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family dentistry

What Happens During a Dental Exam?

Understanding the importance of undergoing a dental exam is something everyone needs to do. While many people think this type of dental appointment simply looks for cavities, it is in fact an appointment that supports good oral health. This is because a dental professional will look for a number of different types of dental problems that can potentially cause dental-related problems.

Categories
whitening

The Art of Teeth Whitening

Teeth whitening of many kinds have become increasingly popular in recent years. Though our teeth are mostly white overall, tooth enamel can be many shades and can become discolored or stained over time. Teeth may be discolored for a variety of reasons—some in your control and others as a result of injury or illness.

The American Academy of Cosmetic Dentistry asked people what they would like to improve most about their smile and the most common answer was the whiteness of their teeth. Similarly, the American Association of Orthodontics found that nearly 90% of patients requested tooth whitening. So, if you’ve been thinking about whitening your teeth lately, you’re not alone.

If you’re considering teeth whitening, be sure you know the facts about the process and what to expect. You should also check with your dental provider to make sure you’re a candidate for teeth whitening and to learn the best whitening method for your unique situation.

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whitening

Charcoal Toothpaste: A Dentist’s Perspective

Charcoal toothpaste is one of the trending topics in beauty these days, but why? You’ve likely seen it on social media, the use of activated charcoal in face masks, as supplements and even as toothpaste! It’s all due to its detoxification properties. However, just like many home remedies, there are skeptics and proponents. Let’s take a look at both sides and end with the recommendation from the American Dental Association.

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Dental Hygiene

Oral Yoga Asanas, Its Role, Instructions, and Reason for Healthy Teeth

There are numerous times when we get in contact with some unprotected ways that increase the chances of oral issues. Of course, brushing and flossing, dental insurance, and following good oral hygiene are crucial. But getting a habit of practising yoga can have an immense impact on your oral health through yoga asana (oral).

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Package

Jaw Popping and Clicking: Causes and Treatments

A clicking sound in Jaw that leads to sanctions of pain is called Jaw Popping. There are numerous reasons for its occurrences, like opening the mouth too wide or issues in the functionality of temporomandibular joints. This is one of the complex joints in our body that works as a connector between the lower jaw and the temporal bones.

The temporomandibular joint is useful for the need for motion like yawning, speaking, and chewing food.

So, the Jaw Clicking is a condition called temporomandibular disorder (TMD).

Categories
orthodontics

Aligners Vs Braces – The Big Choice

Smile correction is the third-largest treatment category in the field of dentistry. Along with a shiny and bright smile, straightened and aligned teeth are now one of the prime requisites for many people in India. The benefits of orthodontic treatment do not end with a straight smile. It also aids in maintaining proper oral hygiene, preventing decay, and getting rid of many underlying gum diseases. But one of the major questions arises in the mind of many when it comes to getting orthodontic treatment done. The decision between aligners vs braces. This virtual tool will help you solve your problem and get a proper answer. Let us discuss this in detail.

The choice between aligners and braces depends on various factors, including your specific orthodontic needs, preferences, lifestyle, and the recommendation of your orthodontist. Here’s an overview of aligners and braces to help you make an informed decision:

Aligners (e.g., Invisalign):

  1. Appearance: Aligners are clear, removable trays that fit over your teeth. They are virtually invisible, making them a popular choice for individuals who prefer a more discreet orthodontic treatment option.
  2. Comfort: Aligners are generally more comfortable than braces because they have smooth edges and don’t involve any wires or brackets that can irritate the gums or soft tissues of the mouth.
  3. Removability: Aligners can be removed for eating, brushing, and flossing, which allows for more flexibility and ease of maintaining oral hygiene. It also means there are no dietary restrictions, as you can eat whatever you like without worrying about damaging brackets or wires.
  4. Treatment Process: Aligners work by gradually shifting your teeth into the desired position through a series of custom-made trays. You typically switch to a new set of aligners every 1-2 weeks. Regular visits to the orthodontist are required to monitor progress and receive new sets of aligners.

