EVERYONE KNOWS that snack time is one of the best times of the day! Getting a tasty treat in the middle of the workday or grabbing a snack after school can be just the pick-me-up you need to tackle the rest of your day with a smile.
But before you reach for the chips or chocolates, we have a few smile-friendly suggestions! Today we want to share our team’s favorite snacks that protect your teeth and benefit your smile.
Our Smile-Friendly Snack Picks
Dr Ghamian: cucumbers
Dr Khoury: cheese
Carla: peanut butter and celery
In addition to trying out our favorite snacks, keep these tips in mind when planning snacks that benefit your oral health:
Eat More Of These
Leafy Greens: Dark, leafy greens like kale, spinach, and collard greens have calcium, Vitamin A, Vitamin B2, and magnesium; all essential for healthy teeth and gums.
Cheese, Milk, and Yogurt: Dairy is a delicious source of calcium, which supports strong bones and teeth.
Kiwi, Oranges, And Other Vitamin-C-Rich Foods: Vitamin C boosts your body’s ability to fight infection that causes gum disease.
Eat Less Of These
Soda And Energy Drinks: These acidic, sugary drinks attack and gradually deteriorate your protective tooth enamel.
Sticky Candy, Gummies, And Dried Fruit: These foods stick in your teeth and continue to bathe your teeth in sugar for hours after eating.
Highly Processed Carbs: This includes crackers, white bread, and pastries, which feed decay-causing bacteria in your mouth.
VISITING YOUR KANATA DENTIST every six months is an important part of maintaining your oral health. Not only does it keep your smile clean, but it can help you keep an eye on your overall health too!
For some, it may have been a while since your last visit or you or a loved one may be apprehensive about visiting the dentist. Knowing what to expect can help relieve much of this anxiety, so today we want to explain the basics of what happens during your bi-annual cleaning and how you can prepare for your next appointment!
Gather Necessary Information Beforehand
Discussing your family history may not be the first thing you think of when scheduling your dental appointment, but being familiar with your family’s medical history allows us to better care for your oral and overall health.
Like many other conditions such as heart disease and certain forms of cancer, periodontal disease has strong genetic ties that can run in your family. Knowing your family’s medical history can help your dentist keep an eye out for oral health issues such as gum disease or other conditions which present symptoms in the mouth, such as diabetes.
Aside from gathering any relevant personal or family medical information, be sure to to review your dental insurance benefits as you prepare for your appointment. Knowing your level of coverage will help you understand what costs will be associated with your care. If you have any questions about using your dental insurance in our practice or if you would like information about paying for care without insurance, give us a call!
What Happens During Your Appointment?
Although this varies from patient to patient based on their individual needs, a dental check-up generally consists of a professional cleaning, a comprehensive dental examination, and potentially X-rays.
How frequently you need dental X-rays relies largely on your medical and dental history, your age, and your current oral health. New-patient examinations often include X-rays as well.
If required, dental X-rays are generally taken at the beginning of your dental appointment. Dental X-rays allow us to detect and diagnose tooth decay between teeth, on hard-to-reach surfaces, and under existing dental work. X-rays can even be helpful in identifying dental and orthodontic issues that exist beneath the gum line.
Once it’s time for your cleaning, your dentist or hygienist uses a small metal instrument known as a scaler to scrape off tartar above and below the gum line and in between teeth. Next, they polish your teeth using a polishing tool and a lightly abrasive paste to deep clean your pearly whites and remove any tartar left behind after the previous step. Last but not least, they’ll finish your cleaning with a thorough flossing.
After your teeth are clean, your dentist, Dr Ghamian Dr Khoury or Dr Tang, will perform a comprehensive oral examination to ensure your oral health is in tip-top shape. They will:
- examine your teeth for signs of decay
- check for gum swelling and redness, and measure the depth of your gingival pockets to check for signs of periodontal disease
- test how your top and bottom teeth come together and check for signs of teeth grinding or other potential orthodontic issues
- examine your neck, lymph glands, and oral cavity for signs of oral cancer
Based on your exam, we’ll discuss any necessary treatment recommendations and offer helpful tips on how to improve your oral hygiene before your next appointment.
Ever Wonder which order your baby's teeth are supposed to come into the mouth?
Check out the picture below, children have 20 teeth in total, and they usually come out in pairs. First ones to come out are the lower front two teeth, they are labelled "1", and that occurs between 6-12 months of age. The second ones are the upper front two teeth, labelled "2". It goes from there till the upper last molars, labelled "10", erupt between 24 to 30 months of age.
We are a team that never rests. We went for a two day course in Chicago, organized by a leader in the dental field, to learn the best ways to be of service to our patients. While we missed out on the nice weather that Ottawa had, we are coming back with lots of new knowledge that will help us Wow our patients each and every day.
Thank you Centrum Dental team members for taking time away from your homes and families to come learn with us.
And for us, Dr Yamen Ghamian and Dr Habib Khoury, this brings us to about 80 hours each of continuing education so far in 2017. We are hungry for knowledge and strive to bring the very best to our dental patients in Kanata and Ottawa.
