Can you have healthy teeth and still have gum disease? Absolutely! And if you don’t believe us, just ask actor David Ramsey. The cast member of TV hits such as Dexter and Arrow said in a recent interview that up to the present day, he has never had a single cavity. Yet at a routine dental visit during his college years, Ramsey’s dentist pointed out how easily his gums bled during the exam. This was an early sign of periodontal (gum) disease, the dentist told him.
“I learned that just because you don’t have cavities, doesn’t mean you don’t have periodontal disease,” Ramsey said.
Apparently, Ramsey had always been very conscientious about brushing his teeth but he never flossed them.
“This isn’t just some strange phenomenon that exists just in my house — a lot of people who brush don’t really floss,” he noted.
Unfortunately, that’s true — and we’d certainly like to change it. So why is flossing so important?
Oral diseases such as tooth decay and periodontal disease often start when dental plaque, a bacteria-laden film that collects on teeth, is allowed to build up. These sticky deposits can harden into a substance called tartar or calculus, which is irritating to the gums and must be removed during a professional teeth cleaning.
Brushing teeth is one way to remove soft plaque, but it is not effective at reaching bacteria or food debris between teeth. That’s where flossing comes in. Floss can fit into spaces that your toothbrush never reaches. In fact, if you don’t floss, you’re leaving about a thirdÂ to half of your tooth surfaces unclean — and, as David Ramsey found out, that’s a path to periodontal disease.
Since then, however, Ramsey has become a meticulous flosser, and he proudly notes that the long-ago dental appointment “was the last we heard of any type of gum disease.”
Let that be the same for you! Just remember to brush and floss, eat a good diet low in sugar, and come in to the dental office for regular professional cleanings.
If you would like more information on flossing or periodontal disease, please contact us today to schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “Understanding Gum (Periodontal) Disease.”
What do young saber tooth tigers, which have been extinct about 10,000 years, have in common with human kids today? At first glance, not a lot. Smilodon fatalis, the big cat of North America, reached adulthood at around age three and weighed up to 600 pounds. But these ice-age mammals are probably best known for their dagger-like canine teeth, which (as shown by many well-preserved skeletons) grew up to 7 inches long. And that’s where the comparison between kids and kitties gets interesting.
The toothy felines had primary (baby) teeth and adult teeth, which developed in a similar way to human dentition. The primary teeth came in first, persisted during the young cat’s development, and shared space in the mouth as the adult teeth were erupting (growing in) — with one big difference. According to a recent study reported in the academic journal PLOS ONE, those colossal canines grew at an astonishing rate: up to 6 millimeters per month! By comparison, human primary teeth emerge from the gums at around 0.7mm per month, while permanent teeth may grow up to 2mm per month.
It’s understandable why those tiger teeth developed so rapidly: Life in the Ice Age was hard, and predators needed every advantage just to stay alive. But while human baby teeth take longer to develop (and to go away), they, too, are vitally important.Â For one thing, the primary teeth let kids bite, chew, speak (and smile) properly, until they are replaced by adult teeth — a process that isn’t usually finished until a child reaches the age of 12-13. So those “baby” teeth allow kids to have good nutrition — and positive social interactions — for a significant part of childhood!
There’s another important thing primary teeth do before they’re gone: They help ensure that the succeeding teeth come in properly, by holding a space in the jaw that will later be filled by a permanent tooth. If baby teeth are lost prematurely, those spaces can close up, resulting in permanent teeth that emerge too close together, or in the wrong places. This condition, called malocclusion (bad bite), can usually be corrected by orthodontics. But it’s better to avoid the inconvenience (and cost) of braces, if possible.
That’s why it’s so important to take care of your child’s baby teeth. Even though they won’t be around forever, they have a vital role to play right now. So be sure proper attention is paid to your child’s oral hygiene: That means avoiding sugar, and remembering to brush and floss every day. And be sure to come in regularly for routine exams, cleanings, and needed care. It’s the best way to keep those little teeth from “going extinct” too soon!
If you have questions or concerns about your child’s baby teeth, please call our office to schedule a consultation. You can read more in the Dear Doctor magazine articles “Importance of Baby Teeth” and “Early Loss of Baby Teeth.”
In the last half century, fluoride has become an effective weapon against tooth decay. The naturally occurring mineral helps strengthen enamel, the teeth's hard, protective cover.
Although it's safe for consumption overall, too much during early tooth development can lead to fluorosis, a brownish, mottled staining in enamel. To avoid it, a child's daily consumption of fluoride should optimally be kept at around 0.05-0.07 milligrams per kilogram of body weight, or an amount equal to one-tenth of a grain of salt per two pounds of weight.
The two main therapeutic fluoride sources have limits to help maintain this balance: utilities that fluoridate drinking water are required to add no more than 4 parts fluoride per million (ppm) of water; toothpaste manufacturers likewise only add a small amount of fluoride compared to clinical gels and pastes dentists apply to teeth for added decay protection.
But drinking water and toothpaste aren't the only sources of fluoride your child may encounter. Even if you have a non-fluoridated water supply, you should still keep a close watch on the following items that could contain fluoride, and discuss with us if you should take any action in regard to them.
