My Blog
Posts for: September, 2018

Orthodontic treatment is a big investment. But given the benefits for future good health and a more attractive smile, it's well worth it.
In the here and now, though, braces wearers face a different threat to their dental well-being — dental disease. Wearing braces can actually increase the risk of disease and make it more difficult to fight.
Tooth decay and periodontal (gum) disease, the two most common forms of dental disease, usually arise from plaque, a thin film of bacteria and food particles on tooth surfaces. The bacteria produce acid, which erodes enamel and makes the teeth susceptible to decay. Certain bacteria can also infect the gums and eventually weaken their attachment to teeth. Thorough brushing and flossing everyday removes this disease-triggering plaque buildup.
But braces' hardware can make brushing and flossing more difficult. The brackets attached to the teeth and wires laced through them make it more difficult for floss and brush bristles to access all the areas around the teeth. Plaque can build up in certain spots; it's estimated braces wearers have two to three times the plaque of a person not wearing braces. Acid can also remain in contact with some of the enamel surface for too long.
It's important, therefore, if you wear braces to make a concerted effort to brush and floss thoroughly. Besides improving technique and taking more time, you might also consider additional aids. You can obtain toothbrushes specially designed for use with braces, as well as floss holders or threaders that make it easier to access between teeth. Another flossing alternative is an oral irrigator that sprays water under pressure between teeth is an alternative to flossing.
As a precaution against acid damage, we can boost enamel protection with additional fluoride applied to your teeth. We may also prescribe antibacterial rinses to keep the bacteria population low.
Above all, be sure to look out for signs of disease like swollen or bleeding gums or pain. As soon as you sense something out of the ordinary, be sure and contact us.
If you would like more information on keeping your teeth disease-free while wearing braces, 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 “Caring for Teeth During Orthodontic Treatment.”

It's no exaggeration — dental implants have revolutionized teeth replacement. Life-like and durable, implants are the closest thing in design and function to a natural tooth.
In fact, there's only one thing better than a dental implant — a real tooth. For function and long-term oral health, you can't beat what nature provided you in the first place. So before you finally decide to remove and replace that problem tooth, consider these other options for saving it.
Root canal therapy. Tooth decay can do more than cause cavities — it can work its way into the pulp, the innermost layer of a tooth. If it isn't stopped here, it could continue on to the roots and put the tooth in real danger of loss. A root canal treatment removes the infection from the pulp and root canals and replaces the space with a filling. A life-like crown is then bonded or cemented to the tooth to protect it from further infection.
Aggressive treatment for periodontal (gum) disease. This other dental disease is just as damaging as tooth decay. Caused by bacterial plaque, the gums around a tooth become infected and inflamed. As it moves deeper into the tissues and inflammation progresses, it can affect supporting bone causing it to dissolve. To prevent this potential bone loss, it's important to seek out and remove hidden pockets of plaque. This may require surgery to access the roots for plaque and calculus (tartar) removal, but it's well worth it to preserve the tooth.
Bone grafting. As mentioned before, gum disease can ultimately lead to bone loss. But even when bone loss has occurred (a substantial threat to a tooth's survival) we may be able to reverse it with bone grafting techniques. During this procedure we insert grafting material at the loss site along with substances that stimulate growth. The graft serves as a scaffold for new bone cells to grow upon. Over time the bone volume increases and helps stabilize a weak tooth.
Of course, your best option is to avoid dental disease in the first place with daily brushing and flossing and regular dental visits for cleanings and checkups. That and treating dental disease in its earliest stages will help ensure you'll have the best teeth possible — your own.
If you would like more information on options for treating diseased 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 “Save a Tooth or Get an Implant?”

Seven out of ten Americans are missing at least one tooth due to decay, periodontal (gum) disease or injury. Unfortunately, the consequences go far beyond a missing tooth — the loss of even one could set in motion a cascade of problems.
