Posts for tag: Antioch dentist

True or False?

    Good oral hygiene prevents cavities. TRUE. (Of course.) As simple as this is, regular brushing and flossing is the best way you can prevent cavities. Brushing and flossing after every meal for 2-3 minutes will help prevent cavities by removing food particles that normally create an environment for bacteria in your mouth to cause cavities.

    HOWEVER, while good hygiene does help prevent cavities, the fact is that some people are more susceptible to cavities(and gum disease) in spite of the person's best efforts. There are genetic factors, medical history factors and prescription factors that will contribute to having problems.

    
True or False?

      If your tooth is chipped tooth, it is likely because there is tooth decay present. True and False. While tooth decay(cavities) are the most common reason for a chipped tooth, there are many other ways a tooth can chip or crack.
     A tooth is more susceptible to fracture regardless of decay if: large filling already present, parafunctional habits exist, patient is a grinder, tooth has been fixed multiple times, and malalignment of the teeth. Tooth decay will either exacerbate a preexisting condition or can alone cause fracture of a tooth.

 True or False?
   

     If a tooth is chipped but there is no cavity, then I should not be concerned. Depends. Assuming your hygiene is good, you do not grind your teeth and you are getting regular checkups, your risk for problems is decreased. The biggest concern is that bacteria can flourish around fractured areas if they are not kept clean and cause bigger problems.
   
 True or False?


     A filling should last forever and never need replacement. False. Most fillings at some point require replacement or maintenance to prevent further problems. Good hygiene can certainly offset the need for replacing a filling but much like everything else in life, fillings will likely need to be replacement for reasons such as new decay, leakage, chipping due to grinding forces.

 True or False?

     All silver filling should be replaced with tooth colored fillings. Absolutely false. If you know the expression "If its not broke, don't fix it", then you know my practice philosophy. Replacing a filling that has no issues can potentially create new issues. So when would we replace a filling? When tooth decay is present, filling is leaking, filling is chipped and/or patient is having symptoms.

 

If your dentures hurt when you eat or chew or fall out when you speak then implant dentures may be for you! Our practice have found that some denture wearers suffer pain, bad breath, and even embarrassment when their dentures move unexpectedly during speaking or chewing. Mini dental implants to stabilize loose or poorly fitting lower dentures often brings relief and solves these common problems.

How is the Procedure Performed?

This procedure is virtually painless can usually be completed in just one office visit. First, an exam and xray will determine if you are a candidate for dental implants, which require a sufficient base of jaw bone for their placement. Using local anesthesia (just like fillings or extractions), several implants will be placed into the bone. Once the implants are secure, we will adjust/modify your denture so that it attaches with your new implants. The result is that your upper or lower denture is now firmly in place and you can speak and eat with confidence.

A Fix for Common Denture Problems
We have found that some denture wearers suffer physical discomfort, unpleasant breath, and even embarrassment when their dentures move unexpectedly during speaking or chewing. Using mini dental implants to stabilize loose or poorly fitting lower dentures often brings relief and solves these common problems.

So if your denture is loose and are having a hard time eating the foods you love to eat, talk to Dr.Glasmeier about mini implants for dentures!

Question: Is tongue piercing safe?

 

Answer: Oral piercing has become fashionable over the last decade. While oral piercing can involve the lips,cheek, uvula, the tongue remains to be the most commonly pierced. Tongue piercing involves placing a "barbell"-type stud through the tongue.

 

There are several common risks associated with tongue piercing.

Infection- This is possibly due to nonsterile techniques and/or improper care after the piercing. Treatment can include antiobiotic therapy, localized cleaning and oral hygiene instructions. Serious infections, involving the tongue, jaw and chin can require emergency medical treatment.

 

Chipped or Broken Teeth- Usually occurs through biting the barbell especially in new piercings with the initial longer barbell. To minimize the risk, a shorter barbell or made of acrylic/plastic should be worn.

 

Enamel Loss- Most commonly occurs at the back of the teeth through repeated rubbing against the jewelry. A shorter barbell or one made of non-metallic material can also be worn to prevent enamel loss.

 

Gum recession- Over time, repeated contact between the tongue ring and the gums can lead to receding gums especially with long stem barbells. Smaller tongue rings can reduce the risks of receding gums.

 

Future considerations for the tongue ring user:

 

1. Replacing metal barbell with a shorter, plastic based barbell.

2. Using antiseptic mouthrinse, such as Listerine on a daily basis and brushing the tongue regularly.

3. Exercise conscious control of the movement of tongue jewelry during chewing or speech.

 

Please contact Dr.Glasmeier if you have any questions re: tongue rings.

Question: I have a tooth that has sensitivity to cold drinks and sometimes sweets but I don't think I have a cavity or ever had the tooth filled? What could cause this?

 

Answer: Great question! 4 out 5 patients have sensitivity somewhere in there mouth without really knowing what could cause it. Excluding the obvious reasons for sensitivity like cavities, infections and broken teeth, the one that I see most frequently is a phenomenon called "toothbrush abrasion". It is the result of brushing the tooth too hard where the tooth meets the gumline. Overaggressive toothbrushing around this area can cause the gum to pull away from the tooth (i.e. "recede"). When this occurs the underlying root surface is exposed promoting brief, but sharp sensitivies to cold, sweet. If this is the case, typically the patient will get a procedure called "laser desensitization" where the root surface is lasered to eliminate the sensitivity. Patients report tremendous success with this and often times get multiple teeth lasered to eliminate the sensitivity. While there are other methods to treat the sensitivity, the laser treatment is the most conservative and definitely the most inexpensive.

Question: Hi Dr.Glasmeier,

 

My son is 9 years old and has a big space between his front teeth and it seems bigger than his siblings' spaces. I want to know if this will resolve on his own or he is going to need dental work to correct this space?

 

Answer: Spacing between the two front teeth (known as a "diastema") is a very common finding not only in children but adults as well. Children who have baby teeth with type of spacing is actually a good situation however if this occurs with the eruption of the permanent teeth, this is quite different.

 

There are many different factors that can contribute to abnormal spacing between the two front teeth. The one I most commonly see is what is called a "low frenum attachment". The frenum is the soft tissue that attaches the inside of your lip to the gums above or below your teeth. Normally the frenum attaches high up above the tooth but it can also much lower on the gums between the teeth. When the gum attaches between the teeth, it can result in a diastema(space between the teeth).

 

When this occurs, typically two things must happen to close the space:

1. Patient needs to be evaluated to determine whether or not

orthodontics(braces) will be necessary to close the space or if they can be

closed by other means (e.g. veneers).

2. Patient will likely require a frenulectomy, where the soft tissue attachment

between the teeth is removed or reduced. There are multiple ways this is

accomplished but the most common is with a laser. With a little local

anesthesia and a laser, this procedure can be accomplished in several

minutes pain free and with little, if any postop pain. Most children have no

pain or discomfort the next day!

 

So back to your question, yes it can be treated but he needs to be evaluated the best way to accomplish this. Consult your dentist for the course of treatment necessary!

 

Best of luck!

Dr.G