Braces:

  1. Effective for Complex Cases: Braces are a versatile orthodontic treatment option and can effectively correct various complex dental issues, such as severe misalignment, bite problems, and overcrowding.
  2. Treatment Control: Braces allow for precise control and targeted movement of teeth. Orthodontists can use different types of brackets, wires, and other appliances to achieve specific tooth movements and address more challenging orthodontic cases.
  3. Compliance: Braces are fixed appliances, meaning they are not removable. This can be an advantage for individuals who may be tempted to remove aligners frequently or struggle with consistent wear. Braces are always working, providing continuous tooth movement.
  4. Cost: The cost of braces can vary depending on the complexity of the case, the type of braces chosen (metal, ceramic, or lingual), and the duration of treatment. In some cases, braces may be a more cost-effective option compared to aligners.

It’s important to consult with an orthodontist to evaluate your specific orthodontic needs and discuss the pros and cons of aligners versus braces in your case. They will consider factors such as the complexity of your orthodontic issues, your lifestyle, oral hygiene habits, and treatment goals to recommend the most suitable option for you.

Categories
family dentistry

A Family Dentist Shares How to Save a Tooth That Gets Knocked Out

According to one family dentist, just because  a tooth knocked out does not mean there is no way to save it. In fact, if you lose one, you have several options. Whether knocked out in a car accident, while playing sports or due to tooth decay, do not despair. Start by looking at the tips provided and talking to your dentist.

Categories
Cosmetic Dentistry dental surgery

Why You Should Consider a Dental Implant for Tooth Replacement

Those with one or more missing teeth can choose between tooth replacement options like a dental implant, a traditional bridge, or dentures. Bridges and dentures used to be the norm, but they are not suitable for everyone. Due to reasons like soreness, discomfort, and poor fit, you may need to consider a different tooth replacement option that provides the feel and function that closely matches natural teeth.

Categories
family dentistry

Dental Cavitations: Definition, Facts, & Myths

What are dental cavitations?

There’s a lot of misinformation out there about dental cavitations. Some patients have been “led astray” because their doctors have misdiagnosed a dental cavitation.

Also, the fact that two major dental conditions sound similar can be confusing: dental cavitation and dental cavity.

A dental cavitation is a term that is used to describe an area of damage in the jawbone. The dictionary defines a “cavitation” as an empty space formed within a solid object or body.

“Cavitation” is not a medical term, although it is used by dentists and other healthcare professionals.

A dental cavitation is an area of infection, inflammation, or necrosis within the jawbone.

If not treated correctly, it will fester, and toxic elements could spread to other areas of the body.

On the other hand, a dental cavity (known by dentist as “dental caries”) is an area of break down in the structure of a tooth caused by acids produced by specific bacteria. It also is known as tooth decay where infection is eating into the enamel, dentin, or the root structure of a tooth.

If you truly have a “dental cavitation” in your jawbone, this can be a serious problem. Proper treatment could lead to an expensive surgical procedure to “repair” it.

But some patients are misdiagnosed with a dental cavitation. The dentist might see an area of “demineralization” in the jawbone that is not pathologic. If this demineralized area is treated as a true dental cavitation, it could lead to unnecessary surgery and significant expense.

Since “cavitation” is not a recognized dental term or condition, there is much confusion revolving around its diagnosis and treatment. In my opinion, misdiagnosis is an error that may be understandable. Yet, overdiagnosis of dental cavitations is fraud in my opinion and could lead to unnecessary treatment, high cost, and pain.

Let’s take a deeper dive into this area. I’ll describe some facts about “dental cavitations”.

Medical Terminology

The accepted medical term for a dental cavitation is “cavitational osteonecrosis” or “ischemic osteonecrosis”.

Some professionals that are not in the “know” will classify this jawbone disease as a sham. However, it is definitely real and definitely could cause isolated as well as systemic destruction.

