During your lifetime you’ll eat thousands of meals — and generate a lot of force from chewing over the years. But thanks to a support system of gum tissues and bone, your teeth can normally handle it.
What your teeth can’t handle, though, are higher than normal chewing forces on a continual basis. This can happen if you grind your teeth, which can produce 20-30 times the normal force. The habit often arises in adults because of high stress and often occurs during sleep.
These abnormal forces can stretch the periodontal ligaments that hold teeth in place, cause the teeth to become loose and at increased risk for loss. The best treatment strategy is to reduce clenching with, for example, muscle relaxants or anti-inflammatory drugs or lower the effects with a mouth guard that won’t allow the teeth to make solid contact during clenching.
Your teeth can also become loose even with normal chewing forces if you have advanced periodontal (gum) disease. Gum disease arises from dental plaque, a thin film of bacteria and food particles left on teeth due to poor oral hygiene. As it builds up, it causes inflammation of the gum tissues resulting in bone loss and causing the gums to detach from the teeth, increasing pocket depth.
Our first step in this case is to treat the gum disease by removing plaque and calculus (tartar) from all tooth and gum surfaces. This includes infected areas below the gum line and around the roots, a circumstance that could require surgical access.
As treatment progresses in either of these scenarios the gum tissues heal and often regain their attachment to the teeth. But that can take time, so we may need to stabilize any loose teeth in the short term. The most common way is to splint them to other secure teeth. This is done by using a clear acrylic bonding material to join the loose teeth together with a strip of metal or other rigid material (like joining pickets in a fence).
When symptoms arise, quick action is the key to preventing lost teeth. If you notice swollen, painful or bleeding gums or especially loose teeth, don’t delay — contact us so we can begin treatment as soon as possible.
If you would like more information on the causes and treatments for loose 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 “Loose Teeth.”
What's an actor's most important feature? According to Vivica A. Fox, whose most recent big-screen role was in Independence Day: Resurgence, it's what you see right up front.
"On screen, your smile and your eyes are the most inviting things that bring the audience in" she said. "Especially if you play the hot chick."
But like lots of people, Vivica reached a point where she felt her smile needed a little help in order to look its best. That's when she turned to a popular cosmetic dental treatment.
"I got veneers years ago," Ms. Fox told Dear Doctor magazine in a recent interview, "just because I had some gapping that probably only I noticed."
What exactly are dental veneers? Essentially, they are thin shells of lustrous porcelain that are permanently attached to the front surfaces of the teeth. Tough, lifelike and stain-resistant, they can cover up a number of defects in your smile — including stains, chips, cracks, and even minor spacing irregularities like the ones Vivica had.
Veneers have become the treatment of choice for Hollywood celebs — and lots of regular folks too — for many reasons. Unlike some treatments that can take many months, it takes just a few appointments to have veneers placed on your teeth. Because they are custom made just for you, they allow you to decide how bright you want your smile to be: anywhere from a natural pearly hue to a brilliant "Hollywood white." Best of all, they are easy to maintain, and can last for many years with only routine care.
To place traditional veneers, it's necessary to prepare the tooth by removing a small amount (a millimeter or two) of its enamel surface. This keeps it from feeling too big — but it also means the treatment can't be reversed, so once you get veneers, you'll always have them. In certain situations, "no-prep" or minimal-prep veneers, which require little or no removal of tooth enamel, may be an option for some people.
Veneers aren't the only way to create a better smile: Teeth whitening, crowns or orthodontic work may also be an alternative. But for many, veneers are the preferred option. What does Vivica think of hers?
"I love my veneers!" she declared, noting that they have held up well for over a decade.
Dentures can be an effective and affordable solution for people who've lost all their teeth. With them a person can once again eat nutritiously, speak clearly and smile confidently — and with regular care they can last for years.
As part of that ongoing care, be sure you consider one important thing with your dentures: you may want to take them out at night while you sleep. If you do you'll lessen your chances of developing these 4 health problems.
Accelerated bone loss. Traditional dentures are fitted to rest securely on the gums. This, however, creates pressure on the gums and the bony ridges beneath them that can contribute to bone loss. Wearing dentures around the clock usually accelerates this process, which could eventually lead to among other problems looser denture fit and discomfort.
Bacterial and fungal growth. Microorganisms that cause oral diseases find conducive breeding spots on the underside of dentures while they're worn in the mouth. Studies have found that people who continuously wear their dentures are more likely to have bacterial plaque and oral yeast than those that don't.
Potentially dangerous infections. Bacterial and fungal growth increases your risk of oral infections that could affect more than your mouth. A recent study of elderly nursing home residents found those who wore their dentures during sleep were over twice as likely to develop serious cases of pneumonia requiring hospitalization. It's believed bacteria harbored on the dentures can pass from the mouth to the lungs as a person breathes over them while they sleep.