It was a full house for our second appreciation event for our patients. We rented the entire movie theater and watched " Boss Baby" together. Below is a small video of Dr Ghamian and Dr Khoury as well as a picture of the dentists giving their best impression of the " Boss Baby" look.
Thank you to all our amazing patients who should up and had a great time!
We had so much fun back in November 2016 holding an appreciation event for our patients by renting a movie theater and watching a movie, that we decided to do it again.
Looking foward to seeing many of our amazing patients this Sunday
Your Kanata Dentists
Centrum Dental Centre
Acid is known to damage your teeth.
In fact, acid starts to weaken enamel at a pH (acid scale) below 5.5. Many of the food we eat and drinks we drink have a pH lower than that. Here's a sample of the pH of some common foods and drinks
Water pH 7
Avocado pH 6.5
Banana pH 4.5-5.2
Beer pH 4.0-5.0
Salad Dressing pH 3.5-4.2
Orange Juice pH 3.4-3.8
Cola pH 2.4
Energy Drinks pH 2.4-3.6
Wine pH 2.3-3.8
Lemon Juice pH 2.2
Beware of the acidity of your food, make sure to drink some water after consuming something acidic, that way you can reduce the acidity in your mouth and the damage to your teeth!
This holiday season, help us help those in need! Between December 1st and December 22nd we are accepting donations for the Kanata Food Cupboard. Bring in your donation and be entered into a draw for a Bayshore Gift Card!
As today is Halloween, this is a good time to talk about "Nutrition and Your Teeth"
We had another amazing free dentistry day this year, check out our "free dentistry day" section to learn more.
We plan to have our third annual Free Dentistry day in September 2017.
SO, YOU WANT TO whiten your teeth. You’re not alone! In fact, when the American Academy of Cosmetic Dentistry asked what people would most like to improve about their smile, the most common response was whiter teeth.
There Are Several Teeth Whitening Options
With so many teeth whitening products on the market, you may be left scratching your head as to which one you should choose. As with any type of treatment, it’s important to know all the facts so you can make the best choice for you and your unique smile! Some of the most common teeth whitening options are:
- Whitening toothpastes
- Whitening strips and gels
- Tray-based tooth whiteners
- In-office whitening
Whitening Is Safest And Most Effective When Supervised By A Dentist
You should always consult with your dentist before deciding to whiten, as this cosmetic procedure isn’t for everyone. There are also many benefits to whitening with your dentist!
For example, if you’re considering a tray-based tooth whitener, seeing your dentist is definitely your best option. Your dentist will take an impression of your teeth so that your mouthpiece tray is customized exactly to fit your teeth. This will ensure maximum contact between your teeth and the whitening solution as well as protect your gums.
If you choose in-office whitening, your dentist will provide additional protection for your gums and the soft tissue of your mouth so that no irritation from the whitening solution occurs.To do this, your dentist will apply a gel to the gum tissue or use a rubber shield.
With over-the-counter products, you’re on your own. Your dentist, however, will check your mouth, the type and extent of stains on your teeth, the number of dental restorations you have and consider your medical history to decide which whitening option is best for your specific smile. They will oversee the process and results of the treatment to ensure the treatment’s safety and efficacy.
A Note To Parents
Teeth whitening is a big trend among teenagers. Parents should always supervise their teenagers’ use of whitening products as overuse or failure to follow directions can damage tooth enamel or irritate gums. Be sure to consult with your dentist before allowing your teenager to whiten to make sure they are at an appropriate age and stage of dental development for whitening.
Still curious about how whitening works? Check out the video below to learn more!
Keep Your Smile Beautiful
What truly keeps teeth bright, white and healthy is daily brushing and flossing. But if you feel like your smile is lacking some sparkle or has yellowed over the years, give us a call or come in to see us!We’d be happy to help you brighten up that beautiful smile of yours.
We love our patients!
The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.
“DO I NEED TO FIX my child’s baby tooth since it’s going to fall out anyway?” This is a question we get asked a lot as dental professionals. The answer is a resounding YES! Primary, or “baby,” teeth serve an important purpose in your child’s present and future oral health.
Baby Teeth Have Three Main Functions
Besides providing an aesthetic appeal to your child’s smile and boosting their self-esteem, primary teeth have three main functions:
- They aid in proper chewing, fostering good nutrition
- They promote proper speech development
- They reserve a space for permanent teeth to grow in
Taking care of those primary teeth not only prevents decay, but also helps your child get into the habit of good oral hygiene and sets the stage for their future oral health. Baby teeth may fall out but they’re still very important!
Regular Dental Visits Make For A Lifetime of Healthy Smiles
Your child’s first dental visit is an important milestone! Children should visit the dentist when their first tooth appears or around their first birthday.
A February 2005 Children’s Dental Health Project report found that children who visited the dentist by age one were less likely to visit the emergency room for oral health problems. They also found that children age five who had their first dental visit by the age of one incurred less oral health-related costs than their peers who didn’t see a dentist until age five.
