How Teeth Decay
Our goal is to help you prevent tooth decay and keep your natural teeth for a lifetime. That’s why we want you to understand the process of tooth decay, from start to finish. Armed with this knowledge, you can take steps to stop tooth decay in its tracks.
Bacteria and sugar are the culprits
Thousands of bacteria exist in everyone’s mouth. Most of these bacteria are beneficial. But there are two types of bacteria, mutans streptococcus and lactobacillus, that are the primary culprits in the tooth decay process. If you’re not brushing and flossing regularly, or if your oral environment is out of its natural balance, these bacteria reproduce quickly in your mouth, establishing huge colonies whenever they are given the opportunity to feast on foods that contain sugar.
Sugars, which are the building blocks of starchy foods like pasta, crackers, bread and sweets, can build up on your teeth if you don’t brush regularly. This sugar buildup is one component of plaque, a sticky film of saliva, food debris, and bacteria that’s constantly forming on your teeth. If it’s not removed, plaque mineralizes and can turn into rock-hard tartar in as little as 24 hours.
To survive and multiply in your mouth, the decay-causing bacteria feed off of the simple sugars that are produced from the starches you eat. This causes a chemical reaction in which the sugars ar broken down into simpler elements. One of these elements is an acid. As you probably know, acid breaks down many things, including your tooth enamel. Every time you eat a starchy food, your teeth are bathed in this acid for 20 minutes or more.
The process of decay
The acid slowly dissolves the hard, protective enamel layer on your teeth, forming a demineralized area that appears as a white or brown spot on your tooth. That spot is the first visible sign of tooth decay. If the area does not remineralize, it will progress until a hole, also known as a cavity, develops on the surface of your tooth. It’s vital that we treat your tooth decay early, before it can penetrate the surface of your tooth. Once a cavity has entered the softer dentin layer of your teeth, it can grow more quickly and may lead to a much more complicated and expensive set of problems.
How to avoid decay
You can cut down the frequency of acid production in your mouth by limiting the number of times you eat each day. Also, when you brush and floss properly and regularly, there’s very little plaque on your teeth. Consequently, the number of decay-causing bacteria on the surfaces of your teeth will be dramatically reduced, and in turn, they won’t be producing the enamel-destroying acid. You should also use toothpaste that contains fluoride, which will strengthen your tooth enamel so it’s more resistant to decay. And what about the times when you can’t brush? You’ll need to use other methods, like rinsing with water or a fluoride mouth rinse or chewing sugarless gum, to minimize the acid attacks and protect your teeth.
Showing posts with label Oral Health. Show all posts
Showing posts with label Oral Health. Show all posts
Friday, May 28, 2010
Thursday, May 27, 2010
Hidden Dangers
Endodontic Abscess
An endodontic abscess forms at the root tip
An endodontic abscess is a pocket of pus that forms in the jawbone at the tip of a tooth root. An endodontic abscess is painful and can lead to much more serious conditions, but with prompt treatment, we can help you maintain a healthy mouth and body.
Symptoms of an endodontic abscess
You may realize that you have an endodontic abscess when:
The causes of an endodontic abscess
An endodontic abscess is caused by an infection of the pulp layer of the tooth. It becomes infected when bacteria, which are always present in the mouth, invade the pulp through deep cavities, a fractured or broken tooth, or an injury to the tooth. In some cases, there is no apparent reason. The infection can then spread from the pulp chamber, down the root canals, through the tip of the root, and into the jawbone, where the pus builds up and creates a hole in the bone. This is the abscess. The abscess creates pressure inside the bone and on the ligaments surrounding the tooth, and this can cause excruciating pain. Sometimes, the abscess drains near the infected tooth, forming a gumboil.
Diagnosis and treatment
It is important to treat an endodontic abscess because, if left untreated, the abscess can damage the adjacent soft tissue, lead to bone loss, be a continuing source of infection that drags down your immune system, and even be life threatening. To find an endodontic abscess, we perform a thorough examination, including x-rays. On the x-ray above, you can see a dark area at the root tip, which indicates an endodontic abscess. We may also use an electric pulp tester to determine whether the pulp is inflamed or infected. An infected tooth will never heal on its own, so we remove the infection with root canal therapy, which allows the abscess to heal. Occasionally, however, the infection continues to grow after treatment. In that case, we may re-treat the tooth with root canal therapy or use a minor surgical procedure to stop the infection and restore the health of your tooth.
An endodontic abscess forms at the root tip
An endodontic abscess is a pocket of pus that forms in the jawbone at the tip of a tooth root. An endodontic abscess is painful and can lead to much more serious conditions, but with prompt treatment, we can help you maintain a healthy mouth and body.
Symptoms of an endodontic abscess
You may realize that you have an endodontic abscess when:
- The tooth hurts when you tap or bite on it
- You have a bad taste in your mouth
- You experience pain and swelling
The causes of an endodontic abscess
An endodontic abscess is caused by an infection of the pulp layer of the tooth. It becomes infected when bacteria, which are always present in the mouth, invade the pulp through deep cavities, a fractured or broken tooth, or an injury to the tooth. In some cases, there is no apparent reason. The infection can then spread from the pulp chamber, down the root canals, through the tip of the root, and into the jawbone, where the pus builds up and creates a hole in the bone. This is the abscess. The abscess creates pressure inside the bone and on the ligaments surrounding the tooth, and this can cause excruciating pain. Sometimes, the abscess drains near the infected tooth, forming a gumboil.
Diagnosis and treatment
It is important to treat an endodontic abscess because, if left untreated, the abscess can damage the adjacent soft tissue, lead to bone loss, be a continuing source of infection that drags down your immune system, and even be life threatening. To find an endodontic abscess, we perform a thorough examination, including x-rays. On the x-ray above, you can see a dark area at the root tip, which indicates an endodontic abscess. We may also use an electric pulp tester to determine whether the pulp is inflamed or infected. An infected tooth will never heal on its own, so we remove the infection with root canal therapy, which allows the abscess to heal. Occasionally, however, the infection continues to grow after treatment. In that case, we may re-treat the tooth with root canal therapy or use a minor surgical procedure to stop the infection and restore the health of your tooth.
Tuesday, May 25, 2010
Hard Tissue Laser
At Riverside Dental, we are always seeking out the newest technology to make your visit more effective and comfortable. As part of our ongoing commitment to patient education, an explanation of hard tissue lasers follows. If you have any questions about your treatment, feel free to discuss them with any member of our staff on your next visit.
Healthy smiles go high tech with lasers
A laser uses a focused beam of energized light and water that is concentrated on the treatment area. A laser does not touch the teeth like a handpiece does, so there is no vibration to cause pain. Some people need a little anesthetic, but most do not need any at all. That means no shots, no numbness. Your procedure can be faster because you are not waiting for anesthesia to affect or wear off. A laser is quiet. The most you will hear is a low popping sound.
Usually the only preparation you need is to wear protective eyeglasses. When removing tooth decay, for example, the laser targets dead tissue. The bacteria absorb the light and infected cells explode. The laser also sterilizes the tissue, leaving it free from disease. Because the laser removes the decay – and only the decay, it leaves more of the healthy tooth structure than a handpiece would. Often, the repaired tooth is stronger because the laser is used.
A laser is a great breakthrough for working on hard tissue such as teeth and bone.
Like any tool, a laser cannot do everything.
The FDA has approved the use of lasers on everyone of every age.
Dentistry is keeping up with scientific advances, and that makes it easier for you to have a healthy, beautiful smile.
