Posts for category: Oral Health
The Internet is truly amazing: It takes only a few seconds to tap into a vast store of knowledge to find information that once took people hours or days. But amidst all that helpful data, there's also some not so helpful information—in fact, some can be downright harmful, including to your dental health.
One particular Internet trend is brushing teeth with black, gooey substances containing activated charcoal. Scores of online videos featuring people doing this are getting viral views, perhaps more for the “gross” factor than the claimed health benefits.
So, why do it? Advocates of using activated charcoal for oral hygiene claim the ingredient kills harmful microorganisms in your mouth. The charcoal is also supposed to whiten your teeth.
But clinical studies of the practice, including one recently published in the Journal of the American Dental Association have been unable to substantiate these claims. There's simply no evidence that activated charcoal does what its advocates say it can do.
Unfortunately, there is evidence the practice can actually harm your teeth. This is because activated charcoal is an abrasive substance that over time could damage your teeth's enamel. Eroded enamel doesn't regrow, so eventually the more vulnerable dentin, the tooth layer just beneath the protective enamel, becomes exposed. It's not only darker and less attractive than enamel, its more susceptible to tooth decay and cavities.
The best way to care for your teeth, brushing and flossing daily, may seem boring compared to videos of brushing with charcoal, but it is effective—and safe. You should also see your dentist for more thorough cleanings at least every six months to round out your dental care.
And if you want a brighter smile, your dentist can perform a tooth whitening procedure that can give you months or even years of satisfaction. Professional tooth whitening (or even home whitening kits applied properly) also won't harm your enamel.
How do you know if you have periodontal (gum) disease? Sometimes your gums will tell you—when they’re red, swollen or bleed easily.
But your gums can also look and feel healthy while a gum infection still brews below the gum line. In this case, a regular dental visit could make the difference. Even without overt signs of infection, we may be able to detect gum disease with a slender metal instrument called a periodontal probe.
Gum disease is a bacterial infection that most of the time arises from dental plaque. This thin film of bacteria and food particles accumulates on tooth surfaces, especially because of poor or non-existent oral hygiene. A continuing infection can weaken gum tissues and cause them to pull away or detach from the teeth.
Normally, there’s a slight gap between the gums and teeth. But as the infected gums pull away, the gaps grow larger and deeper, forming what are known as periodontal pockets. They become filled with infection that soon spreads to the root and bone and increases the risk of tooth loss.
These pockets, though, could be the means for detecting a gum infection with the help of the periodontal probe. During a dental exam we gently insert the probe, which has millimeter depth markings etched on it, between a tooth and its adjacent gums. While a depth of 1 to 3 mm is normal, a probe measurement of 4 to 5 mm could be a sign of an early stage infection. A reading of 7 to 10 mm, on the other hand, may indicate more advanced disease.
Along with other factors, periodontal probing can be quite useful identifying both the presence and extent of a gum infection and then how to treat it. The goal of any treatment is to remove plaque and tartar (calculus) deposits that sustain the infection. But probing, along with other diagnostic methods like x-rays, could point to deeper infection below the gum line that require more extensive methods, including surgery, sometimes to access and remove the disease.
Achieving the best treatment outcome with gum disease often depends on finding the infection early. Periodontal probing helps to make that discovery more likely.
As a parent, you’re all about helping your kids grow up healthy. But there are some obstacles that can make that difficult. One in particular is tooth decay, which could interfere with their dental development.
A bacterial infection, tooth decay destroys dental tissue—and untreated it could lead to tooth loss. This could severely derail a child’s normal development, even if it’s one of their primary (“baby”) teeth. That’s why preventing tooth decay or treating it promptly when it occurs should be one of your top priorities for your child’s dental health.
Here are 3 things you can do to minimize your child’s risk of tooth decay.
Start oral hygiene early. Your best defense against tooth decay is to clean your child’s teeth daily of dental plaque, a thin film of bacteria and food particles that’s the main driver for dental disease. The best way to do this is with brushing and flossing, so begin performing these tasks with your child as soon as their teeth begin to appear. Oral hygiene is also important before their teeth come in—simply wipe your infant’s gums after nursing with a clean damp cloth to reduce bacteria in the mouth.
Start dental visits early. By age 1, most children already have quite a few teeth, making it the recommended time to schedule their first dental visit. Not only will this and subsequent visits support your plaque removal efforts, they also give your dentist an opportunity to catch any emerging dental issues. Early visits can also help get your kids used to seeing the dentist, reducing the chances they’ll develop dental visit anxiety later in life.
