Even though coronavirus lockdowns have prevented TV hosts from taping live shows, they're still giving us something to watch via virtual interviews. In the process, we're given occasional glimpses into their home life. During a Tonight Show interview with Seahawks quarterback Russell Wilson and his wife, R & B performer Ciara, Jimmy Fallon's daughter Winnie interrupted with breaking news: She had just lost a tooth.
It was an exciting and endearing moment, as well as good television. But with 70 million American kids under 18, each with about 20 primary teeth to lose, it's not an uncommon experience. Nevertheless, it's still good to be prepared if your six-year-old is on the verge of losing that first tooth.
Primary teeth may be smaller than their successors, but they're not inconsequential. Besides providing young children with the means to chew solid food and develop speech skills, primary teeth also serve as placeholders for the corresponding permanent teeth as they develop deep in the gums. That's why it's optimal for baby teeth to remain intact until they're ready to come out.
When that time comes, the tooth's roots will begin to dissolve and the tooth will gradually loosen in the socket. Looseness, though, doesn't automatically signal a baby tooth's imminent end. But come out it will, so be patient.
Then again, if your child, dreaming of a few coins from the tooth fairy, is antsy to move things along, you might feel tempted to use some old folk method for dispatching the tooth—like attaching the tooth to a door handle with string and slamming the door, or maybe using a pair of pliers (yikes!). One young fellow in an online video tied his tooth to a football with a string and let it fly with a forward pass.
Here's some advice from your dentist: Don't. Trying to pull a tooth whose root hasn't sufficiently dissolved could damage your child's gum tissues and increase the risk of infection. It could also cause needless pain.
Left alone, the tooth will normally fall out on its own. If you think, though, that it's truly on the verge (meaning it moves quite freely in the socket), you can pinch the tooth between your thumb and middle finger with a clean tissue and give it a gentle tug. If it's ready, it should pop out. If it doesn't, leave it be for another day or two before trying again.
Your child losing a tooth is an exciting moment, even if it isn't being broadcast on national television. It will be more enjoyable for everyone if you let that moment come naturally.
If you would like more information on the importance and care of primary teeth, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Importance of Baby Teeth.”
As part of the fight against COVID-19, many of us have been wearing some form of face mask in public for most of 2020. While it's intended for good, mask wear has had some unintended consequences. For one, it's inhibited the expression of one of our most important social abilities—smiling.
We're all hoping, though, that 2021 will be different—that our smiles will once more shine out from behind our masks. If and when that happens, you'll want to be ready: Here are a few things you can do in the new year to give your smile a nice upgrade.
Teeth whitening. Fighting teeth yellowing is an ongoing battle. Certain foods, staining beverages and habits like smoking can take the gleam from your smile in no time. But you can brighten up dull teeth with a professional whitening treatment. And because our bleaching solutions are stronger than you'll find in your local retail store, the shine could last for years with only an occasional touchup.
Orthodontics. Straightening teeth orthodontically not only can improve your dental health and function, it could revamp your smile (you might call it the original “smile makeover”). Even if you're well past your teens, an orthodontic correction may still be a viable option. And if you're concerned about your appearance during treatment, you might be able to take advantage of nearly invisible clear aligners.
Bonding. A chipped tooth can certainly detract from an otherwise attractive smile, but it may not take extensive means to repair it. Many chipped or disfigured teeth can be made whole through dental bonding. This technique bonds a color-matched dental material called composite resin directly to the tooth. Best of all, the treatment may only take one visit.
Veneers and crowns. For more extensive chipping or staining, you can step up to a custom-made porcelain veneer or crown. Veneers are thin layers of porcelain that are bonded to the face of teeth to mask imperfections. Crowns cover a damaged but otherwise viable tooth to protect it and give it a more attractive appearance.
Dental Implants. If you have a missing tooth—or one that's simply past saving—consider replacing it with a dental implant. A dental implant attached to a crown is the closest thing we have to a natural tooth in both appearance and function. In fact, most people with implant-supported replacement teeth forget they have dental implants. We can also merge implants with other restorations like dentures or bridges for a more secure, comfortable hold and a more natural smile.
These and other cosmetic enhancements could make a big difference in your smile. To find out how, see us for a complete dental examination and consultation. We want you to be ready for what we hope will soon be a “mask-free” 2021.
In the midst of the current global pandemic, we're all focused on staying healthy and avoiding infection. For many, their first thought before resuming any regular activity is, “Will I or my family be safe?”
If you've asked that about visiting the dentist, rest assured, it is. In fact, dentists have been at the forefront in protecting patients from viral and bacterial infections for decades. Here's why you're in safe hands at the dentist's office.
Barrier control. Although we're focused at the moment on Covid-19, there are other pathogens (microorganism that cause disease) for which there has been an ongoing concern among healthcare providers. Many of these like the viruses that cause hepatitis or HIV/AIDS spread through blood-to-blood contact. That's why we routinely use gloves, face shields and other barrier devices, even during routine visits, to prevent bloodborne transmission between patients and staff, or other patients.
Disinfection. Viruses and other pathogens may continue to live on surfaces in treatment areas for various durations. To prevent their transmission to humans, we follow strict procedures for disinfecting all treatment-related surfaces after each patient visit. One-use treatment items are disposed separately from regular waste. Permanent instruments and equipment are cleaned and thoroughly sanitized to the highest standard.
