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The goal of modern dentistry is for each & every patient to keep all their teeth for their entire lifetime. As dental health awareness & dental technology have advanced over the last half century, we now see fewer older people who are missing all their teeth (a condition dentists call edentulism). Still, we find that people may loose a tooth or a few & not think much of it. The reality is that a missing tooth is far more than just a gap in your smile: it can have serious oral health & psychological effects down the line.
Bones are similar to muscles in that if you don’t stimulate them, they will start to atrophy. The bones in your jaws are stimulated when the force of biting & chewing travels down the root of your teeth into the bone. When you lose even a single tooth, the bone under where the tooth used to be starts to weaken & decrease in density. If you are missing all the teeth on your upper or lower jaw, this effect is even more pronounced, & can lead to the face having a sunken & shortened appearance that makes a person look much older.
Patients who have lost teeth also experience negative effects on their health & quality of life. Missing teeth can make it hard for people to eat healthy foods that might be difficult to chew, such as nuts, vegetables & meats. As a result, many patients with missing teeth also suffer from poor nutrition. Missing teeth can also have social consequences, as patients who are self conscious about their appearance or eating ability may avoid social activities that they once enjoyed.
If you are missing teeth it’s very important that you look into your options for tooth replacement as soon as possible. The longer you wait to replace a tooth, the worse your problems with bone loss & other consequences will be.
Dental implants are by far the best option for replacing teeth. A major reason for this is they replace both the tooth root & the crown. The fact that the replacement tooth is imbedded in the bone helps prevent further bone loss. The implant is an artificial tooth root that is anchored in the bone. The crown is a porcelain or ceramic tooth that is then attached to the metal implant using dental cement. Essentially, the only drawback to dental implants is the healing time, which can be as long as three months. But the result is permanent teeth that will last the rest of your life & be as functional as if you never lost your natural teeth. Plus, unlike other tooth restoration options, implants don’t ever have to be replaced or adjusted, so you only have to pay for them once.
Bridges are replacement teeth that are held in place by attaching to neighboring healthy teeth. While traditionally bridges have been made from gold, ceramic, or alloys, today the preferred kind of bridge is made entirely of ceramic. This provides the most natural-looking result. A ceramic bridge consists of a false tooth with hollow tooth crowns on either side. These hollow crowns are then cemented to nearby healthy teeth that have been reshaped & the false tooth in the middle fills the gap left by your missing tooth.
Bridges can help prevent bone loss in your jaw & also keep your remaining teeth from shifting into the gap, which can misalign your bite, make chewing difficult & even affect your appearance. While bridges are durable & long-lasting, most of the time they do need to be replaced eventually. Bridges are also a less desirable option than implants because they involve taking structure away from healthy teeth in order to attach the bridge, so the loss of one tooth ends up affecting several teeth.
Dentures are dental appliance that replace an entire arch of teeth (i.e. all the teeth on your upper jaw or lower jaw). Dentures consist of a plate that holds false teeth & gums that are held in place by fitting over your gums & the power of suction. Dentures are usually made of a durable resin material that is colored to look like your own natural teeth. Partials are used for patients who are missing a few, but not all, of the teeth in an arch. They consist of a plate that fits against the roof of the mouth, false teeth, & clips that attach to existing teeth to hold the partial in place.
While dentures & partials will restore the appearance of your smile & some of its function, they do not help prevent bone loss due to missing teeth. Even if you wear dentures the bones of your jaw will continue to diminish & change shape. As a result, you may need to have your dentures adjusted or replaced, as the original bone structure they were designed for will have changed. This is why, despite having a lower upfront cost, dentures can end up costing more than dental implants in the long run.
If you are missing teeth or know you are at risk of losing teeth, please don’t hesitate to talk to us about your options.
Tooth extraction is when a tooth is removed from it’s place in the gum & bone of your jaw. Compared to many dental procedures, tooth extraction can sound scary, especially when it’s referred to as “oral surgery”. However, we believe that understanding the reasons that an extraction is necessary will ease your mind if you’ve been told you need a tooth removed.
Dentists will alway try a conservative approach first when trying to repair a tooth that is damaged. However, if the damage is too severe for the usual solutions such as a crown or a filling, the dentist may decide to remove the tooth completely. Teeth sometimes shift into the place where the removed tooth used to be, which can cause problems with your bite. For this reason (& your own comfort) we may recommend putting a bridge, partial denture or dental implant in the space where the missing tooth was.
