Posted on

Sensitive Teeth? Dang, They Are A PAIN!

Sable DDS Tooth Sensitivity

Do you cringe at the thought of taking a bite of ice cream or a sip of hot coffee because it makes your teeth hurt? Does brushing or flossing your teeth cause pain? If so, you may have sensitive teeth. You may experience discomfort or pain when you eat or drink hot, cold, sweet, sour, or very acidic foods and beverages. You may also experience discomfort when breathing in cold air. Tooth sensitivity may come and go, or it may be continuous.

Tooth or dentin hypersensitivity is a harmless, but sometimes painful, condition that occurs in up to 60% of people.   While temporary tooth sensitivity may happen, if sensitivity lasts more than a week, you should call Sandy for an appointment, just so we can help determine the cause and ensure that it is nothing serious. There is no reason to suffer with tooth sensitivity when we can suggest treatments that can alleviate your discomfort.

So, What Exactly is Tooth Sensitivity?

Okay, just remember that YOU asked? A layer of enamel protects the part of your tooth above the gum line, known as the crown. (Yep, here we go with parts of the tooth – did you pay attention to our previous blog? It was riveting. So here’s the link just in case you can’t wait another second – https://wp.me/p84DRh-y) Underneath that gum line, there is a different protective layer called the cementum that protects the roots. And underneath both the enamel and the cementum, there is a less dense layer called dentin. When dentin loses its protective coating of enamel or cementum, hot, cold, acidic, or sticky foods can reach the nerves inside the tooth and cause pain.

Causes of Tooth Sensitivity

There are many possible causes of tooth sensitivity, and some are more serious than others. It is important to check in with us if you are experiencing any sensitivity so that we can help you find the source of the problem.  Causes include:

  • Tooth decay and cavities
  • Fractured teeth
  • Broken or worn fillings
  • Abscessed tooth – may have a nerve going “bad”
  • Brushing with abrasive toothpaste
  • Gum recession that exposes the tooth root surface, whether due to gum disease or naturally occurring with age
  • Grinding or clenching your teeth which opens the pores in the teeth
  • Tooth erosion from highly acidic beverages or foods, or due to bulimia or gastroesophageal reflux disease

So, How Do We Treat Tooth Sensitivity?

Depending on cause and severity of the sensitivity, in-home or in-office, we can recommend treatments that will alleviate your discomfort.  At-home treatments include:

  • Desensitizing toothpaste: A specially-formulated toothpaste that can help block the transmission of pain sensation from the tooth surface to the nerve, resulting in reduced sensitivity.
  • Desensitizing rinses: Usually developed with high levels of fluoride, desensitizing rinses can also help relieve pain.

In-office treatments include:

  • Fluoride gel or varnish: Your dentist can apply fluoride directly to your sensitive tooth to strengthen the enamel and decrease its sensitivity.
  • A crown, inlay, or bonding: These dental procedures can correct a flaw or decay in your tooth that may be causing pain.
  • Surgical gum graft: If you’ve lost gum tissue from the root, you can have  gum tissue taken from another area and attach it to the affected area, thus protecting the exposed roots and reducing pain.
  • Get your bite adjusted:  Some teeth may chew with more pressure or force causing trauma leading to teeth being more sensitive. We have patients who have had HUGE benefits from this treatment, for which Dr. Sable has trained for many years!

Okay, Your Teeth Don’t Hurt YET?  What Do You Do?

The first step to avoiding tooth sensitivity is to practice good oral hygiene. Gum recession, the leading cause of tooth sensitivity, can be stalled through proper brushing and flossing habits. However, while keeping your teeth clean is critical, harsh brushing or over-brushing can lead to increased sensitivity.  To avoid tooth sensitivity, practice the following habits:

  • Don’t brush your teeth with abrasive toothpastes.  Tartar control and “whitening” toothpastes can be very abrasive, opening up the pores in the teeth. If you are concerned with whitening, speak to Dr. Sable about better options than these toothpastes.  Don’t do more damage than good!
  • Avoid foods and drinks high in acid or sugar. The foods and drinks your dentist warned you about as a child still apply. Foods or drinks such as soda, sticky candy (OH NO…JUST IN TIME FOR HALLOWEEN!), or anything high in sugar content can weaken your enamel. Reach for snacks like fruits, vegetables, and low-fat dairy products to keep your teeth and enamel healthy. Not only are these snacks healthier in general, but they also keep your enamel strong by helping you produce saliva – a natural defense against acid and bacteria.
  • Avoid clenching or grinding your teeth. Grinding your teeth can wear away your tooth enamel. If you clench or grind your teeth (or think you do!) while you sleep, let us know.  It is worth having this conversation to prevent longer term damage! We may recommend a custom-fit mouth guard.  In severe cases, muscle relaxants may be prescribed.
  • Stop bleaching your teeth. This popular cosmetic procedure might make your teeth brighter and whiter, but it can be the source of temporary tooth sensitivity. Consider taking a break from bleaching your teeth to see if it improves your sensitivity.

