Posts for: January, 2018
If you’ve had issues with periodontal (gum) disease, no doubt a few things have changed for you. You may be seeing us for dental cleanings and checkups more frequently and you have to be extra diligent about your daily brushing and flossing.
There’s one other thing you may need to do: change your diet. Some of the foods you may be eating could work against you in your fight against gum disease. At the same time, increasing your intake of certain foods could boost your overall oral health.
The biggest culprits in the first category are carbohydrates, which make up almost half the average diet in the Western world, mainly as added sugar. Although carbohydrates help fuel the body, too much can increase inflammation—which also happens to be a primary cause of tissue damage related to gum disease.
Of course, we can’t paint too broad a brush because not all carbohydrates have the same effect on the body. Carbohydrates like sugar or processed items like bakery goods, white rice or mashed potatoes quickly convert to glucose (the actual sugar used by the body for energy) in the bloodstream and increase insulin levels, which can then lead to chronic inflammation. Complex or unprocessed carbohydrates like vegetables, nuts or whole grains take longer to digest and so convert to glucose slowly—a process which can actually hinder inflammation.
Eating less of the higher glycemic (the rate of glucose conversion entering the bloodstream) carbohydrates and more low glycemic foods will help reduce inflammation. And that’s good news for your gums. You should also add foods rich in vitamins C and D (cheese and other dairy products, for instance) and antioxidants to further protect your oral health.
Studies have shown that changing to a low-carbohydrate, anti-inflammatory diet can significantly reduce chronic inflammation in the body and improve gum health. Coupled with your other efforts at prevention, a better diet can go a long way in keeping gum disease at bay.
If you would like more information on the role of diet in dental 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 “Carbohydrates Linked to Gum Disease.”
Winter is the time for snowy landscapes, hot cocoa and flannel PJs, but for some 'tis the season for tooth trouble. What can you do to keep your teeth from becoming a pain this winter?
Tackle tooth sensitivity. Does crisp winter air on your teeth give you a jolt? A study published in the Journal of the American Dental Association found that 1 in 8 people (over 12%) suffer from tooth sensitivity, particularly to cold. Sensitivity can result from receding gums, erosion of tooth enamel, tooth decay or other dental problems. If you experience tooth sensitivity, use toothpaste that is specially formulated for sensitive teeth and breathe through your nose to protect your teeth from extreme cold. Most importantly, schedule a dental exam to determine why your teeth are sensitive.
Stay hydrated. In winter, we spend more time with the heat on and we tend to drink less water. A dry mouth can result, which can lead to bad breath, tooth decay and gum disease. Staying well hydrated keeps your gums and teeth moist and helps you produce more saliva, which is key to good oral health and fresh breath. Saliva helps wash away food debris and bacteria, neutralize decay-causing acid and repair weakened tooth enamel. For healthy teeth and gums, be sure to drink plenty of water this winter.
Safeguard your teeth on the slopes. Are you planning to hit the slopes this winter? Be sure to wear a mouthguard to help protect against injury. Beginning skiers and snowboarders are more likely to suffer falls that could result in dental injuries, while experts may fly over bumps and jumps, causing the upper and lower teeth to knock together with force. Even backyard sledders are at risk of dental injury. Mouthguards help protect against chipped, broken, or knocked-out teeth as well as soft tissue damage. So before you enjoy wintertime sports, make sure your teeth are protected. For the best fit and comfort, ask us about a custom mouthguard.
If you have questions about these or other dental issues, please contact us or schedule a consultation. You can learn more in the Dear Doctor magazine articles “Treatment of Tooth Sensitivity” and “Dry Mouth.”
Even though an implant is now as close to life-like as modern dentistry can produce, it won’t surpass the function of your own natural tooth. That’s not to say implants are an inferior choice—in fact, it’s often the best one if a tooth is beyond reasonable repair. But first, let’s consider saving your existing tooth.
We first need to know why your tooth is diseased—more than likely either from tooth decay or periodontal (gum) disease. Although different, these infections both begin with bacteria and can eventually lead to tooth loss.
While your mouth is teeming with millions of harmless bacteria, a few strains that live in dental plaque (a thin biofilm on your teeth) can cause disease. As they proliferate—feeding mostly on leftover sugar—they produce acid, which can erode the protective enamel on teeth. This can create cavities, which must be cleared of decayed material and filled.
