Dental injuries result in thousands of visits to the emergency room every year, and many of these injuries occur while engaging in sports and recreational activities. Whether playing on an organized team or joining a spontaneous game with friends, athletes are much more likely to suffer a dental injury when not wearing a mouthguard. Five national dental organizations have joined together for National Facial Protection Month to urge athletes to use a mouthguard during both practice and games.
The American Dental Association and the Academy for Sports Dentistry recommend using mouthguards for over 30 sporting activities. While it comes as no surprise that mouthguards are recommended for football, hockey and basketball, the list also includes many activities that may not immediately come to mind—among them, surfing, ultimate frisbee, skateboarding, volleyball, skiing and bicycle riding.
In short, it’s wise to protect your smile while participating in any activity where your teeth may make contact with a hard surface. A properly fitted mouthguard can prevent injuries to the teeth, mouth and jaw, and may even help protect against head and neck injuries. Even those who participate in casual recreational activities should consider a mouthguard as an insurance policy against future pain and expense.
There are three types of mouthguards: a stock mouthguard that is bought ready to use from your neighborhood store, the “boil-and-bite” type that is formed to the mouth after being softened in hot water, and a custom-made mouthguard that is available from the dental office. Although any mouthguard is better than no protection at all, the best protection and most comfortable fit comes from a mouthguard that is custom-made by your dentist.
If you have questions about preventing dental injuries, please contact our office or schedule a consultation. You can learn more in the Dear Doctor magazine articles “Athletic Mouthguards” and “The Field-Side Guide to Dental Injuries.”
Most everyone knows that going to see your dentist for regular checkups and cleanings can help save your smile — but did you ever stop to think that it just might save your life?
That's what recently happened to 11-year-old Journee Woodard of Edmond, Oklahoma. The young girl was having a routine teeth cleaning when hygienist Rachel Stroble noticed something unusual: The whites of her eyes (her sclera) had a distinctly yellow tint. Dr. Michael Chandler, Journee’s dentist, confirmed the hygienist’s suspicions, and advised her mom to take her for further testing. The tests revealed that Journee had a tumor covering parts of her pancreas, gallbladder and liver; it could have ruptured at any moment, with devastating consequences.
The tumor was removed three days later in a 9-hour operation, and Journee is now recovering. As for her dentist, Dr. Chandler told reporters that he and his staff were just doing their jobs thoroughly. “It's hard to feel like I’m a hero,” he said (though others might disagree).
Is this a one-in-a-million case? Maybe — yet for many people, a family dentist may be the health care professional who is seen more often than any other. That can put dentists in the unique position of being able to closely monitor not only a person’s oral health, but also their overall health.
There are several reasons why that’s so. One is that most systemic diseases (such as diabetes, leukemia, and heart disease, for example) can have oral manifestations — that is, symptoms that show up in the mouth. If your dentist notices something unusual, further testing may be recommended. Dentists also regularly screen for diseases specific to the mouth — such as oral cancer, which has a much better chance of being cured when it is caught at an early stage.
But beyond checking for particular diseases, dentists often notice other things that may indicate a health issue. For example, if you complain of dry mouth or snoring, and appear fatigued in the dental chair, your dentist may suspect undiagnosed sleep apnea: a potentially serious condition. Many other signs — such as yellowed eyes, a pounding heart rate, or shortness of breath — can indicate potential problems.
Of course, we’re not even mentioning the main reason for regular dental checkups — keeping your smile healthy and bright; for many people that’s reason enough. How does Journee’s mom feel about keeping dental appointments? “I will never miss another dentist appointment,” she told reporters. “I will never reschedule.”
If you would like more information about routine dental checkups, please contact us or schedule an appointment. You can learn more by reading the Dear Doctor magazine articles “The Dental Hygiene Visit” and “Good Oral Health Leads to Better Health Overall.”
Drilling teeth is an essential part of repairing and restoring the damage caused by tooth decay. For generations dentists have relied on the dental drill with its rotating burr to remove decayed and damaged tooth material.
But while the dental drill is effective it also has its disadvantages. In the process of removing decayed material it inadvertently removes healthy structure near the target material. It often requires anesthesia to deaden the work area. And its noise and vibration are often unsettling to patients.
There is a growing alternative, though: air abrasion, a technology that's been around since the mid-20th Century. But recent advances in controlling the dust created by using abrasion, as well as new tooth-colored bonding materials to replace tooth structure, have sparked new interest among dentists and patients alike.
Also known as particle abrasion, this drill alternative uses a pressurized stream of fine particles to remove decayed material. Using a hand wand a dentist can precisely aim the stream of particles (usually aluminum oxide) to the specific areas of decay or softened material that need to be removed. As a result, it removes only a fraction of healthy tooth structure compared to traditional drilling. Air abrasion has also proven effective for removing staining without harming enamel.
