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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

 

 

 

 

 

 

 

 

 

 

 


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Hopeless teeth

The Audacity of Hope…

types-of-fracturesMost dentists will tell you that the last thing they ever want to have to do is to remove a permanent adult tooth. In fact, they will fight tooth and nail to try to save one (sorry, tacky pun?)

When a patient presents us with a tooth that has severe decay, infection, badly broken down restorative work or has been injured from trauma, the first thing we must do is evaluate the health of the remaining portion of the tooth and its surrounding supportive bone.

To us, it’s not so much what we can see above the gum line that determines treatment options, but the quality and health of what is remaining below the gum line. To that end, our goal is to preserve what remains then develop a sound treatment plan to replace what is missing.

Although treatment may also involve healing nerve and gum tissue, patients are always amazed to learn that as long as their tooth has sound root structure and enough supporting bone surrounding it, we can save it!

12-5-2016-4-38-27-pmSurvial

Without the benefit of a crystal ball, there will always be uncertainties, but a good dentist makes treatment recommendations based on all the clinical and x-ray evidence concerning the compromised tooth while giving considerable thought to predicting the likelihood of long-term survival.

At Your Smile Dental Care, we also know from experience that a patient who is willing to care as much about and for an affected tooth as we do is more likely to keep the tooth for as long as possible. Many conditions that the patient may regard as “hopeless” can actually be fixed and the tooth can last for many more years once successfully treated.

Sometimes, a patients will ask us to remove their teeth because they are tired of frequent discomfort and wish to avoid future dental maintenance and associated costs. Others, surprisingly enough, have told us that they’d rather have false teeth (dentures) than have to deal with ongoing dental problems. While no two cases are ever alike and each patient has their own unique set of circumstances, we are bound to explain that removing teeth unnecessarily does not solve the issue of discomfort and dentures bring with them their own assortment of issues.


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Removing a tooth may bring immediate relief from pain, but, unless you replace it with a suitable alternative tooth, a silent breakdown process begins that starts to destabilize the dynamics of the mouth (Dental Collapse).

 

But what happens when a tooth cannot be saved?

The hopeless tooth…

Sadly, there are times when conventional therapies fail or a tooth  is so badly infected, fractured or is so loose from inadequate bone support that we must decide if the dentition is better off without it.

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We call this prognosis hopeless. Nowadays, however, modern dentistry has treatment options that can replace your tooth with one that looks and functions almost as well as healthy, natural ones do. Dental implants have revolutionized the way we replace missing teeth without having to resort to dentures or remodeling adjacent teeth to accommodate a fixed bridge.

Helping our patients understand the thought process that goes into our treatment recommendations is crucial so that they can weigh the information and make well-informed decisions.

If you think that your teeth are in a “hopeless” state of disrepair, you may be surprised to learn that you have more options than you think.

Give us a call at (905) 5SMILES to book a consultation today!

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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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Crowns for Baby Teeth

Stainless Steel Crowns

My Dentists wants to put crowns on my child’s teeth. This seems like an extreme measure since they will eventually fall out anyways!

Usually, dentists repair decayed teeth with filling material. However, when teeth are badly broken down by the cavity (decay) process, have had nerve treatment or are weakened by a developmental condition, replacing almost the entire crown portion of a tooth with traditional filling material is not always a practical nor secure solution.

 ss-crown

A remedy must be found that allows the tooth to withstand the forces of biting and chewing  long enough for the incoming adult tooth to replace it – which could be many years.

Replacing the diseased crown of a tooth with a durable stainless steel crown (silver caps) is the most economical and durable solution until the tooth falls out and is replaced with the permanent (adult) tooth. These caps are not made in a lab like permanent adult crowns are. They come ready made in a variety of shapes and sizes, no impressions need to be taken, and there is no additional lab fees associated with their costs.  Additionally, they are categorized under  “routine restorative” so most insurance policies cover them as basic treatment. They are just another way to restore baby teeth so that they can function.

Why not just pull the tooth?

11-16-2016-7-58-51-pmThis is a common question, and sometimes, the teeth are not repairable and must be removed. However, taking out teeth before their natural time is a “last resort” solution. Baby teeth are vital to the dentition as natural space holders for the permanent teeth. Their premature removal will interfere with the eruption of the adult teeth.

Removing a baby tooth before its time is not the end of the problem. The space where the baby tooth was removed must still be replaced with a spacer maintaining appliance so that the adjacent teeth will not start to move into and invade this important place.

The chart below shows the normal eruption pattern of primary and permanent teeth. You will notice that there are many years between the emergence of the baby teeth and the age at which the adult teeth will eventually arrive in the mouth to replace them.

