Posts for category: Oral Health
When he isn’t among the ten players vying for position on the basketball court, Cole Aldrich of the New York Knicks sometimes lets his dangle behind one ear. Mason Plumlee, who plays for the Brooklyn Nets, slips his snugly inside one of his socks during off times. Other players can be seen at timeouts gnawing on them nervously, or tucking them into spandex waistbands. But when the whistle blows, they go into the mouth before the players get on the court.
We’re talking about protective mouthguards, of course. According to a recent story in the New York Times, only a handful of basketball players wore them regularly a few years ago. Today, more and more are wearing them, both in practice and during games. What’s the reason for the change?
Partly, it’s the result of better design and improved construction; today’s mouthguards are more comfortable and better-fitting than ever. Part of it comes from mounting evidence that they work: Research studies have consistently demonstrated the benefits of wearing a mouthguard — not only to protect the teeth, but also to reduce the risk of concussion. And partly, it stems from the growing acceptance that safety is an important aspect of all athletic activity.
If the pros are doing it — shouldn’t you be too? While you may think that only contact sports (such as football) are risky, the fact is that “non-contact” sports like baseball and basketball account for the majority of dental injuries. In fact, the American Dental Association recommends you wear a mouthguard when you participate in activities like handball, soccer, surfing and weight lifting — as well as boxing, skydiving, martial arts and “extreme sports” — whatever that may mean to you.
What’s the best kind of mouthguard? It’s the one that you actually wear, of course! And the most comfortable and best-fitting mouthguard is the one that’s custom-made for you by your dentist. Sure, you can pick up an off-the-shelf mouthguard at a big box store; but it can’t offer you the same level of protection and comfort you’ll get from a mouthguard that is made from a model of your own teeth. Custom-made mouthguards from your dentist are reasonably priced — and by preventing dental trauma, they can save an untold amount of hurt… both to your body and to your pocketbook.
So take a tip from the pros: Get a custom-made mouthguard, and wear it every time you play. But when you’re done playing… how about putting it away in a case?
If you would like more information about custom-made athletic mouthguards, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “An Introduction to Sports Injuries & Dentistry” and “Athletic Mouthguards.”
As if the preteen years didn’t give kids and their parents enough to think about, new oral health concerns loom on the horizon. Along with major changes to the body, brain and emotions, additional risk factors for tooth decay and gum disease appear during adolescence — the period of development starting around age 10 and extending through the teen years that marks the transition from childhood to adulthood.
Even with declining rates of tooth decay across the nation, the cavity rate remains high during adolescence. According to the American Academy of Pediatrics, 1 in every 5 adolescents has untreated tooth decay. What’s more, the onset of puberty — usually beginning around age 10-11 in girls and 11-12 in boys — brings changes in hormone levels that can affect gum health.
We all have millions of microorganisms in our mouth, representing hundreds of different species of mostly helpful, but some harmful, bacteria. Research has shown that total oral bacteria increases between ages 11 and 14, and new types of bacteria are introduced, including some that are not friendly to teeth and gums. Some unfamiliar microbes trigger an exaggerated inflammatory response to dental plaque, so gum bleeding and sensitivity are experienced by many children in this age group. In fact, “puberty gingivitis,” which peaks around age 11-13, is the most common type of gum disease found during childhood.
A combination of hormones, lifestyle changes and poor oral hygiene habits raises the risk of oral health problems among adolescents. A more independent social life may be accompanied by a change in eating habits and easier access to snacks and beverages that are sugary, acidic (like sports drinks and soda) or full of refined carbohydrates — none of which are tooth-healthy choices. And as children move toward greater independence, parents are less likely to micromanage their children’s personal care, including their oral hygiene routines. Good oral hygiene can keep dental plaque at bay, lowering the chance of having gingivitis and cavities. But let’s face it: Adolescents have a lot to think about, and keeping up with their oral health may not be top of mind.
To help your preteen stay on top of their oral health, keep healthy snacks at home for your children and their friends and make sure you are well stocked with supplies such as new toothbrushes, floss and toothpaste. In addition, most preteens (and teens) can benefit from gentle reminders about oral hygiene routines.
For optimal oral health through all stages of life, make sure your preteen keeps up with professional teeth cleanings and exams, and talk with us about whether fluoride treatments or sealants may be appropriate for your child.
For more on your child’s oral health, read “How to Help Your Child Develop the Best Habits for Oral Health” and “Dentistry & Oral Health For Children” in Dear Doctor magazine.
Though you don't like to admit it, you don't floss very often. Oh sure, you know it's important to remove the film of bacteria and food particles called plaque that builds up between and on your teeth. And you know you should do it every day.
It's just that, well… you're not very good at using dental floss.
While it's effective, dental floss takes some technique to hold it with your fingers and work it between your teeth. It can be hard for people to get the hang of it — and some aren't physically able or have obstacles like braces that make it harder.
There is a solution: an oral irrigator. Available for home use for decades, these devices deliver pulsating water at high pressure through a handheld device that looks like a power toothbrush. The water flows through a special tip to loosen and flush out plaque from between teeth.