This type of lesion may be a hollow space surrounded by dead bone, or it may be filled with various inflammatory, toxic, or infectious elements.

One of the problems with a dental cavitation is that most of these lesions are painless. However, if there is pain, they are usually called “Neuralgia-Inducing Cavitational Osteonecrosis” (NICO).

As I mentioned, these bone lesions must be diagnosed correctly. “Cavitation lesions” that are only areas of demineralization with no pathology rarely need to be treated. A good dentist will not convince you to treat this kind of demineralization if s/he knows there is no pathology.

Diagnosis of Cavitations

As I have suggested, dental cavitations may be difficult to diagnose. It is difficult or impossible to see these lesions when viewing a regular single dental periapical x-ray or a panoramic dental x-ray.

A panoramic x-ray shows the upper and lower jaw, the teeth, and the sinus spaces.

Most dental x-rays are 2-dimensional pictures of specific areas of your jaw and teeth. However, the jaw and teeth are three-dimensional structures. So, a 2-dimensional x-ray flattens the 3-dimensional object into a picture that shows minimal detail. More detail is required to identify potential areas of cavitational osteonecrosis.

To see this lesion in detail, the dentist should have the patient receive a 3-dimensional picture of the jaw. This can be done with a Cone Beam CT Scan (CBCT) of the potential lesion.

But before any x-ray is taken, the dentist must review the dental and medical history of the patient to determine the possible causes of the bone lesion before making the diagnosis.

Causes of Dental Cavitations

Dental cavitations in the jawbone could be the result of a variety of insults to the bone. Here are 5 possible causes:

  • Some type of trauma to the bone causing a blockage of blood flow could cause bone cells to die, thereby creating a hollow space within the bone.
  • Following an improperly performed procedure to extract a tooth could leave infection or debris in the bone socket, which could result in a dry socket and eventually a dental cavitation.
  • Overheating the bone during a dental procedure using cutting drills could cause the bone to die, leading to cavitational osteonecrosis.
  • A tooth abscess penetrating into the bone and becoming isolated within the bone could form a bone lesion.
  • Continuing infection at the base of a tooth root, which has a failing root canal, could be the culprit.

Linking Dental Cavitations to Chronic Disease

When harmful bacteria and toxic substances accumulate in the hollow space in a bone lesion, the immune system is activated via the mouth-body connection. Various biologically active chemicals are produced which can travel along nerve sheaths, through bone spaces, within lymph, and into the systemic bloodstream.

These biological chemicals and toxic substances can affect other cells and organs in the body — creating chronic systemic inflammation, chronic diseases, and chronic pain.

It is important to realize that pain and chronic disease could occur a distance from the jawbone lesion. This is another reason why it may be difficult to understand that the dental lesion caused an area of pain and chronic disease somewhere else in the body.

Treatment of Dental Cavitations

Dental cavitations, also known as “cavitation lesions” or “NICO” (Neuralgia-Inducing Cavitational Osteonecrosis), are areas of dead or necrotic bone in the jawbone that can be associated with infections and inflammation. Treating dental cavitations typically involves a comprehensive approach that may include the following steps:

  1. Diagnosis: A thorough evaluation is crucial to diagnose dental cavitations accurately. This may involve a combination of clinical examination, dental imaging (such as panoramic X-rays, cone beam computed tomography), and potentially, other diagnostic tests.
  2. Surgical intervention: The most common treatment for dental cavitations is surgical debridement. The affected area of necrotic bone is removed to promote healing and prevent further infection. The surgical procedure may be performed by a dentist or oral surgeon who is experienced in this type of treatment. The technique used may vary, but it often involves removing the affected bone, cleaning the area, and promoting proper healing.
  3. Biopsy and culture: In some cases, a biopsy may be taken during the surgical procedure to examine the tissue and determine if any specific pathogens are present. Culturing the extracted material can help identify the type of bacteria or other microorganisms responsible for the infection, which can guide targeted treatment if necessary.
  4. Adjunctive therapies: Depending on the specific case, additional therapies may be recommended to support healing and reduce inflammation. These can include the use of antimicrobial rinses or systemic antibiotics, as well as natural remedies to promote tissue healing.
  5. Follow-up care: After the surgical treatment, proper post-operative care is essential. This typically involves instructions for maintaining oral hygiene, taking any prescribed medications, and scheduling follow-up visits to monitor healing and address any concerns.