Don’t Live with Pain! 

If you have tooth sensitivity, give us a call today. Pain does not need to become part of your life. There are ways to mitigate your sensitivity and get you back to enjoying the foods and drinks you love.

We want you to breath easy and enjoy life with a natural, beautiful smile!

 

Posted on

Why Read Reviews? Because We Love To Hear From You!

Google Reviews

The business world is changing quickly as you all know!  Social Media has become a tool for marketing and consumer research!  In order to keep up with today’s world, online marketing is a must.  We have had fun setting up our Facebook page and sharing tidbits and pictures with our dental family:  https://www.facebook.com/sabledds/.

But what we have confirmed recently is that the most powerful marketing tool is doing great work!  We thank all of our patients who have taken the time to post a review about their dental experience.  We have been asking for reviews using a software program called Birdeye that emails or texts our patients after their appointments and asks for honest feedback.

Image result for google reviews

Guess what?  We LOVE hearing from you!  Your kind and thoughtful posts motivate us to be our best!  We read these posts in our morning “huddle” when we discuss what we need to do to improve our service for you!  And boy do these boost us up! If you have not seen any of these reviews, check them out: https://sabledds.com/testimonial.php

Happy “googling”!

Posted on

Do You Snore? There Is A Dental Connection!

Sable DDS Sleep Apnea

(Based on Blog by Holli Draper, RDH)

“Sleep is an investment in the energy you need to be effective tomorrow” -Tom Rath, author of Eat Move Sleep and Are You Fully Charged 

What is Obstructive Sleep Apnea?  
Obstructive Sleep Apnea (OSA) is a life-threatening condition that affects over 18 million Americans. This commonly undiagnosed syndrome involves the cessation of breathing during sleep. While sleeping, the upper airway muscles enter relaxation and may vibrate against each other (this vibration is what causes snoring). As sleep deepens, muscle relaxation increases and can occlude the airway. This severely decreases the amount of oxygen flowing to the lungs. The body responds to this lack of oxygen by sending a signal to your brain that you are suffocating. The brain compensates by lightening the phase of sleep in order to increase control and contraction of upper airway muscles, ultimately increasing oxygen flow to the lungs. This constant exchange between suffocation and arousal can occur several times throughout the night and many do not recall it happening upon fully awakening the next morning.

Is Treating OSA Important?
While studies estimate 1 in 4 Americans over the age of 18 (31% of men and 21% of women) are considered “high risk” for sleep apnea, 90% of those with sleep apnea have gone undiagnosed.1 If left untreated, sleep apnea can increase the risk of health issues, including cardiovascular disease (stroke, high blood pressure, and atrial fibrillation), diabetes, impotence, memory loss, and GERD. Excessive fatigue caused by OSA can affect your safety by increasing your risk of motor vehicle accidents and work-related accidents. Untreated severe OSA also increases your risk of death

According to Dental Sleep Solutions, fewer than 10% of those suffering with OSA have been accurately diagnosed and only 25% of those diagnosed have been successfully treated. This chart indicates the large percentage of Americans who have gone undiagnosed with this condition.1
Screening for Sleep Apnea (Common Signs and Symptoms)
During your appointments, your dentist and dental hygienist are examining much more than your teeth. During your head and neck exam and oral cancer screening, we are also analyzing your anatomy to determine your risk of OSA. These anatomical features include swollen tonsils, an enlarged tongue, inflamed sinus membranes, an anatomically small airway, malocclusion, and obesity (excess fatty deposits on the neck and chest)

Health professionals use the Mallampati Classification system to determine your risk of OSA:Patients with Class I and Class II Mallampati scores have lower risks of OSA since their airways are mostly patent (open). Patients who are in the Class III and IV range are at a much higher risk of OSA due to the obstruction of their soft palate.

