Posts for: August, 2021
From birth to early adulthood, your child's teeth, gums and jaws develop at a rapid pace. And, for the most part, nature takes its course without our help.
But tooth decay can derail that development. The result of bacterial acid eroding enamel, tooth decay is the top cause for premature primary tooth loss in children. One particular form, early childhood caries (ECC), can rapidly spread from one tooth to another.
Many parents assume prematurely losing teeth that are destined to fall out soon anyway is inconsequential. But primary teeth play a critical role in the proper eruption of permanent teeth, serving as both placeholders and guides for those teeth developing just below them in the gums. A permanent tooth without this guidance can erupt out of alignment to create a poor bite that may require future orthodontics.
Being proactive about tooth decay lessens that risk—and the best time to start is when the first teeth begin to erupt. That's when you should begin their regular dental visits sometime around their first birthday.
Dental visits are an important defense against tooth decay. Besides routine dental cleanings, your child's dentist can offer various preventive treatments like sealants to stop decay from forming in the biting surfaces of back molars or topically applied fluoride to strengthen tooth enamel.
Daily home care is just as important in the fight against tooth decay. Oral hygiene should be a part of your child's daily life even before teeth: It's a good habit to wipe an infant's gums with a clean cloth after nursing. As teeth arrive, oral hygiene turns to brushing and flossing—perhaps the best defense of all against dental disease.
It's also important to watch their intake of sugar, a prime food source for bacteria that produce harmful acid. Instead, encourage a "tooth-friendly" diet of whole foods to keep teeth and gums healthy.
Even if they do develop tooth decay, there are effective treatments to minimize any damage and preserve affected primary teeth until they've served their purpose. By adopting these prevention strategies and prompt treatment, you can stay ahead of this destructive disease.
Between the final game of the World Series in late October and spring training in February, major league baseball players work on their skills preparing for the new season. Reporters on a Zoom call to the New York Yankees' training camp wanted to know what star outfielder Aaron Judge had been doing along those lines. But when he smiled, their interest turned elsewhere: What had Aaron Judge done to his teeth?
Already with 120 homers after only five seasons, Judge is a top player with the Yankees. His smile, however, has been less than spectacular. Besides a noticeable gap between his top front teeth (which were also more prominent than the rest of his teeth), Judge also had a chipped tooth injury on a batting helmet in 2017 during a home plate celebration for a fellow player's walk-off home run.
But now Judge's teeth look even, with no chip and no gap. So, what did the Yankee slugger have done?
He hasn't quite said, but it looks as though he received a “smile makeover” with porcelain veneers, one of the best ways to turn dental “ugly ducklings” into “beautiful swans.” And what's even better is that veneers aren't limited to superstar athletes or performers—if you have teeth with a few moderate dental flaws, veneers could also change your smile.
As the name implies, veneers are thin shells of porcelain bonded to the front of teeth to mask chips, cracks, discolorations or slight gaps between teeth. They may even help even out disproportionately sized teeth. Veneers are custom-made by dental technicians based on a patient's particular tooth dimensions and color.
Like other cosmetic techniques, veneers are a blend of technology and artistry. They're made of a durable form of dental porcelain that can withstand biting forces (within reason, though—you'd want to avoid biting down on ice or a hard piece of food with veneered teeth). They're also carefully colored so that they blend seamlessly with your other teeth. With the right artistic touch, we can make them look as natural as possible.
Although porcelain veneers can accommodate a wide range of dental defects, they may not be suitable for more severe flaws. After examining your teeth, we'll let you know if you're a good candidate for veneers or if you should consider another restoration. Chances are, though, veneers could be your way to achieve what Aaron Judge did—a home run smile.
If you would like more information about porcelain veneers, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Porcelain Veneers: Strength & Beauty As Never Before.”
We Americans spend billions on oral hygiene products each year, primarily to fight tooth decay and gum disease. But there's also a secondary motive—to freshen our breath. Our obsession with our breath's olfactory quality has even given rise to National Fresh Breath Day on August 6.
Bad breath is usually not a serious health issue, but it can be a big deal in other respects. In a recent Match.com survey, more than a third of its 5,000 respondents said fresh breath was their top concern during a date.
Romance aside, bad breath can also adversely affect other social and career relationships. Given that, it's no wonder we buy mints and mouthwashes by the ton. Unfortunately, much of what people purchase only masks breath odor without addressing the underlying cause.
While serious conditions like diabetes, liver disease or cancer can give rise to it, the primary source of bad breath is oral bacteria. Many of the hundreds of bacterial strains inhabiting our mouths generate volatile sulfur compounds (VSCs) with a smell akin to rotten eggs or decaying animal or vegetable matter. The longer these bacteria remain in the mouth, the more VSCs and their unpleasant odors they create.
Bacteria mainly thrive in a thin film of food particles known as dental plaque. It can build up quickly on tooth and gum surfaces, particularly with ineffective or non-existent oral hygiene. Dental plaque also causes tooth decay or gum disease, which may also contribute to unpleasant mouth odors.
Chronic dry mouth, in which the body isn't producing enough saliva, also encourages bacterial growth. Among its many functions, saliva's antibacterial compounds reduce bacterial populations. Without sufficient saliva, though, VSC-producing bacteria can run amok.
There's nothing wrong with swishing some mouthwash or popping a breath mint before a big meeting. But if you really want to alleviate bad breath, it's better to take direct action against the oral bacteria causing it.
The best thing you can do is maintain a daily regimen of brushing and flossing to remove dental plaque. This should also include cleaning the top surface of your tongue, which can be a prime hiding place for bacteria, particularly at the back of the tongue. You can simply brush your tongue with your toothbrush or use a special tongue scraper.
You should also keep up regular dental visits, which include cleanings to remove any residual plaque and tartar (hardened plaque). You should also see the dentist to treat any occurring dental diseases or conditions, including chronic dry mouth.
Fresh breath has everything to do with a clean, healthy mouth. Keeping it so can help you avoid those embarrassing odors.
If you would like more information about how to better keep your breath fresh, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Bad Breath: More Than Just Embarrassing.”