Showing posts with label tongue. Show all posts
Showing posts with label tongue. Show all posts

Thursday, July 28, 2016

Baby Bottle Tooth Decay

Tooth decay is not a hard thing to understand. 
Sugars from sweets, fruit, milk, etc etc etc etc get into 
someone's mouth. 
The bacteria, naturally occurring in the mouth, ingest the sugars.
The bi-product of this bacteria - sugar combination is acid. 
The acids eat your teeth. 

That's it. 
Soooo, the take home point here is this........
The longer you have sugar in your mouth the more chances there
are for the bacteria to produce the acids that cause decay.

Time + Sugar = Decay

One of the saddest manifestations of this is Baby Bottle tooth decay.


Little tikes that get put to bed with a bottle. 
They will drink a little, fall asleep, wake up and drink a little, then fall asleep.
The result is that they have sugars on their teeth, essentially, all night long. 


Feed your little ones with a bottle if you so choose. 
But then after that make sure to brush their teeth. 
Or, at very least, give them a drink of water to help rinse the sugars away. 

Getting your 2 year old to obey you is tough. 
Getting them to sit still while I drill on their severely decayed teeth ......
nearly impossible. 






Thursday, October 1, 2015

Do I really need a crown?

So, your dentist tells you that you need a crown.
How do you know if he/she is full of it and when 
they are telling you the truth?

Here's the #1 reason that teeth, in my office, need crowns.

The ratio between tooth and filling.
A filling is like a patch in a pair of pants. 
You rip a little hole and you place a patch. 
You rip 14 holes and you throw the pants away. 
Why?
Because the amount of patch material would be greater then
the amount of original pant material and that just wouldn't work.

It's the same with teeth. 
When that amount of filling material would be greater
 then the original tooth material, you know its time.

This tooth is a perfect example.
It used to have 4 corners. The patient came in because he
broke one of the corners off. 
When the 4 corners were in place the ratios were okay.
But not that there are only 3 corners the ratios are off.
There is now too much filling and not enough tooth to support it.
This tooth now needs a crown.

Hopefully your dentist uses a digital camera and can show
you images like this so that you can see what is going on. 






Tuesday, April 9, 2013

Do you have bad breath?



What is the cause of bad breath??

There are many causes.
Teeth that are decayed.
Gum disease.
Bacteria.
Digestion problems.
Etc.

One of the first things to do in order to determine the cause of your
bad breath is to get to a dentist and get a good cleaning.
This will make sure you start off with a clean slate.

Then.....
For 2 weeks commit to brushing after each meal.
For 2 weeks commit to flossing daily.
And for 2 weeks commit to rinsing with a mouthwash such as Listerine, daily.
(Important note: You also need to brush your tongue.
Tongue scrapers, pictured below, are also available.)
After the 2 week period see how your breath is.
If it still smells as fresh and clean as it did when you left the dentist office
then your bad breath was, more then likely, a result of poor oral care.

This would be good news because all you need to do is continue
your new pattern of brushing, flossing, and rinsing and your bad breath should be history.

If things return to there normal, bad breath, state then other things need to be considered.




Tuesday, October 9, 2012

Making it all better.

As we age our teeth, like everything in our bodies, will begin to break down.
There is hope however. 
Technology has come a long way in dentistry and what used
to be a very difficult and costly fix is now relatively easy.

This women came into the office with the complaint that a filling had broken.
We took the before picture and informed her that we could fix the
broken portion of her tooth and at the same time remove old
filling that may also be starting to decay.

Before.
The old metal fillings and broken portion clearly visible.

After
The new filling is barely visible at all.




Wednesday, September 12, 2012

Dental work is hard with my bad gag reflex.


What is gagging?
Gagging is simply a defense mechanism that your body has to keep you from chocking.
Now this is typically a good thing. No one wants to get something down "the wrong pipe".
This however, can cause problems at the dentist office.
Having a bad gag reflex can make it almost impossible to get certain dental work done.
The picture below will show several items.
The soft palate is what we are interested in for this discussion.
When something touches the soft palate the bodies natural reaction will be
to close your throat off and prevent whatever it is that just touched the
soft palate from continuing down your throat and choking you to death.
Another spot where the gag reflex comes into play is tongue.
This can be a little more problematic then the soft palate gag reflex.
Not much will ever touch your soft palate but your tongue gets touched
all the time as you eat or whenever you go to the dentist.

Not much can be done for the soft palate gag reflex but there is help for the tongue.

Take your tooth brush and find the spot that makes you gag.
Start brushing your tongue at a spot that does not make you gag and
work your way toward that spot. Keep doing that day after day until you
can brush anywhere on your tongue without gagging.

Another trick would be to place a little bit of salt on your tongue, where it
makes you gag, before going to the dentist. That will, hopefully,
distract that spot long enough for you to get done what is you need done.