On your child’s first visit, we will check their mouth for decay and other problems as well as show parents proper cleaning techniques. Another benefit of early, regular dental visits is that we can determine if a child is at a higher risk for cavities and implement appropriate intervention.
Baby Teeth Matter
Even though they’re temporary, your child’s baby teeth are essential to their growth and development. Teach children to take care of their baby teeth and set them on a lifelong path of good oral hygiene. If you have any questions, call us or comment below!
We love our patients and their beautiful smiles!
Image by Flickr user Donnie Ray Jones used underCreative Commons Attribution-ShareAlike 4.0 license. Image cropped and modified from original.
The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.
Spring is almost here. We at Centrum Dental, your Kanata Dentists, wish you a wonderful season filled with renewal and growth and many memorable moments
At Centrum Dental Centre, your Kanata Dentists, we are always on the lookout for ways to make dentistry more predictable and more comfortable for our patients. After doing some thorough research, we found that many of our patients dread getting impressions taken, whether its for orthodontics or for crowns and bridges.
We are very excited to announce that we have just received our Digital Scanner that will allow us to replace many of the impressions that patients dread. This technology is cutting edge and we can't wait to start using it. We get trained next week and we're sure our patients will see the difference.
Here's a video on the new technology: http://multimedia.3m.com/mws/media/987125O/introducing-the-3m-true-definition-scanner.mp4
A great big thank you goes out to all of the people who helped to make our very first Annual Free Dentistry Day such a success!! Our lineup started at 5:00am and was growing quickly throughout the morning. We are happy to say we were able to help all 65 people who were so patiently waiting in line. It was a crazy, busy day and we feel blessed to have shared in the stories and smiles that came through our door.
Thank you to our team for all of your hard work not only on Saturday, but on all of the days leading up to Saturday.
Thank you to our volunteers, both family and friends. Without you, we wouldn't have succeeded! Finally, a big thank you to everyone who shared our information on social media to help spread the word to all in need.
An interesting episode on the interesting ups and downs of fashion and teeth, from Billy Bob teeth, to gold teeth and fashion.
I had a chuckle when I read that boxer Floyd Mayweather's mouthguards have gold flakes and 100$ bills in them. No wonder why they cost over $25,000!
check out the news report below:
Here is a research paper on a comparative study between conventional dentures and implant supported dentures on the lower jaw. The 6 year study found that patient satisfaction and chewing ability was much improved with implant supported dentures as opposed to conventional dentures.
Below is a good article about endurance training and its impact on oral health. Will come in handy for those training for the Ottawa Race Weekend!
article by: Melissa Mantak
How Endurance Training Can Harm Your Teeth
The below is the latest recommendations regarding Fluoride from the American Academy of Pediatrics:
For Release: Aug. 25, 2014
Dental caries – or tooth decay -- is the most common chronic disease in children in the U.S., a silent disease that disproportionally affects poor, young, and minority populations. In a new clinical report by the American Academy of Pediatrics (AAP) “Fluoride Use in Caries Prevention in the Primary Care Setting,” published online Aug. 25 in the September 2014 Pediatrics, the AAP states that fluoride is effective for cavity prevention in children. The AAP is issuing the following new recommendations:
-Fluoridated toothpaste is recommended for all children starting at tooth eruption, regardless of caries risk.
-A smear (the size of a grain of rice) of toothpaste should be used up to age 3. After the 3rd birthday, a pea-sized amount may be used. Parents should dispense toothpaste for young children and supervise and assist with brushing.
-Fluoride varnish is recommended in the primary care setting every 3–6 months starting at tooth emergence.
-Over-the counter fluoride rinse is not recommended for children younger than 6 years due to risk of swallowing higher-than-recommended levels of fluoride.
Because fluoride is available in many sources, including food and tap water, and may be administered at home and professionally applied, pediatricians should be aware of the risks and benefits of various fluoride modalities to appropriately advise families to achieve maximum protection against dental caries, and to help counsel patients about proper oral health.
- See more at: http://www.aap.org/en-us/about-the-aap/aap-press-room/Pages/AAP-Recommends-Fluoride-to-Prevent-Dental-Caries.aspx#sthash.S1WSIl3H.dpuf
The Video below discusses Perioprotect, a recent addition to the services provided at Centrum Dental Centre, your Kanata dentists.
While many people embrace this trend, oral piercings have many possible and harmful side effects.
Common symptoms after oral piercing include pain, swelling, infection, an increased flow of saliva (“spit”) and injuries to the gums:
- Millions of bacteria (“germs”) live in your mouth, so oral piercings may become infected easily.
- Swelling of the tongue is a common side effect but it is possible for the tongue to swell large enough to block your airway and prevent breathing.
- Piercing can cause uncontrollable bleeding and nerve damage. If a blood vessel was in the path of the needle during the piercing, severe and difficult-to-control bleeding can result.
- Blood clots or blood poisoning can occur
And the jewelry itself can be hazardous or cause other problems:
- You can choke on the studs, barbells or hoops that become loose in your mouth.