Sometimes, though, the decay spreads deep within the pulp and through the root canals putting the tooth in danger. We may be able to save it, though, with a root canal treatment. In this common procedure we access the pulp chamber and clean out all the diseased or dead tissue. We then fill the empty chamber and root canals with a gutta percha filling and then seal the tooth. We later cap the tooth with a crown to further protect it.
Dental plaque can also give rise to a gum infection that triggers chronic inflammation. The inflammation can cause the gums to weaken and detach from the teeth to form large, infection-filled voids called periodontal pockets. This could lead to bone deterioration, further loosening the tooth’s hold.
But we can effectively treat gum disease by removing the plaque, which is fueling the infection. We normally do this with special hand instruments, but may also need to use surgical measures for more advanced cases. After plaque removal the inflammation subsides, giving the tissues a chance to heal and strengthen. We may also need to provide further assistance to these tissues to regenerate through gum or bone grafting.
These efforts can be quite involved, but if successful they could give your tooth another lease on life. And that could be a much better outcome for your dental health.
If you would like more information on the best treatment choices for your dental 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 “Save a Tooth or Get an Implant?”
The term “makeover” is a powerful word in today’s society. It’s used for a variety of things — hair, body, lawn — that need more than a different style, a little toning or some new shrubs. A makeover is a transformation, replacing the dissatisfying status quo with something new and dynamic.
Your smile and its various components — teeth, gums, jaw structure and facial features — might also be a candidate for a makeover. This involves more than just a few modifications. It’s the answer to a smile we avoid showing in photos, cover with our hand when we’re speaking or laughing, or makes us feel older than we really are. In other words, it’s a comprehensive change to a smile that inhibits us from fully expressing ourselves in our friend, family or career relationships.
Of course, for any makeover to succeed, it must follow a plan. A smile transformation is no different. The process begins with what we call a “smile analysis”: a comprehensive examination that determines the exact condition of your entire mouth. This enables us to identify problems and defects, understand how they interact with your other facial features, and then recommend a treatment plan that effectively addresses these issues.
The plan isn’t complete, though, without your input. You may want a complete renovation — to restore missing teeth or change their shape, color and brilliance. On the other hand, you may be more comfortable with a few subtle changes, perhaps even keeping slight imperfections that you see as part of the real “you.” Whichever path you take, the end result is a smile that makes you happy, and proud to show to others.
The various techniques and materials available through cosmetic or restorative dentistry can turn any disappointing smile into a beautiful one. Your journey to that newer, brighter smile begins with your next dental visit.
If you would like more information on smile makeovers through restorative or cosmetic dentistry, 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 “The Impact of a Smile Makeover.”
Your mouth is a lot like the Wild West — home to millions of bacteria and other microbes, some of which are definitely not “the good guys.” But your teeth are well-protected from these hostile forces and their acidic waste products: with enamel shielding the visible part of your tooth, your gums protect the parts you can’t see.
As effective as they are, though, your gums aren’t invincible: their greatest threat is periodontal (gum) disease. This bacterial infection arises from plaque, a thin film of bacteria and food particles accumulating on teeth due to inadequate brushing and flossing.
The infected tissues soon become inflamed (red and swollen), a natural defensive response from the immune system. The longer they’re inflamed, however, the more likely they’ll begin detaching from the teeth. The gums may eventually shrink back or recede from the teeth, often causing them to appear “longer” because more of the tooth is now exposed to view.
Gum recession doesn’t bode well for your teeth’s survival: the exposed tooth and underlying bone can become even more susceptible to infection and damage. In the end, you could lose your tooth and portions of the supporting bone.
Treatment depends on the severity of the gum recession. In mild to moderate cases, we may only need to perform the standard gum disease treatment of removing plaque and calculus from all gum and tooth surfaces (including below the gum line) with special instruments. This helps reduce the infection and allow the gums to heal and re-establish attachment with the tooth. In more advanced cases, though, the recession may be so extensive we’ll need to graft donor tissue to the area using one of a variety of surgical techniques.
Although the right treatment plan can help restore your gum health, there’s another approach that’s even better — preventing gum disease in the first place. You can reduce your disease risk by practicing daily brushing and flossing and visiting your dentist regularly or when you see symptoms like gum swelling or bleeding. Taking care of your gums won’t just save your smile — it might also save your teeth.
If you would like more information on diagnosing and treating gum disease, 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 Recession.”