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Paperwork, Paperwork, Paperwork!

Why does my dentist need to know my health history?

So, you go to the dentist for a matter concerning your teeth or perhaps you’re there for your bi-annual dental check-up and cleaning and your exam begins with a bunch of questions about your overall health.

What gives?
Why does a dentist or hygienist want an update of your medical history at every visit?

This is a very legitimate question. After all, you may be coming in for just a simple visit and do not understand what the rest of your body has to do with your mouth.

We are caring for you – not just your teeth!

20140915_103718_resizedYou may have read somewhere about the “Body – Mouth” connection. There are medical conditions that significantly impact your oral health, determine the course of future dental treatment or explain why a particular problem keeps reoccurring.

When we exam you we are seeing more than just your mouth. We are caring for you, not just your teeth! We are concerned with making accurate diagnoses and following up with individualized treatment.

Obviously, patients with more complicated health histories will require more attention than others. In order to maximize our patient’s time with us we routinely ask that they keep a current copy of their medication list in their wallets for quick reference and let us know in advance of their visit here if there has been any significant changes in their health.

Sometimes, it is necessary to follow-up a health issue with the family doctor. Your family physician may prescribe some medication for you to take prior to your dental treatment, especially if you have recently had a new body prosthetic placed or have had a heart stent procedure. Other times, a medication may have to be temporarily discontinued before a particular dental procedure can begin.

As such, we ask that our patients bring in a copy of their medication list when they see us for their check-ups so that we can up date our records and advise as necessary.

Never underestimate the value of your health history…

MedsWe understand that your time is valuable and that you would like to get to your dental matter at hand rather than filling out forms. Updating your medical information may seem like an imposition to you or you may not want to disclose certain personal health issues to us, but it is important to understand that it is with your safety in mind that we must collect this information and ask any pertinent follow-up questions.

What may seem like an irrelevant health issue to you may turn out to be the essential information we need when diagnosing, treatment planning, using materials in your mouth or prescribing medications. Knowing these details can save your life!

Patient health histories are clearly documented and updated regularly in our office. We need you to be as comfortable with us as you would be with your family physician. We would like to think that our patients appreciate that we hold their health in such high regard and that we do not omit this part of your care.

At Your Smile Dental Care we treat our patients as we do our own family and friends. Keeping current and accurate patient records help us deliver the very best care to you – our valuable patients.

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Yours in Better Dental Health,
Your Smile Dental Care Team 
(905) 576-4537
(416)783-3533
www.yoursmiledentalcare.com


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Botox and TMJ?

When Laughing Hurts…

Are you experiencing jaw pain, headaches, or can hear/feel clicking sounds when you open your mouth? Does your jaw, “pop or lock up?

You may have a condition that is commonly referred to as TMJ – Temporal Mandibular Joint. While the TMJ is an actual anatomical part of your head, this acronym has become an umbrella term to describe a painful dysfunction of area.

The TMJ is the area where your lower jaw fits or mates with the temporal bone of your skull. It acts like a sliding hinge allowing you to open and close your mouth and move it side to side. This area is a complex structure of ligaments, muscle, joint capsule, articular disc and the actual 2 bone surfaces: the temporal bone and mandible.

Impairment of the TMJ can occur with osteoarthritis, injury, wear, misaligned bite, bruxism (teeth grinding/clenching) and even poor posture. It can involve the muscles surrounding the bones, the joint itself or both. Pain and discomfort can be a temporary problem or can last many years.

Signs and Symptoms can include:

  • Sore jaws
  • Toothaches
  • Headaches
  • Earaches
  • Dizziness/Vertigo
  • Neck/Shoulder pain
  • Trouble chewing
  • Jaw thrusting
  • Popping, clicking or grating feeling/sound in joint
  • Facial swelling
  • Jaw locks up or gets stuck when opening or closing mouth.
  • Tinnitus  (ringing in ears)

 

Diagnosis

If you suspect that you may have a TMJ issue bring it to the attention of your dentist right away. Your dentist will perform a clinical exam of your dental structures and face, check for abnormal movements of the jaw, assess your bite, listen for sounds in the TMJ area, and discuss your health history.