Monday, September 10, 2012

Tongue Scrapers

I was asked today about tongue scrapers.
I personally do not use a tongue scraper but there is never 
a time when I am brushing my teeth that I do not also brush my tongue.

The tongue is just like any other place on the human body.
It can collect bacteria and needs to be cleaned.
It may even more needful then other places due to the 
fact that the tongue is in an environment that is moist, 
warm and has a constant supply of food.
All of these factors are great for bacterial growth.
And bad bacterial is something that we do not want to see happen.

So whether or not you use a tongue scraper to clean your tongue, to me, 
does not matter too much. 
What does matter to me is that you simply get your tongue clean
one way or the other.





Monday, August 20, 2012

Dry Eyes, and Dry Teeth.

Everyone knows that having dry eyes are bad.
If its caused by hot dry weather, medication, allergies,
age, etc. its no fun when your eyes are dry.

And it seems as though people seem to have a pretty good handle 
on stopping their eyes from being dry.

People will take their allergy meds, or reach for over the counter
solutions to place directly into their eyes to moisten them.

But what about dry mouth?
It seems as though people do not realize what to do about
dry mouth or even know what causes it.

Dry mouth is bad. 
And it can be very bad.
Dry teeth are essentially dead teeth waiting to happen.
Saliva plays a huge roll in protecting your teeth from the 
effects of the bacteria that cause cavities.
Without the saliva (dry mouth) the teeth are sitting ducks for the 
effects of the bacteria.

The causes of Dry mouth are varied.
Age, medications, and genetics are all part of the equation.

And just like treating dry eyes there are things that can, 
and should be, done in relation to treating dry mouth.

First is to identify the cause.
If its medications then talk to the doctor that is putting you on those
meds and discuss other possible options and medications.

If it is age or genetics then there are steps you can take. 
First is to always carry a water bottle with you.
It is not the quantity of water you drink but the frequency 
with which you drink it.
Always keeping your mouth moist is key.

There are also several over the counter medications 
to assist people with dry mouth.
Toothpastes, mouthwashes, mouth sprays, etc, are all available.

Take home point here is that if you suffer from dry mouth
do not let things go too long before you address the situation.

Dry mouth, just like dry eyes, if left untreated can have very long lasting
and severe effects. 



Thursday, August 9, 2012

Before and afters

Here is a before and after of a case we did just the other day. 

A patient had a slight crack running down his tooth.
The tooth also had a old metal filling. 
Perfect chance to fix the crack and get the metal out
in order to make the tooth look a little more life like.

Tooth before. 


Tooth after.

Happy Patient.





Friday, July 6, 2012

Geographic tongue

So you look into the mirror at your tongue,
(or you are looking at the tongue of your child)
and you notice that it seems to look patchy.
Some parts are a certain color and others are another color.

What is wrong with you????

What is going on is called Geographic tongue. 


No no no..... that's not what I am talking about.


Yes, that's what I am talking about.
Not nearly as pretty as the 50 states but it more realistic.
It is really nothing to worry about.
It will come and go. It will move around.
That patches will get more and less intense.
When things flare up your tongue may be more sensitive
to acidic foods (tomatoes, lemons, etc.)

There are no known treatments but people say that several things 
have helped them in the past. 
People note that sucking on mint leaves, steroids, and 
antihistamines have all helped to alleviate flareups.

Take home here is that there is not much to be concerned about
death is not nearing (at least from your tongue).



Tuesday, June 12, 2012

Frenulum

A what?

Its called a frenulum.

It is the little piece of tissue that connects your lip to your gums (see below).


Its also the little piece of tissue that connects your 
tongue to the floor of your mouth (see below).

Why are these pictures important?
Because your dentist may tell you that your child, or you, needs a frenectomy.
That is where the doctor will cut the little piece of tissue in half.
This is done in cases where the frenulum is getting in the way.
Either it is in between the teeth causing a gap or
in is tying the tongue to the floor of the mouth and thus hampering speech. 
Its just good to educate yourself on what things are and why certain
procedures are going to be done before actually getting them done.

And there is always the option of piercing your frenulum.
But.... I'm not a big fan of that.



Monday, February 13, 2012

Knowledge is power.

Knowledge is power.

When you go to the dentist it is no different.
What should a filling feel like when its done?
What should a crown feel like when its done?
What should a root canal look like on x-ray when its done?

If you know the answers to questions like these the more you
will be able to make sure that you are getting good quality care.

A root canal is a very tricky procedure.
Many things can keep a root canal from going well.
However, for the most part your root canal should look a certain way.

Here is a way that a root canal should not look and a way it should.

This root canal is very short of the end of the tooth. 
There are also voids in the filling material, the filling
material does not look solid throughout.



This root canal looks very different.
The filling material goes all the way to the tip of the tooth.
And the filling is thick with no voids.


