My Blog
Posts for: May, 2019
Teeth whitening or bleaching is one of the most affordable and least invasive ways of improving your smile. Although the effect fades with time, whitening can make dull and dingy teeth more attractive in short order.
Teeth whitening is also unique among cosmetic dental procedures in that you can do it yourself at home. While professional bleaching solutions are stronger and capable of greater brightness and longevity, you can still achieve good results with a DIY kit.
If you decide to whiten at home, though, there are a few things to keep mind for a desirable and safe outcome. Here are 3 tips for successful DIY teeth whitening.
Follow the directions. It's not a good idea, both for a successful and safe outcome, to stray away from a kit manufacturer's recommended directions. FDA-approved home kits usually contain 10% or less of carbamide peroxide (one of the more common bleaching agents). That may not seem very strong but it's adequate within the recommended time it remains on your teeth to achieve an effective whitening effect. Exceeding those directions could permanently damage your tooth enamel.
Make sure a home kit will work on your staining. Home whitening kits only affect outer staining on tooth enamel. But dental discoloration can also arise from inside a tooth, often because of trauma, tetracycline use, or as a side effect of a root canal treatment. This kind of internal staining requires a special procedure usually performed by an endodontist to reduce it. So, see your dentist first to make sure your teeth are healthy enough for whitening and that a home kit will work for you.
Get your dentist's advice on home kits. There are a number of whitening applications on the market you can choose, so ask your dentist for recommendations. They can also give you some helpful tips on the whitening process to ensure you'll be safe and successful in your efforts.
Here's a couple of other things to remember to enhance your teeth whitening experience: whether you whiten your teeth at home or with the dentist, be sure you continue to care for your teeth with daily brushing and flossing. And, if you limit your consumption of foods and beverages known to stain teeth, you'll help extend the duration of your brighter smile.
If you would like more information on teeth whitening procedures, 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 “Tooth Whitening Safety Tips.”
Each year thousands of people develop sinus infections from various causes. But there's one cause for sinusitis that might surprise you—tooth decay.
Tooth decay begins when the acid produced by oral bacteria erodes a tooth's enamel protection to create a small hole or cavity. Left untreated, the infection can move into the inner pulp of the tooth and tiny passageways leading to the roots called root canals. The decay can then infect and break down the structure of the supporting jawbone.
This could affect the sinus cavities, hollow air-filled spaces in the upper portion of the face. The maxillary sinus in particular sits behind the cheek bones just above the upper jaw. Tooth roots, particularly in back teeth, can extend quite near or even poke through the floor of the maxillary sinus.
If decay affects these roots, the bone beneath this floor may begin to break down and allow the bacterial infection to enter the sinus. We call this particular kind of sinus infection maxillary sinusitis of endodontic origin (MSEO), "endodontic" referring to the interior structure of teeth.
While advanced decay can show symptoms like pain or sensitivity with certain hot or cold foods, it's also possible to have it and not know it directly. But a recurring sinus infection could be an indirect indication that the root of your suffering is a deeply decayed tooth. Treating the sinus infection with antibiotics won't cure this underlying dental problem. For that you'll need to see a dentist or an endodontist, a specialist for interior tooth issues.
The most common way to treat deep tooth decay is with root canal therapy. In this procedure, the dentist enters the decayed tooth's pulp (nerve chamber) and root canals and removes the diseased tissue. They will then fill the empty pulp and root canals with a special filling and seal the tooth to prevent future infection. The procedure stops the infection and saves the tooth—and if you have MSEO, it eliminates the cause of the sinus infection.
So, if you're suffering from chronic sinus infections, you might talk with your dentist about the possibility of a tooth infection. A thorough examination might reveal a decayed tooth in need of treatment.
If you would like more information on how dental problems can affect your overall health, please contact us or schedule an appointment for a consultation.
Tooth loss is a problem that affects many seniors—and since May is Older Americans Month, this is a good time to talk about it. Did you know that more than a quarter of adults over age 75 have lost all of their natural teeth? This not only affects their quality of life but poses a significant health risk.