Healthy smiles go high tech with lasers
A laser uses a focused beam of energized light and water that is concentrated on the treatment area. A laser does not touch the teeth like a handpiece does, so there is no vibration to cause pain. Some people need a little anesthetic, but most do not need any at all. That means no shots, no numbness. Your procedure can be faster because you are not waiting for anesthesia to affect or wear off. A laser is quiet. The most you will hear is a low popping sound.
Usually the only preparation you need is to wear protective eyeglasses. When removing tooth decay, for example, the laser targets dead tissue. The bacteria absorb the light and infected cells explode. The laser also sterilizes the tissue, leaving it free from disease. Because the laser removes the decay – and only the decay, it leaves more of the healthy tooth structure than a handpiece would. Often, the repaired tooth is stronger because the laser is used.
A laser is a great breakthrough for working on hard tissue such as teeth and bone.
- It can work with little or no anesthesia
- It can sterilize infected tissue
- It eliminates the heat, noise, and vibration of a traditional handpiece
- If your do not need anesthesia, you spend less time waiting to get numb, and your recovery time can be faster.
Like any tool, a laser cannot do everything.
- It cannot remove silver fillings
- It cannot remove porcelain onlays or crowns
- It won’t completely eliminate the need for traditional handpieces
The FDA has approved the use of lasers on everyone of every age.
Dentistry is keeping up with scientific advances, and that makes it easier for you to have a healthy, beautiful smile.
Thursday, May 20, 2010
Dentures Series
Life with Dentures
Adjusting to new dentures
Now that you have your new dentures, here are some suggestions for living comfortably with them. Some temporary problems are a normal part of adjusting to new dentures. However, with time and practice, you will make the adjustment to dentures and be eating and talking with confidence.
Regular dental visits
Plan on regular visits to our office so we can monitor the health of your mouth and the fit of your denture. We will also let you know when it is time to adjust, reline, or replace your denture.
When to call us
Call us if your bite feels uneven, your dentures become loose, you have persistent discomfort, you have any gagging that persists beyond the initial adjustment period, or if you have any questions or concerns.
Chewing and eating
For the first few months, while you are learning to chew with your denture, start with soft foods, then gradually add more variety. Continue to eat a healthy diet, including plenty of fruits, vegetables and proteins. To make this easier, cut your food into small bites. Bite into foods with the side teeth, not the front teeth. If your denture tips when you chew, try keeping some food on both sides of your mouth to help balance the denture. Occasionally, small pieces of food will work their way under your denture while you eat. Simply remove your denture and rinse it with water. To protect your denture, avoid chewing ice or other hard objects.
Speaking and staying comfortable
You may have difficulty speaking for a short while. If this happens, practice by reading aloud in front of a mirror until you are comfortable. You can also try speaking more slowly and quietly. While your mouth gets used to the new denture, it may seem bulky, you may notice increased salivary flow, and your tongue will feel crowded. These sensations should pass with time. An upper denture causes some people to gag. Call us if this continues beyond the initial adjustment period.
Cleaning and using adhesives
Clean your mouth and denture daily. We will give you complete instructions. Denture adhesives are often not necessary with dentures that fit well. If you would like to try one, ask us about the best kind for your situation. If you do choose an adhesive, it is important to apply it to clean dentures and to thoroughly remove it every day.
Adjusting to new dentures
Now that you have your new dentures, here are some suggestions for living comfortably with them. Some temporary problems are a normal part of adjusting to new dentures. However, with time and practice, you will make the adjustment to dentures and be eating and talking with confidence.
Regular dental visits
Plan on regular visits to our office so we can monitor the health of your mouth and the fit of your denture. We will also let you know when it is time to adjust, reline, or replace your denture.
When to call us
Call us if your bite feels uneven, your dentures become loose, you have persistent discomfort, you have any gagging that persists beyond the initial adjustment period, or if you have any questions or concerns.
Chewing and eating
For the first few months, while you are learning to chew with your denture, start with soft foods, then gradually add more variety. Continue to eat a healthy diet, including plenty of fruits, vegetables and proteins. To make this easier, cut your food into small bites. Bite into foods with the side teeth, not the front teeth. If your denture tips when you chew, try keeping some food on both sides of your mouth to help balance the denture. Occasionally, small pieces of food will work their way under your denture while you eat. Simply remove your denture and rinse it with water. To protect your denture, avoid chewing ice or other hard objects.
Speaking and staying comfortable
You may have difficulty speaking for a short while. If this happens, practice by reading aloud in front of a mirror until you are comfortable. You can also try speaking more slowly and quietly. While your mouth gets used to the new denture, it may seem bulky, you may notice increased salivary flow, and your tongue will feel crowded. These sensations should pass with time. An upper denture causes some people to gag. Call us if this continues beyond the initial adjustment period.
Cleaning and using adhesives
Clean your mouth and denture daily. We will give you complete instructions. Denture adhesives are often not necessary with dentures that fit well. If you would like to try one, ask us about the best kind for your situation. If you do choose an adhesive, it is important to apply it to clean dentures and to thoroughly remove it every day.
Friday, May 14, 2010
Diabetes and Your Health
Diabetes and periodontal disease
If you are diabetic, you are at a greater risk of suffering from oral infections and diseases, including periodontal disease. Periodontal disease is an infection of the teeth, gums, and bone that surrounds your teeth. It is caused by the bacteria that lives in plaque, the sticky film of food and bacteria that forms constantly on your teeth. The bacteria infect the tooth roots and cause pockets of infection to form in the gums. The bacteria also produces toxins, and these toxins, combined with your body’s reaction to them, destroy the bone around your teeth.
The connection to diabetes
Diabetes contributes to periodontal disease in three ways: it lowers your body’s ability to fight off infection, results in high blood sugar levels, and causes dry mouth. Diabetes lowers the body’s resistance to infection by causing blood vessels to thicken and become less elastic. This decreases the flow of white blood cells, oxygen, and nutrients to the body’s tissues and slows the removal of harmful wastes. This can weaken your mouth’s resistance to infections like periodontal disease. Having poorly controlled diabetes means that there are often excess levels of glucose in the blood and saliva. The harmful bacteria in your mouth that are responsible for periodontal disease thrive on this sugar. Diabetics who do not successfully control their blood sugar levels also frequently experiences a decrease in the flow of saliva which can lead to a condition called dry mouth, or xerostomia. Saliva is vital for helping wash away the bacteria that cause periodontal disease. A lack of saliva allows plaque to build up easily on teeth.
Preventing periodontal disease
If you are a diabetic, it is important for you to prevent or control periodontal disease. Infections, such as periodontal disease, can cause blood sugar levels to rise, making it much harder for you to control your diabetes. To help prevent bacterial infections in your mouth, you should brush and floss every day to remove the plaque and visit us regularly for dental cleanings. We may prescribe antibiotics, medicated mouth rinses, and more frequent dental exams. With good dental and medical care, your gums and teeth can remain health and free of periodontal disease.
If you are diabetic, you are at a greater risk of suffering from oral infections and diseases, including periodontal disease. Periodontal disease is an infection of the teeth, gums, and bone that surrounds your teeth. It is caused by the bacteria that lives in plaque, the sticky film of food and bacteria that forms constantly on your teeth. The bacteria infect the tooth roots and cause pockets of infection to form in the gums. The bacteria also produces toxins, and these toxins, combined with your body’s reaction to them, destroy the bone around your teeth.