For some patients, because the condition is minor, treatment may be as simple as a bite agjustment or a bite guard to place on the teeth into a more correct position and lessen the effects of bruxism. For others, it may involve further testing such as x-rays, MRI, and/or a CT scan. A referral to a Specialist may also become necessary when pinpointing the exact source of TMJ problems is difficult to determine.

Oftentimes, dealing with TMJ issues involves a multi-phased approach starting with minor adjustments and treatments, and if necessary, increasing in levels of intervention. In conjunction with any treatment recommendations, your dentist may also recommend the use of muscle relaxants, anti-anxiety and/or anti-inflammatory medication, jaw exercise and the use of hot/cold compresses

What Can You Do?

In the meantime, there are some things you can do to help alleviate your discomfort before, during and after treatment:

  • Switch to softer foods
  • Avoid opening your mouth very wide including yawning, yelling and singing
  • Keeping chewing to a minimum
  • Avoid gum chewing
  • Gently massage the jaw, TMJ and temple to stimulate circulation, relax the muscles and relieve discomfort and tightness.
  • Practice good posture. You can buy a simple posture brace to help.

Give your jaw at rest by:

  • Keeping your teeth slightly apart. Separating your teeth with your tongue can be helpful.
  • Avoid clenching/grinding movements (often subconscious habit, but try to be more aware)
  • Avoid resting your head/chin on your hand to relieve pressure on your jaw.

BOTOX: The alternative treatment for TMJ

 

TMJ disorder can be a very debilitating condition, but there is hope. Oftentimes, it is triggered by muscle spasms and bruxism which tends to be a stress response. Modern dentistry is now turning to what is commonly thought to be just a cosmetic enhancement – Botox.

Botox is now used therapeutically in many medically compromised patients. For TMJ issues, it is used as a non-surgical approach to weaken the muscle involved with jaw movement to put an end to spasms. This, in turn, allows the entire anatomy associated with TMJ disorder to get the rest and healing it needs. It is usually repeated every 3-4 months with the hope, that over time, inflammation will subside and the anatomy will get the rest and healing it needs to alleviate the condition or any contributing, destructive habits.

Our friendly staff are happy to answer any questions you have about your TMJ problem or any other dental issue you may be experiencing. With proper care, you need not suffer any longer.

 

 

Yours in Better Dental Health,
Your Smile Dental Care Team 
(905) 576-4537
(416)783-3533
www.yoursmiledentalcare.com

 

 

 

 

 

 

 

 

 


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What is a Periodontal Screening?

Does your smile pass the Test?

No doubt, you have heard how important it is to take care of your gums for the health of your teeth, but it can also affect your overall health. Gums, also known as gingiva, is a barrier tissue that covers and protects your teeth and the bone that surround and support your teeth.

When gums become tender, swollen and begin to bleed, it is usually a sign that the body’s immune system has been triggered.

Our mouth is home to a complex ecosystem of microorganisms. While much of the bacteria is our mouth are beneficial in preventing disease, there are some that are harmful if allowed to take over. The proper balance of these germs is critical for a healthy mouth. Certain processes take place everyday to keep this balance from being disrupted so that a response from our immune system is not triggered.

Some patients become aware that something is going on when they begin to notice bleeding when they brush their teeth. Others have had progressive gum disease for a long time and are surprised to learn of it.

Periodontal Screening

Watchful Eyes

Your dentist and dental hygienist are trained to not only help you maintain healthy mouth and teeth, but they are always monitoring your mouth for signs of the onset of gum disease. By routine – usually once a year – they will perform a gum evaluation called a periodontal screening.

During this screening, they are assessing the health of your supporting gum and bone structures and evaluating the look of your gums.

Healthy gums are pink and firm. Unhealthy gums are red, swollen, spongy-looking and may bleed. They also look for signs of gum loss (recession) and use a tiny instrument called a probe to measure the depths of the pockets between the teeth and gums. The pocket is a free space located around each tooth. In between each tooth it is where your floss enters for cleaning.

