While mouth pain can certainly get your attention, what exactly hurts may be difficult to identify. It might seem to emanate from a single tooth, or a group of teeth. Then again, it might not be clear whether it's coming from teeth or from the gums.
Still, it's important to pinpoint the cause as much as possible to treat it correctly. One of the main questions we often want to answer is whether the cause originates from within a tooth or without.
In the first case, tooth decay may have entered the pulp at the center of the tooth. The pulp contains nerve bundles that can come under attack from decay and transmit pain signals. Incidentally, if the pain suddenly goes away, it may simply mean the nerves have died and not the infection.
The decay can also spread into the root canals leading to the root and supporting bone, and then make the jump into the gum tissues. One possible sign of this is the one mentioned earlier—you can't quite tell if the pain is from the tooth or the surrounding gums.
The root canals could also serve as a transportation medium for infection in the other direction. In that case, gum disease has advanced into the bone tissues around a tooth near its roots. The infection can then cross into the tooth. Again, both a tooth and the gum tissue around it can become diseased.
We have effective treatments for individual occurrences of interior tooth decay or gum disease: The former usually requires a root canal treatment to remove infected tissue and fill and seal the tooth from future infection; we alleviate gum disease by removing the dental plaque causing it and helping the gum tissues to heal. But combined tooth and gum infection scenarios are more difficult to treat, have a poorer prognosis and may require specialists.
To reduce the risk of either tooth decay or gum disease developing into this greater problem, it's best to take action at the first sign of trouble. So, see your dentist as soon as possible when you encounter oral pain or if you notice swollen or bleeding gums. The earlier we treat the initial outbreak of disease, be it tooth decay or gum disease, the better your chances of a successful and happy outcome.
If you would like more information on tooth pain, 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 “Confusing Tooth Pain.”
Some things in life are almost guaranteed to make you go, "Uh, oh"—your car won't start, your a/c goes out, or, worse yet, you get an unexpected letter from the IRS.
Here's another: One of your teeth is loose. And, if you don't act quickly, that loose tooth may soon become a lost tooth.
But first, we need to find out why it's loose. It's usually due to one of two types of injury related to your bite. One type is called primary occlusal trauma. This results from your teeth encountering higher than normal biting forces. This often happens if you habitually gnash or grind your teeth together outside of normal functions like eating or speaking.
The other type is secondary occlusal trauma. In this case, the supporting gum tissues and bone have been weakened or lost by disease, with the gum tissues possibly becoming detached. Without this support, even normal biting forces could loosen a tooth.
Our treatment approach for a loose tooth may differ depending on which of these is the cause. For primary occlusal trauma, we want to reduce the biting forces that have contributed to loosening the tooth. One way to do this is to create a mouthguard that when worn prevents teeth from making solid contact during grinding episodes.
For secondary trauma, we want to first focus on treating any gum disease responsible for weakening the gum tissues. Once we have it under control, the gums and bone tissues can heal and possibly regain and strengthen their attachment with the tooth.
At the same time, we may also need to stabilize a loose tooth to prevent its loss. This usually involves splinting, whereby we use neighboring healthy teeth to support the loose tooth. One way to do this is to attach a metal strip across the backs of the loose tooth and its more stable neighbors, or by way of a channel cut through the top biting surfaces of the teeth.
If a loose tooth regains its attachment with the gums and bone, it may stabilize and any splinting can be removed. If not, splinting may become a permanent solution. Either way, prompt treatment can help us save your loose tooth.
If you would like more information on treating loose 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 “Loose Teeth: Biting Forces Can Loosen Teeth.”
Although the air we breathe has one destination—the lungs—it can arrive there via two possible routes: through the nose or the mouth. In terms of survival, it matters little through which path air travels—just so it travels one of them!
In terms of health, though, breathing through the nose is more beneficial than through the mouth, and is our default breathing pattern. The nasal passages filter minute noxious particles and allergens. Air passing through these passages also produces nitric oxide, a gaseous substance that relaxes blood vessels and improves blood flow.
On the other hand, chronic mouth breathing during childhood can impact oral health. While breathing through the nose, the tongue rests against the roof of the mouth and thus becomes a mold around which the upper jaw and teeth develop. But mouth breathing places the tongue on the lower teeth, which deprives the upper jaw of support and can lead to an abnormal bite.
So why would people breathe through their mouth more than their nose? Simply put, it's more comfortable to do so. Because breathing is so critical for life, the body takes the path of least resistance to get air to the lungs. If obstructions caused by allergic reactions or swollen tonsils or adenoids are blocking the nasal pathway, the action moves to the mouth.
But chronic mouth breathing can often be treated, especially if addressed in early childhood. This may require the services of an ear, nose and throat specialist (ENT) and possible surgical intervention to correct anatomical obstructions. It's also prudent to have an orthodontist evaluate the bite and institute corrective interventions if it appears a child's jaw development is off-track.
