1. What is dental erosion?
a. tooth decay; b. dissolving of tooth enamel by acids in food or drink; c. destruction of tooth material by wear; d. attacks on teeth by bacteria
2. Which of these drinks does not cause dental erosion?
a. orange juice; b. cola drinks; c. water; d. energy drinks
3. Soda sweetened with artificial sweeteners does not cause dental erosion.
a. true; b. false
4. Brushing your teeth immediately after consuming acidic food or drinks may make erosion worse.
a. true; b. false
5. Waiting after consuming acidic foods or drinks allows time for your saliva to neutralize the acid and add calcium back to the enamel in your teeth.
a. true; b. false
6. How long should you wait before brushing after consuming acidic foods or drinks?
a. 10 minutes; b. 20 minutes; c. 30 minutes to an hour d. eight hours
7. Loss of tooth surface material due to dental erosion is reversible.
a. true; b. false
8. People who suffer from bulimia, a psychological condition in which they frequently induce vomiting, often develop severe dental erosion from stomach acid.
a. true; b. false
9. What is the meaning of a low pH value?
a. high pH means high acidity; b. low pH means high acidity; c. neutral pH means high acidity; d. none of the above
10. Properties of a beverage that define their likelihood to erode your teeth are its acidity and its buffering capacity (resistance to being neutralized by saliva.)
a. true; b. false
11. Cola beverages, sports and energy drinks, and fruit juices have a low pH and high buffering capacity. What other factors determine their likelihood of causing dental erosion?
a. acid concentration; b. drinking them more frequently; c. swishing them around in your mouth; d. all of the above
12. How can you reduce dental erosion from the beverages you drink?
a. drink acidic beverages only at mealtimes and not all day long; b. drink beverages with added calcium; c. sip drinks through a straw to reduce contact with your teeth; d. all of the above
Answers: 1b, 2c, 3b, 4a, 5a, 6c, 7b, 8a, 9b, 10a, 11d, 12d
How did you score on our quiz? We hope you gained some information that will help you reduce dental erosion and preserve your teeth’s vital protective enamel.
Some moviegoers have been known to crunch popcorn, bite their fingers or grab their neighbor’s hands during the intense scenes of a thriller. But for one fan, the on-screen action in the new superhero film Black Panther led to a different reaction.
Sophia Robb, an 18-year-old Californian, had to make an emergency visit to the orthodontic office because she snapped the steel wire on her retainer while watching a battle scene featuring her Hollywood crush, Michael B. Jordan. Her jaw-clenching mishap went viral and even prompted an unexpected reply from the actor himself!
Meanwhile, Sophia got her retainer fixed pronto—which was exactly the right thing to do. The retention phase is a very important part of orthodontic treatment: If you don’t wear a retainer, the beautiful new smile you’re enjoying could become crooked again. That’s because if the teeth are not held in their new positions, they will naturally begin to drift back into their former locations—and you may have to start treatment all over again…
While it’s much more common to lose a removable retainer than to damage one, it is possible for even sturdy retainers to wear out or break. This includes traditional plastic-and-wire types (also called Hawley retainers), clear plastic retainers that are molded to fit your teeth (sometimes called Essix retainers), and bonded retainers: the kind that consists of a wire that’s permanently attached to the back side of your teeth. So whichever kind you use, do what Sophia did if you feel that anything is amiss—have it looked at right away!
When Black Panther co-star Michael B. Jordan heard about the retainer mishap, he sent a message to the teen: “Since I feel partly responsible for breaking your retainers let me know if I can replace them.” His young fan was grateful for the offer—but even more thrilled to have a celebrity twitter follower.
If you have questions about orthodontic retainers, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “The Importance of Orthodontic Retainers” and “Bonded Retainers.”
When your child says they have a toothache, should you see your dentist? In most cases, the answer is yes.
And for good reason: their “toothache” could be a sign of a serious condition like tooth decay or a localized area of infection called an abscess, which could adversely affect their long-term dental health. The best way to know for sure –and to know what treatment will be necessary—is through a dental exam.
So, how quickly should you make the appointment? You can usually wait until morning if the pain has persisted for a day or through the night—most toothaches don’t constitute an emergency. One exception, though, is if the child has accompanying fever or facial swelling: in those cases you should call your dentist immediately or, if unavailable, visit an emergency room.
In the meantime, you can do a little detective work to share with the dentist at the appointment. Ask your child exactly where in their mouth they feel the pain and if they remember when it started. Look at that part of the mouth—you may be able to see brown spots on the teeth or obvious cavities indicative of decay, or reddened, swollen gums caused by an abscess. Also ask them if they remember getting hit in the mouth, which may mean their pain is the result of trauma and not disease.
You can also look for one other possible cause: a piece of candy, popcorn or other hard object wedged between the teeth putting painful pressure on the gums. Try gently flossing the teeth to see if anything dislodges. If so, the pain may alleviate quickly if the wedged object was the cause.
