inner-img

What is a Gum Line Cavity?

What is a gumline cavity

Cavities can form anywhere on the teeth. They are caused by bacteria that produce acids on the surface of teeth. Over time, these acids dissolve the hard minerals within the tooth and cause a cavity to form. There are different types of cavities, depending on where they form. In this blog, we will focus on gum line cavities.

types of cavities

What is a gum line cavity?

A gum line cavity is a type of cavity that affects the area between teeth and gums. The term “gum line cavity” actually refers to two different types of cavities: smooth surface cavities or root cavities. When gum line cavities affect the smooth surface of the tooth’s crown, then they are classified as smooth surface cavities. On the other hand, if a cavity forms on the root of a tooth, then they are called root cavities. Gum line cavities can extend over both the crown and root in some individuals.

What causes gum line cavities?

Gum Line cavities are caused by the same factors that contribute to other types of cavities: bacteria, sugar, and excess plaque. When the bacteria in your mouth consume sugars from the meals you eat, they produce acid that attacks your teeth. Over time, this can damage the enamel and spread to the dentin and even down to the pulp of your tooth.

Plaque, which is the sticky substance that forms on your teeth and contains bacteria, can contribute to gum line cavities because it increases the number of acid attacks to your teeth. Although the risk factors are similar for all types of cavities, some people are more susceptible to developing gum line cavities than others. The primary risk factor for developing gum line cavities is gum recession.

Gingivitis is a gum disease that causes inflammation of the gums. Gum recession is a condition that occurs when the gum tissue surrounding your teeth pulls away from the teeth itself. This can expose the root of your tooth, leading to increased sensitivity and decay.

How are Gum line Cavities Treated?

Gum line cavities are treated in much the same way as other types of dental cavities: with restorative procedures. However, there are different options depending on the location of the cavity. Composite fillings are the most common treatment option for all small to medium smooth surface cavities. A composite filling can be used to restore your smile if you have smooth surface cavities that form near the gum line and do not involve any tooth roots.

If the cavity is located beneath the gum line, however, things are more difficult and depend on the extent of the cavity. For example cavities on the tooth root may require a root canal or even minor gum surgery. This is likely the case when the cavity extends below the gum tissue. Before recommending a treatment, your dentist will first assess your specific situation.

In Conclusion

Gum line cavities are a form of oral cavity that is located near or beneath the gum line. They’re more prevalent than many people realize, and if they aren’t treated quickly, they can be harmful. In this blog, we have discussed how these types of cavities develop, what causes them, and what you should do if one appears in your mouth. Cavities are relatively common, so if you notice any signs or symptoms of a cavity, be sure to contact your dentist for an assessment and treatment plan.

How to Prevent Dental Implant Failure

How to Prevent Dental Implant Failure

Dental implants are a great way to replace missing teeth. They are durable and will last for many years, but they do have the potential to fail. Unfortunately, dental implant failure is usually due to one of these reasons: infection in the bone or gums, poor oral hygiene, poor placement, or smoking. Fortunately these problems can be avoided by taking certain steps. In this blog, we will discuss the causes of implant failure and how to prevent it from happening.

Causes of Implant Failure

how to prevent dental implant failure

One common cause of implant failure is infection. This can be caused by bacteria in the mouth, or it can occur when the implant is placed. Bacteria can get into the wound during surgery and cause an acute infection. Infection can also occur after surgery if plaque and tartar are not removed from teeth and gums regularly.

Poor oral hygiene is another common cause of implant failure. People who do not brush and floss regularly tend to have more plaque, tartar, and bacteria that accumulate around the implant. Plaque and tartar can cause gingivitis and periodontal disease, both of which can lead to implant failure. They can also lead to peri-implant diseases, which can also cause the implant to fail.

Another common cause of implant failure is poor placement. This can occur if the implant is not placed in the correct position or if it is not stable. If the implant moves around, it can loosen and eventually fail. This can also happen when a dental impression is not accurate, meaning there are spaces between the gum and the implant-supported restoration.

Finally, smoking and alcohol consumption are other common causes of implant failure. Cigarette smoke contains harmful chemicals that can damage the gums and bone tissue around the implant. Smoking also impairs healing and alcohol has been found to decrease the chances of osseointegration. Simply stated, smoking and alcohol minimize the implant’s ability to heal properly, which can lead to other complications.

Tips to Prevent Implant Failure

Choose the Right Dentist

When looking for a dentist, it is important to find one who has experience with dental implants. Not all dentists perform implant surgery regularly and some have more experience than others, so be sure to ask before making an appointment. You may also want to ask them about their qualifications and past dental implant patients to get a feel for them. Choosing the right dentist for the job can drastically decrease the risk of implant failure due to improper implant placement.

Follow Postoperative Instructions

Once you have found a great implant dentist, you will also need to be sure that you are closely following their instructions after dental implant surgery. In fact, a large part of implant success is dependent on patient compliance to postoperative instructions. Simply stated, people who follow their dentist’s guidelines are more likely to experience implant success as compared to those who do not follow instructions.

Practice Good Oral Hygiene

To prevent dental implant failure, it is important to practice good oral hygiene. This includes brushing and flossing regularly, using a mouthwash, and seeing a dentist for regular checkups. Although most dental implants fail soon after surgery, it is possible for them to fail years later as a result of poor oral hygiene. Taking care of your implants with proper oral hygiene decreases the risk of early and late implant failure.

 

In conclusion, implant failure can occur for a number of reasons, but most of these problems can be avoided by taking certain steps. By choosing the right dentist and following their postoperative instructions closely, you can greatly decrease your chances of experiencing implant failure. Additionally, practicing good oral hygiene is essential to keeping your implants healthy and functioning properly. For more information on dental implants, please contact us today.

 

Start 2022 Off with a Smile

Start 2022 Off with a Smile

The new year is a time for fresh starts and many people take this opportunity to make their lives better. We are now in the new year, and it is time to start thinking about ways to improve your life. Your smile is one of the first things that people see when they meet you, so why not start off on a positive note? We can help you with all your dental needs. This blog will discuss some of the options available for those who want to start off 2022 with a smile.

Teeth Whitening

One of the most popular treatments is teeth whitening. Teeth whitening can lighten your teeth by several shades and it only takes a short amount of time to achieve results when performed by a dentist. During an in-office whitening treatment, your dentist will apply a bleaching agent and leave it on your teeth for about an hour. In as little as one hour, your teeth will be noticeably brighter, with the full results showing at the 24 hour mark. There are also many different types of toothpastes, mouthwashes, and gels that can help you achieve brighter teeth, however these take much longer to notice results. If you have a special event coming up that you would like to look your best for, professional teeth whitening can help. We use the latest technology in our office and we will make sure that your smile looks perfect when you walk out of our doors.

man with nice smile

Veneers

Another popular dental procedure is veneers. Veneers are a thin, custom-made porcelain or composite resin shell that covers the front surface of your teeth and can completely change their appearance. Although veneers have been used by many celebrities’ for their smile makeovers, we might recommend porcelain veneers to patients who have crooked teeth, uneven spacing between their teeth, small spaces between teeth, or discoloration that cannot be corrected with a non-invasive procedure. Veneers are great for those who want an instant smile makeover and they can completely change your look in as little as two dental appointments.

Dental Implants

For patients who have lost one or more teeth due to decay, injury, gum disease or any other reason, dental implants are an excellent option. Dental implants are titanium screws that are implanted into the jaw bone to act as tooth root substitutes and they provide a stable base for artificial replacement teeth like crowns, bridges, or dentures. Dental implants offer patients many benefits such as stability, strength, restored confidence, and normal eating and speaking ability. Definitely something to smile about if you have lost one or more teeth.

Composite Fillings

Composite fillings are a type of dental filling that is made of plastic and glass fibers. Composite fillings are used to repair teeth that have been damaged by cavities, decay, or fracture. Composite fillings are also used to improve the appearance of teeth that have been stained or discolored, as well as to replace small chips and cracks in the enamel. Composite fillings are available in a variety of colors so that they can be matched to the color of your teeth.

 

Whether you want to try teeth whitening or dental implants, our team at Bethesda Dentistry can help. We have all types of cosmetic treatments available for those who want to upgrade their smiles for 2022 during this New Year’s holiday season! If you live locally, give us a call today to schedule an appointment.

 

What is Malocclusion and How Does it Affect Your Oral Health?

What is Malocclusion and How Does it Affect Your Oral Health?

A beautiful smile is something that everyone wants. However, there are various dental conditions that can complicate having the perfect smile. Malocclusion is one such condition that can affect both the function and appearance of your teeth. A healthy mouth starts from the inside out – with your teeth. Since malocclusion directly affects your teeth, it can also affect your oral health. In this blog post we will discuss malocclusion and how it can affect your oral health.

maloclussion types

Malocclusion is defined as the misalignment of teeth. There are several different types of malocclusion, but the basic types include underbite, overbite, and crossbite.

  • Underbites are characterized by the lower jaw protruding farther out in front of the upper jaw.
  • Overbites are characterized by the top teeth protruding too far over the bottom teeth.
  • Crossbites are when the upper teeth overlap the lower teeth on one side of the mouth, but not the other.

In addition to types of malocclusion, your dentist will also diagnose malocclusion as being class I, II, or III. These different classes of malocclusion are as follows:

  • Class I: This is the most common class and is characterized by upper and lower molars that are properly aligned, however the other teeth are too far apart or too close together.
  • Class II: Possibly the result of a small jaw, class II is characterized by a severe overbite that causes the upper teeth to significantly overlap your lower teeth.
  • Class III: Possibly the result of a larger jaw, class III is characterized by a severe underbite that causes your lower teeth to overlap the upper teeth.

Now that we have defined malocclusion, its types, and how it is diagnostically classified, let’s discuss how malocclusion affects oral health. While the exact effect of malocclusion tends to vary depending on the type and severity of the problem, here are some basic ways that malocclusion can affect oral health:

Increased Risk of Tooth Decay & Gum Disease

Tooth decay and gum disease are already the most common dental problems, even in people with perfectly aligned teeth. However, the risk for these dental problems is increased in individuals who are diagnosed with malocclusion. This is primarily because teeth that are not properly aligned are difficult to clean properly. Oftentimes, overlapping teeth have areas that are hard to reach, which means plaque and tartar tend to accumulated in these areas. Excess plaque and tartar buildup can cause tooth decay, as well as gum disease.