In a healthy mouth, this free space becomes attached gum about 2-3 mm of the way down. When bacteria is allowed to accumulate in this space inflammation occurs that triggers the immune system to send white blood cells. Unfortunately, the WBC not only destroys bacteria but gum tissue also. When the attachment portion of the gum tissue gets destroyed, the pocket become deeper and more bacteria, dental plaque and food can accumulate.

If left untreated or unnoticed, this pocketing will lead to bone loss. Eventually, enough bone is lost that the tooth becomes loose and cannot be saved.

Early detection is key

This is why it is important to identify this pocketing early in order to prevent further gum and bone loss. There are various treatment options available for gum disease and your dentist may refer you to see a gum specialist (Periodontist) for ongoing care.

Unfortunately, gum disease is called a “silent disease” that often goes unnoticed until a significant amount of damage occurs. This is usually the case for people who do not see a dentist routinely where the health of their teeth and gums can be monitored on a regular basis.

Periodontal disease has long been the leading cause of tooth loss in adults which is why every patient should have a periodontal screening performed annually. Early detection is key and can make all the difference.

The good news is that gum disease is an easily preventable disease. By simply brushing your teeth twice a day, flossing daily, and attending to regular dental check-ups and cleanings you are already helping your mouth and teeth.

To keep them in tip-top shape you need to start looking at your other habits:

  1. Meal frequency – Reduce snacking in between meals to allow your saliva to repair damage done by acid attacks. Read here
  1. Do not sip on sugary drinks or coffee/tea with milk, cream and/or sugar frequently or all day long.
  1. Use an antiseptic mouth rinse once a day
  1. Ensure that other medical conditions like diabetes and heart disease is monitored by your physician regularly and is under control.
  1. Consider a smoking cessation program as smokers are almost three times as likely as nonsmokers to have periodontitis
  1. Eat a healthy, nutrient-rich diet that  helps to control inflammation.

Suggestions:

  • green leafy vegetables such as spinach, kale, and collards
  • fruits such as strawberries, blueberries, cherries, and oranges
  • fatty fish like salmon, mackerel, tuna, and sardines
  • nuts and legumes
  • olive oil
  1. If you suspect gum disease, never ignore the signs and see a dentist.

Signs:

  • red, swollen gums
  • tender and/or bleeding gums
  • loose gums that have pulled away from your tooth
  • sensitive teeth
  • pain when eating
  • receding gums; tooth appears longer
  • spaces between tooth and increased food impaction
  • loose fitting partial dentures
  • persistent bad breath

 

Keeping your gums healthy and strong is the simplest way to maintain your overall health and help to ensure you keep your teeth for life. If it has been a while since you have been to the dentist for a check-up or suspect you may be having problems with your gums please contact our office today at 905 – 5SMILES (905.576.4537). You’ll be glad you did!

Your in better dental health,
The Your Smile Dental Care team
(905) 576-4537
(416) 783-3533
www.yoursmiledentalcare.com


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Dental Spot Remover


I just got my braces off and my teeth are straight, but now I have white spots on my front teeth!

 

Unfortunately, these spots are permanent damage to your teeth and are areas of decalcification where bacterial acid have dissolved the enamel during orthodontic treatment.

Did your dentist alert you to these  spots during treatment?

Typically, they do, when these spots initially begin to appear. They may warn you to start brushing better and may have mentioned the word “decalcification.” They obviously become more visible once ortho braces are removed and the look, texture and size of these spots will depend on the degree of severity.

 

The Battle

14-02-2017-3-27-12-pmWhen bacteria metabolize the sugars you ingest they excrete an acid onto your tooth surface. This acid is capable of breaking down the tissues that make up your tooth. Your saliva is rich in essential minerals and is the body’s natural way of repairing the damage from these “acid attacks”, but sometimes, the demineralization far outweighs any remineralization that the saliva can accomplish.

 

When this occurs, the tooth area in question begins to lose it’s shine and takes on a chalky, rough look due to surface etching.  The amount of enamel surface lost over time can be considerable enough to not only cause a very defined white spot, but it can eventually become deep enough to result in an actual cavity. Tooth decay after braces is not uncommon; it occurs far more often than you would think. Some patients have to have their orthodontic treatment stopped and the braces removed because their poor oral hygiene is causing so much damage!