The connection to diabetes
Diabetes contributes to periodontal disease in three ways: it lowers your body’s ability to fight off infection, results in high blood sugar levels, and causes dry mouth. Diabetes lowers the body’s resistance to infection by causing blood vessels to thicken and become less elastic. This decreases the flow of white blood cells, oxygen, and nutrients to the body’s tissues and slows the removal of harmful wastes. This can weaken your mouth’s resistance to infections like periodontal disease. Having poorly controlled diabetes means that there are often excess levels of glucose in the blood and saliva. The harmful bacteria in your mouth that are responsible for periodontal disease thrive on this sugar. Diabetics who do not successfully control their blood sugar levels also frequently experiences a decrease in the flow of saliva which can lead to a condition called dry mouth, or xerostomia. Saliva is vital for helping wash away the bacteria that cause periodontal disease. A lack of saliva allows plaque to build up easily on teeth.
Preventing periodontal disease
If you are a diabetic, it is important for you to prevent or control periodontal disease. Infections, such as periodontal disease, can cause blood sugar levels to rise, making it much harder for you to control your diabetes. To help prevent bacterial infections in your mouth, you should brush and floss every day to remove the plaque and visit us regularly for dental cleanings. We may prescribe antibiotics, medicated mouth rinses, and more frequent dental exams. With good dental and medical care, your gums and teeth can remain health and free of periodontal disease.
Cardiovascular Health
What is periodontal disease?
Researchers have discovered that if you have periodontal disease, you may have an increased risk of coronary heart disease, stroke, and infective endocarditis. Periodontal disease is an infection of the teeth, gums and bone that live in plaque, the sticky film of food and bacteria that forms constantly on your teeth. The bacteria infect the tooth roots and cause pockets of infection to form in the gums. This results in red and swollen gums that bleed when you brush or floss.
The connection to cardiovascular health
Even with early periodontal disease, bleeding gums can create an open doorway that allows harmful bacteria to enter your bloodstream. More advanced periodontal disease can be even worse. It can be compared to a nine-square-inch open wound around your teeth, offering significant opportunity for harmful bacteria to enter your blood. Research indicates that the bacteria associated with periodontal disease may cause inflammation in the arteries. This inflammation could lead to the build-up of fatty deposits and the formation of blood clots that can block your arteries and even trigger a heart attack. These deposits may also build up in the carotid arteries in your neck. In serious cases, if these fat deposits break apart and are carried away in your bloodstream, they can lodge in your brain, block a blood vessel, and cause a stroke. Additionally, some studies have also shown that when plaque bacteria enter the bloodstream through infected gums, you may develop a heart condition called infective endocarditis. This is a potentially fatal bacterial infection that inflames the sac around the heart, the valves of the heart, and the heart muscle itself.
So, as you can see, it is vital to your overall health, as well as your oral health, to keep your gums healthy. If we determine that you have periodontal disease, we will see you for frequent professional cleanings and re-care appointments, and we will work with you to create a suitable oral hygiene.
Researchers have discovered that if you have periodontal disease, you may have an increased risk of coronary heart disease, stroke, and infective endocarditis. Periodontal disease is an infection of the teeth, gums and bone that live in plaque, the sticky film of food and bacteria that forms constantly on your teeth. The bacteria infect the tooth roots and cause pockets of infection to form in the gums. This results in red and swollen gums that bleed when you brush or floss.
The connection to cardiovascular health
Even with early periodontal disease, bleeding gums can create an open doorway that allows harmful bacteria to enter your bloodstream. More advanced periodontal disease can be even worse. It can be compared to a nine-square-inch open wound around your teeth, offering significant opportunity for harmful bacteria to enter your blood. Research indicates that the bacteria associated with periodontal disease may cause inflammation in the arteries. This inflammation could lead to the build-up of fatty deposits and the formation of blood clots that can block your arteries and even trigger a heart attack. These deposits may also build up in the carotid arteries in your neck. In serious cases, if these fat deposits break apart and are carried away in your bloodstream, they can lodge in your brain, block a blood vessel, and cause a stroke. Additionally, some studies have also shown that when plaque bacteria enter the bloodstream through infected gums, you may develop a heart condition called infective endocarditis. This is a potentially fatal bacterial infection that inflames the sac around the heart, the valves of the heart, and the heart muscle itself.
So, as you can see, it is vital to your overall health, as well as your oral health, to keep your gums healthy. If we determine that you have periodontal disease, we will see you for frequent professional cleanings and re-care appointments, and we will work with you to create a suitable oral hygiene.
Thursday, May 13, 2010
Arestin
How is Arestin used?
As part of our therapy for periodontal disease, we have an effective treatment called Arestin that helps us control the infection in your mouth. Arestin is used together with scaling and root planing to significantly reduce the depth of the infected pockets and prevent the progression of the disease. Arestin in an antibiotic in powder form. After scaling and root planing, we apply the powder to your periodontal pockets, where it combines with moisture in your mouth and adheres immediately to the infected gum tissue. The individual powder particles release a controlled, steady flow of the active ingredient, minocycline, a potent antibiotic. The medication helps fight your periodontal infection for at least 21 days.
Arestin and your periodontal therapy
In certain conditions, Arestin may not be the right treatment for you. The active ingredient in Arestin is in the tetracycline family, so we won’t use it for patients who are allergic to tetracycline, pregnant or nursing, or under the age of eight. You should also know that Arestin is not a cure for periodontal disease. Once bone is lost, no medication will bring it back. For periodontal therapy to be successful, you still need to be very thorough with your daily oral hygiene and come see us regularly for exams. Arestin is an important part of the overall periodontal therapy program that we have designed for you to restore health to your gums.
As part of our therapy for periodontal disease, we have an effective treatment called Arestin that helps us control the infection in your mouth. Arestin is used together with scaling and root planing to significantly reduce the depth of the infected pockets and prevent the progression of the disease. Arestin in an antibiotic in powder form. After scaling and root planing, we apply the powder to your periodontal pockets, where it combines with moisture in your mouth and adheres immediately to the infected gum tissue. The individual powder particles release a controlled, steady flow of the active ingredient, minocycline, a potent antibiotic. The medication helps fight your periodontal infection for at least 21 days.
Arestin and your periodontal therapy
In certain conditions, Arestin may not be the right treatment for you. The active ingredient in Arestin is in the tetracycline family, so we won’t use it for patients who are allergic to tetracycline, pregnant or nursing, or under the age of eight. You should also know that Arestin is not a cure for periodontal disease. Once bone is lost, no medication will bring it back. For periodontal therapy to be successful, you still need to be very thorough with your daily oral hygiene and come see us regularly for exams. Arestin is an important part of the overall periodontal therapy program that we have designed for you to restore health to your gums.
Tuesday, May 11, 2010
How Teeth Decay
As part of our ongoing commitment to you and your oral health, we want to keep you as informed as possible about your mouth. One of the biggest keys to successful oral health is building a knowledge and understanding of how your mouth works. While we can tell you to brush and floss daily, avoid sugary drinks, etc., until you as a patient understand the why our efforts will not be as beneficial as they could be.
The following information is meant to help you prevent tooth decay and keep your natural teeth for a lifetime. That’s why we want you to understand the process of tooth decay, from start to finish. Armed with this knowledge, you can take steps to stop tooth decay in its tracks.
Bacteria and sugar are the culprits
Thousands of bacteria exist in everyone’s mouth. Most of these bacteria are beneficial. But there are two types of bacteria, mutans streptococcus and lactobacillus, that are the primary culprits in the tooth decay process. If you’re not brushing and flossing regularly, or if your oral environment is out of its natural balance, these bacteria reproduce quickly in your mouth, establishing huge colonies whenever they are given the opportunity to feast on foods that contain sugar.
