Indianapolis Downtown Full Service Dentist Blog
Dentures have come a long way since George Washington's time. Today, they're more comfortable, more secure and more lifelike than our first president's famous hippopotamus ivory appliance.
But one thing hasn't changed: Dentures still require regular care and cleaning. And one of the best things you can do for both your dentures and your health is to take them out at night when you go to bed.
Modern dentures are often so comfortable to wear, it's easy to forget you have them in your mouth. But setting a daily habit of taking them out when you turn in for the night will help you avoid a few potential problems.
For one, wearing dentures 24/7 can increase your risk for both oral and general diseases. Constant denture wear can cause greater accumulations of dental plaque, a thin biofilm responsible for gum disease and inflammation. The increase in bacteria could also make you more susceptible to pneumonia and other diseases.
Wearing your dentures non-stop can also worsen bone loss, a common problem associated with dentures. Normally, the biting forces generated when we chew stimulate bone growth in the jaw. A person loses much of this stimulation when they lose teeth, resulting in gradual bone loss.
Dentures can't replace this lost stimulation, and the pressure they exert on the jaw's bony ridges they rest upon can accelerate the process of bone loss. In time, any bone loss could affect the denture's fit as the bone beneath them gradually shrinks. By taking them out at night, you can help slow the pace of bone loss.
In addition to giving them and your mouth a rest at night, be sure you're also keeping your dentures clean: Take them out and rinse them off after meals and brush them with a small amount of antibacterial soap (not toothpaste) at least once a day. And don't forget to brush your gums and tongue every day with a soft toothbrush (different from your denture brush) to further reduce dental plaque.
If you would like more information on denture 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 “Sleeping in Dentures.”
Celebrities’ controversial actions and opinions frequently spark fiery debates on social media. But actress Dakota Johnson lit a match to online platforms in a seemingly innocent way—through orthodontics.
This summer she appeared at the premier of her film The Peanut Butter Falcon missing the trademark gap between her front teeth. Interestingly, it happened a little differently than you might think: Her orthodontist removed a permanent retainer attached to the back of her teeth, and the gap closed on its own.
Tooth gaps are otherwise routinely closed with braces or other forms of orthodontics. But, as the back and forth that ensued over Johnson’s new look shows, a number of people don’t think that’s a good idea: It’s not just a gap—it’s your gap, a part of your own uniqueness.
Someone who might be sympathetic to that viewpoint is Michael Strahan, a host on Good Morning America. Right after the former football star began his NFL career, he strongly considered closing the noticeable gap between his two front teeth. In the end, though, he opted to keep it, deciding it was a defining part of his appearance.
But consider another point of view: If it truly is your gap (or whatever other quirky smile “defect” you may have), you can do whatever you want with it—it really is your choice. And, on that score, you have options.
You can have a significant gap closed with orthodontics or, if it’s only a slight gap or other defect, you can improve your appearance with the help of porcelain veneers or crowns. You can also preserve a perceived flaw even while undergoing cosmetic enhancements or restorations. Implant-supported replacement teeth, for example, can be fashioned to retain unique features of your former smile like a tooth gap.
If you’re considering a “smile makeover,” we’ll blend your expectations and desires into the design plans for your future smile. In the case of something unique like a tooth gap, we’ll work closely with dental technicians to create restorations that either include or exclude the gap or other characteristics as you wish.
Regardless of the debate raging on social media, the final arbiter of what a smile should look like is the person wearing it. Our goal is to make sure your new smile reflects the real you.
If you would like more information about cosmetically enhancing your smile, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Space Between Front Teeth” and “The Impact of a Smile Makeover.”
As they mature, your child's teeth, gums and jaws develop—if all goes well, they'll all be healthy and functioning normally when they enter adulthood. But tooth decay and other problems could derail that development and cause lingering oral health issues later in life.
Following these 4 guidelines now during your child's early years will help ensure their teeth and gums have a healthy future.
Start oral hygiene early. There's no need to wait for their first teeth to come in to begin your child's regular oral hygiene. Start with wiping their gums right after feeding with a clean wet cloth to minimize bacterial development. Then, start brushing as soon as teeth appear—to begin with, use a slight smear of toothpaste on the brush. As they mature, teach them to brush and later floss for themselves.
Check your water. Most utilities add tiny traces of fluoride to their drinking water supply. If your water supplier does, it can make a big difference (along with fluoride toothpaste) in helping your child avoid tooth decay. If your system doesn't, then speak to your dentist about whether your child could benefit from topical fluoride applied directly to their teeth.
Keep a check on sugar. Decay-causing bacteria thrive on the sugar added to processed foods, candies and many beverages. Even milder forms of sugar like lactose found in milk or formula can stimulate bacterial growth. So, in addition to daily brushing and flossing, do your best to minimize sugar in your child's diet. And don't put infants or toddlers to bed with a bottle filled with any liquid other than water.