 

2017-14-322Brushing your teeth effectively when you have braces on can be a challenge because food debris and plaque accumulate in, around and under the orthodontic bands and brackets making removal difficult. Extra effort is needed to make sure you are getting your toothbrush into all the nooks and crannies where food and plaque can hide.

Your orthodontist will recommend various orthodontic tooth brushing aids to help you accomplish this more easily. And since braces are typically worn for several years, this extra care is essential to keep teeth and gums free from the harmful effects of dental plaque.

 


“If you were not diligent about brushing your teeth before braces, you may find the new dental hygiene routine with braces very demanding”


 

 

20170214_110957You Get What you Give

 

A frank and honest discussion with your orthodontist before treatment begins is a very important step. Knowing and understanding the pro and cons of treatment will help equip you with all the information you need to make an informed decision before considering braces.

Cleaning your teeth will not be the only battle you may face with braces, but like anything in life – the effort you put forth is an indicator of the value you place on your smile and your interest in having healthy teeth.

 

Nothing worthwhile ever comes easy…

Having nice straight teeth with an ideal bite makes for a beautiful smile. However, if they are marred with these permanent white spots or riddled with cavities it can affect your smile for years to come, so you’ve really just traded one dental problem for another.

Treatment Options?

Getting rid of these white spots depends on the severity and can include one or a combination of these options:

20170214_125410.

 

Remineralization – Your dental professional can place a mineral rich solution on the affected areas to try to minimize the damage, strengthen the weakened area and restore some of the essential minerals back onto the tooth surface. This is only effective when the damage is not severe.

 

Whitening – The white spots are noticeable because they are whiter than the normal colour of enamel. Tooth whitening procedures can help lighten your natural tooth colour to a shade that is closer to that of the white spot. The long term effectiveness of whitening depends on how easily your tooth picks up staining. It is considered a temporary solution because it usually has to be repeated as needed and you will come to know how often your situation demands.

 

Microbrasion – If the surface damage is very minimal, there is a procedure that essentially “sands”  or rubs away the white spot with a fine rock/acid mixture until the underlying natural enamel is exposed. Different people have different variations of thickness to their tooth enamel, so this technique depends on how deep the dentist must go to reach new enamel.

 

Fillings – If the white spot is too deep then your dentist can “scoop it out” using the drill and replace it with a white filling material that most closely matches your natural tooth shade.

 

Dental Veneers – Dental veneers are very thin porcelain coverings for the front surface of your teeth. They are a quick and easy way to hide marks and discolouration of the enamel. This procedure is generally advised when the other options have been tried already or the spotting is too widespread.

 

Straightening Things Out

Your home care can dramatically minimize your health care risks during orthodontic treatment. Following the tips below will help ensure that when your braces are removed you are putting your best SMILE forward!.

 

  • Brush 3 x/day carefully and effectively
  • Use orthodontic cleaning aids
  • Choose water over sugary/acidic drinks
  • Stay away from highly acidic, sugary and sticky foods
  • Use a fluoride toothpaste
  • Rinse once/day with an antiseptic mouth rinse
  • Maintain regular dental checkups
  • Ensure that your orthodontist is examining your teeth for signs of decalcification
  • Avoid snacking in between meals

 

 

At Your Smile Dental Care, we cannot stress enough the importance of proper home care for everyone. This is especially true when you are undergoing orthodontic treatment and have braces that can trap food and plaque easily. By raising your awareness and taking the time and effort to implement the tips above into your daily routine you will be making a great investment in your future SMILE!

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Yours in Better Dental Health,
The Your Smile Dental Care team,
(905) 576-4537
(416) 783-3533
www.yoursmiledentalcare.com

 

 

 

 

 

 

 


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The Sudden Appearance of Cavities

The Tooth Sleuth…

 

20170123_122329Why does tooth decay suddenly begin in patients who have had no history of multiple cavities?

This is actually a common question that is not generally an age-specific misfortune as much as it tends to be a lifestyle occurrence. It is understandable why someone becomes frustrated and very concerned about the sudden appearance of tooth decay when they have had great teeth their whole lives with little or no decay.