Worn Enamel

Another way that malocclusion affects oral health is by causing the enamel on your teeth to wear down prematurely. The enamel is the hard, outer layer of your teeth that protects them from decay and damage. When teeth are not properly aligned, they tend to rub against each other which can cause the enamel to wear down over time. This can lead to increased sensitivity to hot and cold foods and drinks, as well as an overall dulling of your teeth’s appearance. Worn teeth are also more likely to become damaged or decayed.

Jaw Problems

Malocclusion can affect the function of your jaw and lead to persistent headaches, earaches, neck pain, and other symptoms. Since malocclusion prevents teeth from properly meeting together in a way that allows for proper chewing motions, it is easy for muscles in your jaw to become strained or stiffen up when they are constantly having to work harder than they should. This can lead to long-term pain and discomfort in the jaw area.

Problems Biting and Chewing

Lastly, misaligned teeth can also lead to problems with biting and chewing. This is because when the teeth are not properly aligned, it can be difficult for them to function correctly together. This can cause pain in the jaw muscles and/or tendons, as well as headaches. Also the misalignment of teeth can cause problems with chewing and swallowing food that may lead to malnutrition or digestive problems.

Overall, malocclusion can have a significant impact on your oral health. If you are experiencing any of the problems listed above, it is important to consult with your dentist to see if you may be suffering from malocclusion and discuss treatment options.

 

A Comprehensive Guide to Smile Makeovers

A Comprehensive Guide to Smile Makeovers

A cosmetic dental smile makeover is a process that will transform your teeth to give you the beautiful, confident smile of your dreams. Of course, everyone has different needs and goals for their teeth. That’s why there are several factors that come into play when designing a new smile. In this blog post, we’ll discuss all of these factors in detail so you can get an idea of what it takes to complete a successful cosmetic dental procedure!

 

Smile Design

First and foremost, it is important to understand how the principles of smile design affect the overall look of your smile.  Smile design principles are broken up into four different parts:

Facial Aesthetics

Most people think that the only thing that determines how our teeth look is their color or whether they’re straight or crooked. However, there’s actually much more to it than this! When designing your new smile, your cosmetic dentist will take into account the shape and proportions of your face, as well as how your facial muscles change when smiling or speaking.

Gingival Aesthetics

Your gums are just as important as your teeth when it comes to smile aesthetics. In order to create a beautiful, natural-looking smile, it is necessary to pay attention to the gum line and how it interacts with your teeth. This includes things like the height of the gums, their color and texture, and whether they’re even or uneven.

Microaesthetics

Small details can make a big difference when it comes to smile aesthetics. That’s why your cosmetic dentist will also pay close attention to things like how your teeth reflect light and whether they have any unique marks or colorations. This is known as microaesthetics and it is used to give your smile makeover a natural appearance. 

Macro Aesthetics

Finally, your cosmetic dentist will pay attention to the big picture when designing your new smile. This includes things like tooth length and width, color contrast between teeth, size proportions of individual teeth in relation to each other, or even how your upper teeth line up with your lips.

 

Smile Anatomy

Now that we’ve talked about the principles of smile design, let’s get into some actual anatomy! There are several teeth-related factors to consider when completing a cosmetic dental procedure:

Lips

The lips play an important role in determining the appearance of your smile. For example thin lips can make it look like you have too much gum tissue and/or big teeth. That’s why it is important for your cosmetic dentist to consider lip thickness when designing a new smile!

dental midline

Midline

Another factor that determines how our teeth look is the midline of the mouth. This is the imaginary line that runs down the center of our face, from the top of our foreheads to the bottom of our chin. When it comes to smile design, we want our teeth to be evenly spaced on either side of this line. If they’re not, it can make our smile look unbalanced or crooked.

Smile Line

The smile line is the imaginary line that runs from one corner of our mouth to the other across the top of the lower lip. It’s important to make sure this line is even when designing a new smile, as an uneven smile line can be very noticeable and distracting.  It should also be parallel with the edges of the upper teeth and the gum tissue on the lower jaw.

Teeth

Of course, the most obvious factor in determining how your teeth look is their color, shape, and size. Your cosmetic dentist will want to review your teeth in detail so they can determine if you need any tooth whitening or dental veneers. In some cases, restorative treatments may also be needed to restore the health and function of your teeth.

Gums

As we’ve already mentioned a few times now, the appearance of our gums plays an important role when it comes to smile design. In order for your smile to have a natural, even appearance, it’s important to consider things like the color and texture of your gums. You also want to make sure that they’re healthy! If not, this can cause other problems in your mouth such as irritated or receded gum lines.

buccal corridor

Emergence Profile

The emergence profile is the appearance of your teeth when looking at them from the side. The emergence profile can potentially make a smile look full or sunken, so it is important to get this part right for aesthetic results.

Incisal Edge Position

The incisal edge position refers to how far your upper front teeth extend into the mouth from the gums. The other teeth are all placed using the incisal edge position as a reference point. This is important because it directly affects the appearance of your smile line.

Buccal Corridor

The buccal corridor refers to how much space there is between each tooth on either side of our face when we are smiling or talking. It’s important for this amount of space to be consistent so that our smile looks symmetrical.

If you’re considering a cosmetic dental procedure, it’s important to take into account all of the factors that go into designing your new smile. The better job your dentist does taking these factors into consideration, the more natural and beautiful your smile will be!  If you want help with determining what kind of teeth whitening or restorative treatments may be best for you, give our team at Bethesda Dental a call today.

 

Do Receding Gums Grow Back?

Gum recession is a common problem that affects many people. This blog post will discuss what gum recession is, how it’s caused and the various treatments available to help patients. We’ll also discuss whether receding gums grow back or not. We hope this article helps you better understand the condition of gum recession and find relief from your symptoms.

 

 

What is gum recession?

Gum recession

Gum recession is the gradual loss of gum tissue from around the teeth. This can cause the roots of your teeth to become exposed, which can lead to tooth sensitivity and even tooth loss in severe cases. As the gums pull away from the teeth, they can also form periodontal pockets. Periodontal pockets are gaps between the teeth and gums where plaque and bacteria accumulate. Unfortunately, these pockets can increase gum recession and make the problem worse.

Gum recession is common in adults and can be caused by a variety of factors, including:

  • Poor oral hygiene habits
  • Periodontal disease
  • Injury to the gums
  • Excessively aggressive tooth brushing or flossing

 

 

Gum Recession Treatments

Although there are plenty of things that can cause gum recession, receding gums won’t grow back since they don’t have a way to regenerate or repair themselves on their own. This is why it’s important to take care of your gums by practicing excellent oral hygiene and visiting the dentist regularly for cleanings. The good news is that there are treatments available that can help restore the lost gum tissue. These can include:

Periodontal Scaling and Root Planing

Scaling and root planing helps remove plaque, tartar and bacteria from the gum line. Once this has been accomplished, the root surfaces are smoothed out to prevent future plaque accumulation and reduce gum recession. Periodontal scaling and root planing is a common treatment used to treat gum recession caused by gum disease.

gum graft

Lifestyle Changes

In addition to practicing good oral hygiene, there are a few other changes one can make to decrease gum recession. For example, being sure not to brush too hard or use a toothbrush that is too hard. Wearing a nightguard may also be helpful in the case that bruxism is causing gum recession.

Gum Grafts

Finally, severe cases of gum recession may require surgical intervention using a gum graft. This is a procedure where the gum tissue is removed from another part of the mouth and grafted around exposed tooth roots in need of coverage. The grafted tissue will eventually attach to your tooth’s root surface, which can prevent further recession over time. Gum grafts also prevent bone loss and decrease the risk of tooth decay.

 

If you’re experiencing any of the symptoms associated with gum recession, we encourage you to visit our office for a consultation. Our dentists will be able to help you determine the cause of your recession and recommend an appropriate treatment plan. The sooner you address gum recession, the better it is for your oral health.

7 Reasons for Tooth Pain in the Morning

7 Reasons for Tooth Pain in the Morning

There are many reasons for tooth pain in the morning. If you wake up with a throbbing ache in your mouth, there could be any number of causes, ranging from dental issues to sinus infections. In this blog post we will explore 7 possible reasons why you might have tooth pain when you first wake up.

Cavities

One might wake up with a throbbing ache in their mouth if they have a cavity. Cavities occur when teeth degrade from bacteria causing decay in the enamel. Cavities that go untreated can grow worse until bacteria reaches the interior of a tooth, allowing it to invade your nerves and produce excruciating discomfort. This is known as a pulp infection.

Gum Disease

Gum disease is another possible cause of tooth pain in the morning. Gum disease occurs when the gums and the bone that surrounds your teeth (the jawbone) become infected. The infection can then cause severe gum recession and progressive bone loss around your teeth in the advanced stages. This can lead to tooth sensitivity, tooth decay, loose teeth, mouth infections, and other complications.

woman grinding her teeth while sleeping

Bruxism

Bruxism is the medical term for grinding or clenching of teeth. It is caused by stress, and often occurs at night while sleeping. Sometimes bruxism progresses into a nightly habit which can lead to severe dental problems, such as TMD. Bruxism is a common cause of morning tooth pain and it has also been associated with ear pain, facial pain, and morning headaches.

Temporomandibular Joint Disorder (TMD)

TMD is an oral health disorder which affects the temporomandibular joint (TMJ), also known as the jaw joint. The TMJ connects the lower jaw to the skull and holds it in place while chewing food. TMD can affect one or both joints, but most cases are associated with pain on only one side of the face that worsens when opening or closing their mouth. This can lead to tooth sensitivity, tooth decay, loose teeth, mouth infections, and other complications.

Sinusitis

A sinus infection is another possible cause of morning tooth pain. Sinusitis is caused by inflammation and congestion of the sinuses and typically manifests as a white, thick nasal discharge. Symptoms of sinusitis include fever, facial pressure, coughs, and sore throats. There can be a number of reasons for this, such as allergies or an upper respiratory tract infection such as a cold or flu. When these viruses result in swelling in the sinuses, there will be inflammation and congestion that will lead to pain in the face and around the teeth when you first wake up.

Tooth Impaction

Tooth impaction is another cause of tooth pain in the morning. This is when a wisdom tooth has grown partially or fully into the gum line, but doesn’t break through the gingival (gum) tissue. Tooth impaction can often result in swelling and inflammation, resulting in pain upon first waking up. Impaction is also commonly seen when the maxillary canines erupt. Impaction can lead to infection or damage to the surrounding teeth, so it should always be evaluated by a dentist.

Tooth Abscess

A tooth abscess is another possible cause of severe tooth pain in the morning. An abscess occurs when the root of a tooth becomes infected. An infection that reaches the pulp of a tooth can be very painful and will often manifest with swelling, redness, and throbbing. This is because the nerves in teeth are inside the tooth’s pulp, so bacteria can invade the nerve and produce excruciating discomfort. A dentist or specialist will need to be seen for treatment of the abscess.