See the dentist. Starting around their first birthday, regular dental visits can help keep your child's dental development on track. Dental visits are also an opportunity for preventive treatments against decay like sealants or topical fluoride. Your dentist may also detect the early signs of bite problems that if addressed now, could lessen their impact later in life.
Your child's dental health could get off course before you even realize it. But partnering with your dentist, you can help make sure your child's teeth and gums have a bright and healthy future.
If you would like more information on how best to care for your child's 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 “Top 10 Oral Health Tips for Children.”
Over the years, dentists have become quite proficient in treating even the most severe periodontal (gum) disease. Many of these positive outcomes are achieved through manual effort using simple hand instruments called scalars and conventional periodontal surgery.
But that might be changing soon: Periodontists (specialists who care for the gums and other supporting dental structures) are starting to use a different kind of tool for gum disease treatment—surgical lasers.
Although lasers are more commonplace in other fields of medicine, recent developments hint at a more prominent future role for them in dentistry. One of these developments is a laser procedure called Laser Assisted New Attachment Procedure (LANAP®) that treats deep spaces of infection called periodontal pockets, which develop advanced gum disease.
These pockets form as infected gums gradually detach from a tooth as the supporting bone is lost. This widens the normally narrow gap between the teeth and gums. The ensuing pocket fills with infection that must be removed to adequately treat the gum disease. As the pocket extends down to the root, it's often necessary to perform a surgical procedure through the adjacent gum tissue to fully access it.
But with the LANAP® procedure, the dentist can use a laser to access a deep pocket without opening the gums. Moving from above into the gap between the tooth and gums, the light from the laser has the ability to remove diseased tissue without damaging healthy tissue.
The dentist follows this with ultrasonic equipment and manual scalers to further decontaminate the tooth root surface. The laser is then employed once again to facilitate the formation of a blood clot between the teeth and gums to seal the area with a fibrin clot. Once treated, the dentist will monitor the tooth to ensure maximum bone regeneration and gum reattachment.
Although outcomes are the same for the most part, this laser technique for periodontal pockets may have some advantages over conventional surgery. Studies so far show that LANAP® causes less tissue removal and bleeding, less potential for gum recession and less discomfort experienced by patients.
It's not likely that lasers will fully replace conventional gum disease treatments any time soon. But if the encouraging evidence thus far continues, the laser will one day become as commonplace alongside the other tools used for gum disease treatment.
If you would like more information on treatments for 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 “Treating Gum Disease With Lasers.”
Cowboys wear Stetsons; ballerinas wear tutus; and teenagers wear…braces.
At least that's the popular conception. In actuality, one in five orthodontic patients is an adult, a number that continues to grow. Even adults over fifty are straightening their teeth and improving their smiles.
But it's still a big step and many adults are wary to take it because they think it's too late. Not necessarily: If you're an older adult toying with the idea of straightening your teeth, toy no more. Here's the lowdown on late in life orthodontics.
It's not just about the smile. While wanting a more attractive smile may have started you thinking about orthodontics, it's not the primary reason for considering it. Straightening your teeth can improve your health. Because misaligned teeth are more difficult to keep clean of disease-causing plaque, realigning them properly can improve your hygiene and lower your risk of dental disease. You'll also gain new chewing efficiency and comfort, which can improve your overall health and nutrition.
Health, not age, is the determining factor. Even if you're well advanced in years you can have your teeth straightened—as long as you're healthy. If your teeth, gums and supporting bone aren't in the best of shape, the stresses associated with tooth movement might be further damaging. Some systemic conditions may also interfere, so a full assessment of your overall health will be needed before treatment.
Only you and your dentist need to know. A lot of adults are embarrassed by the prospect of wearing braces. But you might be a candidate for an alternative to braces called clear aligners. These clear plastic trays are worn in a series to gradually move the teeth to their desired positions. You can remove the trays for eating or hygiene, as well as for rare special occasions. But best of all, they're nearly invisible to others.
If you're serious about straightening your teeth, take the next step by undergoing a complete dental exam. If the results of the exam show you're a good candidate for orthodontics, we can discuss your options for transforming your crooked teeth into a more attractive smile, regardless of your age.
If you would like more information on adult orthodontics, 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 “Orthodontics for the Older Adult.”
Think no one is looking at your smile when you’re out in public? Nick Jonas’ recent experience might convince you otherwise. While the Jonas Brothers were performing during the 2020 Grammys, fans watching on television picked up on some dark matter between his teeth.
To say Twitter lit up is an understatement. For many, it was that thing you couldn’t unsee: Forget the performance, what was that between his teeth? Jonas later fessed up by tweeting, “…At least you all know I eat my greens.”
We’re sure Nick and his brothers take care of their teeth, as most any high-profile entertainer would. You can probably attribute his dental faux pas to trying to squeeze in some nourishment during a rushed performance schedule.
