We like to think we're more prone to stress in our modern, fast-paced world than those who lived in "simpler" times, but a finding from the recent discovery of Richard the III's remains in England suggests differently. Investigators noted the king had well-worn teeth, perhaps from grinding them out of stress.
We can't be sure this was the cause for the king's dental problems, or if teeth grinding was common in the 15th Century. But we are sure the problem exists today among adults.
Tooth grinding is the grinding, gnashing or clenching of teeth involuntarily when not engaged in regular dental functions like eating or speaking. It can occur while a person is awake, but most often while they're asleep.
The habit regularly occurs in children, but is not considered a major problem as most outgrow it by adolescence, usually with no lingering damage. Not so with adults: Because the habit generates abnormally high biting forces, teeth grinding can lead to accelerated tooth wear. It can also weaken teeth, making them more susceptible to fracture or disease.
People who grind their teeth will typically awaken with sore jaws or the complaints of family members about the loud chattering noise emitted during an episode. If you suspect a problem, you should see your dentist for a definitive diagnosis, and to learn how to reduce its occurrence and effects.
Treatments for the habit vary depending on underlying causes. They may involve lifestyle changes like quitting tobacco, limiting alcohol or altering your use of certain drugs or medications. Because stress is often a major factor, learning better relaxation techniques through meditation, group therapy or biofeedback may also help reduce teeth grinding.
These treatments, though, can take time, so you may also need ways to minimize the effects of the habit in the meantime. One of those ways is for your dentist to create an occlusal guard that you wear while you sleep. The guard prevents the teeth from making solid contact, thus reducing the potential biting forces.
It's important, then, to see your dentist as soon as possible if you suspect you're grinding your teeth. Finding out as early as possible and then taking positive steps to stop or reduce its effect can save your teeth from a good deal of harm.
If you would like more information on teeth grinding, 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 “Teeth Grinding.”
For several decades, dentists have been saving teeth from tooth decay following a few basic guidelines: 1) Identify decay as soon as possible; 2) Thoroughly remove decayed tooth structure; and 3) Fill any cavities. With millions of diseased teeth rescued, observing these simple steps have proven a rousing success.
But as with most things, even this successful protocol isn't perfect. For one, some healthy tissue gets removed along with the diseased portions. The average percentage of "collateral damage" has dropped over the years, but it still happens—and a reduction in healthy tissue can make a tooth less structurally sound.
Another drawback, at least from the patient's perspective, is the dental drill used for removing decay and preparing cavities for filling. Many people find drilling unpleasant, whether from its vibrations in the mouth or its high-pitched whine. The drill's burr head design also contributes to greater healthy tissue loss.
But those weaknesses have lessened over the last few years, thanks to innovations on a number of fronts.
Better risk management. Tooth decay doesn't occur out of thin air—it arises out of risk factors unique to an individual patient like personal hygiene, bacterial load, saliva production or even genetics. Taking the time to identify a patient's "tooth decay risk score" can lead to customized treatments and practices that can minimize the occurrence of decay.
Earlier detection. Like other aspects of dental health, the sooner we detect decay, the less damage it causes and the more successful our treatment. X-rays remain the workhorse for detecting decay, but now with improvements like digital film and better equipment. We're also using newer technologies like laser fluorescence and infrared technology that can "see" decay that might otherwise go undetected.
Less invasive treatment. The dental drill is now being used less with the advent of air abrasion technology. Air abrasion utilizes a concentrated spray of particles to remove diseased tooth structure more precisely than drilling. That means less healthy tissue loss—and a more pleasant (and quieter!) experience for the patient.
In effect, "less is more" could describe these improvements to traditional decay treatment. They and other methods promise healthier teeth and happier patients.
If you would like more information on current treatments for tooth decay, 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 “Minimally Invasive Dentistry: When Less Care is More.”
A popular Sixties-era hair cream touted their product with the tagline, "A little dab'll do ya!" In other words, it didn't take much to make your hair look awesome.
Something similar could be said about fluoride. Tiny amounts of this "wonder" chemical in hygiene products and drinking water are widely credited with giving people a big boost in protection against tooth decay.
A Colorado dentist is credited with first noticing fluoride's beneficial effects early in the Twentieth Century. Although many of his patients' teeth had brownish staining (more about that in a moment), he also noticed they had a low incidence of cavities. He soon traced the effect to fluoride naturally occurring in their drinking water.
Fast forward to today, and fluoride is routinely added in trace amounts to dental care products and by water utilities to the drinking water supply. It's discovery and application have been heralded as one of the top public health successes of the Twentieth Century.
Fluoride, though, seems a little too amazing for some. Over its history of use in dental care, critics of fluoride have argued the chemical contributes to severe health problems like low IQ, cancer or birth defects.
But after several decades of study, the only documented health risk posed by fluoride is a condition called fluorosis, a form of staining that gives the teeth a brown, mottled appearance (remember our Colorado residents?). It's mainly a cosmetic problem, however, and poses no substantial threat to a person's oral or general health.
