YOU’VE HEARD OF being tongue-tied, but what about lip-tied? Both are actually legitimate medical conditions, and the culprits are pieces of tissue in our mouths called frenula.

Tongue Ties And Lip Ties

We all have a frenulum (or frenum) that connects our upper lips to our upper gums, one that connects our lower lips to our lower gums, and one that connects our tongues to the floors of our mouths. Normally, they are all thin and highly elastic, allowing free movement of our lips and tongues. If someone is literally tongue-tied, it means the lingual frenulum (the one under the tongue) is large enough to restrict the movement of their tongue, causing difficulties with speech, chewing, and swallowing.

Having a “lip tie,” on the other hand, means one of the labial frenula is so thick and/or tight that it restricts movement of the lip it’s attached to. Being lip-tied can lead to problems such as a large gap between the teeth, gum recession, and, in infants, not being able to latch while breastfeeding.

What Can We Do About It?

Luckily, a simple surgery called a frenectomy can reduce or remove an abnormal frenulum. Now, don’t let the word “surgery” scare you off. A frenectomy is definitely worth considering for anyone with these frenulum-related problems, particularly if they’re experiencing pain or discomfort.

Frenectomies are relatively quick procedures with short healing times. Periodontists (dentists who specialize in working with the gums) and oral surgeons are normally the ones who perform them. The way it works is that the doctor will numb the area  and make a small incision in the frenulum to make it smaller or remove it. Alternatively, the procedure could involve laser surgery, where the doctor removes the frenulum with a laser. Either way, that pesky lip tie or tongue tie will be gone!

Let’s Take Care Of That Frenulum

For the majority of people, frenulums will never be a problem. If you think any of yours might be thick or tight enough to cause the above problems, schedule an appointment with us, and the same goes for your children if they seem to have these problems. We can take a look and see if a frenectomy would be a good option. If it is, then we can recommend a periodontist or oral surgeon to take care of it.

Thank you for choosing us to take care of that smile!

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The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

HAVE YOU EVER HEARD of “Mountain Dew Mouth”? It’s what happens to our teeth when we drink too much soda. The term comes from rural Appalachia, where that particular drink has long been the carbonated beverage of choice and tooth decay is alarmingly common. But this doesn’t just happen in Appalachia, and Mountain Dew isn’t the only drink that contributes to tooth decay.

The Dangers Of Sugary Drinks

When we eat or drink something with sugar in it, the sugar sticks to our teeth afterward. Sugar itself doesn’t do any damage to our oral health, but it is unfortunately the favorite food of the bacteria that lives in our mouths. These bacteria eat the sugar and then excrete acids that erode our tooth enamel, leading to tooth decay. They also cause inflammation that increase the risk of gum disease.

Any source of sugar can negatively impact oral health. Sugary drinks (including fruit juice, but especially soda) are particularly dangerous because they aren’t filling like solid food and are therefore easy to keep drinking.

Effects Of Carbonation

So if sugar is the problem, then can’t we keep our teeth healthy by switching to diet soda instead of giving up carbonated beverages altogether? Diet soda is certainly an improvement, but sugar isn’t soda’s only threat to dental health. The other is acid. Sugar leads to tooth decay because oral bacteria eat sugar and excrete acid that erode tooth enamel. Soda cuts out the middle man and applies acid directly to the teeth.

Even diet sodas and carbonated water contain acid. The three types of acid commonly found in soda are citric, phosphoric, and carbonic. Any drink with citrus flavoring will have citric acid, many colas get their flavor from phosphoric acid, and carbonic acid is what makes these drinks fizzy in the first place.

Protecting Your Smile

It would be best for your teeth to avoid soda and other sugary drinks entirely. If you can’t bring yourself to give up your favorite drink completely though, there are a few ways to enjoy it while protecting your teeth. A big one would be to only drink soda with a meal instead of sipping from a can or bottle throughout the day so that the sugar and acid aren’t sitting in your mouth for long periods.

You can also help balance your mouth’s pH and rinse away remaining sugar by drinking water after the soda. Finally, you can clean away the last traces of sugar and acid by brushing your teeth, but it’s a good idea to wait until the pH balance is back to normal before brushing, which takes about thirty minutes.

It is particularly important for children and people with braces to avoid overindulging in sugary drinks. Children have the highest risk of enamel erosion because their enamel isn’t yet fully developed, and braces plus a soda habit is a great way to end up with stained teeth when the braces come off.

Don’t Forget That We Can Help Too!

Following these good habits will go a long way towards protecting your teeth against decay and erosion from the sugar and acid in soda. Still, don’t forget that your dentist is also an important part of the equation. Keep scheduling those visits every six months!

Thank you for always being our valued patients!

Top image used under CC0 Public Domain license. Image cropped and modified from original.

The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

CALCIUM AND MILK go together like fluoride and toothpaste. Without the former, it can be hard to find the latter. And, like fluoride, calcium is essential to our oral health.

How Calcium Benefits Your Oral Health

We all know that calcium is the main component of our teeth and jaw bones, but our mouths are also made up of gum tissue, muscles, nerves, and blood vessels. Calcium is important for these things as well because it helps them function as they should.