Cavities can occur at any age and without warning. Some factors we can control, while others are a more complicated set of circumstances. The sudden appearance of cavities depends on someone’s individual situation, so it often becomes a fact-finding mission for both the dentist and the patient.

 

You may not think of dentists as detectives, but it is one of the many roles we assume as healthcare practitioners

 

Narrowing down the cause can be tricky, but here are a few of the most common culprits:

 

Cavities under fillings – Like anything that is man-made and designed to replace something that is natural, there are limitations. Fillings can wear down, chip or lose their marginal seal with the tooth allowing bacterial acids to seep in and cause cavities under fillings. Maintaining regular dental check-ups allow us to monitor the integrity and health of teeth and their existing restorations.

Orthodontic treatment – Wearing braces, especially the new Invisalign type of braces, give food and plaque more places to hide making it more difficult to see and remove them. Your food choices and attention to the detail when tooth brushing becomes very important to reduce your likelihood for tooth decay. Your orthodontist will warn you of the higher susceptibility for cavities when wearing braces and make recommendation that should be followed diligently.

Dietary change – A sudden change in what and how often you eat and drink can have a huge impact on the health of your teeth, Ideally, you should allow 4-5 hours in between food intake so that your saliva can repair (remineralize) the damage from the acid attacks that occur during meals. If you have acquired a new habit such as frequent snacking, sipping coffee all day, chewing sugar gums/candies, drinking more pop/juices/alcohol, or using throat lozenges you may be putting your teeth at risk for more tooth decay.

Nutritional Deficiencies – The quantity and quality of our saliva is impacted greatly by nutrition. The immunoglobulin, proteins and minerals in saliva help to protect and repair our teeth, so any deficiencies in our food intake or health can and will affect the efficiency of saliva.

Dry Mouth – Saliva plays an important reparative, cleansing, buffering and digestive role in our mouth. A disruption in the quantity and quality of saliva  can put you at risk for more cavities. Illness, medications, medical treatments such as chemotherapy and radiation, stress, weather, alcohol-based mouth rinses, and even the addition of exercise can affect the character of your saliva and it’s ability to do it’s job efficiently. Never ignore dry mouth. Read all about dry mouth here.

Medication – Did you know that there are hundreds of medications that can affect the quality and quantity of your saliva and impact the health of your teeth? Even over-the-counter products such as anti acids, antihistamines, and cough syrups can be harmful to your teeth with prolonged use. Check with your pharmacist about your medications to help narrow down the ones that can cause dry mouth. Perhaps, they can then suggest an alternative and check with your physician about a change in prescription.

Vomiting – When stomach acids make frequent contact with your teeth it can lead to the eroding away of the enamel eventually resulting in a mouth full of cavities. Frequent acid refluxing, prolonged illnesses and eating disorders that use the elimination of meals just eaten, are serious matters that cause nutritional deficiencies and cause an increase in cavities.

Teeth Whitening – We believe that the frequent use of teeth whitening products can eventually cause the wearing away of protective enamel. Moderation is key here and your dentist will advise you as to what is considered a safe, but effective whitening regime for your specific-to-you situation.

Oral Hygiene – Have you changed your oral care routine? Changing toothbrushes, eliminating fluoride, slacking off with brushing and flossing, brushing too hard or excessively and even choosing a natural oral care product can all lead to more cavities. We had one patient who switched to an electric toothbrush but did not know that they were missing the entire gum line area resulting in cavities all along this area. And, as popular as some homemade and natural remedies are, care must be taken to choose a product that is both effective and gentle on teeth and gums.

Fluoride Intake – Fluoride is actually an element that is found in rocks, soil, fresh water and ocean water. Over 70 years ago, it was discovered that populations living and ingesting naturally occurring fluoride had significantly better teeth – in both health and appearance – than those who did not. Many municipalities decided to add 1 part/million fluoride to community drinking water. Today, we still see the evidence of better oral health in fluoridated areas.

