Posts for: April, 2013
Every pregnant woman knows that her body will go through a series of profound changes as it's making a new life. Along with the alterations in overall size and changes in eating and sleeping patterns, pregnancy also affects the teeth and gums. Here are some answers to common questions women may have about oral health during pregnancy.
1) What's the most important thing I can do for my baby's oral health?
Maintain your own dental and general health! Eat a healthy and balanced diet — it provides the nutrients, vitamins and minerals needed for proper development of your baby's teeth and bones. While food cravings and aversions are common, try to at least limit your intake of sugary snacks to mealtimes. Don't neglect the good habits of brushing, flossing, and seeing your dentist regularly. This will help minimize the possibility of tooth decay or gum disease.
2) Does pregnancy make me more susceptible to gum disease?
Yes. “Pregnancy gingivitis” (“gingival” – gum tissue; “it is” – inflammation of) may develop from the second to the eighth month. This is mostly due to elevated hormone levels. In the presence of gum disease, pregnancy hormones may stimulate the production of prostaglandins, which cause inflammation of gum tissues. Occasionally, benign growths called “pregnancy tumors” may also appear on the gums during the second trimester. If they don't resolve themselves, these may be surgically removed after the baby is born.
3) With all my other concerns right now, why is the health of my teeth and gums so important?
Several studies have shown a link between periodontal (gum) disease, pre-term delivery and low birth weight — conditions which put some newborns at greater risk for health complications. There's also a correlation between more severe periodontal disease and an increased rate of pre-eclampsia, a potentially serious condition. But treating periodontal disease decreases the level of inflammation-causing prostaglandins. That's one reason why you should come into our office for an evaluation as soon as you know you're expecting.
4) Is it safe to get dental treatments while I'm pregnant?
Dental examinations and routine treatment during pregnancy is generally safe for both mom and baby. If you need non-urgent dental care, it may be most comfortable in the first five months of pregnancy. Situations requiring urgent care are managed as they arise, to treat pain and infection and to reduce stress to the developing fetus. Under the watchful eye of your dentist, it's possible to have anesthesia, X-rays and dental medications (if needed) without undue risk. So don't let worries about dental treatments keep you from coming in for a check-up!
If you would like more information about pregnancy and oral 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 articles “Pregnancy and Oral Health,” and “Expectant Mothers.”
All parents want their child to have an attractive smile and good strong healthy teeth; but it may be difficult for parents to know if their young children's teeth are coming in the way they should. Parents may not know that it is also important that the upper and lower jaws need to be in proper alignment for a properly functioning bite.
As a child's permanent teeth come in, the teeth may be too crowded, or they may have spaces between them that are too large. They can have protruding teeth, extra or missing teeth, or problems with jaw growth. Sometimes children have malocclusions (“mal” – bad; “occlusion” – bite) that were caused by thumb sucking or other problems. If you wait to seek treatment until all of the child's permanent teeth have come in, and facial and jaw growth are nearly complete, correction of problems will be more difficult and the potential to encourage jaw growth in a positive direction may be lost.
When a little can go a long way
Whether a malocclusion is obvious or not it is important to have an orthodontic evaluation at an early age. Experts advise having an orthodontic evaluation some time before the age of 7. At 7, a child's permanent (adult) teeth have begun to come in but they still have some primary (baby) teeth left. If necessary, it's a good time to intercept and make a big difference for a little treatment.
Treatment that begins while a child's teeth are erupting or coming in, is called “interceptive orthodontics.” It provides an opportunity for the best results in orthodontic treatment. It can also include working with the child's facial growth and jaw development to assure that the upper and lower jaws align together effectively. It can often be done with simple removable appliances rather than full braces.
Orthodontics (“ortho” – straight; “odont” – tooth) is a sub-specialty of dentistry that is devoted to the study and treatment of malocclusions. Your general or pediatric dentist may recommend that our child consult with an orthodontist. Orthodontists are dentists who specialize in the growth and development of the teeth and jaws, as well as directing proper growth by moving the teeth into correct position.
