February 22, 2012

To Floss Or Not To Floss

Flossing is great for your teeth!

You may have been struggling with just brushing your teeth twice a day and now your hygienist is fussing with you about the need to floss. If you are like me, I never knew what floss was until I was about 14 years old. I mean, it is such a hassle  just to brush your teeth and flossing takes even more time out of your busy schedule, not to mention if makes your gums bleed and it hurts!

A close friend of mine that is a dentist did a project at an elementary school to show the necessity of flossing. He first put peanut butter all over his hand and then closed his fingers tightly. Afterwards, he went to the sink and scrubbed his hand vigorously. He then opened his fingers which revealed peanut butter still caked in between them. So , no matter how good you brush  or how often you brush, food and bacteria will still remain stuck in between your teeth.

When food and plaque is left between the teeth, it doesn’t take long before the gums become very irritated. The gums will get very puffy at first and will bleed when flossed( healthy gums do not bleed when you floss your teeth because they are more rigid and smooth).  The gums will then start to recede away from your teeth causing bone loss and then ultimately the loss of your tooth. Without the healthy gum tissue, the tooth becomes very vulnarable to tooth decay as well.

So, yes it may be uncomfortable and take more time out of your busy schedule, but it is definitely better for your teeth and for your overall health– floss, floss, and Floss!!

Tooth Sensitivity After Composite Fillings

Pain from composite fillings.

There have been many complaints throughout my years as a dental assistant with tooth sensitivity after a composite filling has been placed. Some of these people are not only having sensitivity but horrible pain as well when chewing or drinking hot and cold things. These complaints are very real and 2 out of every 8 patients will have difficulty with the composite fillings placed. Most dentists are boggled by the sensitivity caused by the composite fillings.  If they are unable to get the tooth to calm down with adjusting the bite and placing extra flouride around the tooth, they will have to take the composite filling out and replace it or they will put amalgam in its place to see if this will take care of the sensitivity.

You may have come to the dentist for a cleaning and they told you that there was a small cavity, but the tooth had not bothered you at all. But you decide to listen to your dentist and get the cavity taken care of while it is still small. After the filling has been placed, though, you find that the tooth hurts when you try to use it to chew and it is also very sensitive to hot and cold. Now you are frustrated and mad at the dentist for causing you this unnesisary pain! Why did he have to mess with it in the first place– it wasn’t bothering you before!

Truthfully, the dentist did not mean to cause you pain. Sometimes a tooth will flare up any time work is done to it. The filling was necessary after removing the decay, but if the sensitivity is unbearable you may have to go back to either have it replaced or at least adjusted. WE have found that using sensadyne toothpaste really helps with the sensitivity. Just rub the toothpaste on and around the tooth and let it stay on there for a few minutes without rinsing. If the pain and sensitivity continues to get worse, you may need to have the root of the tooth examined to see if it has abcessed. Abcesses after fillings usually only occur if the filling was really deep.

The differences in amalgams versus composite fillings should be explained to you by the dentist before the procedure is completed so you know the risks of sensitivity with the composite fillings. Your dentist can help you with the pros and cons of each type of filling so you can make  the best decision for your teeth.

Caring for Your Children’s Teeth

primary teeth

Chirlden's teeth

As a Dental Hygienist, it is often my responsibility to instruct parents on the proper way to care for their children’s teeth. Typically they have questions about how to get their children to brush, should they floss, and when should they begin taking them to the dentist for their routine cleaning and check-up?

I believe it is important to teach children at an early age the routine of brushing their teeth every night. As they get older, they really need to begin brushing in the morning as well. Night is the most important time, however. Without the interruption of drinking water or eating like we do throughout the day, we allow the plaque, which is full of bacteria, to set on our teeth all night which gives bacteria a perfect environment to multiply and cause infection in the gums and decay in the teeth .

One way to get your children to brush is to give them the toothbrush first. Allow them to practice and get used to the habit of brushing everyday. We teach children to brush for two minutes to ensure they have properly brushed all of their teeth. Some parents like to use an hour glass timer and teach the children to brush until the sand runs out. Others like to make it a little more fun and they let the child pick their favorite song. They play it while the child brushes their teeth and once the music stops, so can the child. Then once they are done, an adult should brush their teeth again for them because small children typically do not have the dexterity to brush properly for themselves. Make sure that as you brush their teeth for them,you tilt the toothbrush and slightly aim for the gumline where the tooth and the gums meet. This will help to clean the space between the tooth and the gums where plaque loves to hide and cause an infection known as Gingivitis. Also carefully brush the grooves on the tops of the teeth in order to ensure that the plaque and food debris has been completely removed.

When small children have their baby teeth, they typically have spaces between them. This is good because it allows room for the larger permanent teeth to erupt. As long as you are brushing their teeth thoroughly and making sure the bristles are going between the teeth, flossing is not essential for children, however; you may want to consider at least flossing between the last two teeth (the molars) on top and bottom. They tend to be closer together and there is more opportunity for decay between those teeth.