Protocols. There are approximately 170,000 dentists across the U.S., yet each generally follows the same high standards for infection control. Regulating bodies at state levels have made infection control a crucial part of licensing requirements and continuing education, and every dental practice must have an infection control plan they meticulously follow. Because of these strict standards, an infection occurring in a dental office setting is extremely rare.
In addition to these regular procedures, dentists have also added extra safety measures to better address the current crisis, and will continue these until the crisis has abated. Staying knowledgeable and flexible to new challenges is also a feature of dental providers' infection control mission.
If you do have concerns, please feel free to contact us to learn more about the specific measures we have in place to keep patients safe. Protecting you and your family during dental care will always be our top priority.
If you would like more information on patient safety at the dentist's office, 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 “Infection Control in the Dental Office.”
When you were a kid, a plate of green beans or carrots probably seemed less appealing than a handful of cookies or a bowl of ice cream. Mom or dad telling you to “eat your vegetables” was the last thing you wanted to hear.
Hopefully, you've made friends with fresh fruits and vegetables as you've grown up. But even if you're just acquaintances, these foods are nonetheless essential to good health, particularly your teeth and gums. Among other things, they're packed with vitamins and minerals that help prevent tooth decay, gum disease or even oral cancer.
Here's a sampling of dental health-boosting micronutrients and the foods you'll find them in.
Vitamin C. Found in a variety of fruits and vegetables, vitamin C boosts the immune system to fight infections like tooth decay or gum disease. It's also an antioxidant that lowers your risk of cancer.
Calcium. This mineral obtained through dairy products, bony fish, greens and legumes, strengthens teeth and bones. It can also improve nerve and muscle function.
Vitamin D. This vitamin helps teeth absorb calcium to make them less prone to decay. You can find this essential vitamin in dairy foods, eggs, fatty fish or sunlight.
Phosphorus. Like calcium, phosphorus also strengthens teeth and bones. You'll find it plentiful in dairy and meats, especially seafood and poultry.
Magnesium. This mineral helps teeth and bones absorb other minerals and can also help with enzyme function needed to avoid disease. You'll find it in nuts, legumes, whole grains, dark leafy greens, seafood and chocolate.
If you don't think you're getting enough of these and other nutrients, you can obtain them through dietary supplements. But do be careful: The Food and Drug Administration (FDA) can remove harmful supplements from the market, but only after consumer use has provided evidence that they're unsafe. And, you won't be getting fiber or other elements found in regular foods that your body needs to be healthy and function properly.
Still, if you think you need to supplement a nutritional deficiency, speak first with your doctor or dentist about it and what you should take. If at all possible, though, eat your veggies—your teeth and gums, as well as the rest of your body, will be the healthier for it.
If you would like more information on nutrition's role in dental health, 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 “Vitamins & Dietary Supplements.”
The NBA's reigning MVP Giannis Antetokounmpo may seem unstoppable, but he proved no match for a troubled tooth. Antetokounmpo, the self-proclaimed “Greek Freak,” missed one of the final three 2020 regular season games for a dental issue that resulted in last-minute oral surgery. According to a Milwaukee Bucks spokesperson, the star underwent “a root-canal like procedure.”
Root canal therapy, often simply called “a root canal,” may be needed when there is an infection inside the tooth. When dental pulp becomes inflamed or infected, excruciating pain can result. Pulp is the soft tissue that fills the inside of the tooth. It is made up of nerves, blood vessels and connective tissue. During root canal treatment, the pulp is removed, the space inside the tooth is disinfected, it is filled with a special material, and then the hole is sealed up.
A root canal is nothing to fear. It relieves pain by getting rid of infection and is so effective that over 15 million of them are performed in the U.S. each year. This routine procedure generally requires only local anesthetic, and your mouth should be back to normal within a day or two after treatment. Antetokounmpo can attest to that, as he returned to play the next day.
However, delaying root canal treatment when you need it can have serious consequences. If left untreated, an infection inside the tooth continues to spread, and it may move into the gums and jaw and cause other problems in the body. So, how do you know if you may need a root canal? Here are some signs:
Lingering sensitivity to hot or cold temperatures. One sign of nerve damage inside your tooth is pain that is still there 30 seconds after eating or drinking something hot or cold.
Intense pain when biting down. You may feel pain deep within your tooth, or in your jaw, face or other teeth. The pain may be hard to pinpoint—and even if it improves at times, it usually comes back.
A chipped, cracked or discolored tooth. A chip or crack can allow bacteria to enter the tooth, and the tooth may darken if the tissue inside is damaged.
A pimple on the gum. A bump or pimple on the gum that doesn't go away or keeps coming back may signify that a nearby tooth is infected.
Tender, swollen gums. Swollen gums may indicate an infection inside the tooth or the need for periodontal treatment.
And sometimes there is no pain, but an infection may be discovered during a dental exam.
Tooth pain should never be ignored, so don't put off a dental visit when you have a toothache. In fact, if a bad toothache goes away, it could mean that the nerves inside the tooth have died, but the infection may still be raging. Also, be sure to keep up with your regular dental checkups. We may spot a small problem that can be addressed before it becomes a bigger problem that would require more extensive treatment.
Remember, for dental issues both large and small, we're on your team! If you would like more information about tooth pain, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Tooth Pain? Don't Wait!” and “Root Canal Treatment: What You Need to Know.”
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