Air abrasion also eliminates the sound and vibration associated with dental drills, and may not always require local anesthesia. On the other hand, it does have some limitations. For one, it's not as effective with larger cavities or working around older fillings. The tooth or teeth to be worked on must be carefully isolated from the rest of the mouth to keep the patient from swallowing the abrasive particles. And without a high-volume suction pump and good isolation protocols, the particles can produce something of a “sandstorm” in the treatment room.
But as air abrasion continues to advance, we may see improvements in these limitations. In a future time, the traditional dental drill may go the way of the horse and buggy.
If you would like more information on air abrasion as an alternative to drilling, 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 “Air Abrasion Technology.”
Are bleeding gums something you should be concerned about? Dear Doctor magazine recently posed that question to Dr. Travis Stork, an emergency room physician and host of the syndicated TV show The Doctors. He answered with two questions of his own: “If you started bleeding from your eyeball, would you seek medical attention?” Needless to say, most everyone would. “So,” he asked, “why is it that when we bleed all the time when we floss that we think it’s no big deal?” As it turns out, that’s an excellent question — and one that’s often misunderstood.
First of all, let’s clarify what we mean by “bleeding all the time.” As many as 90 percent of people occasionally experience bleeding gums when they clean their teeth — particularly if they don’t do it often, or are just starting a flossing routine. But if your gums bleed regularly when you brush or floss, it almost certainly means there’s a problem. Many think bleeding gums is a sign they are brushing too hard; this is possible, but unlikely. It’s much more probable that irritated and bleeding gums are a sign of periodontal (gum) disease.
How common is this malady? According to the U.S. Centers for Disease Control, nearly half of allÂ Americans over age 30 have mild, moderate or severe gum disease — and that number increases to 70.1 percent for those over 65! Periodontal disease can occur when a bacteria-rich biofilm in the mouth (also called plaque) is allowed to build up on tooth and gum surfaces. Plaque causes the gums to become inflamed, as the immune system responds to the bacteria. Eventually, this can cause gum tissue to pull away from the teeth, forming bacteria-filled “pockets” under the gum surface. If left untreated, it can lead to more serious infection, and even tooth loss.
What should you do if your gums bleed regularly when brushing or flossing? The first step is to come in for a thorough examination. In combination with a regular oral exam (and possibly x-rays or other diagnostic tests), a simple (and painless) instrument called a periodontal probe can be used to determine how far any periodontal disease may have progressed. Armed with this information, we can determine the most effective way to fight the battle against gum disease.
Above all, don’t wait too long to come in for an exam! As Dr. Stork notes, bleeding gums are “a sign that things aren’t quite right.” Â If you would like more information about bleeding gums, please contact us or schedule an appointment. You can read more in the Dear Doctor magazine article “Bleeding Gums.” You can read the entire interview with Dr. Travis Stork in Dear Doctor magazine.
Crowns are a mainstay of cosmetic dentistry used to improve your smile’s appearance in a variety of situations. Not all crowns are alike, though — and the differences could affect your cost.
Crowns or caps are needed to cover remaining tooth structure which was previously damaged. Tooth decay and trauma are the major reasons for damage or loss of tooth structure that make crowns necessary. After preparing the remaining healthy tooth to fit into the new crown, we then make an impression mold of the tooth for a dental technician to use to create the new crown. It’s at this point where the road to your new smile can take different paths, both in construction and how much artistry goes in to your crown’s formation.
Porcelain crown construction falls into two general categories. The first category involves life-like porcelain fused to an inner core of metal. Because many older types of porcelain tend to be brittle and subject to breaking under pressure, metals are used to strengthen the crown. A fused crown can thus provide both durability and a life-like appearance.
In recent years, though, new dental materials have made the second category — all porcelain crowns — a viable option. Either lithium disilicate or zirconium oxide account for nearly two-thirds of crowns made today. Although research on their durability is relatively new, initial results have been encouraging, showing advanced all-ceramic crowns can tolerate forces comparable to porcelain fused to metal (PFM) crowns used in bridges.
On the downside, these newer materials may be more expensive than PFM crowns. Costs for manufacturing may also increase depending on how life-like the matching of color with other teeth you desire your crown to be. For example, individual teeth aren’t a uniform color — there are gradations of color that can vary from the tip of the tooth to the root. To capture these gradations in an individual crown requires a high level of artistry and time by the dental technician, which increases the final cost.
If you’re in need of a crown, it’s best to first make an appointment for a consultation to review your options, and to consider both your expectations and financial ability. Together we can determine what it will take to create a new look for your teeth that fits your expectations and your budget.
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