Posts for: June, 2020
Other than the common cold, tooth decay is the most prevalent disease in the world. And while a cavity or two may seem like a minor matter, tooth decay’s full destructive potential is anything but trivial. Without proper prevention and treatment, tooth decay can cause pain, tooth loss and, in rare cases, even death.
This common disease begins with bacteria in the mouth. Though these microscopic organisms’ presence is completely normal and at times beneficial, certain strains cause problems: they consume left over carbohydrates in the mouth like sugar and produce acid as a byproduct. The higher the levels of bacteria the higher the amount of acid, which disrupts the mouth’s normal neutral pH.
This is a problem because acid is the primary enemy of enamel, the teeth’s hard protective outer shell. Acid causes enamel to lose its mineral content (de-mineralization), eventually producing cavities. Saliva neutralizes acid that arises normally after we eat, but if the levels are too high for too long this process can be overwhelmed. The longer the enamel is exposed to acid, the more it softens and dissolves.
While tooth decay is a global epidemic, dental advances of the last century have made it highly preventable. The foundation for prevention is fluoride in toothpaste and effective oral hygiene — daily brushing and flossing to removing plaque, a thin film of food remnant on teeth that’s a feeding ground for bacteria, along with regular dental visits for more thorough cleaning and examination. This regular regimen should begin in infancy when teeth first appear in the mouth. For children especially, further prevention measures in the form of sealants or topical fluoride applications performed in the dentist office can provide added protection for those at higher risk.
You can also help your preventive measures by limiting sugar or other carbohydrates in your family’s diet, and eating more fresh vegetables, fruit and dairy products, especially as snacks. Doing so reduces food sources for bacteria, which will lower their multiplication and subsequently the amount of acid produced.
In this day and age, tooth decay isn’t a given. Keeping it at bay, though, requires a personal commitment to effective hygiene, lifestyle choices and regular dental care. Doing these things will help ensure you and your family’s teeth remain free from this all too common disease.
If you would like more information on preventing and treating tooth decay, 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 “Tooth Decay.”
When you’re buying a tool or appliance, you compare brands for the best quality you can afford. There’s another important item that deserves the same level of scrutiny: your toothbrush. Choosing the right one for you can make a huge difference in your oral hygiene effectiveness.
But a visit to your store’s dental care aisle can dim your enthusiasm. You have plenty of options involving all manner of shapes, sizes and features. Perhaps too many: After a while, the sheer number of choices can paralyze your decision-making process.
You can streamline this selection process by concentrating on a few important toothbrush basics. First up for consideration: the bristles. While you may think a good stiff brush would be best, it’s actually the opposite—most dental professionals recommend softer bristles. That’s because hard bristles can potentially damage your teeth and gums over time.
Softer bristles are gentler on your teeth and just as effective for removing plaque, if you use the right technique and thoroughly brush all tooth surfaces. And look for rounded bristles, which are friendlier to your gums.
Next, look for a brush that feels right in your hand. If you have problems with manual dexterity, look for one with an oversized handle. Some brushes come with angled necks and tapered heads, which you may find effective in reaching less accessible back teeth. This might mean trying different brushes until you get one that’s right for you. Don’t worry, though, you’re not buying a brush for life—in fact, you should change out your brush every three to six months.
You’ll also rarely go wrong buying a toothbrush with the American Dental Association Seal of Acceptance on the packaging. This seal signifies the toothbrush has undergone testing and met the ADA’s standards for hygiene effectiveness. While some manufacturers of effective brushes don’t pursue this seal, you can be sure one with it has passed the test of quality.
It makes all the difference in the world having the right tool for the job. Be sure your toothbrush is the right one for you.
If you would like more information on toothbrushes and other dental care products, 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 “Sizing up Toothbrushes: How to Choose the Right Brush for Optimal Oral Health.”
Tooth decay is one of two dental diseases most responsible for tooth loss (gum disease being the other). In the absence of treatment, what starts as a hole or cavity in a tooth's outer layers can steadily advance toward its interior.
Most people associate cavities with the crown, the part of a tooth you can see. But cavities can also occur in a tooth's roots, especially with older adults. Root cavities pose two distinct difficulties: They can lead to more rapid decay spread than crown cavities within a tooth; and they're harder to detect.
Tooth roots are ordinarily covered by the gums, which protects them from bacterial plaque, the main cause for decay. But roots can become exposed due to receding gums, a common problem with seniors who are more susceptible to gum disease.
Unlike the enamel-covered crowns, tooth roots depend on gum coverage for protection against bacteria and the acid they produce. Without this coverage, the only thing standing between tooth decay and the roots is a thin material called cementum.
If decay does enter a tooth's interior, saving it often requires a root canal treatment to remove decayed tissue in the inner pulp and root canals, and then replacing it with a filling. But if we're able to discover a root cavity in its early stages, we may be able to fill it like a crown cavity.
The best strategy, though, is to prevent root cavities from forming. This starts with a dedicated daily regimen of brushing and flossing to remove dental plaque. If you're at high risk for root cavities, we may also recommend antibacterial mouthrinses and other aids.
Regular dental visits are also a must: a minimum of twice-a-year dental cleanings to remove stubborn plaque and calculus (hardened plaque) deposits. For added protection against root cavities, we can also apply fluoride varnish to strengthen teeth. And regular visits are the best way to detect any cavity in its early stages when treatment is less invasive.
A heightened risk of dental problems like root cavities are a part of the aging process. But partnering together, we can lower that risk and increase the longevity of your teeth.
If you would like more information on root cavities, 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 “Root Cavities.”