Your tooth enamel is often under assault from oral acid produced by bacteria and certain foods. Unless neutralized, acid can erode your enamel, and lead to destructive tooth decay.
But there's another type of acid that may be even more destructive—the acid produced in your stomach. Although important for food digestion, stomach acid outside of its normal environment can be destructive. That includes your teeth, if stomach acid finds its way into your mouth. And that can happen if you have gastroesophageal reflux disease (GERD).
GERD, a chronic condition affecting 1 in 5 adults, is caused by the weakening of the lower esophageal sphincter, a ring of muscle at the intersection of the esophagus and the stomach that prevents stomach acid from traveling back into the digestive tract and damaging the esophageal liner.
It's also possible for stomach acid to travel as far up as the mouth. With a pH of 2.0 or less, stomach acid can lower the mouth's normal pH level of 7.0 well below the 5.5 pH threshold for enamel softening and erosion. This can cause your teeth, primarily the inside surfaces of the upper teeth, to become thin, pitted or yellowed. Your teeth's sensitivity may also increase.
If you have GERD, you can take precautions to avoid tooth damage and the extensive dental work that may follow.
- Boost acid buffering by rinsing with water (or a cup of water mixed with a ½ teaspoon of baking soda) or chewing on an antacid tablet.
- Wait about an hour to brush your teeth following a reflux episode so that your saliva has time to neutralize acid and re-mineralize enamel.
- If you have chronic dry mouth, stimulate saliva production by drinking more water, chewing xylitol gum or using a saliva supplement.
You can also seek to minimize GERD by avoiding tobacco and limiting your consumption of alcohol, caffeine or spicy and acidic foods. Your doctor may also prescribe medication to control your GERD symptoms.
Preventing tooth decay or gum disease from the normal occurrences of oral acid is a daily hygiene battle. Don't let GERD-related acid add to the burden.
If you would like more information on protecting your teeth from acid reflux, 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 “GERD and Oral Health.”
Imagine that the IRS wants to audit you, but the dog ate your receipts. Or you hit a $50 million Lotto jackpot, but your ticket went through the wash. Or maybe you're about to see your new dentist, but you don't have your past dental records.
Humdrum as they may seem, records are important—so much so that they have their own month. That's right: April is Records and Information Management Month. Though perhaps not as exciting as National Poetry Month, this is still a good time to consider how records keep your life and health on track—especially regarding your mouth.
Your dental records contain information on all your office visits, imaging (yep, all those x-rays), diagnoses and treatments. Just like other healthcare records, they're privacy-protected under The Health Insurance Portability and Accountability Act (HIPAA).
Your dental records may also contain information about other aspects of your overall health that could impact your long-term dental care. With all that information, dental records are important to your ongoing care, and should be available wherever you receive treatment—even if you change to a new dentist.
Which can happen? Your long-time dentist may retire—or maybe you move to another state. You may just decide you'd be happier with another dentist. But regardless of why your provider changes, your dental needs don't.
Without your records, your new dentist starts your care virtually from scratch, having to generate a new patient history and perform additional x-rays or examinations. And they won't have the benefit of nuances available to a dentist who may have treated you for a long time. But with your dental records in hand, they can often pick up where your other dentist left off without missing a beat.
It's in your oral health's best interest, then, to ensure your dental records transfer from your former dentist to your new one. Legally, these records are the property of the dentist, but you're entitled to a copy or to have them transmitted directly to another provider. You may, however, have to pay for any supplies and labor involved with printing, copying or mailing the records.
Do you feel awkward asking your former dentist to send your records to a new one? Not a problem—ask your new dentist to request them for you. Even if you have an unpaid balance, your former dentist is legally required to comply with the transfer.
When it comes to your oral health, “What is past is prologue.” The dental care you receive today and tomorrow depends on the care you received yesterday. Your dental records help make sure it's a seamless progression.
If you would like more information about the importance of dental records, please contact us or schedule a consultation.
The mouth is a crowded place with nerves, blood vessels and sinus cavities sharing common space with the teeth and gums. Although important in their own right, these structures can also hinder treatment for complex dental situations like dental implant surgery or impacted teeth.
Treating these and similar situations depends on getting an accurate depiction of “what lies beneath.” Conventional x-rays help, but their two-dimensional images don't always give the full picture. There's another way—cone beam computed tomography (CBCT).
Similar to CT scanning, CBCT uses x-ray energy to take hundreds of “sliced” images that are then re-assembled with special software to create a three-dimensional model viewable on a computer screen. CBCT is different, though, in that it employs a scanning device that revolves around a patient's head, which emits a cone-shaped beam of x-rays to capture the images.
A dentist can manipulate the resulting 3-D model on screen to study revealed oral structures from various angles to pinpoint potential obstacles like nerves or blood vessels. The detailed model may also aid in uncovering the underlying causes of a jaw joint disorder or sleep apnea.