It’s important to note that the existence and treatment of dental cavitations can be a controversial topic within the dental community, and not all dentists or oral surgeons may consider them as a valid diagnosis or recommend surgical intervention. It is advisable to seek professional opinions from dentists who are experienced in diagnosing and treating cavitations or consult with a dental professional who specializes in holistic or biological dentistry, as they may have more expertise in this area.

Please note that I am an AI language model and cannot provide personal medical advice or specific treatment recommendations. It’s best to consult with a qualified dental professional for an accurate diagnosis and personalized treatment plan.

Categories
Bruxism

Teeth Grinding (Bruxism): Causes and Treatments

The majority of individuals clench and grind their teeth regularly. Teeth grinding, also known as bruxism, is not normally harmful, but when it occurs frequently, teeth can be destroyed, and other dental health issues might ensue.

Why do Individuals Grind Their Teeth?

Teeth grinding, also known as bruxism, is a common condition where individuals involuntarily clench, gnash, or grind their teeth. There can be multiple factors contributing to teeth grinding, including:

  1. Stress and anxiety: High levels of stress and anxiety are often associated with teeth grinding. It can be a subconscious response to release tension or a manifestation of emotional or psychological stress.
  2. Malocclusion: Misaligned teeth or an improper bite (malocclusion) can cause grinding as an individual tries to find a comfortable resting position for their jaw.
  3. Sleep disorders: Bruxism can be related to sleep disorders such as sleep apnea, where breathing interruptions during sleep can trigger teeth grinding as the body attempts to reopen the airway.
  4. Medications and substances: Certain medications, such as selective serotonin reuptake inhibitors (SSRIs) used to treat anxiety and depression, can increase the risk of teeth grinding. Additionally, the use of substances like alcohol, caffeine, or recreational drugs may exacerbate bruxism.
  5. Lifestyle factors: Lifestyle habits like excessive consumption of caffeine, tobacco, or alcohol, as well as the use of recreational drugs, can contribute to teeth grinding.
  6. Maladaptive coping mechanisms: Some individuals may unconsciously develop teeth grinding as a maladaptive coping mechanism for dealing with frustration, anger, or tension.
  7. Dental issues: Dental problems like missing teeth, crooked teeth, or an abnormal bite can lead to bruxism. Pain or discomfort in the teeth, jaw, or temporomandibular joint (TMJ) can also trigger grinding.
  8. Age and genetics: Bruxism can be more prevalent in certain age groups, with children commonly experiencing it due to jaw growth or teething. Additionally, there may be a genetic predisposition to teeth grinding.

It’s important to note that teeth grinding can have negative consequences on oral health, leading to tooth wear, chipped or cracked teeth, jaw pain, headaches, and temporomandibular joint disorders. If you suspect that you or someone you know may be grinding their teeth, it is advisable to consult a dentist or healthcare professional who can evaluate the situation and recommend appropriate treatment options, such as mouthguards, stress management techniques, or dental interventions.

What Causes Teeth Grinding in People?

Teeth grinding is not commonplace and is harmless. If you grind your teeth daily, though, you may be inflicting harm on your teeth. The very first line of treatment for teeth grinding is to figure out what’s causing it.