 

There are many causes of tooth pain in the morning. The more you know about your symptoms, the easier it will be to determine the cause and seek treatment. If you have been experiencing any of these symptoms for an extended period of time without relief, schedule a visit with your dentist as soon as possible so that we can help identify and treat what may be going on inside your mouth.

 

Reasons to Wear a Mouthguard

Reasons to Wear a Mouthguard

Wearing a mouthguard is an essential part of certain sports. But why exactly do you need to wear a mouthguard while playing sports? And, are there other reasons why you would want to wear a custom-made mouth guard? In this blog post, we will discuss what a mouthguard can be used for and why you should wear one.

A mouthguard is a custom-made device that protects the wearer’s teeth, gums, and jaw from injury. There are different mouthguards that can be used for different purposes, such as sports mouthguards or nightguards.

  • A sports mouth guard is an important safety accessory for many sports such as boxing, football, basketball, ice hockey and field hockey. It is usually made to fit over the upper teeth and gums, since the upper jaw sticks out farther and is more prone to injury. In some cases, sports mouthguards can be made to fit over both the top and bottom teeth.
  • A nightguard is an important nighttime accessory for people who grind or clench their teeth at night while they sleep. In some cases, a nightguard may even be used to treat snoring or obstructive sleep apnea. Nightguards can be made to fit over the top and/or bottom teeth.

There are a variety of reasons why one should wear a mouthguard, whether it be for sports or nighttime use. Here are some of the most common reasons why you should wear a mouthguard:

boxer holding mouthguard

Prevent Tooth Damage

There is always the risk of injury when participating in sports, and some sports may have a higher risk for oral injury than others. Wearing a sports mouthguard protects your teeth in the case that you take a blow to the face. This means that your teeth are less likely to become chipped or cracked. They are also less likely to get knocked out or driven down into the jawbone.

Nightguards can also protect your teeth from damage. Although it may be hard to conceptualize your teeth becoming damaged while you sleep, this is very possible if you regularly grind or clench your teeth at night. Many people are unaware of this behavior until they visit their dentist. Wearing a nightguard prevents your teeth from becoming damaged when they press or grind against one another.

Prevent  Disease

Many people don’t realize that damaged teeth are at a higher risk of developing dental diseases like tooth decay. This is because bacteria can enter the tooth through chips or cracks, which can cause a bacterial infection known as pulpitis.

Grinding and clenching can also lead to problems such as gum disease or temporomandibular joint disorder (TMD). Gum disease can occur when the gums pull away from the teeth, which allows bacteria to collect. TMD can also occur due to the constant strain being exerted on the jaw joint from grinding or clenching. Wearing a mouthguard protects your teeth from damage, which also helps to prevent your teeth and gums from disease as well. 

Avoid Costly and Painful Treatments

In many cases, teeth that have become damaged will require some type of dental treatment to restore them. The exact type of treatment will depend upon the location and extent of the injury, as well as whether or not the injured area is affected by decay. In cases where a tooth is severely damaged and/or loose, it may need to be extracted entirely. Teeth that have been knocked out will also need to be replaced. According to Colgate, the cost of replacing a lost tooth is around 20 times more than the cost of a mouthguard. Wearing a mouthguard minimizes the risk of damage, which decreases the need for costly dental treatments.

Mouthguards can protect your teeth and gums from injury, disease, and costly treatment. There are different types of mouth guards that can be used for different purposes but all serve the same purpose: to protect your teeth. If you’re not sure what type of mouthguard is best for you or if you have any questions, be sure to speak with your local dentist.

 

Gabriella Noveck, D.D.S.

General Dentistry

Dr. Gabriella Noveck completed her undergraduate studies at Barnard College of Columbia University receiving her Bachelor of Arts degree in Psychology. Subsequently, she attended Columbia University School of Dental Medicine in New York City where she received her Doctorate of Dental Surgery degree. She continued her training at Icahn School of Medicine at Mount Sinai Hospital in their General Practice Residency program and practiced as a general dentist in the state of New Jersey before joining Bethesda Family Dentistry.
Dr. Noveck has experience working with all age groups and populations. She promotes a positive and fun dental experience and is devoted to achieving the best outcome for all of her patients.

Education/Continuing Education

  • Bachelor of Arts in Psychology – Barnard College of Columbia University
  • Doctor of Dental Surgery – Columbia University School of Dental Medicine
  • General Practice Residency – Icahn School of Medicine at Mount Sinai

Outside the Office

Dr. Noveck enjoys out-door activities, such as basketball, swimming, tennis and hiking. She also values spending time with her friends and family.

3 Things You Should Know About Root Canals

3 Things You Should Know About Root Canals

There are many misconceptions about root canals. Some people think they are painful, or that having one would result in tooth loss. The truth is that root canals are restorative dental procedures that are used to remove decayed tissue from inside the tooth. Let’s clear up some of the confusion surrounding this procedure by reviewing three things you should know before having a root canal:

Root Canals Relieve Pain

The pain that many people associate with a root canal actually occurs when the nerve tissue at the center of an infected tooth becomes inflamed and irritated. This condition is known as pulpitis and it occurs when decay-causing bacteria have eroded through both the enamel and dentin layers. In addition to pain, pulpitis can also cause tooth discoloration, gum abnormalities, and tooth sensitivity. The worse the infection gets, the more pain it causes.

By removing the infected tissue from the inside of your tooth, root canals actually relieve pain. During a root canal, dental anesthetics will be used to make your mouth numb so you won’t feel anything. Although some people experience some soreness after having a root canal, this is due to the inflammation caused by the infection. Within a few days, this inflammation will resolve itself.

hollow tooth

Root Canals Save Teeth

When there is an infection inside of the tooth, it can only be treated with a root canal. Despite the fact that pulpitis is caused by bacteria, it does not respond to antibiotics since antibiotics need to travel through the bloodstream and cannot reach the inside of the tooth. Unfortunately, a pulp infection can continue to progress without treatment and may cause the affected tooth to fall out. The infection may also spread to the surrounding teeth.

Having a root canal can save your tooth by removing the source of infection. Root canal therapy is one of the most successful procedures in modern dentistry and it has an extremely high success rate. By having this procedure, you are increasing the chances that your tooth will be preserved for many years to come. The only other alternative would be to extract the tooth, however that option should only be used when there are no other options.

A Dental Crown is Needed After a Root Canal

A dental crown will be needed after having a root canal in order to protect your tooth. You see, during a root canal the entire inside of your tooth is removed, leaving the inside hollow. While your dentist will fill the pulp chamber and root canals with a rubber-like material known as gutta-percha, placing a dental crown over the affected tooth will provide additional strength to prevent damage. It will also act as a barrier to prevent bacteria from causing future infections.

 

Root canals are a necessary procedure that remove the infected tissue from inside your tooth. Despite what many people believe, root canals are beneficial to your oral health. They relieve pain, save teeth, and create an environment where you’re less likely to experience future infections. We hope that knowing these three things about root canals will make your experience easier.

 

Improve Your Gum Health with Probiotics

Improve Your Gum Health with Probiotics

Our mouths are home to trillions of bacteria, some of which are good for us and some that aren’t. The good ones help with certain bodily functions and control the amount of bad bacteria, while the bad ones can cause tooth decay and gum disease. Good bacteria are also known as probiotics and they may help benefit your gum health. This blog post will explain more about probiotics and how they can improve gum health to treat gum disease.

Probiotics are beneficial bacteria most commonly known for their ability to balance bacterial levels in the gut to reduce digestive issues. They are primarily composed of bacteria, but can also be made up of yeasts in some cases. Probiotics help to promote good bacteria while fighting disease-causing bacteria. While they are primarily associated with balancing good and bad bacteria in the gut to reduce digestive issues, probiotics have also been found to benefit the skin, urinary system, lungs, and mouth.

Recent research has now begun to suggest that certain types of probiotics may even be beneficial to the teeth and gums. There are different types of probiotics, and certain types have been found to be more effective in treating or managing certain conditions. When it comes to the teeth, gums, and mouth, Lactobacilli has been identified as a key probiotic. There are several strains of Lactobacilli, such as:

lactobacillis

  • Lactobacillus acidophilus
  • Lactobacillus brevis
  • Lactobacillus casei
  • Lactobacillus fermentum
  • Lactobacillus gasseri
  • Lactobacillus plantarum
  • Lactobacilus reuteri
  • Lactobacillus rhamnosus
  • Lactobacillus salivarious

Recent research conducted on Lactobacilli has evaluated four different types of probiotics that may be beneficial and effective in the treatment of gum disease. These include: L. gasseri, L. fermentum,  L. reuteri, and L. brevis. Researchers found that the amount of L. gasseri and L. fermentum correlated with the amount of harmful bacteria and gum health. Specifically, it was found that higher amounts of L. gasseri and L. fermentum were associated with healthy gums and lower amounts of the bacteria responsible for gum disease.

Additionally, L. reuteri and L. brevis were also found to be effective against gum disease. L. brevis and L. reuteri were both administered to individuals with gum disease for a period of time. Chewing gum containing L. reuteri was used, as were lozenges containing L. brevis. At the end of the designated time period, it was noted that the amount of plaque had decreased and that there was an overall improvement in inflammation.

Specific probiotics may be able to treat gum disease, according to these findings. However, researchers point out that further study is needed to identify specific probiotics that work effectively against gum disease, examine the mechanisms by which these bacteria work, and track the long-term effects of probiotic therapy.

Of course, this still does not negate the fact that the the best approach to treat or prevent gum disease is still to maintain strict oral hygiene. Brushing, flossing, and dental cleanings are all highly effective methods for reducing the amount of germs in your mouth and avoiding gum disease. Probiotics may improve gum health, but they should never be used instead of good oral care. With that said, the regular use of probiotics as a supplement to excellent oral hygiene might assist you in managing your gum disease.

Treating gum disease is an important part of maintaining good oral health. Recent research has suggested that probiotics may be able to decrease the bacteria associated with gum disease and improve gum health. Probiotics may improve your gum health, but they should never be used in place of regular tooth brushing and flossing. With that said, the use of probiotics in conjunction with excellent dental hygiene might assist you in managing your gum disease.

 

Dementia & Tooth Loss: Is There a Connection?

Dementia & Tooth Loss: Is There a Connection?

