Posts for: February, 2021
Life has changed dramatically over the centuries. But although our ancient forebears wouldn't recognize much of our modern world, they would be well acquainted with one particular oral habit that still persists. There's some evidence from archeological dental examinations that our ancestors also clenched or ground their teeth.
This habit of involuntarily gnashing, clenching or grinding the teeth together is most prevalent among children, although not considered a major problem at these younger ages. But it can continue into adulthood, as it does for one in ten people, and lead to an array of problems from worn teeth to jaw joint pain.
As to why adult teeth grinding occurs, researchers have proposed a number of possibilities. Some believe it may be related to the arousal response that occurs when a person passes through various stages of sleep. It also appears that certain psychoactive drugs can trigger it. But at the top of the cause list, teeth grinding is believed to be a physical outlet for stress.
Because of the possibility of multiple causes, there is no one method for treatment—instead, it's better to tailor treatments to the individual. Universally, though, patients who use drugs, alcohol or tobacco, all of which are considered contributing factors, may reduce grinding episodes by restricting their use of these substances.
It's also possible to reduce the incidence of teeth grinding through better stress management. People can learn and use individual relaxation techniques like meditation, mindfulness or biofeedback. For sleep-related teeth grinding it may also be helpful to forgo use of electronic devices before bedtime for a better night's sleep.
Dental treatments like an occlusal guard worn mainly during sleep can minimize the effects of nocturnal teeth grinding. This custom-made appliance prevents teeth from coming fully into contact with each other, thus lowering the intensity of the biting forces generated and preventing cumulative damage to teeth and dental work.
If you have symptoms like sore teeth and jaws, reports from your family hearing you grind your teeth, or catching yourself during the day clenching your teeth, make an appointment for a full examination. From there, we'll help you find the right combination of solutions to keep this old habit from complicating your oral health.
If you would like more information on teeth grinding, 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 “Teeth Grinding.”
February is Children's Dental Health Month—the perfect time to talk about the oral health of the little ones in your family. According to the U.S. Centers for Disease Control, one out of every five children ages 5 to 11 has at least one untreated cavity. Although this statistic may not seem terribly significant given that primary teeth fall out anyway, dental disease is a concern even for kids.
Just as with adult teeth, baby teeth are needed for eating, speaking and smiling. Besides these obvious functions, primary teeth serve a crucial role as placeholders for the corresponding permanent teeth. If they are lost early, the adult teeth could come in crooked, crowded or out of place, increasing the chances of needing complex and costly treatment later. And because the enamel on primary teeth is thinner than that of permanent teeth, baby teeth are more vulnerable to decay, which can spread quickly—both to the inside of the tooth and to neighboring teeth. Decaying teeth can cause pain, which may interfere with getting proper nutrition. In addition, children with poor dental health are more likely to miss school and are much more likely to suffer from decay in their permanent teeth.
Fortunately, many dental problems can be avoided by following a few guidelines:
Instill good oral hygiene habits in your child. Teach children to brush twice a day with fluoride toothpaste and, when they are old enough, to floss once a day. (A handheld flosser can make flossing easier for young ones.) Preventing dental disease through good daily habits can save a lot of trouble down the line.
Offer nutritious foods. For healthy teeth and a healthy body, encourage your child to make nutritious food choices. Instead of sugary snacks, opt for fruits, vegetables and cheese. And choose plain water instead of soda, fruit juice or sweetened beverages.
Keep up with regular checkups and cleanings. The world's health focus has been all about COVID-19 and in an effort to isolate as much as possible some parents may have put off routine dental checkups for their children. However, it is important for the dental team to monitor the health of little mouths to keep small problems from turning into bigger, potentially painful ones. When it comes to infection control, dental professionals go above and beyond the minimum requirements to protect you and your loved ones. We are committed to a higher standard, following protocols that help ensure your health and safety.
Talk with us about preventive treatments. During your child's visit, ask whether a topical fluoride treatment or dental sealants are recommended. These affordable ways to help prevent cavities can benefit many children.
The key to healthy smiles for life is to start early. A good day-to-day dental hygiene habit along with healthy food choices and regular dental checkups can set your child on the course for a lifetime of good oral health.
If you would like more information about how to maintain your child's dental health, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Dentistry & Oral Health for Children.”
Although they can be expensive upfront, dental implants often prove to be a wise investment in the long-term. With a success rate that outperforms other teeth replacement restorations, dental implants could be the answer to a more attractive smile that could last for decades.
But while their success rate is high (95% still functioning after ten years), they can and do occasionally fail. Of those that do, two-thirds happen in patients who smoke.
This unfortunate situation stems from smoking's overall effect on dental health. The nicotine in tobacco constricts oral blood vessels, inhibiting the flow of nutrients and antibodies to the teeth and gums. Inhaled smoke can scald the inside skin of the mouth, thickening its surface layers and damaging salivary glands leading to dry mouth.
These and other effects increase the risk for tooth decay or gum disease, which in turn makes it more likely that a smoker will lose teeth than a non-smoker and require a restoration like dental implants. And blood flow restriction caused by nicotine in turn can complicate the implant process.
Long-term implant durability depends on bone growth around the imbedded implant in the ensuing weeks after implant surgery. Because of their affinity with the titanium used in implants, bone cells readily grow and adhere to the implant. This integration process anchors the implant securely in place. But because of restricted blood flow, the healing process involved in bone integration can be impaired in smokers. Less integration may result in less stability for the implant and its long-term durability.
To increase your chances of a successful implant installation, you should consider quitting smoking and other tobacco products altogether before implant surgery. If that's too difficult, then cease from smoking for at least one week before surgery and two weeks after to better your odds of implant success. And be as meticulous as possible with daily brushing and flossing, as well as regular dental visits, to reduce your risk of disease.
There are many good reasons to quit smoking. If nothing else, do it to improve your dental health.
If you would like more information on tobacco use 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 “Dental Implants & Smoking.”