Typical teeth grinding causes involve:

  • Anxiety and stress
  • Bite that is uneven or misplaced
  • Teeth that are missing, broken, or crooked
  • Sleep apnea and other sleep problems
  • Depression medication
  • Neurological illnesses like Huntington’s disease and Parkinson’s disease

Teeth Grinding Symptoms

The symptoms of bruxism could be the only approach to distinguish if you bash your teeth at night in some cases. Check for the following signs:

  • Persistent dull headache
  • Sore jaw
  • Others can hear a grinding sound you make while sleeping.
  • Excessive Tooth Wear

Tip: Teeth grinding causes dental loss if left unchecked. Brushing twice a day with an enamel-strengthening toothpaste can assist in mitigating the loss.

How Do I Identify Whether I Am Grinding My Teeth at Night?

Most individuals are unsure that they gnash their teeth since it frequently occurs during sleep. A dull, continuous headache or aching jaw when you awaken, on the other hand, is a definite sign of bruxism. People frequently discover that they gnash their teeth from a close one who hears it at night.

Consult your orthodontist if you believe you are crushing your teeth. They can look for indicators of bruxism in your teeth and jaw, including jaw pain and excessive tooth wear.

Is Teeth Grinding Bad For Health?

Yes, teeth grinding, also known as bruxism, can have negative consequences on both oral health and overall well-being. Here are some potential health problems associated with chronic teeth grinding:

  1. Tooth damage: The constant grinding and clenching of teeth can lead to excessive wear, chipping, cracking, or fracturing of teeth. This can weaken the tooth structure and may require dental interventions such as fillings, crowns, or even extractions in severe cases.
  2. Jaw pain and TMJ disorders: Bruxism can cause pain, soreness, or fatigue in the muscles of the jaw, face, and neck. It may also contribute to temporomandibular joint (TMJ) disorders, which involve dysfunction and pain in the jaw joint. TMJ disorders can result in difficulty in jaw movement, popping or clicking sounds, headaches, and facial pain.
  3. Headaches: The excessive pressure and muscle tension from teeth grinding can contribute to tension-type headaches and migraines. These headaches can be frequent and debilitating.
  4. Sleep disturbances: Teeth grinding often occurs during sleep, leading to disrupted sleep patterns for both the person grinding their teeth and their sleep partner. The grinding noises can be disruptive and may cause sleep disruptions, leading to daytime fatigue and decreased quality of life.
  5. Damage to dental restorations: Individuals with dental restorations such as fillings, crowns, or bridges may experience damage to these restorations due to the excessive forces exerted during teeth grinding. This can lead to the need for repairs or replacements.
  6. Gum problems: The constant grinding motion can irritate the gums and cause gum recession, leading to gum disease and tooth sensitivity.
  7. Facial muscle hypertrophy: Chronic bruxism can cause the muscles in the face and jaw to become overdeveloped and hypertrophied, leading to an enlarged or square-shaped jaw appearance.

It is important to seek evaluation and treatment from a dentist or healthcare professional if you suspect that you grind your teeth. They can provide guidance on managing the condition and protecting your oral health. Treatment options may include stress management techniques, behavior modification, wearing a mouthguard or splint, dental interventions, and addressing any underlying causes or contributing factors.

Treatment For Teeth Grinding

Your orthodontist can make you a mouth shield to prevent you from crushing your teeth at night. If you smash your teeth because of stress, consult a doctor or dentist about relaxing ways. Some teeth grinding treatments that may be suggested include stress counselling, beginning an exercise program, consulting a physical therapist, or getting treatment for muscle relaxants. Other suggestions for preventing teeth grinding include:

  • Caffeine-containing foods and beverages, such as colas, chocolate, and coffee, should be avoided or limited.
  • Avoid consuming alcohol. After consuming alcohol, grinding tends to become more intense.
  • Do not chew on pencils, pens, or other non-food items. Chewing gum causes your jaw muscles to become accustomed to clenching, increasing your chances of grinding your teeth.
  • Practice not clenching or grinding your teeth. If you find yourself clenching or grinding your teeth throughout the day, place the base of your tongue over your teeth. This exercise helps you control your jaw muscles.
  • Place a wet washcloth on your face in front of your ears at bedtime to calm your jaw muscles.