Friday, December 30, 2016
Have you ever wondered why we take X-rays?
#CottonwoodFamilyDental #Dentist #DentalClinic #GeneralDentistry #DentalCare #CosmeticDentist #Orthodontist #Orthodontics #Braces #OralHealth #Teeth #DentalHealth #DentalCare #Floss #Flossing #Cavity #TeethCleaning #OralHygienist #MurrayDentist #MurrayOrthodontist #MurrayDentalClinic #MurrayUtah #Utah
Are you brushing your teeth thoroughly? Check out the image below to find out.
#CottonwoodFamilyDental #Dentist #DentalClinic #GeneralDentistry #DentalCare #CosmeticDentist #Orthodontist #Orthodontics #Braces #OralHealth #Teeth #DentalHealth #DentalCare #Floss #Flossing #Cavity #TeethCleaning #OralHygienist #MurrayDentist #MurrayOrthodontist #MurrayDentalClinic #MurrayUtah #Utah
Friday, December 9, 2016
Why You Grind Your Teeth At Night—and How to Stop
If you’re waking up with a dull headache, your teeth might be to blame
Feeling stressed can start in your mind, but the effects of it can quickly travel a few inches south to your jaw.
Since we tend to hold tension in our jaw and neck, continual anxiety can cause us to grind our teeth when we sleep. Dentists call this condition bruxism, and it can range from mildly annoying to seriously damaging. It's actually pretty common: 10 to 20 percent of adults deal with it, says Randy N. Downing D.D.S. So how do you know if you’re guilty of grinding? If you find yourself waking up with a dull Headache or an especially tense jaw, bruxism is probably to blame. The most common cause is stress, but bruxism can also be a side effect of a misaligned jaw or even some medications.
The issue with constant grinding is that it can really mess with your tooth enamel, making your teeth more sensitive.
The night grind can also cause or worsen temporomandibular joint disorder (TMJ), a painful chronic inflammation of the jaw joint and surrounding muscles.
TMJ is not necessarily a cause of grinding, though.
“People who have chronic TMJ pain are more likely to grind their teeth,” says Dr.Downing. “However, it’s a chicken and egg argument. We don’t know if TMJ pain causes one to grind their teeth or vice versa.”
So how can you avoid the painful effects? Aside from working on reducing your stress, avoid caffeine and alcohol, as they tend to worsen the jaw tension.
You can also have your dentist fit you with a mouth guard to keep your jaw relaxed and prevent your teeth from grinding at night.
Even though getting one from your dentist might cost you a little more money than the ones you find at the drugstore (they can be up to a few hundred dollars), it’s worth it.
Ill-fitting night guards often don’t cover the back molars, and since teeth tend to move if something isn’t stopping them, you could end up with a misaligned bite.
Dentists call this condition bruxism, and it can range from mildly annoying to seriously damaging.
Since we tend to hold tension in our jaw and neck, continual anxiety can cause us to grind our teeth when we sleep. Dentists call this condition bruxism, and it can range from mildly annoying to seriously damaging. It's actually pretty common: 10 to 20 percent of adults deal with it, says Randy N. Downing D.D.S. So how do you know if you’re guilty of grinding? If you find yourself waking up with a dull Headache or an especially tense jaw, bruxism is probably to blame. The most common cause is stress, but bruxism can also be a side effect of a misaligned jaw or even some medications.
The issue with constant grinding is that it can really mess with your tooth enamel, making your teeth more sensitive.
The night grind can also cause or worsen temporomandibular joint disorder (TMJ), a painful chronic inflammation of the jaw joint and surrounding muscles.
TMJ is not necessarily a cause of grinding, though.
“People who have chronic TMJ pain are more likely to grind their teeth,” says Dr.Downing. “However, it’s a chicken and egg argument. We don’t know if TMJ pain causes one to grind their teeth or vice versa.”
So how can you avoid the painful effects? Aside from working on reducing your stress, avoid caffeine and alcohol, as they tend to worsen the jaw tension.
You can also have your dentist fit you with a mouth guard to keep your jaw relaxed and prevent your teeth from grinding at night.
Even though getting one from your dentist might cost you a little more money than the ones you find at the drugstore (they can be up to a few hundred dollars), it’s worth it.
Ill-fitting night guards often don’t cover the back molars, and since teeth tend to move if something isn’t stopping them, you could end up with a misaligned bite.
Randy N. Downing, D.D.S.
Cottonwood Family Dental
Cottonwood Family Dental
Friday, November 25, 2016
Having a mouth full of dark-colored metal is so commonplace that many people don't know there's an alternative.
Metal-free restorations
For years, silver amalgam was the filling material used in dental practices. While amalgams are a perfectly reasonable restoration choice, they can have certain shortcomings. Metal fillings do not bond to the tooth and can actually mask decay in x-rays.Teeth with large metal fillings in them can also develop cracks over time due to expansion and contraction of the mercury. Left untreated, thee cracks get larger and can eventually require root canal treatment. Replacing metal fillings with tooth-colored composite fillings that form a stronger bond to the tooth can dramatically decrease tooth cracking, the chances for decay and the need for possible root canal treatment due to a fractured tooth.