 

Permanent (Adult) Teeth

During a child’s teenage years, The adult teeth continue to develop there is significant growth and development of the dentition and jaws. This needs to be taken into consideration when restoring a badly broken down adult tooth in a child.

If you refer back to the eruption chart, you will notice that the first permanent teeth begin to erupt around 6 years of age.

BGC

From the illustration above, you can see that if a baby tooth becomes badly broken down by decay or a developmental condition when the child is still young, a suitable interim solution needs to be found until the permanent adult teeth are ready to emerge into position. Stainless steel crowns become an effective, affordable and practical semi-temporary measure until then.

Stainless steel crowns have been around for over 75 years and are safe and effective. They are easy to keep clean and rarely allow decay to reoccur. Although, some parents may not like the metallic appearance of the steel crowns,  since baby molars are in the back of the mouth, they are less noticeable.

All of this makes them an affordable and effective treatment solution for an otherwise serious problem.

We hope you have found this article informative. Please visit and subscribe to our blog to learn more about Your Smile Dental Care.

 

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

 

 

 

 


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Cracked Tooth Syndrome

My Dentist said that my tooth is cracked and needs to be taken out. Can it not just be filled in?

Although enamel is the hardest substance in our body (way more harder than bone) and can withstand a great deal of wear and tear, certain stresses can still put our beautiful smiles at risk for fracturing.

There are many types of cracked teeth and your treatment options will depend on the location, type and severity of the fracture. Even a perfectly healthy tooth can develop a crack severe enough to end the life of that tooth.

Understand that a cracked tooth is different than a chipped tooth. Unlike bone, enamel cannot repair a crack by filling it in with more enamel. Most teeth that chip or fracture a cusp is repaired using filling material or the placement of a full coverage crown when the break occurs in the crown portion of the tooth. Even teeth that break off at the gum line can still be built back up again.

However, there are some breaks to the tooth that actually cause a fracture line to occur down into the root or split the tooth partially or entirely. Once the crack reaches below the gum line and into the root surface, the condition is untreatable and the tooth must be removed.

Signs & Symptoms of a Cracked Tooth:

– pain while biting or chewing
– sensitivity to hot or cold
– portion of the crown is mobile (loose)
– infected pulp
– a toothache that comes and goes
– no signs or symptoms

 

“Cracked tooth syndrome describes a tooth with an incomplete fracture but no part of the tooth has broken off yet.”

 

Although early detection and treatment is essential to minimize the risks associated with a compromised tooth, sometimes, a cracked tooth is hard to detect when the signs and symptoms are not always obvious and dental imaging does not show the fracture. Other times, it is evident to us, but the patient is completely unaware that they have a fractured tooth.

If your dentist has advised that your tooth needs to be removed, it is likely that the break is severe and deep enough that the tooth cannot be saved and must be removed and replaced. This is why regular dental checkups and exams are so important.

Hope as a Strategy…

We have patients who ask us how long they can wait until they have the time or finances to repair a cracked tooth. One can only hope that the situation will not worsen, but hope can be a poor strategy when dealing with a fracture line. Without the assistance of a crystal ball, we cannot determine with certainty how long someone can wait to delay treatment. Experience tells us that, in order to the disappointing loss of a tooth, fractures should be at least be examined to determine what type of crack you’re dealing with.

A simple cracked or chip in the enamel can be smoothed off until it can be repaired properly. However, deeper fractures that reach into the dentinal or nerve chamber must be treated quickly so that the problem does not worsen and cause an infection, crack the root or split the tooth.

Prevention: The Better Strategy

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As the saying goes, “Do something now that your future self will thank you for.” Taking some preventative steps now can reduce the likelihood of tooth fractures in the future.

1.  An unbelievable amount of force is exerted your teeth is you clench and grind at night. Your dentist can make you a custom-fitted night guard to protect your teeth while you sleep.

2. Wear a protective mouth guard and/or mask during high risk activities such as sports.

3. If you chew on hard objects like pencils and ice or use your teeth to open/hold objects ~Stop! Be extra careful also when eating food with bones, kernels or seeds/pits.

4. Follow the recommendation of your dentist when they advise you to have a crown placed on teeth that are most vulnerable to fracturing such as those with large fillings or have been root canal treatment.

Your teeth can serve you well for a lifetime if they are not treated as an afterthought. Following these prevention tips, having regular dental check-ups and attending to any necessary restorative care when they are small issues does not rob you of your choice and focus as emergency situations often do.

And, if you experiencing any of the aforementioned signs and symptoms, see your dentist immediately!