Avoid “baby bottle decay.” Sugar is one of decay-causing bacteria’s favorite food sources, so restricting your child’s intake of this carbohydrate can lower their decay risk. Besides limiting sugary snacks and sweets, be sure you do one more thing: eliminate sugar from the nighttime or naptime baby bottle. Parents often lay babies down to sleep with a bottle filled with sugary liquids like juice, milk or formula. Either avoid giving the bottle or make sure it only contains water.
If you would like more information on how to help your kids’ dental development stay on a healthy track, 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 “Top 10 Oral Health Tips for Children.”
First the bad news: Those nightly hair-raising sounds are indeed coming from your child’s bedroom—from your child. It’s the result of them grinding their teeth while they sleep.
But here’s the good news: the only likely harm is a lack of sleep members of your household might experience because of it. Teeth grinding is so prevalent among pre-teen children that many healthcare professionals consider it normal. But that doesn’t mean it can’t become a problem, so it’s worth monitoring.
Teeth grinding is part of a family of dental habits known as bruxism. It involves any involuntary movement of the teeth and jaws outside of their intended functions not associated with chewing, speaking or swallowing. Our main concern with any bruxism is the possibility for generating stronger biting forces than normal that could damage teeth and gums and contribute to jaw joint problems.
Teeth grinding can occur in adulthood, with stress seeming to be the major trigger for it. With children, though, it’s believed to be mainly caused by an immaturity of the child’s neuromuscular process that controls chewing. As this matures, most children will tend to outgrow the habit none the worse for wear.
But there are pediatric cases in which the generated biting forces are strong enough to cause damage. Teeth grinding is also prevalent in children who snore or breathe through their mouths, which could be a sign of a serious health condition called obstructive sleep apnea. And certain medications used to treat depression and attention deficit disorder (ADHD) may also contribute to teeth grinding.
Most of the time we can simply let the habit run its course. If, however, the child begins to experience abnormal tooth wear, headaches, jaw pain or other issues believed caused by teeth grinding, we may need to intervene. This could include a plastic night guard the child wears during sleep that prevents the teeth from making solid contact during grinding episodes. And children with signs of airway obstruction should be evaluated by an ear, nose and throat specialist.
It can be irritating or even distressing. But your child’s teeth grinding doesn’t mean you should be alarmed—only that you should keep your eye on it.
If you would like more information on teeth grinding and similar habits, 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 “When Children Grind Their Teeth.”
When is the best time to floss your teeth: Morning? Bedtime? How about: whenever and wherever the moment feels right?
For Cam Newton, award-winning NFL quarterback for the Carolina Panthers, the answer is clearly the latter. During the third quarter of the 2016 season-opener between his team and the Denver Broncos, TV cameras focused on Newton as he sat on the bench. The 2015 MVP was clearly seen stretching a string of dental floss between his index fingers and taking care of some dental hygiene business… and thereby creating a minor storm on the internet.
Inappropriate? We don't think so. As dentists, we're always happy when someone comes along to remind people how important it is to floss. And when that person has a million-dollar smile like Cam Newton's — so much the better.
Of course, there has been a lot of discussion lately about flossing. News outlets have gleefully reported that there's a lack of hard evidence at present to show that flossing is effective. But we would like to point out that, as the saying goes, “Absence of evidence is not evidence of absence.” There are a number of reasons why health care organizations like the American Dental Association (ADA) still firmly recommend daily flossing. Here are a few:
- It's well established that when plaque is allowed to build up on teeth, tooth decay and gum disease are bound to follow.
- A tooth brush does a good job of cleaning most tooth surfaces, but it can't reach into spaces between teeth.
- Cleaning between teeth (interdental cleaning) has been shown to remove plaque and food debris from these hard-to-reach spaces.
- Dental floss isn't the only method for interdental cleaning… but it is recognized by dentists as the best way, and is an excellent method for doing this at home — or anywhere else!
Whether you use dental floss or another type of interdental cleaner is up to you. But the ADA stands by its recommendations for maintaining good oral health: Brush twice a day for two minutes with fluoride toothpaste; visit your dentist regularly for professional cleanings and checkups; and clean between teeth once a day with an interdental cleaner like floss. It doesn't matter if you do it in your own home, or on the sidelines of an NFL game… as long as you do it!