Even after correcting obstructions, though, it may still be difficult for a child to overcome mouth breathing because the body has become habituated to breathing that way. They may need orofacial myofunctional therapy (OMT), which retrains the muscles in the face and mouth to breathe through the nose.
Chronic mouth breathing isn't something to be ignored. Early intervention could prevent future oral and dental problems and help the person regain the overall health benefits for nose breathing.
If you would like more information on overcoming chronic mouth breathing, 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 Trouble With Mouth Breathing.”
Kill Bill fans have been pressing for a third installment of the stylized revenge tale since Kill Bill, Volume 2 hit the theaters in 2004. Finally, filmmaker Quentin Tarantino is talking about the long-awaited Volume 3 as if it might soon become a reality. The third movie in the franchise would most likely focus on the now-grown daughter of the character played by Vivica A. Fox in the first two. Vivica recently made known that should Kill Bill, Volume 3 go into production, she thinks 24-year-old actress and singer Zendaya would be perfect for the role.
Although Zendaya is a few inches taller than Vivica, the two women have a few things in common. Besides being talented movie and television actresses who have won awards for their roles, they both have camera-ready smiles. And both Vivica and Zendaya can thank their dentists for helping their smiles be their best.
In 2016, Vivica told Dear Doctor magazine that her smile needed a boost, so she opted for dental veneers to correct gaps between her teeth—and she's very happy with them. “I love my veneers!” she exclaimed. Zendaya also had help in achieving her Hollywood-perfect smile. In 2011, early in her career on the Disney channel, she wore clear orthodontic aligners to straighten her teeth. To further perfect her smile, she visited her dentist for professional teeth whitening in 2016, inviting a film crew along to show how easy and effective in-office tooth whitening is.
But you don't have to be a celebrity to enjoy smile-enhancing dental treatments. They are great options for anyone who wants to improve the look of their smile.
Teeth whitening. If your teeth are looking yellowed, in-office whitening can make them up to 10 shades brighter in one visit! Some people prefer professional at-home whitening kits, which produce great results more gradually.
Bonding or veneers. For small chips and cracks, cosmetic bonding can cover flaws by adding layers of a tooth-colored material over the tooth. For bigger flaws, heavy discoloration or gaps between teeth as Vivica had, dental veneers may be the answer. These custom-made thin porcelain shells cover the front-facing surface of the tooth, hiding imperfections to give anyone a Hollywood smile.
Orthodontics. Crooked teeth can detract from the look of a smile. While traditional braces are an option, many people with mild to moderate alignment issues find removable clear aligners the perfect way to get the smile they desire with minimal impact on their daily activities. Clear aligners are very subtle and can be removed for eating and cleaning as well as for special occasions—or for filming scenes, as Zendaya knows.
Contact us or schedule an appointment for a consultation to see if professional teeth whitening, cosmetic bonding or veneers, orthodontics, or another dental treatment could enhance your smile. You can also learn more by reading the Dear Doctor magazine articles “Important Teeth Whitening Questions Answered” and “How Your Dentist Can Help You Look Younger.”
The few teeth your one or two year old has will eventually fall out in a few years—so, why be concerned about tooth decay this early? Actually, you should: Fighting tooth decay should always be a priority, even at this early age.
Even though primary teeth are short-lived, they make a huge impact on future dental health. These early teeth help guide the eruption of permanent teeth—if lost prematurely to decay, the later teeth may come in misaligned and create a poor bite. Preserving them could help you avoid later orthodontic treatment.
Fortunately, you can help prevent decay in your child's primary teeth. Here's how.
Practice oral hygiene even before teeth. You should begin daily oral hygiene, the principal defense against tooth decay, even before their first teeth emerge. You can reduce harmful bacteria in their mouths by wiping their gums with a clean cloth after nursing. When teeth appear, begin brushing with just a smear of toothpaste.
Limit sugar consumption. Because decay-causing bacteria thrive on sugar, reduce your child's intake in snacks and beverages. For example, don't put them down for bed with a bottle filled with a sugary liquid like juice, sweetened drinks or even formula or breast milk. If you do give them a night-time bottle, fill it only with water.
Avoid bacterial transfer. Your child's immature immune system can't handle the same level of bacteria as in your mouth. So, reduce the chances of bacterial transfer that may cause tooth decay by avoiding kissing on the mouth or sharing eating or drinking utensils with your infant.
Begin dental visits early. Even though they may have few teeth by their first birthday, it's still a good time to begin your child's regular dental visits. Your dentist may be able to diagnose decay early (and treat for maximum effectiveness), as well as provide sealants, topical fluoride and other measures for preventing decay.
Tooth decay at an early age could impact your child's future dental health. Taking steps now to reduce it could help ensure they have healthy teeth and gums later in life.
If you would like more information on dental care for children, 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 “Do Babies Get Tooth Decay?”
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