Did you know that there is a link between tooth loss and dementia? Research shows that people with dental problems like missing teeth are more likely to develop dementia later in life. Replacing lost or damaged teeth may also decrease the risk of developing cognitive decline later in life. In this blog post we’ll go over what you need to know about tooth loss and dementia.

What You Need to Know About Tooth Loss

  • 1 in 6 Americans over the age of 65 lack natural teeth (Source: Centers for Disease Control and Prevention (CDC))
  • Periodontitis is the most common reason for tooth loss in adults
  • Periodontitis is a severe form of gum disease that destroys the supportive structures around the tooth, ultimately causing the teeth to become loose and fall out

What You Need to Know About Dementia

  • Over 5 million individuals over the age of 65 are afflicted with dementia (Source: Centers for Disease Control and Prevention (CDC))
  • Dementia is a term used to describe a collection of symptoms related to brain deterioration and problems with thinking, memory, and making decisions.
  • Alzheimer’s disease is the most common form of dementia, but is not the only type
  • Risk factors include age, genetics, race/ethnicity, previous or current head injuries, smoking, and health issues such as high blood pressure and high cholesterol. There is no known cause of dementia

 

longitudinal study

What You Need to Know About the Connection Between Tooth Loss and Dementia

A group of researchers at New York University Rory Meyers College of Nursing recently published a study in the Journal of Post-Acute and Long-term Care Medicine that explored the possibility of a link between tooth loss and dementia. In this study, researchers evaluated data from 14 longitudinal studies that contained information about 37,074 adults and 4,689 cases of adults with diminished cognitive function. They concluded the following:

  • Adults with more tooth loss had a 1.48 times higher risk of developing cognitive impairment
  • Adults with more tooth loss had a 1.28 times higher risk of being diagnosed with dementia, despite controlling for other factors
  • Adults with missing teeth were more likely to be affected by cognitive decline if they did not have dentures (23.8% of individuals without dentures were more likely to have cognitive impairment, compared to only 16.9% of individuals with dentures.
  • A larger amount of missing teeth was associated with a higher risk for cognitive decline (each additional missing tooth increased the risk of cognitive impairment by 1.4% and the risk of being diagnosed with dementia by 1.1%)

 

“…the relationship between the number of missing teeth and risk of diminished cognitive function substantially strengthens the evidence linking tooth loss to cognitive impairment, and provides some evidence that tooth loss may predict cognitive decline” -Xiang Qi, a doctoral candidate at NYU Meyers

 

In Conclusion

The NYU Meyers College of Nursing study linked tooth loss to an increased risk for dementia. As a result, they are urging people to practice good oral health habits as a way to maintain their natural teeth and decrease the risk of dementia. While there are many risk factors for dementia, tooth loss is one that can be prevented by proper dental care.

 

National Dental Hygiene Month: Time to ‘Brush Up’ on Dental Cleanings

Time to Brush Up on Teeth Cleanings

It’s National Dental Hygiene Month, and we wanted to take this opportunity to let you know how important regular teeth cleanings are for your dental health. Dental cleanings are one of the most important parts of dental hygiene, but they can also be one of the most overlooked. Let’s discuss what you need to know about dental cleanings, why cleaning visits are so important, and steps for a professional dentist cleaning.

Pro*phy*lax*is (n): action taken to prevent disease especially by a specified means or against a specified disease

Dental cleanings, also known as prophylactic cleanings, are performed by a dentist or dental hygienist as a way to prevent common dental diseases such as tooth decay and gum disease. In order to maintain your oral health, the American Dental Association recommends having your teeth professionally cleaned at least once every six months. 

 

national dental hygiene month

Why are dental cleanings important?

A dental cleaning is one of the most basic ways to maintain good oral health, and it’s especially important if you are prone to tooth decay or gum disease. Brushing alone isn’t enough for your teeth, as brushing only removes dental plaque and can miss certain places. During a dental cleaning, your dentist can use special tools to clean hard to reach areas like in between teeth and below the gum line. Special tools can also be used to remove tartar, which is plaque that has hardened in place and cannot be removed by a toothbrush.

 

 

 

Dental Cleaning Steps

dental cleaning process

  1. A dentist will begin by examining your mouth for any signs of decay or damage before beginning a cleaning. They will also evaluate your gums for signs of gum disease and perform an oral cancer screening. In some cases, dental x-rays may also be required. The purpose of this exam is to assess your oral health for any potential problems.
  2. Your dentist or hygienist will then start your cleaning using a technique known as dental scaling. Dental scaling can be performed with a metal scaler or an ultrasonic water scaler. During this process, plaque and tartar will be scraped off the surface of your teeth.
  3. After the dentist finishes scaling, they will then perform polishing to remove any remaining plaque or tartar on your teeth. This step includes the use of a gritty toothpaste and an electric polishing tool. When performed by a professional, polishing your teeth is safe, however you should never try polishing your teeth at home since doing it wrong can cause enamel erosion.
  4. Once your teeth have been polished, then they will be professionally flossed to remove any lingering debris. Professional flossing also helps to locate areas you may be missing when you floss.
  5. To make sure you leave the dentist’s office with a fresh-feeling smile, your mouth will be rinsed with fluoride.
  6. Finally, you will receive a fluoride treatment to help strengthen your enamel and prevent future plaque accumulation. In most cases, this consists of a foamy gel or paste that is applied and then rinsed. A fluoride varnish may also be used.

 

To Sum It All Up

Getting your teeth professionally cleaned at least once every six months is important for maintaining good oral health. Brushing alone isn’t enough, as brushing only removes dental plaque and can miss certain places that need to be cleaned. During National Dental Hygiene Month, be sure to schedule your next dental cleaning if it has been longer than six months!

 

3 Ways to Straighten Your Teeth

3 Ways to Straighten Your Teeth

Do you have crooked teeth? Is it taking a toll on your self-esteem or your social life? It’s time to stop hiding your smile and do something about it! There are three ways a cosmetic dentist can straighten your teeth: veneers, Invisalign, and crowns. We will go into detail about each option below so that you can make an educated decision for yourself!

 

Veneers

veneers on teeth

Veneers are custom designed pieces of porcelain that are fitted over the teeth to disguise flaws. Veneers can also be used to change the length, color, shape, opacity or texture of teeth. They are usually made of porcelain, but they can also be made from composite resin. Porcelain is considered more durable than other types because it is more resistant to wear and chipping from rough interactions with food and because it can be buffed with a high shine finish. Veneers correct crooked teeth by concealing them. 

While veneers come in many shapes and sizes to fit each patient’s needs, they must be custom-fitted to each person. A dentist will take an impression of your teeth and use it as a reference for creating porcelain veneers that will fit seamlessly with your smile while also improving its appearance. In order to place your veneers, your dentist will need to then remove a thin layer of enamel. Since enamel does not grow back, this will make veneers a permanent treatment. This means that they will need to be replaced when they wear out in about 10-15 years. 

 

Invisalign

aligner white

Invisalign is a series of customized plastic aligners that work to straighten teeth without the use of metal braces. Teeth are gently shifted into place by moving them through an “invisible” sequence using clear aligner trays provided by your dentist. The aligners are designed to fit over your teeth comfortably and they allow you to straighten your teeth discreetly. Each dentist may have their own specific rules for using Invisalign, but generally these trays need to be worn up to 22 hours a day for about two weeks before moving on to the next set of plastic trays. 

Wearing Invisalign is a more comfortable option than traditional metal braces, but it is still a type of orthodontic treatment that will take time to achieve the desired results. While veneers can be completed in a few dental appointments, Invisalign treatment generally takes an average of 18 months. However after undergoing Invisalign treatment, you should have straight teeth for the rest of your life if you wear your retainer. 

 

Crowns

Crown on tooth

A dentist may recommend crowns to treat serious dental problems such as cracked or severely decayed teeth. They are also used to fix misshapen teeth or crooked teeth. Crowns can be made of porcelain, metal alloys like palladium-gold alloy (or PdA) and zirconium dioxide for more natural looking results. Like veneers, crowns will straighten your teeth by concealing them. However, crows will cover the entire visible portion of your teeth, while veneers only cover the front side. 

Dentists will first remove the decayed or damaged section of your tooth and then prepare it for receiving a crown. A dentist can either make an impression of your teeth to create a custom-fit crown, or they may use a premade version that is available in many different sizes and shapes. In order to attach the new crown, your dentist will need to use a special adhesive and then shape the crown so that it fits comfortably into place. Like veneers, crowns are a permanent restoration that will need to be replaced when they wear out in about 10-15 years. 

 

Typically, dentist will recommend one of three options to straighten teeth: Veneers, Invisalign or Crowns. The dentist may also offer a combination of the three treatments as well. Remember that your dentist can help you decide which treatment is best for you and schedule an appointment to get started with any necessary dental work.

What is an Impaction?

Despite their name, wisdom teeth can actually be quite problematic for your oral health. These third molars are the final set of teeth to erupt during the “wisdom years” of the late teens and early twenties. Although wisdom teeth don’t always come in, when they do they can cause a problem known as impaction. 

Impacted wisdom teeth are wisdom teeth that haven’t erupted fully into the mouth, usually due to a lack of space. Instead, impacted wisdom teeth can lie partially or completely trapped underneath the gums. When a tooth is said to be partially impacted, it means that part of the tooth has erupted and part of the tooth is impacted. A complete, or full, impaction, on the other hand, means the tooth is entirely underneath the gums. 

There are four different types of impacted wisdom tooth impaction: mesial (front), distal (back), horizontal, and vertical. This blog post will explore these different types, discuss symptoms of impacted wisdom teeth, and look at how they’re treated.

 

Types of Wisdom Teeth Impactions

types of wisdom teeth impactions

Mesial Impaction

Mesial impactions are the most commonly-occurring type of wisdom tooth impaction. They are sometimes also known as angular impactions, since they are characterized by a partially erupted tooth that is erupting at an angle towards the front of the mouth. 

Distal Impaction

However, mesial impactions can be confused with another type of angular impaction known as a distal impaction. Like a mesial impaction, this type of impaction is characterized by a partially (or fully) impacted tooth that is erupting at an angle. The main difference between the two is that a distal impaction is angled towards the back of the mouth. Distal impactions are also the rarest form of wisdom tooth impaction. 

Horizontal Impaction 

A horizontal impaction occurs when a tooth is completely impacted and is sitting horizontally underneath the gums. Horizontal impactions are one of the most painful types of impactions, and can also cause a lot of damage. This is because the tooth will continue to try and erupt despite the fact that it is facing the wrong way, which causes it to press into the neighboring tooth root. 