There are also many symptoms of OSA that you may notice about you or your partner between dental appointments:

  • Snoring
  • Waking up due to gasping or choking
  • Excessive day time fatigue
  • Waking up feeling unrefreshed/Restless sleep
  • Waking up with xerostomia (dry mouth)
  • Morning headaches/migraines

As you hopefully know by now, we are here to support your total health – we are invested in you as our patient! If you notice any of these symptoms for yourself or your loved ones, please make an appointment for a consultation.  We will work with your physician to help with diagnosis and evaluation of treatment options.

I May Have Sleep Apnea – What Should I Do?
One of the first steps in diagnosing OSA is performing a sleep study. From the study, if OSA is diagnosed, there are several routes of treatment depending on a few specifics including the severity. The three common treatment options include a continuous positive airway pressure (CPAP), oral appliance therapy (OAT), and surgery.

  • CPAP Therapy is the most common treatment method for OSA. It involves wearing a face mask that connects to a machine via plastic tubing. The machine forces oxygen through the mask at a continuous rate, predetermined by your doctor, throughout the night. This was the gold standard for treatment of OSA until recently as it is highly effective in maintaining oxygen intake during sleep. However, its efficacy is often diminished by the lack of patient compliance. Patients often find that it is not comfortable and only wear it for an average of three hours per night.
    • Advantages: considered most effective treatment of all severities of OSA
    • Disadvantages: mask discomfort, not easy to travel with, nose/throat dryness
  • Oral Appliance Therapy has recently risen in popularity as a comfortable alternative to CPAP. It utilizes a custom device that fits similarly to a sports mouth guard or an orthodontic retainer and maintains an open airway by repositioning your lower jaw and tongue slightly forward. Studies have found that OAT and CPAP are both effective OSA treatments. The Journal of Clinical Sleep Medicine reported that patients prefer OAT over CPAP because it is quiet, portable, and comfortable.2
    • Advantages: least invasive, comfortable, quiet, portable, does not require electricity to work, easy and inexpensive to clean
    • Disadvantages: may not be as effective with severe cases of OSA
  • Surgical Options often involve soft tissue and/or jaw surgery to increase airway opening. While these surgeries have varying degrees of success, nonsurgical options are typically recommended prior to proceeding with this route.
    • Advantages: most surgeries are effective in long-term improvement of airway
    • Disadvantages: most invasive, requires post-operative recovery

Summary:

  • OSA is a life-threatening condition that is grossly undiagnosed in the United States.
  • Treatment options for OSA include: CPAP, OAT, and surgery.
  • While CPAP has been deemed the “gold standard” for OSA treatment, its effectiveness is compromised by patient intolerance and unwillingness to wear it. Patients who have tried CPAP and (1) did not have good results or (2) were not able to tolerate it should consider trying OAT.
  • If you or someone you know may have OSA, contact us today!

References

  1. What You Need To Know If You Snore Or Have Trouble Sleeping Blog posted by Holli Draper, RDH http://www.mdsmiles.com/blog/Snoring-Sleep-Apnea/What-You-Need-To-Know-if-You-Snore-or-Have-Trouble-Sleeping/6354
  2. 1Dental Sleep Solutions. “What is OSA Syndrome?” 2014. Web. 21 Feb. 2017.
  3. 2Ramar, K. “Clinical Practice Guideline for the Treatment of Obstructive Sleep Apnea and Snoring with Oral Appliance Therapy: An Update for 2015.” AASM. American Academy of Sleep Medicine, 2015. Web. 21 Feb. 2017.
Posted on

For Heart Healthy Month, Get To The Dentist????? YES!

Sable DDS Heart Healthy

Heart disease is the leading cause of death in the United States. The month of February is dedicated to raising awareness about heart disease and increasing knowledge about prevention.

We are dedicated to educating our patients about the mouth/body connection. An increasing number of researchers are finding that there’s a link between common health conditions—like heart disease—and oral health. It’s becoming clear that the body can affect the health of your mouth and vice versa.

So, how is heart disease related to your mouth?

Several studies exist to explain the link between periodontal (gum) disease and heart disease

  1.  Oral bacteria can affect the heart via the blood stream and then attaching to fatty plaques in the coronary arteries (heart blood vessels) and contributing to clot formation.
  2. Another possibility is that the inflammation caused by periodontal (gum) disease increases plaque buildup, which may contribute to swelling of the arteries.

More Heart Disease/Gum Disease Connections 

  • The number one cause of death is inflammation.
  • The number one cause of inflammation is gum disease.
  • Researchers have found that people with gum disease are almost twice as likely to suffer from coronary artery disease.
  • One study has shown that gum disease, cavities and missing teeth are as good at predicting heart disease as cholesterol levels.
Posted on

Do I Really Have to Get Dental X-rays…Again? Why? Are They Risky?

