"Debit or credit?" "Buy or rent?" "Paper or plastic?" Decisions, decisions. It's great to have more than one good option, but it can also provoke a lot of thought in making the right choice. Here's another decision you may one day have to face: "Save my tooth or replace it?"
It's hard to pass up replacing a tooth causing you misery, especially when the alternative is a functional and attractive dental implant. But before you do, consider this important message the American Association of Endodontists relay during Save Your Tooth Month in May: Before you part with a tooth, consider saving it as the best option for your oral health.
Even an implant, the closest dental prosthetic we now have to a real tooth, doesn't have all the advantages of the original. That's because your teeth, gums and supporting bone all make up an integrated oral system: Each component supports the other in dental function, and they all work together to fight disease.
Now, there are situations where a tooth is simply beyond help, and thus replacing it with an implant is the better course of action. But if a tooth isn't quite to that point, making the effort to preserve it is worth it for your long-term health.
A typical tooth in peril is one with advanced tooth decay. Decay begins when acid softens tooth enamel and creates a cavity. At this stage, we can often fill it with a tooth-colored filling. But if it isn't caught early, the decay can advance into the tooth's interior pulp, well below the enamel and dentin layers.
This is where things get dicey. As decay infects the pulp, it can move on through the root canals to infect the underlying bone. If this happens, you're well on your way to losing the tooth. But even if the pulp and root canals have become infected, we may still be able to save the tooth with root canal therapy.
Here's how it works: We first drill a tiny access hole into the infected tooth. Using special instruments, we remove all of the infected tissue from within the pulp chamber and root canals. After a bit of canal reshaping, we fill the now empty spaces with a rubber-like substance called gutta percha. After it sets, it protects the tooth from any more infection.
Contrary to what you might think, root canals aren't painful, as your tooth and the surrounding tissue are completely anesthetized. In fact, if your tooth has been hurting, a root canal will stop the pain. Better yet, it could save a tooth that would otherwise be lost—a satisfying outcome to a wise decision.
If you would like more information about tooth decay treatments, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “A Step-By-Step Guide to Root Canal Treatment.”
There are great health benefits to eating better, including for your teeth and gums. But to determine your ideal diet, you'll have to come to terms with carbohydrates, the sugars, fiber and starches found in plants or dairy products that convert to glucose after digestion.
Carbohydrates (also known as carbs) are important because the glucose created from them supplies energy and regulates metabolism in the body's cells. But they can also create elevated spikes of glucose in the bloodstream that can cause chronic inflammation. Besides conditions like diabetes or heart disease, chronic inflammation also increases your risk of periodontal (gum) disease, a bacterial infection arising from dental plaque.
Many concerned about this effect choose either to severely restrict carbs in their diet or cut them out altogether. But these hardline approaches deprive you of the benefits of carbs in maintaining good health. There's a better way—and it starts with understanding that not all carbs are the same. And, one difference in particular can help you properly manage them in your diet.
Here's the key: Different carbs convert to glucose at different digestive rates of speed measured on a scale known as the glycemic index. Carbs that digest faster (and are more apt to cause glucose spikes in the bloodstream) are known as high glycemic. Those which are slower are known as low glycemic.
Your basic strategy then to avoid blood glucose spikes is to eat more low glycemic foods and less high glycemic. Foods low on the glycemic index contain complex, unrefined carbohydrates like most vegetables, greens, legumes, nuts or whole grains. High glycemic foods tend to be processed or refined with added sugar like pastries, white rice, or mashed potatoes.
Low glycemic foods also tend to have higher amounts of minerals and nutrients necessary for healthy mouths and bodies. And fresh vegetables in particular often contain high amounts of fiber, which slows down the digestion of the accompanying carbohydrates.
Eating mainly low glycemic foods can provide you the right kinds of carbs needed to keep your body healthy while avoiding glucose spikes that lead to inflammation. You're also much less likely to experience gum disease and maintain a healthy mouth.
If you would like more information on nutrition and dental health, 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 “Carbohydrates Linked to Gum Disease.”
The NBA's reigning MVP Giannis Antetokounmpo may seem unstoppable, but he proved no match for a troubled tooth. Antetokounmpo, the self-proclaimed “Greek Freak,” missed one of the final three 2020 regular season games for a dental issue that resulted in last-minute oral surgery. According to a Milwaukee Bucks spokesperson, the star underwent “a root-canal like procedure.”
Root canal therapy, often simply called “a root canal,” may be needed when there is an infection inside the tooth. When dental pulp becomes inflamed or infected, excruciating pain can result. Pulp is the soft tissue that fills the inside of the tooth. It is made up of nerves, blood vessels and connective tissue. During root canal treatment, the pulp is removed, the space inside the tooth is disinfected, it is filled with a special material, and then the hole is sealed up.
A root canal is nothing to fear. It relieves pain by getting rid of infection and is so effective that over 15 million of them are performed in the U.S. each year. This routine procedure generally requires only local anesthetic, and your mouth should be back to normal within a day or two after treatment. Antetokounmpo can attest to that, as he returned to play the next day.
However, delaying root canal treatment when you need it can have serious consequences. If left untreated, an infection inside the tooth continues to spread, and it may move into the gums and jaw and cause other problems in the body. So, how do you know if you may need a root canal? Here are some signs:
Lingering sensitivity to hot or cold temperatures. One sign of nerve damage inside your tooth is pain that is still there 30 seconds after eating or drinking something hot or cold.
