The basics for treating tooth decay have changed little since the father of modern dentistry Dr. G.V. Black developed them in the early 20th Century. Even though technical advances have streamlined treatment, our objectives are the same: remove any decayed material, prepare the cavity and then fill it.
This approach has endured because it works—dentists practicing it have preserved billions of teeth. But it has had one principle drawback: we often lose healthy tooth structure while removing decay. Although we preserve the tooth, its overall structure may be weaker.
But thanks to recent diagnostic and treatment advances we’re now preserving more of the tooth structure during treatment than ever before. On the diagnostic front enhanced x-ray technology and new magnification techniques are helping us find decay earlier when there’s less damaged material to remove and less risk to healthy structure.
Treating cavities has likewise improved with the increased use of air abrasion, an alternative to drilling. Emitting a concentrated stream of fine abrasive particles, air abrasion is mostly limited to treating small cavities. Even so, dentists using it say they’re removing less healthy tooth structure than with drilling.
While these current advances have already had a noticeable impact on decay treatment, there’s more to come. One in particular could dwarf every other advance with its impact: a tooth repairing itself through dentin regeneration.
This futuristic idea stems from a discovery by researchers at King’s College, London experimenting with Tideglusib, a medication for treating Alzheimer’s disease. The researchers placed tiny sponges soaked with the drug into holes drilled into mouse teeth. After a few weeks the holes had filled with dentin, produced by the teeth themselves.
Dentin regeneration isn’t new, but methods to date haven’t been able to produce enough dentin to repair a typical cavity. Tideglusib has proven more promising, and it’s already being used in clinical trials. If its development continues to progress, patients’ teeth may one day repair their own cavities without a filling.
Dr. Black’s enduring concepts continue to define tooth decay treatment. But developments now and on the horizon are transforming how we treat this disease in ways the father of modern dentistry couldn’t imagine.
It's no secret that many of Hollywood's brightest stars didn't start out with perfectly aligned, pearly-white teeth. And these days, plenty of celebs are willing to share their stories, showing how dentists help those megawatt smiles shine. In a recent interview with W magazine, Emma Stone, the stunning 28-year-old star of critically-acclaimed films like La La Land and Birdman, explained how orthodontic appliances helped her overcome problems caused by a harmful habit: persistent thumb sucking in childhood.
“I sucked my thumb until I was 11 years old,” she admitted, mischievously adding “It's still so soothing to do it.” Although it may have been comforting, the habit spelled trouble for her bite. “The roof of my mouth is so high-pitched that I had this huge overbite,” she said. “I got this gate when I was in second grade… I had braces, and then they put a gate.”
While her technical terminology isn't quite accurate, Stone is referring to a type of appliance worn in the mouth which dentists call a “tongue crib” or “thumb/finger appliance.” The purpose of these devices is to stop children from engaging in “parafunctional habits” — that is, behaviors like thumb sucking or tongue thrusting, which are unrelated to the normal function of the mouth and can cause serious bite problems. (Other parafunctional habits include nail biting, pencil chewing and teeth grinding.)
When kids develop the habit of regularly pushing the tongue against the front teeth (tongue thrusting) or sucking on an object placed inside the mouth (thumb sucking), the behavior can cause the front teeth to be pushed out of alignment. When the top teeth move forward, the condition is commonly referred to as an overbite. In some cases a more serious situation called an “open bite” may develop, which can be difficult to correct. Here, the top and bottom front teeth do not meet or overlap when the mouth is closed; instead, a vertical gap is left in between.
Orthodontic appliances are often recommended to stop harmful oral habits from causing further misalignment. Most appliances are designed with a block (or gate) that prevents the tongue or finger from pushing on the teeth; this is what the actress mentioned. Normally, when the appliance is worn for a period of months it can be expected to modify the child's behavior. Once the habit has been broken, other appliances like traditional braces or clear aligners can be used to bring the teeth into better alignment.
But in Stone's case, things didn't go so smoothly. “I'd take the gate down and suck my thumb underneath the mouth appliance,” she admitted, “because I was totally ignoring the rule to not suck your thumb while you're trying to straighten out your teeth.” That rule-breaking ended up costing the aspiring star lots of time: she spent a total of 7 years wearing braces.
Fortunately, things worked out for the best for Emma Stone: She now has a brilliant smile and a stellar career — plus a shiny new Golden Globe award! Does your child have a thumb sucking problem or another harmful oral habit? For more information about how to correct it, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine article “How Thumb Sucking Affects the Bite.”
After plain old fear and anxiety over going to the dentist, lack of time is probably one of the biggest reasons that many people skip going to the dentist for regular check ups and dental cleanings or to fix a problem like a chipped or cracked tooth. But in addition to the cosmetic effects, skipping necessary dental repairs and restorations could also affect your oral and general health as a result. But it has never been easier or more convenient to get the dental care that you need. The dentists at Comprehensive Dental Group, Dr. Irina Pogosian and Dr. Thomas Ohlson, offer same day crowns for quick and efficient dental restorations in Stamford, CT.
CEREC Same Day Crowns in Stamford, CT
Thanks to developments in digital imaging technology, it is now possible for your dentist to design and create dental crowns right in the office without sending them out to a lab for fabrication. The crowns can be prepared while you wait, all in a single appointment.