- Teeth can chip or crack from contact with the jewelry.
- Bacteria that breeds around the piercing can cause bad breath.
- The jewelry can prevent you from speaking clearly or cause problems with chewing and swallowing food.
- The metals may cause an allergic reaction.
Since oral health is important for overall health, the effects of an oral piercing may have a greater impact than one may think. Unfortunately, many people with oral piercings don't realize that these side effects could happen to them.
Snoring can be a symptom of obstructive sleep apnea but not everyone who snores has sleep apnea. Snoring alone can be disruptive and a nuisance. Snoring + sleep apnea can be life threatening.
Obstructive sleep apnea is a sleep breathing disorder that temporarily causes breathing to be suspended during sleep. A physical obstruction happens in the airway which limits the amount of oxygen needed to reach the lungs. In the process of attempting to breathe again due to the obstruction, loud snoring or choking noises are heard.
The oxygen deprivation momentarily awakens a person from sleep. The cycle of waking and falling back to sleep is repeated a few times or hundreds of times throughout the night. The lack of oxygen can have long-term damaging effects such as the development of: high blood pressure, heart disease, stroke, pre-diabetes and diabetes and depression.
The airway obstruction is actually collapsing tissue in the back of the throat. This can be a result of the muscles of the upper airway relaxing during sleep. In “back sleepers” gravity can sometimes cause the tongue to fall back and obstruct the airway as well. In both situations the airway is narrowed or completely obstructed.
Snoring happens when the extra tissue in the back of the throat vibrates during the flow of breathing which produces the sounds of snoring. It is estimated that about 50% of people snore at some point during their lives. Snoring can be heredity and can increase as age advances. Occasional congestion from cold or allergies may also cause snoring.
Many people with sleep apnea suffer from issues of chronic fatigue, lack of concentration or focus. These are due to “unrestful” sleep resulting from the body unconsciously and repeatedly being awakened during the night because of the struggle for oxygen.
If you are unsure if the snoring you hear from a loved one is sleep apnea, look for correlating indicators such as excessive daytime sleepiness, gasping during sleep, pauses in breathing, morning headaches, difficulty concentrating, moodiness, irritability or depression and possibly frequent trips to the bathroom at night.
Testing for a sleep breathing disorder is critical to getting a loved one on the path of better health. If you or someone you know experiences any of the other symptoms or indicators that may suggestion the play of sleep apnea, please contact us immediately for help.
Remember that while snoring is annoying, sleep apnea is life threatening. Ask your dentist at Centrum Dental, your Kanata dental centre, about testing for sleep breathing disorders.
Every day we gain new information indicating the aftereffect of untreated sleep apnea. The list ranges from diabetes and heart issues to the connection with cancer and even behavioral issues in children. This ongoing stream of data and research has provoked us to find a list of factors that increase the risk of sleep apnea, so that we are better able to manage some of those risks, when possible. Knowledge is power!
Before diving into the list, let’s review the definition of sleep apnea to ensure that we are all on the same page. For the most part, there are three types of sleep apnea -- central (happens in the brain), obstructive sleep apnea (most common), and mixed (both central and obstructive). Obstructive sleep apnea (OSA) occurs when the muscles in the back of the throat collapse, causing the airway to close.
Happy New year to all!
As many of us make resolutions for this year, some of those goals my revolve around more success.
The read below from the Harvard Business Review website, http://blogs.hbr.org/2011/02/nine-things-successful-people/, offer some insight on what successful people do.
Wishing all the success in 2014
Centrum Dental team
Nine Things Successful People Do Differently
Why have you been so successful in reaching some of your goals, but not others? If you aren’t sure, you are far from alone in your confusion. It turns out that even brilliant, highly accomplished people are pretty lousy when it comes to understanding why they succeed or fail. The intuitive answer — that you are born predisposed to certain talents and lacking in others — is really just one small piece of the puzzle. In fact, decades of research on achievement suggests that successful peoplereach their goals not simply because of who they are, but more often because of what they do.
1. Get specific. When you set yourself a goal, try to be as specific as possible. “Lose 5 pounds” is a better goal than “lose some weight,” because it gives you a clear idea of what success looks like. Knowing exactly what you want to achieve keeps you motivated until you get there. Also, think about the specific actions that need to be taken to reach your goal. Just promising you’ll “eat less” or “sleep more” is too vague — be clear and precise. “I’ll be in bed by 10pm on weeknights” leaves no room for doubt about what you need to do, and whether or not you’ve actually done it.
2. Seize the moment to act on your goals. Given how busy most of us are, and how many goals we are juggling at once, it’s not surprising that we routinely miss opportunities to act on a goal because we simply fail to notice them. Did you really have no time to work out today? No chance at any point to return that phone call? Achieving your goal means grabbing hold of these opportunities before they slip through your fingers.
To seize the moment, decide when and where you will take each action you want to take, in advance. Again, be as specific as possible (e.g., “If it’s Monday, Wednesday, or Friday, I’ll work out for 30 minutes before work.”) Studies show that this kind of planning will help your brain to detect and seize the opportunity when it arises, increasing your chances of success by roughly 300%.
