Posts for: April, 2019
There is a primary principle dentists follow regarding tooth decay—treat it as soon as you find it. Something as simple and routine as filling a cavity could prevent future tooth loss.
But treating a cavity at or below the gum line could be anything but simple and routine. Older adults who may also be dealing with gum recession are more likely to have these kinds of cavities where the gums block clear access to it.
But there is a way to access gum-covered cavities with a minor surgical procedure known as crown lengthening. Crown lengthening is commonly used in cosmetic dentistry to expose more of the visible teeth when there's an overabundance of gum tissue or if the teeth are disproportionately small. We can use it in this instance to surgically relocate the blocking gum tissue out of the way of the cavity.
After numbing the area with local anesthesia, tiny incisions will be made in the gums to create a tissue flap. After reshaping the underlying bone to recreate normal anatomy but at a different level, this flap is then moved and sutured to a new position. This exposes enough tooth structure so that the cavity can be repaired after gum healing.
As with any minor surgery, there's a very slight risk of bleeding and/or infection with crown lengthening. If you undergo this procedure, you'll receive post-care instructions for the first few days afterward including avoiding strenuous activities, eating only soft foods and using an ice pack the day of surgery to help control swelling.
This versatile procedure can help save a tooth that might otherwise be lost due to decay. And, it might even improve your appearance.
If you would like more information on treatment options for 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 “Crown Lengthening: This Common Surgical Procedure Restores Function and Improves Appearance.”
Although not high on the glamour scale, saliva is nonetheless an important ingredient in a healthy life. This "multi-tasker" fluid helps break down your food for better digestion and supplies antibodies to thwart threatening microorganisms coming in through the mouth.
But perhaps its most important role is to neutralize mouth acid that can erode tooth enamel. Without this buffering action, you're at much greater risk for tooth decay and possible tooth loss.
That's why chronic dry mouth is much more than just an unpleasant feeling. If you're not producing enough saliva, your risk for developing tooth decay (and periodontal disease too) skyrocket.
Here are 3 things you can do to avoid dry mouth and promote healthier saliva flow.
Watch what goes in your mouth. Some foods, beverages and other substances can interfere with saliva production. Caffeine in coffee, sodas and other beverages can cause your body to lose water needed to produce adequate saliva. So can alcohol, which can also further irritate dry tissues. And any type of tobacco use can decrease saliva production and heighten the dry mouth effect, another good reason to kick the habit.
Drink more water. Water is the main ingredient in saliva, so keeping yourself hydrated throughout the day helps ensure a ready supply. Drinking water also helps dilute acid concentrations and washes away leftover food particles that could become a food source for oral bacteria, the main source for mouth acid.
Ask questions about your medications. Many medications can trigger chronic dry mouth including drugs to treat cancer, high blood pressure, depression or allergies. If you have chronic dry mouth, talk with your physician about the medications you're taking and ask if there are any alternatives that have less of an effect. If not, drink more water, especially while taking oral medication.
You can also reduce dry mouth symptoms by using a humidifier while you sleep or using products that boost saliva production. And be sure you're brushing and flossing daily to further reduce your risk of dental disease. Managing dry mouth won't just make your mouth feel better—it will help your teeth and gums stay healthier too.
Human beings have known for millennia the importance of keeping teeth clean. Although we've only come to more fully understand dental plaque's role in dental disease in the last century, our ancestors seemed to know instinctively this gritty biofilm on teeth had to go.
People from the past once used a variety of substances like ground oyster shells or leftover fire ashes to remove plaque from their teeth. Today, most of the world has replaced these substances with toothpaste, a mainstay of daily oral hygiene.
So, why is toothpaste better than other substances used in the ancient past? Besides the many other ingredients found in the typical tube of toothpaste, here are the top 3 that make it the ultimate tooth cleaner.
Abrasives. While your toothbrush does most of the mechanical work loosening plaque, toothpaste has ingredients called abrasives that give an added boost to your brushing action. The ideal abrasive is strong enough to remove plaque, but not enough to damage tooth enamel. If you look at your toothpaste's ingredient list, you'll probably see an abrasive like hydrated silica (made from sand), hydrated alumina, calcium carbonate or dicalcium phosphates.
Detergents. Your toothpaste's foaming action is a sign of a detergent, which helps loosen and break down non-soluble (not dissolvable with plain water) food substances. While similar to what you may use to wash your clothes or dishes, toothpaste detergents are much milder, the most common being sodium lauryl sulfate found in many cosmetic items. If you have frequent canker sores, though, sodium lauryl sulfate can cause irritation, so look for a toothpaste with a different detergent.
Fluoride. The enamel strengthening power of fluoride was one of the greatest discoveries in dental care history. Although not all toothpastes contain it, choosing one with fluoride can improve your enamel health and help protect you from tooth decay.
These and other ingredients like binders, preservatives and flavorings, all go in to make toothpaste the teeth-cleaning, disease-fighting product we've all come to depend upon. Used as part of daily oral hygiene, toothpaste can help brighten and freshen your smile, and keep your teeth and gums healthy.
If you would like more information on using the right toothpaste, 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 “Toothpaste: What's in It?”