Dental Health & Your Diet

Sugar is the main cause of dental decay when there is bacteria present. More important than the amount of sugar you take is the frequency of it.

Probably the worst thing you can do to your teeth is to hold a soda and have a sip every few minutes during a long period of time; the same is true for snacking. It is recommended that if you want to have a snack or a soda or juice it is better to have it after food, as dessert or have it in one sitting. Eating or drinking something sweet during a long period of time creates a constant supply of sugar for bacteria that cause tooth decay!

Arizona Dental Medicine healthy teeth

It is important to know all the sources of sugar. It is not just everything that is sweet but anything that can turn to sugar like pieces of bread. Cutting down your sugar intake is good for cavity prevention as well as general health.

When you have to have sugar! The best way to prevent cavities is to prevent the sugar from staying next to your teeth. Brushing after eating sugar, rinsing your mouth with Fluoride mouth wash or chewing sugarless gum can help. But nothing has the effect of avoiding sugar!

Is there any kind of food that prevents tooth decay? Well, not really. Some people believed that chewing foods like apple and carrots may have some plaque removal effect, but they still contain some sugar so any advantage of them is not clear.

Another group of food that causes significant damage to teeth structure is acidic foods. Things like lime, lemon and grapefruit, if in frequent contact with teeth, can cause serious irreversible damage (erosion) to your teeth.

Tucson Dentist – Why Would I Need a Root Canal

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Endodontic treatment, or a root canal,  is necessary when the pulp, the soft tissue inside the root canal, becomes inflamed or infected.

The inflammation or infection can have a variety of causes: deep decay, repeated dental procedures on the tooth, or a crack or chip in the tooth. In addition, an injury to a tooth may cause pulp damage even if the tooth has no visible chips or cracks. If pulp inflammation or infection is left untreated, it can cause pain or lead to an abscess.

What are the signs of needing endodontic treatment?

Signs to look for include pain, prolonged sensitivity to heat or cold, tenderness to touch and chewing, discoloration of the tooth, and swelling, drainage and tenderness in the lymph nodes as well as nearby bone and gingival tissues. Sometimes, however, there are no symptoms.

How does endodontic treatment save the tooth?

The endodontist removes the inflamed or infected pulp, carefully cleans and shapes the inside of the canal, a channel inside the root, then fills and seals the space. Afterwards, you will return to your dentist, who will place a crown or other restoration on the tooth to protect and restore it to full function. After restoration, the tooth continues to function like any other tooth.

Will I feel pain during or after the procedure?

Many endodontic procedures are performed to relieve the pain of toothaches caused by pulp inflammation or infection. With modern techniques and anesthetics, most patients report that they are comfortable during the procedure.

For the first few days after treatment, your tooth may feel sensitive, especially if there was pain or infection before the procedure. This discomfort can be relieved with over-the-counter or prescription medications.

Follow your endodontist’s instructions carefully. Your tooth may continue to feel slightly different from your other teeth for some time after your endodontic treatment is completed. However, if you have severe pain or pressure or pain that lasts more than a few days, call your endodontist.

If you suspect that you may need a root canal don’t delay in getting help. Call us today…297-9069.

Considering Dental Implants?

Important Facts to Help Make Your Decision

Many people are unaware of the consequences of losing their teeth or the effects of wearing partial or full dentures upon their jaws and bones. When teeth are lost, the surrounding bone immediately begins to shrink [atrophy]. Implant treatment, for tooth replacement therapy, can be the optimal treatment plan. Here are some important facts to take into consideration.