Sugars, which are the building blocks of starchy foods like pasta, crackers, bread and sweets, can build up on your teeth if you don’t brush regularly. This sugar buildup is one component of plaque, a sticky film of saliva, food debris, and bacteria that’s constantly forming on your teeth. If it’s not removed, plaque mineralizes and can turn into rock-hard tartar in as little as 24 hours.
To survive and multiply in your mouth, the decay-causing bacteria feed off of the simple sugars that are produced from the starches you eat. This causes a chemical reaction in which the sugars ar broken down into simpler elements. One of these elements is an acid. As you probably know, acid breaks down many things, including your tooth enamel. Every time you eat a starchy food, your teeth are bathed in this acid for 20 minutes or more.
The process of decay
The acid slowly dissolves the hard, protective enamel layer on your teeth, forming a demineralized area that appears as a white or brown spot on your tooth. That spot is the first visible sign of tooth decay. If the area does not remineralize, it will progress until a hole, also known as a cavity, develops on the surface of your tooth. It’s vital that we treat your tooth decay early, before it can penetrate the surface of your tooth. Once a cavity has entered the softer dentin layer of your teeth, it can grow more quickly and may lead to a much more complicated and expensive set of problems.
How to avoid decay
You can cut down the frequency of acid production in your mouth by limiting the number of times you eat each day. Also, when you brush and floss properly and regularyly, there’s verylittle plaque on your teeth. Consequently, the number of decay-causing bacteria on the surfaces of your teeth will be dramatically reduced, and in turn, they won’t be producing the enamel-destroying acid. You should also use toothpaste that contains fluoride, which will strengthen your tooth enamel so it’s more resistant to decay. And what about the times when you can’t brush? You’ll need to use other methods, like rinsing with water or a fluoride mouth rinse or chewing sugarless gum, to minimize the acid attacks and protect your teeth.
The following information is meant to help you prevent tooth decay and keep your natural teeth for a lifetime. That’s why we want you to understand the process of tooth decay, from start to finish. Armed with this knowledge, you can take steps to stop tooth decay in its tracks.
Bacteria and sugar are the culprits
Thousands of bacteria exist in everyone’s mouth. Most of these bacteria are beneficial. But there are two types of bacteria, mutans streptococcus and lactobacillus, that are the primary culprits in the tooth decay process. If you’re not brushing and flossing regularly, or if your oral environment is out of its natural balance, these bacteria reproduce quickly in your mouth, establishing huge colonies whenever they are given the opportunity to feast on foods that contain sugar.
Sugars, which are the building blocks of starchy foods like pasta, crackers, bread and sweets, can build up on your teeth if you don’t brush regularly. This sugar buildup is one component of plaque, a sticky film of saliva, food debris, and bacteria that’s constantly forming on your teeth. If it’s not removed, plaque mineralizes and can turn into rock-hard tartar in as little as 24 hours.
To survive and multiply in your mouth, the decay-causing bacteria feed off of the simple sugars that are produced from the starches you eat. This causes a chemical reaction in which the sugars ar broken down into simpler elements. One of these elements is an acid. As you probably know, acid breaks down many things, including your tooth enamel. Every time you eat a starchy food, your teeth are bathed in this acid for 20 minutes or more.
The process of decay
The acid slowly dissolves the hard, protective enamel layer on your teeth, forming a demineralized area that appears as a white or brown spot on your tooth. That spot is the first visible sign of tooth decay. If the area does not remineralize, it will progress until a hole, also known as a cavity, develops on the surface of your tooth. It’s vital that we treat your tooth decay early, before it can penetrate the surface of your tooth. Once a cavity has entered the softer dentin layer of your teeth, it can grow more quickly and may lead to a much more complicated and expensive set of problems.
How to avoid decay
You can cut down the frequency of acid production in your mouth by limiting the number of times you eat each day. Also, when you brush and floss properly and regularyly, there’s verylittle plaque on your teeth. Consequently, the number of decay-causing bacteria on the surfaces of your teeth will be dramatically reduced, and in turn, they won’t be producing the enamel-destroying acid. You should also use toothpaste that contains fluoride, which will strengthen your tooth enamel so it’s more resistant to decay. And what about the times when you can’t brush? You’ll need to use other methods, like rinsing with water or a fluoride mouth rinse or chewing sugarless gum, to minimize the acid attacks and protect your teeth.
Monday, May 10, 2010
TMI - The Monday Inquiry
PerioChip
Special periodontal disease treatment
As part of our therapy for periodontal disease, we have an effective treatment that helps us control the infection in your mouth. It is called PerioChip.
How is PerioChip used?
PerioChip is a small biodegradable gelatin chip that contains the antimicrobial agent chlorhexidine.
To administer PerioChip, we first remove plaque and bacterial toxins form the infected area with a scaling and root planing procedure. Then we place PerioChip on the affected bum tissues. It slowly disintegrates, releasing the medication, first in a larger concentration, then at a controlled rate for the duration of the treatment.
This medication greatly reduces the bacteria in the infected pocket and speeds the healing process.
PerioChip and your periodontal therapy
Depending on your needs, we may place up to eight PerioChips during a single office visit. We can repeat PerioChip treatment about every three to six months for as long as periodontal pockets are five millimeters deep or more.
However, PerioChip is not an option if you are sensitive to chlorhexidine.
It is also important to know that PerioChip is not a cure for periodontal disease and cannot replace supportive bone lost due to periodontal disease. And even with medication, you still need to be very thorough with your daily oral hygiene and come to see us regularly for exams and professional cleanings.
PerioChip has been shown to be a safe and effective tool we can use as part of your periodontal therapy to prevent the further destruction of bone and connective tissue caused by periodontal disease.
Special periodontal disease treatment
As part of our therapy for periodontal disease, we have an effective treatment that helps us control the infection in your mouth. It is called PerioChip.
How is PerioChip used?
PerioChip is a small biodegradable gelatin chip that contains the antimicrobial agent chlorhexidine.
To administer PerioChip, we first remove plaque and bacterial toxins form the infected area with a scaling and root planing procedure. Then we place PerioChip on the affected bum tissues. It slowly disintegrates, releasing the medication, first in a larger concentration, then at a controlled rate for the duration of the treatment.
This medication greatly reduces the bacteria in the infected pocket and speeds the healing process.
PerioChip and your periodontal therapy
Depending on your needs, we may place up to eight PerioChips during a single office visit. We can repeat PerioChip treatment about every three to six months for as long as periodontal pockets are five millimeters deep or more.
However, PerioChip is not an option if you are sensitive to chlorhexidine.
It is also important to know that PerioChip is not a cure for periodontal disease and cannot replace supportive bone lost due to periodontal disease. And even with medication, you still need to be very thorough with your daily oral hygiene and come to see us regularly for exams and professional cleanings.
PerioChip has been shown to be a safe and effective tool we can use as part of your periodontal therapy to prevent the further destruction of bone and connective tissue caused by periodontal disease.
Thursday, May 6, 2010
Hidden Dangers: Oral Cancer
Oral Cancer Detection
At Riverside Dental, we believe prevention is the key to excellent oral health. As part of our ongoing dedication to your overall oral health, we have taken a keen interest in staying on top of the best oral cancer detection techniques available. With regular checkups and professional cleaning, you can be assured that we will do everything possible to protect your oral health and beautiful smile.
The signs of oral cancer
We perform a thorough oral cancer exam during your checkups because early detection can save your life.
Oral cancer is the uncontrolled growth of abnormal cells in the mouth and throat. Some of the warning signs are:
Because early detection is vital to surviving oral cancer, we will perform a thorough oral cancer screening each time we see you in our office for an exam. In addition, if you notice any warning signs, tell us right away. Do not ignore one or more of the signs just because it does not hurt. Most pre-cancerous lesions are completely painless.