Intense pain when biting down. You may feel pain deep within your tooth, or in your jaw, face or other teeth. The pain may be hard to pinpoint—and even if it improves at times, it usually comes back.
A chipped, cracked or discolored tooth. A chip or crack can allow bacteria to enter the tooth, and the tooth may darken if the tissue inside is damaged.
A pimple on the gum. A bump or pimple on the gum that doesn't go away or keeps coming back may signify that a nearby tooth is infected.
Tender, swollen gums. Swollen gums may indicate an infection inside the tooth or the need for periodontal treatment.
And sometimes there is no pain, but an infection may be discovered during a dental exam.
Tooth pain should never be ignored, so don't put off a dental visit when you have a toothache. In fact, if a bad toothache goes away, it could mean that the nerves inside the tooth have died, but the infection may still be raging. Also, be sure to keep up with your regular dental checkups. We may spot a small problem that can be addressed before it becomes a bigger problem that would require more extensive treatment.
Remember, for dental issues both large and small, we're on your team! If you would like more information about tooth pain, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Tooth Pain? Don't Wait!” and “Root Canal Treatment: What You Need to Know.”
Each of life's moments are precious—but some are more precious than others. For one like your wedding day, you want to look your very best.
Be sure your teeth and gums are also ready for that once in a lifetime moment. Here are a few cosmetic enhancements that can transform your smile appearance.
Dental cleanings. Having your teeth cleaned professionally not only boosts your dental health, but it can also enhance your smile's brightness. A dental cleaning removes plaque and tartar that can yellow and dull teeth. With plaque out of the way, your teeth's natural translucence can shine through.
Teeth whitening. For an even brighter smile, consider teeth whitening. We apply a bleaching solution that temporarily whitens your teeth. With a little care on your part and occasional touchups, your brighter smile could last well beyond your wedding day.
Tooth repair. A chipped or cracked tooth can ruin an otherwise perfect smile. We can often repair mild flaws by bonding tooth-colored composite resins to the defective area, usually in one visit. Porcelain veneers or crowns can mask more moderate imperfections, but they must be undertaken well in advance of your big day.
Teeth replacements. We can restore those missing teeth ruining your smile with dental implants. An implant replaces the tooth root as well as the crown to create a stable and durable hold that can last for years. But similar to porcelain restorations, an implant restoration could take months—so plan ahead.
Orthodontics. Correcting a bite problem through orthodontics can have a huge impact on your smile. Straightening teeth isn't just for teenagers—you can undergo treatment at any age. And if you opt for clear aligners, no one but you and your orthodontist need know you're wearing them.
Cosmetic gum surgery. Even if your teeth look perfect, too much of your gums showing could detract from your smile. If your “gummy smile” is caused by excess gum tissue, there are a number of plastic surgical techniques that can restructure the gums so that they appear in right proportion with the teeth.
If you want a more attractive smile on your wedding day, see us as soon as possible for a full evaluation and assessment of your needs. Depending on what you need, we have the means to make your smile live up to that moment of moments.
If you would like more information on smile enhancements, 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 “Planning Your Wedding Day Smile.”
Do you remember your first new car? It purred like a kitten with a brilliant finish you could see a mile away. And my, oh my, the attention you gave it: cleaning, polishing, regularly checking the fluids and other maintenance. That's what comes with pride of ownership—and it's an equally fitting attitude to have with your mouth.
World Oral Health Day is a great opportunity this month to renew your care for your mouth and its primary inhabitants, your teeth and gums. This March 20th, the FDI World Dental Federation wants you to “Be Proud of Your Mouth” for all it makes possible in your life: helping you eat, helping you speak and, of no lesser importance, helping you smile.
So how can you show pride in your mouth?
Keep it clean. Brushing and flossing are the two most important tasks you can do to prevent dental disease and ensure a healthy mouth. It takes only five minutes a day to clear away accumulated dental plaque, a thin film of bacteria most responsible for destructive tooth decay and gum disease. The only catch? To get the most from your oral hygiene efforts, you'll need to brush and floss every day, rain or shine.
Keep it fed. The food your teeth help you eat also benefits them—if they're the right foods. Fresh fruits and vegetables, proteins and dairy items like milk or cheese all contain vitamins and minerals that strengthen teeth against disease. On the flip side, there are foods you should avoid, particularly processed foods and snacks containing added sugar. Sugar feeds the oral bacteria that causes disease.
Keep it maintained. Routine dental visits are just as important for your mouth as routine mechanic visits are for your car. During these regular visits, we'll thoroughly clean your teeth of any missed plaque, especially a hardened version called tartar. It's also a time for us to look more closely at your teeth and gums to uncover any emerging problems that require treatment.
With a little time, effort and discipline, you can protect your teeth and gums from disease, and help them to be as healthy as they can be. The dividends will spill over into the rest of your life, with additional benefits for your physical, mental and social well-being. A healthy mouth is vital to a healthy life.
So, take pride in your mouth and make a commitment today to care for it. And if you haven't seen us in a while, an appointment for a dental cleaning and checkup could be your best move toward healthier teeth and gums.
If you would like more information about best dental care practices, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Daily Oral Hygiene” and “Dental Hygiene Visit.”
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