As was stated earlier there are difficulties in some root canals.
But most should go very smoothly.
Arm yourself with knowledge before having a procedure done.
After its done ask to see the pictures.
Ask if anything went wrong and what the prognosis is for the tooth's future.



Wednesday, February 1, 2012

How about a tongue tattoo?

I thought I had talked about all I could talk about on this 
blog, but it appears as I may have been mistaken.

It seems as though there is a new phenomenon out there
of getting a tattoo on your tongue.

I have nothing against those that choose to have a tattoo.

Getting a tattoo on your tongue however, may cause me some concern.

Your tongue is very very sensitive.
More nerve endings per surface area then anywhere else in your body.
Don't believe me?
If a stray hair lands anywhere on your body you probably wouldn't feel it.
Get a stray hair in your mouth and your tongue can feel it in an instant.
There are also many more blood vessels in this are then in most other parts of the body.

Thus, getting a tattoo on your tongue would pose some concerns to me.

First is your sense of taste.
If your morning hot chocolate/coffee is a little to hot you burn your tongue.
The spot that you burned is unable to taste for several hours.
I can only imagine that dragging a small needle across your tongue and then
depositing ink would have some of the same effects.

Second is the chance of infection.
Some of my more avid body piercing friends say that the mouth is very sterile and 
that there are enzymes to take care of any infections in the mouth.
If that were totally true then I wouldn't need to prescribe any antibiotics after
tooth extractions. I could just let these enzymes take over.
No matter how sterile that mouth may be the stuff that goes into it is not.
So unless you stop eating and drinking for a while after the procedure.
Every straw, fork, piece of food, etc that enters your mouth will carry bacteria on it.
Bacteria need warmth, food, and water to multiply. Your mouth has all in abundance.
Not to mention tons of little places where they can go hide out.
Therefore, the chances of infection are increased over other body parts.

Now I need to point out that I really doubt that anyone has taken the time
to do a long term study on tongue tattooing. 


I just happen to think that it may not be the greatest idea in history.



Monday, January 16, 2012

I don't have any back teeth. What are my options?

Over the years many people, for one reason or another,
 have lost some of their back teeth (molars). 

What are the options to replace these teeth?

Some of the more common options are dentures and/or implants.

But there is another option that most people are not aware exists.

It is called a cantilever bridge.

What is a cantilever bridge you say?
Well, first we need to discuss what a cantilever is.
The pictures below illustrate cantilevers.
It is when something is stretched out into space without any support on one end.




So what does this have to do with dentistry?
Below you will see a picture of a cantilever bridge.
You can place a crown on your furthest back tooth and then hang
another crown off the back of that. 
The conditions have to be right for this to happen, but if they are
then it can work really well. 



Tuesday, January 10, 2012

Does my child need braces?

We get this question a lot.
And the answer is directly related to the definition of the word "need".

There are very few things that we "need" in life.
Water, food, and shelter being among them.

You only "need" to have braces if the misalignment of your teeth 
is so great that is causing you health problems.

Health problems such as the inability to eat properly, 
trouble speaking clearly, and/or experiencing extreme
amounts of tooth decay because your teeth are simply to hard to clean properly.

Other then these instances braces are a "want" and not a "need".
It is simply a cosmetic issue at that point.
Do women "need" to die their hair when it turns gray?
Do men "need" to trim their eyebrows when they get over 3 inches long?

So the determination of whether or not your child "needs" braces is
pretty much up to you and your child. 

For more information on braces and all other things orthodontic 
you can talk to your dentist or contact an orthodontist directly.


Thursday, January 5, 2012

Cosmetic Bonding - Before and After

Cosmetic bonding is such a wonderful treatment.
Things that people have been dealing with for years can
be corrected in a matter of minutes without any shots and 
at relatively low cost when compared with the alternatives.

This is Nancy.
Nancy had always hated the gaps in her front teeth.
Nancy has 3 kids and did not want to go through braces.
She also did not want to spend gobs of money on crowns or veneers.

So we did a procedure called cosmetic bonding.
Cosmetic bonding simply means placing a small white filling
on the side of each tooth that makes up the gap.
The fillings simply glue on, like all other fillings, 
and are very durable.

Nancy Before.


 Nancy After




Monday, October 24, 2011

Tongue Piercing = Bad Idea

You see it all the time.
People with barbells sticking out their tongue.
You may even have one yourself.
But is it safe?
In a word...... NO!
Can you feel a stray hair on your arm? Probably not.
Can you feel a stray hair on your leg? Again, probably not.
Can you feel a hair in your mouth? Absolutely.
The reason for this is because the tongue has more nerves contained in it then almost any other part of your entire body. It is very sensitive and very precise. Therefore, ramming a large steel rod through it will certainly damage these nerves. Piercing the tongue can lead to a loss in ability to feel your tongue and ability to taste food.
Besides loss of taste and feel there are also other dangers.
Since the mouth can not be kept sterile, as other parts you may pierce,
the chance of infection is greater. The above picture is a very nicely infected tongue.
Cracking your teeth on a tongue ring is also a very real concern. I have treated many cracked teeth from people biting down on tongue rings.