According to a study in The Journal of Prosthodontics, significant tooth loss is associated with increased risk for malnutrition—and also for obesity. If this seems like a contradiction, consider that when you have few or no teeth, it’s much easier to eat soft, starchy foods of little nutritional value than it is to eat nutritious fresh fruits and vegetables. If all of your teeth are missing, it’s especially critical to replace them as soon as possible.
There are several ways to replace a full set of missing teeth, including removable dentures, overdentures, and fixed dentures:
Removable dentures are the classic replacement teeth that you put in during the day and take out at night. (However, if you suffer from sleep apnea, research has found that keeping dentures in at night may help keep the airway open, so if you have this condition, be sure to mention it to your doctor and dentist it). Dentures have come a long way in terms of how convincing they look, but they still have some disadvantages: For one thing, they take some getting used to—particularly while eating. Also, wearing removable dentures can slowly wear away the bone that they rest on. As that bone gradually shrinks over time, the dentures cease to fit well and require periodic adjustment (re-lining) or a remake.
Overdentures are removable dentures that attach onto a few strategically placed dental implants, which are small titanium posts placed in the bone beneath your gums. Strong and secure, implants prevent the denture from slipping when you wear it. Implants also slow the rate of bone loss mentioned above, which should allow the denture to fit better over a longer period of time. The ability to maintain hygiene is easier because you can remove them for cleaning.
Fixed implant-supported dentures are designed to stay in your mouth all the time, and are the closest thing to having your natural teeth back. An entire row of fixed (non-removable) replacement teeth can usually be held in place by 4-6 dental implants. Dental implant surgery is an in-office procedure performed with the type of anesthesia that’s right for you. After implants have been placed and have integrated with your jaw bone—generally after a few months—you can enjoy all of your favorite foods again without worry or embarrassment.
If you would like more information about tooth-replacement options, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Overdentures & Fixed Dentures” and “Removable Full Dentures.”
Most dental problems arise from tooth decay and periodontal (gum) disease. But they aren't the only source of danger to your teeth—gastroesophageal reflux disease (GERD) could be just as damaging to your tooth enamel as dental disease.
GERD usually occurs when a ring of muscles at the top of the stomach weaken, allowing stomach acid to enter the esophagus. This resulting acid reflux can make life unpleasant and pose potential health dangers—over time it can damage the lining of the esophagus and cause ulcers and pre-cancerous cells. It can also erode tooth enamel if acid enters the mouth and raises its level of acidity.
This can be a problem because acid can soften and dissolve the mineral content of tooth enamel. This is the primary cause of tooth decay as acid produced by oral bacteria attack enamel. The more bacteria present, often thriving in dental plaque, the higher the potential levels of acid that can damage enamel. Stomach acid, which is strong enough to break down food, can cause similar harm to enamel if it causes higher than normal acidity in the mouth.
There are some things you can do to protect your teeth if you have GERD, namely manage your GERD symptoms with lifestyle changes and medication. You may need to avoid alcohol, caffeine or heavily acidic or spicy foods, all known to aggravate GERD symptoms. Quitting smoking and avoiding late night meals might also ease indigestion. And your doctor may recommend over-the-counter or prescription drugs to help control your acid reflux.
You can also boost your teeth's enamel health by practicing daily brushing and flossing—but not right after a reflux episode. The enamel could be softened, so brushing can potentially remove tiny particles of mineral content. Instead, rinse with water mixed with or without a little baking soda to help neutralize acid and wait about an hour—this will give saliva, the mouth's natural acid neutralizer, time to restore the mouth's normal pH level.
And be sure you're using a fluoride toothpaste. Fluoride strengthens enamel—in fact, your dentist may recommend topical fluoride applications to boost the effect.
These and other tips can help minimize the effects of GERD on your dental health. With an ounce of prevention, you can keep it from permanently damaging your teeth.
If you would like more information on managing your dental health with GERD, 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 “GERD and Oral Health.”
"Mom, my tooth hurts" isn't something you look forward to hearing your child say. But tooth pain is as common as other childhood ailments, so you may have to face it. Here are a few simple steps to make it easier.