Relocation – Sometimes, just moving from one geographical location to another can lead to significant lifestyle changes in terms of habits and access to health and healthy choices. Students who move away from home may find it difficult to maintain healthy habits and make wise nutritional choices. People who move to an underdeveloped area may struggle accessing good nutrition and healthcare. Even a lack of fluoridated water has been shown to impact oral health.

Receding Gums – When your gums recede, the soft root of the tooth is exposed, making it more susceptible to decay and the scrubbing action of your toothbrush. The tissue covering the root is half the hardness of protective enamel. Root exposure and the eventual cavities and abrasion crevices cavities is a common dental problem, especially in older persons and those who use a hard toothbrush or brush to harshly and in in those.

Medical treatments – As unavoidable as they are, some medical treatments affect your oral health and result in unexpected tooth decay. Medical treatments can cause altered taste, saliva changes, mouth irritations, damaged tissues, sensitivity, vomiting, difficulty eating and swallowing, delayed dental treatment, and can disrupt home oral hygiene. All can play a role in an increased likelihood of cavities. At Your Smile Dental Care, we suggest a pre-treatment examination to record baseline charting, identify and treat dental problems and provide oral hygiene education before your medical treatment begins.

Sharing Salvia – Dental disease is an infectious disease. You can be contaminated with the saliva from another person through kissing, sharing a toothbrush or eating utensil. Is cross-contamination capable of actually causing tooth decay ? Saliva is laced with germs and some people have more of the tooth damaging bacteria than others. It is thought that mother’s can pass on bacteria to their children and, in turn, increase the likelihood of decay in the child when they share spoons, so it stands to reason that this is not the only situation where one’s mouth germs can directly affect the quantity and types of germs in another’s mouth. Sometimes, sharing is not caring!

Work Routine – Even something as seemingly insignificant as a change in your work time hours, such as switching from days to nightshift, can affect the way you prioritize and approach your oral care and eating habits. Exhaustion, insomnia, stress, a hurried life can all impact your usual routine and put you at risk for additional tooth decay. Scour the internet to find some great practical tips on how to manage work shifts better.

Don’t make cavities part of your future…

These are all examples of some of the changes that can occur in your life that you may want to consider and review if you notice that you are suddenly being diagnosed with more cavities, more often than usual. A solid review of your nutritional, dental and medical history may reveal something that could account for the high incident of tooth decay. Hopefully, by process of elimination, you and your dentist will be able to narrow in on one or a few of your risk factors and implement some changes in your life now so that tooth decay will not become a recurrent problem.

 

 

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Yours In Better Dental Health,
The Your Smile Dental Care Team
(905) 576-4537
(416) 783-3533
www.yoursmiledentalcare.com

 

 

 

 

 

 

 

 

 


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Alzheimer’s Drug in Dentistry

Alzheimer’s Drug may be sinking it’s teeth into dental care!

 

Needless to say, tooth aches have plagued humans for years, but a recent discovery may soon sink it’s teeth into this age old problem.

 

Scientists have been looking for ways to repair rotten teeth for years. Now it seems that a team of researchers at Kings College in London may have found a way to regenerate tooth dentin using a drug that is usually used to treat people with Alzheimer’s.

 

wearing-timeThe outer layer of the tooth, called enamel, is the hardest substance in the human body. It is very densely calcified and contains no stem cells. Currently, the only way to repair enamel is to hope that a person’s mineral-rich saliva can reverse the very early stages of enamel demineralization cause by bacterial acids.

 

There is always a daily battle during and after meals between the mouth bacteria and our mineral-rich saliva. Simply put, the bacteria metabolize the sugars we eat and create a erosive acid that can dissolve and break open enamel rods allowing minerals to leech out. Our saliva plays a reparative role by then depositing minerals into this surface damage to try to harden the weakened area of the tooth. This repair process takes upwards of 4-5 hours in between meals which is why frequent eating/snacking interferes with our saliva’s reparative ability. Unfortunately, when the amount of demineralization far outweighs the restorative work of saliva and the damage is deep enough, repair is irreversible and the tooth must be cleaned out and filled with a dental material.