Want another reason?
How about this one.
If you catch your tongue ring on something.
You can actually pull it out of your tongue and cause, this......
Look Fun????

My suggestion, DON'T DO IT!!!


Tuesday, October 11, 2011

My Kid Just Knocked Their Front Tooth Out?!


Okay. First of all, as in most traumatic situations.
Do not panic.
Its likely that your child has never gone through this before.
Therefore, they are fairly unaware whether what just happened
to them is simply a minor thing or whether they will soon be in the hospital.
The way they will be able to tell how severe the situation
is is by looking at their parent.
If you are flipping out then they will too.

The first thing to do is to educate yourself BEFORE something like this happens.
It is very important to know when your child's baby teeth will come out naturally.
Here is a chart of, about, when that will happen.
This is important because if the tooth that was just knocked out was about to
come out anyway then there is much less to worry about.
If it's still a year or so away, or you know that its already the permanent tooth
that just got knocked out then there is much more to worry about.



So lets say your child is 8 or 9 years old and it is the adult tooth that just got knocked out.
First thing is to do is obviously check your child for signs of significant injury.
If they hit their face hard enough to knock a tooth out
you need to check for signs of a concussion.
If they seem to be alright except for the tooth then the next step is to find the tooth.
Once the tooth is found treat it very gently.
The tooth is attached to the bone by ligaments.
Parts of those ligaments will still be attached to the tooth and must not be damaged.
First carefully pick off any large pieces of debris.
Secondly the smaller pieces need to be rinsed off.
This is best accomplished by gently rubbing the tooth against the inside of your child's cheek.
This will get all the small particles off and still treat the tooth gently.

Then, are you ready for this..... you need to stick the tooth back in.
That's right, you need to gently place the tooth back into the socket from which it came.
Its pretty simple.
The Skinny part goes in first.
Just simply slide it back into place.
Don't force it. Simply get it as close as you can.
If it wont go or you don't have the stomach for it then place the tooth
into your child's mouth in the bottom jaw in between the cheek and gums.
Holding the tooth there will give it the best chance for survival.
Another idea would be to place it in a glass of milk.
Saliva and milk are the best places for a knocked out tooth.
DON'T place the tooth in a glass of water.
The water will destroy any chance we would have had to
get the tooth to reattach to the body naturally.

Then finally, in all cases, get to a dentist ASAP.
The dentist will know what to do and will give you options depending on the
severity of the accident and the condition of the jaw and tooth.


Monday, October 3, 2011

The evolution of an implant.


The evolution of an implant.

#1 Somehow acquire a bad tooth.
Break it off at the gums, have a root canal that fails, etc.
(example of tooth broken off at gums)
#2 Get the tooth extracted and then place the implant.
#3 Attach a post to the implant.
This will serve as a platform on which to place the crown.
#4 Place a crown on the post and you are back to full function.
This entire project took about 3 months to complete.
The patient is very happy with the results.


Wednesday, September 21, 2011

Does your child need to go to pediatric dentist?

Like many things in this world...... it depends.
Pediatric dentists are an amazing tool in the dental community.
I send children to them all the time.
However, there are many many more children
that I never send to them.

Almost everything that a pediatric dentist can do for your child can be done by a general dentist. Placing fillings, straightening teeth, placing space maintainers, extracting teeth,
doing pulpotomies (baby root canals), cleaning teeth, etc.
All of these services are offered by both a pediatric dentist and the general dentist.

So what does a pediatric dentist for?
The thing that, I feel, pediatric dentists are best for is to treat the nervous child.
Children just don't like dentists, doctors, nurses, etc.
We are always the ones giving shots and swabbing throats and so on.
The pediatric dentist is licensed to sedate children.
Whether through I.V. or orally your child can be put to sleep at a pediatric dentists office.

Now, this service will cost more money for the overall treatment but if it is the only way that your child can be treated due to them being scared to death then that is the best thing.

I suggest starting to bring your child to the dentist with you when they are about 3 years old.
Bring the child in for your cleaning. Let them sit in the corner and see that its not such a bad thing to be seen by the dentist. Do the same thing for you next cleaning. At that next appointment we typically will ask to see inside the child's mouth as they sit on the chair in the corner. We simply look around and get the child used to use being in their mouth. After that is done we congratulate the child for being so good and give them a prize. This exercise clears the way for them to be seen for their own cleaning and not be too scared about it because they have already been into the dentist on numerous occasions.