Blocked salivary flow. During the night our salivary flow naturally ebbs; wearing dentures while we sleep could cause denture stomatitis, in which the tissues covered by a denture (particularly along the roof of the mouth) become inflamed and infected with yeast. It's often accompanied by angular cheilitis or cracking at the corners of the mouth that becomes infected by the same yeast.
Wearing your dentures while you sleep contributes to conditions ranging from irritating to life-threatening. To prevent such problems clean your dentures as well as the rest of your mouth regularly — and talk to your dentist whether you should leave them out when you go to bed.
If you would like more information on denture care, 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 “Sleeping in Dentures.”
If we could go back in time, we all probably have a few things we wish we could change. Recently, Dr. Travis Stork, emergency room physician and host of the syndicated TV show The Doctors, shared one of his do-over dreams with Dear Doctor magazine: “If I [could have] gone back and told myself as a teenager what to do, I would have worn a mouthguard, not only to protect my teeth but also to help potentially reduce risk of concussion.”
What prompted this wish? The fact that as a teenage basketball player, Stork received an elbow to the mouth that caused his two front teeth to be knocked out of place. The teeth were put back in position, but they soon became darker and began to hurt. Eventually, both were successfully restored with dental crowns. Still, it was a painful (and costly) injury — and one that could have been avoided.
You might not realize it, but when it comes to dental injuries, basketball ranks among the riskier sports. Yet it’s far from the only one. In fact, according to the American Dental Association (ADA), there are some two dozen others — including baseball, hockey, surfing and bicycling — that carry a heightened risk of dental injury. Whenever you’re playing those sports, the ADA recommends you wear a high-quality mouth guard.
Mouthguards have come a long way since they were introduced as protective equipment for boxers in the early 1900’s. Today, three different types are widely available: stock “off-the-shelf” types that come in just a few sizes; mouth-formed “boil-and-bite” types that you adapt to the general contours of your mouth; and custom-made high-quality mouthguards that are made just for you at the dental office.
Of all three types, the dentist-made mouthguards are consistently found to be the most comfortable and best-fitting, and the ones that offer your teeth the greatest protection. What’s more, recent studies suggest that custom-fabricated mouthguards can provide an additional defense against concussion — in fact, they are twice as effective as the other types. That’s why you’ll see more and more professional athletes (and plenty of amateurs as well) sporting custom-made mouthguards at games and practices.
“I would have saved myself a lot of dental heartache if I had worn a mouthguard,” noted Dr. Stork. So take his advice: Wear a mouthguard whenever you play sports — unless you’d like to meet him (or one of his medical colleagues) in a professional capacity…
Bacteria are bad… right? They can cause diseases like pneumonia, strep throat, and tooth decay. They are the reason we wash our hands with soap (or antibacterial gels) and cook (or refrigerate) our food. Yet it turns out that bacteria are also necessary to keep our bodies healthy — and new research is showing just how important these tiny microorganisms are to our well-being. Here are five facts you should know about bacteria.
The bacteria in our bodies outnumber our cells by a factor of 10 to 1. An estimated 100 trillion bacteria live inside the average human — but because they’re so small, they make up only 1-3 percent of our body mass.
The collection of bacteria we harbor is called our “microbiome.” Like the groundbreaking study of human DNA called the Human Genome Project, recent research is leading to a “map” of our bacterial makeup. This revolutionary study is called — you guessed it — the Human Microbiome Project.
No two people have exactly the same microbiome. But in general, the bacteria that live in a particular spot on the body (the mouth, for example) play the same roles in different individuals. Research has also shown that a healthy microbiome looks very different from a diseased microbiome.
In terms of bacteria, the mouth is one of the best-understood areas of the body. It has long been known that tooth decay can result when “bad” oral bacteria begin to outnumber their “good” counterparts. Now we are gaining a better understanding of how certain lifestyle factors — like cigarette smoking — may influence the bacterial balance in the mouth.
Understanding the microbiome may lead to new treatments for disease. Researchers hope that one day, certain serious diseases could be controlled by bacterial “transplants” that re-balance an individual’s microbiome. Maintaining a healthy microbiome could also help prevent many diseases.
So by all means, don’t stop brushing your teeth or washing your hands — this helps control bacteria that could harm you — but do remember that not all bacteria are harmful. One day, an infusion of bacteria might just cure your illness.
This website includes materials that are protected by copyright, or other proprietary rights. Transmission or reproduction of protected items beyond that allowed by fair use, as defined in the copyright laws, requires the written permission of the copyright owners.