Yours in Better Dental Health,

The Your Smile Dental Care team
(905) 576-4537
(416) 783-3533
www.yoursmiledentalcare.com

 

 

 


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Gummy Smile

Treating the Gummy Smile…

gummy-smile-correctionDo you think you show too much gum when you smile?

When you smile, usually the lip sits just above the teeth and only a very small amount of gum tissue is visible. In some cases, however, a disproportionate amount of gum tissue is exposed when smiling, and, while this is not unattractive nor an issue for many people, others look to have this corrected.

The scale we use is:

Mild:  1-25%

Moderate: 25-50%

Advance: 50-100%

Severe: more than 100%

Rest assured, there are many solutions for correcting a gummy smile and your treatment options will depend on the nature of your particular condition which could involve the jaw, gums, teeth or a combination of these structures. Your dentist will discuss the diagnostic findings with you and an appropriate treatment recommendation will advised.

“A gummy smile can be mild to advanced and identifying the cause is the first step.”

 

Non Surgical

Botox – Botox injections is a simple and temporary correction that is non-invasive and allows you to see results before trying surgery. The injections will weaken/paralyze the muscles of the upper lip to control the amount of lip retraction so that more of your gums are covered when you speak and smile. The amount of injections depends on how strong the muscle is and sometimes, the muscle is just too strong or the gummy condition too extensive for any effective results. This treatment option is only temporary and must be repeated every 3-9 months to maintain your new smile.

 

Surgical

Some surgeries to correct gummy smiles are more invasive than others and treatment recommendations will depend on the severity and type of gummy smile. It is also common to combine treatments to help achieve the best result.

gummy-smile-before-and-after

Lip repositioning – This involves making a small incision along the gum tissue to separate the inside of the upper lip from where it meets the gum line and repositioning it. This will limit the retracting movement of the lip and allow it to assume a lower position over the gums and keep closer to the teeth when you smile. This is a permanent procedure with a quick healing time and minimal after-surgery discomfort.

Short lip length – If the length of your upper lip is too short then it may not adequately cover your gums. This is often successfully corrected with lip repositioning surgery.

11-7-2016-3-25-15-pmJaw Orientation – The position of your upper jaw and the amount of vertical length can be excessive and interfere with the lip’s coverage of your upper gums. Orthognathic surgery may be needed in order to reposition the entire upper jaw so that it is more proportionate for an aesthetically pleasing smile.

20161116_171230Frenulum Attachment– If you lift up your upper lip you will notice that there is an extension of tissue that attaches the inside of your upper lip to the gums. This is called a frenulum and a surgical procedure can be done using local anaesthetic to cut and release or elongate this tissue so that your upper lip can then cover your gums more.

Short teeth – Gum tissue is removed to reveal more tooth crown or to achieve a more proportionately amount of visible gum line. Using a laser or electro-surgical cauterizing tool, the gums are re-contoured to achieve a more aesthetically pleasing shape, symmetry, length of the gum line. This is often done when teeth are short due to insufficient eruption and sometimes, the underlying bone may also need to be re-shaped.

Strong levator muscles – If the lifting (levator) muscles in the upper lip are causing the lip to pull back too far when smiling, they can be surgically cut and weakened to reduce this pulling action. The incision is made on the inside of the lip so that the scar will not show.

Medical conditions/Medications – Some medical conditions and/or their therapies can cause an abnormal overgrowth of gum tissue which covers the crown portion of the tooth. The gum tissue can be trimmed back to reveal more tooth structure.

noelia

Looking at this image. You can see the upper lip is in a lower
position now that the levator muscles have been relaxed. This “mild”
gummy smile was easily corrected.

 

Not every person with a gummy smile considers it a hindrance nor an impact to their enjoyment of life, comfort, and well-being. However, if you are reluctant to smile and are looking for a solution, speak to your dentist and they will assess your smile. If, in their opinion, the correction should be evaluated by a dental specialist, they will make the appropriate referral for you.

Your Smile is a wonderful expression and we hope you have many reasons to use it!

The Your Smile Dental Care team
(905) 576-4537
(416)783-3533
www.yoursmiledentalcare.com

 

 


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Signs of a Healthy Mouth

Do you know the difference between a healthy and unhealthy mouth?

Our patients at Your Smile Dental Care look to us to keep them up to date on all the advances in modern dentistry and to educate them on how to get their mouths and teeth as healthy as possible. Today, people know that they CAN keep their teeth for a lifetime and want to be aware of the first signs of trouble.