Still, the Grammy incident (Spinachgate?) shows that people do notice when your teeth aren’t as clean as they should be. To avoid that embarrassment, here are some handy tips for keeping your teeth looking their best while you’re on the go.
Start with a clean mouth. You’re more apt to collect food debris during the day if you have built-up plaque on your teeth. This sticky bacterial biofilm attracts new food particles like a magnet. Remove plaque by thoroughly brushing and flossing before you head out the door.
Rinse after eating. Although your saliva helps clear leftover food from your mouth, it may not adequately flush away all the debris. You can assist this process by swishing and rinsing with clean water after a meal.
Keep a little floss handy. Even after rinsing, stubborn bits of food can remain lodged between teeth. So just in case, keep a small bit of emergency floss (or a floss pick) in your purse or wallet to remove any debris you see or feel between your teeth.
Watch what you eat. Some foods—like popcorn, sticky snacks or fibrous vegetables—are notorious for sticking in teeth. Try to avoid eating these foods right before a public appearance where your smile may be critical.
And here’s an added bonus: Not only will these tips help keep your smile attractive on the go, they’ll also help keep it healthy. Rinsing with water, for example, helps lower your mouth’s acid level after eating, a prime factor in tooth decay. And flossing, both as a regular practice and for occasional stuck food, decreases plaque and subsequently your risk of tooth decay and gum disease.
Remember, a healthy mouth is the starting place for a beautiful smile. Keep it that way with dedicated hygiene habits at home or on the go.
Before implants, people often turned to a removable appliance to replace multiple missing teeth. Known as a removable partial denture (RPD), this appliance could restore both appearance and function at an affordable price.
But although implants may have diminished their use, RPDs haven't gone extinct. They're still a viable option for patients who can't afford implants or fixed bridgework, or who can't obtain implants due to the state of their dental health.
Although replacing only a few teeth rather than an entire arch, RPDs are similar in basic concept to full dentures. The prosthetic (artificial) teeth are anchored in a resin or plastic that's colored to resemble the gums, precisely placed to fit into the missing gaps. This assembly is further supported by a frame made of vitallium, a lightweight but strong metal alloy. The appliance fits upon the arch with the missing teeth, supported by vitallium clasps that grip adjacent natural teeth.
Each RPD must be custom designed for each patient to fit perfectly without excessive movement during chewing. Too much movement could warp the fit, reduce the RPD's durability or damage other teeth. To achieve this secure fit, dentists must take into account the number and location of missing teeth to be replaced, and then apply a specific construction pattern to balance the appliance.
There are RPDs that are meant to be used short-term, as with a teenager whose jaw isn't yet mature for dental implants. But the metal-framed RPDs we've described are designed for long-term use. There is, however, one primary downside: RPDs have a propensity to collect dental plaque, a thin biofilm most responsible for dental disease that could further deteriorate your dental health.
To avoid this, you'll need to keep both the RPD and the rest of your teeth and gums as clean as possible with daily brushing and flossing, and appliance care. And like dentures, it's best to remove the RPD when you go to bed at night to discourage the growth of harmful bacteria.
To see if an RPD to replace your missing teeth is an option for you, visit us for a complete dental exam. From there, we can advise you further as to whether an RPD could affordably restore your missing teeth and your smile.
If you would like more information on RPDs, 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 “Removable Partial Dentures.”
Fluoride is an important part of your child's dental development. But if children take in too much of this important mineral, they could experience enamel fluorosis, a condition in which teeth become discolored with dark streaking or mottling.
That's why it's important to keep fluoride levels within safe bounds, especially for children under the age of 9. To do that, here's a look at the most common sources for fluoride your child may take in and how you can moderate them.
Toothpaste. Fluoridated toothpaste is an effective way for your child to receive the benefits of fluoride. But to make sure they're not getting too much, apply only a smear of toothpaste to the brush for infants. When they get a little older you can increase that to a pea-sized amount on the end of the brush. You should also train your child not to swallow toothpaste.
Drinking water. Most water systems add tiny amounts of fluoride to drinking water. To find out how much your water provider adds visit “My Water's Fluoride” online. If it's more than the government's recommendation of 0.70 parts of fluoride per million parts of water, you may want ask your dentist if you should limit your child's consumption of fluoridated drinking water.
Infant formula. Many parents choose bottle-feeding their baby with infant formula rather than breastfeed. If you use the powdered form and mix it with tap water that's fluoridated, your baby could be ingesting more of the mineral. If breastfeeding isn't an option, try using the premixed formula, which normally contains lower levels of fluoride. If you use powdered formula, mix it with bottled water labeled “de-ionized,” “purified,” “demineralized” or “distilled.”
It might seem like the better strategy for preventing fluorosis is to avoid fluoride altogether. But that can increase the risk of tooth decay, a far more destructive outcome for your child's teeth than the appearance problems caused by fluorosis. The better way is to consult with your dentist on keeping your child's intake within recognized limits to safely receive fluoride's benefits of stronger, healthier teeth.