First, ask your child where in the mouth it hurts and, if they can, tell you how long it's been hurting. Children's memories aren't always accurate, but you can still get a general idea that you can communicate with your dentist if you take them in.
Next, look in their mouth for anything out of the ordinary: gum swelling or bleeding, or dark spots on the teeth indicative of tooth decay. Look also for hard food particles like popcorn kernels caught between the teeth, which could be causing the pain. Gently floss between the teeth (even if you can't see anything) to remove any caught particles.
You'll also want to help ease their pain. You can apply an ice pack against the painful side of the jaw. Don't place ice directly on the skin, but use a container or cloth alternately against the jaw for a minute or so, and then away for a minute. You can also give them a dose of mild pain reliever like ibuprofen or acetaminophen appropriate for their age and weight—but never rub aspirin or other pain relievers on the gums, which tend to be acidic and can burn the skin.
Finally, you'll need to decide if you need to see a dentist and how soon. It might not be necessary with situations like the trapped food particles, but most of the time it's wise to have your dentist perform an examination for an accurate diagnosis and appropriate treatment. As to how soon, try to see the dentist immediately if the pain has continued from one day to the next or has kept your child up overnight. Otherwise, book an appointment for as soon as the dentist advises, even if the pain subsides.
A toothache at any age is never pleasant, but especially for children. Knowing these steps will help ease their discomfort and get them the relief and treatment they need.
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.”
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Edward C. Joseph, D.D.S.
Burbank, CA 91505
Our Blog
Archive:
- 2020
- March (6)
- Consider Clear Aligners Instead of Braces for Your Teen
- Watch for These Developing Bite Problems with Your Child's Teeth
- Tooth-Colored Fillings Provide a Viable Alternative to Dental Amalgam
- Uncovering Early Gum Disease Through Periodontal Probing
- Removing One or More Teeth Could Improve Orthodontic Outcomes
- Adult Tooth Root Resorption is a Serious Issue that Requires Prompt Action
- February (6)
- Be Alert to the Unintended Consequences of Cancer Treatment to Oral Health
- Manage These Risk Factors to Reduce Your Risk of Tooth Decay
- Follow the Fast-Food Lead: Cut Back Sodas in Your Child's Diet
- 4 Things to Do to Keep Your Child's Dental Development on Track
- Why Gum Disease Could Affect More Than Your Oral Health
- A Root Canal Treatment Will Improve Your Health, Not Harm It
- January (6)
- 4 Ways You Can Improve Your Smile in the New Year
- Give Your Child Added Protection Against Cavities With Topical Fluoride
- Lasers Beginning to Change Some Root Canal Procedures
- Do You Have Adequate Bone to Support an Implant?
- 3 Things You Can Do to Help Your Child Avoid Tooth Decay
- Improve Your Brushing and Flossing Techniques for a Healthier Mouth
- 2019
- December (6)
- Seek Coordinated Treatment If You Have Both TMD and Fibromyalgia
- Teeth Grinding Could Endanger Your Dental Health
- Teeth Whitening: Know Your Options
- Make Your Baby as Comfortable as Possible During Teething
- How Implants Might Improve Bone Health With Dentures
- Primary Teeth Decay Could Affect Your Child's Future Dental Health
- November (6)
- Office Fluoride Treatments Can Add Extra Protection to Your Child's Teeth
- Teeth Grinding in Older Children and Adolescents a Cause for Concern
- How Long Will Root Canal Treatment Last?