As part of our oral cancer exam, we can offer comfortable, non-invasive technologies for detecting cancer in its earliest stages. There can be two steps in oral cancer detection: screening and biopsy.
Screening for oral cancer
First we use a cancer screening technology to help us find and identify suspicious tissues, especially the ones that cannot be seen with the naked eye.
The technology combines a specifically formulated mouthrinse with a special light.
We use a concentrated light that identifies abnormal areas. Under the light, abnormal or suspicious tissues appear white in contrast with the surrounding healthy tissue. If we find any suspicious sores or lesions, we may then use an in-office biopsy system to determine if the area is pre-cancerous or cancerous.
Performing a biopsy for oral cancer
We press a small brush firmly against the area and rotate it gently to collect a sample of cells.
The sample is spread onto a glass slide and sent to the laboratory for examination. At the lab, a computer analyses the cell sample. A pathologist then evaluates the sample and provides a diagnosis.
At Riverside Dental, we believe prevention is the key to excellent oral health. As part of our ongoing dedication to your overall oral health, we have taken a keen interest in staying on top of the best oral cancer detection techniques available. With regular checkups and professional cleaning, you can be assured that we will do everything possible to protect your oral health and beautiful smile.
The signs of oral cancer
We perform a thorough oral cancer exam during your checkups because early detection can save your life.
Oral cancer is the uncontrolled growth of abnormal cells in the mouth and throat. Some of the warning signs are:
- A red, white, or discolored patch or lump in or around your mouth
- A sore that bleeds easily or that doesn’t heal within 2 weeks
- An area that has thickened, raised, or become hardened
- A rough patch of tissue
- Difficulty chewing or swallowing
- A chronic sore throat or hoarseness
Because early detection is vital to surviving oral cancer, we will perform a thorough oral cancer screening each time we see you in our office for an exam. In addition, if you notice any warning signs, tell us right away. Do not ignore one or more of the signs just because it does not hurt. Most pre-cancerous lesions are completely painless.
As part of our oral cancer exam, we can offer comfortable, non-invasive technologies for detecting cancer in its earliest stages. There can be two steps in oral cancer detection: screening and biopsy.
Screening for oral cancer
First we use a cancer screening technology to help us find and identify suspicious tissues, especially the ones that cannot be seen with the naked eye.
The technology combines a specifically formulated mouthrinse with a special light.
We use a concentrated light that identifies abnormal areas. Under the light, abnormal or suspicious tissues appear white in contrast with the surrounding healthy tissue. If we find any suspicious sores or lesions, we may then use an in-office biopsy system to determine if the area is pre-cancerous or cancerous.
Performing a biopsy for oral cancer
We press a small brush firmly against the area and rotate it gently to collect a sample of cells.
The sample is spread onto a glass slide and sent to the laboratory for examination. At the lab, a computer analyses the cell sample. A pathologist then evaluates the sample and provides a diagnosis.
Friday, April 30, 2010
FYI Fridays: Alternatives to Periodontal Treatment
What are your choices for treating periodontal disease?
If you have periodontal disease, your choices are limited. You could:
We do not recommend delaying treatment because periodontal disease does not go away on its own. Periodontal disease is an ongoing, degenerative infection of the teeth, gums, and bone that surrounds the teeth caused by bacteria. The bacteria produce toxins, and these toxins, combined with the body’s reaction to them, destroy the bone around your teeth.
Bone lost never grows back on its own. If too much bone is lost, teeth become loose and have to be removed.
Choosing treatment
The sooner you choose treatment, the better chance we have of controlling the disease and saving your teeth.
Treatment involves a combination of scaling and root planing, new homecare techniques, and frequent dental cleanings and recare appointments. In more severe cases, treatment could also include medication and surgery.
Treatment removes the infection and keeps the disease under control.
If you have periodontal disease, your choices are limited. You could:
- Delay treatment
- Choose treatment
- Delaying treatment
We do not recommend delaying treatment because periodontal disease does not go away on its own. Periodontal disease is an ongoing, degenerative infection of the teeth, gums, and bone that surrounds the teeth caused by bacteria. The bacteria produce toxins, and these toxins, combined with the body’s reaction to them, destroy the bone around your teeth.
Bone lost never grows back on its own. If too much bone is lost, teeth become loose and have to be removed.
Choosing treatment
The sooner you choose treatment, the better chance we have of controlling the disease and saving your teeth.
Treatment involves a combination of scaling and root planing, new homecare techniques, and frequent dental cleanings and recare appointments. In more severe cases, treatment could also include medication and surgery.
Treatment removes the infection and keeps the disease under control.
Tuesday, April 27, 2010
Overhangs
What Are Overhangs?
One of the keys to the long-term success of your restoration and the health of your gums is the accuracy of the fit. This is especially true where the restoration meets the tooth.
When everything is ideal, there is a seamless transition where the tooth and the filling or crown meet. When a restoration is too bulky where it meets your tooth, we call it an overhang. Overhangs can cause a lot of damage in a short period of time because they:
Over time, silver amalgam fillings can absorb moisture and change their original shape. Challenges and technique problems at the time of placement may also be the cause of overhangs. Whatever their origin, overhangs must be corrected. In most cases, this requires removal of the old filling or crown and replacement with a new one that fits properly. Overhangs are a serious problem and a threat to the health of your teeth and gums. Let us know if you ever have difficulty flossing, or if your floss catches or tears. We can avoid many serious problems by finding and replacing any restorations that have overhangs.
One of the keys to the long-term success of your restoration and the health of your gums is the accuracy of the fit. This is especially true where the restoration meets the tooth.
When everything is ideal, there is a seamless transition where the tooth and the filling or crown meet. When a restoration is too bulky where it meets your tooth, we call it an overhang. Overhangs can cause a lot of damage in a short period of time because they:
- Trap food and bacteria
- Make it difficult or impossible to floss
- Can contribute to periodontal disease and cavities
- Can lead to long-term bone loss
Over time, silver amalgam fillings can absorb moisture and change their original shape. Challenges and technique problems at the time of placement may also be the cause of overhangs. Whatever their origin, overhangs must be corrected. In most cases, this requires removal of the old filling or crown and replacement with a new one that fits properly. Overhangs are a serious problem and a threat to the health of your teeth and gums. Let us know if you ever have difficulty flossing, or if your floss catches or tears. We can avoid many serious problems by finding and replacing any restorations that have overhangs.
Monday, April 19, 2010
TMI - The Monday Inquiry
Cavities
What Causes Cavities?
In science classes, you learned to be very careful with acid. Did you know that you can have acid in your mouth, and that this acid can cause a hole to develop in your tooth?
Plaque – enemy number one
Our enemy in the fight against cavities is plaque. Plaque is a sticky film of food and bacteria that forms constantly on your teeth. The bacteria in plaque thrive on the sugar in the food, and produce acid as a by-product when they break down the sugar. Like all acids, the acid produced by the bacteria is corrosive, which means that it dissolves other materials. Your teeth are the victims of the corrosive action; the acid wears away at them, eventually creating holes in the outer layer of your teeth, called cavities.
Regular checkups are a must
The hard outer layer of your teeth is called the enamel. Cavities first form in the enamel layer of your teeth. Beneath the enamel is a softer layer called the dentin. If a cavity develops through the enamel and reaches the dentin, it can grow much more quickly. That’s why regular checkups and cleanings are so important. If we find a cavity, we can restore your tooth while the cavity is still small and isolated in the outer enamel layer.