If you would like more information on fluoride and your baby's 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 “Tooth Development and Infant Formula.”
Before we begin correcting a malocclusion (poor dental bite), we need to ask a few questions: How extensive is the malocclusion? How far must we move the teeth to correct it? How might the patient's jaw size impact treatment?
Answering these and other questions help us develop an effective treatment plan. And depending on the answers, we might need to look at other procedures before we install braces—like removing one or more of the teeth.
This isn't a subject to approach lightly: All teeth play an important role in dental function and smile appearance, and ordinarily we want to preserve teeth, not remove them. Sometimes, however, it may be a necessary action to achieve our goal of an improved dental bite.
For example, it might be necessary for correcting a malocclusion caused by severe teeth crowding. This occurs when one or both of the jaws hasn't grown to a sufficient size to accommodate all of the teeth erupting on it. As a result, some of the teeth could come in out of their proper alignment.
If caught early before puberty, we may be able to use other techniques to alleviate crowding, like a device called a palatal expander that influences an upper jaw to widen as it grows. If successful, it could provide later teeth more room to erupt in their proper positions.
But even if additional jaw growth occurs, it may not be enough to avoid a malocclusion or treatment with braces. Alleviating further crowding by removing teeth in little noticed areas could help with subsequent orthodontics.
Removing teeth may also be the answer for other problems like an impacted tooth, in which the tooth has not fully erupted and remains submerged in the gums. It's sometimes possible to use a technique to “pull” the tooth down where it should be; but again, that will still require jaw space that may not be available. The more effective course might be to remove the impacted tooth.
Whether or not tooth extraction will be needed can depend on a thorough orthodontic evaluation and full consideration of all the available options. Even though the ideal situation is to correct a bite with all teeth present and accounted for, it may be for the better good to sacrifice some.
If you would like more information on orthodontic techniques, 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 “Removing Teeth for Orthodontic Treatment.”
The Golden Globes ceremony is a night when Hollywood stars shine their brightest. At the recent red-carpet event, leading man Viggo Mortensen had plenty to smile about: Green Book, the movie in which he co-starred, picked up the award for Best Motion Picture—Musical or Comedy. But fans looking at the veteran actor's big smile today might not realize that it once looked very different. A few years ago, an accident during the filming of The Two Towers took a major chip out of Mortensen's front tooth!
That might be OK for some movies (think The Hangover or Dumb and Dumber)—but it's not so great for everyday life. Fortunately, Mortensen visited a dentist promptly, and now his smile is picture-perfect. How was that accomplished? He didn't say…but generally, the best treatment for a chipped tooth depends on how much of the tooth's structure is missing.
If the tooth has only a small chip or crack, it's often possible to restore it via cosmetic bonding. This procedure can be done right in the dental office, frequently in a single visit. Here's how it works: First the tooth is cleaned and prepared, and then a tooth-colored resin is applied to the area being restored. After it is cured (hardened) with a special light, additional layers may be applied to build up the missing structure. When properly cared for, a tooth restored this way can look good for several years.
For a longer-lasting restoration, veneers may be recommended. These are wafer-thin shells made of durable material (most often porcelain) that cover the front (visible) surfaces of teeth. Strong and lifelike, veneers can match the exact color of your natural teeth—or give you the bright, high-wattage smile you've always wanted. No wonder they're so popular in Hollywood! Because veneers are custom-made for you, getting them may require several office visits.
If a chip or crack extends to the inner pulp of the tooth, a root canal procedure will be needed to keep the tooth from becoming infected—a situation that could have serious consequences. But you shouldn't fear a root canal! The procedure generally causes no more discomfort than filling a cavity (though it takes a little longer), and it can help save teeth that would otherwise be lost. After a root canal, a crown (cap) is generally needed to restore the visible part of the tooth.
When a damaged tooth can't be restored, it needs to be extracted (removed) and replaced. Today's best option for tooth replacement is a dental implant—a small, screw-shaped post inserted into the bone of your jaw that anchors a lifelike, fully functional crown. Implants require very little special care and can look great for many years, making them a top choice for tooth replacement
If you have questions about chipped or damaged teeth, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Artistic Repair Of Front Teeth With Composite Resin” and “Porcelain Veneers.”
Parents have been dealing with their children's teething pain for as long as parents and children have been around. Along the way, the human race has developed different ways to ease the discomfort of this natural process of dental development. While most are good, common-sense measures, one in particular needs to be avoided at all costs—applying topical oral products to the gums containing Benzocaine.
Benzocaine is a topical anesthetic often found in oral products like Anbesol, Orajel or Topex to help ease tooth pain or sensitivity. The agent can be found in gel, spray, ointment or lozenge products sold over-the-counter. As an analgesic, it's considered relatively safe for adults to use.