Tooth extraction can also be a part of orthodontic (or braces) treatment. When teeth are too large for the mouth & are causing problems, teeth may need to removed in order for orthodontic treatment to be completed. The most common reason for tooth extraction in braces treatment is the alleviate crowding, though there are other conditions that may warrant the removal of teeth (such as overbite). Usually teeth are removed symmetrically, so the same 2 teeth in each jaw are removed in order to keep the bite balanced, so a total of 4 teeth would be removed. While tooth extraction for the sake of braces may seem like an extreme choice, but in some cases it is an alternative to more serious surgery to re-align the jaw.
Wisdom teeth are an extra set of adult molars that usually come in when patients are in their late teens or early 20s. Not everyone’s wisdom teeth cause problems, but it is common for them to be impacted, meaning they’ve come in at a funny angle or have failed to come in at all, & trapped under the gum pressing against other teeth. In some cases, wisdom teeth can become infected or cause abscesses, pain or swelling. Wisdom teeth removal is usually recommended on wisdom teeth that are impacted or have otherwise started to cause problems.
Sometimes a dentist will recommend tooth extraction of baby teeth (also known as primary teeth or “milk” teeth) that have not been lost in a timely fashion. For example, if your dentist sees that your child still has a baby tooth that most children their age would have lost years ago they may recommend extracting it. The reason for such extractions is usually to ensure that permanent adult teeth come in (or erupt) in the right position.
It’s also important that you understand that dentists never take the extraction of a tooth lightly. Our first choice is always conservative treatment (i.e. “conserving” as many teeth in your mouth as possible), but sometimes health or developmental considerations make keeping a tooth inadvisable. No matter the reason, if we’ve recommended tooth extraction as part of your treatment, we will go over the details of what to expect both during & after the procedure, & what the resulting benefit to your health will be.
When we talk to patients about dentistry, one of the main concerns they bring up is whether the dental care they receive will be gentle. As dentists, our main concern of course is your health, but we understand the desire to have a gentle dental care experience. We know it’s not everyday you have to let another person look around your mouth, so we strive to do all we can to make sure your visit & your treatment comfortable, & we mean this in the broadest sense possible.
We pride ourselves on having brought together a team of dental professionals who always use a gentle touch when treating patients. Our dentists & dental hygienists provide meticulous teeth cleanings & take care & time when navigating the delicate structures of your mouth, such as your gums. And we are always happy to make accommodations for you if you have specific sensitivities. If you are uncomfortable in any way, please let us know! We prefer hearing feedback to worrying that you might have endured some kind of discomfort in silence!
Advances in dental technology, procedures & materials mean that we can take a more conservative approach to dental care than ever before. Plus, many of the technological advances we use at our office result in quicker, more comfortable processes & procedures. Even taking x-rays has become a faster & more efficient process now that we use digital radiograph technology. Technology means being able to catch problems early when they’re easier to fix & shorter recovery times for procedures that were more invasive with the limited instrumentation of the past. We’re living in a bright new future of dentistry & we’re happy to bring all of the best advances in smile care here at our practice.
We know one of the roughest parts about going to your regular teeth cleanings is fitting the visits into your busy schedule. We don’t want anything to stand between you & regular preventive dental care. That’s why we offer teeth cleaning appointments that fit around your work schedule, so you don’t have to take time off to see us. We will always do our best to learn your availability & schedule you into an appropriate time slot in the first place. However, please let us know if an appointment time conflicts with another obligation in your schedule. Asking to reschedule is always preferable to a last-minute cancellation. Seeing you consistently for cleanings is vital to keeping your smile healthy for the long run.
We’ve all heard that the pen is mightier than the sword. You might also say that the toothbrush is mightier than the drill! That’s because if you wield your toothbrush properly, it’s a very powerful weapon against tooth decay & gum disease. But like any tool, if you want it to work best, you need to take care of it. That’s why you need to replace your toothbrush frequently to maintain proper oral hygiene!
The American Dental Association recommends replacing your toothbrush every 3-4 months. Toothbrushes become worn over time & bristles bend & fray they become less effective at cleaning your teeth. A toothbrush with straight, stiff (not hard!) bristles will do the best job.