- Smoking Could Increase Your Gum Disease Risk
- 4 Serious Health Conditions That Gum Disease Might Make Worse
- The Before, During and After of Root Canal Treatments
- October (6)
- The Triple Partnership That Could Save a Cancer Patient's Oral Health
- Do a Little Extra Food Prep to Ease TMD Discomfort
- Here's What You Can Do to Avoid Gum Disease
- Don't Panic Over Your Child's Teeth Grinding but Do Keep an Eye on It
- A Partnership With the Dentist Will Help Your Child's Teeth Develop Normally
- Clean Your Implants Just Like Your Other Teeth
- September (6)
- Don't Delay Seeing the Dentist If You Suspect Gum Recession
- 4 Ways You Can Take Years off Your Smile
- Preserving the Pulp is Priority One with a Newly Erupted Permanent Tooth
- New Minimally Invasive Techniques are Improving Tooth Decay Treatment
- Topical Fluoride Offers a Protective Boost to Children at High Risk for Decay
- You May Need an Endodontist for a Tooth With Interior Decay
- August (6)
- Oral Hygiene Might Be on the Decline With the Newest Adult Generation
- Don't Let Gum Disease Cut Short Your Implant's Service Life
- "Tooth, Heal Thyself" May Soon Be a Reality
- You Need a Dentist to Remove Tartar From Your Teeth
- Tooth Type and Condition can Affect Root Canal Therapy Effectiveness
- If Appropriate, Antibiotics before Implant Surgery Could Reduce Infection Risk
- July (7)
- You May Need to Postpone an Upcoming Dental Visit if You Have Shingles
- How Dentists Provide Your Child the Benefit of X-Rays as Safely as Possible
- How Early Dental Visits Can Improve Your Child's Oral Health
- 3 Things You Can do to Help Promote Your Child's Dental Development
- 4 Affordable Ways to Transform Your Smile for a Once-In-A-Lifetime Moment
- If You're Older, be on the Lookout for Root Cavities
- Don't Use Benzocaine Products to Ease Your Baby's Teething Pain
- June (6)
- Primary Teeth are Critical to Future Dental Health and Worth Preserving
- As Summer Heats Up, Be on Your Guard for Tooth Injuries
- Do This for Your Dental Health Before, During and After Cancer Treatment
- A Detailed 'Smile Analysis' Sets the Stage for a Successful Makeover
- Affordable Veneers Can Give You a New Smile
- Provisional Restorations let you Try out Your New Smile First
- May (6)
- 3 Tips for Successful, Safe Home Teeth Whitening
- Your Sinus Infection Might be a Sign of a Tooth Problem
- Tooth Loss: A Health Risk for Older Adults
- Manage Your GERD Symptoms to Prevent Enamel Erosion
- Simple Steps to Follow if Your Child has a Toothache
- Your Teenager's Teeth May Not Be Mature Enough for Veneers
- April (6)
- There's Still Hope for a Re-Infected Tooth After Root Canal Treatment
- Gum Disease Could be Affecting More Than Just Your Mouth
- Get a Look at Your Future Makeover Look Now with a 'Trial Smile'
- Dentures with Implants Could Help You Avoid Bone Loss
- Transforming Your Smile with Veneers, Step by Step
- April Is National Facial Protection Month
- March (6)
- Here's How to Manage School Snacks and Your Child's Dental Health
- You Don't Have to Live with a Gummy Smile. Here's How We Can Change it!
- March Is the Time to Evaluate Sleep Problems
- Replacing a Missing Tooth isn't Just About Improving Your Smile
- A Dental Exam Could Uncover an Eating Disorder
- Stop Gum Disease Before it Harms Your Health
- February (6)
- Dental Sealants can help Prevent Tooth Decay in Children
- 4 Things to Avoid if You Want to Support Your Child's Dental Development
- 3 Age-Related Dental Problems and what you can do About Them
- Test You're Brushing and Flossing Success with a Plaque Disclosing Agent
- Recessed Gums Could Endanger Your Teeth
- Finding the Right Solution for Your Gummy Smile
- January (6)
- Take a Look into Your Future with a Trial Smile
- Porcelain Veneers Might not be the Best Option for Teenagers
- Orthodontics Could be in Your Smile Makeover Plan
- Topical Fluoride is a Safe Way to Protect Your Child's Teeth from Decay
- Want to Keep Enjoying Winter Sports? Wear a Mouthguard!