Fillings aren't the only metal-free restorations available today. Dr. Downing also uses crowns made from the latest in modern ceramics as opposed to traditional crowns which are made from porcelain fused to metal. Over time gum tissue can recede which causes the metal inside the crown to become visible at the gum line. These ugly gray lines can make a once beautiful smile lose its luster.
Ceramic crowns are incredibly strong and long lasting restorations. and because they are completely bio-compatible there are no allergic reactions or tooth sensitivity problems. They look so natural that even dentists have a hard time spotting them!
If you want the option of modern, state-of-the-art restorations that are natural looking, contain no metals and can actually strengthen your teeth, give us a call today.
You deserve a smile that looks better and more natural without all the metal!
Call (801 262-4662 today!
We Love to see you Smile!
Randy N. Downing, D.D.S.
Monday, November 7, 2016
Why Your Gums Bleed After You Brush Your Teeth
Spitting pink into the sink every time you brush? It could signal a serious dental problem
If you spit pink every time you brush your teeth, you probably have gum disease.
How Gum Disease Gets Worse
The longer plaque stays there, the more inflammation and swelling it’ll cause around your gums. The simple act of brushing your teeth irritates the swollen gums, and makes them bleed.The problem: Most guys don’t even know they have gingivitis because it normally doesn’t cause pain until it worsens.
And you definitely don’t want it to get that point. If gingivitis is left untreated, it can turn into periodontitis, says Murray, Utah dentist Randy N. Downing D.D.S. Your teeth may loosen, or in extreme cases, fall out or need to be removed.
It can also affect more than your mouth: Gum disease is linked to an increased risk of heart disease diabetes, and stroke, too, according to the National Institute of Dental and Craniofacial Research.
How to Keep Your Teeth and Gums Healthy
The only way to get rid of or avoid gingivitis is to practice good oral hygiene. You should brush twice a day and floss every night to discourage plaque buildup.Make an appointment with your dentist, too. Guys with bleeding gums or signs of cavities—toothache, pain when you eat hot or cold food, or pain when you bite down—should get a cleaning every three months, says Dr. Downing.
A buildup of plaque—the cause of gum disease—also causes cavities.
If you don’t have any symptoms now, but have had cavities in the past, you should make an appointment every six months to a year, Dr. Downing says.
Monday, October 24, 2016
Dental Implants
Dental implants are a permanent replacement for lost teeth.
Because of their many advantages over dentures or bridges, many people
are interested in getting implants but have questions about the process,
cost and procedure. Below are the answers to some of the most commonly
asked questions about dental implants.
Implants are not something that you can get in just one or two dentist office visits. There are many steps on the journey towards implants, and the entire process can take about a year. During this time, you will always have temporary dentures to wear, so you will never have to be without teeth. There may be more than one dental professional involved in your implant process, such as a general dentist and oral surgeon. The entire implant plan can be laid out for you in the beginning so that you will know what to expect at every step of the way. There is always a possibility of changes to the plan along the way, but your dentists can keep you in the loop so that you will always be informed of what is happening.
The first thing most people wonder is if they personally can get implants, especially if they already wear dentures. The answer is often yes, but only a dentist can determine if an individual patient is a candidate for implants. Implants need healthy bone in the jaws, and bone begins to deteriorate as soon as teeth are lost. The longer you have been without teeth, the less likely it is that implants will work; however, there are different types of implants and methods to make implants possible even for people who have been toothless or worn dentures for a long time. Also, certain health conditions may increase the risk that your body will reject implants. It is important for the dentist to know your health history when determining if you are a candidate for dental implants.
The term “dental implants” actually refers to a variety of different types of implants and crowns. A single implant can replace one missing tooth with a titanium post that has an artificial tooth fixed to it. Full implants that replace all the teeth in the mouth may consist of several implants that support a row of crowns, while mini-implants may support removable dentures that are held in place by snapping on to the implants. Another type of popular dental implant needs only four implants to support an entire arch of teeth on the top or bottom.
Part of getting implants involves surgery, so you can expect the normal discomfort that goes along with any oral surgery. Modern pain management techniques keep this discomfort to a minimum, and there is no particular pain associated with actually having dental implants. In fact, because they are permanent, you won’t have to worry about the pain that often goes with dentures, such as getting food particles caught between your dentures and gums or getting sore spots from dentures that don’t fit correctly.
The cost of dental implants is higher than the cost of dentures or other tooth replacements, but over the years, implants may actually save you money. Unlike dentures, implants require no special cleaners or adhesives. A normal toothbrush and the toothpaste you buy for your family is all that is required. Dentures and bridges need frequent adjustments and complete replacement every several years, but implants can last a lifetime. The upfront cost of getting implants depends on a variety of factors including location of the dentist, the type of implants you are getting and the work that needs
How long does the implant procedure take?
Implants are not something that you can get in just one or two dentist office visits. There are many steps on the journey towards implants, and the entire process can take about a year. During this time, you will always have temporary dentures to wear, so you will never have to be without teeth. There may be more than one dental professional involved in your implant process, such as a general dentist and oral surgeon. The entire implant plan can be laid out for you in the beginning so that you will know what to expect at every step of the way. There is always a possibility of changes to the plan along the way, but your dentists can keep you in the loop so that you will always be informed of what is happening.