3. Know exactly how far you have left to go. Achieving any goal also requires honest and regular monitoring of your progress — if not by others, then by you yourself. If you don’t know how well you are doing, you can’t adjust your behavior or your strategies accordingly. Check your progress frequently — weekly, or even daily, depending on the goal.
4. Be a realistic optimist. When you are setting a goal, by all means engage in lots of positive thinking about how likely you are to achieve it. Believing in your ability to succeed is enormously helpful for creating and sustaining your motivation. But whatever you do, don’t underestimate how difficult it will be to reach your goal. Most goals worth achieving require time, planning, effort, and persistence. Studies show that thinking things will come to you easily and effortlessly leaves you ill-prepared for the journey ahead, and significantly increases the odds of failure.
5. Focus on getting better, rather than being good. Believing you have the ability to reach your goals is important, but so is believing you can get the ability. Many of us believe that our intelligence, our personality, and our physical aptitudes are fixed — that no matter what we do, we won’t improve. As a result, we focus on goals that are all about proving ourselves, rather than developing and acquiring new skills.
Fortunately, decades of research suggest that the belief in fixed ability is completely wrong — abilities of all kinds are profoundly malleable. Embracing the fact that you can change will allow you to make better choices, and reach your fullest potential. People whose goals are about getting better, rather than being good, take difficulty in stride, and appreciate the journey as much as the destination.
6. Have grit. Grit is a willingness to commit to long-term goals, and to persist in the face of difficulty. Studies show that gritty people obtain more education in their lifetime, and earn higher college GPAs. Grit predicts which cadets will stick out their first grueling year at West Point. In fact, grit even predicts which round contestants will make it to at the Scripps National Spelling Bee.
The good news is, if you aren’t particularly gritty now, there is something you can do about it. People who lack grit more often than not believe that they just don’t have the innate abilities successful people have. If that describes your own thinking …. well, there’s no way to put this nicely: you are wrong. As I mentioned earlier, effort, planning, persistence, and good strategies are what it really takes to succeed. Embracing this knowledge will not only help you see yourself and your goals more accurately, but also do wonders for your grit.
7. Build your willpower muscle. Your self-control “muscle” is just like the other muscles in your body — when it doesn’t get much exercise, it becomes weaker over time. But when you give it regular workouts by putting it to good use, it will grow stronger and stronger, and better able to help you successfully reach your goals.
To build willpower, take on a challenge that requires you to do something you’d honestly rather not do. Give up high-fat snacks, do 100 sit-ups a day, stand up straight when you catch yourself slouching, try to learn a new skill. When you find yourself wanting to give in, give up, or just not bother — don’t. Start with just one activity, and make a plan for how you will deal with troubles when they occur (“If I have a craving for a snack, I will eat one piece of fresh or three pieces of dried fruit.”) It will be hard in the beginning, but it will get easier, and that’s the whole point. As your strength grows, you can take on more challenges and step-up your self-control workout.
8. Don’t tempt fate. No matter how strong your willpower muscle becomes, it’s important to always respect the fact that it is limited, and if you overtax it you will temporarily run out of steam. Don’t try to take on two challenging tasks at once, if you can help it (like quitting smoking and dieting at the same time). And don’t put yourself in harm’s way — many people are overly-confident in their ability to resist temptation, and as a result they put themselves in situations where temptations abound. Successful people know not to make reaching a goal harder than it already is.
9. Focus on what you will do, not what you won’t do. Do you want to successfully lose weight, quit smoking, or put a lid on your bad temper? Then plan how you will replace bad habits with good ones, rather than focusing only on the bad habits themselves. Research on thought suppression (e.g., “Don’t think about white bears!”) has shown that trying to avoid a thought makes it even more active in your mind. The same holds true when it comes to behavior — by trying not to engage in a bad habit, our habits get strengthened rather than broken.
If you want to change your ways, ask yourself, What will I do instead? For example, if you are trying to gain control of your temper and stop flying off the handle, you might make a plan like “If I am starting to feel angry, then I will take three deep breaths to calm down.” By using deep breathing as a replacement for giving in to your anger, your bad habit will get worn away over time until it disappears completely.
It is my hope that, after reading about the nine things successful people do differently, you have gained some insight into all the things you have been doing right all along. Even more important, I hope are able to identify the mistakes that have derailed you, and use that knowledge to your advantage from now on. Remember, you don’t need to become a different person to become a more successful one. It’s never what you are, but what you do.
Heidi Grant Halvorson, Ph.D. is a motivational psychologist, and author of the new book Succeed: How We Can Reach Our Goals (Hudson Street Press, 2011). She is also an expert blogger on motivation and leadership for Fast Company and Psychology Today. Her personal blog, The Science of Success, can be found at www.heidigranthalvorson.com. Follow her on Twitter @hghalvorson
- Missing Teeth
Fixed bridges and implants are often used to replace missing teeth and to correct some kinds of bite problems.
