Posts for: June, 2018
If you occasionally experience small sores in the softer tissues of your mouth, you may have aphthous ulcers or better known as canker sores. While rarely a health concern, they can be painful and annoying particularly when you’re eating and drinking.
These breaks in the skin or mucosa (the lining membranes of the mouth) usually occur in the thinner tissues found in the cheeks, lips, under the tongue or in the back of the throat. They tend to be most painful (especially while eating acidic foods like citrus or tomato sauce) between the first few hours of appearing and for a couple of days afterward, and will often occur during periods of anxiety, stress or after a minor injury. The sores will normally heal and fade within a couple of weeks.
Although occasional outbreaks of canker sores are quite common with most people, 20-25% of people (more often women) have a recurring form of painful outbreak known as recurrent aphthous stomatitis (RAS). Another variation called herpetiform aphthae, similar in appearance to herpes simplex virus sores, is characterized by smaller clusters of ulcers. While the specific causes for canker sores are still unclear, there’s some correlation between them and abnormalities with a person’s immune system, as well as with other systemic conditions like gastrointestinal disorders or vitamin deficiencies.
The basic treatment for canker sores is to first soothe the pain and promote quicker healing. Many over-the-counter medications are available for mild cases that numb the area temporarily and provide a protective covering while the sore heals. For more severe cases, there are also prescription medications (like steroids) that can be applied topically or through injection.
While canker sores are not contagious and usually benign, there are some situations that call for a dental examination: sores that haven’t healed within 2 weeks; increasing occurrences and severity of the sores; and never being completely free of a sore in the mouth. These may indicate some other condition, or be an occurrence of cancer or a pre-cancerous condition.
If you have any concerns, be sure to schedule a visit. We’ll be glad to evaluate any occurrence of the sores and recommend the best course of treatment to ease the pain and annoyance.
If you would like more information on canker sores or other types of mouth ulcers, 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 “Mouth Sores.”
You've reached a decision—that old, unattractive smile has to go. You're ready for a complete makeover—and the field of cosmetic dentistry has the materials, techniques and equipment to make it happen.
But it could be a major undertaking requiring a fair amount of time and money. And once all the procedures are complete, what if you're not happy with the results?
Fortunately, you don't have to wait with nervous apprehension until the end of the dental work to see what your smile will look like. We can give you a realistic preview of your new smile before we even begin—and not on a computer monitor. We can actually create a trial smile applied directly to your actual teeth so you can see your new look up close and personal, and in all three spatial dimensions.
That's not to put down enhanced computer presentations. State-of-the-art imaging software can display an accurate representation of your future smile transposed onto an image of your face. But it's still a two-dimensional image, like any other photograph. It can't present the full range, movement or feel of the real thing.
A trial smile can. We shape and sculpt composite resin to resemble the finished dental work and temporarily bond it to your teeth. Once applied, you'll then be able to see what your appearance will look like from different angles and movements. Although we'll have to remove the trial smile before you leave, we can photograph it so you can show it to family and friends for their reaction.
While it's an added expense, a trial smile has two great benefits. First, it helps both of us "test drive" your new look and see how it performs in different ways: as you speak, when you're relaxed and, of course, when you smile. This allows us, if necessary, to fine-tune your planned dental work. Perhaps the biggest benefit, though, is that it can reassure you you've made the right decision to remake your smile.
With a trail smile, there are no surprises—you'll know what the end result will look like before any work is done. And that can be a great motivator toward obtaining the smile you've dreamed of having.
If you would like more information on restoring your smile, 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 “Testing Your Smile Makeover: The Reassurance of a Trial Smile.”
Perhaps you’ve heard the old saying: “Take care of your dentures and your dentures will take care of you.” Well, maybe it’s not that old—but it’s still a sensible notion. Maintaining your dentures by routinely cleaning them and having them checked for fit will improve their longevity.
There’s one other thing you should include on your maintenance routine—avoid wearing your dentures 24/7, especially while you sleep. This bad habit could lead to some unpleasant consequences.
For one, wearing dentures continuously can accelerate bone loss in the jaw that eventually causes your dentures to lose their comfortable fit. Bone loss is a natural consequence of tooth loss because the bone no longer receives the stimulation to grow transmitted by the teeth during chewing. Dentures can’t transmit this stimulus; what’s more, the pressure they place on the gums and underlying bony ridges could make bone loss worse. You can relieve this gum pressure at night by taking them out.