  • Wearing dentures [plates] accelerates bone loss, and old dentures become loose because of this bone loss. It is possible to watch and wait for bone to disappear to the point where treatment success of any kind is in doubt.
  • At the end of a five-year period, only 40% are still wearing the original partial denture made for them. This is not a great testimonial for value and utility. Those lucky enough to have a functioning partial denture after 5 years are still losing valuable supporting bone.
  • Of those patients who wear a partial denture, 50% chew better without it.
  • One study showed that after 8 years, 40% of the supporting teeth [abutments] that the partial hooks onto were lost through tooth decay or fracture.
  • Patients with natural teeth can bite with about 200 pounds of force. Denture wearers can bite with approxiametly 50 pounds of force. Those wearing dentures for 15 years or more can bite with only about 6 pounds of force, and their diet and eating habits have had to been modified accordingly.
  • The average lower full denture shifts from side to side during chewing and is a significant problem that new denture wearers must get use to and accept.
  • Denture wearers have decreased nutritional intake, a ten year shorter life span, and 30% of denture wearers can only eat soft foods.
  • The single tooth implant success rate is above 98%, and unlike a bridge, the teeth adjacent to the implant are no more at risk than if no teeth were missing.
  • Implant-supported bridges or dentures have 95% success rates over 10 years without the severe loss of supporting bone.

For bone maintenance, the health of adjacent teeth, the longevity of the restoration and patient comfort, implant therapy is the treatment of choice. Implants can restore chewing function to the equivalent of someone with natural teeth. If you have questions or want to know if you are a good candidate for implant tooth replacement therapy, please call our office.  (520) 297-9069

Does My Dental Insurance Pay?

If you have dental insurance coverage, like most people, you want to know how much of the treatment will be covered and how Tucson dentistmuch out-of-pocket expense will I have?

Most dental benefit plans arise from an agreement between an insurance company and a plan sponsor [employer or union]. There are literally hundreds of plans with endless variables concerning limitations, exclusions, deductibles, annual of lifetime maximum benefits, co-payments and fee schedules. If you have changed jobs, your new plan may not have any resemblance to your old one.

If you are being offered a plan, ask if there are several plans from which to choose. Beside yourself, who in the family will be covered? See if the plan you choose covers pre-existing conditions. If the plan is provided by your union or employer, is there any direct cost to you? If so, how much? Compare this with what you understand the benefits of the program to be.

If you already have dental insurance, we need you to bring in specific information for us to give you the best advice as to your coverage. We must have your insurance policy and ID number. Most important, bring your benefits booklet. If you don’t have one, call your employer or insurance company and request it.

Once we read the benefits book, we can project a general idea for what services and treatment are covered and the percentage of reimbursement. Many third party payers request a “predetermination of benefits” on treatment plans. We can submit the proper form and appropriate records to the insurance company. They will return it with the accepted, allowable treatment and the exact amount of coverage.

Once we have reviewed your plan, we should be able to answer most of your questions. Some plans will only allow the least expensive way to treat a problem, regardless of your choice or our recommendation. We would hope that you don’t base your dental needs and oral health solely on what benefits your plan allows. Our office will be happy to discuss a variety of financial arrangements that will make it possible to receive the treatment you need, while maximizing your insurance benefits.

Are Your Fillings Hurting Your Teeth?

posted in: Tooth Decay 0

Do you ever get tired of looking at those unsightly silver fillings in your teeth? Besides looking terrible, has anyone ever told you what they do to your remaining tooth structure?

Silver (Amalgam) fillings are composed of a mixture of metals, the most controversial and toxic being Mercury. When this type tucson dentalof restorative material is placed in the mouth, it is not bonded to the tooth, but rather packed into the tooth like a putty. Because there is no chemical bond to provide retention, often times, unnecessary tooth structure must be removed in order to provide for mechanical retention. In other words, more tooth structure may have to be removed in the form of grooves and undercuts to hold in the restorative material.

Have you ever thought of what happens when you go from eating something hot to drinking something cold? These type of fillings have been known to expand and contract causing micro or macro fractures in the teeth. This means that one may suffer from a fractured tooth due to the stresses that these types of fillings may cause. Furthermore, the expansion and contraction of these fillings can lead to separation from the surrounding tooth structure. Leaving microscopic gaps between the filling and the tooth can lead to infiltration of bacteria. Ninety-five percent of the time these type of restorations are removed, decay is found lurking beneath. Why can’t we catch this decay sooner? Because of the metal, x-rays are unable to penetrate through, therefore, decay will not be seen radiographically until it has destroyed enough surrounding tooth structure to be visualized.