Come to see us early for an orthodontic evaluation, while it's still easy to make a big improvement in your child's future smile.
Contact us today to schedule an appointment or to discuss your questions about orthodontia in children. You can also learn more by reading the Dear Doctor magazine article “Early Orthodontic Evaluation.” Or the article “The Magic of Orthodontics.”
Rock star Steven Tyler fell and broke his two front teeth while on tour with his band Aerosmith not long ago. But Tyler was back on stage the very next day, thanks to modern dental implant technology.
Dental implants are the most optimal tooth replacement system in use today. The reason we say “system” is because replacing teeth with implants involves two, or sometimes three, components: the implant itself, which replaces the root-part of the tooth; the dental crown that sits on top of it to replace the part of the tooth that's visible in the mouth; and a connecting piece placed in between the implant and crown, known as an abutment.
The implant itself, made of titanium, is placed directly into the jawbone with a minor surgical procedure. Titanium has the unique ability to fuse to bone, creating a very strong connection. An implant provides virtually the same function as a natural tooth root, including stabilizing the bone underneath and preventing its loss — something that naturally occurs when a tooth is lost.
This fusion process takes a period of weeks, which is why the implant needs time to heal before a permanent crown is attached. One reason for early implant failure is “loading” them with biting forces too soon. But in experienced hands, implants are extremely successful. Documented research and clinical studies indicate success rates of over 95% — which is higher than any other tooth replacement option. Once integrated and functional, implants can last a lifetime. That's why, though they are a bit more expensive initially than other tooth-replacement options, they are more cost-effective in the long term.
Of course, another advantage of implants is that they look and feel completely natural. Just ask Steven Tyler!
If you would like more information about dental implants, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “Dental Implants.” Dear Doctor also has more on “The Hidden Consequences of Losing Teeth.”
For decades, dental amalgam — the common “silver” fillings found in the mouths of millions — was the best option for restoring teeth after the removal of decay. This time-tested material is still going strong, but in recent years it's had serious competition from newer restoration techniques that use tooth-colored substances to make fillings. If you've heard of these new materials and want to know more, you can start with the following five facts.
1) Filling materials must match the properties of natural teeth.
When properly cared for, teeth are strong, resilient, and superbly functional. A good filling material should mimic the strength and durability of natural teeth under biting forces. It should also last a long time in the mouth, be relatively easy to place, and be economical in cost. In the past, amalgam fillings were the best choice to do the job. But that was then.
2) Tooth-colored filling materials offer similar benefits, plus aesthetic appeal.
Composite resins and dental porcelains are tough, durable materials that have been found to hold up well under years of use. Unlike traditional silver fillings, however, they match the appearance of natural teeth quite closely. This means that even a restoration in the front of the mouth may be virtually undetectable. And who wouldn't like that?
3) Tooth-colored resins may allow more conservative treatment in decay removal.
In order to keep them securely in place, amalgam (silver) fillings may require “undercutting,” which removes more of the tooth structure. The process involved in bonding tooth-colored restorations, however, generally requires removal of less tooth material. This means a stronger base for rebuilding the tooth's structure.
4) Different treatment methods are used for different degrees of tooth restoration.
Small cavities can be treated by direct “chairside” techniques, which are very similar to the methods used for traditional amalgam (silver) fillings: in one brief visit, it's all done. When a greater volume of tooth structure must be replaced, we may be able to create a larger tooth-colored filling in a longer visit. Or, we might need to have a special restoration made to match your teeth; then, you can come back to have it securely bonded for a natural and long-lasting result.
5) Both amalgam and tooth-colored fillings are safe and effective.
Each has advantages and disadvantages in particular cases. But as the technology of tooth-colored filling systems evolves, some dental researchers have heralded the beginning of the “post-amalgam era.” Are tooth-colored fillings right for your individual situation? We're the ones to ask.
If you would like more information about tooth-colored fillings, 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 “The Natural Beauty of Tooth-Colored Fillings.”