Vertical Impaction

A vertical impaction occurs when a tooth is correctly positioned to erupt (meaning that it is facing upwards), however is unable to erupt. Vertical impactions do not always require treatment and most dentists will monitor them closely for a set amount of time to determine if treatment is necessary. 

 

Do I have an Impacted Wisdom Tooth?

There are several symptoms of an impacted wisdom tooth, including:  

– pain in the wisdom teeth area (back of the mouth)

– swelling on one or both sides of your face 

– a sudden change in bite, such as an overbite or underbite  

– a change in the way you chew 

– pain with speaking or opening your mouth, as well as chewing and swallowing 

– a foul taste in your mouth 

– bleeding from the wisdom teeth area, or other areas of the gums and cheeks 

In some cases, an impacted wisdom tooth may not cause any symptoms and may simply be diagnosed during a routine exam. 

 

Treatment for an Impacted Wisdom Tooth

Treatment for an impacted wisdom tooth will vary depending on the level of impaction. Although rare, some wisdom teeth do not require any treatment at all. In many cases, however, impacted wisdom teeth will need to be removed with a surgical tooth extraction. During a surgical tooth extraction, your dentist will make a small incision in your gums to access the impacted tooth. The tooth will then be broken into smaller pieces and removed one piece at a time. Finally, the gums will be sutured and the area will be stuffed with cotton. In most cases, tooth extractions can be completed quickly and usually have a quick recovery period.

 

September is National Gum Health Month: What You Need to Know

What you need to know about gum disease

Did you know that September is National Gum Health Month? This makes the month of September the perfect opportunity to learn more about gum disease- what it is, how to prevent it, and its symptoms. Here are some important things that you should know about gum disease:

What Is Gum Disease?

periodontitis

Gum disease (also known as periodontal or gingival infection) is caused by plaque buildup. Dental plaque is made up of food particles, as well as oral bacteria. The bacteria in plaque can attack teeth, causing inflammation and infection. When the gums become infected, this is known as gum disease. Gum disease can cause your teeth to become loose and/or fall out, and the bacteria from gum disease can also enter your bloodstream through tiny openings in the gums, eventually leading to other infections throughout your body.

There are two forms of gum disease known as gingivitis and periodontitis. Gingivitis is the less serious form of gum disease, but it can lead to periodontitis if left untreated. Gingivitis primarily affects the gum tissue, while periodontitis affects other tissues such as the cementum, periodontal ligaments, and the underlying jaw bone. Although gingivitis can be reversed with treatment, periodontitis cannot.

What Are The Symptoms Of Gum Disease?

Since gingivitis can be reversed with treatment, it is important to know the symptoms of gum disease so that you can seek treatment as soon as possible. The symptoms of gingivitis and/or periodontal infection include:

  • teeth that are sensitive or aching
  • bleeding while brushing or flossing your teeth
  • swollen, red, or tender gums
  • gum recession (your teeth may look larger or longer than usual)
  • bad breath
  • tooth pain while biting or chewing food

It is also important to note that some cases of gum disease may not produce noticeable symptoms. Gingivitis, in particular, tends to go unnoticed by most people and is generally diagnosed during a regular dental checkup. This is why it is important to visit your dentist for a teeth cleaning and oral exam at least twice per year.

How Can I Prevent Gum Disease?

woman flossing

The best way to prevent gum disease in the first place, of course, is by brushing and flossing teeth regularly. The American Dental Association recommends brushing twice a day for two minutes with a fluoridated toothpaste and flossing daily. Practicing good oral hygiene habits like brushing and flossing helps to remove excess plaque and bacteria from the surface of your teeth and along the gum line, which reduce the risk of developing gum disease.

When it comes to preventing gum disease, it is also important to determine if you are at an increased risk for developing this common oral health problem. Certain medical conditions can increase the risk of gum disease, such as diabetes, HIV/AIDS, and cancer. Gum disease is also more common among individuals that have a history of smoking or chewing tobacco products, or those who have a family history of gum disease. If you are at risk for developing gum disease due to genetics or other factors, make sure to talk with your dentist about teeth cleaning treatments that may help prevent the bacteria in plaque from causing damage to teeth and gums.

5 Reasons You Need a Dental Exam

5 Reasons You Need a Dental Exam

Despite the popular belief that you only need to visit the dentist if you are having tooth problems, it is actually recommended by the American Dental Association that you visit your dentist twice a year for dental checkups. There are many reasons why regular dental checkups are necessary. Here are five of them: 

 

Prevents Tooth Decay and Gum Disease

The first reason why you need a dental checkup is because regular checkups help to prevent tooth decay and gum disease. This is because your dentist carefully examines both your teeth and gums for signs of these problems. Depending on what they find, they may make certain recommendations to prevent these problems. They will also perform a dental cleaning to remove plaque and tartar from the surface of your teeth in order to decrease the risk of both tooth decay and gum disease. 

Dentist explaining tooth model

Improves Your Daily Oral Hygiene

Another reason why you need a dental checkup is because having a dental checkup lets your dentist evaluate your daily oral hygiene technique. By simply evaluating your teeth and gums, your dentist can identify whether or not your oral hygiene routine is effective. They can also help you correct certain common mistakes, such as brushing too hard or irritating your gums with dental floss. Overall, this helps you to improve your daily oral hygiene routine, which also helps to decrease the risk of developing dental issues. 

 

Screens for Oral Cancer

Oral cancer can affect your lips, tongue, gums, inner cheeks, hard or soft palates, or pharynx. Like other types of cancer, oral cancer has better treatment outcomes when diagnosed in the early stages. Although your dentist cannot diagnose oral cancer, they can perform screenings for changes in the texture or color of soft tissues that could indicate oral cancer. They can then make recommendations about seeing your primary care provider for further testing and possible treatment. Many people don’t even realize that their dentist screens them for oral cancer, however it is one of the most important reasons why you need a dental checkup. 

 

Identifies Potential Problems Early

Besides detecting potential cases of oral cancer early on, dental checkups also allow your dentist to detect other oral health problems in their earliest stages. In some cases, this can allow your dentist to also reverse the damage before it can develop into a problem. For example, tooth enamel demineralizes before a cavity starts to form. When caught in the demineralizing stage, your dentist can remineralize the enamel in order to prevent cavity formation. Although not all dental problems can be reversed when caught early, early detection still allows them to be effectively treated with less invasive procedures. 

 

Saves You Money

Not only will your mouth thank you for dental checkups that prevent the need for invasive dental treatments, but your wallet will thank you as well. This is because dental problems caught early are easier to treat and cost less than more invasive procedures. Using the above example, fluoride treatments, or even the cost of a composite filling, is much more affordable than paying for the cost of a root canal and dental crown. 

5 Health Problems That Can Be Detected in the Mouth

5 Health Problems That Can Be Detected in the Mouth

Just as your mouth is a part of the rest of your body, your oral health is a part of the rest of your overall health. Due to the fact that your oral and overall health are so closely related, a problem with one could indicate a problem with the other. In fact, certain health conditions can actually become evident due to their effect on the mouth. As a result, your dentist can recognize potential health problems during a simple oral exam. Here are five different medical conditions that your dentist may stumble upon while examining your mouth: 

Anemia

Anemia is defined as a lack of red blood cells in the blood, which means the blood is not properly oxygenated. When this happens, certain tissues in the body tend to appear pale since they are not receiving enough oxygen-rich blood. One such tissue is your gums. Healthy gums should be a coral pink color, inflamed gums tend to be red in color, and pale gums that are light pink or white can indicate anemia. Anemia is also usually accompanied by fatigue, headaches, shortness of breath, heart palpitations, and pale or yellowish skin or eyes. 

HIV

Human immunodeficiency virus is a disease that attacks the body’s immune system. This decreases the body’s ability to protect itself from other types of infections. An oral infection, known as oral thrush, is commonly seen in patients who have HIV. Oral thrush is a fungal yeast infection that causes small white patches to form on the inside of the mouth. It can sometimes be seen in denture wearers, however it is rarely observed in people with a normal immunity. 

Eating Disorders

One key characteristic of certain eating disorders is frequent vomiting, or purging. Since vomit contains stomach acid, which is highly corrosive, people who frequently vomit often have evidence of stomach acid on their teeth. For starters, stomach acid dissolves tooth enamel, which can affect the shape, color, and translucency of the teeth. Problems with tooth sensitivity can also develop as a result of thinning enamel. 

osteoporosis

Osteoporosis 

Osteoporosis is a condition that causes bone density to decrease, which makes the bones more fragile and likely to fracture. While osteoporosis is primarily seen in the wrist, spine, and hip bones, it has also been found to affect the alveolar bone. The alveolar bone is another name for the jawbone and it is responsible for holding the teeth in place. When osteoporosis affects the jawbone, this causes the supportive bone around the teeth to break down, which can cause tooth loss. 

Kidney Disease

Kidney disease can affect the amount of saliva in the mouth. It can eventually lead to dry mouth, which can cause changes in taste, as well as sores in the mouth. A lack of saliva has also been associated with making the mouth acidic, as well as allowing more bacteria to grow. This significantly increases the risk of tooth decay and can even lead to tooth loss. Although experts are still exploring the specific link between the two, they note that there is a close relationship between kidney disease and oral health. 

Do Dental Restorations Stain?

Do Dental Restorations Stain?

Dental restorations allow your dentist to effectively treat tooth decay, repair damaged teeth, and even improve the look of your smile. There are a number of different restoration options that can be used depending on the issue, as well as how severe it is. These can include crowns, bridges, fillings, dentures, inlays, onlays, or veneers. There are also different dental materials that can be used to fabricate these restorations. 

The materials used to fabricate dental restorations are one of the main factors that affects how long the restoration will last, as well as whether or not it will stain over time. It is also important to note that certain dental materials are often used to fabricate certain restorations. For example, porcelain is generally associated with veneers and composite is associated with fillings. 

Although there are many different types of dental materials, we are going to look at two of the most commonly used materials. This is because many dentists now use aesthetic materials like composite resin and porcelain to fabricate the majority of their restorations. While some dentists still use metal restorations, these are no longer as common since they do stain the teeth and possibly the gums. 

filling a cavity with composite resin

Since metal has been known to stain the teeth and gums, traditional amalgam fillings are now being replaced with composite fillings. Composite fillings are made from a viscous material known as composite resin. They are fabricated directly inside the mouth and can be easily completed during a single dental appointment. Composite resin can also be customized in terms of both shape and color to match the surrounding tooth structure. 

