Posts for: March, 2015

By Tooth Story
March 23, 2015
Category: Oral Health
NoGleeinToothGrinding

Sure, it’s big news when celebs tweet selfies from the dental office… if you’re still living in the 20th century. But in Hollywood today, it’s harder to say who hasn’t posted snaps of themselves in the dentist’s chair than who has. Yet the pictures recently uploaded to Twitter by Mark Salling, the actor and singer who regularly appears as Noah “Puck” Puckerman on the popular TV series Glee, made us sit up and take notice.

“Getting my chipped tooth fixed. Also, apparently, I’m a big grinder,” read the caption. The photo showed a set of upper front teeth with visible chips on the biting surface. What’s so special about this seemingly mundane tweet? It’s a great way of bringing attention to a relatively common, but often overlooked problem: teeth clenching and grinding, also called bruxism.

Although bruxism is a habit that affects scores of people, many don’t even realize they have it. That’s because the condition may only become active at night. When the teeth are unconsciously ground together, the forces they produce can wear down the enamel, cause chipping or damage to teeth or dental work (such as veneers or fillings), or even loosen a tooth! While it’s common in children under 11 years old, in adults it can be a cause for concern.

Sometimes, mouth pain, soreness and visible damage alert individuals to their grinding habits; other times, a dental professional will notice the evidence of bruxism during an exam or cleaning: tooth sensitivity and telltale wear and tear on the chewing surfaces. Either way, it’s time to act.

Bruxism is most often caused by stress, which can negatively impact the body in many ways. It may also result from bite problems, the overuse of stimulating substances (caffeine, alcohol, tobacco, and illegal drugs), and as a side effect of certain medications. Sometimes, simply becoming aware of the habit can help a person get it under control. Common methods of stress reduction include exercise, meditation, a warm bath or a quiet period before bedtime; these can be tried while we monitor the situation to see if the problem is going away.

If stress reduction alone doesn’t do the trick, several other methods can be effective. When bruxism is caused by a minor bite problem, we can sometimes do a minor “bite adjustment” in the office. This involves removing a tiny bit of enamel from an individual tooth that is out of position, bringing it in line with the others. If it’s a more serious malocclusion, orthodontic appliances or other procedures may be recommended.

When grinding is severe enough to damage teeth or dental work, we may also recommend a custom-made night guard (occlusal guard), which you put in your mouth at bedtime. Comfortable and secure, this appliance prevents your teeth from being damaged by contacting each other, and protects your jaw joints from stresses due to excessive grinding forces.

Whether or not you have to smile for a living, teeth grinding can be a big problem. If you would like more information about this condition, call our office to schedule a consultation for a consultation.


By Tooth Story
March 13, 2015
Category: Oral Health
TheImportanceoftheAgeOneDentalVisit

Did you know that the American Academy of Pediatric Dentistry recommends that all children have their first dental visit by the age of one? You might be surprised by this recommendation, since most children do not have many teeth at this age. However, it is important to start your child early on the path of good oral health!

Here are a few things you can expect from this first dental visit:

  1. Developing a Rapport. Much of this visit will be dedicated to helping your child to feel at ease in our office. We'll spend time talking to your child, so that he or she is comfortable sitting in the dental chair and being examined.
  2. Looking for Signs of Decay. During the comprehensive examination, we'll be looking for any signs of tooth decay and conducting a risk assessment for potential future cavities. Keep in mind that baby teeth serve as guides for your child's permanent teeth, so it is vital that you take proper care of them. You may not know it, but your child's permanent teeth are already forming beneath the gums, and if teeth are lost early, there is a higher risk for orthodontic problems later in life.
  3. Reviewing Oral Hygiene Techniques. We would like this visit to be instructional and informative for you. Feel free to ask any questions that you have about caring for your child's teeth. In addition, we'll take some time during this visit to review with you the correct way to brush your child's teeth.
  4. Talking about Oral Health Habits. We'll also spend a portion of this appointment doing a bit of fact gathering to ensure that you're not inadvertently doing anything that promotes decay, such as leaving a baby bottle with a sugary substance in your child's crib at night.

If you would like more information about the age one dental visit, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “The Age One Dental Visit.”