You may have encountered oral irrigation during dental visits. They're a regular part of dental cleanings especially for treatment of periodontal (gum) disease. Because gum tissue weakened by disease may gradually separate from the teeth, large voids or gaps called periodontal pockets can form. These pockets can become further infected and accumulate plaque and calculus (hardened plaque deposits) that can also extend to the roots. Oral irrigation is a way to remove much of the plaque from these hard to reach places.
Oral irrigators have also proven effective for orthodontic patients whose brace hardware inhibits regular dental floss. A 2008 study, for example, found orthodontic patients were able to remove five times as much plaque with an oral irrigator as those who used only a manual toothbrush.
If you're simply looking for an effective alternative to dental floss, an oral irrigator is a good choice. We can help choose the right model for you and give you tips on using it. Your goal is the same as if you were using dental floss — remove the plaque between your teeth to keep disease at bay and your smile healthy.
If you would like more information on flossing options, 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 “Cleaning Between Your Teeth.”
The March 27th game started off pretty well for NBA star Kevin Love. His team, the Cleveland Cavaliers, were coming off a 5-game winning streak as they faced the Miami Heat that night. Less than two minutes into the contest, Love charged in for a shot on Heat center Jordan Mickey—but instead of a basket, he got an elbow in the face that sent him to the floor (and out of the game) with an injury to his mouth.
In pictures from the aftermath, Love’s front tooth seemed clearly out of position. According to the Cavs’ official statement, “Love suffered a front tooth subluxation.” But what exactly does that mean, and how serious is his injury?
The dental term “subluxation” refers to one specific type of luxation injury—a situation where a tooth has become loosened or displaced from its proper location. A subluxation is an injury to tooth-supporting structures such as the periodontal ligament: a stretchy network of fibrous tissue that keeps the tooth in its socket. The affected tooth becomes abnormally loose, but as long as the nerves inside the tooth and the underlying bone have not been damaged, it generally has a favorable prognosis.
Treatment of a subluxation injury may involve correcting the tooth’s position immediately and/or stabilizing the tooth—often by temporarily splinting (joining) it to adjacent teeth—and maintaining a soft diet for a few weeks. This gives the injured tissues a chance to heal and helps the ligament regain proper attachment to the tooth. The condition of tooth’s pulp (soft inner tissue) must also be closely monitored; if it becomes infected, root canal treatment may be needed to preserve the tooth.
So while Kevin Love’s dental dilemma might have looked scary in the pictures, with proper care he has a good chance of keeping the tooth. Significantly, Love acknowledged on Twitter that the damage “…could have been so much worse if I wasn’t protected with [a] mouthguard.”
Love’s injury reminds us that whether they’re played at a big arena, a high school gym or an outdoor court, sports like basketball (as well as baseball, football and many others) have a high potential for facial injuries. That’s why all players should wear a mouthguard whenever they’re in the game. Custom-made mouthguards, available for a reasonable cost at the dental office, are the most comfortable to wear, and offer protection that’s superior to the kind available at big-box retailers.
If you have questions about dental injuries or custom-made mouthguards, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “The Field-Side Guide to Dental Injuries” and “Athletic Mouthguards.”
Although energy and sports drinks have different purposes, they have one thing in common: they often contain added citric and other acids to improve taste and prolong shelf life. Their high acid content can harm tooth enamel.
Although enamel is the strongest substance in the body, acid can dissolve its mineral content. And although saliva neutralizes acid after eating or drinking and helps restore lost minerals to the enamel, it may not be able to keep up if the mouth remains acidic for a prolonged period of time.
That could happen with both beverage types. While energy drinks have higher acid levels than sports drinks, both are high compared with other beverages.
A recent laboratory experiment studied the two beverages’ effect on tooth enamel. The researchers submerged samples of enamel in six different beverage brands (three from each category) for fifteen minutes, and then in artificial saliva for two hours to simulate mouth conditions. They repeated this cycle four times a day for five days.
At the end of the experiment the enamel in the energy drinks lost on average 3.1 % of their structure, while the sports drink samples lost 1.5%. Although energy drinks appeared more destructive, the acid in both beverages caused enamel damage. Although there are other factors to consider in real life, the experiment results do raise concerns about both beverages’ effect on dental health.
You can, however, minimize the potential harm to your enamel from energy or sports drinks. First, try other beverage choices lower in acid; water, for example, is a natural hydrator and neutral in pH. Try to only drink energy or sports beverages at mealtimes when your saliva is most active. And after drinking, rinse your mouth out with water to dilute any remaining acid.
And although it sounds counterintuitive, wait about an hour to brush your teeth after drinking one of these beverages. Your enamel can be in a softened state before saliva can re-mineralize it, so brushing earlier could remove tiny amounts of enamel minerals.
Taking these steps with energy or sports beverages could help you reduce the chances for enamel erosion. Doing so may help you avoid unnecessary damage to your teeth and overall dental health.
If you would like more information on the effect of sports and energy drinks on dental 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.”