 

Gums

20-10-2014 1-32-21 PMHealthy gums are pale pink and firm. They are not white, red and puffy nor do they bleed when you brush or floss. Healthy gums also are not tender or sore and do not have pus filled pimples on them which may be signs of infection. One way we help patients gain a new perspective on the idea of bleeding gums, is to ask them if they would be concerned if they had persistent bleeding elsewhere on their body? Chances are they would answer yes and bring it to the attention of their physician immediately for a diagnosis and treatment.

There is also a triangular portion of gum tissue that should extend between adjacent teeth that ends in a point and has a free space (depth) of about 2-3 mm where your floss would slide for cleaning. As the gums recede due to unhealthy conditions, this triangular shape becomes more blunt and the space becomes deep, forming a pocket into which more bacteria, plaque and tartar can accumulate. Your dentist or hygienist monitors the health of your gum and will routinely measure the depth of these pockets.


Teeth

04-04-2016 3-08-02 PMObviously, healthy teeth should be cavity free, but when your dentist or hygienist checks your teeth, they are looking for many others signs of health also. They examine for any erosion, staining, chips or cracks, disease, failing dental work, looseness, missing teeth, crookedness, sensitivity, etc.

If teeth have had repair work done on them in the past such as fillings, crowns, or root canal treatments, they are checked to ensure that these restorations are holding up under the wear and tear that the chemical and mechanical forces of the mouth and jaws can place on them. Intact restorations have a good fit/seal against the tooth to prevent bacteria from getting in underneath and causing tooth decay. We look for signs of leakage, cracks, chips, movement and tooth decay.

Healthy teeth also do not appear longer as you age. When gums recede due to disease, the crown portion of the teeth will begin to look longer.

Case Scenerio

A patient comes into the dental office because their cap has fallen off of one of their teeth. The dentist notices immediately that not only has the cap come off the tooth, but the crown of the tooth has broken off at the gumline and is still inside the cap. Upon closer examination, they can see and feel with their instruments that both the part of the tooth that is in the cap and the portion that is still in the jawbone have rotted  from tooth decay. Bacteria has gotten in underneath the cap and diseased the hard tooth structure to the point that it crumbled enough for the tooth to break in half. It had been almost 7 years since their last exam. Maintaining regular dental checkups would have allowed the dental staff to monitor the marginal integrity of the cap and periodic x-rays would have detected signs of tooth decay when the cavity was small enough to be repaired.

 

Fresh Breath

Hidden Smile - CopyA healthy mouth does not have persistent or significant bad breath (halitosis). Early morning breath can have an odour after a long night of  bacterial action and growth when there is very little saliva production.

Most often, bad breath is caused by an accumulation of bacteria and their odours and sulphur smelling gases. It is also one of the first signs of gingivitis that can lead to gum disease, worsening mouth odour, the loss of teeth and other complications for the body. Smoking, dieting, dehydration, illnesses, diseases, unclean denture and appliances, tonsil stones, nutritional deficiencies and foods all can cause bad breath.

Wonder if you have bad breath? If you can’t already taste or smell it yourself then you can smell your floss after use or scrape some plaque off your teeth or tongue to smell. Alternatively, you can ask someone to smell your breath and give an honest answer. Most importantly, do not ignore bad breath or just try to mask it with gums, mints or mouthwash. Your physician or dentist can usually help you get to the underlying cause when good oral hygiene does not solve the problem.


Pink, Clean Tongue

You may not realize this, but we also examine your tongue for signs of health. A healthy tongue is pink and covered with tiny nodules we call papillae that help you perceive taste. The overall surface should be flat, smooth and clean looking. The surface papillae can and do harbour bacteria that, if left to accumulate, can grow to unhealthy levels. Keep your tongue clean with a tongue scraper as part of your regular oral hygiene.
Tongue Scraper

A discoloured or painful tongue can be an indicator of trauma, smoking or canker sores, but can also be signs of more serious conditions including a nutritional deficiency, auto immune disease, allergic reaction, Kawasaki syndrome, anemia, diabetes or even cancer. White coatings, lines, or patchy areas should not go ignored.

There is a condition known as “geographic tongue” whereby the top surface of the tongue presents with a map-like pattern of reddish spots that sometimes have a white border on them. It is usually a benign and harmless condition that requires no treatment except topical medications if it becomes sore or uncomfortable.

Medications and menopause can also cause the tongue to become painful or even drier than normal. Always consult your physician if you notice something unusual about your tongue, especially any lumps or sores that do not go away.

 

Proper Bite

25-04-2016 11-19-29 AMIdeally, in a healthy mouth, your upper and lower teeth fit together in an even manner so that the forces of chewing are equally distributed and shared amongst all teeth throughout the jaw.