Sable DDS Xray

Dental radiographs (x-rays) allow us to monitor bone levels and rule out any disease processes that might be occurring. Radiographs allow us to see structures that are not visible to the naked eye – the spaces between teeth, under the soft tissue, and inside the bone.  All of this really, really helps us work with you on your oral health, especially to diagnosis any potential “danger zones!” In fact, without x-rays, we cannot detect:

  • Cavities
  • Periodontal Disease
  • Infections and Abscesses
  • Cysts
  • Tumors
  • Cancer

In fact, one of the most important uses of radiographs is to allow us to compare a current x-ray to a previous one.  This comparison, side-by-side, helps identify any changes from the previous period.  The comparison is important, because it tells us not only what is going on with the teeth on that day, but also the rate of change from the previous period.  A slow rate of change, even if not in a positive direction, may allow us to be more conservative in treatment.  A faster rate of change may indicate a need to treat in a more aggressive manner.

The American Dental Association recommends that bite-wing oral radiographs are updated annually, and panoramic radiograph (or full mouth intraoral series) updated every three years, to provide for optimal oral care and accurate diagnosis.  However, for patients with any risk factors or significant dental work, we may recommend panoramic x-rays to be done annually.

So, even with all that, you may be thinking right now “What about the radiation?”  Are you subjecting me to unnecessary or excessive radiation with dental x-rays?

The clear and definitive answer is NO.

If you have wondered about this or expressed this to us in the last few years, you are not alone.  We want to let you know that we take your concerns seriously.  We are also hearing new and erroneous theories on radiation exposure from dental x-rays.  So, to help get you up to (x-ray) speed, we want to share a quick science lesson:

Radiation dosage is measured in units called millirems (mrem).  According to the US Nuclear Regulatory Commission (USNRC) U.S. residents, on average, receive 620 mrem every year, with approximately one-half coming from background sources like outer space, radioactive materials in the earth, small amounts of radioactive material in foods and products that we use, etc.  The other half come from exposure to mrem in medical procedures. In general, according to the USNRC, a yearly dose of 620 millirem from all radiation sources has not been shown to cause humans any harm.

A typical digital dental x-ray (the kind we take) exposes a patient to less than 0.5 mrem.  This compares to mrem of 10, 60 and 72 for chest, abdomen, and mammogram x-rays, respectively.  So as you can see, the relatively small amount of mrem from dental x-rays illustrates the American Dental Association’s confidence in the safety of this very important diagnostic tool.  And as I mentioned before, without x-rays, we cannot identify disease processes that pose risks to your dental and overall health.

If you have any questions or concerns regarding dental radiographs (x-rays), please call the office and ask Dr. Sable to call you to address them. We care about more than your dental health, we care about YOU!

Posted on

Have You Ever Had Pain in Your Tooth…But You Are Not Even Sure Which Tooth It Is?

Sable DDS sore teeth

Does that make you feel crazy?  Well…you aren’t! There are actually several reasons why it can be difficult to pinpoint the origin of tooth pain.

Let’s take a step back and consider some of the possible reasons. Tooth decay can cause bacteria to infect the interior of the tooth and then trigger pain from changes in temperature or pressure.  This pain is coming from the nerve, but those nerves aren’t tied to one specific tooth. Therefore, it can feel like the pain is coming from a group of teeth or even from the sinus area. (who knew??) This type of pain may decrease over time, even without treatment, but the problem is simply hiding in the wings… and can lead to a root canal and eventually to gum disease.

Going the other direction, gum disease can lead to root canal infection.  Common periodontal disease caused by plaque along the gum line can lead to inflammation and infection of the gums.  The gum can then begin to detach from the tooth surface and form a “pocket.” As this worsens, the infection can spread to the root of a tooth and then into the tissue inside the tooth.   The resulting pain may feel like gum and tooth pain.  Since some of these roots can be in the proximity of roots of other teeth, the infection and pain can spread to nearby teeth and gum area.

THEN to confuse matters even more, a broken tooth can cause tooth AND gum pain depending on the location of the fracture in the tooth.

So, clear as mud??  We tried to simplify this as much as possible, but we also recognize that not every dental case fits carefully into one bucket. That is why we are here to help figure it out.   If you are experiencing tooth or gum pain, give us a call; we can work together to figure out what exactly is happening and create a treatment plan to make you feel better.

So, there…all better?

(Source:  Dear Doctor Dentistry & Oral Health, Issue 20)

Posted on

Will My Filling Last Forever? I Think You Know Where This Is Heading….