If you find you often forget to replace your toothbrush on time, try putting a note or a reminder in your personal calendar every 3 months to buy a new one. Always buy soft-bristled toothbrushes. Hard or medium bristles are not necessary to properly or effectively clean your teeth, & may even damage your enamel, making your teeth more vulnerable to tooth decay.
Another good reminder of when to change your toothbrush is when we hand you a new one at your 6-month cleaning appointment! You should replace your toothbrush at least once between every bi-yearly oral hygiene appointment with us.
Not everyone knows this, but toothbrushes will actually show physical signs that it’s time for them to be replaced. The most obvious sign is that the bristles will start to fray & splay outward instead of standing up straight.
(This effect will be more severe if you brush your teeth to hard. If you notice your brush’s bristles fraying very soon after they’re new, it may be a sign that you’re brushing so hard you can damage your teeth or cause sensitivity. How thorough you are is much more important than how hard you brush. Be gentle!)
Many toothbrush manufacturers also build a wear guide into the bristles of their brushes. Most of the time this is in the form of a colored strip of bristles. Once the color on these bristles has faded significantly, it’s time to replace your toothbrush.
Cavities, or tooth decay, is a fairly common dental ailment, particularly in children or young adults. Even though most of our patients are familiar with what cavities are, we find that many are still surprised when we tell them they have a cavity! That’s because many cavities, especially early on, do not cause tooth pain & may not be visible to the untrained eye. So we’ve provided the following basic information about the signs of cavities so that you’ll be better informed in the hopefully unlikely event that we tell you you’ve got a cavity.
White spots may appear on your teeth as a sign of early decay. These white spots are a sign of where minerals have been lost from the surface of your teeth. Luckily, when these white spots appear, it’s not too late. At this point, the development of a cavity can be stopped or reversed. Your tooth enamel can repair the damage naturally using minerals such a fluoride, found in saliva, fluoride toothpaste, & other sources such as fluoridated drinking water. These things can also help prevent decay in the first place by making your teeth stronger.
Light or dark brown spots on your teeth are a sign of a more progressed cavity. These spots are where your tooth’s structure has started to soften & dissolve. You are most likely to see these spots on front teeth or the tops of molars. However, they can also exist between your teeth without being visible. That’s why it’s important to visit the dentist for cleanings & checkups. The dentist has techniques & technology for detecting cavities that are not easily visible otherwise.
First of all, we should note that many cavities do not cause a toothache! You can have no pain or sensitivity at all & still have a cavity that is getting bad. However, if you do experience pain or sensitivity to hot, cold or sweet foods, this is a big sign that you may have a cavity.
Always call us right away if you have a toothache! The sooner we see you the sooner you’ll be out of pain.
Typically, we take x-rays of your teeth every 12 months (roughly once a year) to get a deeper understanding of the health of your teeth. While dental x-rays have many uses for diagnosis & treatment of dental health issues, one of the primary purposes of getting x-rays regularly is to give the dentist an opportunity to check for cavities between your teeth (which dentists call inter-proximal caries) which might not be detectable otherwise. These cavities between your teeth show up as dark spots that the dentist is trained to identify.
Treatments for cavities vary depending on the severity & location of the cavity, & your individual dental health. Most of the time, a cavity that is caught early enough just results in a filling. In more serious cases, you may need a crown (i.e. a cap) to restore a tooth that has been extensively damaged by decay. If caught early enough, some micro-cavities can even be reversed using re-mineralization treatments to strengthen your enamel. If you suspect you may have a cavity, please contact us for an appointment right away. No matter what, we’ll keep checking your smile for cavities at your regular check-up & cleaning.
Finding a dentist is about finding someone you like and trust. The dental clinic you choose should be you & your family’s dental home, your headquarters for all things dental health related. It should be a place where you feel comfortable & where you’re greeting by name when you arrive. In addition, your dentist should be convenient & personalized so you know you’re getting the best care for your unique smile.
One of the best ways to find a new dentist is to ask your coworkers, friend, & family members. Chances are most of your co-workers live nearby & share the same dental insurance that you do. Ask you colleagues for a recommendation for a great dentist.
Obviously, convenience is a big factor in finding a dentist. Many people search for dentists near their homes, which certainly makes sense. But you can also keep an eye out for dental offices that are near your place of work. Another clever idea is to keep an eye out for dental practices along your commute.