Repairing and preventing cavities
To repair a tooth with a cavity, we usually remove the decayed portion of the tooth and replace it with a filling, provided the damage is not extensive and there is still plenty of healthy tooth structure remaining. However, preventing decay is the preferred solution. We’ll be happy to work with you so you’ll learn to keep your teeth free of plaque and decay.
What Causes Cavities?
In science classes, you learned to be very careful with acid. Did you know that you can have acid in your mouth, and that this acid can cause a hole to develop in your tooth?
Plaque – enemy number one
Our enemy in the fight against cavities is plaque. Plaque is a sticky film of food and bacteria that forms constantly on your teeth. The bacteria in plaque thrive on the sugar in the food, and produce acid as a by-product when they break down the sugar. Like all acids, the acid produced by the bacteria is corrosive, which means that it dissolves other materials. Your teeth are the victims of the corrosive action; the acid wears away at them, eventually creating holes in the outer layer of your teeth, called cavities.
Regular checkups are a must
The hard outer layer of your teeth is called the enamel. Cavities first form in the enamel layer of your teeth. Beneath the enamel is a softer layer called the dentin. If a cavity develops through the enamel and reaches the dentin, it can grow much more quickly. That’s why regular checkups and cleanings are so important. If we find a cavity, we can restore your tooth while the cavity is still small and isolated in the outer enamel layer.
Repairing and preventing cavities
To repair a tooth with a cavity, we usually remove the decayed portion of the tooth and replace it with a filling, provided the damage is not extensive and there is still plenty of healthy tooth structure remaining. However, preventing decay is the preferred solution. We’ll be happy to work with you so you’ll learn to keep your teeth free of plaque and decay.
Wednesday, April 14, 2010
What If? Wednesdays
What if my teeth are sensitive?
Tooth sensitivity is a common problem among many different types of people. Fortunately, this is a treatable and manageable condition with proper attention and thorough homecare.
Sensitive Teeth
The reasons to treat sensitive teeth
One of the most common problems in dentistry is sensitive teeth. If you have sensitive teeth, you may feel discomfort when they are exposed to cold air, hot or cold food and beverages, or sweets. Left untreated, tooth sensitivity can have far-reaching effects. Sometimes it stops people from properly brushing and flossing. This can lead to more sensitivity, decay, infection, and even loss of teeth and jawbone. With proper treatment and care, your sensitive teeth can once again be healthy and comfortable.
The causes of sensitive teeth
There are many possible causes, including improper stresses on teeth, loss of the tooth’s protective enamel layer, and occasionally some dental procedures. One of the major sources of improper stresses is the unconscious habit of grinding and clenching the teeth. Another source of stress occurs when teeth do not come together properly. Some teeth always hit sooner than the rest, and they become sensitive. Teeth also become sensitive when they lose their protective outer layer which exposes the dentin. The dentin is the middle layer of the tooth, and it is normally protected by enamel (above the gumline) and cementum (below the gumline). Dentin contains millions of tiny tubes that extend from the nerves at the center of the tooth to the outer layer. When the dentin is exposed, these tubes are left open. Any stimulation at the surface of the dentin is transmitted through the tubes to the nerves, causing pain. The dentin can become exposed through various processes, such as abfraction, erosion, and abrasion. Abfraction occurs when one tooth hits sooner than the rest, causing the tooth to flex. Over time, this continual flexing causes the enamel to separate from the dentin. Erosion occurs when acids dissolve the enamel. This is often caused by frequent sipping of acidic soft and sports drinks or exposing the teeth to stomach acids through acid reflux disease. Abrasion takes place when the protective layer is worn away. This can happen when you brush too hard, use a medium- or hard-bristled tooth brush, or use an abrasive “tartar control” or “whitening” toothpaste. Lastly, some dental procedures, such as bleaching and placing restorations, may sometimes lead to short-term sensitivity.
Diagnosis and treatment
To determine the cause of your tooth pain, we do a thorough examination. Then we perform the most appropriate treatment for the situation. Short-term sensitivity can often be handled by using a desensitizing toothpaste or mouthwash. If the problem is improper stress on the teeth, we may adjust you bite or recommend that you wear a mouthguard. If the problem is exposed dentin, we may present a plan for improved brushing techniques, counsel you about your diet, treat the area with fluoride, or apply a protective coating, bonding agent, or restoration.
Tooth sensitivity is a common problem among many different types of people. Fortunately, this is a treatable and manageable condition with proper attention and thorough homecare.
Sensitive Teeth
The reasons to treat sensitive teeth
One of the most common problems in dentistry is sensitive teeth. If you have sensitive teeth, you may feel discomfort when they are exposed to cold air, hot or cold food and beverages, or sweets. Left untreated, tooth sensitivity can have far-reaching effects. Sometimes it stops people from properly brushing and flossing. This can lead to more sensitivity, decay, infection, and even loss of teeth and jawbone. With proper treatment and care, your sensitive teeth can once again be healthy and comfortable.
The causes of sensitive teeth
There are many possible causes, including improper stresses on teeth, loss of the tooth’s protective enamel layer, and occasionally some dental procedures. One of the major sources of improper stresses is the unconscious habit of grinding and clenching the teeth. Another source of stress occurs when teeth do not come together properly. Some teeth always hit sooner than the rest, and they become sensitive. Teeth also become sensitive when they lose their protective outer layer which exposes the dentin. The dentin is the middle layer of the tooth, and it is normally protected by enamel (above the gumline) and cementum (below the gumline). Dentin contains millions of tiny tubes that extend from the nerves at the center of the tooth to the outer layer. When the dentin is exposed, these tubes are left open. Any stimulation at the surface of the dentin is transmitted through the tubes to the nerves, causing pain. The dentin can become exposed through various processes, such as abfraction, erosion, and abrasion. Abfraction occurs when one tooth hits sooner than the rest, causing the tooth to flex. Over time, this continual flexing causes the enamel to separate from the dentin. Erosion occurs when acids dissolve the enamel. This is often caused by frequent sipping of acidic soft and sports drinks or exposing the teeth to stomach acids through acid reflux disease. Abrasion takes place when the protective layer is worn away. This can happen when you brush too hard, use a medium- or hard-bristled tooth brush, or use an abrasive “tartar control” or “whitening” toothpaste. Lastly, some dental procedures, such as bleaching and placing restorations, may sometimes lead to short-term sensitivity.
Diagnosis and treatment
To determine the cause of your tooth pain, we do a thorough examination. Then we perform the most appropriate treatment for the situation. Short-term sensitivity can often be handled by using a desensitizing toothpaste or mouthwash. If the problem is improper stress on the teeth, we may adjust you bite or recommend that you wear a mouthguard. If the problem is exposed dentin, we may present a plan for improved brushing techniques, counsel you about your diet, treat the area with fluoride, or apply a protective coating, bonding agent, or restoration.
Tuesday, April 13, 2010
Importance of Nutrition
Nutrition
The importance of a balanced diet
Eating right needs to be a daily habit, just like brushing and flossing. Eating a balanced diet will help boost your body’s immune system so you will be less vulnerable to oral disease. It will also provide you with the nutrients your body needs to maintain strong teeth and healthy gums. So what is a balanced diet? It includes plenty of fruits and vegetables, moderate portions of protein, complex carbohydrates like whole grains and beans, low-fat dairy products and unsaturated fats.
Frequency and timing
Good nutrition plays a large role in your dental health, and that includes what you eat and how often you eat. Every time you eat a sweet or starchy food, the bacteria in your mouth feast on it and produce acids that attack your teeth. An acid attack can last 20 minutes or longer, until your saliva is able to help neutralize the acids and repair the enamel on your teeth. So, the more often you eat, the more your teeth are exposed to these acids, and the less time there is for saliva to do its job. Eventually, the acids dissolve the tooth enamel and cause decay.