While we believe that we can perform dental miracles, we sadly can not make your filling last forever! sigh.  A filling is extremely durable and can last for many, many years in most cases, but there may come a time when it needs to be replaced.  Sorry.

So, how long will it last?  Well, as in life, the answer is… It Depends! In this case, it depends on a number of factors, such as the type of procedure performed, the size or area being treated or replaced, the kind of materials used for the filling and the patient’s level of oral hygiene and care.

And then, despite your incredible efforts, a filling may crack or fall out unexpectedly. Over time, dental fillings can be weakened by:

  • Tooth decay,
  • Frequent jaw clenching and teeth grinding (bruxism),
  • Chewing on hard items or foods,
  • Injury or trauma, such as those sustained during sports activities,
  • Time; no filling lasts forever no matter how well kept!

If you ever have a filling fall out just remember, don’t panic and don’t wait. Even if it falls out after hours, call us immediately–we’re here for you in an emergency! We will get you in as quickly as we can. In the meantime, keep your filling if you can– but don’t try to push it back into place. Make sure to keep the affected area clean and debris-free.

If you don’t experience discomfort after losing a filling, it is still important to come in to have it treated as soon as possible. Not seeking immediate care could result in pain, discomfort and even tooth loss.

Regular dental visits are imperative to maintaining a healthy smile. With that being said, we know not every dental emergency happens during normal business hours. That’s why we strive to make ourselves available to our patients as often as possible. If you need us, email, call or text us! Your health and comfort is our number one priority.

 

Posted on

To Add Insult to Cold Weather – It Can Be Rough on Your Mouth!

Sable DDS Nutcracker

Question:  “Can cold weather really affect my teeth?”

Answer: Yes! Here are a few things to look out for as the weather turns cold!

  1. Dry Mouth – The winter means that your body in general will be more dry than in the summer. It doesn’t help that you may have the heat on for most of the day, which makes your nose, throat, mouth, skin, etc. very dry. To battle cotton mouth, drink more water and try to stay away from consuming a lot of alcohol and caffeine. A humidifier can also help combat the dryness.
  2. Sensitive Teeth – Remember that time you had a cold beverage or a spoonful of ice cream and you shivered right to the core? Cold air can have the same effect and make your teeth feel more sensitive. Try using a toothpaste that is geared towards sensitive teeth and make an appointment with to see us if it gets worse over time. The cold wind might be exposing a cavity you didn’t realize you had before.
  3. Cold Sores – Having chapped lips aren’t the same thing as having cold sores, however they do have at least one thing in common; they’re more prevalent in the winter. Cold sores can be triggered by stress, hormones or extreme tiredness. To prevent cold sores your overall health has to be good. You can try to shield your face from the wind with scarves or turtlenecks and chapstick. Also the less you touch your cold sores, the faster they will heal.
  4. Infection – Your gums are at a higher risk for infection because your body generally has to work harder to stay healthier in the cold weather. With your immune system being barraged left and right with flus, colds, and general aches and pains due to the cold, your mouth may not have the protection it needs to keep an infection from setting in. The best way to protect yourself is to keep your teeth and general oral hygiene as clean as possible so that bacteria doesn’t have a chance.
Posted on

You Can Get Whiter Teeth All By Yourself and Without Chemicals! WHAT?

Sable DDS dental hygiene

You may wonder “Why Do Teeth Change Color – gosh darnit?” Well, the usual suspects like soda, coffee, red wine have color pigments called chromogens that attach to the the tooth Enamel. (Did you pay attention to the last blog about Parts of the Tooth?) Other common reasons teeth change color: tobacco, trauma and certain medications.  Even aging causes teeth to yellow as the Enamel becomes thinner and Dentin (another glossary word!), which is more yellow, shows through.

SO WHAT CAN YOU DO ALL BY YOURSELF? (Do we really need to mention here that you must have excellent homecare for your teeth too?)

Some of the items below may even be in your household currently, like bananas! By rubbing a portion of the inside of a ripe banana peel on your teeth, you could help to remove stains. Or, you can create a mixture of baking soda and salt to occasionally brush your teeth with in order to whiten up your smile. Turmeric, coconut oil, apple cider vinegar, activated charcoal, and hydrogen peroxide are some other all-natural options that won’t break the bank or harm your teeth or gums. It is important to follow the recommendations for how much and how often to use these home remedies!  These illustrations from Fix.com say it best:

2016-11-29-3

2016-11-29-42016-11-29

2016-11-29-5