But that's not the case with infants or younger children. Researchers have found a link between Benzocaine and methemoglobinemia, a potentially fatal blood condition. Methemoglobinemia elevates the amount of a hemoglobin-like protein called methemoglobin, which in high concentrations can lower oxygen levels being transported to the body's cells through the bloodstream.
Because of their smaller anatomy and organ systems, younger children can have severe reactions to increases in methemoglobin, which can range from shortness of breath or fatigue to seizures, coma or even death. That's why you should never use products with Benzocaine or similar numbing agents to ease teething pain. Instead, follow these common sense practices:
- Give your child chilled rubber teething rings, wet washcloths or pacifiers to chew or gnaw on. The combination of cold temperatures and pressure from biting on them will help ease the pain. Just be sure the item isn't frozen, which could cause frost burns to soft tissues.
- For temporary relief from soreness, gently massage your baby's gums with a clean, bare finger or with it wrapped in a clean, wet cloth. The massaging action helps counteract the pressure of the incoming tooth.
- For intense episodes of teething discomfort, ask your healthcare provider about using an over-the-counter pain reliever like acetaminophen or ibuprofen. Be sure you use only the recommended dose size for your child's age.
Teething is in many ways like a storm—it too shall pass. Be sure you're helping your baby weather it safely.
E-cigarettes have taken the world by storm, especially among younger adults. The reason: the widespread perception that “vaping” is healthier than smoking tobacco.
But a deeper look at this wildly popular habit reveals a product that doesn't live up to its reputation as smoking's “safer alternative.” One aspect of health that's especially in harm's way is the mouth: Teeth and gums could in fact be just as prone to disease with an e-cigarette as the tobacco variety.
E-cigarettes are handheld devices that hold a cartridge of liquid vaping product, which is then heated to produce an inhalable vapor. Technically, it's an aerosol in which solid chemical compounds within the vaping liquid are suspended in the vapor. The aerosolized vapor thus serves as a transporting medium for these chemicals to enter the user's body.
It's these various chemicals inhaled during vaping that most concern dentists. Top on the list: nicotine, the addictive chemical also found in regular tobacco. Among its other effects, nicotine constricts blood vessels in the mouth, causing less blood flow of nutrients and infection-fighting cells to the gums and teeth. This not only heightens the risk for gum disease, but may also mask initial infection symptoms like swelling or redness.
Flavorings, a popular feature of vaping solutions, may also contribute to oral problems. These substances can form new chemical compounds during the vaping process that can irritate the mouth's inner membranes and trigger inflammation. There's also evidence that e-cigarette flavorings, particularly menthol, might soften enamel and increase the risk of tooth decay.
Other chemicals commonly found in vaping solutions are thought to increase plaque formation, the sticky film on teeth that is a major cause for dental disease. And known carcinogens like formaldehyde, also included in many formulations, raise the specter of oral cancer.
These are just a few of the possible ways vaping may damage oral health. Far from a safe tobacco alternative, there's reason to believe it could be just as harmful. The wise choice for your body and your mouth is not to smoke—or vape.
If you would like more information on the oral hazards of e-cigarettes, 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 “Vaping and Oral Health.”
Each year millions of people endure repeated episodes of congestion, coughing and headaches, all the miseries that come with a sinus infection. Although it seems like all the action is occurring around the nose and upper face, the actual cause could be emanating from somewhere else—your teeth.
It can all begin with decay forming a small cavity in one of the upper back teeth. If it isn't caught and treated early, the decay can spread into the tooth pulp and root canals, tiny passageways to the root and bone. This may or may not cause a severe toothache or sensitivity as the tooth's nerves respond to the infection. These nerves, though, most often eventually die and the pain, if present, will subside—but not the infection.
Left untreated, the infection may then advance into the bone around the root tip, breaking it down and giving bacteria an entryway into the floor of the maxillary sinus that rests just above the upper jaw. Here bacteria can take up residence, occasionally flaring into a sinus infection. This chronic infection could go on for years with allergies mistakenly taking the blame.
If you have frequent bouts of sinusitis, a possible dental connection may be worth investigating. And in the dental profession, there may be no better “detective” for this than an endodontist. Specializing in interior tooth problems and treatments, an endodontist has the diagnostic equipment like CT or 3-D cone beam scanning to accurately image the teeth and upper jaw. With their advanced diagnostics, they're in the best position to uncover hidden tooth decay contributing to sinus problems.
Endodontists are also skilled in treating advanced tooth decay. The main procedure is known as root canal treatment, in which the dentist drills into the tooth's interior to remove infected tissue from the pulp and root canals. They then fill these empty spaces, seal and then crown the tooth for added protection.
After treatment and following up with your physician, you may find your sinus infections are less frequent. And by promptly seeking treatment at the first sign of tooth pain or sensitivity, you might prevent chronic sinusitis from even developing.
