Cavities

What Causes “Soft Teeth?”

Does it seem like you get a lot of cavities, even though you try to take really good care of your teeth with regular brushing and flossing, and visit your dentist regularly?  If so, you've probably started thinking that you just have "soft teeth" and there's nothing you can do about it.  But keep reading to find out what REALLY might be happening! I remember one lady in her mid-30's who came to my Charlotteoffice years ago. Her story was sad - perfect teeth until she started having children, when she suddenly started getting cavities.  After her 3rd child, it got worse........a LOT worse!  She was desperate - she had spent so much time and money at the dentist, but the cavities kept coming back.  :cry: We ended up doing a bunch of veneers and gave her a beautiful new smile back.........but I kid you not, within 2 years there were cavities around those veneers!  And trust me......she worked SO HARD at keeping her teeth clean and healthy!  She was fanatical about brushing and flossing.  We tried everything I knew at the time; sadly, I eventually referred her to a specialist who did dental implants that couldn't get cavities. There is NO SUCH THING as "Soft Teeth" OK, now you want to know why - after experiences like that, I say there's no such thing as "soft teeth," right?  Well, since then, I've learned a lot more, and I'm confident in saying that NOT ONLY is there no such thing, but there ARE things we can do now to prevent that sad cycle. Heartburn, Acid Reflux & Tooth Decay Previously, I discussed one of the most unknown reasons for tooth cavities in my post Why Moms Get [...]

By | 2017-06-09T20:35:26-04:00 June 23rd, 2011|Cavities|0 Comments

My Baby Stole the Calcium from my Teeth!

While not exactly common, it is also not unusual for us to hear a woman say, "Doc, I never had any cavities until after my baby; I heard that the baby steals the calcium from teeth before they're born.  What do I do?" Can Your Baby "Steal" Calcium from Your Teeth to Cause Cavities? The simple answer to the question is good news: "NO!" :-D  The more complicated answer is, "Well, kind of."  :-?  How? First of all, if you think about it, there is no way for a baby to "steal" the calcium or phosphates or fluoride from your teeth.  I mean, how could that happen?  The minerals somehow get sucked through the nerve chambers in your teeth, into the blood stream, and to the baby in the womb or to breast milk?  Not likely!  OK, so how about the minerals somehow get sucked out of the teeth into your saliva, down into your stomach, get absorbed, and then to the baby?  Again, not gonna happen! So Why Do New Mothers Get More Cavities? The answer is remarkably simple, but so often overlooked: stomach acid via acid reflux!  Doesn't that just make sense really?  Just consider these items and check out the graph to see where stomach acid falls on the scale: Most women experience significant nausea during pregnancy - daily exposure of the teeth to stomach acid when you throw up will cause serious problems if it is for months on end. All that pressure on your insides pushes the acid into the esophagus, especially as the baby grows and starts kicking; especially if this happens at night, that acidity will just sit in your mouth for hours at a time, far worse [...]

By | 2017-06-09T20:35:36-04:00 February 24th, 2011|Cavities, Taking Care of Your Teeth|0 Comments

Do You Need a Dental Root Canal?

Of all dental procedures, a root canal is probably one more dreaded by patients than any other, because practically everyone has heard some nightmare story about them.  Remarkably, though, with proper diagnosis and management, the need for root canals can largely be avoided, and in cases where they are needed, they are virtually never painful, either during or after the procedure!  There is so much misinformation out there, though, that it seems appropriate to provide some answers to those Frequently Asked Questions about Dental Toothaches & Root Canals: What is a Root Canal, and Why Might You Need One? There are several possible reasons you might need a root canal, including: A large cavity that reaches the nerve, resulting in pulpal infection Part of the tooth breaks due to trauma The tooth cracks due to grinding or clenching your teeth Tooth resorption Essentially, what happens during a root canal is that we remove the infected, painful nerve tissue from inside the tooth, clean the area with several disinfecting solutions, which also help remove debris, then seal the inside of the roots with a cement and a special form of rubber called gutta percha.  There are several variations on the technique and sealers, but they all do the same basic thing. Does a Root Canal Hurt? In the large majority of cases, once the tooth is numbed, the answer is NO, you should NOT experience pain during the procedure.  If you do, please signal your dentist that you are still feeling the procedure. Sometimes, a tooth is so badly infected that your face may swell up.  In these cases, the infection is severe enough that it will decrease the numbing's effectiveness, and you may just need [...]