Food suggestions
You should limit the amount of sodas you drink and other beverages that contain sugar. One of the main causes of tooth decay is soda consumption. A 12-ounce can of soda contains about 12 teaspoons of sugar. Soda also contains phosphoric and citric acids that dissolve the protective layer of enamel on your teeth. Combining starches and sweets in a meal with proteins and fats helps stimulate saliva production. So, if you eat dessert, eat it with your meal, not sometime afterward. It has also been found that certain foods like nuts, cheese, onions, and many teas actually slow the decay process. To maximize your nutrition and your dental health, eat a well-balanced diet. Limit sugary, starchy and sticky foods and drinks, and avoid between-meal snacking.
The importance of a balanced diet
Eating right needs to be a daily habit, just like brushing and flossing. Eating a balanced diet will help boost your body’s immune system so you will be less vulnerable to oral disease. It will also provide you with the nutrients your body needs to maintain strong teeth and healthy gums. So what is a balanced diet? It includes plenty of fruits and vegetables, moderate portions of protein, complex carbohydrates like whole grains and beans, low-fat dairy products and unsaturated fats.
Frequency and timing
Good nutrition plays a large role in your dental health, and that includes what you eat and how often you eat. Every time you eat a sweet or starchy food, the bacteria in your mouth feast on it and produce acids that attack your teeth. An acid attack can last 20 minutes or longer, until your saliva is able to help neutralize the acids and repair the enamel on your teeth. So, the more often you eat, the more your teeth are exposed to these acids, and the less time there is for saliva to do its job. Eventually, the acids dissolve the tooth enamel and cause decay.
Food suggestions
You should limit the amount of sodas you drink and other beverages that contain sugar. One of the main causes of tooth decay is soda consumption. A 12-ounce can of soda contains about 12 teaspoons of sugar. Soda also contains phosphoric and citric acids that dissolve the protective layer of enamel on your teeth. Combining starches and sweets in a meal with proteins and fats helps stimulate saliva production. So, if you eat dessert, eat it with your meal, not sometime afterward. It has also been found that certain foods like nuts, cheese, onions, and many teas actually slow the decay process. To maximize your nutrition and your dental health, eat a well-balanced diet. Limit sugary, starchy and sticky foods and drinks, and avoid between-meal snacking.
Monday, April 12, 2010
TMI - The Monday Inquiry
What are canker sores and how do I prevent and treat them?
Canker Sores
Canker sores, also called recurrent aphthous ulcers, are small round sores that form inside the mouth. They most often appear on the loose tissues of the mouth, like the inside of the lips or cheeks, the underside of the tongue, the floor of the mouth, and sometimes near tonsils. They usually begin as a tingling sensation, followed by a white or yellow sore surrounded by a bright red area. Pain usually decreases in about a week, and the sores heal in 7 to 14 days. Fortunately, most canker sores are not serious and will soon go away on their own.
The causes of canker sores
No one knows what causes canker sores, but some experts say that the tendency to get canker sores is inherited. Another theory is that they may be a result of actions by the body’s immune system. Certain triggers seem to set off outbreaks, including injury in the mouth, like a bite or cut, toothpastes that contain sodium lauryl sulfate, emotional stress, hormonal changes, food allergies, and dietary difficiencies, especially of vitamin B, zinc, folic acid, iron and selenium. If you have had a canker sore, you are likely to get one again. Fortunately, canker sores are not contagious.
Diagnosis and treatment
There is no cure for canker sores, but you can ease the pain and perhaps reduce how often you get them. Common remedies include:
Canker Sores
Canker sores, also called recurrent aphthous ulcers, are small round sores that form inside the mouth. They most often appear on the loose tissues of the mouth, like the inside of the lips or cheeks, the underside of the tongue, the floor of the mouth, and sometimes near tonsils. They usually begin as a tingling sensation, followed by a white or yellow sore surrounded by a bright red area. Pain usually decreases in about a week, and the sores heal in 7 to 14 days. Fortunately, most canker sores are not serious and will soon go away on their own.
The causes of canker sores
No one knows what causes canker sores, but some experts say that the tendency to get canker sores is inherited. Another theory is that they may be a result of actions by the body’s immune system. Certain triggers seem to set off outbreaks, including injury in the mouth, like a bite or cut, toothpastes that contain sodium lauryl sulfate, emotional stress, hormonal changes, food allergies, and dietary difficiencies, especially of vitamin B, zinc, folic acid, iron and selenium. If you have had a canker sore, you are likely to get one again. Fortunately, canker sores are not contagious.
Diagnosis and treatment
There is no cure for canker sores, but you can ease the pain and perhaps reduce how often you get them. Common remedies include:
- Using toothpastes and mouthwashes that do not contain lauryl sulfate
- Applying over-the-counter remedies that contain numbing agents, like benzocaine or phenol
- Rinsing with salt water or an antimicrobial mouthwash
- Avoiding spicy or acidic foods during an outbreak
- Working with healthcare provider to treat any food allergies
- Taking a daily multivitamin
Thursday, April 8, 2010
Hidden Dangers
Oral Cancer Exam
Life saving measures
We perform a thorough oral cancer exam during your checkups because early detection of oral cancer can save your life.
The signs of oral cancer
Oral cancer is the uncontrolled growth of abnormal cells in the mouth and throat. Some of the warning signs are:
Oral cancer exam
During the exam, we feel for lumps or abnormal tissue changes on your neck and inside your mouth. We thoroughly examine the soft tissues in your mouth, especially the most frequent oral cancer sites:
Lifestyle changes
Some lifestyle changes can minimize your chances of developing oral cancer changes, including;
Life saving measures
We perform a thorough oral cancer exam during your checkups because early detection of oral cancer can save your life.
The signs of oral cancer
Oral cancer is the uncontrolled growth of abnormal cells in the mouth and throat. Some of the warning signs are:
- A red, white, or discolored patch or lump in or around your mouth
- A sore that bleeds easily or that does not heal within 2 weeks
- An area that has thickened, raised, or hardened
- A rough patch of tissue
- Difficulty chewing or swallowing
- A chronic sore throat or hoarseness
Oral cancer exam
During the exam, we feel for lumps or abnormal tissue changes on your neck and inside your mouth. We thoroughly examine the soft tissues in your mouth, especially the most frequent oral cancer sites:
- Your tongue
- The floor of your mouth
- Your soft palate
- Your lips
- Your gums
Lifestyle changes
Some lifestyle changes can minimize your chances of developing oral cancer changes, including;
- Do not smoke or use smokeless tobacco
- Avoid excessive use of alcohol
- Eat plenty of fruits and vegetables each day
Wednesday, April 7, 2010
What If? Wednesdays
What if I have a lot of plaque and tartar buildup on my teeth?
If you notice your teeth have a lot of build-up on the surface, we can help you remove a lot of the excess tartar from your mouth. Plaque and tartar can be incubators of bacteria, causing serious problems like periodontal disease and gingivitis. It is important for your oral health to remove this build-up and continue a preventative homecare regimen.
Full Mouth Debridement
When heavy plaque and tartar deposits have built up on your teeth, we often recommend a procedure called full mouth debridement to remove that build up.
