Posts for: November, 2020
Parents love watching their kids grow up, from those early wobbly steps to their first solo car drive. Of course, you can expect a few mishaps along the way, most of which won't leave them worse for wear. But some risks are just too hazardous to ignore—including the potential for dental injuries.
Each year, one in ten children suffers a traumatic dental injury, many of which require extensive treatment. That's why during National Child Safety and Prevention Month in November, we're highlighting areas of risk for pediatric dental injuries, and how you can prevent them.
That risk changes depending on a child's stage of development. Teething infants, for example, relieve gum pressure by gnawing on things. Make sure, then, that you have items for teething made of cloth or soft plastic, and keep harder items that could damage their gums and emerging teeth out of reach.
Toddlers learning to walk encounter numerous injury opportunities, like a fall that lands them face first on a hard surface. You can reduce this risk by moving tables and other hard furniture out of your child's travel paths, covering sharp edges with padding, or simply isolating your child from home areas with hard furniture.
Pay attention also during bath time. Wet porcelain is notoriously slippery even for adults, and possibly more so for a child. A sudden slip in the bathtub could cause a mouth injury, so encourage your child not to stand until it's time to get out.
School-aged children face another set of perils to their mouth from outside play. At this stage, your best preventive measure is teaching them to observe play safety: Make sure they know not to aim balls, frisbees or other play items at others' heads, and to be on the lookout for the same. You'll also want them to be safety-minded playing on swings, monkey bars or other playground equipment.
If your older kids take an interest in sports, particularly the contact variety, you'll want to protect them with an athletic mouthguard (and encourage them to wear it during both practice and regular games). You can purchase a mouthguard at any retail or sporting goods store, but the most protective and comfortable to wear are custom-made by a dentist. Although more expensive, they'll still cost less than treatment for a traumatic dental injury.
The wonderful adventure of childhood does have its risks, and some are more serious than others. By following these prevention tips, you can help your child avoid a dental injury that could rob them of a healthy mouth.
If you would like more information about childhood dental concerns, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Dentistry and Oral Health for Children” and “An Introduction to Sports Injuries & Dentistry.”
Daily oral hygiene and regular dental cleanings help keep your natural teeth and gums healthy and disease-free. But they're also a priority with dental implants. Here's why.
Unlike other restorations, an implant replaces both a tooth's crown and root, the latter by way of a titanium metal post imbedded into the jawbone. Bone cells grow and adhere to the metal surface, forming a secure and lasting hold.
But although quite durable, this hold differs significantly from natural teeth, which are actually held in place by a tough, elastic tissue called the periodontal ligament. The attachment of the ligament's tiny fibers to both tooth and bone secure the tooth in place, as well as supply it and the surrounding gums with nutrients and defensive antibodies to fight infection.
Implants don't have this relationship with the periodontal ligament. The tissues around an implant are thus susceptible to an aggressive form of periodontal (gum) disease called peri-implantitis. This kind of gum infection can progress rapidly, leading eventually to bone loss and possible failure of the implant.
Daily brushing and flossing of both natural and implant-supported teeth lowers the risk of gum disease, particularly peri-implantitis. It's also imperative that you undergo regular cleanings, at least every six months, with your dentist or dental hygienist.
These, however, won't be the typical cleanings performed on natural teeth. Hygienists don't use metal cleaning implements to remove plaque and tartar deposits because they can scratch the metal materials of the implant and crown. These microscopic scratches can then attract bacteria that trigger gum infections. Instead, they'll use instruments made of plastics or resins.
Hygienists also rely heavily on ultrasonic equipment that vibrates plaque loose on or around implants, which are then flushed away with water. The tips used with these instruments are also typically made of nylon or plastic sheathing.
Even with the extra hygiene care needed, implants still enjoy a 95% or higher survival rate after ten years. You can ensure your implants achieve that level of durability by keeping them clean and seeing your dentist at the first sign of a gum infection.
If you would like more information on maintaining dental implants, 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 Implant Maintenance.”
Heartburn is a big problem: Each year we Americans spend around $10 billion on antacid products, twice as much as for over-the-counter pain relievers. It's an even bigger problem because many indigestion sufferers actually have acid reflux or GERD (gastroesophageal reflux disease), a chronic disease that can cause physical harm—including to teeth.
That's why we've joined with other healthcare providers for GERD Awareness Week, November 17-23, to call attention to the causes and consequences of this disease. In addition to the harm it poses to the esophagus (the “tube” leading from the mouth to the stomach through which food passes), GERD could also damage your teeth to the point of losing them.
GERD is usually caused by the weakening of the lower esophageal sphincter, a ringed muscle located at the junction between the esophagus and the stomach. It acts as a “one-way valve” allowing food into the stomach, but not back into the esophagus. If it weakens, powerful stomach acid can come back into the esophagus and possibly even the mouth. The latter scenario poses a danger to teeth's protective layer of enamel.
Although tough and durable, enamel softens after prolonged contact with acid. Oral acid isn't all that unusual—acid levels typically rise right after eating, causing a temporary softening of enamel. Our saliva, however, goes to work to bring down those acid levels and stabilize enamel.
But if stomach acid enters the mouth because of GERD, the increased acidity can overwhelm saliva's ability to neutralize it. This can lead to enamel erosion, tooth decay and ultimately tooth loss. The enamel damage can be so pronounced that dentists are often the first to suspect GERD.
If you're diagnosed with GERD, here's what you can do to protect your teeth.
- Manage your GERD symptoms through medication, avoidance of spicy/acidic foods, alcohol, caffeine or tobacco products, and maintaining an optimum weight;
- Stimulate saliva by drinking more water, using saliva boosters, or (with your doctor's consent) changing from medications that may be restricting saliva flow;
- Speak with your dentist about strengthening your enamel with special toothpastes or mouthrinses containing extra fluoride or amorphous calcium phosphate (ACP).
You should also brush and floss daily to lower your risk of dental disease, but with one caveat: Don't brush your teeth during or immediately after a reflux episode, as you might remove microscopic bits of softened enamel. Instead, rinse your mouth with water mixed with a half-teaspoon of baking soda (an acid neutralizer) and wait about an hour to brush. The extra time also gives saliva time to further neutralize any remaining acid.
GERD can be unpleasant at best and highly destructive at worst. Don't let it ruin your teeth or your smile.
If you would like more information about GERD and dental health, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “GERD and Oral Health” and “Dry Mouth.”