Infant formula. The powdered form especially if mixed with fluoridated water can result in fluoride concentrations 100 to 200 times higher than breast or cow's milk. If there's a concern, use fluoride-free distilled or bottled spring water to mix formula.
Beverages. Many manufacturers use fluoridated water preparing a number of packaged beverages including sodas (two-thirds of those manufactured exceed .6 ppm), soft drinks and reconstituted fruit juices. You may need to limit your family's consumption of these kinds of beverages.
Certain foods. Processed foods like cereals, soups or containing fish or mechanically separated chicken can have high fluoride concentrations, especially if fluoridated water was used in their processing. When combined with other fluoride sources, their consumption could put children at higher risk for fluorosis.
Toothpaste. Although mentioned previously as a moderate fluoride source, you should still pay attention to how much your child uses. It doesn't take much: in fact, a full brush of toothpaste is too much, even for an adult. For an infant, you only need a smear on the end of the brush; as they grow older you can increase it but to no more than a pea-sized amount.
If you would like more information on fluoride and how it strengthens teeth, 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 “Fluoride & Fluoridation in Dentistry.”
Regular dental visits are just as important for healthy teeth and gums as daily brushing and flossing. Not only will these visits reduce the amount of hidden or hard to reach bacterial plaque (the main source of dental disease), but they'll also boost the chances problems with teeth and gums are caught early and treated.
A lifetime habit of dental visits should begin around your child's first birthday, but children can be stressed or even frightened by trips to the dentist. This could stick with them, causing them to avoid regular dental visits when they become adults. The absence of professional dental care could prove hazardous to their dental health.
Here then are some things you can do to “de-stress” your child's dental visits.
Begin and sustain regular visits early. By not waiting a few years after age one, your child has a better chance of viewing it and subsequent visits as a normal part of life.
Choose a “kid-friendly” dentist. A pediatric dentist is trained not only for dental issues specific to children, but also in creating a comfortable environment for them. Some general dentists are also skilled with children, taking the time to talk and play with them first to ease any anxiety.
Stay calm yourself. Perhaps you've discovered, often in an embarrassing fashion, that your children are watching you and taking cues on how to act and react. Be sure then to project a sense of ease and a “nothing to this” attitude, rather than nervousness or anxiety. Your child will follow your lead.
Set the example. Speaking of following your lead, your children will intuitively pick up whether you're serious about your own dental health, which could influence them. So be sure you practice what you preach: daily oral hygiene, a dental-friendly diet and, of course, your own regular visits to the dentist. Your actions about your own dental care really will speak louder than words.
If you would like more information on effective dental care for your child, 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 “Taking the Stress out of Dentistry for Kids.”
Let’s say you’re traveling to Italy to surprise your girlfriend, who is competing in an alpine ski race… and when you lower the scarf that’s covering your face, you reveal to the assembled paparazzi that one of your front teeth is missing. What will you do about this dental dilemma?
Sound far-fetched? It recently happened to one of the most recognized figures in sports — Tiger Woods. There’s still some uncertainty about exactly how this tooth was taken out: Was it a collision with a cameraman, as Woods’ agent reported… or did Woods already have some problems with the tooth, as others have speculated? We still don’t know for sure, but the big question is: What happens next?
Fortunately, contemporary dentistry offers several good solutions for the problem of missing teeth. Which one is best? It depends on each individual’s particular situation.
Let’s say that the visible part of the tooth (the crown) has been damaged by a dental trauma (such as a collision or a blow to the face), but the tooth still has healthy roots. In this case, it’s often possible to keep the roots and replace the tooth above the gum line with a crown restoration (also called a cap). Crowns are generally made to order in a dental lab, and are placed on a prepared tooth in a procedure that requires two office visits: one to prepare the tooth for restoration and to make a model of the mouth and the second to place the custom-manufactured crown and complete the restoration. However, in some cases, crowns can be made on special machinery right in the dental office, and placed during the same visit.
But what happens if the root isn’t viable — for example, if the tooth is deeply fractured, or completely knocked out and unable to be successfully re-implanted?
In that case, a dental implant is probably the best option for tooth replacement. An implant consists of a screw-like post of titanium metal that is inserted into the jawbone during a minor surgical procedure. Titanium has a unique property: It can fuse with living bone tissue, allowing it to act as a secure anchor for the replacement tooth system. The crown of the implant is similar to the one mentioned above, except that it’s made to attach to the titanium implant instead of the natural tooth.
Dental implants look, function and “feel” just like natural teeth — and with proper care, they can last a lifetime. Although they may be initially expensive, their quality and longevity makes them a good value over the long term. A less-costly alternative is traditional bridgework — but this method requires some dental work on the adjacent, healthy teeth; plus, it isn’t expected to last as long as an implant, and it may make the teeth more prone to problems down the road.
What will the acclaimed golfer do? No doubt Tiger’s dentist will help him make the right tooth-replacement decision.
If you have a gap in your grin — whatever the cause — contact us or schedule an appointment for a consultation, and find out which tooth-replacement system is right for you. You can learn more in the Dear Doctor magazine articles “Dental Implant Surgery” and “Crowns & Bridgework.”
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