Teeth rely on one another for support and uneven bites, open spaces or teeth that are crooked, crowded, displaced or missing can hinder the performance, appearance and health of the teeth and can impact breathing, speaking, digestion and oral hygiene. Misaligned and crowded teeth can make teeth more difficult to clean and keep healthy and can cause jaw problems leading to clenching, grinding, head/neck/ear/sinus aches and TMJ disorder.

Pain Free

A healthy mouth is not painful, dry nor sensitive. Yes, we may temporarily cause it trauma through injury or hot foods or have the periodic canker sore show up, but overall, a healthy mouth is pain free. There are products and treatments to help with minor sensitivities and the source of dry mouth situations can be investigated. However, you should be aware and not ignore any changes, pain or afflictions in the mouth and it’s tissues that can be a sign of breakdown or disease. The rule of thumb is to have anything that lasts more than 7-10 days examined.

Lastly

Just because you may brush and floss everyday, does not mean that your mouth is healthy. The phrase, “Your mouth is the window to your overall health” is a reminder that caring for your oral health is an investment in your overall health.

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


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Extreme Bad Breath

Are you “Nose Blind?”

Bad BreathI heard that phrase on a television commercial today . I can’t remember what the ad was about, but these words stuck with me and made me think of imperceptible breath odour. We’ve had some of our patients tell us over the years that they’ve had close family members tell them that they had really bad breath, something they had not been aware of. They came to us looking for solutions and we were happy to offer them our professional advice.

Interestingly enough, many people do not know that they suffer from bad breath until someone tells them which is why the phrase Nose Blind would be an appropriate description of most people’s perception of their breath.

Why are we usually the last person to know that we have a mouth odor problem? And more embarrassing, is the thought that it has probably been occurring for a long time and we are just finding out now.

This will sound blunt, but how many situations have you been in where you have offended others with your bad breath and they have just been too polite or uncomfortable to tell you? It is certainly a horrific thought, but knowledge is power and recognizing that you have a problem is the first step in finding a solution.

There is something more horrible than your average bad breath.

Although poor hygiene is the #1 cause of bad breath, sometimes it can be more complicated than just that. Medications, illnesses, substance abuse, bulima and other habits can leave your mouth smelling anything but fresh, however, there is a mouth malodour that is so severe that it actually permeates throughout a room and nauseates bystanders causing them to cover their own noses.

Perio Breath

Perio breath is one such breath odour. It is used to describe the foul mouth odour that develops as a result of gum disease. Periodontal disease is a dental disease affects the supporting tissues surrounding the teeth. As the disease advances pocketing and destruction of surrounding gum tissue and bone occurs. The bacteria involved produce a sulphorus, gaseous smell similar to rotting tissue or rotten eggs. It is very distinct in its odour and usually a person can identify a distaste in their mouth, but may not be able to detect what others are smelling.

This is another reason why it  is often referred to a “Silent” disease. It is very important that you see your dentist as soon as possible since this level of bad breath is a good indication that you have been suffering from this condition longer than you may think. Dental treatment with accompanying home care can help you get control of bacterial buildup and their destructive actions and odours. It is important to understand however, that untreated gum disease will advance causing more than chronic bad breath… it can be life-threatening.

Tonsil Stones

Tonsil StonesHave you ever heard of tonsil stones? It is a less known, but not uncommon condition called tonsilloliths. Tonsil stones are small, white deposits of bacterial plaque and food that builds up in the craters of your tonsils and are usually dislodged during eating and coughing.

Tonsils are made up of folds of lymphatic tissue and some people have deeper folds and pockets than others making it difficult to remove this accumulation. Just like facial pores, these crevices can develop into deep openings where buildup continues to collect. The only way that they can be cleaned out is with medical assistance. An ENT physician can extract the deposits and teach you how to eliminate this buildup yourself at home.

For the brave of heart you can search for tonsil stones online. Just a warning though – The extraction of this material can be visually disturbing, but it can be a very seriously embarassing social problem for those suffering from the foul odour it causes.

The Social Implications of Chronic Bad Breath

Nobody wants to hear the hard reality of how people judge one another, but the social consequences of bad breath can be far reaching. The irony is that most people are too polite and would find it awkward to tell you that there’s a odour coming from your mouth. Unfortunately however, it can affect your image and sadly, your opportunities. If you are lucky enough to at least suspect that you have more than just the occasional bad breath ask a close loved one – they’ll tell you the truth. Review your oral hygiene habits and if the problem persists, see your physician or dentist for diagnosis. We’re here to help!

Yours in Better Health,

The Your Smile Dental Team
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