CT technology isn't the only advanced imaging system used in healthcare. Another is magnetic resonance imaging (MRI), which excites hydrogen atoms in water molecules. This produces different vibration rates in individual tissue structures, which are then translated into detailed images of these structures. Unlike CT or CBCT, MRI doesn't use x-ray energy, but rather a magnetic field and radio waves to produce the atomic vibrations.
But while providing good detail of soft tissues, MRI imaging doesn't perform as well as CBCT with harder tissues like bone or teeth. As to the potential risks of CBCT involving x-ray radiation exposure, dentists follow much the same safety protocols as they do with conventional x-rays. As such, they utilize CBCT only when the benefits far outweigh the potential x-ray exposure risks.
And, CBCT won't be replacing conventional x-rays any time soon—the older technology is often the more practical diagnostic tool for less invasive dental situations. But when a situation requires the most detailed and comprehensive image possible, CBCT can make a big difference.
If you would like more information on advanced dental diagnostics, 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 “Getting the Full Picture With Cone Beam Dental Scans.”
When dental implants hit the scene in the 1980s, they revolutionized the field of dental restorations. But as groundbreaking as they were then, they're even more advanced now.
Some of the advancements have to do with improvements in implant design and manufacturing. Implant sizes and shapes were once quite limited, but today they come in a variety of forms to better match the types of teeth they replace.
But there has also been important progress in complementary technologies that help us realize better outcomes. Many of these other advances have had a positive impact on the planning and surgical stages of implant installation.
CT/CBCT scanning. For the best outcome, it's critical to install an implant at the most appropriate location on the jaw. This can be difficult to determine, however, because of the location of oral and facial structures like nerves or sinuses that might interfere with implant placement. But using a type of computer tomography (CT) scanning called cone beam CT, we can produce a 3-D computer graphic image that helps us navigate possible obstructions as we pinpoint the ideal location for an implant.
Digital smile displays. We're now able to produce digital models of the mouth, which can assist with more than implant placement—we can also use them to visualize what a new smile with implants will look like before we install them. This is especially helpful in situations where only a few teeth need to be replaced: We want to ensure that the new implant crowns blend seamlessly with the remaining teeth for the most natural appearance.
Custom-made surgical guides. We've been using surgical guides to mark the exact drilling locations during implant surgery for many years. But 3-D printing technology can now help us produce surgical guides that are even more useful and precise. Using a 3-D printer, we can produce oral devices based on the patient's individual dental dimensions captured through digital scanning. That produces a better fit for the guide on the teeth and more accurate implant placement.
Together, these and other technological advances are helping us achieve even more successful results. Not only can they help us produce implant outcomes that can last for years or even decades, but also the most beautiful smiles possible.
If you would like more information on dental implant restorations, 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 “How Technology Aids Dental Implant Therapy.”
Enamel is the hardest substance in the human body, and for good reason—it's your teeth's first line of defense against wearing and harmful oral bacteria. But although enamel can “take a licking and keep on ticking,” it can lose its mineral content, soften and eventually erode to expose the teeth to bacteria.
Here are 4 tips for protecting your enamel so it keeps on protecting you.
Practice sound brushing techniques. Brushing is necessary for removing bacterial plaque that can trigger dental disease. But how you brush could prove not only ineffective, but also harmful to your enamel. So, be sure you're brushing all tooth surfaces, but not too forcefully or too often (twice a day is enough)—otherwise, you could wear down enamel and damage your gums.
Wait to brush after eating. The acid levels in the mouth go up during eating, causing an immediate softening of enamel. But saliva then goes to work neutralizing acid and helping to restore enamel's mineral content. Since it takes saliva about thirty minutes to an hour to complete this task, wait on brushing at least that long. Otherwise, you might remove tiny traces of temporarily softened enamel.
Avoid eating right before bed. While we sleep, our saliva flow decreases until we wake up. If you eat just before bed, you may not be giving your saliva enough time to neutralize acid before it “goes to sleep” with you for the night. So, give your saliva ample time to neutralize any remaining acid by not eating anymore at least an hour before you turn in.
Limit drinking acidic beverages. Some of our favorite drinks—sodas, energy and sports drinks, and even some juices—can be high in acid. To protect your enamel, reduce your consumption of these types of beverages in favor of water or milk (the calcium in the latter will also benefit your enamel). When you do drink acidic beverages, use a straw to minimize contact of the fluid with your enamel.
Healthy and strong enamel is the key to healthy and strong teeth. It's worth taking these steps to protect this important defense against destructive tooth decay.
If you would like more information on personal 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 “6 Tips to Help Prevent the Erosion of Tooth Enamel.”
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