Perhaps the most damaging of these problems is bone loss. Like other living tissue, bone has a life cycle — older cells dissolve (resorb) into the body and are replaced by fresher cells. This growth cycle in the jawbone receives stimulation from forces generated by teeth when we chew or bite. If a tooth is no longer present to provide this stimulation, the affected bone cells won’t regenerate at a healthy rate. Over time this causes the volume of bone to diminish, as much as 25% the first year after tooth loss.
The void left by a missing tooth can also adversely affect remaining teeth. Teeth are held in place by a tough but elastic tissue known as the periodontal ligament that lies between the tooth and the bone. The ligament enables teeth to move gradually in response to mouth changes so that the teeth remain tightly aligned with each other. When there’s a gap from a missing tooth, this tendency will cause the teeth on either side to move (or “drift”) toward the open space. Although a natural phenomena, it can result in a malocclusion (poor bite).
That’s why it’s important to replace a missing tooth with a life-like replica — not just for appearance’s sake, but also to improve function and prevent the rise of these other problems. While many options exist (from removable dentures to fixed bridges) the choice most preferred by dentists and patients is the dental implant.
An implant replaces the tooth root as well as the crown, because it’s imbedded securely into the jawbone. Because of a natural affinity with titanium, the principal metal used in implants, bone cells will grow to its surface. Not only will this anchor the implant more securely, it will slow or even stop bone loss.
If you have a missing tooth, you should visit us as soon as possible to consider your options for a replacement. A new tooth will help stop even greater problems from occurring.
If you would like more information on effects and treatment of tooth loss, 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 Hidden Consequences of Losing Teeth.”

On the big screen, Australian-born actress Margot Robbie may be best known for playing devil-may-care anti-heroes—like Suicide Squad member Harley Quinn and notorious figure skater Tonya Harding. But recently, a discussion of her role in Peter Rabbit proved that in real life, she’s making healthier choices. When asked whether it was hard to voice a character with a speech impediment, she revealed that she wears retainers in her mouth at night, which gives her a noticeable lisp.
“I actually have two retainers,” she explained, “one for my bottom teeth which is for grinding my teeth, and one for my top teeth which is just so my teeth don't move.”
Clearly Robbie is serious about protecting her dazzling smile. And she has good reasons for wearing both of those retainers. So first, let’s talk about retainers for teeth grinding.
Also called bruxism, teeth grinding affects around 10 percent of adults at one time or another, and is often associated with stress. If you wake up with headaches, sore teeth or irritated gums, or your sleeping partner complains of grinding noises at night, you may be suffering from nighttime teeth grinding without even being aware of it.
A type of retainer called an occlusal guard is frequently recommended to alleviate the symptoms of bruxism. Typically made of plastic, this appliance fits comfortably over your teeth and prevents them from being damaged when they rub against each other. In combination with stress reduction techniques and other conservative treatments, it’s often the best way to manage teeth grinding.
Orthodontic retainers are also well-established treatment devices. While appliances like braces or aligners cause teeth to move into better positions, retainers are designed to keep teeth from moving—helping them to stay in those positions. After active orthodontic treatment, a period of retention is needed to allow the bite to stabilize. Otherwise, the teeth can drift right back to their old locations, undoing the time and effort of orthodontic treatment.
So Robbie has the right idea there too. However, for those who don’t relish the idea of wearing a plastic appliance, it’s often possible to bond a wire retainer to the back surfaces of the teeth, where it’s invisible. No matter which kind you choose, wearing a retainer can help keep your smile looking great for many years to come.
If you have questions about teeth grinding or orthodontic retainers, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Teeth Grinding” and “The Importance of Orthodontic Retainers.”

Gum disease is a bigger problem than you might think. More than half of all adults over age 30 have it, and that figure jumps to 70% of adults over 65. If left untreated, gum (periodontal) disease can eventually loosen teeth and cause them to fall out. It can also cause health issues outside of the mouth, including an increased risk of heart disease and other systemic health conditions.