We understand that very few people eagerly look forward to going to the dentist, but everyone needs to go to the dentist. For that reason, we believe that dental care should fit into your life as easily as possible. Look for a dentist who has convenient hours that don’t require you to miss work or pull your kids out of school for teeth cleanings. A dentist should make it easy for you by offering appointments before work & after work, & even on the weekends, so you don’t have to take time off.
You teeth cleaning appointments are the most important part of your preventive dental care & keeping your smile healthy. Therefore, cleaning appointments should be as easy & quick as possible! Cleaning appointments should only be about an hour long, including your time with the dental hygienist, x-rays by the dental assistant & a brief exam & checkup with the dentist. If we only ask for 2 hours of your time each year, what excuse do you really have not to visit the dentist?!
Like any relationship, it’s important to have good communication. Your dentist’s office should always answer the phone when you call. You should almost never be put on hold or get the answering machine while the dental clinic is open.
Good communication also means having a dentist who listens & takes the time to explain all procedures & recommendations. If you have questions about the treatment that your dentist recommends, including why it’s necessary, don’t just nod & pretend you understand. It’s important for you to be an active participant in your own care, so be sure to find a dentist who listens to your concerns & can explain your dental care in non-technical terms you can easily understand.
Many consider whether a dentist is affordable to be a matter of opinion, especially because dental costs vary by region (often due to factors beyond the dentist’s control, such as dental supplies & insurance companies).
We believe that is ethically correct for dentists to make preventive care as inexpensive as possible. That’s because a little money spent on preventive care can save most patients thousands of dollars in potential restorative dentistry or periodontal care in the future. In fact, in most cases, patients who have dental insurance will not pay anything out-of-pocket for preventive care such as teeth cleanings. Those insured patients who do pay for preventive care usually only pay a very small co-pay.
For patients who don’t have insurance, many dentists offer in-house dental coverage plans. These membership plans are exclusive to that dentist’s office & usually include preventive care such as cleanings & annual x-rays at no additional cost, plus discounts on other common procedures such as crowns, fillings & sometimes gum disease treatments.
Most dental clinics also offer some kind of financing option, such as CareCredit or Springstone. If you’re concerned about how much your dental care might cost, be sure to ask your dentist about what financial arrangements they offer. Most dentists will be with flexible with patients about how they pay for their care. After all, our primary goal is for you & your family to have healthy smiles for a lifetime!
Wisdom teeth are the name for your third permanent molars, which typically appear from age 17-25. It is thought the name “wisdom teeth” comes from the fact that they appear long after all your other permanent teeth, when you a much older & wiser. Most people have four wisdom teeth, one in each quadrant of the mouth (upper left, upper right, lower left, lower right). If your dentist has been doing updated x-rays of your mouth every year, they might be able to see where your wisdom teeth are going to come in, but there’s no guarantee on how wisdom teeth will behave.
In some cases, wisdom teeth come in (or erupt, as we dentists say) normally & function just like your other molars. In many other cases, however, wisdom teeth are impacted. Impacted means the teeth are stuck in the bone under your gums. Either there isn’t enough room for them to come in all the way, or they’re coming in at such a strange angle that it’s impossible for them to emerge from your gums.
Not all impacted wisdom teeth will cause problems, but wisdom teeth removal is still recommended for many patients, even when they are not experiencing any negative symptoms. The reason for this is wisdom teeth removal is much easier & less complicated the younger the tooth is. Younger wisdom teeth have less developed roots & are less likely to be near nerves. Also, younger people tend to heal better, so having wisdom teeth removed in the late teens or early twenties often provides for better results. As the wisdom teeth get older & get integrated into the bone of your jaw, they become harder to remove.
Some patients start experiencing pain & swelling soon after their wisdom teeth appear. In other cases, the wisdom teeth can come in only partially, creating an optimal place for bacteria & infection to grow between the partially exposed gum & other teeth. This infection is called pericornitis. In these situations, emergency wisdom teeth removal is usually recommended to relieve pain & prevent further complications. If you are in your late teens or twenties & are experiencing a toothache or jaw pain, visit the dentist to see if it could be related to your wisdom teeth.