A mistake that so many parents make, is to put the child to bed with a bottle. This causes what is known as “baby bottle tooth decay”. Some parents put the child to bed with milk or juice after they have brushed their teeth because the child is in the habit of sucking on the bottle as they go to sleep. As they are sleeping, the milk or juice sits on the teeth right where the tooth meets the gumline and causes the enamel to “decalcify” or get soft. Before long, parents notice dark spots on the child’s front teeth right at the gumline. By then, it has already become a cavity. It is important after you brush your child’s teeth that they only drink water before they go to bed.

If you ever have any questions about your children’s teeth or the proper way to care for them, visit your family dentist or give them a call. It is never an inconvenience to help a concerned parent care for their children.

Why Pulling a Tooth Can Cost You More Money in The Future

forceps

Forceps used for teeth extractions

You have a toothache so you go to the dentist and they tell you that you have options for saving the tooth but since  those options are too expensive you decide to have the tooth extracted. Let’s reverse and talk about whether that would actually be a good decision or not.

Spacing

When you remove a tooth a space is left and the teeth will naturally shift and lean in to fill that space. This will in turn cause your bite to change which could also limit your chewing function or cause TMJ problems.

Super Eruption

If a lower tooth is removed the tooth that was right above it will super erupt ( meaning i will drop down because there is no longer a tooth below it) .  The tooth then that was either above or below it is then of no use when it comes to chewing and will eventually need to be extracted as well to prevent problems with your biting alignment.

Costs of Replacement

After you have the tooth extracted, depending on where it is, you may want to have the tooth replaced because you don’t like the gaps you see when you smile. So, let’s go over the options for replacement. I will start with the cheapest and then go to the most expensive replacement option.

  • Partials

The cheapest type of partial that you can get is an acrylic partial with wrought iron clasps and it usually costs around $850 to have it made. Next, we have the valplast partial which is made from nylon and costs about $1000. And finally, there is the cast partial and the base of this partial is made mostly of metal with the rest of it acrylic. The costs of this partial is $1500. My favorite is the valplast partial because it is the more natural looking one of all of them.The down side of partials is that they take a long time to get use to wearing them and they are removable.

  • Bridges

Bridges are basically crowns that are joined to fill a space. You have to be missing a tooth in order to have a bridge done. The doctor ends up having to put a crown on the two teeth on either side of the one that was just removed. the bridge is made out of metal and porcelain and it is cemented in. Depending on your chewing , brushing, and flossing habits your bridge may last for over 30 years. The great thing about a bridge is that it is permanent and you never even know it’s there. A bridge costs $1000 a tooth so if you are missing one tooth it will cost you $3000 to get a bridge done.

  • Implants

Implants are done surgically by placing a screw down into the bone where the tooth use to be and then placing a crown  on top of it. It can take 6 months for the implant to be completed because you have to heal after each step for several weeks. The implant is the ultimate replacement for your tooth because it is permanent and you don’t have to mess with any other teeth in order to replace the one tooth that was removed. The costs for an implant is around $4000.

So although it may be the cheapest option now for you just to have your tooth extracted instead of fixing it– later on that will certainly not be the case.

Stop Snoring and Sleep Apnea Now With Silent Nite.

silent night snoring sleep apneaDo you or someone in your family have problems with snoring or sleep apnea? Well,both snoring and sleep apnea are  indeed a well known problem and there have been oh so many inventions to try and stop it but most of them are very uncomfortable and others simply don’t work. Let me tell you about a new mouth piece that we just started making at our dental office that will definitely be a big help to you if you are having trouble with either of these problems.

The mouth guard or mouth piece is made for the purpose of preventing snoring and sleep apnea . This unique little snorer stopper is called a Silent Nite mouthpiece and is custom made to fit your mouth just right. The way it works is it has a  bar that hinges on each side of an upper and lower acrylic mouthpiece which keeps your jaw from sliding back into the position to the point where it starts closing off your breathing passage preventing oxygen from your brain and vibrating the soft tissue at the back of your throat. The inside of the mouthpiece is made of soft rubber and fits nice and snug around your teeth while the outside of the Silent Nite mouthpiece is made of hard acrylic making it durable.

We have made several of these mouthguards  and so far they have all called us back with great success stories! The Silent Nite appliance is not big and bulky and will not take more than a week or two to get acustomed to. The  price for this mouthpiece is $400 at our dentist office which is really a great deal because I have worked for other doctors that are charging $1000 for them. Let me tell you, this is a pretty neat little invention that really works! Hope that you are able to get one soon!

Some Things You Need to Know About Dental Amalgam Fillings and Composite

Throughout the years as a dental assistant people have questioned whether amalgam fillings were causing harm to their health or if they were letting off poisons into their system .

At first the national board of dentistry thought that the amalgam fillings could be bad for your health overall if you had a lot of them in your mouth. But, recent studies have proven that amalgam fillings are not causing such hazards afterall. The board has even gone as far as to state that if a dentist tells you that you need to replace your amalgam fillings  for health reasons that dentist can be charged with malpractice!

Amalgam or silver fillings as most people call them, are made of  silver, tin, zinc, copper, and mercury. 50% of the filling is mercury. Tests have shown that the amalgam fillings do leak a little bit of mercury into your system but not at a rate that would harm you in any way.