Crowns and bridges are the most effective procedure for replacing missing teeth or bite problems.
Bridges are natural-looking dental appliances that can replace a section of missing teeth. Because they are custom-made, bridges are barely noticeable and can restore the natural contour of teeth as well as the proper bite relationship between upper and lower teeth.
Bridges are sometimes referred to as fixed partial dentures, because they are semipermanent and are bonded to existing teeth or implants. Some bridges are removable and can be cleaned by the wearer; others need to be removed by a dentist.
Porcelain, gold alloys or combinations of materials are usually used to make bridge appliances.
Appliances called implant bridges are attached to an area below the gum tissue, or the bone.
The concept of implanting metal or prosthetic roots into the jaws to support
teeth is not new. Archeologists have uncovered attempts at dental implants in mummies found in ancient Egypt.
Early tooth replacement from ancient Mediterranean civilization
Over the centuries this concept has been attempted in a variety of ways, but has been unsuccessful until recently.
Dr. Per-Ingvar Branemark is credited with the discovery and development of the technique of osseointegration. Osseointegration is defined as a chemical and mechanical bonding of a titanium implant (essentially a titanium screw or fixture) to the surrounding bone. These implants act as artificial roots, or anchors, for the replacement of missing teeth. Implants give replacement teeth a more stable base and improve the use one can get out of bridgework and dentures.
The treatment consists of 3 phases. The first phase of treatment is the placement of the implants by the surgical specialist. The second phase of the implant treatment is performed after an appropriate period of healing. A period of approximately 3-6 months is required for the process of osseointegration to be complete. The second phase of treatment consists of the placement of abutments or small metal posts to the implanted fixtures. The third phase of treatment consists of the restorative phase. In this phase the new replacement teeth are fabricated and placed on the implants and abutments.
There is now over 40 years of experience with dental implants. The success rates have been measured worldwide. Over 95% of the implants placed into the jaw have a greater than 5 years success rate. Loss of implants after 5 years is extremely rare.
In sporting activities there is a great need to protect your smile. Anyone who participates in a sport that carries a significant risk of injury to teeth, lips, cheek and tongue, should wear a mouth protector. This includes a wide range of sports like football, hockey, basketball, baseball, gymnastics, and volleyball.
A properly fitted mouth protector will stay in place while you are wearing it, making it easy for you to talk and breathe.
There are three types of mouth protectors:
Stock mouth protectors are inexpensive and come pre-formed, ready to wear. Unfortunately, they often don’t fit very well. They can be bulky and can make breathing and talking difficult.
2. Boil and bite
Boil and bite mouth protectors can be purchased at many sporting goods stores and may offer a better fit than stock mouth protectors. They should be softened in water, then inserted and allowed to adapt to the shape of your mouth. It is extremely important to follow the manufacturer's directions in order not to end up with a poor-fitting mouth protector.
Custom-fitted mouth protectors are made by your dentist for you personally. They are more expensive than the other versions, but because they are customized they can offer a better fit than anything you can buy off the shelf. They are also designed to suit the needs of the individual athlete, with various thickness indicated for different sports.
health, and it’s especially important to bone health. But there has been little research about how dairy products affect oral health in particular. However, according to a new study published in the May/June 2013 issue of General Dentistry, the peer-reviewed clinical journal of the Academy of General Dentistry (AGD), consuming cheese and other dairy products may help protect teeth against cavities.
The study sampled 68 subjects ranging in age from 12 to 15, and the authors looked at the dental plaque pH in the subjects’ mouths before and after they consumed cheese, milk, or sugar-free yogurt. A pH level lower than 5.5 puts a person at risk for tooth erosion, which is a process that wears away the enamel (or protective outside layer) of teeth. “The higher the pH level is above 5.5, the lower the chance of developing cavities,” explains Vipul Yadav, MDS, lead author of the study. The subjects were assigned into groups randomly. Researchers instructed the first group to eat cheddar cheese, the second group to drink milk, and the third group to eat sugar-free yogurt. Each group consumed their product for three minutes and then swished with water. Researchers measured the pH level of each subject’s mouth at 10, 20, and 30 minutes after consumption. The groups who consumed milk and sugar-free yogurt experienced no changes in the pH levels in their mouths. Subjects who ate cheese, however, showed a rapid increase in pH levels at each time interval, suggesting that cheese has anti-cavity properties.
The study indicated that the rising pH levels from eating cheese may have occurred due to increased saliva production (the mouth’s natural way to maintain a baseline acidity level), which could be caused by the action of chewing. Additionally, various compounds found in cheese may adhere to tooth enamel and help further protect teeth from acid.
“It looks like dairy does the mouth good,” says AGD spokesperson Seung-Hee Rhee, DDS, FAGD. “Not only are dairy products a healthy alternative to carb- or sugar-filled snacks, they also may be considered as a preventive measure against cavities.”