 

the-toothHowever, researchers at Kings College were concerning themselves with very large areas of decay – cavities that ate through the enamel and into the next tissue called dentin. Dentin is roughly 50% less harder (calcified) than enamel, but unlike enamel, it  is capable of some regeneration to protect the pulp. Just like bone, dentin is able to acquire more calcified tissue in the event of repair. We call this secondary or reparative dentin and the stem cells needed to produce extra dentin comes from the pulp. That repair is limited, however.

 

Until now….

 

Dentistry already has dental products that attempt to soothe and protect the more vulnerable pulpal tissue from deep tooth decay, but it can only do so much,  especially if the decay is very close or has reached into the pulp. What these scientists have done essentially is found a more natural way for dentin to repair itself. Using a biodegradable collagen sponge soaked with the Alzheimer’s drug called “tideglusib”, they placed it on the dentin where the decay had reached the pulp.

 

Essentially, Tideglusib switches off an enzyme called GSK-3, which is known to prevent dentin formation from continuing.  The testing was done using mice, but the results were very promising. Not only did their body defence systems begins growing natural dentinal tissue, but testing showed the damaged tissue replaced itself in as little as six weeks – much more quickly that the body’s current natural ability. And, unlike the dental materials currently used in dentistry that remain after placement, the sponge eventually dissolves over time after the new dentin replaces it.

 

A Great Step Forward

Image B shows exposed dentin. When drilling continues the pulpal tissue is eventually reached as in Image C. CREDIT: KING’S COLLEGE

This discovery is exciting because, not only do we, as dentists, try to repair decayed teeth, we try to stop it in it’s tracks before it reaches the pulpal tissue. Once the pulp chamber is exposed to the oral environment, we use dental materials designed to cap the exposure and encourage the growth of dentinal stem cells to preserve the health of the pulp, but it’s success rate is not what we’d like it to be.

Many factors play into the repair process and if the body does not cooperate and form a sufficient layer of dentin to seal the pulp, then the vitality of the pulpal tissue will become compromised and eventually begin to rot. Once this happens root canal treatment is necessary to save the tooth from extraction. In addition, tideglusid is not a new pharmaceutical. It has undergone testing and is already being used as a drug for patients with Alzheimer’s.

 

“In addition, using a drug that has already been tested in clinical trials for Alzheimer’s disease provides a real opportunity to get this dental treatment quickly into clinics.”

Professor Paul Sharpe, lead author of the study
Dental Institute of King’s College,  London  UK

 

At Your Smile Dental, we know that, “Not all that glitters is Gold”, but with more than 30 years of dental experience, we also know that many of the technologies we use today in dentistry were the impossible dreams of yesterday. The dentin is a very important protective layer between the enamel and the vital centre of the tooth. Once decay gets into this layer, it can advance quickly. Finding a way to regenerate this tissue faster, before it poses a threat to the nerve, will be a great step forward in the treatment of dental disease.

 

It may not be the end of fillings since enamel cannot grow back, but we’re happy to stick around a little longer to help you with all of your dental care needs!

 

Your Smile - Copy

 

The Your Smile Dental Care Team
(9050 576-4537
(416) 783-3533
www.yoursmiledentalcare.com

 


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It’s 2017: Keep Calm and Floss On

Live Well   |   Laugh Often   |   Floss Much

 

09-01-2017-2-00-05-pmOf all the new and exciting news from the world of dentistry last year, surely the report from the Associated Press report, which found an apparent lack of evidence to support the claim that flossing was effective, generated the most buzz throughout dentistry.

Equipped with their own advisories and statistics about flossing, dental professionals everywhere prepared themselves for the onslaught of patients who would, no doubt, come to their next dental appointments quoting this report and it’s claim of, “lack of scientific proof.”

But surprisingly, the best reply came from the comedian Steve Harvey who basically called the report was, “stupid” and was not going to stop flossing as he had seen some stuff on his string that he knew “full well” smelled bad. We won’t quote the whole thing, but you can listen to his full reply on YouTube.

He’s no dentist or scientist, but he’s certain that he’s coming from a place of knowledge.