But the good news is that gum disease can be treated—and even better, prevented! Since September is National Gum Care Month, it’s a good time to answer some frequently asked questions about gum disease:
What causes gum disease?
Gum disease is caused by certain types of harmful oral bacteria that live in a sticky film called dental plaque that collects on teeth both above and below the gum line. If this film is not cleaned effectively each day, it can eventually harden into a substance called tartar that can only be removed by a dental professional. As your body tries to fight the bacteria and the toxins they produce, your gums can become inflamed and may start to pull away from the teeth. Eventually, bone beneath the gums can start to break down and with continued bone loss, the teeth could be lost.
How do I know if I have it?
Gum disease doesn’t always produce symptoms—especially in smokers. Smoking hides the symptoms of gum disease because nicotine reduces blood flow to the area. However, there are things you should look out for. Gingivitis, a mild form of gum disease, can produce red and/or puffy gums that bleed when you brush or floss. Signs of periodontitis, a more serious form of the disease, include gum recession, bad mouth odors or tastes, and tooth looseness. But the only way to truly know if you have gum disease is to come in for an exam.
What can I do about it?
If you have gingivitis, a professional teeth cleaning and a renewed commitment to oral hygiene at home—including daily flossing and rinsing with antibacterial mouthwash—may be all you need to turn the situation around. Periodontitis may require a variety of treatments, ranging from special cleaning procedures of the tooth root surfaces to gum surgery. The first step toward controlling gum disease is visiting the dental office for an exam.
How can I prevent it?
Regular professional teeth cleanings and meticulous oral hygiene at home are your best defenses against gum disease. Avoid sugary drinks and snacks—which feed the disease-causing bacteria in your mouth—and tobacco in all forms. If you have diabetes, do your best to manage it well because uncontrolled diabetes can worsen periodontal disease.
If you’d like more information on fighting gum disease, contact us or schedule a consultation.
Our Blog
Archive:
- 2019
- January (6)
- 3 Reasons for Why It's a Smart Move to Invest in Dental Implants
- Keep up Regular Dental Care While You're Pregnant
- You may Need Orthodontic Treatment Before Obtaining Implants
- Singer Dua Lipa Sees the Wisdom in Postponing Tour Dates
- Stay Hydrated in Winter for Better Year-Round Oral Hygiene
- Want to Keep Enjoying Winter Sports? Wear a Mouthguard!
- 2018
- December (6)
- Porcelain Veneers Might not be the Best Option for Teenagers
- Why Big Bang Theory Actress Mayim Bialik Couldn't Have Braces
- Dental Care is Difficult but not Impossible for a Special Needs Child
- Safety is a Priority When Imaging Children's Teeth with X-Rays
- Stop Smoking to Reduce Your Risk of Gum Disease
- J-Lo's Unlucky Break: Chipping a Tooth on Stage
- November (6)
- Take Steps to Treat Chronic Mouth Breathing as Early as Possible
- Don't Let GERD Ruin Your Teeth's Health
- Use the Same Prevention Strategy to Defeat Tooth Decay and Gum Disease
- Steely Dan Founder's Death Highlights Importance of Early Cancer Detection
- Don't Ignore Sudden Tooth Pain - Your Teeth may be Telling you Something
- Diabetes and Oral Health: True or False?
- October (6)
- To Prevent Tooth Decay, Practice Effective Brushing and Flossing
- NBC Star Delivers a Message about the "Perfect" Smile
- Stop Root Cavities with Prevention and Prompt Treatment
- Eat the Right Kind of Carbs to Protect Yourself from Gum Disease
- Ease Your Child's Teething Discomfort with these Tips
- Janet Jackson: Even pop stars get insecure about their smiles!