The benefits of debridement
Plaque is a sticky, colorless film of food and bacteria that constantly forms on your teeth. If it is not removed every day, plaque hardens and turns into tartar. Over time, this plaque and tartar builds up on your teeth. A heavy build up blocks our ability to clearly see and examine your teeth and gums. It is also important to remove the accumulation of plaque and tartar because they are the main cause of tooth decay and gum disease. Many factors can contribute to heavy build up, including:
The debridement procedure
Depending on the situation, we may begin the procedure by recommending a numbing gel or offering nitrous oxide to make you more comfortable. Next, we use a variety of instruments to carefully remove the plaque and tartar above and around the gumline. We may also apply an antimicrobial rinse. Then, we finish the procedure by carefully reviewing your homecare routine. A full mouth debridement is an important initial step in the ongoing evaluation and treatment of your oral health.
If you notice your teeth have a lot of build-up on the surface, we can help you remove a lot of the excess tartar from your mouth. Plaque and tartar can be incubators of bacteria, causing serious problems like periodontal disease and gingivitis. It is important for your oral health to remove this build-up and continue a preventative homecare regimen.
Full Mouth Debridement
When heavy plaque and tartar deposits have built up on your teeth, we often recommend a procedure called full mouth debridement to remove that build up.
The benefits of debridement
Plaque is a sticky, colorless film of food and bacteria that constantly forms on your teeth. If it is not removed every day, plaque hardens and turns into tartar. Over time, this plaque and tartar builds up on your teeth. A heavy build up blocks our ability to clearly see and examine your teeth and gums. It is also important to remove the accumulation of plaque and tartar because they are the main cause of tooth decay and gum disease. Many factors can contribute to heavy build up, including:
- Dry mouth, also called xerostomia
- Tobacco use
- Certain health conditions
- Wearing braces
- Poor oral homecare
- Not getting regular professional dental cleanings
The debridement procedure
Depending on the situation, we may begin the procedure by recommending a numbing gel or offering nitrous oxide to make you more comfortable. Next, we use a variety of instruments to carefully remove the plaque and tartar above and around the gumline. We may also apply an antimicrobial rinse. Then, we finish the procedure by carefully reviewing your homecare routine. A full mouth debridement is an important initial step in the ongoing evaluation and treatment of your oral health.
Tuesday, April 6, 2010
Homecare Series
Oral Irrigator
Practicality of using an oral irrigator
Cleaning your teeth and gums with an oral irrigator can be a great idea for several reasons. Many people use the powered stream of water to help remove bacteria that cause tooth decay and gum disease. Others use an oral irrigator because it makes it easier to clean around braces, bridgework and implants. Some use an oral irrigator to help control periodontal disease. No matter why you choose an oral irrigator, you will get the best results when you correctly use it.
How to use an oral irrigator
Begin by filling the reservoir with lukewarm tap water according to the manufacturer’s directions. Depending on your situation, we may recommend that you use saline (water mixed with salt), an antiseptic mouthwash, or a medicated solution instead of water. Choose the best tip for your oral condition. If you are using a regular tip, place it at a 90-degree angle to the gumline, almost touching the tooth. If you are using a tip that is designed for rinsing below the gumline, place it against the tooth at a 45-degree angle, and gently move the tip into the tiny groove between the tooth and gum. Set the pressure to the lowest setting and turn on the irrigator. Close your tips slightly, allowing the liquid to flow out of your mouth. Move the tip along the gumline, pausing for a few seconds at the spaces between your teeth. If you are rinsing below the gumline, make sure to reach into each gum groove as you go. Irrigate around all the teeth, especially the back teeth.
How we can help
Ask us if you have any questions about choosing or using an oral irrigator. We are happy to offer tips for keeping your teeth and gums clean and healthy.
Practicality of using an oral irrigator
Cleaning your teeth and gums with an oral irrigator can be a great idea for several reasons. Many people use the powered stream of water to help remove bacteria that cause tooth decay and gum disease. Others use an oral irrigator because it makes it easier to clean around braces, bridgework and implants. Some use an oral irrigator to help control periodontal disease. No matter why you choose an oral irrigator, you will get the best results when you correctly use it.
How to use an oral irrigator
Begin by filling the reservoir with lukewarm tap water according to the manufacturer’s directions. Depending on your situation, we may recommend that you use saline (water mixed with salt), an antiseptic mouthwash, or a medicated solution instead of water. Choose the best tip for your oral condition. If you are using a regular tip, place it at a 90-degree angle to the gumline, almost touching the tooth. If you are using a tip that is designed for rinsing below the gumline, place it against the tooth at a 45-degree angle, and gently move the tip into the tiny groove between the tooth and gum. Set the pressure to the lowest setting and turn on the irrigator. Close your tips slightly, allowing the liquid to flow out of your mouth. Move the tip along the gumline, pausing for a few seconds at the spaces between your teeth. If you are rinsing below the gumline, make sure to reach into each gum groove as you go. Irrigate around all the teeth, especially the back teeth.
How we can help
Ask us if you have any questions about choosing or using an oral irrigator. We are happy to offer tips for keeping your teeth and gums clean and healthy.
Monday, April 5, 2010
TMI - The Monday Inquiry
Oral Piercing
Piercing the tongue
Many people want their tongue or lips pierced. This is not the same as getting your ears pierced. Unlike your ear lobe, your tongue is a muscle that has many blood vessels and nerves.
What to expect
First, a cork is placed underneath your tongue. Then, a long needle is punched through the sensitive tissue. A barbell is inserted into the hole in your tongue. All of this is done without anesthesia. Soon after the barbell is inserted, your tongue will swell. The swelling is significant and usually lasts three to five days. Because your tongue is covered with bacteria, they can invade the open wound and enter your bloodstream. This can result in painful infections that ooze pus into your mouth and throat. If this happens, you need to get immediate medical attention. The needle used to pierce the tongue is quite thick. If it hits one of the many veins in your tongue, you can expect to have heavy bleeding. The needle can also sever a nerve in the tongue, which can result in permanent numbness.
Problems with jewelry
The jewelry itself can present problems. The hard metal ball is constantly hitting the fragile tooth surface, much like a wrecking ball. People with tongue studs tend to habitually bite them, which increases the chance of chipping or scratching a tooth. Lip rings can also wear away the gums. This can lead to gingivitis and expose the tooth roots, which can make your teeth sensitive to hot, cold and sweet foods.
Take precautions
We do not advocate it, but if you must get an oral piercing, take some precautions:
Piercing the tongue
Many people want their tongue or lips pierced. This is not the same as getting your ears pierced. Unlike your ear lobe, your tongue is a muscle that has many blood vessels and nerves.
What to expect
First, a cork is placed underneath your tongue. Then, a long needle is punched through the sensitive tissue. A barbell is inserted into the hole in your tongue. All of this is done without anesthesia. Soon after the barbell is inserted, your tongue will swell. The swelling is significant and usually lasts three to five days. Because your tongue is covered with bacteria, they can invade the open wound and enter your bloodstream. This can result in painful infections that ooze pus into your mouth and throat. If this happens, you need to get immediate medical attention. The needle used to pierce the tongue is quite thick. If it hits one of the many veins in your tongue, you can expect to have heavy bleeding. The needle can also sever a nerve in the tongue, which can result in permanent numbness.
Problems with jewelry
The jewelry itself can present problems. The hard metal ball is constantly hitting the fragile tooth surface, much like a wrecking ball. People with tongue studs tend to habitually bite them, which increases the chance of chipping or scratching a tooth. Lip rings can also wear away the gums. This can lead to gingivitis and expose the tooth roots, which can make your teeth sensitive to hot, cold and sweet foods.
Take precautions
We do not advocate it, but if you must get an oral piercing, take some precautions:
- Make sure the shop is clean
- The piercer should be properly trained, follow OSHA guidelines for blood-borne pathogens, and use only sterilized needles and equipment
- The piercer should thoroughly explain the procedure and your follow-up care
- Use a new toothbrush when you return home
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