Your tooth enamel is often under assault from oral acid produced by bacteria and certain foods. Unless neutralized, acid can erode your enamel, and lead to destructive tooth decay.
But there's another type of acid that may be even more destructive—the acid produced in your stomach. Although important for food digestion, stomach acid outside of its normal environment can be destructive. That includes your teeth, if stomach acid finds its way into your mouth. And that can happen if you have gastroesophageal reflux disease (GERD).
GERD, a chronic condition affecting 1 in 5 adults, is caused by the weakening of the lower esophageal sphincter, a ring of muscle at the intersection of the esophagus and the stomach that prevents stomach acid from traveling back into the digestive tract and damaging the esophageal liner.
It's also possible for stomach acid to travel as far up as the mouth. With a pH of 2.0 or less, stomach acid can lower the mouth's normal pH level of 7.0 well below the 5.5 pH threshold for enamel softening and erosion. This can cause your teeth, primarily the inside surfaces of the upper teeth, to become thin, pitted or yellowed. Your teeth's sensitivity may also increase.
If you have GERD, you can take precautions to avoid tooth damage and the extensive dental work that may follow.
- Boost acid buffering by rinsing with water (or a cup of water mixed with a ½ teaspoon of baking soda) or chewing on an antacid tablet.
- Wait about an hour to brush your teeth following a reflux episode so that your saliva has time to neutralize acid and re-mineralize enamel.
- If you have chronic dry mouth, stimulate saliva production by drinking more water, chewing xylitol gum or using a saliva supplement.
You can also seek to minimize GERD by avoiding tobacco and limiting your consumption of alcohol, caffeine or spicy and acidic foods. Your doctor may also prescribe medication to control your GERD symptoms.
Preventing tooth decay or gum disease from the normal occurrences of oral acid is a daily hygiene battle. Don't let GERD-related acid add to the burden.
If you would like more information on protecting your teeth from acid reflux, 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.”
From a dentist's perspective, toothbrushes have a limited lifespan: Bristles can fray after months of use, rendering them less effective in removing harmful dental plaque. The American Dental Association therefore recommends a new brush at least every three to four months.
From a user's perspective, that's not that big a deal—toothbrushes are relatively inexpensive and plentiful in stores selling oral hygiene products. In fact, many dentists give their patients a new toothbrush after each dental cleaning.
But there's still another perspective: Mother Earth. Too many of those used toothbrushes end up in the trash. With potentially billions of disposed toothbrushes each year, this essential dental care tool could well be a significant contribution to our planet's overflowing waste problem.
Fortunately, you don't have to consign your used toothbrush to the landfill. After a sanitizing run through the dishwasher, there are dozens of ways to re-purpose your old brush. In recognition of Earth Day, April 22, here are a few of them.
Kitchen cleanup tool. Your kitchen is likely filled with various utensils and small appliances like toasters or blenders that contain lots of nooks and crannies. These spaces can quickly fill up with spills or food debris. With their narrow heads and long handles, old toothbrushes are ideal for tidying up your hard-to-clean kitchen equipment.
Tile grout cleaner. Those narrow bristles also make toothbrushes a great tool for cleaning bathroom tile grout. Simply apply your favorite cleaner, or a little baking soda added to water, and let your old toothbrush do the rest. A toothbrush is also handy for cleaning around other tight spaces around the sink, tub or toilet.
Personal hygiene aid. After retiring from teeth cleaning, your brush can still play a role in personal hygiene. Use if for cleaning under fingernails, removing hair from hair brushes or even getting your eyebrows in good order. They're also handy for applying hair dye if you can't lay your hands on the regular application brush.
Miscellaneous task helper. A used toothbrush can be useful for tasks in and out of the house. Inside, it can help you remove your child's crayon art from walls or tackle stubborn clothes stains. Outside, it's handy for cleaning different parts of your car, the soles of your shoes or grimy bicycle chains. When you need something small and narrow, a toothbrush might just fill the bill.
Have more than enough used toothbrushes? Then consider recycling the next one, if your local program allows it. In its separated components your toothbrush can thus continue to be useful—and not another piece of clutter on our beautiful planet.
Buffalo Bills wide receiver Stefon Diggs wrapped up the NFL regular season in January, setting single-season records in both catches and receiving yards. The Bills handily beat the Miami Dolphins, earning themselves the second seed in the AFC playoffs, and Diggs certainly did his part, making 7 catches for 76 yards. But what set the internet ablaze was not Diggs' accomplishments on the field but rather what the camera caught him doing on the sidelines—flossing his teeth!
The Twitterverse erupted with Bills fans poking fun at Diggs. But Diggs is not ashamed of his good oral hygiene habits, and CBS play-by-play announcer Kevin Harlan expressed his support with “Dental hygiene is something to take note of, kids! There's never a bad place to floss” and “When you lead the NFL in catches and yards, you can floss anytime you want.”
We like to think so. There's an old joke among dentists:
Q. Which teeth do you need to floss?
A. Only the ones you want to keep.
Although this sounds humorous, it is borne out in research. Of note, a 2017 study showed that people who floss have a lower risk of tooth loss over periods of 5 years and 10 years, and a 2020 study found that older adults who flossed lost an average of 1 tooth in 5 years, while those who don't lost around 4 teeth in the same time period.
We in the dental profession stress the importance of flossing as a daily habit—and Stefon Diggs would likely agree—yet fewer than 1 in 3 Americans floss every day. The 2016 National Health and Nutrition Examination Survey (NHANES), conducted by the CDC's National Center for Health Statistics, revealed that only 30% of Americans floss every day, while 37% floss less than every day and 32% never floss.