How Much Calcium Do We Need?

The range of calcium intake recommended for the average person on a daily basis is between 1000-1300mg from ages four to 70+ yrs. Children younger than four need about 700mg or less. The numbers vary based on gender and age.

Getting less than 500mg of calcium a day puts you at greater risk of developing gum disease, and the scary thing is that most people don’t meet their daily recommendation. Take a look at the foods you’re eating and make sure you’re including at least 800mg of daily calcium to keep your teeth and oral health in great shape!

Non-dairy Calcium Sources

Most people can get their daily calcium from milk and other dairy products, but some don’t have that option. Luckily, there are many alternative sources of this crucial mineral, and we’ve made a list of them to help out our dairy-averse patients.

• Canned fish with the bones in. The bones of small, canned fish are an excellent source of calcium, and they’re soft enough to eat! It’s up to you whether you eat them straight from the can or mix them into a larger meal.
• Dark leafy greens. Starting at 180mg and reaching about 350mg, kale, spinach and collard greens are the three leafy greens with the highest calcium content.
• Beans and black-eyed peas. Legumes such as beans and black-eyed peas contain an impressive amount of calcium, with 350mg to 515mg in just one cup!
• Fortified drinks. Fortified orange juice contains around 1500mg and soy milk has 340mg per cup.
• Tofu. Most tofu has added calcium, giving it about 860mg per half cup, but you’ll still get between 100-200mg per serving with no calcium added!
• Broccoli and broccoli rabe. Broccoli rabe (rob) has about 80mg of calcium per 2/3-cup serving and broccoli has about 100mg per 2cup serving.
• Edamame. With 98mg in just one cup of cooked edamame, it’s a good source of calcium as well as protein!
• Almonds. Out of all the nuts, almonds contain the highest level of calcium, with 8% of the recommended daily intake in a single ounce.
• Dried Figs. Figs have a sweet, dessert-like flavor, so eating the half cup it takes to get the calcium from them will feel like indulging in a treat!

We Can Help

If you think you may be prone to gum disease or have further questions about how you can improve your daily calcium intake, we’d love to talk to you about it, so schedule a visit with us today!

We love helping our patients keep their teeth healthy and strong!

Top image used under CC0 Public Domain license. Image cropped and modified from original.

The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

HALLOWEEN IS OUR favorite spooky time of year, but when it comes to sugar’s effects on teeth, all that candy can be downright scary. The reason sugar is bad for our teeth is that it feeds harmful oral bacteria that excrete acid, and the acid erodes enamel and leads to tooth decay. So how can we keep our costumed Halloween adventures clear of tooth decay?

Ranking Candy On Dental Health

Very few houses give away treats like sugar-free xylitol gum to trick-or-treaters, so the chances are slim that the candy will actually be healthy. However, some types of sugary candy are worse than others, or present different kinds of problems.

• Hard candy is a problem because there’s a risk of breaking our teeth if we chew it, but sucking on it isn’t safe either because that means holding a source of sugar in our mouths for an extended period.
• Sour candies are like a double attack against dental health, because not only do they contain a lot of sugar to feed the bacteria, but they are also highly acidic, so they can harm our enamel directly!
• Sticky or gummy candy is especially bad for teeth because it remains stuck there, feeding the bacteria for a long time and giving them a larger opportunity to attack the enamel.
• The good news is that the least harmful sugary candy is chocolate! It doesn’t stick to teeth like most other candies, and the cocoa in it has many beneficial properties. The darker the chocolate, the less sugar will be in it, so aim for dark chocolate.

Reducing The Candy Quantity

Being picky about which types of candy we eat is one way to reduce the risk of tooth decay, but an even better way to do that is by simply eating less candy. As parents, we can help our children out with this by coming up with a plan before trick-or-treating time. We could let them trade the bulk of their candy haul for some kind of non-candy prize or limit the number of houses they visit. We just have to make sure to discuss the plan with them in advance.

More Tooth-Healthy Strategies

There are a few other simple things you can do to reduce the dental effects of all that Halloween candy. You can drink more water to rinse out the sugar, limit the frequency of candy consumption more than the quantity, and wait thirty minutes after eating candy to brush your teeth. The reason for that last one is that it takes your saliva about half an hour to stabilize the pH of your mouth after eating sugar.

Keeping Teeth Healthy Year-Round

The Halloween season will come to an end, but the job of keeping our teeth healthy is never done! Make sure you’re always brushing your teeth twice a day, flossing, keeping those sugary treats to a minimum, and scheduling regular dental visits!

Have a spooky Halloween!

Top image used under CC0 Public Domain license. Image cropped and modified from original.

The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

NO ONE LOOKS FORWARD to getting “long in the tooth” because of gum recession.

However, while tooth length might be an accurate yardstick for judging the age of a horse, age is not the culprit behind receding gums in humans. Gum recession is simply such a gradual process that it can take decades before the effects are noticeable.

Not All Gum Recession Is Avoidable

There are many contributing factors to gum recession, and some unfortunately include genetics. Some people simply have fragile gums or don’t have enough jaw bone covering the front of the roots of their teeth to support gums up to the crowns. The good news is that many of the other contributing factors can be controlled, and even if you’re predisposed to gum recession, there are ways to minimize it.