Why is the tooth blackish/gray? Have you noticed that silver fillings turn your tooth dark in comparison to teeth without these amalgam fillings? This is a direct result of the metals leaching from the restoration and staining the tooth and sometimes even the surrounding gum tissue. In the case of the latter, this is known as an amalgam tattoo. Unfortunately, once the gum tissue is stained, there is no removing the discoloration. In the case of a stained tooth due to an amalgam restoration, some of that discolored tooth structure will be removed upon removal of the silver filling. Many times it is difficult to remove all of the discolored tooth structure, in which case, there are alternative cosmetic procedures available to address these concerns.

So why are these restorations still used? Well they are becoming less and less popular as the public becomes more knowledgeable about ingredients and types of dental materials available. Amalgam fillings are quick and easy restorations to place. They are not as technique sensitivity as bonded restorations. The American Dental Association deems them to be a safe dental material leading to minimal mercury release. We’ve covered the amount of tooth structure lost when placing an amalgam filling, micro and macro fractures, mercury release and metal staining of surrounding hard and soft tissue. With dental technology so advanced and offering so many better choices in restorative materials, you be the judge of what you want in your mouth. After all, you have to live with it!

Ready to get rid of your silver fillings?  Then call Dr. Riley today.  Your Tucson general dentist with a cosmetic flair.  520-297-9069

7 Risk Factors That Promote Tooth Decay

posted in: Tooth Decay 0
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Tooth Decay

Tooth decay is a process that happens when acidic waste products created by oral bacteria cause damage to the hard tissues of a tooth called enamel. If this process remains unchecked, a point can be reached where enough enamel is finally lost that hole or a cavity forms on the tooth.

Here are 7 lifestyles or risk factors that will increase your chances of getting tooth decay.

1.  Lack of proper oral hygiene

Brushing only once a day, especially if morning only, is a large risk factor in getting tooth decay.  If you don’t clean your teeth after eating and drinking, plaque builds up, eroding your teeth.

Plaque is a soft, sticky, and colorless deposit that is continually forming on our teeth and gums. Often undetected, plaque attacks the teeth and gums with the acid it produces from bacteria in your mouth.  This acid attack breaks down the tooth’s enamel, causing tooth sensitivity and ending with varying degrees of tooth decay.

2.  Tooth position

Crowded or rotated teeth are harder to clean and properly remove plaque.  This causes cavities or tooth decay.

3.  Frequent snacking or sipping throughout the day

If you frequently snack or sip sodas, acid has more time to attack your teeth and wear them down
Allowing teeth to be worn down into softer dentin due to bruxism or malocclusion.

4.  Eating disorders

Eating disorders such as anorexia and bulimia can lead to significant tooth decay. Stomach acid from vomiting washes over the teeth and erodes the enamel.  As the enamel erodes your teeth are less protected and more subject the the effects of plaque and cavity causing bacteria.

5.  Xerostomia or dry mouth

Dry mouth or Xerostomia is caused by a lack of saliva. Saliva has an important role in preventing tooth decay in that  it washes away food and plaque from your teeth.

6.  Broken down fillings or restorations
Over the years, dental fillings can become weak and begin to breakdown.  This can create places that harbor bacteria and increased plaque.

7.  Bottled water
Fluoride is often added to public water supplies.  This has helped decrease tooth decay by offering protective minerals for tooth enamel. But today, many people drink bottled or filtered water that doesn’t contain fluoride.

Having healthy, strong teeth is important.  Consider which of these common lifestyles are proving detrimental to your overall oral health and take positive steps to eliminate them.

We can help at Arizona Dental Medicine.  Call us today to set an appointment for a dental checkup to make sure that you don’t have tooth decay going on.