By | 2017-06-09T20:35:46-04:00 December 13th, 2010|Broken tooth, Bruxism & Parafunction, Cavities|0 Comments

NPR and Dan Ariely on Dentistry

First off, let me say that I have been an NPR supporter (yes, including financial support) for many years, so please do not misunderstand my post and think I am bashing NPR itself.  HOWEVER.........I have an axe to grind with Mr. Robert Siegel of All Things Considered, the evening news program that used to be one of my favorite programs for the drive home from work. And it all has to do with the particular intervew with Professor Dan Ariely, of Duke's Fuqua School of Business in Durham, NC, about dentistry, which was aired on Tuesday, October 5th.  Please take a moment to read the transcript: [...]

By | 2017-06-09T20:43:03-04:00 October 11th, 2010|Broken tooth, Bulimia, Cavities|0 Comments

Dr. Oz talks about Periodontal (Gum) Disease and Total Health

I guess it's because I don't watch a lot of TV, but I confess that - until quite recently - I had absolutely no idea who this guy Dr. Oz is.  A friend recently told me that Dr. Oz has some really good material about dental health that can be shared, and since it's sometimes easier to use someone else's material instead of having to write it all from scratch myself  :-) , I figured I'd check it out, and WOW!  I'm impressed!  It's sad to say, but many physicians really have no idea about how the health of the mouth is connected to the rest of the body, and how valuable their dental colleagues can be in diagnosing a number of medical conditions.  Dr. Oz is definitely not one of them!  I'll kick things off here with one of his articles.  I have added some bold italics for emphasis (all mine). [...]

Does dentistry last forever?

How long will my dental work last? "It depends." This is a question that we get a lot, and it's a very understandable one, especially if you're about to invest your hard-earned money into your mouth, right?  Just like a car, your teeth and gums require regular care to ensure that they are working properly.  Sure, you can go 10-20,000 miles between oil changes given how improved cars are nowadays, but do you really want to take the risk?  Same thing with teeth..........some people go for 5-10 years with no dental check-ups and are fortunate when they come in to find no problems, such as cavities or gum disease. But not many people are so lucky! I always remember a quote from some lecturer at a dental conference years ago telling us his response to this question, and it's really the most honest, best answer that can be given, "Clearly the teeth that God gave you haven't lasted your entire life, and since I'm not nearly as talented as God,  my work won't last forever either." What Can Cause Dental Work to Fail? Grinding your teeth -- when the human jaw clenches, it can create an amazing amount of force, and over time, enough clenching will cause teeth to crack and break. Acidity -- anything that increases the acidity in your mouth is good for the bacteria that cause cavities, including Acid Reflux, Sodas, Power drinks (Monster, Red Bull, etc), Sports drinks (Gatorade, Powerade, etc). A very sugary diet -- the bacteria that cause cavities love sugar.  High sugar content means the bacteria feed like crazy, produce acid, and the acid is what eats away the teeth to cause cavities. A weak immune system -- [...]

A Complete Smile Makeover with Porcelain Crowns for Teeth Damaged by Bulimia

Acid Erosion from Bulimia Damages Teeth There are many reasons patients come to see me for cosmetic dentistry.  One of the most common reasons is because their teeth are badly worn down from grinding, often in combination with acid erosion that has eaten away at the enamel.  Treating these cases can be complex, because if we don't properly diagnose and solve the problem that caused the worn, eroded teeth in the first place, then any cosmetic dentistry is sure to fail very fast. When Jenni (not her real name, as she prefers to stay anonymous) first came to see me through a referral back in 2005 for a Smile Makeover consultation, she admitted that she had suffered from bulimia as a teen, about 20 years prior.  She had recovered from this debilitating disease and had been leading a healthy, normal life for many years, but her teeth had been so eroded that she was extremely self-conscious and embarrassed by her smile. Control the Cause of Erosion, or Your Work Will Fail Since Jenni's original issue had been addressed medically, we were safe moving forward with a greatly decreased risk of acid erosion causing problems again, although bulimics are at a much higher risk of GERD/acid reflux. In cases like this, we use a combination of products to protect the teeth and dental work, because the teeth are still at a greater risk of future decay, due to all the previous damage.  I've discussed many of the products we recommend in my post, There's No Such Thing as Soft Teeth, if this is a concern. [...]