- September (6)
- Make Efforts to Protect Your Teeth from Disease While Wearing Braces
- Look at Your Options for Saving a Tooth First Before Replacing it
- Replacing a Missing Tooth isn't Just About Improving Your Smile
- Margot Robbie Knows: A Great Smile Is Worth Protecting
- FAQs for National Gum Care Month
- 3 Surprising Sugar Sources Your Baby Might be Consuming
- August (6)
- Keeping Gum Disease at Bay Could Help Your Overall Health
- (Don't) Break It Like Beckham
- We'll Help You Maintain Your Oral Health After Gum Disease
- Ease Your Child's Discomfort During Teething
- Treating a Child's Tooth Injury May Require Special Consideration
- Vivica's Veneers: the Making of a Hollywood Smile
- July (7)
- Avoid Bone Loss around Tooth Roots through Regular Dental Care
- A Child's Teeth Grinding is Normal - But You Should Still Keep an Eye on it
- Diabetes Doesn't Have to Stop You From Acquiring Dental Implants
- Fan of Superhero Film Black Panther Breaks Steel Wire...with Her Mouth!
- Research Confirms: Dental Sealants Really Work!
- 4 Big Benefits for Beginning Early Dental Visits for Your Child
- Gum Disease is Still a Threat to Your Dental Implants
- June (6)
- How Big Bang Theory Actress Mayim Bialik Gets Her Kids to Floss
- The Parent-Dentist Partnership: Establishing Better Oral Health for Your Child
- June Is Men's Health Month
- Good Reasons for Choosing Clear Aligners for Orthodontic Treatment
- Dental Injury Is Just a Temporary Setback for Basketball Star Kevin Love
- That Small Mouth Sore is Likely Nothing - but Still Have it Checked
- March (5)
- Charlize Theron Back in Action After Dental Surgery
- Why the Bottled Variety Might not be Your Best Choice for Clean Drinking Water
- 4 Things You Should be Doing Now for Your Baby's Long-Term Dental Health
- Instill Good Dental Habits in Your Child as Early as Possible
- Julianne Hough Shares a Video - and a Song - After Wisdom Teeth Come Out
- 2017
- September (6)
- Inflammation is a Key Element in Both Oral and Systemic Diseases
- FAQs About Pediatric Dentistry
- Attention to Detail Crucial to a Beautiful Smile Supported by Dental Implants
- Practice Proactive Prevention to Enhance Your Child's Dental Development
- Any Time, Any Place: Cam Newton's Guide to Flossing
- Stop Gum Disease Before it Threatens Your Dental Implant
- May (5)
- Clean Your Implants Just Like you Clean Your Natural Teeth
- Instill in Your Child the Daily Habit of Brushing and Flossing
- Life Is Sometimes a Grind for Brooke Shields
- Tips on Encouraging Healthy Snacking While Your Child's at School
- Protect Your Child's Long-Term Dental Health with Regular Office Visits
- April (5)
- Gum Disease Could Affect More than Your Teeth and Gums
- Actress Emma Stone Reveals How Thumb Sucking Affected Her Teeth
- Don't Let Sleep Apnea Ruin Your Sleep - or Your Health
- Be Alert to the Unintended Consequences of Cancer Treatment to Oral Health
- Conscious Sedation can Help Ease Your Child's Dental Visit Anxiety
- 2016
- March (9)
- Good Oral Hygiene Just as Important for Implants as for Natural Teeth
- Surgically Accessing Sinuses can Help Grow New Bone for Implants
- Get Relief from Cracked Corners of the Mouth
- Treating Gum Abscesses and the Underlying Gum Disease
- Dental Crowns for the King of Magic
- Although a Global Problem, Tooth Decay can be Prevented
- 3 Things to do to Prepare for Dental Emergencies While Traveling Abroad
- Though not Always Seen, it's Still Important to Replace a Missing Back Tooth
- Game, Set, Match: Milos Raonic Says A Mouthguard Helps Him Win
- February (7)
- Advancing Gum Disease Requires Thorough Treatment to Control it
- Persistent Jaw Pain After an Injury Needs Immediate Attention
- Is There a Link Between Gum Disease and Cardiovascular Health?
