Posts for: January, 2021
The New Year: Time to put away those holiday decorations, collect tax records and—if you're a pro hockey player—get chummy with your dentist. That's right! After a disrupted 2020 season due to COVID-19, the NHL is on track to start again sometime in January. Before you know it, players will be hitting the biscuit (puck), while trying to avoid getting their chicklets (teeth) knocked out.
It's true that hockey has a roughhousing kind of reputation, which tends to lead to, among other things, chipped, fractured or knocked-out teeth. But to be fair, hockey isn't the only sport with a risk for orofacial injuries. It's not even top on the list: Of all contact sports, basketball has the highest incidence of mouth and facial trauma.
With over a half-million amateur and professional players, hockey still has its share of teeth, gum and jaw injuries. Fortunately, there's an effective way to reduce sports-related oral trauma—an athletic mouthguard.
Although there are different styles, most mouthguards are made of a soft plastic that helps cushion teeth against hard contact. You can sort most mouthguards into two categories: “boil and bite” and custom.
You can buy mouthguards in the first category online or in retail sporting goods stores, and they're relatively inexpensive. They're called “boil and bite” because they're first immersed in hot or boiling water to soften them. While the guard is still soft, the wearer places it in their mouth and bites down to create somewhat of an individual fit. On the downside, though, “boil and bite” mouthguards tend to be bulky with a fit that isn't as exact as it could be. This can make for uncomfortable wearing, which could tempt players not to wear them as often as they should. Also, because the materials are softer, they move with jaw movement and your teeth can move with them. Over time, teeth could loosen.
A custom-made mouthguard, on the other hand, is created by a dentist. We begin the process with a detailed mouth impression, which we then use to fashion the mouthguard. Custom mouthguards are more streamlined and fit better than their “boil and bite” counterparts. Because of this better fit, players may be more apt to wear them. They are more expensive, but compared to the cost of dental injury treatment, a custom mouthguard is a wise investment. For the best and most comfortable teeth, gum and mouth protection, you can't go wrong getting a custom mouthguard for the hockey players (as well as football and basketball players) in your family.
If you would like more information about athletic mouthguards, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Athletic Mouthguards: One of the Most Important Parts of Any Uniform.”
There are ways you can look younger, including eating a better diet and getting physically fit. Cosmetic enhancements can also take years off your appearance.
But while looking for a more youthful appearance be sure you include a "smile update." Your teeth and gums age like the rest of the body—even more so if you've contended with dental disease. Here are 4 ways you might be able to take years off your smile.
Teeth whitening. Teeth naturally yellow as we age, so it's not uncommon for older teeth to look dull. But your dentist can brighten your smile with teeth whitening, the application of a controlled bleaching solution to lighten them. It only works with enamel discoloration and it does fade over time. But it can temporarily change the dynamic of your smile for the better.
Dental enhancements. You can "put a new face" on unattractive older teeth with a number of life-like materials and techniques. Dentists can apply and sculpt composite resin material to fix small chips in teeth. Dental veneers, thin wafers of porcelain bonded to the front of teeth, can mask chips, heavy staining or slight gaps, and can make worn teeth look longer. And life-like crowns can completely cover teeth with major disfigurement.
Dental work updates. Many people have dental work—fillings, crowns, bridges and the like—from earlier in life. It might be time to "revisit" those with a fresh update. For example, a dark grey metal amalgam filling could be replaced with a newer tooth-colored restoration made of composite material or porcelain.
Gum treatments. Your teeth might not be the only elements of your smile needing attention. Gums that have shrunk back or receded from the teeth can ruin your smile. In some cases, treating any underlying gum disease could help them heal and regain their tooth attachment. For major recession, though, you may need grafting surgery to regenerate lost gum tissue, improving both your oral health and your smile.
These and other techniques can turn back the clock on your smile. The best way to maintain a youthful smile, though, is to take care of your teeth and gums through daily brushing and flossing and regular dental visits. Healthy teeth and gums make beautiful smiles.
If you would like more information on rejuvenating your smile, 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 “How Your Dentist Can Help You Look Younger.”
Dental patients have amazing options for tooth replacement. Dental implants, for example, can replace the entire tooth, root and crown, giving patients a new tooth nearly as good as the old one.
Nearly—but not exact. Even implants can't match the full benefits of a natural tooth, including one in less than perfect shape. Our first goal as dentists, then, is to save a diseased tooth if at all practical before considering replacing it.
That often involves a root canal treatment to address decay threatening a tooth's interior. The procedure requires drilling into the tooth to access its innermost pulp, cleaning out the pulp and root canals, and then filling the empty spaces. Since all dentists are trained in basic root canal treatment, your general dentist may be able to perform it.
But some dental situations call for more advanced endodontics, the dental specialty for treating disease and other problems inside a tooth. So, in what situations would you see an endodontist?
When your dentist refers you. Your dentist wants you to receive the level of treatment necessary to save your tooth. After examination, they may determine your situation would be better served by the advanced training, equipment and techniques (including surgery) of an endodontist.
When your tooth has complications. Patients often need an endodontist when existing factors complicate treatment of advanced tooth decay. A patient may have dental pain that's difficult to pinpoint, requiring the diagnostic resources of an endodontist. It's also common for a tooth's root canal network to be highly intricate, and which respond better to treatment with specialized endodontic tools and techniques.
When root canal treatment fails. Most root canal treatments are successful in protecting the tooth from further infection. That said, it's still possible for a root-canaled tooth to become re-infected or develop more problems. Again, an endodontist and their “tool chest“ re-treating a root-canaled tooth may be the best option for saving it.
You also don't have to wait for a referral—you can see an endodontist if you believe they would be best to treat your decayed tooth. You can find one near you by visiting an online endodontist directory at www.aae.org/find. An endodontist may be the lifesaver your diseased tooth needs.