You’re probably thinking, “I already brush 3 times a day, why do I need to do anything else?”  The math is simple. With five surfaces to every tooth and the tooth brush only able to effectively reach just 3 of those surfaces, how much are you leaving behind?  Approximately 40% of the plaque remains to continue it’s destructive work and eventually calcify to the hard substance called calculus (tartar).

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And how many times have you taken something out from between your teeth or below the gum line with your floss that had a putrid smell?  We think most people would agree with Steve that it’s usually pretty stinky stuff that is left behind.

We can laugh at Steve, but there’s no kidding aside! Interdental cleaning is a critical component to the oral care routine and a quick experiment at home will demonstrate that you will, most likely, still find foul-smelling plaque between your teeth and under your gums even after brushing effectively for a good 5 minutes. Go Ahead, try it! 

 

How to clean what your toothbrush misses

1) Traditional Flossing

At Your Smile Dental Care, we look to see how effective a patient’s present way of interdental cleaning is before making a recommendation. If they can successfully remove what their toothbrush misses without gum damage or bleeding then there’s no reason for them to change what they have mastered. See instructions here (2:12 minute point in the video)

Some people, however, have difficulty with the use of string floss – finding the technique of wrapping the floss around their fingers and negotiating it between their teeth and under the gums quite challenging and awkward. Fortunately, there are other flossing aids that can be used with ease.

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2) Floss Wands

 

09-01-2017-11-08-14-amAnother method is using a floss holder. Although there are many different types of designs, it is basically a device that holds a small but tight piece of floss making it an easy and simple way to move and manage it around the mouth with just one hand. This is not, in our experienced opinion, the most precise option for flossing, but recognise that it has become a popular choice.

Therefore, we advise our patients to choose a product that allows you to load your own floss so that you can always have a clean segment for each tooth. This is a much more effective solution rather than just using the same piece of string for the whole dentition.


3) No Strings Attached!

 

09-01-2017-11-15-34-amThere are also a variety of electric flossing devices including water and air flossers on the market. Both are designed to clean in and around teeth by forcing debris out with gently pressure.

Water flossing has been around for many years and is often used as an alternative to string flossing. Waterpik is the most common interdental cleaning device that comes to mind, but there are other products on the market as well. A water flosser introduces a steady stream of pulsating water to flush out interdental debris while massaging the gums.

An Air Flosser uses micro bursts of air and water droplets to disrupt and remove plaque.

4) Other Interdental Aids20170109_105017

There are many other tools on the market: picks, sticks, rubber tips, threaders, tuft or conical bristles – all designed for specific uses to assist you in your interdental cleaning efforts.  The recommendation your dentist or dental hygienist makes will depend on your individual dental health needs. These other interdental aids are used in conjunction with flossing or as an alternative to flossing, but are not suppose to replace tooth brushing. While you will  never be able to remove 100% of the plaque from your teeth, cleaning in between your teeth and under you gums will certainly help reduce the likelihood of dangerous plaque buildup.

Effort is a reflection of Interest

Unless you believe in the value of effective oral hygiene, how can we convince you to floss?

One of the most important pieces of advice that we can give to people is that they understand why they need to remove what their tooth brush can’t reach and make certain that they are doing it effectively. It is simply not enough to just snap the floss in between each tooth without taking the time and making the effort to really do a good job. This not only involves proper placement of floss and effective removal of debris, but taking the time to see and smell what you are removing and ensuring you are being gentle with your gums. Likewise, other interdental cleaners are of no value if they are not used with the attention to detail.3-14-2016 2-39-05 PM

Dentists know that guilt and shame doesn’t work  and using scare tactics as a strategy is usually not an ineffective way to motivate patients long term, especially when dental disease or the oral health rewards are not always immediately obvious.

So, while it is true that we cannot force someone to do something they simply do not want to do, we continue to try our best to persuade and help our patients to see the value of flossingWith more than half of the population suffering from preventable gum disease, we can’t, with a clear conscious ignore the benefits of interdental cleaning and patients should expect nothing but the best advice from their healthcare providers.

 

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Yours in Better Health,
The Your Smile Dental Care Team
(905) 576-4537
(416) 783-3533
http://www.yoursmiledentalcare.com