- Four Tips for Preventing Premature Loss of Baby Teeth From Tooth Decay
- The Time Interval to Replant a Knocked Out Tooth Can Affect its Longevity
- The Major Benefits of Early Childhood Dental Visits
- Can an App Help You Brush Your Teeth?
- 2015
- December (5)
- Nancy O'Dell on Making Oral Hygiene Fun for Kids
- Implant-Based Removable Dentures a Good Choice for Patients with Extensive Bone Loss
- Treating Dry Mouth is Important for Maintaining Good Oral Health
- A Smile Makeover is a Transforming Experience
- Master Illusionist Benefits from the Magic of Orthodontics
- June (5)
- Advancing Gum Disease Requires Your Dentist's Intervention
- Tom Hanks' Abscessed Tooth Gets Cast Away
- Life-like Dental Porcelain Helps Restore Smiles Marred by Unattractive Teeth
- 'Prepless' Veneers can Transform Your Smile Without Altering Your Teeth
- What you can Expect if You're Undergoing Implant Surgery
- May (7)
- Take Positive Action with Your Child's Thumb-Sucking Habit
- America's (Dentists) Got Talent - for Fixing Damaged or Missing Teeth!
- Dental Implants and Smoking - Cause for Concern?
- Take Steps to Reduce Mouth Acid and Avoid Dental Erosion
- Although Rare, Allergic Reactions to the Metal in Implants Could be a Concern
- While Usually Benign, Lichen Planus Lesions Should Still be Examined
- A Toothless Tiger?
- April (6)
- Tooth Bleaching: Test Your Knowledge
- Mouthguards Reduce Risk of Concussion as well as Dental Injuries
- An Oral Appliance for Sleep Apnea may be the Right Option for You
- TV's Nate Berkus Discusses Dental Sealants, Fluoride Treatments and Flossing
- Choosing Natural Tooth-Colored Fillings Over Silver
- Turn Back the Clock with Whiter Teeth
- March (8)
- A Future So Bright — Teeth Whitening Facts
- Follow in Vanna White's Footsteps and Replace That Missing Back Tooth
- Things you Should Know about Oral Cancer
- Chronic Biting Habits Can Lead to Loose Teeth
- Managing Gum Disease Could Benefit Other Conditions You May Have
- George Washington's False Teeth
- Dental Offices Uphold the Highest Standards for Infection Control
- Eating Disorders Can Cause Problems With the Teeth and Mouth
- February (8)
- Your Gum Tissue 'Biotype' Could Determine How Gum Disease Affects You
- Spice Up Your Teeth
- Bonding with Composite Resins Ideal for Restoring Chipped Teeth
- There's a Battle Going On - And It's In Your Mouth
- Reduce Your Risk of Oral Cancer With a Healthy Whole Food Diet
- The Secrets Behind Vanna White's Smile
- Pay Attention to Gum Disease Warning Signs for an Early Diagnosis
- Test Your Knowledge: A Quiz on Dental Erosion
- 2014
- September (5)
- Saving a Baby Tooth is the Best Option for Permanent Tooth Development
- Removing Bacterial Plaque is Critical to Halting Advancing Gum Disease
- Be Extra Vigilant for Signs of Gum Disease During Pregnancy
- Kristin Cavallari's "Spaghetti Catcher" - First Step To A Winning Smile
- Your Dentist May Have the Solution to Your Snoring and Sleep Apnea
- April (5)
- Advances in Clear Aligners Make Them a Viable Choice for More Teens
- Oral Cancer: Risk Factors and Prevention
- Considering Bone and Gums Critical to Achieving a Better Smile With Implants
- FAQs About Calming Your Fears With Oral Sedation Dentistry
- Implant Overdentures: a Marriage of Options for Lower Jaw Tooth Replacement
- 2013
- 2012
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