If you would like more information on how dental disease can affect overall 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 “Sinusitis and Tooth Infections.”
The fast-paced world of sports and entertainment isn’t all glitz and glamour. These high-profile industries create a unique kind of emotional and mental stress on celebrities. For many of them, a way to “let off steam” is an oral habit known as teeth grinding.
Teeth grinding is an involuntary habit in which a person bites and grinds their teeth outside of normal activities like eating or speaking. It’s common among young children, who usually grow out of it, but it can also affect adults, especially those who deal with chronic stress. If not addressed, teeth grinding can eventually wear down teeth, damage gum attachments or fracture weaker teeth. It can even contribute to tooth loss.
A number of well-known personalities in the spotlight struggle with teeth grinding, including actress Vivica Fox, model and TV host Chrissy Teigen, and star athletes Tara Lipinski and Milos Raonic of ice skating and tennis fame, respectively. The habit represents not only a threat to their dental health, but also to one of their most important career assets: an attractive and inviting smile. Fortunately, though, they each use a similar device to manage their teeth grinding.
Besides seeking ways to better manage life stress, individuals with a teeth-grinding habit can protect their teeth with a custom mouthguard from their dentist. Made of slick plastic, this device is worn over the teeth, usually while sleeping, to minimize dental damage. During a grinding episode, the teeth can’t make contact with each other due to the guard’s glossy surface—they simply slide away from each other. This reduces the biting forces and eliminates the potential for wear, the main sources of dental damage.
Chrissy Teigen, co-host with LL Cool J on the game show Lip Sync Battle, wears her custom-made guard regularly at night. She even showed off her guard to her fans once during a selfie-video posted on Snapchat and Twitter. Vivica Fox, best known for her role in Independence Day, also wears her guard at night, and for an additional reason: The guard helps protect her porcelain veneers, which could be damaged if they encounter too much biting force.
Mouthguards are a prominent part of sports, usually to protect the teeth and gums from injury. Some athletes, though, wear them because of their teeth grinding habit. Tara Lipinski, world renowned figure skater and media personality, keeps hers on hand to wear at night even when she travels. And Milos Raonic, one of the world’s top professional tennis players, wears his during matches—the heat of competition tends to trigger his own teeth-grinding habit.
These kinds of mouthguards aren’t exclusive to celebrities. If you or a family member contends with this bothersome habit, we may be able to create a custom mouthguard for you. It won’t stop teeth grinding, but it could help protect your teeth—and your smile.
If you would like more information about protecting your smile, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Teeth Grinding” and “When Children Grind Their Teeth.”
In case you missed it, September is Self-Improvement Month. Don't fret if you weren't aware—we're not sure how the ninth month acquired this celebration of positive human development either. But as long as we're celebrating, do something good for yourself—like improving your smile.
If this doesn't seem like a lofty enough self-improvement goal, remember this: There's much more to a smile than its looks. Smiles “speak” a social language, allowing us to wordlessly communicate acceptance, happiness, or even sympathy. A smile is a valuable part of beginning and maintaining relationships, be they familial, social or professional.
So why not go all out and enhance your smile during Self-Improvement Month? To that end, here are a few options:
Teeth whitening. Maybe your teeth are a little yellowed. If you have mild to moderate enamel staining, consider undergoing a professional whitening procedure. We use a safe but effective solution to give you just the level of brightness you want. And with proper maintenance and occasional touch-ups, you can have a brighter smile for years.
Bonding, veneers or crowns. If your teeth have chips, heavy discolorations or other mild to moderate defects, we can offer a variety of solutions. We can bond special dental materials to repair slight defects that make a tooth look good as new. For moderate flaws, heavy staining or slight gaps, we can bond a custom-made veneer to the front of teeth to hide these imperfections. We can also cap teeth with natural-looking crowns to cover larger disfigurements.
Orthodontics. Misaligned teeth can detract from an otherwise attractive smile. Orthodontics can help—and as long as you're in good oral and general health, you can undergo bite correction at any age. Braces aren't your only option: Removable clear aligners are nearly invisible to others, and because they're removable, they make it easier to keep your teeth clean.
Dental implants. Missing teeth can definitely dim a smile. And while there are a number of restoration options, dental implants are one of the top choices. Implants not only look and feel lifelike, they're exceedingly durable. Although they may be more expensive up-front, they have been shown to last longer and tend to require less maintenance than other restorations. Dental implants are a worthwhile investment in a long-term smile.
Cosmetic enhancements like teeth whitening or bonding may require only one or two visits, while other options like orthodontics or implants can take much longer. But you can still get the ball rolling now. Make an appointment this month for a full dental exam and consultation to start your journey toward improving your smile.
If you would like more information about enhancing your smile, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Cosmetic Dentistry: A Time for Change.”
