My Blog
By Mai Family and Sedation Dentistry
January 09, 2020
Category: Dental Procedures
Tags: veneers  
VeneersMayNotBetheBestOptionforYourTeenagersTeeth

Just like adults, teenagers experience chipped, stained or disfigured teeth. And during a life stage where issues with appearance can be acutely painful, these defects call out for a solution.

And, there is one: porcelain veneers. These thin wafers of custom-made porcelain are bonded to the front of teeth to cover dental flaws. They’re one of the least invasive—and most affordable—methods for smile enhancement.

There is one caveat, though: The affected teeth will most likely need alteration. Veneers can look bulky when bonded directly to teeth, so we compensate for this by removing some of the surface enamel. This changes the tooth permanently, to the point that it will always require a veneer or some other form of restoration.

But although this may be a minor issue for an adult, it could pose a problem for a teenager. That’s because the pulp, the innermost layer of a tooth containing nerves and blood vessels, is larger in a younger adolescent tooth than in an older adult tooth. Because of its size, it’s closer to the tooth’s surface. During enamel reduction for veneers on a young tooth, this could lead to inadvertent nerve damage. If that happens, the tooth may need a root canal treatment to preserve it.

If the adolescent tooth needing a “facelift” has already been root canaled or sustained significant structural damage, then altering it for veneers may not be too concerning. Likewise, if the teeth are smaller than normal, the bulkiness of a veneer may actually improve appearance and not require alteration. We’ll need to examine a young patient first before making any recommendations.

There are also alternatives to veneers for improving smile appearance. Enamel staining could be enhanced temporarily with teeth whitening. Small chips can be repaired with bonded dental material, or in skilled hands be used to “build” a veneer one layer at a time with no enamel reduction. Although not as durable as regular veneers, these bonding techniques could buy time until the tooth is more mature for veneers.

Whichever path we take, there are effective ways to transform a teenager’s flawed tooth. And that can make for an even better smile.

If you would like more information on dental restorations for teenagers, 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 “Veneers for Teenagers.”

By Mai Family and Sedation Dentistry
December 30, 2019
Category: Oral Health
Tags: gum disease  
AssessingYourRiskforSevereGumDisease

We’re all susceptible to gum disease when we fail to practice effective daily brushing and flossing. But you may have a greater risk of gum disease (and more severe forms of it) if any of the following categories pertain to you:

Aging. Gum disease risk naturally increases with age. We can lower the risk with an effective daily hygiene regimen, along with a minimum of two office cleanings and checkups each year. Brushing and flossing removes bacterial plaque and food particles which accumulate on tooth surfaces. The longer plaque remains in contact with gum tissues, the greater the chances of infection.

Pregnancy. Although women tend to take better care of their teeth than men, they still face unique issues that increase their risk. During pregnancy, for example, certain hormone levels rise, which cause the gums to become more responsive to bacteria. Other hormonal fluctuations throughout a woman’s life, including taking certain drugs for birth control or during menopause, can cause similar situations.

Family History. You could be at higher risk if members of your immediate family have a history of gum disease. Researchers estimate that 30% of the U.S. population has a genetic predisposition to the disease; it’s also possible for family members to transfer bacteria to other family members by way of saliva contact or shared eating utensils.

Smoking. Nicotine, the active ingredient in tobacco smoke, causes changes in the blood vessels of the mouth that could inhibit the flow of antibodies (produced by the body to fight infection) in the bloodstream. As a result, smokers experience more rapid disease development and greater detachment between teeth and gums than non-smokers.

Other Inflammatory Conditions. A number of studies indicate people with other inflammatory conditions like heart disease, arthritis or diabetes have a higher risk for gum disease. Some researchers have even suggested that bacteria associated with gum disease pass into the blood stream and threaten other parts of the body — an added incentive to seek treatment and stop the disease’s advancement.

If you fall into any of these risk categories, it’s even more urgent that you practice effective daily hygiene with regular office checkups. Additionally, if you begin to notice bleeding gums, tenderness and swelling, or loose teeth, contact us as soon as possible for an evaluation.

If you would like more information on the diagnosis and treatment of gum disease, 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 “Assessing Risk for Gum Disease.”

By Mai Family and Sedation Dentistry
December 20, 2019
Category: Oral Health
Tags: oral health   nutrition  
4FoodsThatAreGoodforBothYourMouthandYourBody

You can't separate your oral health from your overall health. What's beneficial for your body in general is usually beneficial for your teeth and gums.

Take the foods you eat: good nutrition is essential to general health and well-being. But the same foods that keep the rest of your body healthy often do the same for your mouth—and those that are not so good for the rest of you are usually not good for your teeth and gums either.

Here are 4 different types of foods that positively impact both mouth and body.

Cheese and dairy. Dairy products are rich in calcium, essential for strengthening both your bones and your teeth. Cheese helps stimulate saliva and protects against calcium loss. Cow's milk contains minerals and proteins both your body and mouth needs. It also contains lactose, a less acidic sugar that doesn't contribute to tooth decay.

Plant foods. Vegetables and fruit are loaded with vitamins and nutrients that keep the body functioning normally. They also contain fiber: Not only is this good for your digestive system, it requires chewing to break it down in the mouth, which stimulates saliva. A good flow of saliva helps prevent your mouth from becoming too acidic and thus more prone to dental disease.