CHICAGO (May 28, 2013)—Addicted to soda? You may be shocked to learn that drinking
large quantities of your favorite carbonated soda could be as damaging to your teeth as
methamphetamine and crack cocaine use. The consumption of illegal drugs and abusive intake of
soda can cause similar damage to your mouth through the process of tooth erosion, according to
a case study published in the March/April 2013 issue of General Dentistry, the peer-reviewed
clinical journal of the Academy of General Dentistry (AGD).
Tooth erosion occurs when acid wears away tooth enamel, which is the glossy, protective outside
layer of the tooth. Without the protection of enamel, teeth are more susceptible to developing
cavities, as well as becoming sensitive, cracked, and discolored.
The General Dentistry case study compared the damage in three individuals’ mouths—an
admitted user of methamphetamine, a previous longtime user of cocaine, and an excessive diet
soda drinker. Each participant admitted to having poor oral hygiene and not visiting a dentist on
a regular basis. Researchers found the same type and severity of damage from tooth erosion in
each participant’s mouth.
“Each person experienced severe tooth erosion caused by the high acid levels present in their
‘drug’ of choice—meth, crack, or soda,” says Mohamed A. Bassiouny, DMD, MSc, PhD, lead
author of the study.
“The citric acid present in both regular and diet soda is known to have a high potential for
causing tooth erosion,” says Dr. Bassiouny.
Similar to citric acid, the ingredients used in preparing methamphetamine can include extremely
corrosive materials, such as battery acid, lantern fuel, and drain cleaner. Crack cocaine is highly
acidic in nature, as well.
The individual who abused soda consumed 2 liters of diet soda daily for three to five years. Says
Dr. Bassiouny, “The striking similarities found in this study should be a wake-up call to
consumers who think that soda—even diet soda—is not harmful to their oral health.”
AGD Spokesperson Eugene Antenucci, DDS, FAGD, recommends that his patients minimize
their intake of soda and drink more water. Additionally, he advises them to either chew sugarfree gum or rinse the mouth with water following consumption of soda. “Both tactics increase
saliva flow, which naturally helps to return the acidity levels in the mouth to normal,” he says.
To see photos showing the similarities between damage caused to teeth by the soda abuser and
the methamphetamine user, email firstname.lastname@example.org.
To learn more about oral health, visit KnowYourTeeth.com.
Infection control refers to the recommended safety precautions that dentists follow to protect patients and staff. Many dental procedures involve direct contact with blood and saliva, but strict infection control helps to stop the spread of disease. Infection control procedures call for most of the instruments and supplies that your dentist uses to be either heat-sterilized or disposable.
Do all dentists practice infection control? The Occupational Safety and Health Administration Bloodborne Pathogens Standard requires that all employees who may come in contact with blood be trained about proper infection control procedures. The dental board in your state also may have additional rules that your dentist must follow.
Do dentists sterilize instruments after each patient? Dentists sterilize the drill and other instruments between patients to prevent the transmission of diseases. Dental offices follow and monitor specific heat sterilization procedures. Most dental instruments are sterilized in special machines because it takes much more than just soap and water to make sure instruments are free of bacteria. Recommended sterilization methods include placing these instruments into an autoclave (steam under pressure) or a dry heat oven, or to use a chemical vapor (commonly called a chemiclave). Typically, this equipment is kept in the office, away from patients’ view.
How are other objects sterilized? Before you enter the examination room, all surfaces are disinfected. To sterilize equipment that can’t be moved, such as X-ray units and countertops, a disinfectant is applied. Some offices may drape this equipment with protective covers, which are replaced after each patient. Disposable sharp items that cannot be sterilized—such as needles—are thrown away in puncture-resistant biohazard containers. Any disposable item that is contaminated with blood is discarded in a special container.
Dryness of the oral cavity can result from a number of factors. Medications can influence the secretion of saliva from the salivary glands. The lack of normal saliva production leads to a very dry environment in the mouth. This dry environment results in an imbalance in the normal bacteria in the mouth and can lead to an overgrowth of microorganisms that result in increased dental decay and soft tissue infections of the mouth. Without saliva, your body losses one of its natural defenses to cleanse the mouth of harmful cavity causing bacteria.
Common causes of dry mouth include certain prescription medications (eg. Antidepressants, antihistamines, pain medications, etc.), anxiety states, certain cancer therapies that might involve irradiation of the head and neck, chemotherapy, states of anxiety, Sjogren Syndrome, HIV/AIDS, diabetes, Parkinson's disease, and certain foods and tobacco.
Often times we have patients complaning of pain in their jaw joints.
People who grind their teeth can sometimes develop a serious problem with their jaw, which left untreated, can adversely affect the teeth, gums and bone structures of the mouth.
One of the most common jaw disorders is related to a problem with the temporomandibular joint, the joint that connects your lower jaw to your skull, and allows your upper and lower jaw to open and close and facilitates chewing and speaking.
People with temporomandibular joint disorders (TMD) often have a clicking or popping sound when opening and closing their mouths. Such disorders are often accompanied by frequent headaches, neck aches, and in some cases, tooth sensitivity.
Some treatments for TMD include muscle relaxants, aspirin, biofeedback, or wearing a small plastic appliance in the mouth during sleep.
