid their side effects. Taking supplements of Vitamin D and calcium may also improve bone health. If your physician still recommends bisphosphonates, you might discuss newer versions of the drugs that pose less risk of osteonecrosis.
Managing osteoporosis is often a balancing act between alleviating symptoms of the disease and protecting other aspects of your health. Finding that balance may help you avoid future problems, especially to your dental health.
If you would like more information on osteoporosis and dental care, 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 “Osteoporosis Drugs & Dental Treatment.”