Will dental implants work for me?
The first thing most people wonder is if they personally can get implants, especially if they already wear dentures. The answer is often yes, but only a dentist can determine if an individual patient is a candidate for implants. Implants need healthy bone in the jaws, and bone begins to deteriorate as soon as teeth are lost. The longer you have been without teeth, the less likely it is that implants will work; however, there are different types of implants and methods to make implants possible even for people who have been toothless or worn dentures for a long time. Also, certain health conditions may increase the risk that your body will reject implants. It is important for the dentist to know your health history when determining if you are a candidate for dental implants.
Are all implants the same?
The term “dental implants” actually refers to a variety of different types of implants and crowns. A single implant can replace one missing tooth with a titanium post that has an artificial tooth fixed to it. Full implants that replace all the teeth in the mouth may consist of several implants that support a row of crowns, while mini-implants may support removable dentures that are held in place by snapping on to the implants. Another type of popular dental implant needs only four implants to support an entire arch of teeth on the top or bottom.
Are implants painful?
Part of getting implants involves surgery, so you can expect the normal discomfort that goes along with any oral surgery. Modern pain management techniques keep this discomfort to a minimum, and there is no particular pain associated with actually having dental implants. In fact, because they are permanent, you won’t have to worry about the pain that often goes with dentures, such as getting food particles caught between your dentures and gums or getting sore spots from dentures that don’t fit correctly.
How much do implants cost?
The cost of dental implants is higher than the cost of dentures or other tooth replacements, but over the years, implants may actually save you money. Unlike dentures, implants require no special cleaners or adhesives. A normal toothbrush and the toothpaste you buy for your family is all that is required. Dentures and bridges need frequent adjustments and complete replacement every several years, but implants can last a lifetime. The upfront cost of getting implants depends on a variety of factors including location of the dentist, the type of implants you are getting and the work that needs
Friday, October 21, 2016
6 Tooth brushing Mistakes You Make Every Morning
Perfect your technique and your smile with these fast fixes
“Your toothbrush should be the last thing your teeth touch at night,” says Randy N. Downing, D.D.S. a dentist in Murray, Utah.
Snacking before you sleep significantly raises your risk for cavities if food stays lodged in between your teeth.
Your morning method is equally important: Protective saliva production slows down when you snooze, spurring the bacteria in your mouth to multiply even faster.
Brush twice a day for at least 2 minutes, making sure you spend 30 seconds on each quadrant (your upper left teeth, your upper right teeth, and so on).
2. You use the wrong brush.
Pick a soft bristle toothbrush that can slip under your gum tissue and dislodge any plaque stuck there, Dr. Hewlett recommends. If the plaque isn’t removed, you increase your risk of developing gum disease.
Brushing with a medium or hard model—and using excessive pressure—can cause your gums to recede and expose the surface of your roots, or the bottom of your teeth. Since the root surface isn’t as hard as the exposed enamel-covered part of your teeth, scrubbing this area can wear it away more easily and cause little cavities, Dr. Downing says.
3. You follow the wrong technique.
A few straight strokes won’t get the job done. Position the handle of your brush so the bristles point at a 30- to 45-degree angle when they touch your gum tissue, Dr. Downing advises. Rotate your wrist in a circular motion to effectively remove the plaque, says Dr. Downing.
When you move behind your front teeth, you should turn your tool vertically to better reach the entire tooth. And make sure to give special attention to the back of your mouth, since that area normally hides the largest amount of plaque.
4. You don’t rinse.
Swallowing or spitting out your toothpaste doesn’t totally remove all the harmful stuff that you loosened while brushing. Use an alcohol-free mouthwash with hydrogen peroxide, suggests Chip W. Packer D.M.D. a dentist in Murray, Utah
Our picks: The acid-killing ACT Anticavity Fluoride ($5, drugstores) and Colgate Total Advanced Pro-Shield ($6, drugstores). If you don’t have any mouthwash handy, rinsing with water is better than nothing.
5. You ignore the rest of your mouth.
Your tongue traps harmful bacteria, too. Food or debris can easily get stuck in the crevices between the carpet-like strands, known as papillae, on the surface of your tongue.
6. You don’t replace your brush.
The ADA recommends buying a new brush every 3 or 4 months. (The average brush contains more than 10 million bacteria, according to a British study.) Worn bristles won’t effectively remove plaque or bacteria.
And if you’ve been sick, swap out your brush immediately. Residual bacteria and viruses from an illness can cling to the brush and potentially re-infect you.
Tuesday, October 11, 2016
How do you know if your dentist is telling the truth?
The Intra-oral camera
Sometimes as a patient you may not understand the treatment that is recommended by your dentist. With new modern technology you can now see EXACTLY what Dr. Downing and Dr. Packer sees! Cottonwood Family Dental has invested in an amazing new technology—the mini intra-oral camera--that actually allows our patients to see what we see inside the mouth during examination. Dr. Packer says, “It is sometimes difficult for patients to understand the need for care or home maintenance when they can’t see it for themselves. Dr. downing says "our patients can see everything we see so they completely understand our treatment recommendations.”