Although composite resin will not stain right away, it can eventually develop stains when regularly exposed to colored pigments. Colored pigments are found in foods and beverages, and it has been noted that composite fillings are especially susceptible to stains from red wine and coffee. People who frequently smoke cigarettes are also more likely to develop yellow or grey stains. However, these same things can stain tooth enamel as well, which may make the stained composite resin less noticeable. The difference is that composite resin will not react to teeth whitening in the same way as tooth enamel. 

Composite fillings can also develop stains around the border between the filling and the natural tooth. Usually when this happens, it is because the border has become rough and has started to trap bacteria and food particles. Your dentist may be able to fix this by smoothing out the border or replacing the filling. 

porcelain dental crown being polished

Porcelain is another commonly used dental material for the fabrication of indirect restorations. Indirect restorations are carved from a block of porcelain outside of the mouth before they are cemented in place. Porcelain restorations include crowns, bridges, dentures, inlays, onlays, and veneers. As you can see, porcelain is primarily used to fabricate larger restorations since porcelain is stronger than composite resin. 

Porcelain also has the added benefit of being stain resistant. This means that as long as your restoration is well taken care of, it should not stain. It is important to note, however, that if the outer glaze becomes damaged or worn, then even your porcelain restoration can stain. To prevent this from happening it is recommended to avoid smoking, brushing too hard, consuming large amounts of acidic foods and beverages, using abrasive toothpastes, or using your teeth as tools. 

How COVID-19 Complications Can Start in the Mouth

How Covid-19 Complications can start in the mouth

By now, almost everyone is sick and tired of hearing about COVID-19. Although researchers, medical professionals, and the general public have learned more about the virus, there is still much to learn and various research studies are still being conducted. Recently, in fact, another study was published that discusses the possibility of COVID-19 complications starting in the mouth, instead of in the upper respiratory system. While this idea is still in the hypothetical stage, it can change the way we prevent and treat the virus. 

periodontitis

This hypothesis was recently published in the Journal of Oral Medicine and Dental Research and is titled, The COVID-19 Pathway: A Proposed Oral-Vascular-Pulmonary Route of SARS-CoV-2 Infection and the Importance of Oral Healthcare Measures. The basic argument of this hypothesis is that the SARS-CoV-2 virus enters the bloodstream through the mouth and then circulates through the bloodstream into the lungs. It also notes the relationship between periodontitis and COVID complications, and advocates for better oral healthcare in the management of COVID cases. 

Without getting too technical, the article notes that saliva and gingival crevicular fluid contain elements that allow the virus to infect them. Gingival crevicular fluid, in particular, is found in greater amounts in people with periodontitis since it is an anti-inflammatory fluid produced by the body in response to periodontal infections. This suggests that individuals with higher levels of GCF can also have a higher viral load. 

Not only do people with periodontitis have higher levels of GCF, but they also have periodontal pockets. These pockets form when the gums start to pull away from the teeth. They provide a space between the teeth and gums where plaque, bacteria, and the SARS-CoV-2 virus can collect. Periodontal pockets can also provide an ideal environment for viral replication, according to the article. 

how covid moves from mouth to lungs
Image Source: https://www.dentistrytoday.com/news/todays-dental-news/item/8574-covid-19-lung-complications-can-start-in-the-mouth

The article also discusses the phenomenon of oral bacteria passing into the bloodstream, which is a phenomenon that dentists have been aware of for some time. Basically what happens is excess amounts of bacteria can overwhelm the mouth’s immune defenses in order to enter the bloodstream. When oral bacteria circulate through the body, they can cause a range of health issues such as pregnancy complications, respiratory infections, and endocarditis to name a few. The article notes that the SARS-CoV-2 virus can also enter the bloodstream in this way, eventually circulating into the lungs where it causes infection. 

Once the virus has infected the lungs, the article posits that there is a higher risk of complications due to the fact that a consistent viral load is being delivered to the lungs. While it has been shown that people with periodontitis have a higher rate of death, admittance to intensive care, and the need for ventilation, this constant delivery of the virus to the lungs could provide an explanation. Although this idea is still being researched, the article concludes by promoting good oral hygiene practices as a possible way to prevent and/or minimize the severity of COVID-19 infections. This is especially important for individuals who have already been diagnosed with gum disease or who think that they may have gum disease. 

 

The Importance of Dental Care in Patients with Chronic Pain

The Importance of Dental Care in Patients with Chronic Pain

Do you suffer from chronic back pain? Do you also have problems with your oral health? Did you know that these two problems can be related? When most people think about managing either their oral health or back pain, they rarely think about how one can affect the other. However, there is actually a relationship between chronic back pain and dental problems that could explain why you have problems with one, the other, or both. Here are three things that you should know about chronic back pain and dental problems: 

 

Dental problems can lead to chronic back pain. 

One of the first things that you should know is that there is a chance that your chronic back pain is actually being caused by dental problems. This can be the case when crooked teeth, overcrowding, missing teeth, or bruxism affect the alignment of your jaw. When the jaw is not properly aligned, it cannot function properly and exerts more stress on the surrounding tissues. Of course, this can cause pain in the joint itself, as well as the surrounding facial muscles. But what many people don’t realize is that strain in the facial muscles can lead to strain in the neck, shoulder, and back muscles. When pain occurs in a different area than where it is caused, this is known as referred pain. If your back pain is being caused by jaw alignment problems, then your dentist may be able to alleviate your pain by correcting the dental problem responsible for the poor alignment. 

tablets spilling out of prescription bottle

Chronic pain medications can affect your oral health. 

Another thing that you should be aware of is the fact that medications used to treat chronic back pain can have an affect on your oral health. This is because a common side effect of these medications is dry mouth. Dry mouth is a condition characterized by a decrease in saliva production. Since saliva is an important part of your mouth’s ecosystem, decreased saliva production can cause a range of problems, including: changes in one’s ability to taste, impairments in speech and swallowing, chronic mouth inflammation, and increased acidity in the mouth that leads to enamel erosion. Unfortunately, these problems also drastically increase the risk of developing tooth decay and gum disease. 

 

People with chronic back pain have higher rates of tooth loss. 

One final thing to consider if you have chronic back pain is that you may be at a higher risk of tooth loss. One reason for this is that you are more likely to develop dry mouth, tooth decay, and gum disease due to chronic pain medications. Unfortunately, dry mouth also increases the rate at which these conditions progress, meaning that they can become serious in a shorter amount of time. Severe periodontal disease is the top reason for tooth loss and severe decay is another main reason for tooth loss. Another reason is the fact that many people with back pain avoid going to the dentist because it can aggravate their back pain. However, since people with chronic pain are at an increased risk of dental issues, not going to the dentist prevents their dentist from being able to properly treat these dental issues. The consequences of both these things is that many people end up losing their teeth or having them extracted. 

How Diabetes Can Affect Your Oral Health

How Diabetes Can Affect Your Oral Health

Did you know that your oral health is closely related to your overall health? Because of this, certain medical conditions may have effects on your oral health that you may not even be aware of. Certain medical conditions can affect your oral health more than others, and one condition that can have a significant effect on your oral health is diabetes. 

Diabetes is characterized by high blood sugar levels due to the body’s inability to produce or respond to insulin. Insulin is a hormone that would normally convert sugars from foods into usable energy. However, people with type 1 diabetes do not produce enough insulin to accomplish this, while people with type 2 diabetes are not able to respond to insulin properly. 

As a result, high blood sugar can occur. High blood sugar can affect the body in various ways, but it can also affect your oral health in these ways: 

 

Increases the Risk of Gum Disease

Gum disease is extremely popular in people with diabetes, especially in individuals who do not know they have the disease and/or people who do not regulate their blood sugar carefully. This is generally due to the fact that sugars feed the bacteria responsible for causing gum disease. As a result, this causes more bacteria to survive and reproduce. When excess bacteria accumulates along the gums, this infects the gum tissue and causes it to become red, swollen, and tender. As gum disease progresses, it can eventually break down the connective tissues and bone around the teeth, which can lead to tooth loss. 

 

Causes Dry Mouth

Dry mouth is another common oral health problem in people with diabetes. Dry mouth is when there is not enough saliva produced in the mouth, which causes the mouth to feel sticky and dry. Dry mouth is also often accompanied by bad breath, since the mouth develops more bacteria as a result of having less saliva. Unfortunately, these increased bacteria levels also increase the risk of tooth decay and gum disease.

oral thrush on tongue

Increases the Risk of Oral Thrush

Oral infections, such as oral thrush, are another oral health complication of diabetes. This is partially because diabetes decreases immune system efficiency and partially because of high blood sugar. Oral thrush is a fungus that feeds off sugars, so high blood sugar levels increase the likelihood of fungal growth on the tongue and cheeks. Oral thrush is also especially prevalent in individuals with dentures. 

 

Slows Down Healing

In addition to making gum disease and oral thrush more likely to occur, diabetes also slows down the healing process. This is due to the fact that high blood sugar prevents nutrients and oxygen from energizing the cells, decreases immune system function, and increases inflammation within the cells. For some, this can make it difficult to get ahead of oral infections. 

 

Impairs Taste

Diabetes can also impair your ability to taste properly. While this is not necessarily a threat to your oral health, it is not desirable. High blood sugar can either leave you with a permanent sweet taste in the mouth or it can make you unable to taste the sweetness of certain foods. Either way, the things you eat or drink won’t taste the same as they used to. 

 

The Oral Health Benefits of Drinking Water

The Oral Health Benefits of Drinking Water

Did you know that the human body is approximately 60% water? Water is an essential resource that is needed by the body in order to carry out the necessary functions to stay alive. Without enough water, the body is unable to function at its best and serious problems can occur if one goes without water for too long. Dehydration symptoms can occur even if only 2% of the body’s total water content is lost. That is why it is recommended to drink at least eight 8 oz. glasses of water daily. 

In addition to keeping your body hydrated and properly functioning, drinking enough water on a daily basis is also important for your oral health. In fact, it is recommended to limit the consumption of other beverages and primarily drink water. This is due to the fact that drinking water offers various oral health benefits including: 

outline of person drinking water

Keeping the Mouth Clean

For starters water is unlike other drinks in that it does not leave behind a sugary residue for bacteria to feed upon. This already helps to keep your mouth cleaner than other types of beverages. Additionally, water also helps to flush bacteria, food debris, and excess sugars from the mouth. Regularly drinking water helps to clean the mouth several times a day, which can decrease bad breath and lower the risk of tooth decay and gum disease. 

 

Strengthens the Enamel

Not only does drinking water help to clean your mouth, but it also helps to strengthen your tooth enamel. This is because most drinking water contains fluoride, which is an ingredient that helps to remineralize damaged enamel. Regularly drinking water with fluoride helps to keep your enamel strong and makes it less likely to become damaged by bacteria. Overall, this significantly decreases the risk of tooth decay. 

