Posts for: October, 2021
"Trick or treat!" Chances are, you'll hear that cry from costumed children at your door this October 31st. Fortunately, you're unlikely to be in any danger of mischief should you fail to reward your trick or treaters. But there may be an unpleasant "trick" awaiting them—or, more specifically, their teeth: tooth decay.
The underlying factor for this occurrence is the candy they've eagerly collected on their spooky foray, over $2 billion worth nationwide for this one holiday alone. That's because all that candy your kids will fill up on post-Halloween is loaded with refined sugar.
But something else loves all that sweetness as much as your kids—decay-causing bacteria living in their mouths. Oral bacteria thrive—and multiply—on sugar—which means more acid, a by-product of their digestive process, which can erode tooth enamel, which then opens the door to tooth decay.
Now, we don't want to rain on anyone's parade, much less on a child's traditional night of fun in late October. The key, like many other of life's pleasures, is moderation. Here, then, are a few tips from the American Dental Association for having a more "dental-friendly" Halloween.
Provide alternative treats. Candy may be ubiquitous to Halloween, but it isn't the only thing you have to put in their sacks. Be sure you also include items like sealed, one-serving packages of pretzels, or peanut butter or cheese sandwich crackers.
Choose candy wisely. Considering dental health, the best candies are those that don't linger in the mouth long. Stay away, then, from sticky or chewy candies, which do just that. Also, try to avoid hard candies that might damage the teeth if bitten down on.
Don't keep it all. Before they dig in, have your child sort through their sack and choose a set number of pieces to keep and enjoy. Then, find a creative way to share the rest with others. This limits the number of sugary treats consumed after Halloween, while also encouraging sharing.
Restrict snacking. Continuous snacking on Halloween candy can be a problem—the constant presence of sugar in the mouth encourages bacterial growth. Instead, limit your child's snacking on Halloween treats to select times, preferably after meals when saliva (an acid neutralizer) is more active.
Brush and floss. Even with non-sugary foods and snacks, dental plaque can still build up on teeth. This thin biofilm provides a haven for bacteria that increases your child's chances for tooth decay. Be sure, then, that your kids brush and floss every day, especially around holidays.
Halloween can be the source for fond, childhood memories. Follow these tips to make sure tooth decay doesn't ultimately put a damper on your family's fun.
If you would like more information about protecting your children's teeth from tooth decay, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “The Bitter Truth About Sugar.”
The worst outcome of periodontal (gum) disease is tooth loss—but it isn't the only form of misery you might suffer. One of the more troublesome results associated with gum disease is gum recession.
Normal gum tissue covers teeth from just above the visible crown to the roots, providing protection against bacteria and oral acid similar to the enamel on the crown. But advanced gum disease can weaken these tissues, causing them to pull away or recede from the teeth.
Not only can this diminish your smile appearance, but the exposed areas are more susceptible to further disease and painful sensitivity. And it certainly can accelerate tooth loss.
But there are some things we can do to reduce the harm caused by gum recession. If we're able to diagnose and treat a gum infection early while the gums have only mildly receded, the tissues could stabilize and not get worse.
The chances for natural regrowth are unlikely, especially the more extensive the recession. In such cases, the gums may need some assistance via plastic periodontal surgery. Surgeons reconstruct gum tissues by grafting like tissues to the area of recession. These grafts serve as a scaffold for new tissues to gradually grow upon.
There are two general types of grafting procedures. One is called free gingival grafting. The surgeon completely removes a thin layer of skin from elsewhere in the mouth (such as the palate), then shapes and attaches it to the recession site. Both the donor and recession sites heal at approximately the same rate, usually within 14-21 days. This procedure replaces missing gum tissue, but doesn't cover exposed tooth roots to any great extent.
In cases of root exposure, dentists usually prefer another type of procedure, known as connective tissue grafting. The donor tissue is usually taken again from the palate, but the design of the surgery is different. A flap of tissue at the recipient site is opened so that after the connective tissue from the palate is placed at the recipient site to cover the exposed roots, the flap of tissue covers the graft to provide blood circulation to the graft as it heals.
Both kinds of procedures, particularly the latter, require detailed precision by a skilled and experienced surgeon. Although they can successfully reverse gum recession, it's much better to avoid a gum infection in the first place with daily oral hygiene and regular dental care.
If you would like more information on treating gum recession, 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 “Periodontal Plastic Surgery.”
For several decades, dentists have been saving teeth from tooth decay following a few basic guidelines: 1) Identify decay as soon as possible; 2) Thoroughly remove decayed tooth structure; and 3) Fill any cavities. With millions of diseased teeth rescued, observing these simple steps have proven a rousing success.
But as with most things, even this successful protocol isn't perfect. For one, some healthy tissue gets removed along with the diseased portions. The average percentage of "collateral damage" has dropped over the years, but it still happens—and a reduction in healthy tissue can make a tooth less structurally sound.
Another drawback, at least from the patient's perspective, is the dental drill used for removing decay and preparing cavities for filling. Many people find drilling unpleasant, whether from its vibrations in the mouth or its high-pitched whine. The drill's burr head design also contributes to greater healthy tissue loss.
But those weaknesses have lessened over the last few years, thanks to innovations on a number of fronts.
Better risk management. Tooth decay doesn't occur out of thin air—it arises out of risk factors unique to an individual patient like personal hygiene, bacterial load, saliva production or even genetics. Taking the time to identify a patient's "tooth decay risk score" can lead to customized treatments and practices that can minimize the occurrence of decay.
Earlier detection. Like other aspects of dental health, the sooner we detect decay, the less damage it causes and the more successful our treatment. X-rays remain the workhorse for detecting decay, but now with improvements like digital film and better equipment. We're also using newer technologies like laser fluorescence and infrared technology that can "see" decay that might otherwise go undetected.
Less invasive treatment. The dental drill is now being used less with the advent of air abrasion technology. Air abrasion utilizes a concentrated spray of particles to remove diseased tooth structure more precisely than drilling. That means less healthy tissue loss—and a more pleasant (and quieter!) experience for the patient.
In effect, "less is more" could describe these improvements to traditional decay treatment. They and other methods promise healthier teeth and happier patients.
If you would like more information on current treatments for 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 “Minimally Invasive Dentistry: When Less Care is More.”