Your gums play an important role in dental function and health. Not only do they help anchor teeth in the jaw, the gums also protect tooth roots from disease.
But you can lose that protective covering if your gums recede or shrink back from the teeth. An exposed tooth is more susceptible to decay, and more sensitive to temperature and pressure.
Here are 4 causes for gum recession and what you can do about them.
Gum disease. The most common cause for gum recession is a bacterial infection called periodontal (gum) disease that most often arises from plaque, a thin film of bacteria and food particles accumulating on teeth. Gum disease in turn weakens the gums causes them to recede. You can reduce your risk for a gum infection through daily brushing and flossing to remove disease-causing plaque.
Genetics. The thickness of your gum tissues is a genetic trait you inherit from your parents. People born with thinner gums tend to be more susceptible to recession through toothbrush abrasion, wear or injury. If you have thinner tissues, you’ll need to be diligent about oral hygiene and dental visits, and pay close attention to your gum health.
Tooth eruption. Teeth normally erupt from the center of a bony housing that protects the root. If a tooth erupts or moves outside of this housing, it can expose the root and cause little to no gum tissue around the tooth. Moving the tooth orthodontically to its proper position could help thicken gum tissue and make them more resistant to recession.
Aggressive hygiene. While hard scrubbing may work with other cleaning activities, it’s the wrong approach for cleaning teeth. Too much force applied while brushing can eventually result in gum damage that leads to recession and tooth wear. So, “Easy does it”: Let the gentle, mechanical action of the toothbrush bristles and toothpaste abrasives do the work of plaque removal.
While we can often repair gum recession through gum disease treatment or grafting surgery, it’s much better to prevent it from happening. So, be sure you practice daily brushing and flossing with the proper technique to remove disease-causing plaque. And see your dentist regularly for cleanings and checkups to make sure your gums stay healthy.
If you would like more information on proper gum care, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Gum Recession.”
It’s February and time for a little heart love. And not just the Valentine’s Day kind: February is also American Heart Month, when healthcare providers promote cardiovascular health. That includes dentists, because cardiovascular health goes hand in hand with dental health.
It just so happens that February is Gum Disease Awareness Month too. If that’s a coincidence, it’s an appropriate one: Although different in nature and health impact, heart disease and gum disease are linked by a common thread: chronic inflammation.
Inflammation (or tissue swelling) in and of itself is beneficial and often necessary. When cells in the body are injured or become diseased, the immune system isolates them from healthier cells through inflammation for the protection of the latter. Once the body heals, inflammation normally subsides.
But conditions surrounding both heart disease and gum disease often prevent a decrease in inflammation. With heart disease, for example, fatty deposits called plaque accumulate within blood vessels, impeding blood flow and triggering inflammation.
A different kind of plaque plays a pivotal role with gum disease. Dental plaque is a thin biofilm that builds up on tooth surfaces. It’s home to bacteria that can infect the gums, which in turn elicits an inflammatory response within those affected tissues. Unless treated, the infection will continue to grow worse, as will the inflammation.
The bad news is that these two sources of chronic inflammation are unlikely to stay isolated. Some recent studies indicate that cardiovascular inflammation worsens gum inflammation, and vice-versa, in patients with both conditions.
The good news, though, is that treating and managing inflammation related to either condition appears to benefit the other. Patients with cardiovascular disease can often reduce their inflammation with medical treatment and medications, exercise and a heart-friendly diet.
You can also ease gum disease inflammation by undergoing dental plaque removal treatment at the first signs of an infection. And, the sooner the better: Make a dental appointment as soon as possible if you notice swollen, reddened or bleeding gums.
You can lower your gum disease risk by brushing and flossing daily to remove accumulated plaque, and visiting us at least twice a year for more thorough dental cleanings and checkups. If you’ve already experienced gum disease, you may need more frequent visits depending on your gum health.
So this February, while you’re showing your special someone how much you care, show a little love to both your heart and your gums. Your health—general and oral—will appreciate it.
If you would like more information about gum health, please contact us or schedule a consultation.
Although we begin our New Year's resolutions with high hopes, many of them fall by the wayside by the end of January. It simply takes tremendous willpower to lose weight or exercise more. So to improve your resolution success rate, why not throw in some with a little more zing, like trying every item on the menu at your favorite restaurant or learning a new magic trick every month? Or how about this one: Resolve to do four things this year to change your smile.
Okay, it doesn't have to be exactly four. But we just happen to have four suggestions—one for each quarter of the new year—that can make your smile the best it can be in 2020.
Brighten up your smile. A professional whitening procedure can improve a stained, dingy smile. Our advanced bleaching techniques give your teeth that brighter look that could last for years with proper care and regular touchups. We can also control the level of whiteness to give your teeth a softer natural look or one that's dazzling bright.
