Cosmetic & Specialty Dentistry

If your tooth is loosened and pushed out of position, call your dentist right away for an emergency appointment. In the meantime, attempt to reposition it to its normal alignment using very light finger pressure—but don’t force it!

There are different types of tooth fractures. Chipped teeth are minor fractures. Moderate fractures include damage to the enamel, tissue, and/or pulp. Severe fractures usually mean that a tooth has been traumatized to the point that it cannot be recovered. If you fracture a tooth, rinse your mouth with warm water and use an ice pack or cold compress to reduce swelling. Take ibuprofen, not aspirin, for pain. Your dentist can smooth out minor fractures with a sandpaper disc. Alternatively, restorative procedures may be needed to fix the tooth. If you wear dentures and a tooth breaks or chips, wear your spare dentures until you can visit your dentist. If you do not have a spare set or cannot get to the dentist’s office soon, use cyanoacrylate (heavy-duty, quick-drying “super” glue) to glue the tooth or the piece of the tooth back into place. Remember—this is only a temporary measure until your dentist can properly repair your tooth and should only be used for dentures! Never attempt to glue a natural tooth or part of a natural tooth back into place!

Tooth decay, also known as caries or cavities, is an oral disease that affects many people. Unlike other diseases, however, caries is not life-threatening and is highly preventable, though it affects most people to some degree during their lifetime. Natural bacteria live in your mouth and form plaque. The plaque interacts with deposits left on your teeth from sugary and starchy foods and produces acids. These acids damage tooth enamel over time by dissolving, or demineralizing enamel, which weakens the teeth and leads to tooth decay. Foods containing carbohydrates (starches and sugars), such as soda pop, candy, ice cream, milk, and cake, and even some fruits, vegetables, and juices, may contribute to tooth decay.

Common causes of canker sores

• Local trauma and stress
• Diet and food allergies
• Hormonal changes
• Use of certain medications

Common treatments of canker sores:

• Antimicrobial mouthwashes
• Local painkillers
• Over-the-counter remedies (oral adhesive patches, liquids and gels)

Many people grind their teeth at night. Grinding, or bruxism, may cause serious damage to the teeth, and may require you to need crowns. Grinding, which often begins in your teenage years or early 20s, can be detected and corrected before much damage has been done. Dentists can create bite splints for you to wear at night or during stressful times when most teeth-grinding occurs.

Many people ring in a new year by making health-related resolutions to improve their lives, but how many of those lifestyle changes are kept past January? The Academy of General Dentistry (AGD), a professional association of more than 35,000 general dentists dedicated to staying up to date in the profession through continuing education, has compiled some easy-to-keep oral health tips that consumers can work into their everyday routines and continue to perform throughout the year.

“Oral health means more than just an attractive smile,” says AGD spokesperson Raymond Martin, DDS, MAGD. “Poor oral health and untreated oral diseases and conditions can have a significant impact on quality of life. And, in many cases, the condition of the mouth mirrors the condition of the body as a whole.”

Tips:

• Floss every day. It’s the single most important factor in preventing gum disease, which affects more than 50 percent of adults. Spend two to three minutes flossing at least once a day. Not flossing because it irritates your gums? The more often you floss, the tougher your gums will become.
• Brush your teeth for at least two to three minutes twice daily. If you’re not sure whether you’re brushing long enough, simply brush for the length of an entire song on the radio.
• Change your toothbrush or toothbrush head (if you’re using an electric toothbrush) before the bristles become splayed and frayed, or every three to four months. Not only are old toothbrushes ineffective, they may harbor harmful bacteria that can cause infections, such as gingivitis and gum disease.
• Drink sugary beverages through a straw. This will minimize the amount of time that the sugars are in contact with your teeth, which can minimize the risk of developing cavities.
• Replace carbonated beverages, which cause enamel erosion and cavities, with water, milk, tea, or coffee.
• Chew sugarless gum that contains xylitol after meals and snacks. This will help cleanse your mouth and prevent the bacteria associated with cavities from attaching to your teeth. Even better, gum will increase your saliva production and reduce bad breath!
• Wait one hour to brush your teeth after consuming highly acidic food or drinks, like wine, coffee, citrus fruits, and soft drinks. Otherwise, you run the risk of wearing away the enamel on your teeth.

“One last reminder to patients is that they should make an appointment to see their general dentist every six months,” adds Dr. Martin. “More than 90 percent of all systemic diseases have oral manifestations, meaning that your dentist could be the first health care provider to diagnose a health problem.”

• Brush with the radio on – dentists recommend brushing for the entire length of a song.
• Use fluoridated, antimicrobial toothpastes and mouth rinses. They help to make the tooth structure resistant to decay.
• Keep oral hygiene products at work. Studies show that the chance of a person using them during the day will increase 65 percent.
• Talk to your dentist about new products you’re using, as all products are not suited for all people.
• Skip the caffeine. Avoiding caffeine before a dental appointment can make you less anxious.
• Communicate. Use hand signals to inform the dentist that you are uncomfortable, and talk to your dentist about your specific fears.

Crowns should last approximately five to eight years. However, with good oral hygiene and supervision, most crowns will last for a much longer period of time. Some damaging habits like grinding your teeth, chewing ice or fingernail biting may cause this period of time to decrease significantly.

Dental implants are a possible alternative to dentures. Implants are artificial tooth roots that are surgically anchored into your jaw to hold a replacement tooth or bridge in place. Implants and bridges may resemble the “feel” of real teeth, but they may be more expensive than dentures. Not all patients are good candidates for implants, so be sure to talk to your dentist about which treatment option is best for you.