It can be easy to see, even for a patient, when a filling has broken down and needs restoration.
Your dentist can then give you options about the best way to restore a defective filling. The intra-oral camera can be a big help in allowing patients to be a part of their dental care decision.
Tuesday, October 4, 2016
How do you choose a good dentist?
I am a dentist, but like everyone else, my teeth need regular care to preserve them and make them as attractive as possible. So, just like everyone else, I go to the dentist to receive many of the procedures I deliver to my own patients.
When I sat down to write goals for my practice, it occurred to me that the kind of dentistry I want to give to my patients was exactly the kind of dentistry I wanted to receive. And I can assure you that I would hold my dentist to some pretty high standards.
I would want my dentist to see me as an individual, to know me personally and not merely treat me as a chart number or "the next patient." I would want my dentist to foster this relationship by knowing what is important to me and respecting me was a person. And I wouldn't want to be taken for granted, even years into the relationship.
Although I am probably as brave as the next person, I would prefer not to experience discomfort during my dental visit. I would want my dentist to have genuine concern for my comfort before, during and after my treatment. I would want my dentist to have thoroughly mastered pain free dental techniques.
Maybe I am spoiled but I get annoyed if I have to do too much waiting. I would prefer if my dentist and team were ready for me when I arrived and would really like it if I were the only patient there so the doctor and team could give me their full attention.
I am a stickler for quality. I am even willing to pay a little more if I am receiving top-of-the-line treatment. These teeth are the only ones I will ever have so I wouldn't choose my dentist because his or her fees were the lowest. I would choose a dentist who could provide me with the highest level of care, which is what I feel I deserve. I would appreciate someone who is painstakingly accurate in all the details of my treatment. So what I want as a dental patient is what I hope you want because the result of this kind of treatment is my true goal: optimal dental health and appearance.
If you want this kind of care, I would be happy to be your dentist.
Wednesday, September 21, 2016
Wednesday, September 14, 2016
6 Toothbrushing Mistakes You Make Every Morning
6 Tooth Brushing Mistakes You Make Every Morning
1. You don’t clean at the right time of day.
“Your toothbrush should be the last thing your teeth touch at night,” says Edmond R. Hewlett, D.D.S., a professor at the UCLA School of Dentistry. Snacking before you sleep significantly raises your risk for cavities if food stays lodged in between your teeth.
Your morning method is equally important: Protective saliva production slows down when you snooze, spurring the bacteria in your mouth to multiply even faster.
Brush twice a day for at least 2 minutes, making sure you spend 30 seconds on each quadrant (your upper left teeth, your upper right teeth, and so on).
2. You use the wrong brush.
Pick a soft bristle toothbrush that can slip under your gum tissue and dislodge any plaque stuck there, Dr. Hewlett recommends. If the plaque isn’t removed, you increase your risk of developing gum disease.
Brushing with a medium or hard model—and using excessive pressure—can cause your gums to recede and expose the surface of your roots, or the bottom of your teeth. Since the root surface isn’t as hard as the exposed enamel-covered part of your teeth, scrubbing this area can wear it away more easily and cause little cavities, Dr. Hewlett says.
3. You follow the wrong technique.
A few straight strokes won’t get the job done. Position the handle of your brush so the bristles point at a 30- to 45-degree angle when they touch your gum tissue, Dr. Hewlett advises. Rotate your wrist in a circular motion to effectively remove the plaque, says Dr. Hewlett.
When you move behind your front teeth, you should turn your tool vertically to better reach the entire tooth. And make sure to give special attention to the back of your mouth, since that area normally hides the largest amount of plaque.
4. You don’t rinse.
Swallowing or spitting out your toothpaste doesn’t totally remove all the harmful stuff that you loosened while brushing. Use an alcohol-free mouthwash with hydrogen peroxide, suggests Pia Lieb, D.D.S., a cosmetic dentist in New York City.
Our picks: The acid-killing ACT Anticavity Fluoride ($5, drugstores) and Colgate Total Advanced Pro-Shield ($6, drugstores). If you don’t have any mouthwash handy, rinsing with water is better than nothing.
5. You ignore the rest of your mouth.
Your tongue traps harmful bacteria, too. Food or debris can easily get stuck in the crevices between the carpet-like strands, known as papillae, on the surface of your tongue. See
6. You don’t replace your brush.
The ADA recommends buying a new brush every 3 or 4 months. (The average brush contains more than 10 million bacteria, according to a British study.) Worn bristles won’t effectively remove plaque or bacteria.
And if you’ve been sick, swap out your brush immediately. Residual bacteria and viruses from an illness can cling to the brush and potentially re-infect you.
“Your toothbrush should be the last thing your teeth touch at night,” says Edmond R. Hewlett, D.D.S., a professor at the UCLA School of Dentistry. Snacking before you sleep significantly raises your risk for cavities if food stays lodged in between your teeth.
Your morning method is equally important: Protective saliva production slows down when you snooze, spurring the bacteria in your mouth to multiply even faster.
Brush twice a day for at least 2 minutes, making sure you spend 30 seconds on each quadrant (your upper left teeth, your upper right teeth, and so on).