"The Dog Days of summer" once referred to the rise of Sirius (the "Dog Star") with the morning sun during the month of August. Today, however, the term has more of a meteorological than astronomical meaning: It's the muggy point of summer best suited for sipping a cold beverage and doing as little as possible by the pool. A little lethargy can be forgiven during these humid days, but don't let it keep you from the daily necessities—like cleaning your teeth.
Brushing and flossing might seem an unwelcome interruption to your “dog day” pursuits (or lack thereof), but they're still necessary regardless of the season. Together, these twin tasks remove dental plaque, a bacterial buildup of food particles and the primary cause of tooth decay and gum disease.
Daily oral hygiene is one of the most important ways you can ensure your present and future dental health. It also reduces stain buildup to keep your teeth looking their shiny best and helps freshen your breath.
If that's not enough to overcome your summer doldrums, here are a few more reasons why performing these two vital teeth-cleaning tasks is less toilsome than you think.
Just 5 minutes a day. Brushing and flossing take only a fraction of your time each day. You can perform either task thoroughly in two to three minutes. Before you know it, you'll be back poolside.
No “elbow grease” required. Oral hygiene doesn't require a lot of physical exertion, especially brushing. In fact, aggressive brushing could damage your gums. All you really need is a gentle, circular motion, and the mild abrasives in your toothpaste will do the rest.
Flossing help is available. A lot of people find flossing difficult compared to brushing and may skip it altogether. But flossing is necessary to remove plaque between teeth that brushing can't reach. Usually, it's a matter of getting over the initial awkwardness of maneuvering the floss. The major mistake is that people tend to tighten their cheek muscles when trying to get their hands in their mouth. Relax your facial muscles and you can easily get the floss positioned in the mouth for proper technique. But if you don't have the manual dexterity to hold floss between your fingers, you can try pre-loaded floss threaders or a water flosser.
Relax—we have your back. Achieving the lofty goal of great dental health isn't all on your shoulders—we support your personal efforts through regular dental visits. Every six months, we remove hard-to-reach plaque and tartar (hardened plaque) and check for any emerging problems to keep your dental health on track.
A small investment of time and effort each day can help keep your mouth healthy and avoid costly dental treatment down the road. Don't worry: The pool will still be there waiting, so go brush and floss those teeth!
When you floss (you do floss, right?), you probably notice a sticky, yellowish substance called plaque stuck to the thread. This thin film of tiny food particles and bacteria is the reason you floss and brush in the first place: Because it's the main trigger for tooth decay and gum disease, removing it decreases your risk for disease.
But this isn't the only form of plaque you should be concerned about. That same sticky substance can also interact with your saliva and harden into what's commonly known as tartar. Dentists, however, have a different term: They refer to these calcified deposits as calculus. And it's just as much a source of disease as its softer counterpart.
You might have noticed that this form of plaque has the same name as an advanced type of mathematics. Although dental calculus has little in common with algebra's cousin, both terms trace their origins back to the same linguistic source. The word “calculus” in Latin means “small stone;” it became associated with math because stone pebbles were once used by merchants long ago to calculate sales and trades.
The term became associated with the substance on your teeth because the hardened plaque deposits resemble tiny stones or minerals—and they can be “as hard as a rock” to remove. In fact, because they adhere so firmly it's virtually impossible to remove calculus deposits with brushing or flossing alone. To effectively eliminate calculus from tooth surfaces (including under the gum line) requires the skills and special dental tools of dentists or dental hygienists.
That's why we recommend a minimum of two dental cleanings a year to remove any calculus buildup, as well as any pre-calcified plaque you might have missed with daily hygiene. Reducing both plaque and calculus on your teeth fully minimizes your risk of dental disease. What's more, removing the yellowish substance may also brighten your smile.
That's not to say daily brushing and flossing aren't important. By removing the bulk of plaque buildup, you reduce the amount that eventually becomes calculus. In other words, it takes both a daily oral hygiene practice and regular dental visits to keep your teeth healthy and beautiful.
Kids get pretty inventive pulling a loose primary (baby) tooth. After all, there's a profit motive involved (aka the Tooth Fairy). But a young Kansas City Chiefs fan may have topped his peers with his method, revealed in a recent Twitter video that went viral.
Inspired by all-star KC quarterback Patrick Mahomes (and sporting his #15 jersey), 7-year-old Jensen Palmer tied his loose tooth to a football with a line of string. Then, announcing “This is how an MVP gets their tooth out,” the next-gen QB sent the ball flying, with the tooth tailing close behind.
It appears young Palmer was no worse for wear with his tooth removal technique. But if you're thinking there might be a less risky, and less dramatic, way to remove a loose tooth, you're right. The first thing you should know, though: Primary teeth come out when they're good and ready, and that's important. Primary teeth play an important role in a child's current dental and speech function and their future dental development. For the latter, they serve as placeholders for permanent teeth developing within the gums. If one is lost prematurely, the corresponding permanent tooth might erupt out of position and cause bite problems.