Black and green teas. A nice cup of hot tea isn't just soothing—it's rich in antioxidants that help fight disease in the body (and the mouth). Black tea also contains fluoride, which has been proven to strengthen enamel against acid attack.

Chocolate. There's both good and bad news about this perennial favorite. The good news is the polyphenolic compounds (a kind of antioxidant) in unrefined cocoa can protect against disease including tooth decay. The bad news is most processed chocolate is loaded with added sugar—not the healthiest substance for your body, and definitely not for your teeth. Try then to incorporate small amounts of chocolate in your diet, the lower the sugar content the better.

Eating nutritiously helps your body stay healthy and disease-free. And coupled with daily hygiene and regular dental visits, it's one of the best things you can do for your teeth and gums.

If you would like more information on nutrition and dental health, 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 “Nutrition and Oral Health: How Diet Impacts Dental and General Health.”

By Mai Family and Sedation Dentistry
December 10, 2019
Category: Oral Health
Tags: mouthguards  
BruinsZdenoCharaBreaksHisJawDuring2019StanleyCup

Boston Bruins defenseman Zdeno Chara had a rough Stanley Cup final against the St. Louis Blues this past June. Not only did the Bruins ultimately lose the championship, but Chara took a deflected puck shot to the face in Game Four that broke his jaw.

With the NHL season now over, the 42-year-old Bruins captain continues to mend from his injury that required extensive treatment. His experience highlights how jaw fractures and related dental damage are an unfortunate hazard in hockey—not only for pros like Chara, but also for an estimated half million U.S. amateurs, many in youth leagues.

Ice hockey isn't the only sport with this injury potential: Basketball, football (now gearing up with summer training) and even baseball players are also at risk. That's why appropriate protective gear like helmets and face shields are key to preventing injury.

For any contact sport, that protection should also include a mouthguard to absorb hard contact forces that could damage the mouth, teeth and gums. The best guards (and the most comfortable fit) are custom-made by a dentist based on impressions made of the individual's mouth.

But even with adequate protection, an injury can still happen. Here's what you should do if your child has an injury to their jaw, mouth or teeth.

Recognize signs of a broken jaw. A broken jaw can result in severe pain, swelling, difficulty speaking, numbness in the chin or lower lip or the teeth not seeming to fit together properly. You may also notice bleeding in the mouth, as well as bruising under the tongue or a cut in the ear canal resulting from jawbone movement during the fracture. Get immediate medical attention if you notice any of these signs.

Take quick action for a knocked-out tooth. A tooth knocked completely out of its socket is a severe dental injury. But you may be able to ultimately save the tooth by promptly taking the following steps: (1) find the tooth and pick it up without touching the root end, (2) rinse it off, (3) place it back in its socket with firm pressure, and (4) see a dentist as soon as possible.

Seek dental care. Besides the injuries already mentioned, you should also see a dentist for any moderate to severe trauma to the mouth, teeth and gums. Leading the list: any injury that results in tooth chipping, looseness or movement out of alignment.

Even a top athlete like Zdeno Chara isn't immune to injury. Take steps then to protect your amateur athlete from a dental or facial injury.

If you would like more information about dealing with sports-related dental injuries, please contact us or schedule an appointment for a consultation. To learn more, read the Dear Doctor magazine articles “Athletic Mouthguards” and “The Field-Side Guide to Dental Injuries.”

By Mai Family and Sedation Dentistry
November 30, 2019
Category: Oral Health
Tags: oral health   pregnancy  
DentalCareDuringPregnancyisSafeandEssential

When a woman learns she's pregnant, her first thought is often to do everything possible to protect the new life inside her. That may mean making lifestyle changes like avoiding alcohol or quitting smoking.

Some women may also become concerned that their regular dental visits could pose a risk to their baby. But both the American Congress of Obstetricians and Gynecologists and the American Dental Association say it's safe for pregnant women to undergo dental exams and cleanings—in fact, they're particularly important during pregnancy.

That's because pregnant women are more susceptible to dental infections, particularly periodontal (gum) disease, because of hormonal changes during pregnancy. The most common, occurring in about 40% of expectant mothers, is a form of gum disease known as pregnancy gingivitis. Women usually encounter this infection that leaves the gums tender, swollen and easy to bleed between the second and eighth month of pregnancy.

Untreated, pregnancy gingivitis could potentially advance below the gum line and infect the roots. It could also have an unhealthy effect on the baby: some studies show women with severe gum disease are more prone to give birth to premature or underweight babies than women with healthy gums.

But it can be stopped effectively, especially if it's treated early. Regular dental checkups and cleanings (at least every six months or more frequently if your dentist recommends) can help an expectant mother stay ahead of a developing gum infection.

With that said, though, your dentist's approach to your care may change somewhat during pregnancy. While there's little concern over essential procedures like gum disease treatment or root canal therapy, elective restorations that are cosmetic in nature might best be postponed until after the baby's birth.

So, if you've just found out you're pregnant, let your dentist know so they can adjust your care depending on your condition and history. And don't be concerned about keeping up your regular dental visits—it's a great thing to do for both you and your baby.

If you would like more information on dental care during pregnancy, 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 “Dental Care During Pregnancy: Maintaining Good Oral Hygiene Is More Important Than Ever.”





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