Wisdom teeth removal is performed either by your dentist or an oral surgeon. Some dental clinics have an oral surgeon on staff, but others may require you to get a referral to a separate oral surgeon’s office. If your dentist doesn’t perform oral surgeries, they usually have a trusted local oral surgeon that they work with who they will refer you to.
Removing wisdom teeth is a fairly straightforward procedure. If your wisdom tooth has emerged from the gum normally (erupted), it will be “pulled” like any other tooth. If it is impacted, the dentist or oral surgeon may have to make an incision in the gum to access the tooth in the bone. The complexity of removing an impacted is particular to each patient’s situation. You dentist or oral surgeon will also help determine the level of sedation needed to keep you comfortable.
After wisdom teeth removal surgery, most patients experience some pain & swelling for several days. Your dentist or oral surgeon will give you post-operative instructions, like taking Tylenol or using ice packs, to help you heal & stay comfortable. You may also get a prescription for a stronger painkiller if necessary. You will also get recommendations on the types of soft foods you can eat until you’ve healed enough to chew again.
Did you know that not everyone develops wisdom teeth? In fact, the incidence of wisdom teeth in those with Tasmanian Aboriginal ancestry is practically zero. By contrast, nearly 100% of indigenous Mexicans have wisdom teeth.
Humans have been using toothbrushes to remove food from teeth for thousands of years. Early toothbrushes were sticks with frayed ends, & later brushes were made from bone, wood or ivory & animal hairs. We have come a long way since then, & toothbrushes today are very effective at removing food & plaque & keeping your teeth & gums clean to prevent tooth decay.
Why Brush Your Teeth?
Brushing your teeth removes food & plaque, which is bacteria that eats away at your teeth & can build up & become tartar, a hardened form of plaque. Without daily brushing, plaque & tartar can build up, & the acids that they produce can erode your tooth enamel & irritate your gums. Brushing your teeth can help prevent cavities & gum disease, so be sure to brush every day! The ADA recommends brushing a minimum of twice a day (usually morning & before bed).
Types of Toothbrushes
There are two types of toothbrushes: manual & powered. Both types are equally effective at cleaning your teeth, but powered toothbrushes can be fun for children & easy to use for people who have trouble using manual toothbrushes. Use whichever type is easiest for you.
Bristles on toothbrushes vary in toughness, from soft to hard, & most dentists recommend using a soft-bristled toothbrush. Hard bristles can actually damage your enamel, irritate your gums & can contribute to tooth sensitivity!
No matter which type of toothbrush you use, you should brush twice a day for two minutes with a fluoride toothpaste & replace your toothbrush every 3-4 months, or whenever the bristles seem frayed. Many toothbrushes even have wear indicators in the bristles that will lose color or change color when the toothbrush needs to be replaced.
For recommendations on how to choose a toothbrush that is best for your smile, ask your dentist or dental hygienist. And remember, brushing at home is not enough to ensure your dental health. Be sure to visit the dentist at least every six months for your professional cleaning! We may even throw in a free toothbrush.
There have been unanswered calls, deleted voicemails, ignored texts, & friendly reminders that never make it out of the envelope…we both know it’s been a while since you visited the dentist. If all our efforts to reconnect with you haven’t convinced you, maybe the following 5 reasons to see the dentist will get you to take care of your teeth properly again!
If you are experiencing a toothache or pain in your gums or another part of your mouth, you should see us as soon as possible. We know this sounds obvious, but a surprising number of people put off going to the dentist when they’re in pain, either because they think it might get better on it’s own, or they’re afraid of what the treatment will cost. We can tell you from experience putting off getting treatment for a toothache will make it more expensive, not less! Plus, we don’t want any of our patients to be in pain for any length of time. The sooner you see us the sooner we can make the pain go away. If you’re experiencing oral pain, especially if accompanied by swelling or redness, please call right away.
While tooth sensitivity can be a result of relatively harmless things such as over-brushing or sensitivity to chemicals in tooth whitening toothpaste, it can also be a sign of a serious oral health problem. Tooth sensitivity to heat or cold can be a sign of a cracked tooth, a filling that’s gone bad, a cavity, tooth erosion, or even gum disease. If you’ve suddenly developed tooth sensitivity, please come in to see us. Not only will we be able to diagnose potential problems, we can offer treatments or advice that may reduce or eliminate the sensitivity.