2. You use the wrong brush.
Pick a soft bristle toothbrush that can slip under your gum tissue and dislodge any plaque stuck there, Dr. Hewlett recommends. If the plaque isn’t removed, you increase your risk of developing gum disease.
Brushing with a medium or hard model—and using excessive pressure—can cause your gums to recede and expose the surface of your roots, or the bottom of your teeth. Since the root surface isn’t as hard as the exposed enamel-covered part of your teeth, scrubbing this area can wear it away more easily and cause little cavities, Dr. Hewlett says.
3. You follow the wrong technique.
A few straight strokes won’t get the job done. Position the handle of your brush so the bristles point at a 30- to 45-degree angle when they touch your gum tissue, Dr. Hewlett advises. Rotate your wrist in a circular motion to effectively remove the plaque, says Dr. Hewlett.
When you move behind your front teeth, you should turn your tool vertically to better reach the entire tooth. And make sure to give special attention to the back of your mouth, since that area normally hides the largest amount of plaque.
4. You don’t rinse.
Swallowing or spitting out your toothpaste doesn’t totally remove all the harmful stuff that you loosened while brushing. Use an alcohol-free mouthwash with hydrogen peroxide, suggests Pia Lieb, D.D.S., a cosmetic dentist in New York City.
Our picks: The acid-killing ACT Anticavity Fluoride ($5, drugstores) and Colgate Total Advanced Pro-Shield ($6, drugstores). If you don’t have any mouthwash handy, rinsing with water is better than nothing.
5. You ignore the rest of your mouth.
Your tongue traps harmful bacteria, too. Food or debris can easily get stuck in the crevices between the carpet-like strands, known as papillae, on the surface of your tongue. See
6. You don’t replace your brush.
The ADA recommends buying a new brush every 3 or 4 months. (The average brush contains more than 10 million bacteria, according to a British study.) Worn bristles won’t effectively remove plaque or bacteria.
And if you’ve been sick, swap out your brush immediately. Residual bacteria and viruses from an illness can cling to the brush and potentially re-infect you.
The $1 Habit That Could Save You Hundreds In Dental Bills Could Save
This $1 Habit Could Save You Hundreds In Dental Bills
During that full 12 hours in between brushes, bacteria could mess with your teeth’s enamel. And that might lead to cavities, root canals, capped teeth, and maybe even dentures down the road.
In fact, a recent UK study about tooth decay found that the National Health Service, England’s public health system, could save more than 8 million pounds—the cost of more than 360,000 dental checkups—a year if every 12-year-old starting chewing gum after eating.
While the study was backed by the Wrigley Company, which sells gum, there’s still definitely something to it.
“Anything we can do to reduce the amount of acid and bacteria in your mouth will help prevent tooth decay,” says Matthew Messina, D.D.S., a spokesperson for the American Dental Association. “And that means less dental work over time.”
Eating or drinking anything (other than water, of course) leaves residue that feeds bacteria.
As bacteria eat the sugars that hang out in your mouth, they produce acids that then wear away your enamel.
And there you go—you have less enamel-eating acid in your mouth.
For best results, Dr. Messina says, chew gum for at least 20 minutes after eating.
And make sure it’s sugar-free. Chewing gum that contains natural sugars will only fuel the bacteria.
Just remember—gum is a complement to your dental routine, not a replacement.
“There’s no better way to take care of your teeth than the usual brushing, flossing, and occasional check in with your dentist,” says Dr. Messina.
The article The $1 Habit That Can Save You Big Bucks Down The Road originally ran on Prevention.com.
Wednesday, August 24, 2016
HOW MUCH DOES A DENTAL IMPLANT COST?
At cottonwood family dental our complete implant cost including crown restoration is $3,594. If Insurance coverage is involved the fee may be lower bases on contract fees with the Insurance company. The fee may also vary based on necessary bone grafting or sinus surgery. The total fee can be broken down for each individual charge.
Code Fee
Custom Implant Hardware D6000 $ 300
Surgical Implant D6010 $ 1,494
Custom Crown Lab D6002 $ 375
Custom Abutment D6057 $ 604
Porcelain Crown D6058 $ 821
We use only the best materials from the most reputable companies like Keystone Dental. The crown abutments and implants are custom made for each case. We do not use stock abutments for any implant case.
If you have any further questions you can call us at 801-262-4662 or to schedule a free consultation to determine your best care.
Cottonwood Family Dental
Randy N. Downing, D.D.S.
Chip W. Parker, D.M.D.
6 Serious Health Problems Your Dentist Might Find
Your lips, teeth, and gums don’t lie—here’s what they can reveal about your overall health
In fact, we found 6 serious health conditions that could be first discovered while you’re getting your teeth cleaned.
1. Diabetes
Your dentist sees: Less spit than you should have. Dry mouth can signal a hidden case of diabetes, but you might not notice that parched feeling until your saliva production decreases by half, says Gigi Meinecke, D.M.D., F.A.G.D., spokesperson of the Academy of General Dentistry.
Your dentist’s trained eye can spot dryness much sooner. Chronic bad breath and slow healing when you burn or cut your mouth also might arouse suspicion.
What to do: According to a recent NYU study, your dentist may soon be able to screen for and control diabetes using blood collected from your gums during a routine visit. But until this test is widely available, see your primary care doctor for a physical and blood glucose check.