Speaking of pain, you can try to ease it before the dental appointment with ibuprofen or acetaminophen in appropriate doses for the child’s age. A chilled cloth or ice pack (no direct ice on skin) applied to the outside of the jaw may also help.
Seeing the dentist for any tooth pain is always a good idea. By paying prompt attention to this particular “call for help” from the body could stop a painful situation from getting worse.
If you would like more information on dental care for children, 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 “A Child’s Toothache: Have a Dental Exam to Figure out the Real Cause.”
Many people use a mouthrinse as part of their daily oral hygiene. If you’d also like to include a mouthrinse in your regimen, the kind you choose will depend on what you want it to do for you.
If your main desire is fresh breath, then a cosmetic rinse that imparts a minty smell to the mouth should fit the bill. That, however, is all they do — cosmetic mouthrinses don’t contribute to oral health beyond your personal satisfaction that your breath is free of bad odors. But, if you want more — added protection against dental disease, for example — then you’ll need to consider a therapeutic mouthrinse.
Therapeutic mouthrinses are usually described as anti-cariogenic (prevents decay) or anti-bacterial, and include both over-the-counter (OTC) and prescription rinses. Their purpose is to either strengthen teeth or reduce the mouth’s bacterial levels. Of the OTC variety, most contain a small amount of sodium fluoride, which can strengthen tooth enamel. They’ve proven highly effective: a number of studies show using a sodium fluoride mouthrinse in conjunction with brushing and flossing reduces the chances of new cavities forming.
A number of OTC rinses also have an anti-bacterial effect, usually provided by active ingredients such as triclosan, zinc or essential oils like menthol. Even a slight reduction in bacteria can help lessen the chances of gingivitis (gum inflammation), an early form of periodontal (gum) disease. Reducing bacteria levels may also help alleviate bad breath.
Some individuals, though, have higher than normal levels of bacteria, or a systemic weakness in fighting certain bacterial strains. If this is your case, you might benefit from a prescribed mouthrinse intended to lower bacterial levels. Most prescription mouthrinses contain chlorhexidine, which has been amply demonstrated as an effective anti-bacterial control of tooth decay and gum disease. Chlorhexidine prevents bacteria from adhering to the teeth and so disrupts plaque buildup, the main cause of dental disease. Its prolonged use will result in the dark staining of teeth in some people, but this can be removed during dental cleanings and teeth polishing. Long-term use is generally not preferred compared to getting the proper attention from regular cleanings and examinations.
If you would like more advice on adding a mouthrinse to your daily hygiene regimen, especially to help reduce your risk of dental disease, please feel free to discuss this with us at your next checkup. Regardless of which type of mouthrinse you choose, they should always be used as a complement to daily brushing and flossing, along with regular dental cleanings and checkups.
For more information on mouthrinses, 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 “Mouthrinses.”
Controlling discomfort during dental work is one of our top priorities. Advances in anesthesia over the last century have made that objective easier to attain, especially for routine procedures.
The term anesthesia means “without feeling or pain.” It refers to the use of substances to prevent a patient’s nervous system from sensing pain. There are two basic types: general, through intravenous injection (IV) or gas inhalation that places a patient in an unconscious state; and local, which only affects the part of the body involved in the procedure while the patient remains conscious.
The latter type has become very important in dentistry, especially for mild to moderate procedures. Because teeth and gum tissues are rich in nerves, patients can have a heightened level of sensitivity that can increase anxiety and discomfort during dental work. Local anesthesia reduces that discomfort and relaxes both patient and dental provider.
We typically administer local anesthesia in two ways: by applying the anesthetic to the outside tissue surface (with a cotton swab, patch or spray) or by injection. The first type, topical anesthesia, is most often used to eliminate the pricking discomfort of the needle used to inject the main anesthetic. Using both applications eliminates any painful sensation at all — the only thing you might feel is a slight pressure during the procedure.
As mentioned before, local anesthesia benefits us as well as you. Knowing you’re at ease and comfortable allows us to better focus on the procedure — we’re not rushed to finish to spare you further discomfort. A relaxed, unhurried atmosphere is essential to a successful outcome for any dental procedure.
We’ve also found solutions for another issue with local anesthesia that concerns patients: the length of time the numbing effect lingers after a procedure. In response, the dental profession has developed different types of anesthesia that reduce this after effect considerably. We’re also more selective about what procedures actually require anesthesia — some, like routine teeth cleaning or work on the outer enamel (which doesn’t contain nerves), can usually be performed without it.
All in all, local anesthesia reduces your level of discomfort and increases our ability to be thorough in performing your dental work. You’ll not only find the experience more pleasant, but it will also enhance the quality of your care.
If you would like more information on alleviating pain and discomfort during dental work, 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 “Local Anesthesia for Pain-Free Dentistry.”
This website includes materials that are protected by copyright, or other proprietary rights. Transmission or reproduction of protected items beyond that allowed by fair use, as defined in the copyright laws, requires the written permission of the copyright owners.