Amalgam advantages and disadvantages:

  • the  material is very strong and durable
  • can be used for an area in your mouth  that is impossible to get dry– a  necessity for composit fillings
  • less expensive than composit fillings
  • larger area of the tooth structure has to be removed in order to place an amalgam
  • can cause stress fractures because it weakens the tooth

Composite fillings on the other hand are definitely more esthetic. The white composit fillings are made of a plastic material that is cured by the use of a special light. Your dentist should give you the option to choose either the amalgam filling or the white composit filling.

Composite advantages and disadvantages:

  • can be matched to the exact shade of your other teeth
  • only a small amount of tooth structure needs to be removed to place a composite
  • usually they don’t cause the teeth to be sensitive to hot and cold like the amalgams do
  • cannot be placed if the tooth is wet
  • can be drastically weakened by the use of alcolhol and drugs.

So, the conclusion on the matter is that you don’t need to have your  dental amalgam fillings ( silver filling) replaced for health reasons. Now if you have to get a cavity filled, composit fillings or tooth colored fillings are definitely my first choice for the cosmetic side of things but I just wanted to clear up the bad name that the silver fillings are getting:)

Damaging Effects Of Sugar And Drugs On Teeth

Today, I met a man who stated that he had beautiful teeth but recently the habit of drinking coke had started to cause them to decay. As I looked closely I could tell that trully he did once have very nice teeth but indeed there were large areas of decay. The decay did not come from drinking cokes, though, because the decay was different than that of decay from sweets– he was using drugs.

Contrary to popular belief, your teeth have no problem when you eat sweets and drink soda products. The problem comes in when you sip on the soda all day long and let all that sugar stay on your teeth without brushing it off. Over a length of time the sugar on your teeth works as an acid breaking down the enamel on your teeth and making it possible for small crevices to develop- a perfect environment for the acids from food to creep into and start small areas of decay. So, next time you eat candy or drink a soda just remember to brush your teeth and if that is not possible just rinse your mouth well with water.

Like I mentioned earlier, drugs will also play a large part in ruining your teeth. You are also at a high risk of getting some type of oral cancer.
If you are a user of narcotics, extra precautions should be taken to care for your teeth such as a cleaning every six months and a yearly oral cancer screening would also be a major plus.

Professional Dental Cleaning- Why You Need It.

I have recently come across several people who have asked me if it really was necessary to go to a dentist to have their teeth cleaned or if they could just get a couple scraper tools and do it themselves. You definitely don’t want to go that route because first of all you will probably cause more damage than good to your gum tissue and you will also inflict a lot of bleeding and pain.
The reasons you should get your teeth professionally cleaned by a hygienist

  1. Calculus build up  on your teeth. Calculus is hardened plaque and is synonymous with tartar. Calculus  is a light yellow color and most people can’t see it but over time this build up will cause unhealthy gums.  It cannot be cleaned by just brushing your teeth but needs to be taken off by an ultrasonic cleaning or special scalers.
  2. Perio disease or periodontitis. This gum disease is caused by bacteria adhering to your teeth. This bacteria attacks the tissues that surround your teeth and causes bone loss which will ultimately make your teeth loose.
  3. Oral cancer. Oral cancer claims more lives above any other cancer because most times cancer is not detected until the later stages  and by then it is often too late. Your hygienist will perform a oral cancer screening on you once a year at your regular cleaning. Oral cancer is easily treated if detected early on.
  4. Early detection. Your hygienist will take x-rays and be able to see small spots of decay that can not otherwise be seen and be able to get them treated at a cost much less than if you let it  go undetected. It costs so much more when you don’t take care of the little details.

A professional cleaning is definitely an all around plus– not such a good idea to try doing it yourself :)

Grinding? Why You Need A Mouthguard.

If you talk to any dentist they will recommend that everyone wear a mouthguard or night appliance when they sleep. Most people grind their teeth at night and some even during the day and don’t even realize it but the damage that grinding causes shows up in several ways and I will list a few:

  • sore or aching jaw in the morning
  • headaches
  • random pain from your teeth especially the molars
  • fractures  and hair line cracks in the teeth
  • leveling or wear to the biting surfaces of the teeth

I have a brother that is 32 years old and  he grinds his teeth at night. He has all of the above problems but refuses to go see the dentist because he knows that they will charge him at least $500 dollars to make him a mouthguard (this is not counting the exam fees). My suggestions to him were to go to Walmart and buy a mouthguard in the pharmacy area for the time being and then save up and buy a more durable one from www.nightguardlab.com for about $160. The mouthgurads from Walmart won’t last long for a true grinder because the material is too flimsy and can easily be chewed through. The night guard lab can make a nice acrylic guard that should last for years.

The benefits of a mouthguard are astronomical and will definitely benefit the longevity of your teeth. Over time, the expenses from grinding can take a toll on your wallet and on your health. Severe grinding will make stumps of your teeth and the ending result will be dentures. Please don’t wait for  the damage to take over when all you need is a mouthguard to stop it.

Get relief from teeth grinding today.