Posts for category: Oral Health
Your stomach is just one big processing plant: Incoming food is broken down into individual nutrients that are then absorbed into the body. The main food "de-constructor" for this process is stomach acid, a powerful fluid comparable in strength to battery acid. All's well as long as it remains in the stomach—but should it escape, it can wreak havoc on other parts of the body, including teeth.
That's the reality for 1 in 5 Americans with gastroesophageal reflux disease (GERD). Also known as acid reflux, GERD occurs when the ring of muscle at the base of the esophagus—which ordinarily keeps stomach acid contained—weakens to allow it into the esophagus. It can then irritate the esophageal lining, giving rise to the burning sensation of indigestion.
The scenario changes, however, if acid continues up into the mouth. This puts tooth enamel at risk for erosion. The resulting high acidity is enough to dissolve the mineral content of enamel, which could jeopardize the survival of affected teeth.
If you've been diagnosed with GERD, your teeth could be in harm's way. In recognition of GERD Awareness Week (November 17-23), here's what you can do to protect them from this potentially damaging disease.
Manage your GERD symptoms. There are effective ways to control GERD and reduce the likelihood of acid in the mouth with antacids or medication. You can also lessen reflux symptoms by quitting smoking and avoiding alcohol, caffeine or acidic foods and beverages. Finishing meals at least three hours before bed or avoiding lying down right after eating can also lessen reflux episodes.
Boost saliva to neutralize acid. Saliva neutralizes acid and helps restore minerals to enamel. You can boost its production by drinking more water, using a saliva-boosting product or chewing xylitol-sweetened gum. You can also decrease mouth acidity by chewing an antacid tablet or rinsing your mouth after eating or after a reflux episode with water mixed with a little baking soda.
Use fluoride oral hygiene products. You can further protect your teeth from acid by using oral hygiene products with fluoride, a chemical compound proven to strengthen enamel. If needed, we can also apply stronger fluoride solutions directly to the teeth or prescribe special mouthrinses with extra fluoride.
If you've been dealing with GERD symptoms, visit us for an exam to check for any adverse dental effects. The sooner we treat GERD-related enamel erosion, the better the outcome for your teeth.
If you would like more information on protecting your dental health from acid reflux, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “GERD and Oral Health.”
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.”
To keep a healthy smile, brushing and flossing your teeth every day should be at the top of your to-do list, along with regular dental visits. Dental visits are usually scheduled every six months when your dental professional will remove any built-up plaque and tartar (hardened plaque deposits) missed during everyday hygiene.
If you've experienced periodontal (gum) disease, however, these dental visits may become even more important toward preventing a re-infection. For one thing, your dentist may want to see you more frequently.
Gum disease is caused by bacteria living in dental plaque, which first infect the superficial layers of gum tissue. Even though the body initiates an inflammatory response to fight it, the infection continues to grow as long as there is plaque present to fuel it. The problem isn't just plaque on the visible tooth surface—hidden plaque beneath the gum line can create deep pockets of infection that can be difficult to treat.
To stop the infection, dentists must manually remove plaque through procedures known as scaling and root planing. Any and all plaque and tartar deposits must be removed, even those deep around the roots, to arrest the infection. This often requires several treatment sessions and sometimes gum surgery to access areas below the gum line.
These types of treatments, especially in the disease's early stages, have a good chance of restoring health to your gums. But because of the high possibility of reinfection, your dentist will need to step up your regular dental maintenance from now on. This could mean visits as frequent as every few weeks, depending on your particular case of gum disease and your dentist's recommendation.
Your dental visits after gum disease may also become more involved than before. Your dentist will now monitor you closely for any signs of reinfection and at the first sign initiate a new round of treatment. You may also need surgical procedures to make some areas around your teeth more accessible for future cleaning and maintenance.
Periodontal maintenance after gum disease helps ensure another infection doesn't rise up to undermine your progress. To paraphrase a well-known quote, eternal vigilance is the price of continuing good dental health.