In normal development, though, a primary tooth coming out coincides closely with the linked permanent tooth coming in. When it's time, the primary tooth lets you know by becoming quite loose in the socket.
If you think one of your children's primary teeth is ready, clean your hands first with soap and water. Then using a clean tissue, you should be able to easily wiggle the tooth with little tension. Grasp the tooth with the tissue and give it a little horizontal twist to pop it out. If that doesn't work, wait a day or two before trying again. If it does come out, be sure you have some clean gauze handy in case of bleeding from the empty socket.
Normally, nature takes its course from this point. But be on the lookout for abnormal signs like fragments of the tooth left behind in the socket (not to be mistaken for the top of the permanent tooth coming in). You should also look for redness, swelling or complaints of pain the following day—signs of possible infection. If you see anything like this, make a prompt appointment so we can take a look. Losing a primary tooth is a signpost pointing the way from childhood to adulthood (not to mention a windfall for kids under their pillows). You can help make it a smooth transition—no forward pass required.
If you would like more information about caring for primary teeth, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Importance of Baby Teeth” and “Losing a Baby Tooth.”
Losing your teeth can be a traumatic experience with serious consequences for your overall health. Fortunately, you have great options for replacing lost teeth that can restore both appearance and dental function.
One such option is a fixed bridge supported by dental implants. While implants are best known for single tooth replacement, they can also be used with other restorations like bridges. In this case, the bridge is screwed into a few well-placed implants to support it.
Implants can provide bridges with more security and support, and without the need to alter adjacent teeth that are commonly used for traditional tooth replacement. They may also slow or stop bone loss because the titanium in implants naturally attracts bone cells that grow and adhere to its surface and provide stimulation to the bone cells during function.
Because of these benefits an implant-supported bridge could be a life-changer that provides years of satisfaction. But we can’t simply “set them and forget them”: They require dedicated oral hygiene just like natural teeth.
While the bridge materials and implants themselves are in no danger from disease, the same can’t be said for the implant’s supporting gums and bone. Dental plaque, the main driver in gum disease, can place these tissues at risk for infection that could eventually lead to implant failure.
It’s important, then, for you to floss around your new implants to remove any plaque. This differs from regular flossing in which you work the thread between teeth. Instead, you’ll have to maneuver the floss between the bridge and gums with the help of a floss threader, a small slender tool with a loop at one end and a stiffer plastic edge at the other (similar to a sewing needle).
To use it, first run 18” of floss through the loop until you get equal lengths and then work the tail of the floss threader between the bridge and gums while holding one end of the floss. Once through, you pull the floss threader through so that the floss is on either side of the bridge. Then grab each end of the floss and pull it snug to floss up and down one side of the implant. Go to the next side and repeat this procedure for all the implants.
As an alternative, you could use an oral irrigator, which emits a pulsating spray of water to loosen and wash away plaque. Either way, though, it’s important to floss around implants to get the most life out of your bridge.
If you would like more information on proper care for implant-supported restorations, 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 “Oral Hygiene for Fixed Bridgework.”
If all goes normally, we have most of our permanent teeth as we enter puberty. Except, though, when it doesn't—sometimes incoming permanent teeth don't fully erupt, often because there's not enough room for them on the jaw. This can leave all or part of a tooth still up inside the gum and bones.
This condition is known as impaction, and it can cause problems with a person's bite and their smile. This is especially true of the upper canines, those pointed teeth located just under the eyes. Without them present, a person's smile can look oddly different. Moreover, it can worsen their bite and increase the risk of trauma and disease for nearby teeth.
Fortunately, there may be a way to coax impacted canines into erupting into their proper position on the jaw. It will involve, though, some minor surgery and orthodontic intervention to accomplish that feat.
First, though, a patient with missing canines should undergo a thorough orthodontic evaluation. This exam will reveal not only what may be going on with the missing teeth, but how the whole bite has been affected. Knowing the big picture will help direct the next treatment steps.
After pinpointing the impacted teeth's exact position (usually through x-rays or cone beam CT scanning), we then decide whether it's feasible to attempt to expose the teeth. Sometimes, a tooth's position is so out of place that it may be best to remove it and consider a dental implant or other restorative measures.
If it is in a workable position, then the impacted teeth would be exposed surgically (usually by an oral surgeon or periodontist). The surgeon would then bond a small bracket to the exposed tooth and then attach a small chain.
After suturing the incised gum tissues back in place, the chain extending outward from the gums would then be looped over orthodontic hardware attached to other teeth. This will place downward pressure on the upper canine tooth, and over several months prod it to fully erupt.
This may sound like an elaborate procedure, but it's fairly routine and predictable. As a result, a patient can finally get the full benefit of all their teeth, enhance their dental health and transform their smile.
If you would like more information on dealing with impacted teeth, 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 “Exposing Impacted Canines.”
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