Bleeding gums can be a sign of serious oral health problems, particularly gingivitis & gum disease (periodontal disease), which can lead to lots of pain, expense, & tooth extraction. Still, we know that many people see a bit of blood when they brush or floss their teeth & don’t think much of it. But consider this: you wash your hands all the time as a way to prevent disease. If your hands started bleeding every time you washed them, wouldn’t you contact your doctor? Same goes for your mouth: if it bleeds when you brush or floss, call us right away!
It’s easy to forget that your oral health affects your overall health & that the opposite is also true. If you have been recently diagnosed with diabetes, you should let us know, as this condition puts you at higher risk for gum disease & poor oral hygiene has also been shown to exacerbate diabetes symptoms. Patients who are starting treatment for cancer should also contact us, as many cancer treatments can have serious side effects on your oral health. If you’ve recently been put on a medication that causes dry mouth, you may be more prone to tooth decay or other problems, so please let us know which medications you’re on & which side effects you’re experiencing. Women who who have become pregnant should also tell us right away, as pregnancy can create changes in your oral health, particularly your gums. These are just a few examples. If you’ve experienced a serious change in your health, please let us know so we can keep an eye on its effect on your smile.
Your teeth don’t hurt, your gums don’t bleed, you brush & floss regularly, you don’t have that much plaque or tartar build up, your teeth are not too yellow, you think your breath smells fine, so why should you visit the dentist? The truth is, many potential dental problems start with no noticeable symptoms at all. Visiting us regularly for a teeth cleaning & dental exam is the best way to detect unseen problems. For example, we do periodic x-rays of your teeth during your visit because it helps us spot cavities that may be starting between your teeth or under fillings that would otherwise not be visible to the naked eye & aren’t yet causing your pay. When you visit us we can detect signs of a problem that you may not know to look for, such as signs of tooth grinding or even oral cancer. Plus, why would you want to miss out on that wonderful smooth & fresh smile that you can only get after a cleaning at the dentist?
Many millions of people suffer from tooth sensitivity at some point in their life, usually in the form of tooth pain in reaction to heat or cold. Tooth sensitivity has many causes, some more easily fixed than others. However, it’s important to know that tooth sensitivity is sometimes a sign of a more serious dental problem of condition. What follows are the basics of what you should know about having sensitive teeth.
First, we need to have an understanding of how teeth are constructed. The hard, shiny outer layer of your teeth is called enamel. This layer protects the softer, porous layer below, which is called dentin. On the part of your tooth that is rooted in your gums, the dentin is protected by a thin, hard layer called cementum. Inside the center of your tooth is the root canal, which contains a substance called the pulp, made up of nerves & blood vessels.
Tooth pain or sensitivity occurs when dentin is somehow exposed & heat or cold is able to penetrate through it & irritate your tooth’s nerve. Wearing away of enamel & cementum, along with receding gums, can cause dentin to become exposed.
You can wear away enamel a few ways:
In addition to erosion, tooth sensitivity can also be caused by a crack or a cavity in your tooth that you may not have realized is there yet. If you have persistent, intense sensitivity that doesn’t go away for a few days, come see as soon as you can so we can look for decay or damage.
The same goes for old fillings that may have become loose or developed tooth decay around them. Fluids can get under & around the filling & irritate the nerve through the dentin. If you find that a tooth with a filling has become extra sensitive, you should also come to the dental clinic immediately so we can see if the filling needs to be replaced.
Some people also experience tooth sensitivity after dental procedures, particularly professional teeth whitening or bleaching. People with hypersensitive teeth can also be irritated by the chemicals in some tooth whitening toothpastes.
Tooth sensitivity is also a notable symptom of gum disease. When you have gum disease, your gums can start to pull away or recede from your teeth, leaving the dentin exposed.
Often the best treatment for tooth sensitivity is a change in your habits & oral care routine. If you brush too hard or use a hard bristle toothbrush, switch to a soft bristle brush & try to brush less aggressively. If you’re irritated by a whitening toothpaste, try switching to an anti-sensitivity toothpaste that also contains fluoride, which helps remineralized & strengthen tooth enamel. With these changes, your tooth sensitivity will decrease & likely disappear over time.
If you still experience a level of sensitivity that bothers you, please talk to us. We may be able to offer you treatments, such as a topical anti-sensitivity paste, that can help.