2. Acid reflux
Your dentist sees: Erosion in your bottom teeth. Any substance with a pH of 5.5 or lower can dissolve your tooth enamel—and gastric acid clocks in as low as 1.5, easily eating away at your pearly whites, Dr. Meinecke says.
According to a recent study in the International Journal of Dentistry, about 1 in 4 people with chronic reflux have tooth erosion, sometimes without heartburn or other obvious symptoms.
What to do: Schedule an appointment with a gastroenterologist. Untreated gastroesophageal reflux disease (GERD) can lead to more serious health problems, including respiratory issues and esophageal cancer.
3. Crohn’s disease
Your dentist sees: Raised bumps that look like cobblestones on the gums right around your teeth. That’s because the same inflammation that strikes the intestines of people with Crohn’s disease can also affect their mouths, causing this classic sign, Dr. Meinecke says.
Because these bumps aren’t painful, you might not even notice them before your dentist spots them. What’s more, recurring canker sores—those small, painful ulcers that form inside your mouth—could also signal Crohn’s or another type of inflammatory bowel disease, notes a recent review in the Journal of Evidence-Based Dental Practice.
What to do: Ask the dentist if topical corticosteroids can calm the inflammation in your mouth. And see a gastroenterologist for an evaluation of what’s going on in your gut.
4. Heart disease
Your dentist sees: Gum or periodontal disease in a person who doesn’t fit the profile—say, a younger guy who brushes frequently. Signs like swollen, red gums that bleed, coupled with other cardiovascular risk factors like extra weight and family history can raise a red flag, says Dr. Meinecke.
What to do: Ask your dentist about treating your dental disease with deep cleanings or other techniques. Doing so could keep you out of the hospital due to heart disease, stroke, or another health issue, according to a recent study in the American Journal of Preventive Medicine.
Then book a visit with your primary care doctor to assess your heart risks. People with periodontal disease have up to triple the risk of having a heart attack or stroke, says David Paquette, D.M.D.
5. Cancer
Your dentist sees: Slight discolorations where tissues look whiter or redder than normal, often far back in your throat. That’s the way many oral cancers caused by the human papillomavirus (HPV)—on the rise among young men—begin.
In fact, Dr. Meinecke says she now looks closely for signs in anyone age 14 and older., potentially raising their risk of developing head and neck cancers as a result.)
What to do: Your dentist may ask you to come back in 7 days to see if anything’s changed. If not, get a biopsy. If you do have cancer, early detection improves the odds of successful treatment, Dr. Meinecke says.
6. Rheumatoid arthritis (RA)
Your dentist sees: Jaw swelling, and you can feel pain, too. Unlike osteoarthritis, which commonly occurs as you get older, rheumatoid arthritis (RA) is an autoimmune condition that sometimes strikes young people. And half of those with early-onset RA first display symptoms of temporomandibular joint dysfunction, better known as TMJ. In addition to feeling an achy jaw, you also might not be able to open your mouth very wide, Dr. Meinecke says.
What to do: Take the issue to your family doctor or a medical specialist known as a rheumatologist. They usually diagnose and treat RA.
The DIY Dentist
7 maladies of the mouth and how to treat them -- yourself
SENSITIVE TEETH
Cause: Exposed nerve roots, often from receding gums.Treatment: Lay off the whitening, tartar-control, and baking-soda toothpastes -- they're abrasive and can contain phosphates, which make teeth sensitive. Don't brush too hard, which can lead to other dental problems, such as recessed gums, says Sherri Worth, D.D.S., a celebrity cosmetic dentist. If pain persists, visit your dentist for a prescription fluoride treatment to toughen up your choppers.
LOST TOOTH
Causes: Dikembe Mutombo, inline skates, Jell-O shots, or all threeTreatment: Rinse it off and push it back in right away, then bite down gently on a soft cloth or moistened tea bag to hold it in place. Knocking out a tooth tears the periodontal ligaments, but some might still cling to the tooth. If reconnected early enough, they can reattach to the gums.
The tooth will feel strong in a few days and could be good as new in a month or two, says Dr. Worth. Want to make sure? See a dentist.
BURNED PALATE
Causes: Hot pizza, impatienceTreatment: You might not think this can cause dental problems, but burning the roof of your mouth softens the tissue, making it more prone to infection, says Pia Lieb, D.D.S., a cosmetic dentist in New York City. She recommends using Kenalog in Orabase, a corticosteroid paste that creates a protective coating on the burn and speeds healing.
BURNED TONGUE
Cause: Hot coffee, improper flame-breathing techniqueTreatment: Rinse your mouth with a solution of 1 teaspoon of salt and a cup of warm water. "It's actually very soothing," says Dr. Worth. The salt can draw infection to the surface of the tissue, where the body eliminates it, and salt helps neutralize the acidic environment that fosters bacteria.
JAW SORENESS
Cause: Possibly temporomandibular joint disorder, or
TMD, which can lead to splitting headaches marked by pain radiating
down the front of your ears to your jaw. The improper alignment of your
jaw leads to unconscious grinding of the teeth, often at night.Treatment: "Your muscles are looking to find comfort, so you move your jaw around constantly," Dr. Lieb says. Try sleeping on your side or back with a supportive pillow, instead of facedown.