Minor cases of TMD involve discomfort or pain in the jaw muscles. More serious conditions involve improperly aligned joints or dislocated jaws. The most extreme form of TMD involves an arthritic condition of the jaw joint. Traumatic injuries also can cause jaw dislocation.
In these cases, jaw surgery, may be required to correct the condition. Some jaw surgery can be performed arthroscopically.
Gingivitis is the medical term for early gum disease, or periodontal disease. In general, gum disease can be caused by long-term exposure to plaque, the sticky but colorless film on teeth that forms after eating or sleeping.
Gum disease originates in the gums, where infections form from harmful bacteria and other materials left behind from eating. Early warning signs include chronic bad breath, tender or painful swollen gums and minor bleeding after brushing or flossing. In many cases, however, gingivitis can go unnoticed. The infections can eventually cause the gums to separate from the teeth, creating even greater opportunities for infection and decay.
Although gum disease is the major cause of tooth loss in adults, in many cases it is avoidable.
If gingivitis goes untreated, more serious problems such as abscesses, bone loss orperiodontitis can occur.
Periodontitis is treated in a number of ways. One method, called root planing, involved cleaning and scraping below the gum line to smooth the roots. If effective, this procedure helps the gums reattach themselves to the tooth structure.
Pregnancy has also been known to cause a form of gingivitis. This has been linked to hormonal changes in the woman's body that promote plaque production.
We get asked daily about fluoride, the way it works, its benefits, and its potential drawbacks.
To help answer some of those questions, below are some frequently asked questions, courtesy of the Canadian Dental Association.
1. What is fluoride?
Fluoride is a mineral found in soil, water (both fresh and salt) and various foods.
2. How does fluoride prevent tooth decay?
Fluoride has a positive effect on oral health by making teeth more resistant to decay. Fluoride can also prevent or even reverse tooth decay that has started.
3. Where do I get the fluoride that prevents tooth decay?
For many Canadians, fluoride is in public drinking water, which provides protection to the entire community. Fluoride toothpastes and rinses are available for purchase, and your dentist can provide professional fluoride products such as gels and varnish.
4. What is dental fluorosis?
Dental fluorosis is a change in the appearance of teeth. It is caused when higher than optimal amounts of fluoride are ingested in early childhood. In its mildest and most common form, it affects the look of the tooth with small white specks appearing on a child’s teeth.
5. Is dental fluorosis a concern in Canada?
The Canadian Health Measures Survey 2007-2009 found that dental fluorosis is not an issue of concern for the vast majority of children (84%). Some children (16%) have mild forms of fluorosis that often go unnoticed by both the children and their parents.
6. What is water fluoridation?
Water fluoridation is the process of adjusting the level of fluoride in a public drinking water supply to optimize the dental benefits of preventing tooth decay.
7. Why is fluoride added to the public drinking water if it is available in other ways?
Fluoride is added to public drinking water to protect all members of the community from tooth decay. Community water fluoridation is a safe and effective way of preventing tooth decay at a low cost.
8. Who watches the fluoride levels in the drinking water?
The Federal-Provincial-Territorial Committee on Drinking Water makes recommendations about the optimal level of fluoride in public drinking water to prevent tooth decay. The recommended level takes into account that Canadians receive fluoride from other sources such as food and beverages.
9. What does an “optimal” level of water fluoridation mean?
An optimal level of water fluoridation is achieved by adjusting the level of fluoride in the water to achieve the right balance between the benefit of preventing tooth decay and the risk of developing dental fluorosis.
10. Are there any health risks associated with water fluoridation?
With the exception of dental fluorosis, scientific studies have not found any credible link between water fluoridation and adverse health effects.
11. Should I be using fluoridated toothpaste with my child?
For children from birth to 3 years of age, the use of fluoridated toothpaste is determined by the level of risk of tooth decay. Parents should consult a health professional to determine whether their child up to 3 years of age is at risk of developing tooth decay. If such a risk exists, the child’s teeth should be brushed by an adult using a minimal amount (a portion the size of a grain of rice) of fluoridated toothpaste. Use of fluoridated toothpaste in a small amount has been determined to achieve a balance between the benefits of fluoride and the risk of developing fluorosis. If the child is not considered to be at risk, the teeth should be brushed by an adult using a toothbrush moistened only with water.
For children from 3 to 6 years of age, only a small amount (a portion the size of a green pea) of fluoridated toothpaste should be used. Children in this age group should be assisted by an adult in brushing their teeth.
12. Why do young children need to be assisted or supervised with tooth brushing?
Young children tend to swallow toothpaste when they are brushing, which may increase their exposure to fluoride and contribute to dental fluorosis. For this reason, children need to be assisted or supervised with tooth brushing. An adult needs to ensure that an appropriate amount of toothpaste is used, that the child spits out the toothpaste rather than swallows it, and that the teeth are cleaned effectively.
13. How do I know if my child is getting enough fluoride protection?
Your dentist is able to assess your child’s risk of developing tooth decay and advise you of an appropriate level of fluoride protection.