- Enhance Your Smile for that Special, Once-in-a-Lifetime Day
- 2018
- December (6)
- Stop Smoking to Reduce Your Risk of Gum Disease
- Conscious Sedation Eases Treatment Anxiety for Young Dental Patients
- 4 Reasons Why You May Need to See a Periodontist for Your Gum Disease
- New Year, New Smile
- Crown Lengthening Might be Necessary for Seniors with Tooth Decay
- Don't Let GERD Ruin Your Teeth's Health
- November (6)
- Moderate Your Child's Juice Drinking to Lower Tooth Decay Risk
- Avoid Bone Loss around Tooth Roots through Regular Dental Care
- 4 Things to Know About Diabetes and Gum Health
- Dentures are Still a Viable Choice for Tooth Replacement
- Cosmetic Gum Surgery Can Help Restore Lost Tissues Around Teeth
- Gum Surgery Can Improve Your Smile and Save Your Teeth
- October (6)
- Try the Conservative Path to Jaw Pain Relief First
- Encourage Your Child to Stop Thumb Sucking by Age 4
- Five Tips for Top-Notch Tooth Brushing
- Ease Your Child's Teething Discomfort with these Tips
- 3 Factors That Could Affect the Success of a Root Canal Treatment
- How to Help Your Kids Form Good Oral Hygiene Habits
- September (6)
- Keep on Course during the 3 Phases of a Smile Makeover
- New Saliva Test may Help Identify Oral Cancer Earlier
- Cosmetic Questions to Ask to Get You on the Right Path to a Better Smile
- FAQs for National Gum Care Month
- Have Your Child's Chronic Mouth Breathing Checked to Avoid Bite Problems
- Look After Your Teeth During Cancer Treatment to Avoid Dental Disease
- August (6)
- Recreational Marijuana Could Increase Your Risk of Gum Disease
- 3 Reasons You Should Consider Tooth Whitening
- What to do if Your Child has a Toothache
- World Cup Soccer Coach-Dentist Saves the Day!
- Can't Afford Dental Implants? Consider Partial Dentures
- Be on the Alert for Gum Disease While Wearing Braces
- July (7)
- The Right Treatment for Your Child's Injured Tooth Increases its Survival
- Encourage Your Child to Stop Thumb Sucking Around Age 3
- You May Need Surgery to Repair the Damage of Gum Recession
- What Happens in a Root Canal Treatment and How it Can Save Your Tooth
- Don't Take a Vacation From Oral Hygiene This Summer!
- We'll Help You Maintain Your Oral Health After Gum Disease
- Tips to Brighten Your Summer Smile
- June (6)
- Good Reasons for Choosing Clear Aligners for Orthodontic Treatment
- What You Can Do to Support Your Child's Dental Development
- June Is National Safety Month: Be Prepared for Dental Emergencies
- Seek Immediate Treatment for this Advanced Form of Gingivitis
- Keep Alert for this Extreme Form of Gingivitis
- Gum Infection Around Tooth Roots Calls for Immediate Action
- 2017
- December (5)
- Extracting Certain Teeth can Boost Orthodontic Effectiveness
- Living with HIV includes Keeping a Close Watch on Your Oral Health
- 3 Ways You Can Help Your Child Feel at Home at the Dentist
- Your Age Won't Necessarily Decide Against Straightening Your Smile
- Air Abrasion Could be a More Pleasant Alternative to the Dental Drill
- May (5)
- Complications from Missing Teeth Could Limit Your Replacement Options
- Look at Your Options for Saving a Tooth First Before Replacing it
- Techniques for Keeping Impacted Canine Teeth from Spoiling Your Smile
- We can Fix a Smile Marred by Absent Front Teeth
- Lasers Could One Day be Commonplace for Treating Gum Disease
- April (5)
- An Affordable RPD Could be the Answer to Your Missing Teeth Problems
- Pediatric Dentists Specialize in Dental Care for Children and Teens
- Plan Ahead to Make Your Smile the Best it can be for Your Big Day!