 

Prevents Dry Mouth

Dry mouth is a condition that is characterized by a decrease in saliva production. It can occur due to medical conditions or as a reaction to certain medications. Unfortunately, dry mouth can be potentially hazardous to your oral health because not having enough saliva means that your mouth cannot properly clean itself. This allows more bacteria to accumulate, which can lead to bad breath, tooth decay, and/or gum disease. Drinking water not only helps to promote saliva production, but it also helps to clean the mouth like saliva would normally do. For this reason, drinking water is especially important for people with dry mouths. 

 

woman drinking water bottle

Tips for Drinking More Water

  • Carry a water bottle with you everywhere you go. This way you are more likely to actually drink water when you are thirsty instead of drinking something else. 
  • Monitor how much water you drink on a daily basis and then set goals throughout the day to increase or maintain your water intake. 
  • Work on sipping water gradually throughout the day instead of gulping down large amounts all at once. Not only is water better absorbed when taken in slowly, but sipping water prevents you from feeling bloated. 
  • Try drinking water before and after every meal. This helps you to reach your total daily water intake. Drinking water before a meal helps to decrease the amount of food you eat, while drinking water after a meal helps to clean your mouth and rinse away food particles. 

 

How Long Do Dental Implants Last?

How Long Do Dental Implants Last?

Dental implants are known for many things such as their aesthetic appearance, strength, and ability to mimic the function of natural teeth. Another thing dental implants are known for is their longevity. Since they are promoted as being long-lasting, many people want to know just how long they can expect a dental implant to last. Of course to answer this question, there are a few things that must be taken into consideration. 

dental implants in jaw

For starters, it is important to first understand the basic structure of a dental implant. This is because implants are composed of three different parts that affect their total lifespan. The first part, of course, is the implant itself. The implant is a hollow screw that is implanted into the jawbone. After the implant screw is placed, it will heal and fuse with the surrounding bone. Next, is the abutment, which is a metal connector piece that screws into the implant. The abutment is designed to extend above the gum line. The final component is the restoration, which can be a crown, bridge, or denture that is mounted to the abutment. 

Now that we know the basic structure of an implant, let’s take a look at how long these components last. Generally speaking, the implant screw is the longest-lasting component, while the dental prosthesis tends to need replacement more often. The abutment may or may not require replacement at the same time as the prosthesis. On average, you can expect your implant screw to last about 25 years, possibly longer. The restoration mounted to the implant screw, however, tends to only last about 10-15 years. However, there are different factors that can affect this, such as: 

 

  • Dental Materials: some dental materials are stronger than others and can last longer than other materials. 
  • Type of Restoration: implant-supported crowns that are used to replace a single missing tooth tend to last longer than implant-supported dentures used to replace an entire arch of missing teeth. 
  • Location: in the case of an implant-supported crown or bridge, those placed towards the front of the mouth generally last longer than those placed in the back of the mouth. This is because the back teeth exert the greatest amount of chewing force. 
  • Oral Habits: people who grind or clench their teeth exert more force on their restorations, which can cause them to become damaged and/or wear down faster. 
  • Oral Hygiene: people who don’t practice good oral hygiene are more susceptible to gum disease. Gum disease can infect the jawbone around the implant and cause it to deteriorate. This can cause the implant to fail. 

 

In most cases, you can expect your dental prosthesis to need replacement before the implant itself. In fact, some experts believe that implants can be permanent as long as they are properly cared for. One benefit of having dental implants composed of three components is that these components can be replaced separately. This ultimately means that your dentist can replace your dental prosthesis, as well as the abutment, without needing to remove or replace the implant screw. This allows you to replace worn restorations easily, quickly, and painlessly. 

Signs a Filling Needs to be Replaced

Signs a Filling Needs to be Replaced

Did you know that the average American aged 20-34 years old has approximately four dental fillings according to the National Institute of Dental and Craniofacial Research? Dental fillings are restorations used to treat tooth decay. After the decayed tissue has been removed, fillings are the materials placed in the remaining cavity to prevent the spread of decay and protect the tooth. 

dental inlay

The materials used for fillings depends on what type of filling is used. For example, direct fillings are fabricated using composite resin. Since composite resin can be hardened in place within a matter of minutes, this also means that composite fillings are said to be direct restorations because they can be completed entirely inside the mouth. Indirect restorations, on the other hand, are fabricated outside of the mouth in a dental laboratory before being cemented in place. Because of this, indirect fillings are usually fabricated from porcelain or even metal in some cases.

After having a filling placed, one of the most common things that people wonder is how long their filling will last and at what point it will need to be replaced. How long a dental filling lasts will depend on a number of factors, the first being its material. This is because composite resin, porcelain, and metal are all different materials that have different lifespans. On average, composite fillings tend to last around 5-7 years, while porcelain and metal fillings last about 10-15 years. However, there are other factors that can influence the longevity of your filling including: its location on the tooth, the tooth’s location in the mouth, and whether you are a bruxer or not. 

For these reasons, it is not only necessary to know how long your filling is anticipated to last, but you should also know what signs to look for that show it needs to be replaced. At a glance, you may need to have your filling replaced if: 

 

It Has Fallen Out

In cases where your filling has fallen out completely, then you will need to have it replaced in a timely manner to prevent the tooth from becoming infected. When a filling falls out, you may feel a gap in your tooth where it once was and/or you may even find the filling in your mouth. There are also cases where your filling may become loose. In these cases, it is still best to have your filling replaced before it gets to the point of falling out completely. 

damaged amalgam filling

It Has Become Damaged

In addition to falling out of becoming loose, the next sign that your filling needs to be replaced is if it becomes damaged. Although fillings are fabricated for strength and durability, they can still become damaged just like your natural teeth. When a filling becomes damaged, you may actually see a physical crack in the filling. In some cases you may even find small fragments of the filling that have fallen off. Still, there are also cases where filling damage can only be found through a dental x-ray. 

The Filling is Discolored

Dental materials such as porcelain and composite resin, are fabricated for their strength and aesthetic appeal. Although metal is also used for filling fabrication, it is no longer nearly as common. With the exception of metal, fillings are fabricated so that they match with the surrounding tooth structure. As a result, if you notice the filling changing color, becoming darker, or turning yellow, then this could indicate the filling needs to be replaced. In the case of metal fillings, if the metal starts to darken, this can also indicate a filling replacement is necessary. 

Your Tooth Hurts

Besides the appearance of your filling, another possible sign that a filling needs to be replaced is tooth pain. This can take the form of general, constant tooth pain and soreness, as well as sudden, deep tooth pain associated with tooth sensitivity to hot, cold, or sweet. Both types of pain can indicate that the filing is no longer creating a tight seal with the tooth, meaning that it needs to be replaced. 

You Have Undergone Facial Trauma

Finally, people who have undergone a recent facial trauma are more likely to require a filling replacement much sooner than generally recommended. This is because facial trauma can disrupt both the teeth and their restorations, which can cause the filling to become damaged, loose, knocker out, or even dysfunctional. In any case, it is also encouraged to visit your dental professional if you have undergone a recent facial trauma or accident. 

Catherine Palandjian, D.D.S., R.D.

General and Cosmetic Dentistry

Dr. Catherine Palandjian maintains her practice at Bethesda Family Dentistry because she knows that her patients will be offered a range of comprehensive dental services with a focus on cosmetic, implant, and reconstructive dentistry.

Dr. Palandjian realizes just how important it is to link with a clinician who can address immediate dental concerns, perhaps a painful crisis, but also one who can help construct a future plan to continue your dental and oral health for years to come.

Dr. Palandjian attends numerous hours of continuing dental education both in lecture and hands on training. As an active member of the American Dental Association, Dr. Palandjian is involved in dental study clubs and local dental societies. Certified in Invisalign to offer all of her patients an alternative to conventional braces, Dr. Palandjian is also certified in nitrous oxide sedation to help her patients who need additional support and comfort.

Prior to her dental training, Dr. Palandjian was practicing as a Registered Dietitian of which she maintains an active license in Dietetics as well as in Dentistry. Dr. Palandjian utilizes her past clinical nutrition experiences in acute, chronic, and long-term care to provide quality, comprehensive dental services. As a graduate from the University of Maryland Dental School in Baltimore, Maryland, Dr. Palandjian completed a residency at Temple University School of Dental Medicine in Philadelphia, Pennsylvania. While attending dental school, Dr. Palandjian was very active in the pediatric department and continued her desire to volunteer her services in a children’s dental clinic on a weekly basis in Philadelphia. Dr. Palandjian is formerly from Scranton, Pennsylvania and attended Marywood University in which she received her Bachelors Degree with high honors in Science and Nutrition.

Dr. Palandjian lives in Montgomery County with her husband Michael and children Elaina and David. She enjoys traveling, playing tennis, reading and going to the beach.

Staff of bethesda family dentistry
Staff of bethesda family dentistry

The Top 5 Teeth Whitening Mistakes

The Top 5 Teeth Whitening Mistakes

Have you ever looked in the mirror and wished that your teeth were whiter? If so, then you are not alone. Recently, the American Association of Orthodontics noted that as many as % of their patients were requesting whitening treatments after their treatment. Nowadays, more people are focusing on their image, which means more and more people want whiter teeth. 

If you are one of these people, it is recommended that you do your research before committing to whitening treatments. This is because there are certain treatments that can be detrimental to your oral health. To help you find the best treatment, here are the top 5 most common whitening mistakes and how to avoid them. 

whitening tray

Using Poorly-Fitted Whitening Trays

One common over the counter whitening method deals with filling plastic trays with a whitening gel and then placing the trays over the teeth for a certain amount of time. The main problem with this approach is that the one-size-fits-all trays rarely fit over the teeth well. This allows the whitening gel to leak out from the trays, which decreases the effectiveness of the results and irritates the gum tissue. When using whitening trays to whiten your teeth, it is recommended to visit your dentist to have customized whitening trays made. With just a dental impression, your dentist can easily and affordably fabricate whitening trays that will fit perfectly over your teeth. 

