Your otherwise beautiful smile has one noticeable flaw — one or more of your teeth are deeply discolored or stained. More than likely this staining is deep within the teeth, what we refer to as intrinsic staining. There are a number of reasons this can occur — from fillings or use of antibiotics, for example — and our first approach should be to attempt a whitening technique.
However, if that doesn't produce the desired result, porcelain laminate veneers are another option you might consider. Veneers are made of dental porcelain, a bio-compatible material that can be shaped and colored to closely match neighboring teeth. After a minimal amount of tooth reduction (removal of some of the enamel from the tooth surface) to prepare for the laminate, the veneers are then permanently bonded to the tooth surface and cover the discolored natural tooth. Besides changing the appearance of discolored or stained teeth, veneers can also be used to correct other imperfections such as chipped or misshapen teeth.
Patients, however, have a common question: how long will the veneers last? With proper care, veneers can last anywhere from seven years to more than twenty years. It's possible, though, to damage them — for example, you can break them if you bite down on something that goes beyond the porcelain's tolerance range, such as cracking nut shells with your teeth (not a good idea even for natural teeth!). You should also keep in mind that veneers are composed of inert, non-living material and are attached and surrounded by living gum tissue that can change over time. This process may eventually alter your appearance to the point that the veneer may need to be removed and reapplied to improve the look of your smile.
If a veneer is damaged, all is not necessarily lost. It may be possible to re-bond a loosened veneer or repair a chipped area. The worst case is replacement of the veneer altogether. Chances are, though, this will only happen after the veneer has already served you — and your smile — for many years.
If you would like more information on porcelain laminate veneers, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Porcelain Veneers.”
Protecting one's smile is important at any age. This is especially true for people who participate in contact sports or other activities where a trauma to the mouth can occur. While we all tend to believe that we are safe and that injuries “only happen to other people,” we could not be further from the truth. Take, for example, Jillian Michaels, an accomplished author, business mogul, wellness expert, trainer and star of The Biggest Loser. She learned this invaluable lesson after breaking her two front teeth as a child and having them repaired with crowns. As Jillian stated in her interview with Dear Doctor magazine, “Now, I generally wear a mouthguard if I am doing anything where my teeth have any chance of being knocked out.”
We feel obligated to educate our patients so that you can make informed decisions about your oral health. This is why we put together the following brief list of research findings.
If feel you and/or your children need a custom-fitted, professionally made mouthguard, contact us today to schedule an appointment. During your private consultation, we will conduct a thorough examination, listen to your concerns, and answer all of your questions as we discuss the best methods for protecting your investment — your own, or your children's, teeth.
To learn more about mouthguards, continue reading the Dear Doctor magazine article “Athletic Mouthguards, One of the most important parts of any uniform!” And to read the entire interview with Jillian Michaels, please see the article “Jillian Michaels — The Biggest Loser's health and wellness expert talks about her oral health, keeping fit and plans for the future.”
Oral cancer is a serious health problem, responsible for the death of about one person every hour, every day in the United States. It was once thought that folks over 40 were chiefly at risk for the disease. If present trends continue, however, younger people may soon form the majority of oral cancer patients. So, no matter who you are, it makes sense to recognize the risk factors, and find out what you can do to reduce your chances of getting the disease.
As in many other diseases, genetic factors play a role in determining whether an individual will develop oral cancer. At present, there's nothing we can do about these inborn traits. But there are several choices we can make that will lessen our risk of oral cancer. Most of these risky behaviors are associated with other types of cancer as well.
Moderate to heavy drinkers, and users of tobacco products of all types, are as much as 9 times more likely to develop the disease than non-users. Chronic exposure to the sun has long been associated with the development of cancers of the lip. And, because the sexually-transmitted Human Papilloma Virus (HPV) can lead to oral cancer, unsafe sexual behavior is a factor that's fast becoming a primary cause of the disease.
So if you need another reason to quit smoking, stop drinking excessively, wear sunscreen and practice safe sex — consider this your warning. But there's still more you can do to reduce your risk for oral cancer, and improve your general health as well.
Eating a plant-based, whole food diet doesn't just reduce your risk of getting oral cancer — it also makes you less likely to develop many other cancers, and various chronic conditions like heart disease. The exact mechanisms by which this happens aren't completely understood, but its effects have been documented in numerous studies.
Avoiding certain chemicals, like the nitrites often found in preserved foods, can reduce cancer risk. And the antioxidants you get by eating a balanced diet rich in fruits and vegetables can help protect your body from cancer-causing substances.