The biggest enemy on the football field may be the opposing team, but the biggest enemy to your oral health is plaque, a sticky film of bacteria and food debris that builds up on tooth surfaces. Plaque can cause tooth decay and gum disease, the number one cause of tooth loss among adults. Flossing is necessary to remove plaque from between teeth and around the gums where a toothbrush can't reach. If not removed, plaque hardens into tartar, which can only be removed by the specialized tools used in the dental office. Regular professional dental cleanings are also needed to get at those hard-to-reach spots you may have missed.
If Diggs can find time to floss during a major NFL game, the rest of us can certainly find a couple minutes a day to do it. While we might not recommend Diggs' technique of flossing from one side of the mouth to the other, we commend his enthusiasm and commitment to keeping his teeth and gums healthy. Along with good dental hygiene at home—or on the sidelines if you are Stefon Diggs—regular professional dental cleanings and checkups play a key role in maintaining a healthy smile for life.
Teenagers can have the same smile-disrupting tooth flaws as adults. But not all cosmetic treatments available to adults are appropriate for teenagers—at least not until they get a little older. Dental veneers fall into that category.
A veneer is a thin porcelain shell custom-made by a dental lab, and bonded by a dentist to the face of a tooth to mask chips, stains, gaps or other imperfections. Because they're less invasive than other measures, veneers are highly popular as a cosmetic dental solution. They do, however, usually require some enamel removal so that they'll appear more natural.
This enamel removal typically won't impact an adult tooth other than it permanently requires it to have veneers or other restorations after alteration. But there is a risk of damage to a teenager's tooth, which hasn't fully developed.
Adolescent teeth usually have a larger pulp chamber (filled with an intricate network of nerves and blood vessels) than adult teeth. And because the enamel and dentin layers may not yet be fully developed, the pulp is much nearer to the tooth's surface.
We must be very careful then in removing enamel and dentin for veneers or we may penetrate the pulp and risk damaging it. Alternatively, there is the possibility of no-prep veneers which are very conservative but often are unable to be done because of the need to often remove tooth structure to make the veneers look natural.
Another cosmetic problem can occur if we place veneers on a patient's teeth whose jaws and mouth structures are still growing. Eventually, the gums could recede and an unsightly gap form between the veneer and the adjacent natural tooth.
Fortunately, there are other techniques we can use to improve a tooth's appearance. Mild chipping can be repaired by bonding composite resin material to the tooth. Some forms of staining may be overcome with teeth whitening. These and other methods can address a teenager's smile appearance until their teeth are mature enough for veneers.
Whether or not a tooth is ready for veneers will depend on its level of development, something that can often be ascertained with x-rays or other diagnostic methods. And if a tooth has already undergone a root canal treatment, there isn't as much concern. In the meantime, though, it may be better for your teen to wait on veneers and try other techniques to enhance their smile.
If you would like more information on dental restoration for teenagers, 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 “Veneers for Teenagers.”
Invisalign could help you achieve a beautiful new smile discreetly. Invisalign is an orthodontic treatment method that utilizes clears aligner trays to straighten teeth, eliminate excess spacing between teeth, and correct certain types of bite alignment issues. If you are ready to straighten your smile the discreet way, Invisalign could be the solution. Dr. Kevin Thomas and Dr. Aaron Chenette, the skilled family dentists at Cohasset Dental in Cohasset, MA, can determine if Invisalign would work for you.
The Benefits of Invisalign
Numerous benefits are associated with Invisalign, making it a popular choice among patients for straightening their smiles. One of the biggest advantages of Invisalign is that the aligner trays used to move the teeth are made of flexible, clear plastic material, making Invisalign both comfortable and discreet. Some of the many exciting benefits of Invisalign are:
Removable Aligners: The aligner trays can be taken out for up to two hours a day. Patients typically remove them to eat, as well as to brush and floss. They can also be removed temporarily for photos and other events.
Extremely Discreet: Invisalign is extremely discreet. The aligners are clear so they are almost invisible to others.
Comfortable to Wear: Invisalign does not contain any hard or rough edges that could irritate the mouth. The aligners are made from a soft, flexible plastic material that is comfortable to wear.
Improved Oral Hygiene: Invisalign patients enjoy improved oral hygiene since they can remove the trays to achieve more thorough teeth cleaning when brushing and flossing. Additionally, being able to remove the aligners when eating means there is no risk of food getting caught in them.
Fewer Food Restrictions: Since the aligners can be removed when eating, patients can enjoy greater dietary choices without worrying about getting food stuck in the aligners or damaging them.
Protection Against Teeth Grinding: Invisalign’s aligner trays provide protection against excess wear and tear for patients who habitually clench or grind the teeth.
How Invisalign Works
Invisalign works similarly to braces by exerting gentle pressure on the teeth to move them. The main difference is that Invisalign does it with removable aligners instead of fixed brackets, bands, and wires.
During treatment, patients wear a set of two custom aligner trays that fit over the top and bottom rows of teeth. A set of aligners is only worn for a few weeks and is then replaced with the next set. Each set of aligners moves the teeth closer to their final position. On average, patients wear the aligners for about 12 months to achieve the desired results. One of the experienced family dentists at our office in Cohasset, MA, can determine if you are a candidate for Invisalign.
Invisalign could help you achieve a straighter smile. To find out if Invisalign could help you, schedule an appointment with Dr. Thomas or Dr. Chenette, our family dentists, by calling Cohasset Dental in Cohasset, MA, at (781) 383-9393.
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