Baby Boomers & Dental Care – Don’t wait until after retirement!

With more and more Baby Boomers approaching or entering retirement, an issue often not considered is their dental health. I think it is actually an important topic to discuss, even more so in today's economy. Many Baby Boomers - my parents included - have put retirement on hold, but it's still not all that far away, and with retirement usually comes the loss of dental insurance and the loss of medical/dental Flex plans that can help a lot with covering the cost of dental care. After that, it's all out-of-pocket. Ouch! So we always recommend a thorough re-evaluation of existing dental work for things that may be on the verge of going bad. Such things could be: Old silver fillings with cavities and cracks that could turn into root canals and crowns or extractions The teeth around the old silver fillings may have cracks that could lead to broken teeth Gum (periodontal) disease Ugly old crowns that could be replaced for a nicer smile in the golden years Replacing missing teeth with dental bridges or implants so you can eat the foods you want Etc etc etc...... This gentleman hadn't been to the dentist in a number of years but knew that he was approaching retirement, so he wanted to come in, get a cleaning, and find out if he needed to take care of anything while he still had dental insurance. Turns out that many of his 30+ year old silver fillings were in really bad condition, with pieces chipping off, cavities forming around the edges, teeth cracking, and gum disease to boot. While the total treatment that he needed involved some gum surgery (not needed for everyone, obviously), the primary issue that we [...]

Just how outrageous is dental "insurance?" Check this out!

As a practicing dentist for almost 11 years now, in a practice that does accept assignment of dental insurance benefits, I have seen almost every conceivable attempt by dental insurance companies to hold up payment, deny payment, or anything they can do to keep the money that should rightfully help pay for your dental care.  But this one took the cake for me, and I have to share.  Which insurance company?  Metlife.  Seriously........they said there was not enough missing tooth structure due to decay or fracture on these teeth, and therefore they don't need crowns.  Are they CRAZY!!!!!?!?!?!?!? [...]

Baby Boomers – get your teeth fixed before you retire when you still have dental insurance and flex plans to help pay

With more and more Baby Boomers approaching or entering retirement, an issue often not considered is their dental health.  I think it is actually an important topic to discuss, even more so in today's economy. Will You Have Dental Insurance After Retirement? Many Baby Boomers - my parents included - have put retirement on hold, but it's still not all that far away, and with retirement usually comes the loss of dental insurance and the loss of medical/dental Flex plans that can help a lot with covering the cost of dental care.  After that, it's all out-of-pocket.  Ouch!  So we always recommend a thorough re-evaluation of existing dental work for things that may be on the verge of going bad.  Such things could be: Old silver fillings with cavities and cracks that could turn into root canals and crowns or extractions The teeth around the old silver fillings may have cracks that could lead to broken teeth Gum (periodontal) disease Ugly old crowns that could be replaced for a nicer smile in the golden years Replacing missing teeth with dental bridges or implants so you can eat the foods you want Etc etc etc...... Old Silver Fillings Might Need Replacing This gentleman hadn't been to the dentist in a number of years but knew that he was approaching retirement, so he wanted to come in, get a cleaning, and find out if he needed to take care of anything while he still had dental insurance.  Turns out that many of his 30+ year old silver fillings were in really bad condition, with pieces chipping off, cavities forming around the edges, teeth cracking, and gum disease to boot. While the total treatment that he needed involved [...]

By | 2017-06-09T20:45:15-04:00 May 6th, 2009|Cavities, Porcelain Crowns|0 Comments