Bruxism Versus Your Gums

Chronic teeth-grinding, or bruxism, causes a whole host of problems for your oral health, and one of them is increasing your risk for gum recession. All that grinding puts too much pressure on the gums, so they begin to retreat. Bruxism can be a difficult habit to break, especially if you’re doing it in your sleep, but you can minimize the damage to the jaw bones, gums, and teeth by using a mouth guard.

Overbrushing Damages Gum Tissue

It might sound counterintuitive, but you can actually brush your teeth too much. Or, at least, too hard. Brushing teeth isn’t like scrubbing the grime out of tile grout; gums are not built to withstand the abrasive assault of hard-bristled brushes (and neither is the enamel on our teeth). Soft bristles are actually ideal for scrubbing away plaque and massaging the gums without damaging them. The same principle applies to flossing; you should definitely floss once a day, but go easy on those gums.

Tartar Buildup And Gum Disease

When plaque isn’t removed by brushing and flossing, it will eventually harden into tartar, which can only be removed by dental professionals. This means that the longer you go without a routine dental cleaning, the more tartar builds up along your gum lines, which puts you at risk for gum disease. Speaking of which…

In the early stages of gum disease, also called gingivitis, the health of your jaw bones is not yet at risk, which is good for avoiding gum recession. If your gums are tender, swollen, and bleed easily, it’s likely gingivitis. You can combat it with healthy brushing and flossing habits, but it’s also wise to bring the problem to us.

If untreated, gingivitis advances to become periodontitis. This is when gums start pulling away from the teeth and the integrity of the jaw bones is compromised. There are many risk factors for gum disease, including smoking, hormonal changes (like during pregnancy), diabetes, and dry mouth as a side effect of medications. At this point, better oral hygiene habits aren’t enough and professional treatment is absolutely necessary.

Help Us Help You Keep Those Gums Healthy!

If you’re worried about the structure and health of your gums, don’t hesitate to schedule an appointment with us! We can help you get your gum health back on track and discuss treatment options.

We’re rooting for you!

Top image by Flickr user Lachlan Hardy used under Creative Commons Attribution-Sharealike 4.0 license. Image cropped and modified from original.

The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

MOST PEOPLE GRIND OR CLENCH their teeth briefly when annoyed or in a tense situation. That level of teeth-grinding isn’t really something to worry about. It’s when you do it far more frequently, often without even realizing it (you might even do it in your sleep!), that it can potentially become a serious problem. The medical term for this kind of teeth-grinding is bruxism.

Bruxism: What and Why

Sleep bruxism (or nocturnal bruxism) can happen as a side-effect of snoring and sleep apnea, and awake bruxism (or diurnal bruxism) can happen as a side-effect of stress in your daily life. However, not everyone with a sleep disorder or a stressful life has bruxism, and not everyone with bruxism has a sleep disorder or a ton of stress. Another possible cause is improperly aligned teeth.

Because there isn’t one clear cause, treatment can sometimes be tricky, and the focus is often on the symptoms and minimizing the damage more than curing the underlying condition. Even if you aren’t aware that you’re grinding your teeth, any of the following symptoms could point to bruxism:

• Sore jaw (with sleep bruxism, your jaw will be most sore when you wake up, whereas with awake bruxism, it’ll be most sore before you go to bed)
• Frequent headaches from all the strain
• Hypertrophy in your jaw muscles (because you’re giving them quite the workout!)
• Shifting teeth
• Flattened chewing surfaces of teeth
• Exposed dentin and increased tooth sensitivity
• Chipped/cracked/split teeth
• Tooth loss

Your Next Steps

Depending on which type of bruxism you have, there are a variety of treatments or approaches to either reduce the grinding or the damage it causes.

Behavioral Therapy

With behavioral therapy or habit-reversal techniques, you can become more aware of your clenching/grinding habits and consciously work to stop. This one works better when you have awake bruxism than sleep bruxism, because it’s obviously much harder to control your jaw muscles in your sleep.

Relaxation

Particularly for stress-related bruxism, relaxation techniques such as yoga, deep breathing exercises, massages, warm baths, calming music, and a full night’s sleep can help you de-stress and stop grinding.

Wearing A Mouthguard

A mouthguard or splint serves as a pillow between your upper and lower teeth. It won’t stop the grinding, but it protects your teeth from damage.

Medication As Prescribed By Your Doctor

Muscle relaxant medication, as prescribed by your general practitioner, might help you unclench while you sleep. However, medicine is rarely used to treat bruxism, especially if other treatments are helping.

Check out this video for more information and a few other ideas on how to combat bruxism or minimize the damage:

We Can Help!

If you’re experiencing any of the above symptoms, it may be due to bruxism and you should schedule an appointment so we can make a plan for how to address it. You don’t want to leave it untreated until it gets to the point where it’s damaging your teeth.

We love our patients!

Top image by Flickr user Sean_Wright used under Creative Commons Attribution-Sharealike 4.0 license. Image cropped and modified from original.

The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.