Posts for tag: tooth decay
Tooth decay can be relentless: left untreated it can work its way into a tooth’s inner core — the pulp chamber or better known as the root canal. Once this occurs, the best course of action to save the tooth may be a root canal treatment to clean out the diseased pulp (nerve) and seal the canal from further decay.
So, what signs and symptoms might you encounter if decay has invaded a tooth’s root canal? When the pulp is first infected you may experience acute pain; over time, however, the pain may suddenly dissipate. This doesn’t mean the tooth has healed itself — quite the contrary, it may mean the infected pulp tissue, including the nerves, has died. Once the nerves die, they no longer transmit pain signals to the brain.
While the pain may cease, the infection hasn’t and will continue to travel from the end of the tooth root into the bone. At this point, you may encounter pain whenever you bite on the tooth. This time the pain is originating in nerves located in the periodontal ligament that surrounds the tooth root and joins the tooth with the jawbone. This can lead to an acute abscess (with accompanying pain) or a chronic abscess that may have no pain symptoms at all. As the decay progresses you may eventually suffer bone and tooth loss.
The important point here is that you may or may not notice all the signs and symptoms that indicate deep decay within a tooth. That’s why it’s important to undergo a thorough dental examination if you have any symptoms at all, especially acute pain that “mysteriously” disappears.
A root canal treatment and removal of the decayed tooth structure will stop the progress of tooth decay and preserve the tooth. The longer you delay, though, the greater the risk your tooth will eventually lose the battle with tooth decay and infection will continue to spread.
If you would like more information on root canal treatment, 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 “Signs and Symptoms of a Future Root Canal.”
A consistently dry mouth is not only uncomfortable and unpleasant but also probably more serious than you think. Dry mouth, medically known as xerostomia (“xero” – dry; “stomia” – mouth) affects millions of people, but few understand why it happens or why it is important.
What Causes Dry Mouth?
It is normal to awaken with a dry mouth because saliva flow decreases at night. But if your mouth is persistently dry throughout the day, it may be a result of habits such as smoking, alcohol or too much coffee drinking or even dehydration. It is also a common side effect of some medications. Xerostomia is not a disease in itself, but it could be a symptom of salivary gland or other systemic (general body) disease.
Why is Saliva Important?
A persistently dry mouth can be a problem. Not only does it feel unpleasant and lead to bad breath, it can also significantly increase your risk for tooth decay. Saliva lubricates your mouth for chewing, eating, digestion and even speaking. Saliva also has important antibacterial activities. Most importantly normal healthy salivary flow neutralizes and buffers acids in the mouth to protect the teeth from the acids produced by bacteria on the teeth that cause decay, and by acids in sodas, sports drinks and juices that can erode tooth enamel.
Not only does saliva neutralize acids but with its high mineral content it can actually reverse de-mineralization — the process by which acids attack enamel and remove calcium from the enamel surface. Healthy saliva actually re-mineralizes the outer layers of tooth enamel, but the process can take 30-60 minutes. That's why it's important not to snack on sugars or drink sodas between meals — one an hour and your mouth is acidic all the time.
Individuals without enough saliva are especially at risk for root decay and fungal infections, and they are also more likely to lose tooth substance through abrasion and erosion.
What Can We Do for a Dry Mouth?
If your mouth is usually dry, make an appointment with us to assess the causes of the problem. However it may be more serious with medical implications. The solution may be as simple as drinking more water and using good daily oral hygiene, or it may necessitate prescription medication to promote more saliva flow.
Contact us today to schedule an appointment to discuss your dry mouth and what we can do to help. For more information read the article in Dear Doctor magazine “Tooth Decay – How To Assess Your Risk.”
Sports drinks have grown in popularity since University of Florida football trainers developed Gatorade® in the 1960s. They're widely viewed as a convenient fluid and nutrient replacement after strenuous workouts. Recently, another beverage has become wildly popular — the energy drink, whose high caffeine promises heightened concentration and physical ability.
While energy drinks have raised health concerns, sports drinks are widely regarded as safe. Both kinds of drinks, however, may be a cause for concern when it comes to your dental health.
While both are substantively different, they do have one thing in common — both beverages contain high levels of citric and other acids to improve taste and shelf life. This high acidity can have a detrimental effect on tooth enamel.
When the mouth becomes too acidic after eating or drinking (4 or lower on the pH scale), the tooth's outer protective enamel begins to erode, a process known as demineralization. Saliva with its neutral pH of 7 can neutralize this over-acidity in about thirty minutes to an hour after eating and the enamel will actually begin to remineralize. But when there's an overabundance of acid, as with these beverages, saliva's neutralizing ability becomes inhibited. The mouth remains too acidic for a longer period, resulting in greater erosion of the enamel.