CANKER SORE
Cause: There are numerous possible causes -- but
Cap'n Crunch, Doritos, salsa, and other sharp and spicy foods can
further irritate the sore. Avoid mixing them.Treatment: Apply vegetable oil to a cotton ball and hold it against the sore three or four times a day. "The oil helps coat the sore and protect it from irritation," says Mary Ellen Camire, Ph.D., a Men's Health nutrition advisor.
CHIPPED OR CRACKED TEETH
Cause: Temperature disparity that occurs when you
bite into hot food then swig an ice-cold drink. "Between the expansion
and contraction, cracks will form on your enamel," says Richard Price,
D.M.D., a consumer advisor for the American Dental Association.Treatment: A chip can be the San Andreas Fault; your tooth can be California, sliding gently into the ocean. Or the chip or crack could simply leave you susceptible to infection and decay. A dentist can bond or seal the tooth, repairing chips while keeping your choppers safe from ending up a dental dead zone.
Don’t let Missing Teeth Limit your Life
If you are missing any of your natural teeth, implant
dentistry can provide you with teeth that look and
feel like your very own. Permanent replacement teeth
can be yours without the embarrassment of loose
dentures or having to cut into other healthy teeth in
your mouth. An attractive, cosmetic smile is possible.
Implants will enable you to enjoy the simple pleasures
of unrestricted eating. With dental implants you can
have the confidence to pursue an active business and
social life.
What are Dental Implants?
Dental implants are titanium posts with specially
treated surfaces. They are placed (implanted) in your
jawbone to function in a similar way to a natural tooth
root. Your bone grows onto the implants in a process
called Osseointegration. After a few months they form
a permanent part of your body.
Are Dental Implants Safe and How Long do they Last?
Present day dental implants are based on scientific
evidence and consistently show success rates of more
than 95%. Many dentists agree that implants are one
of the most predictable forms of dental treatment and
in most cases it is a life-long solution. Approximately
one million people will receive dental implants this year.
Make sure that you are one of them.
Might I be Suitable?
Radiographic x-rays will be needed to see if you have
sufficient quality and quantity of bone. Disease such
as uncontrolled diabetes can affect the bone growing
onto the implant and will need careful assessment.
In general, most people are suitable candidates for
implants.
Does it Hurt?
A small operation will be necessary. In most cases
to place the implants in the dentist’s office. In some
cases a general anesthesia is preferable and this
requires a visit to a day clinic or hospital. Some patients
do experience one or two days of discomfort after the
procedure, usually related to the stitches.
Is the Treatment Expensive?
An accurate cost estimate can be obtained from
your dentist or dental specialist. Studies have shown
that implants are cost effective when compared with
alternative treatment plans. In general, implant
treatment is not much more expensive than the
alternatives (bridge or new dentures at recurring short
intervals). The big difference lies with the long term
success. Your implants can be with you for the rest
of your life.
Should I Wait Until I’m Older?
Conventional dentures usually lead to accelerated
bone loss. Many people choose implants to preserve
their facial bone. The youngest patients receiving
implants are in their early teens, the oldest in their
90’s. What often happens where there are missing
teeth, is that the jawbone begins to shrink. This is
common with denture wearers and the jawbone which
is important for holding the denture, gradually
disappears, making the denture more and more
problematic. Dental implants restore normal loading of
the bone and prevent further bone loss. The sooner
you decide to have the implants placed, the less bone
loss will occur and the easier it is for the dentist to
achieve a good result.
How is the Treatment Obtained?
Implant treatment is a technical and complex form
of dentistry. Not all dentists wish, or are trained to
provide implant treatment. For this reason, your
dentist might refer you to a specialist for part or all of the
implant treatment. Ask your dentist about your implant
treatment options today
Wednesday, August 3, 2016
Those several sleepless weeks did not have anything to do with teething because the emergence of a tooth does not take that long.
Published by Randy N. Downing, D.D.S. · May 6, 2015 at 9:39am
Let’s
start with the oft-cited claim that teething causes excruciating pain
because a tooth is “stabbing” through the gum. “That’s one of those
myths,” explains Clay Jones, a pediatric and newborn hospitalist at
Newton-Wellesley Hospital in Newton, Massachusetts, who wrote about
teething for the popular blog Science-Based Medicine. “What happens is
that the gums remodel—they move out of the way as the tooth emerges.”
After all, Jones says, gums don’t bleed when kids teethe. A 2003 study
documented a statistically significant increase in one inflammatory
marker during infant teething, but the rest of the markers the study
tested, called cytokines, didn’t change much. “A baby might be in pain
or having some degree of discomfort, but I think that a significant
amount of pain is not likely or plausible,” Jones says.
Indeed, if teething caused tremendous pain, one would expect kids to have consistent symptoms—but they don’t. In one of the most carefully conducted studies on teething that’s ever been done, researchers in Brazil sent dentists into the homes of 47 babies every day for eight months. They took the babies’ temperatures, checked their gums, and interviewed the parents about their infants’ behaviors. The study found that teething was associated with sleep disturbances, drooling, rashes, runny noses, diarrhea, appetite loss, irritability, and slight rises in temperature (not clinical fevers). But the interesting thing is that these symptoms consistently occurred only on the day that a child’s tooth erupted and one day after. No symptoms regularly occurred in the days before the tooth appeared.