And, it's easily prevented. Since it's caused by too much fluoride in prolonged contact with the teeth, fluorosis can be avoided by limiting fluoride intake to the minimum necessary to be effective. Along these lines, the U.S. Public Health Service recently reduced its recommended amounts added to drinking water 0.7 milligrams per liter (mg/L) of water. Evidence indicated fluoride's effectiveness even at these lower amounts.
You may also want to talk with your dentist about how much fluoride your family is ingesting, including from hidden sources like certain foods, infant formula or bottled water. Even if you need to reduce your family's intake of fluoride, though, a little in your life can help keep your family's teeth in good health.
If you would like more information on the benefits of fluoride in dental 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 “Fluoride & Fluoridation in Dentistry.”
During the COVID-19 quarantines, stir-crazy celebrities have been creating some “unique” home videos—like Madonna singing about fried fish to the tune of “Vogue” in her bathroom or Cardi B busting through a human-sized Jenga tower. But an entertaining Instagram video from Kevin Bacon also came with a handy culinary tip: The just-awakened film and TV actor showed fans his morning technique for cutting a mango to avoid the stringy pulp that gets between your teeth. After cutting a mango in half, he scored it lengthwise and crosswise to create squares and then turned the mango inside out for easy eating.
With his mango-slicing video garnering over a quarter-million views, the City on a Hill star may have touched a nerve—the near universal annoyance we all have with food stuck between our teeth. Trapped food particles aren't only annoying, they can also contribute to a bacterial film called dental plaque that's the top cause for tooth decay and gum disease.
Unfortunately, it's nearly impossible to avoid stuck food if you love things like popcorn, poppy-seed muffins or barbecue ribs. It's helpful then to have a few go-to ways for removing food caught between teeth. First, though, let's talk about what NOT to use to loosen a piece of stuck food.
A recent survey of more than 1,000 adults found that when removing something caught between our teeth, we humans are a creative lot. The makeshift tools that survey respondents said they've used in a pinch included twigs, safety pins, screwdrivers and nails (both the hammer and finger/toe variety). Although clever, many such items are both unsanitary and harmful to your gums and tooth enamel, especially if they're metallic or abrasive.
If you want a safe way to remove unwanted food debris, try these methods instead:
Brush your teeth: The gentle abrasives in toothpaste plus the mechanical action of brushing can help dislodge trapped food.
Use dental floss: A little bit of dental floss usually does the trick to remove wedged-in food—and it's easy to carry a small floss container or a floss pick on you for emergencies.
Try a toothpick. A toothpick is also an appropriate food-removing tool, according the American Dental Association, as long as it is rounded and made of wood.
See your dentist. We have the tools to safely and effectively remove trapped food debris that you haven't been able to dislodge by other means—so before you get desperate, give us a call.
You can also minimize plaque buildup from food particles between teeth by both brushing and flossing every day. And for optimally clean teeth, be sure you have regular dental office cleanings at least twice a year.
Thanks to Kevin Bacon's little trick, you can have your “non-stringy” mango and eat it too. Still, you can't always avoid food getting wedged between your teeth, so be prepared.
If your budget gets squeezed, cutting non-essential expenses can be a wise move. But think twice before lumping dental care into that category—postponing dental visits or treatment could put your long-term dental health at risk.
True, dental treatments can get expensive, so it's tempting to let a routine visit slide or put off treatment for an obvious problem. But dental problems usually don't go away on their own—rather, they worsen. When you do get around to treatment, you'll pay and endure more than if you had tackled the issue earlier.
The key isn't cutting out dental care altogether, but to sync your limited financial resources with your dental needs. Here are 4 tips to help you do that.
Focus on the long-term. Twice-a-year cleanings and checkups are the minimum investment you should make toward good dental health. Besides lowering your disease risk, these appointments are key to a long-term care plan. By evaluating your on-going health and assessing your personal risk for dental disease, we can formulate a plan that addresses current problems and prevents future ones.
Take care of your mouth. The single most important thing you can do to protect yourself against destructive dental diseases is to practice daily oral hygiene. Brushing and flossing removes dental plaque, the bacterial film on teeth most responsible for tooth decay and gum disease. You can further boost healthy teeth and gums by eating foods rich in vitamins and minerals.
Restore teeth temporarily. We may be able to treat or restore affected teeth with temporary materials that give you time to prepare financially for a more permanent solution later. Durable but low-cost materials like resin bonded glass ionomers for repairing decayed teeth, or a partial denture to replace teeth can get you by until you're ready for a crown or dental implants.
Manage your costs. There are different ways to minimize your dental expenses or spread them out over time to make it easier on your budget. You may be able to lower expenses with dental insurance or a dental savings plan. Your provider may also have payment plans that allow you to finance your fees over time.
If you would like more information on affordable dental 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 “Cost-Saving Treatment Alternatives.”
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