Posts for: February, 2020
Tooth decay doesn't occur out of thin air, but is the end result of bacteria feeding on sugar, multiplying and producing acid. High acidity erodes tooth enamel and creates an environment for cavity development.
Modern dentistry can effectively treat cavities and often save the tooth from further damage. But you don't have to wait: You can reduce your chances of cavities by managing risk factors that contribute to decay.
Here are 4 top risk factors for tooth decay and what you can do about them.
Poor saliva flow. Saliva neutralizes acid and helps restore minerals to enamel after acid contact. But your enamel may not have full protection against acid if you have diminished saliva flow, often due to certain medications. You can help increase your saliva by consulting with your doctor about drug alternatives, drinking more water or using a saliva boosting product. Smoking can also inhibit saliva, so consider quitting if you smoke.
Eating habits. High sugar content in your diet can increase bacterial growth and acid production. Reducing your overall sugar consumption, therefore, can reduce your risk of decay. Continuous snacking can also increase your decay risk, preventing saliva from bringing your mouth back to its normal neutral pH. Instead, limit your snack periods to just a few times a day, or reserve all your eating for mealtimes.
Dental plaque. Daily eating creates a filmy buildup on the teeth called dental plaque. If not removed, plaque can then harden into a calcified form called calculus, an ideal haven for bacteria. You can help curtail this accumulation by thoroughly brushing and flossing daily, followed by dental cleanings at least every six months. These combined hygiene practices can drastically reduce your cavity risk.
Your genetics. Researchers have identified up to 50 specific genes that can influence the risk for cavities. As a result, individuals with similar dietary and hygiene practices can have vastly different experiences with tooth decay. Besides continuing good lifestyle habits, the best way to manage a genetic disposition for dental disease is not to neglect ongoing professional dental care.
If you would like more information on managing your tooth decay risk factors, 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 “What Everyone Should Know About Tooth Decay.”
How do you know if you have periodontal (gum) disease? Sometimes your gums will tell you—when they’re red, swollen or bleed easily.
But your gums can also look and feel healthy while a gum infection still brews below the gum line. In this case, a regular dental visit could make the difference. Even without overt signs of infection, we may be able to detect gum disease with a slender metal instrument called a periodontal probe.
Gum disease is a bacterial infection that most of the time arises from dental plaque. This thin film of bacteria and food particles accumulates on tooth surfaces, especially because of poor or non-existent oral hygiene. A continuing infection can weaken gum tissues and cause them to pull away or detach from the teeth.
Normally, there’s a slight gap between the gums and teeth. But as the infected gums pull away, the gaps grow larger and deeper, forming what are known as periodontal pockets. They become filled with infection that soon spreads to the root and bone and increases the risk of tooth loss.
These pockets, though, could be the means for detecting a gum infection with the help of the periodontal probe. During a dental exam we gently insert the probe, which has millimeter depth markings etched on it, between a tooth and its adjacent gums. While a depth of 1 to 3 mm is normal, a probe measurement of 4 to 5 mm could be a sign of an early stage infection. A reading of 7 to 10 mm, on the other hand, may indicate more advanced disease.
Along with other factors, periodontal probing can be quite useful identifying both the presence and extent of a gum infection and then how to treat it. The goal of any treatment is to remove plaque and tartar (calculus) deposits that sustain the infection. But probing, along with other diagnostic methods like x-rays, could point to deeper infection below the gum line that require more extensive methods, including surgery, sometimes to access and remove the disease.
Achieving the best treatment outcome with gum disease often depends on finding the infection early. Periodontal probing helps to make that discovery more likely.
It is recommended to use an electric toothbrush when you have braces as they generally do a better job with cleaning. An electric toothbrush can achieve more brush strokes in 2 minutes than you can do with your hand. Electric toothbrushes are either circular or oval-shaped, and either use an oscillating or sweeping motion. Electric toothbrushes help remove bacteria from difficult to access areas. These areas are around the braces, around the brackets, the gum line and the biting surfaces of the teeth.
A water flosser is a helpful flossing aid that actually uses a jet of water to help flush out bacteria from around the braces and between the teeth. You can either use water or mouthwash in your water flosser.
This is a type of brush that helps to clean between the brackets, which can be a tough area to access with your toothbrush and floss or a water flosser. A proxabrush is quite similar to the end of a pipe cleaner; it has small bristles that extend outward and helps by trapping plaque and pulling it out. Rinse your proxabrush with water between use.
Fluoride is an essential component in keeping your teeth healthy with and without braces. When you have brackets on your teeth and plaque building up around the brackets, sometimes you can end up with white “decalcified” areas around the brackets when you get your braces off. Fluoride helps to keep the enamel of your teeth strong and healthy so that plaque has less of a chance of damaging your teeth. Fluoride strengthens your enamel to prevent cavities.
Regular dental cleanings and checkups are necessary when braces are on to access the nooks and crannies that are difficult for you to access at home. All the plaque, tartar and staining will be cleaned off your teeth, your teeth and gums will be thoroughly checked over, and brushing and flossing will be reviewed.