CEREC (Chairside Economical Restoration of Esthetic Ceramics) same day crowns allow your dentist to take total control of the restoration process, saving you time and cutting out the need for additional office visits while providing a modern, high quality, natural-looking restoration.
How CEREC Same Day Crowns Work
Instead of taking a physical dental impression and sending it out to a third party lab, the dentist takes a digital image with a camera, which is then uploaded to a computer. The restoration is designed using the CAD/CAM (Computer Aided Design / Computer Aided Manufacturing) program and then produced using an onsite milling machine. The crown is bonded in place, and your tooth is as good as new. And the best part is that in most cases, the entire procedure can be completed in as little as an hour.
Find a Dentist in Stamford, CT
For more information about CEREC same day crowns, contact Comprehensive Dental Group by calling (203) 359-3296 to schedule an appointment with Dr. Ohlson or Dr. Pogosian today.
There's more to your dental visit than preventing or treating teeth or gum problems. We're also on the lookout for a number of potential soft tissue problems that could occur in or around your mouth.
Here are 4 examples of such problems we can detect and help you manage.
Lumps. Whenever you accidentally bite the inside of your mouth, the wound you create forms a protective layer of hard collagen. Unfortunately, the “callous” can rise higher than the surrounding cheek surface and easily get in the way of your teeth again. With successive bites and more scar tissue you'll soon notice a prominent lump. Although not a health danger, it becomes annoying with each successive bite. We can surgically remove the lump and flatten out the mouth surface.
Canker sores. Known as aphthous ulcers, these round sores with a yellow-gray center and a red “halo” can break out on the inside cheeks, tongue or back of the throat. Unless they don't heal within a couple of weeks or seem to be increasing in frequency, they're nothing to worry about. They can, however, cause a burning or stinging sensation. We can reduce this discomfort and speed healing with over-the-counter ointments or prescription options like topical or injected steroids.
Cracked mouth corners. Also known as perleche (from the French lecher, meaning “to lick”), your mouth corners can become dry and irritated and you may begin licking them to soothe the discomfort. Accumulated saliva can trigger a yeast infection, which can spread to other parts of your mouth. We can usually prevent this by prescribing antifungal ointments, and a steroid ointment to control inflammation.
Mouth rash. Peri-oral dermatitis is a red, scaly rash that appears around the outside of the mouth. Because it's often mistaken for acne or other conditions, it's often treated with topical steroids. This actually suppresses the skin's normal healing effects and can actually make the rash worse. The best way to treat it is to stop using any kind of ointment or cream and use only mild soap to wash the area. We can also prescribe antibiotics to help speed the healing process.
If you would like more information on these and other soft tissue problems, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine articles “Common Lumps and Bumps in the Mouth,” “Mouth Sores,” and “Cracked Corners of the Mouth.”
Unlike the months on either side, August isn't known for major holidays. But it does have one cause for celebration: National Fresh Breath Day! True, this observance will probably never achieve big-time recognition. Yet everyone would agree that fresh breath is something to appreciate! Unfortunately, bad breath is a persistent problem for many people. The first step in treating it is to identify the cause. Here are 5 common causes of bad breath:
1. Poor oral hygiene. Certain types of oral bacteria cause bad breath, and the mouth provides a perfect environment for them—especially when dental plaque and food debris is not well cleansed. So to keep your breath fresh, maintain a diligent oral hygiene routine. This includes brushing your teeth twice a day with fluoride toothpaste and flossing at least once a day. For an extra-clean mouth, use a tongue scraper—a plastic tool about the size of a toothbrush that's available in most drug stores. This will remove bacteria and food debris from your tongue for extra freshness.
2. Oral diseases. Bad odors in your mouth may also be caused by infections—which is what tooth decay and gum disease actually are. Sometimes old fillings wear out, allowing bacteria to re-infect a tooth that was once treated for decay. Other signs of these common oral diseases include tooth pain and bleeding or puffy gums. If you notice any of these, don't ignore it—make a dental appointment today!
3. Diet. Smelly foods will give you smelly breath; it's that simple. And the odors may linger after you have eaten them. When onion, garlic and other pungent foods are digested, their odor-producing substances enter your bloodstream and proceed to your lungs—which can affect how your breath smells. If you suspect your dietary habits are causing bad breath, try eliminating certain foods (at least temporarily) and see if that helps.
4. Dry mouth. Saliva helps cleanse your mouth, so reduced saliva flow can lead to bad breath. This accounts for "morning breath," which is caused when the mouth dries out during sleep (especially if you are a mouth-breather). However, some people don't produce enough saliva throughout the day. Sometimes it's just that they don't drink enough water. But a very common cause of chronic dry mouth is regular use of medications, both prescription and over-the-counter. If you notice that medication is drying out your mouth, let your doctor know. And stay hydrated!
5. Smoking. Given that smoking increases your risk for many serious diseases, including oral cancer, the fact that it can lead to bad breath seems almost trivial. Still, it's worth noting that smoking causes mouth odor both directly and indirectly by reducing the flow of saliva and promoting gum disease. In fact, tobacco in all forms is a hazard to your health.
If you'd like more information on bad breath, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Warning Signs of Periodontal (Gum) Disease” and “Dry Mouth.”
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