Finally, don't ignore regular cancer screenings. The early signs of oral cancer are difficult for many people to distinguish from common mouth sores — but we are trained to identify possible problem areas, and can schedule further tests if needed. You can get an oral cancer screening (a fast and painless procedure) at your regular dental checkup. And you always get your checkups on time — don't you?
If you have concerns about oral cancer, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Oral Cancer” and “Diet and Prevention of Oral Cancer.”
We've all heard of morning sickness, but did you know that it's also not unusual for pregnant women to experience oral discomfort? This is what Entertainment Tonight co-host Nancy O'Dell discovered when she was expecting her daughter, Ashby. In an exclusive interview with Dear Doctor magazine, Nancy described how her gums became extra-sensitive during pregnancy, leading her dentist to diagnose her with “pregnancy gingivitis” (“gingival” – gum tissue; “itis” – inflammation).
“While my dental health has always been relatively normal, pregnancy did cause me some concern about my teeth and gums,” Nancy said. “With my dentist's advice and treatment, the few problems I had were minimized,” she said.
It's especially important to maintain good oral hygiene during pregnancy with routine brushing and flossing, and regular professional cleanings. This will reduce the accumulation of the dental bacterial plaque that leads to gum disease. Both mother and child are particularly vulnerable to these bacteria during this sensitive time. Scientific studies have established a link between preterm delivery and the presence of periodontal (gum) disease in pregnant women. Also, the elevated hormone levels of pregnancy cause the tiny blood vessels of the gum tissues to become dilated (widened) and therefore more susceptible to the effects of plaque bacteria and their toxins. Gingivitis is especially common during the second to eighth months of pregnancy.
Excess bacterial plaque can occasionally lead to another pregnancy-related condition in the second trimester: an overgrowth of gum tissue called a “pregnancy tumor.” In this case, “tumor” means nothing more than a swelling or growth. Pregnancy tumors, usually found between the teeth, are completely benign but they do bleed easily and are characterized by a red, raw-looking mulberry-like surface. They can be surgically removed if they do not resolve themselves after the baby is born.
If you are experiencing any pregnancy-related oral health issues, please contact us today to schedule an appointment for a consultation. If you would like to read Dear Doctor's entire interview with Nancy O'Dell, please see “Nancy O'Dell.” Dear Doctor also has more on “Pregnancy and Oral Health: Everything You Always Wanted To Know But Never Knew To Ask.”
Since the time of the ancient Egyptians, people have used mixtures of various substances in pursuit of a single goal: cleaning their teeth effectively. Today, even with a glut of toothpaste tubes on the supermarket shelf, most people seem to have a particular favorite. But have you ever thought about what's in your toothpaste, and how it works? Here are five facts you might not know.
1) Most toothpastes have a very similar set of active ingredients.
Once upon a time, a toothpaste might have contained crushed bones and oyster shells, pumice, or bark. Now, thankfully, they're a little different: today's toothpaste ingredients generally include abrasives, detergents and fluoride compounds, as well as inert substances like preservatives and binders. Toothpastes formulated to address special needs, like sensitive teeth or tartar prevention, have additional active ingredients.
2) Abrasives make the mechanical action of brushing more effective
These substances help remove stains and surface deposits from teeth. But don't even think about breaking out the sandpaper! Modern toothpastes use far gentler cleaning and polishing agents, like hydrated silica or alumina, calcium carbonate or dicalcium phosphate. These compounds are specially formulated to be effective without damaging tooth enamel.
3) Detergents help break up and wash away stains
The most common detergent in toothpaste (which is also found in many shampoos) is sodium lauryl sulfate, a substance that can be derived from coconut or palm kernel oil. Like the abrasives used in toothpaste, these detergents are far milder than the ones you use in the washing machine. Yet they're effective at loosening the stains clinging to your teeth, which would otherwise be hard to dissolve.
4) Fluoride helps prevent tooth decay
This has been conclusively demonstrated since it was first introduced into toothpaste formulations in 1914. Fluoride — whether it's in the form of sodium fluoride, stannous fluoride or sodium monofluorophosphate (MFP) — helps strengthen tooth enamel and make it more resistant to acid attack, which precipitates tooth decay. In fact, it's arguably the most important ingredient, and no toothpaste can receive the American Dental Association's Seal of Approval without it. And speaking of that sealā?¦
5) Look for toothpaste with the ADA seal
This means that the particular brand of toothpaste has proven effective as a cleaning agent and a preventative against tooth decay. Plus, if the package says it has other benefits, then research has verified that it does what it says. Oh, and one other thing — toothpaste doesn't work if you don't use it — so don't forget to brush regularly!
If you have questions about toothpastes or oral hygiene, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine article “Toothpaste — What's In It?”
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