Fix a chipped tooth with bonding. You may have a great smile, except for that one tooth that's missing a little piece. We can repair minor chips and other defects with composite resin material bonded directly to the tooth. Composite resin can be color-matched and shaped to fit the tooth being repaired so that it looks completely natural. Best of all, we can transform your tooth's appearance in just one visit.
Gain a new look with veneers. If you have one or more teeth with mild to moderate chipping, staining or misalignment, dental veneers could change their appearance altogether. These thin wafers of dental porcelain are bonded to the front of teeth to permanently mask imperfections. They're so lifelike, others will have a hard time telling the difference between your teeth with veneers and those without.
Straighten your smile. It's never too late to have a crooked smile straightened. And you might not even have to wear braces: Clear aligners are computer-generated plastic trays worn in sequence to straighten teeth. They're removable, so you can take them out to eat or clean your teeth. Best of all, they're hardly noticeable—and they can give you a more attractive smile.
These and other cosmetic treatments are relatively easy ways to make a big impact on your appearance. Be resolved, then, that with a little help from us this can be the year you'll gain a more attractive smile through the art of dentistry.
If you would like more information about smile enhancements, please contact us or schedule an appointment. To learn more, read the Dear Doctor magazine articles “Cosmetic Dentistry: A Time for Change” and “Beautiful Smiles by Design.”
Besides their life-likeness, implants are also prized for their high success rate. More than ninety-five percent of implants continue to function effectively after ten years.
Implants’ advanced technology explains some of their reliability and longevity—they’re as close to natural teeth as we’re now able to achieve. But their impressive success rate also owes to the detailed protocols that dentists follow to install them. One critical part of these protocols is ensuring a patient has enough bone in their jaw to support and precisely situate the implant for the best functional and aesthetic outcome.
Unfortunately, there are situations where a patient doesn’t have enough bone to achieve a satisfactory result. This often happens if there’s been months or years between losing the tooth and considering an implant. The reason why relates to the nature of bone as living tissue.
Like other cellular tissues in the body, bone has a life cycle: Older, worn-out cells die and are absorbed by the body, and new cells form to replace them. The growth cycle in the jaw receives stimulation from the forces generated when we chew, which travel up through the teeth to the bone.
However, this stimulation stops after tooth loss for the related area of bone, which can slow new bone growth. Over time, the volume and density of the bone around a missing tooth gradually decreases, enough eventually to make an implant impractical.
Insufficient bone volume, though, doesn’t necessarily mean an implant is out of the question. We may be able to address the problem by attempting to regenerate the bone through grafting. This is a procedure in which we insert graft material into the affected area of the jawbone. The graft then becomes a scaffold upon which bone cells can grow. After several months, we may have enough regenerated bone to support an implant.
If there’s been too much bone loss, we may still need to consider another form of restoration. But if we can successfully build up the bone around your missing tooth, this premier restoration for replacing lost teeth could become a reality for you.
Your teeth face a hostile environment populated by disease-causing bacteria. But your teeth also have some “armor” against these microscopic foes: enamel. This hard outer tooth layer forms a barrier between harmful bacteria and the tooth’s more vulnerable layers of dentin and the inner pulp.
But although it’s tough stuff, enamel can erode when it comes into contact with high concentrations of mouth acid. Losing substantial amounts of enamel could leave your teeth exposed to disease.
So, here are 3 things you can do to help protect your enamel so it can keep on protecting you.
Careful on the brushing. Brushing removes dental plaque, a thin bacterial film on teeth most responsible for dental disease. But be careful not to brush too often, too hard and too quickly after eating. Brushing more than twice a day can cause gum recession and enamel wear; likewise, brushing too aggressively. You should also wait at least 30 minutes after eating to brush to give your saliva sufficient time to neutralize any acid. You could lose tiny bits of softened enamel brushing too soon.
Cut back on acidic foods and beverages. Spicy foods, sodas and, yes, sports and energy drinks all contain high amounts of acid that can increase your mouth’s acidity. It’s a good idea, then, to reduce acidic foods and beverages in your diet. Instead, eat less spicy foods and drink primarily water or milk. Also, look for foods and beverages with calcium, which helps increase your enamel’s ability to remineralize after acid contact.
Don’t eat right before bedtime. There are a lot of reasons not to eat just before you hit the hay—and one of them is for protecting your tooth enamel. Saliva normally neutralizes acid within a half hour to an hour after eating. While you’re sleeping, though, saliva production decreases significantly. This in turn slows its neutralizing effect, giving acid more contact time with enamel. So, end your eating a few hours before you turn in to avoid too much acid remaining on your teeth.
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