- Practice Proactive Prevention to Enhance Your Child's Dental Development
- You may need a Periodontist to Fully Treat Your Gum Disease
- January (5)
- Simplify Your Toothpaste Purchase by Looking for These Ingredients
- Get Control of Dry Mouth to Protect Your Dental Health
- Restore a Flawed Tooth in as Little as One Visit with Composite Resin
- You Should Brush and Floss Around Your Implant to Ensure its Longevity
- Keep a Lookout for These Soft Tissue Conditions in the Mouth
- 2016
- November (5)
- 4 Reasons you may want Your Dentist to Whiten Your Teeth
- Clear Aligners Make it Easier for Teenagers to have Their Teeth Straightened
- Follow These Common Sense Steps When Your Child has a Toothache
- Don't Let the Acid in Sports and Energy Drinks Ruin Your Tooth Enamel
- Dental Implants can Replace Your Whole Tooth, Not Just What You See
- September (5)
- Make Efforts to Protect Your Teeth from Disease While Wearing Braces
- What to Expect Before, During and After Implant Surgery
- Lasers Adding New Precision and Efficiency to Root Canal Treatments
- Treating "Burning Mouth" Depends on What's Triggering it
- Take These Measures to Lower Your Child's Tooth Decay Risk
- June (5)
- Crown Lengthening Opens up New Teeth Restoration Possibilities
- Root Canal Treatment Alleviates Pain and Saves Your Tooth
- 4 Reasons Saving Your Child's Decayed Baby Tooth is a Good Idea
- Teens Benefit Most from A Temporary Solution to Missing Teeth
- The Risk for Gum Disease Increases While Wearing Braces
- May (5)
- Mild Pain Relievers may be all you need for Discomfort after Dental Work
- Here's What to Do if Your Child has a Toothache
- Your Case of Gingivitis Could Develop into Something More Harmful
- Sedation Therapy can reduce Anxiety in Children during Dental Visits
- Weigh a Poor Smile's Emotional and Social Cost when Considering Restorations
- March (5)
- Removable Dentures Remain a Viable Option for People with Total Tooth Loss
- Erosion and Other Problems may be Signs of Bulimia
- Is There a Link Between Gum Disease and Cardiovascular Health?
- Surgically Accessing Sinuses can Help Grow New Bone for Implants
- Test Out Your Future Look With a 'Trial Smile'
- 2015
- December (5)
- Dental Amalgam Continues to be a Durable and Safe Tooth Filling
- Sealants Provide a Little Extra Protection for Children at High Risk for Decay
- Saliva Performs Many Functions for Both Oral and General Health
- Three Considerations for Working with Your Dentist on Your Smile Makeover
- Simple or Surgical? Choosing the Right Kind of Tooth Extraction
- 2014
- August (5)
- Dental Hygienist - Your Partner in Preventing Disease and Maintaining Oral Health
- Major Benefits for Tooth Replacement With Dental Implants
- Replace Missing Teeth to Prevent Other Teeth From Moving Out of Place
- Taking Precautions Before, During and After Implants Will Help Ensure Success
- Conscious Sedation can Make Your Child's Dental Visit More Pleasant
- 2013
- December (5)
- Do Clear Orthodontic Aligners Really Work?
- Dental Amalgam Fillings Remain a Safe and Reliable Tooth Restoration Option
- Monitoring Blood Pressure is Important for Both Your General and Oral Health
- Consider all the Cost Factors When Deciding on a Crown Restoration
- New Permanent Teeth - Faster Than Ever!
- October (5)
- Are You an Athlete? Here Are Five Reasons You Should Wear a Mouthguard
- Dental Implant Maintenance: 5 Facts You Should Know
- Advances in Clear Aligners Make Them a Viable Choice for More Teens
- Frequently Asked Questions About Root Canals
- Implant Overdentures: a Marriage of Options for Lower Jaw Tooth Replacement
- 2012
- August (7)
- Tooth Brushing: Don't Overdo It!
- American's Obsession With Bad Breath
- Top 5 Advantages of Dental Implants
- Factors that Can Influence a Dental Implant
- Early Orthodontic Care Helped Child Star Nolan Gould Get Ready for Prime Time
- Child Star Nolan Gould Talks About Tooth Extractions, Orthodontic Treatment
- How Does Tooth Bleaching Work?
- 2011
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