Hearing the words, "You're going to have a baby," can change your life—as surely as the next nine months can too. Although an exciting time, pregnancy can be hectic with many things concerning you and your baby's health competing for your attention.
Be sure, then, that you include dental care on your short list of health priorities. It may seem tempting to "put things off" regarding your teeth and gums. But there are good reasons to keep up your dental care—for you and your baby.
For you: a higher risk of dental disease. Hormonal changes during pregnancy can trigger outcomes that increase your dental disease risk. For one, you may encounter cravings that include carbohydrates like sugar. Bacteria feed on sugar, which can cause both tooth decay and gum disease. This change in hormones can also trigger a form of gum disease called pregnancy gingivitis.
For your baby: dental-related complications. Some studies show evidence that a mother's oral bacteria can pass through the placenta and affect the baby. This may in turn spark an inflammatory response in the mother's body, creating potential complications during pregnancy. Other research points to what could result: Women with diseased gums are more likely to deliver premature or underweight babies than those with healthy gums.
Fortunately, you can minimize dental disease during pregnancy and protect both you and your baby.
- Keep up regular dental cleanings and checkups during pregnancy;
- Limit consumption of sweets and other sugary foods;
- Brush and floss every day to remove dental plaque, which feeds bacteria;
- See your dentist at the first sign of swollen, painful or bleeding gums;
- And, inform your dentist that you're pregnant—it could affect your treatment plan.
Although it's wise to put off dental work of a cosmetic or elective nature, you shouldn't postpone essential procedures. Both the American Dental Association and the American Congress of Obstetricians and Gynecologists approve of pregnant women undergoing therapeutic dental work.
Dental care during pregnancy shouldn't be an option. Maintaining your oral health could help you and your baby avoid unpleasant complications.
If you would like more information on dental care during pregnancy, 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 “Dental Care During Pregnancy.”
It's a common fantasy to imagine you're the main squeeze of one of the world's most desirable humans, but it was real life for Priscilla Wagner Beaulieu. In the late 1960s she was married briefly to heartthrob Elvis Presley. Unfortunately, sex symbols often remain so even after they put a ring on it. In a recent People interview, Priscilla revealed how she always felt uneasy leaving Elvis alone with anyone—even going so far as to accompany him while he was having his teeth cleaned.
Fortunately (or unfortunately, depending on your point of view), most of us don't need a chaperone during our six-month dental hygiene visit. We might, however, encounter a different problem: finding time for a cleaning amidst a hectic work and family schedule. And because nothing looks or feels wrong inside the mouth, many justify putting it off to a more convenient time.
But semi-annual dental cleanings are an important part of dental disease prevention and as important as your daily hygiene practice. Here, then, are 3 reasons to keep your twice-a-year dental cleanings right on schedule.
Removing pesky plaque. Just like daily oral hygiene, the main purpose of dental cleanings is to remove disease-causing plaque and its calcified form, tartar. They're necessary because even if you're a brush-and-floss "ninja," you can still leave some plaque behind. These deposits can then harden into tartar, which usually can only be removed with a hygienist's specialized tools and techniques. A professional cleaning ensures your teeth and gums are as free of plaque and tartar as possible.
Identifying "silent" disease. Just because you haven't felt or noticed anything lately doesn't mean your teeth and gums are disease-free. In fact, both tooth decay and gum disease can run "silent" with no noticeable signs on display. But a routine visit often involves x-ray imaging or other diagnostics—not to mention the astute eye of an experienced dental professional—that can identify disease you might not otherwise notice.
Getting a little extra smile pizzazz. Besides causing disease, plaque and tartar can do something else: dull your smile. A thorough dental cleaning not only removes the plaque, but also helps uncover a more attractive smile hiding below the gunk. Hygienists often follow a cleaning with a polishing paste that further boosts your smile's brilliance and beauty.
If it's been a while since your last dental visit, there's no time like the present to get back on track—so make your appointment today. Whether you come alone or have your watchful honey with you, regular dental cleanings will keep your teeth and gums healthy—and your smile bright.
Advanced decay doesn't necessarily mean it's curtains for an infected tooth. Millions of teeth in that condition have been saved by a tried and true procedure called root canal therapy.
Although they may vary according to the complexity of a case, all root canal procedures share some similarities. After numbing the tooth and gum areas with local anesthesia, the procedure begins with a small hole drilled into the tooth to access the infected pulp and root canals, tiny passageways inside the root.
The dentist then uses special instruments to clear out infected tissue from the pulp and canals, followed by thoroughly sanitizing the resulting empty spaces. This is followed with filling the pulp chamber and root canals with a rubber-like substance (gutta percha) to seal the interior of the tooth from further infection. Later, the dentist typically crowns the tooth for further protection and support.