 

Overusing Whitening Strips

Another common over the counter whitening method are whitening strips. These strips contain a whitening gel on one side and are made to stick on the teeth for a specified amount of time. When used correctly, they can be effective. However, some people make the mistake of leaving the strips on for too long or using them too frequently because they think it will improve their results. Overusing whitening strips does not actually improve your results and it can even damage your enamel and lead to tooth sensitivity. In cases where you are using the strips as directed and you have tooth sensitivity, it is recommended to speak with your dentist. 

baking soda and lemon by toothbrush

Using Acidic Liquids

One common DIY whitening treatment deals with using lemon juice or vinegar to remove surface stains and whiten teeth. Although acidic liquids like lemon juice or vinegar can remove surface stains, they are also one of the most damaging substances you can put on the surface of your teeth. Acids of any kind have been shown to break down the minerals that make up tooth enamel. In short, these acids will whiten your teeth while eroding your enamel. Eventually this will cause major tooth sensitivity and increase the risk of tooth decay. 

Brushing with Baking Soda

Brushing your teeth with baking soda is another common DIY whitening technique used to remove surface stains in order to whiten the teeth. Baking soda does have whitening properties and its gritty texture does work well to remove surface stains. However, baking soda is also highly abrasive in this form and it will wear down the enamel as it removes stains. Using a whitening toothpaste that contains baking soda is a much better alternative and can still yield effective results. 

 

Using Household Products

One of the most dangerous whitening mistakes you can make is using household products, like hydrogen peroxide or bleach, to whiten your teeth. While hydrogen peroxide is used in professional whitening treatments, the hydrogen peroxide in your bathroom cabinet is not the same. Neither hydrogen peroxide or bleach are designed for use in the mouth and can be extremely dangerous to your oral and overall health. 

 

The Facts on Plaque

The Facts on Plaque

When it comes to your oral health, dental plaque is one of the biggest threats. To understand why Dental plaque can be a threat to your oral health, it is important to first understand more about what dental plaque is and how it changes your teeth and gums. Here are some of the most important facts on plaque:

plaque on teeth

Fact #1: What is Plaque

Dental plaque is a clear, sticky film that coats the entire surface of your teeth. It is primarily composed of water, however it also contains various microorganisms. Because of this, you may also hear plaque referred to as biofilm, plaque biofilm, bacterial plaque biofilm, microbial plaque, or oral biofilm. Although plaque is primarily made up of water, dried dental plaque is 70% bacteria. Around 1,000 different types of bacteria have been identified in dental plaque, however, there is a good possibility that more types exist and haven’t been identified yet. These bacteria are a natural part of the human mouth and some play an important role in keeping the mouth healthy. 

Fact #2: Where Plaque is Found

As mentioned before, plaque is found over the entire surface of your teeth. This means that plaque can be found on the front, back, and sides of your tooth’s crown and root. When plaque forms above the gums, on the tooth’s crown, it is known as supragingival plaque. This type of plaque is the first type of plaque to form, usually within 4-12 hours after brushing or flossing. In cases where supragingival plaque is not removed from the surface of the teeth, then it can spread below the gums. Plaque that forms below the gum line, within the gum pockets or on the tooth roots, is known as subgingival plaque. 

Fact #3: How Plaque Forms

Since your body contains the two main components of plaque (water and bacteria), new plaque will always continue to form even after you have removed some. With that being said, plaque forms when bacteria start to collect in the sticky film. In addition to already being in the mouth, bacteria can also enter the mouth when eating, drinking, or breathing. Not only does bacteria regularly enter the mouth, but your mouth also provides an ideal environment for bacteria to live and thrive in. This is because the mouth is warm, moist, and has a pH between 6-7. In order to grow, plaque and bacteria need warmth, moisture, and a pH between 6.7-8.3. Another reason why plaque forms so easily is because the teeth provide an ideal structure that allows bacteria to grow undisturbed. Since teeth do not shed like other body parts, the only thing disturbing bacteria is when you brush or floss. Otherwise, bacteria will simply continue to grow. 

flossing tooth

Fact #4: Consequences of Too Much Plaque

Plaque is composed of bacteria and is sticky, meaning that it also traps food particles that the bacteria consume. Ultimately, this means that more plaque=more bacteria. Since bacteria are living organisms, everything they consume is converted into an acidic waste product that is then deposited onto the tooth surface. When large amounts of bacteria collect in one area, this means that large amounts of acid are deposited onto the enamel. As strong as enamel is, it will eventually be eroded by the acids and a dental cavity will form. Not only that, but bacteria that accumulates along the gum line has been directly associated with causing gum disease. 

Fact #5: How to Get Rid of Plaque

You can never completely get rid of plaque since its two main components are always readily available in your mouth. You can, however, manage the amount of plaque by practicing proper oral hygiene. Brushing twice a day allows you to remove supragingival plaque before it can reach below the gum line, while flossing daily helps you remove plaque from between the teeth and below the gum line. Getting your teeth cleaned and examined every six months also decreases the risk of developing tooth decay and gum disease.  

3 Reasons to NOT Floss Around Dental Implants

3 Reasons to NOT Floss Around Dental Implants

Did you know that flossing can potentially be damaging to your dental implants? This may come as a shock to you considering that you have likely always been told about the importance of regular brushing and flossing to maintain rural health. While brushing and flossing are certainly important to maintain the health of your natural teeth, dental implants require a slightly different approach. Although you will still need to brush and floss, your flossing technique will look different with dental implants. This is because many dentist are recommending to not use traditional dental floss around implants for these three reasons:

 

interdental brush

Floss Shreds

One reason why your dentist may recommend against using traditional dental floss is because floss can shred easily when used around the base of a dental implant. Despite the fact that some types of floss are stronger than others, most floss is made to break apart easily. Unfortunately if this happens while flossing around an implant, it can cause pieces of the floss to become lodged between implant and gums. Since floss is considered a foreign body, it will likely cause an infection. In some cases, shredded floss pieces can cause peri-implantitis, which usually leads to implant failure.

Floss is Not Effective 

Another reason why your dentist may recommend against using dental floss around dental implants is because floss is not always the most effective choice. Dental floss is designed primarily for use between natural teeth, and thus is made to fit between tight spaces. However, dental implants are not natural teeth and they are available in different sizes, shapes, and depth. All these various factors ultimately affect the spacing between dental implants and some spaces can be larger than others. Unfortunately, this means that dental floss alone may not be the best way to remove plaque and food debris.

Aggressive Flossing is Dangerous 

Finally, some dentists recommend against flossing simply because having an aggressive technique can be dangerous to the survival of your dental implants. This is because there is a thin barrier between the implants and the underlying bone. In natural teeth, this barrier is made up of the periodontal ligament. However, periodontal ligaments are removed when implants are placed, and the remaining barrier is thin and more susceptible to damage. Aggressive flossing can cause this barrier to tear, which can allow bacteria to reach the underlying bone. When this happens, it can lead to bone loss and implant failure.

 

Instead of using traditional dental floss, your dentist may recommend using either an interdental brush or an oral irrigation system. Interdental brushes are small round or cone shaped brushes that are available in different sizes and lengths to fit between a variety of dental implants. They offer a more customizable approach to oral hygiene and are extremely effective at removing plaque from between dental implants. Oral irrigation systems are also sometimes referred to as water flossers. They earned their name because they use a thin stream of pulsating water as floss in order to remove plaque and debris from between the teeth and along the gum line. However, water flossers are less likely to cause damage to the surrounding tissues, which is why they are preferable to traditional dental floss. To determine which method is right for you, schedule an appointment with your dentist to discuss your options.

How Swimming Can Affect Your Oral Health

How Swimming Can Affect Your Oral Health

As Memorial Weekend approaches and the weather gets warmer, you can feel summer in the air. With the arrival of summer comes the arrival of summertime time fun in the sun. One of the most common summertime activities is swimming, since it is a great form of exercise that also cools you down. As great as swimming is, there are also some things that you should know in regards to how it can affect your oral health.

testing chlorine levels in swimming pool

For starters, it is important to know that chlorine can be detrimental to you and your family’s oral health. While chlorine is added to pools in order to kill bacteria and prevent waterborne diseases, it can harm your teeth in large amounts. This is because excess chlorine can accumulate on the surface of your teeth causing something known as swimmer’s calculus. Swimmer’s calculus makes your teeth appear yellow and can eventually lead to enamel erosion. When the enamel erodes, this can also cause tooth sensitivity as well as an increased risk of tooth decay. 

Therefore, one of the most important things you can do to protect yourself and your family’s oral health is to carefully manage the amount of chlorine being used in your pool. According to the Centers for Disease Control and Prevention, your pool’s pH level should fall between 7.2-7.8. Free chlorine concentration should be at least one part per million in swimming pools, and three parts per million in hot tubs or Jacuzzis. Using more than the recommended amount of chlorine can have a detrimental effect on your oral health and can also increase the risk of other health problems. If you are unsure about how to properly manage chlorine levels in swimming pools, then it is recommended to hire a professional. 

 

In addition to chlorine, here are a few other potential threats to your oral health while swimming, as well as how to mitigate them:

 

Oral Injuries 

Another common threat to you and your family’s oral health is an increased risk of oral injuries. Generally speaking, oral injuries are more likely to occur in people who play competitive water-based sports such as water polo or water volleyball. While participating in water sports or competitive swimming, it is thereby recommended to wear a protective mouthguard. However, accidents around the poolside can happen at any moment and also can result in oral injuries. For this reason it is recommended to set and enforce poolside safety rules to minimize the risk of accidental injuries.

Lost Dental Appliances 

teenager scuba diving

Spending time around or in the pool is also a frequent cause of lost or damaged dental appliances. This is because swimming can knock the appliances out, and the water can make them extremely difficult to locate before being stepped on. Another reason why Dental appliances become lost or damaged is that they are removed prior to swimming, however they are left in an unsafe location. To minimize the risk of losing or damaging removable dental appliances, it is recommended to always remove them before swimming and store them in their protective plastic cases away from the poolside.

Barodontalgia

 

Barodontalgia is not a threat when swimming in swimming pools, however it can be a threat when scuba diving. This is because barodontalgia is caused by changes in ambient pressure, such as the changes that occur while diving. This condition occurs when air trapped inside the tooth expands or contracts in relation to the changes in ambient pressure. Air can become trapped inside the tooth when there is untreated decay, a leaky dental restoration, or an unknown tooth fracture. For this reason, it is important to maintain regular dental care and to have your teeth examined prior to going scuba diving. In some cases when the air is unable to expand or contract, this can result in dental trauma from increased pressure inside the tooth. Having a dental exam before you dive can help prevent or minimize the risk of incurring a dental trauma while diving.

Dr. Deborah TabbPatients at Bethesda Family Dentistry benefit from the knowledge and experience that only comes from a diverse team. From general dentistry to endodontic, periodontics, and cosmetic dental services, this Bethesda, MD clinic is ready to be the only source you need for all your oral health needs.