Dentures can also become a breeding ground for bacteria and fungi that cause disease, irritation and unpleasant mouth odors. Taking dentures out at night deprives these microorganisms of a prime opportunity to carry on business as usual—and it’s also a great time to clean your dentures. People who sleep with their dentures in their mouth are more likely to have gum or oral yeast infections and higher levels of proteins produced by white cells that increase inflammation. That could contribute to other diseases throughout the body.
Besides taking your dentures out at night, you should also practice other daily hygiene tasks. Remove your dentures after eating and rinse them with clean water. Brush your dentures daily with a soft-bristled brush and dish or antibacterial soap or dental cleanser (no toothpaste—it’s too abrasive for denture surfaces). Be sure you clean your gums and tongue every day too. When your dentures are out, store them in clean water or preferably an alkaline peroxide-based solution.
Removing your dentures at night and these other good habits will help extend the life and fit of your dentures. It could also help keep the rest of you healthy.
If you would like more information on denture care, 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 “Sleeping in Dentures: A Habit that Can Cause Health Problems.”
Are you embarrassed by your front teeth? Maybe it’s just moderate defects—a chipped tooth here, an irregularly shaped tooth there—but it’s enough to make you less confident to smile.
There are a number of ways to transform your teeth’s appearance like porcelain veneers or crowns. But a relatively inexpensive method that’s less involved is to bond dental material called composite resin to your teeth to correct defects. Made of synthetic resins, these restorative materials can mimic your own natural tooth color. We can also artistically shape them to create a more natural look for an irregular tooth.
If you’re looking to change the way your front teeth look, here are 3 reasons to consider composite resins to restore them.
They can be applied in one office visit. Although effective, veneers, crowns and similar restorations are typically outsourced to dental labs for custom fabrication. While the results can be stunning, the process itself can take weeks. By contrast, we can colorize, bond and shape composite resins to your teeth in just one visit: you could gain your “new smile” in just one day.
They don’t require extensive tooth alteration. Many restorations often require tooth structure removal to adequately accommodate them, which can permanently alter the tooth. Thanks to the bonding techniques used with composite resins, we can preserve much more of the existing tooth while still achieving a high degree of artistry and lifelikeness.
Composite resins are stronger than ever. Over the years we’ve learned a lot about how teeth interact with each other to produce the forces occurring during chewing and biting. This knowledge has contributed greatly to the ongoing development of dental materials. As a result, today’s composite resins are better able to handle normal biting forces and last longer than those first developed a few decades ago.
Composite resins may not be suitable for major cosmetic dental problems, but you might still be surprised by their range. To learn if composite resins could benefit your situation—even a large defect—see us for a complete examination.
If you would like more information on composite resin restorations, 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 “Artistic Repair of Front Teeth with Composite Resin.”
The National Safety Council has designated June as National Safety Month. A key component of staying safe is being prepared for emergencies, and this includes dental emergencies. Would you know what to do if you suffered any of the following dental mishaps?
Chipped tooth: One common dental injury is a chipped tooth. If this happens to you, save the missing chip if possible because we may be able to bond it back onto the tooth—but don’t be tempted to glue the chip back on by yourself! However, even without the missing chip, the tooth can most often be repaired with bonding material.
Cracked tooth: If you crack a tooth, rinse your mouth with warm water. If it is bleeding, hold a clean washcloth or gauze to the area until the bleeding stops, but don’t wiggle the tooth around or bite down hard. Keep in mind that the sooner your tooth is repaired, the better. Depending on how bad the crack is, if the tooth can be treated, it will most likely continue to function pain-free for years to come.
Displaced (“luxated”) tooth: If an injury causes your tooth to become loose, shoves it sideways or pushes it into or out of its socket, don’t try to force the tooth back into position on your own. Instead, call the dental office right away and leave it to us to bring the tooth back into its proper place and determine the extent of the injury.
Knocked out tooth: If a permanent tooth is knocked out of your mouth, pick it up without touching the root and rinse it off with cold water, but do not scrub. For the best chance of saving the tooth, place it firmly back in its socket within five minutes and hold it in position for a few minutes. If this is not possible, keep the tooth between your cheek and gum or in a glass of cold milk so that it doesn’t dry out. Call the dental office immediately.
If a baby tooth is knocked out, there is no need to place it back in the socket since baby teeth are not reattached. However, it is still important to have us examine the injury.
Being prepared for dental emergencies can help save a tooth as well as avoid more costly dental treatment down the road. But no matter what type of dental injury you have, it is important to come in for a consultation as the injury may extend beyond the part of the tooth that is visible. With today’s materials and technology, there’s a very good chance your smile can look as good as before—and often even better!
If you have questions about dental injuries, please contact our office or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Trauma and Nerve Damage to Teeth” and “Artistic Repair of Front Teeth with Composite Resin.”