The smiley face: It’s been around forever. Except it hasn’t—someone created it. No, not Forrest Gump (but good guess!), but graphic artist Harvey Ball in 1963 to help boost employee morale at an insurance company. Do you know what else Harvey Ball came up with? World Smile Day: Beginning in 1999, Ball began promoting the first Friday in October as a day to encourage smiles and acts of kindness. But there’s no need to limit smiles to one day. We hope you treat every day as World Smile Day—to make your corner of the world a little brighter.
What can you do to show your support? Well to begin with, smile—a lot. And also do things to make other people smile. We don’t want you to hold back because you’re not completely satisfied with your smile. If you’d like to get that wonderful smile of yours in better shape, here are some ideas:
Have your teeth professionally cleaned. Having your teeth cleaned at the dental office is one of the best things you can do to prevent dental disease. Dental plaque makes your teeth look dull and dingy and can lead to gum disease and cavities. A professional cleaning to rid your teeth of any built-up plaque and tartar (hardened plaque) with a follow-up polish can help your teeth look great!
Brighten up your smile. You can turn up the brightness volume on your teeth with a tooth whitening application. There are whitening products you can buy over the counter, but for best results see your dentist for a professional whitening. Dentists can better control the degree of brightness and their professional-grade solutions often last longer.
Upgrade your teeth’s appearance. You may have a great looking smile—except for that chip, discoloration or slight gap between a couple of teeth. There are a number of ways, many quite affordable, to improve your teeth’s appearance. Your dentist can bond color-matched composite resin to your teeth to “fill in” chips or other blemishes. And a veneer, a thin layer of porcelain bonded to the face of a tooth, can mask mild to moderate dental blemishes.
There are other “smile changers” like orthodontics, crowns or dental implants that are a bit more extensive. Depending on your needs and expectations, these can give you a “smile makeover” that will get you ready for future World Smile Days.
In the meantime, talk to us about how you can perk up your smile. An attractive smile is much easier to share with the world.
If you would like more information about smile enhancements, please contact us to schedule a consultation.
When you awake in the morning do you still feel exhausted? Are you irritable during the day, unable to think or focus clearly? Is your loud snoring bothering your bed partner?
If you answered affirmatively to any of these questions, you may have sleep apnea. This happens when an obstruction (usually the tongue) blocks the airway during sleep, preventing you from breathing. Your brain notices the drop in oxygen and wakes you to re-open the airway. The arousal lasts only a few seconds, and you may not even notice. But because it can happen many times a night, these waking episodes can rob you of the deep sleep your body needs.
Sleep apnea is more serious than simply waking up grumpy. Over time, it could contribute to dangerous health conditions like high blood pressure or heart disease. If you’re noticing any of these signs, it’s important then that you undergo a complete examination by a physician or dentist trained in sleep-related issues.
Fortunately, there are ways to reduce sleep apnea. One of the most common is continuous airway pressure (CPAP): This method uses a small pump that pushes pressurized air through a face mask worn while the patient sleeps. The forced air keeps the airway open and reduces apnea episodes.
While it’s an effective method, it can be uncomfortable and cumbersome to use—some people can’t tolerate wearing the mask while they sleep. But if your sleep apnea symptoms are mild to moderate, your dentist may be able to provide an alternative therapy with a specially designed oral appliance.
Similar to a mouthguard or retainer, a sleep apnea appliance worn during sleep holds the lower jaw forward, which helps move the tongue away from the airway. It’s much less cumbersome (and noisy) than a CPAP machine. And your dentist can custom design and fabricate your appliance for a comfortable fit.
Not all cases of sleep apnea can benefit from such an appliance, or even from CPAP therapy. Extreme cases could require surgery to remove tissues blocking the airway. But most sleep apnea patients don’t require this invasive intervention. Getting checked by a qualified medical professional could open the door to a more convenient and effective way to a better night’s sleep.