Posts for: April, 2013
Dry mouth is a condition that many of us have experienced at some point in life. However, for some people it is a problem that can wreak havoc on their lives. This is why we have put together this list of questions we are most frequently asked about dry mouth.
What is dry mouth?
The medical term for dry mouth is “xerostomia” (“xero” – dry; “stomia” – mouth) and it affects millions of people in the US alone. It is caused by an insufficient flow of saliva, the liquid produced by the salivary glands. These glands are located in the inside cheeks of the mouth by the back top molars and in the floor (under the tongue) of the mouth. When functioning properly, they produce two to four pints of liquid every 24 hours.
Can drugs contribute to dry mouth?
Yes, both prescription and over-the-counter (OTC) drugs can cause dry mouth. This is one reason we so often find it in senior citizens, as they are typically on more medications than younger, healthier people.
What about diseases...can they cause dry mouth?
Certain systemic (general body) and autoimmune (“auto” – self; “immune” – resistance system) diseases, in which the body reacts against its own tissue, can cause dry mouth. Other diseases that can be the culprit include: diabetes, Parkinson's disease, cystic fibrosis, and AIDS (Acquired Immune Deficiency Syndrome). Radiation and chemotherapy used to treat head and neck cancers can inflame, damage or destroy the salivary glands—thus causing dry mouth.
Are there any remedies for dry mouth?
Yes! If medication is the primary cause of your dry mouth, there may be other, similar drugs that can be substituted that do not produce the same side effect. If you feel this describes your situation, discuss your concerns with the prescribing physician. Another option is taking an OTC or prescription saliva stimulant to temporarily relieve the dryness. Or, you can suck on a candy made with xylitol, a natural sugar substitute, four to five times a day. Xylitol has been shown to help stimulate the production of saliva with the added benefit of reducing the odds of getting cavities.
Your son has fallen and hit his face against a hard surface. Not only is he in pain but now there is also a chip missing from his front tooth. He is worried that his smile will never be the same. What should you do?
Answer: If you can find that missing chip, sometimes we can bond the fragment back on to the tooth. The tooth should be evaluated and repaired as soon as possible, although in the absence of other signs and symptoms of injury, and if your child is not in acute pain, it can probably wait up to 12 hours.
If the fragment can't be found, then the tooth can be restored with tooth-colored filling materials, which are also physically bonded to the natural tooth. Done well, these “composite resin” fillings can last for years and look perfectly natural. They may eventually need to be replaced with something more permanent.
If the chipped tooth is a child's primary (baby) tooth rather than a permanent (adult) tooth, the treatment will be similar.
However, a blow to a tooth can cause damage to the pulp — the living tissue within the tooth, which can become infected and die. If the damage to a primary tooth is too extensive it may be better to remove it to avoid damage to an underlying and developing permanent tooth. A place-holding appliance called a space maintainer may be used. If it is a permanent tooth it may need root canal treatment.
If a tooth is not chipped but is loosened or tender to the touch, it may require temporary stabilization, called splinting, until it has healed. Sometimes no treatment is required. If there has been a fracture to the tooth's root (the part below the gum line) it may heal by itself, or it may require further treatment especially if it is a permanent tooth, depending on the individual situation.
It is important to evaluate teeth that have been hit or damaged as a result of injury to ensure that they remain healthy and functional. We will keep track of the tooth or teeth, with observation, x-rays when necessary and monitoring over time to make sure no permanent damage has been done.
Contact us today to schedule an appointment or to discuss your questions about repairing a chipped tooth. You can also learn more by reading the Dear Doctor magazine article “The Field-Side Guide to Dental Injuries.”
Clothing and hair styles may come and go, but a dazzling smile is always in fashion! If you're considering options for perking up your appearance, brightening your pearly whites is a quick and affordable way to achieve eye-catching results.
You have several choices when it comes to teeth whitening. But to get the safest, most appropriate, and most satisfying results, you should start with a proper dental examination. A professional assessment of your oral health can determine the cause of your tooth discoloration and may reveal the need for a particular treatment before, or in addition to brightening the color of your teeth.
When we talk about teeth whitening, we generally are referring to “bleaching,” which actually returns your teeth to their natural tooth color. A thorough cleaning — generally part of a routine checkup — often can remove surface discoloration/staining (such as coffee, tea, tobacco or red wine).
There are basically three approaches for external bleaching/whitening of your teeth. They vary based on the strength of the bleaching solution, method of application, duration of treatment, and cost considerations.
Professional In-Office Whitening. This approach involves the carefully controlled application by a dental professional of a powerful and fast-acting concentration of hydrogen peroxide gel. Professional whitening can achieve the most significant color change in the shortest amount of time, but it is pricier than the other options.
Professionally Dispensed Take-Home Whitening Kits. These include a lower-strength peroxide gel applied via flexible plastic bleaching trays custom made by our office specifically for your teeth. The tailored fit of the trays helps ensure an even and thorough coating. A more affordable option than the in-office procedure, it also requires more time to achieve similar results.
Over-the-Counter Products. These feature the lowest-concentration bleaching gel, which is applied to the teeth using one-size-fits-all trays or strips, or a paint-on applicator. While they are the least expensive option, they take the longest to achieve maximum results and may not reach all teeth.
If you have questions about teeth whitening, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Teeth Whitening” and “Important Teeth Whitening Questions Answered.”
We all know that dentistry can do amazing things these days to give you the smile you've always dreamed of. With the latest cosmetic and restorative dental techniques, it is possible to achieve amazingly natural-looking results. But how do we map out the best route to a better smile? And how do we know that the results will hold up over time?
Every individual has a unique set of conditions in his or her mouth and it is our job to figure out how you have come to your present state, dentally speaking. We need to correct or at least manage any factors that could risk the success of your treatment. These risk factors fall into four basic categories:
Periodontal Risk — This involves the condition of the structures that support your teeth, including your gum and bone tissue. It's important to establish good periodontal health before we perform any restorative or cosmetic procedures.
Biomechanical Risk — This has to do with the structural integrity of your teeth. We will look at whether any tooth structure has been lost due to decay, and take steps to reduce your susceptibility to decay if necessary.
Functional Risk — This relates to your bite: how your teeth, muscles and jaw joints are functioning. For example, do you have excessive tooth wear or joint pain? If so, you are at a higher risk in this category and we need to figure out why.
Aesthetic Risk — This is the most subjective of the categories as beauty is in the eye of the beholder. Still, if you display a lot of your teeth and gums when you smile, any issues you have (gum recession, for example) will be that much more visible and affect your smile more. We will have to take this into account when we plan your treatment.
Only when we have determined how best to minimize your risk in all four of these categories can we restore or enhance your smile in a way that will not only look great but also last as long as possible.
If you have any questions about cosmetic or restorative dental treatment, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “Successful Dental Treatment: Getting the Best Possible Results.”