Generally speaking, we don't recommend energy drinks at all. If, however, you occasionally take in a sports drink, add the following precautions, if possible: combine the drink with a mealtime and rinse your mouth with pH-neutral water to wash away residual acid from the sports drink; and wait an hour before brushing your teeth — since some demineralization occurs before saliva neutralizes the acid, you could brush away some of the softened enamel before it can remineralize.
Finally, consider this: pure, clean water is still the best hydrator in the world. Replenishing your fluids with it after exercise might also be the better choice for your dental health.
If you would like more information on the effects of sports and energy drinks on oral health, 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 “Think Before you Drink.”
Even before your infant's first tooth emerges, you can take steps to reduce the risk for cavities!
Cavities occur when decay-causing bacteria living in the mouth digest carbohydrates (sugars) introduced into the mouth via food and beverages. This produces acid, which can eat through the protective enamel surface of teeth and attack the more vulnerable dentin below. Infants aren't born with decay-promoting bacteria; however, they can acquire them from their caregiver(s) through close contact, for example:
- Kissing on the mouth
- Sharing food
- Sharing eating utensils (e.g., a spoon or glass)
- Cleaning off a pacifier by mouth
Tooth decay is the most common chronic childhood disease! It can start as soon as the first tooth erupts — which generally happens around age 6 to 9 months but can be as early as 3 months or as late as 1 year. Besides being potentially painful, severe tooth decay may cause your child to lose the affected primary (baby) tooth before it's due to fall out on its own. That, in turn, can raise the risk of orthodontic problems because primary teeth maintain space for permanent teeth, which also use them as their guide for coming in properly.
It's important to clean your child's teeth regularly once they appear and to refrain from certain feeding activities that have been linked with early tooth decay. For example, use of a sleep-time bottle containing a liquid with natural or added sugars, such as formula or juice, can result in a pattern of severe decay once referred to as “baby bottle tooth decay.” These days, the term early childhood caries (ECC) is more commonly used to also encompass decay linked to continuous sippy-cup use, at-will breast-feeding throughout the night, use of a sweetened pacifier, or routine use of sugar-based oral medicines to treat chronic illness.
We recommend that you schedule a dental visit for your baby upon eruption of his or her first tooth or by age 1. This first visit can include risk assessment for decay, hands-on instruction on teeth cleaning, nutritional/feeding guidance, fluoride recommendations, and even identification of underlying conditions that should be monitored. Your child's smile is a sight to behold; starting early improves the odds of keeping it that way!
If you would like more information about infant 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 “Age One Dental Visit.”
Your teeth are under constant attack from bacteria that normally live in your mouth. When these bacteria thrive, they create acid that begins to dissolve the minerals in your enamel (the outer layer of your teeth). In your defense, your saliva protects against these bacteria and adds minerals back to your enamel. Let's take a look at this ongoing battle, and what you can do to sway it in a positive direction.
The outer covering of your teeth, the enamel, is made mainly of the minerals calcium and phosphate. The enamel protects the interior layer of your teeth, the dentin, which is similar in composition to bone. Although it is the hardest substance in your body, the enamel is still vulnerable to attack.
Your mouth is normally full of saliva, which washes over your teeth and maintains a balance between acids and bases. The terms “acids” and “bases” refer to a scientific measurement, the pH scale. Your mouth's pH is usually in the middle of the scale — neither acidic nor basic, but neutral. This is important in controlling the bacteria in your mouth.
You may be surprised to know how many bacteria live in everyone's mouth. More bacteria live in a single mouth than the number of people who have ever lived on earth. Some of these bacteria can cause tooth decay. Let's call them “bad bacteria.”
When the bad bacteria attach themselves to dental plaque — a film that builds up on your teeth every day — they begin to consume sugars that are in your mouth from foods that you have eaten. As the bacteria break down these sugars and turn them into energy, acid is produced as a by-product. This turns the saliva from neutral to acidic.
At a certain level of acidity, minerals in your enamel start to dissolve. This is called “de-mineralization.” It means that more calcium and phosphate are leaving the tooth's surface than are entering it. Early de-mineralization of the enamel shows up as white spots on a tooth.
Fortunately, healthy saliva can return calcium and phosphate to the enamel, or re-mineralize it. De-mineralization and opposing re-mineralization are constantly battling in your mouth. However, if too much enamel is de-mineralized, bacterial acid can go on to attack the next layer of your teeth, the dentin. As this process continues, you develop a dental cavity.
How can you protect your teeth? The first level of defense is regular removal of plaque, so that the bad bacteria do not get a foothold. In an office visit we may also recommend products such as sealants, antibacterial agents, topical fluoride, calcium and phosphate supplements, pH neutralizers, special toothpaste and rinses, which may help your particular situation.
Contact us today to schedule an appointment to discuss your questions about tooth decay. You can learn more by reading the Dear Doctor magazine article “Tooth Decay — The World's Oldest & Widespread Disease.”