Another study relied on parents who were employees of the Cleveland Clinic to report the timing of their babies’ tooth eruptions, their temperatures, and other symptoms. It found that biting, drooling, gum-rubbing, irritability, and sucking tended to be more common up to four days before a tooth appeared and for as long as three days afterward. More serious symptoms, such as sleep awakenings, decreased appetite for solid foods, facial rashes, and slightly elevated temperatures (but not above 102 degrees), were more likely to occur one or two days before or on the same days a tooth came through. But this study found no really serious symptoms associated with teething—no diarrhea, vomiting, high fevers, or reductions in the overall duration of sleep.
Importantly, the researchers found that so-called teething symptoms frequently occurred in nonteething infants, too—it’s just that they were more likely to happen when the infants were teething. They also found that no specific symptom occurred in more than 35 percent of teething infants. In other words, nonteething kids often seem like they’re teething, and teething kids don’t all have the same symptoms. What a nightmare for parents. “Despite hundreds of thousands of data points,” explains study co-author Michael Macknin, a Cleveland Clinic pediatrician, “we could not determine when a child was teething before a tooth appeared.” The one thing Macknin could say for sure based on his data was that “a baby who drools or is fussy for weeks before a tooth eruption is not having symptoms due to teething.” My doctor was right, then. Those several sleepless weeks did not have anything to do with teething because the emergence of a tooth simply does not take that long.
So why, then, does teething seem like the worst thing ever? In part, it’s an artifact of the difficult psychology of parenting. Babies rapidly change; they go through difficult periods; they get sick a lot. Yet they can never tell us what’s wrong, so we have to guess at the causes. And what’s something that happens a lot in infancy that we can blame everything on? Oh! Teething. “It’s the nature of being a human—when we’re faced with nonspecific symptoms like fussiness and drooling and changes in sleep, we want to peg it on something,” Jones says. This is not a new thing. Centuries ago, teething was thought to be associated with worm infestations. In 1839, more than 5,000 deaths were attributed to teething. And sadly, some traditional African healers still pull out tooth buds in teething babies—without anesthesia—in an effort to cure them of what they think are “tooth worms.”
Indeed, if teething caused tremendous pain, one would expect kids to have consistent symptoms—but they don’t. In one of the most carefully conducted studies on teething that’s ever been done, researchers in Brazil sent dentists into the homes of 47 babies every day for eight months. They took the babies’ temperatures, checked their gums, and interviewed the parents about their infants’ behaviors. The study found that teething was associated with sleep disturbances, drooling, rashes, runny noses, diarrhea, appetite loss, irritability, and slight rises in temperature (not clinical fevers). But the interesting thing is that these symptoms consistently occurred only on the day that a child’s tooth erupted and one day after. No symptoms regularly occurred in the days before the tooth appeared.
Another study relied on parents who were employees of the Cleveland Clinic to report the timing of their babies’ tooth eruptions, their temperatures, and other symptoms. It found that biting, drooling, gum-rubbing, irritability, and sucking tended to be more common up to four days before a tooth appeared and for as long as three days afterward. More serious symptoms, such as sleep awakenings, decreased appetite for solid foods, facial rashes, and slightly elevated temperatures (but not above 102 degrees), were more likely to occur one or two days before or on the same days a tooth came through. But this study found no really serious symptoms associated with teething—no diarrhea, vomiting, high fevers, or reductions in the overall duration of sleep.
Importantly, the researchers found that so-called teething symptoms frequently occurred in nonteething infants, too—it’s just that they were more likely to happen when the infants were teething. They also found that no specific symptom occurred in more than 35 percent of teething infants. In other words, nonteething kids often seem like they’re teething, and teething kids don’t all have the same symptoms. What a nightmare for parents. “Despite hundreds of thousands of data points,” explains study co-author Michael Macknin, a Cleveland Clinic pediatrician, “we could not determine when a child was teething before a tooth appeared.” The one thing Macknin could say for sure based on his data was that “a baby who drools or is fussy for weeks before a tooth eruption is not having symptoms due to teething.” My doctor was right, then. Those several sleepless weeks did not have anything to do with teething because the emergence of a tooth simply does not take that long.
So why, then, does teething seem like the worst thing ever? In part, it’s an artifact of the difficult psychology of parenting. Babies rapidly change; they go through difficult periods; they get sick a lot. Yet they can never tell us what’s wrong, so we have to guess at the causes. And what’s something that happens a lot in infancy that we can blame everything on? Oh! Teething. “It’s the nature of being a human—when we’re faced with nonspecific symptoms like fussiness and drooling and changes in sleep, we want to peg it on something,” Jones says. This is not a new thing. Centuries ago, teething was thought to be associated with worm infestations. In 1839, more than 5,000 deaths were attributed to teething. And sadly, some traditional African healers still pull out tooth buds in teething babies—without anesthesia—in an effort to cure them of what they think are “tooth worms.”
Subscribe to:
Posts (Atom)