Root canals have become the standard treatment for teeth with advanced decay. There are, however, some circumstances where performing a root canal isn't a good idea. For example, a previously root-canaled tooth with a crown and supporting post. A dentist would need to fully disassemble the restoration to gain access into the tooth, which could significantly weaken it.
But there may be another option if a standard root canal is out of the picture: a surgical procedure performed by an endodontist (a specialist in interior tooth treatment) called an apicoectomy. Instead of drilling through the tooth crown, the endodontist accesses the tooth root through the adjacent gum tissue.
Like a traditional root canal, the procedure begins by anesthetizing the tooth and surrounding gums. The endodontist then makes a small incision through the gums to expose the diseased tissues at the tooth's root. After removing the infected tissue and a few millimeters of the root tip, they place a small filling to seal the end of the root canal against infection and suture the gum incision.
This is a specialized procedure that requires the state-of-the-art equipment and advanced techniques of an endodontist. But it does provide another possible option for saving a diseased tooth that might otherwise be lost.
If you would like more information on treatments for tooth decay, 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 “Apicoectomy: A surgical Option When Root Canal Treatment Fails.”
Upgrades can be exciting—moving on to a larger house, the latest smartphone, or maybe a new car. And, the same can apply with tooth replacements: Maybe you're ready now to upgrade your existing restoration to a dental implant, the most advanced tooth replacement method now available.
But you might encounter a speed bump in your plans: whether or not you have enough bone available for an implant. Here's why your bone may not be adequate.
Like any other cellular tissue, bone has a life cycle: older cells die and newer cells form to take their place. This process stays on track because of the forces generated when we chew, which stimulates new growth.
But that stimulus disappears when a tooth goes missing. This slows the bone growth cycle to the point that bone volume can gradually dwindle. You could in fact lose up to a quarter of bone width in just the first year after losing a tooth.
And, you'll need adequate bone to provide your implants with sufficient strength and stability, as well as the best possible appearance alongside your other teeth. If you don't have enough bone, we must either enhance its current volume or opt for a different restoration.
Fortunately, we may be able to do the former through bone augmentation or grafting. With this method, we place a graft of bone tissue in the area we wish to regenerate. The graft becomes a scaffold upon which new bone cells build upon. It's possible for grafting to produce up to 5 mm in additional width and 3 mm in height to supporting bone.
We can also use this method to prevent bone loss by placing a graft immediately following a tooth extraction. Some studies show the graft can help preserve bone up to 10 years, giving patients time to consider or prepare for a dental implant.
There are circumstances, though, where bone loss has been too extensive to make up enough ground to place an implant. If so, there are other effective and life-like restorations to replace missing teeth. But there's still a good chance augmentation can restore the bone you need for a new smile with dental implants.
If you would like more information on dental implant restorations, 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 “Dental Implants After Previous Tooth Loss.”
Newborns come into the world eager and ready to partake of their mother's milk. But an anatomical quirk with some infants could make breastfeeding more difficult for them.
The structure in question is a frenum, a tiny band of tissue connecting softer parts of the mouth with firmer parts, like the upper lip to the gums, and the tongue to the floor of the mouth. If they're abnormally short, thick or tight, however, the baby might find it difficult to obtain a good seal around the mother's nipple.
Without that seal, the baby has a difficult time drawing milk out of the breast and as a result, they may attempt to compensate by chewing on the nipple. The sad outcome is often continuing hunger and frustration for the baby, and pain for the mother.
To alleviate this problem, a physician can clip the frenum to loosen it. Known as a frenotomy, (or a frenectomy or frenuplasty, depending on the exact actions taken), it's a minor procedure a doctor can perform in their office.
It begins with the doctor deadening the area with a numbing gel or injected anesthesia. After a few minutes to allow the anesthesia to take effect, they clip the frenum with surgical scissors or with a laser (there's usually little to no bleeding with the latter).
Once the frenum has been clipped, the baby should be able to nurse right away. However, they may have a learning curve to using the now freed-up parts of their mouth to obtain a solid seal while nursing.
Abnormal frenums that interfere with nursing are usually treated as soon as possible. But even if it isn't impeding breastfeeding, an abnormal frenum could eventually interfere with other functions like speech development, or it could foster the development of a gap between the front teeth. It may be necessary, then, to revisit the frenum at an older age and treat it at that time.
Although technically a surgical procedure, frenotomies are minor and safe to perform on newborns. Their outcome, though, can be transformative, allowing a newborn to gain the full nourishment and emotional bonding they need while breastfeeding.
If you would like more information on tongue or lip ties, 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 “Tongue Ties, Lip Ties and Breastfeeding.”
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