Dental Crowns: How Teeth Crowns Work

Are Dental Crowns Necessary?

When a tooth is fractured, has a large old filling or is severely damaged by decay, your dentist may recommend the placement of a crown, also called a cap. Crowns strengthen and protect the remaining tooth structure and can improve the appearance of your smile. Types of crowns include the full porcelain crown, the porcelain-fused-to-metal crown and the all-metal crown.

How Dental Crowns Work

Fitting a crown requires at least two visits to the dentist’s office. Initially, the dentist removes decay, prepares and shapes the tooth and makes an impression. The dentist then makes and fits a temporary or transitional crown made out of plastic or metal. In the second visit the dentist removes the temporary crown, fits and adjusts the final crown and cements it into place.

Teeth Whitening for Crowns and Veneers

Your dentist will match the crown color to the color of your teeth. If you are considering whitening your teeth , you should talk to dentists Durango, CO about tooth whitening options before the crown is made. Since bleaching products do not affect the color of crowns, it is important that your natural teeth are whitened first so the dentist can match the crown color to the color of your teeth after they are whitened.

Teeth Stains: Causes, Removal and Whiter Teeth

How Does Teeth Whitening Work?

Teeth whitening occurs in two ways: the first is by removing tooth stains on the outer layer of the tooth as well as below the enamel surface, and the second is by preventing the generation of new stains. It is achieved via stain removal, stain bleaching, and stain protection.

Teeth Stain Removal

Stain removal on the outer layer of the tooth uses both chemical and physical actions such as abrasion and chemical stain disruption. These different actions destroy or disrupt the stain, which is outer layer of the enamel, exposing brighter, whiter teeth.

To remove stubborn stains that accumulate below the enamel, the surface requires bleaching. Bleaching is the chemical process in which color is removed by oxidation of stain molecules. Whitening methods vary in their concentration of hydrogen peroxide, a bleaching agent, allowing you to regulate how white you want your smile to be.

Teeth Stain Causes

Teeth staining comes from a variety of different sources. To help keep your smile bright and beautiful, try avoiding stain-causing foods and activities. These activities include certain foods and drinks, tobacco, poor dental hygiene, and certain illnesses. If you do indulge in any of these, be sure to brush soon after.

How to Get Whiter Teeth

If you’re thinking about teeth whitening, there are many choices to consider. From professional dental treatments to at-home systems, there is a range of options to choose from. You can take these treatments from Holistic Dentist in Durango. Here are some factors to take into consideration:

1. Which option is the best way to whiten your teeth?

Crest’s complete line of whitening toothpastes allows you to choose which degree of whitening best fits your needs. With an illuminating complex, and micro-cleansing whiteners, your smile will be left dazzling white and brilliantly clean.

Crest Whitestrips come in multiple forms, allowing you to choose the degree of whitening that works best for you. They range from a gentle option for those new to whitening or with sensitive teeth to a 1-hour express option for those who want immediate and dramatic results fast.

Crest’s most advanced whitening treatment whitens as well as a $500 professional teeth-whitening treatment, and has exclusive FlexFit technology designed to stretch and mold to custom fit your smile.

2. When trying to remove stains, which teeth whitening options are considered ‘teeth whitening-safe’?

From an advanced whitening treatment to a gentle treatment, our toothpastes offer a wide range of results. Crest’s 3D White Luxe Diamond Strong toothpaste removes up to 90% of surface stains while strengthening and rebuilding tooth enamel. It also helps fight tartar and cavities with fluoride, not only giving you a whiter smile, but a healthier one.

All of Crest’s whitestrips use the same enamel-safe whitening agent dental professionals use, so you get great results as well as a healthy smile. Their complete line of toothpastes remove surface stains as well as plaque buildup on a daily basis. Their multi-care rinse also helps protect your teeth against future stains giving you a comprehensive routine.

It’s important to understand the risks of at home whitening recipes, especially do-it-yourself mixtures. The most common danger to these home remedies is damage to your tooth enamel. The use of natural foods such as strawberries or an orange peel, as well as using baking soda in any form, can cause irritation of the gums and weakening of the tooth enamel. When it comes to whitening your teeth, it’s best to use over-the-counter products such as 3D White to avoid harming your health.

By using the complete line of 3D White products, you can maintain a healthier mouth and brilliant, white smile.

Questions Related to Teeth Stains

Q: Does professional teeth whitening work?
A: These procedures are considered safe, though you can expect some sensitivity in your teeth and gums, which usually resolves after the whitening procedure is complete. It is not uncommon for the tooth color to “rebound” a week or two following this type of treatment, so using an at-home product may help maintain the results following the treatment.

Q: How much does professional teeth whitening cost?
A: When you undergo an in-office whitening procedure, your dental professional will apply the bleaching solution directly to your teeth and may possibly use a laser or other specialized device to speed up the bleaching process. You can expect to see some results after one treatment, but you may choose to have more than one treatment to get the effect that you want. An in-office bleaching treatment usually takes 30 to 60 minutes and costs anywhere from $500 to $1000 for your entire mouth.

Q: How long does teeth whitening last?
A: How long can you expect the benefits to last? That depends in part on your habits. If you smoke, or if you drink large amounts of coffee or tea, you may need another procedure after a few years.

Sensitive Teeth: Causes, Treatments, and Prevention

Tooth Sensitivity to Cold and Hot

People who suffer from tooth sensitivity avoid daily activities such as consuming hot or cold foods and beverages as well as brushing their teeth. These simple activities cause tooth sensitivity sufferers to live in constant fear of severe pain. Sensitivity occurs when the dentin, a porous tissue in your teeth, becomes exposed. The dentin has microscopic channels, called tubules, which are pathways to the nerve. When dentinal tubules are exposed, due to receding gum tissue or enamel loss, nerves are more easily triggered by certain stimuli causing tooth sensitivity.

What Causes Sensitive Teeth?

Tooth sensitivity is among the common causes of a toothache. The phrase “tooth sensitivity” refers to tooth discomfort or feelings of toothache in one or more teeth. The pain of tooth sensitivity is usually sharp, sudden and shooting. Tooth sensitivity occurs when the layer of a tooth underneath the enamel (called the dentin) or the layer covering the root (called cementum) is exposed along the gum line due to receding gums. The exposed areas respond to hot and cold, and sometimes too sweet and spicy foods, and trigger pain.
Some factors which can contribute to tooth sensitivity include:

  • Overzealous brushing: You can have too much of a good thing. Brushing your teeth with too much force, or with a hard-bristle toothbrush, may wear down tooth enamel, expose the cementum or dentin and cause tooth sensitivity.
  • Tooth grinding: Grinding your teeth can cause the enamel to wear away and leave the dentin exposed.
  • Dental cleanings or treatments.
  • Temporary tooth sensitivity: which can occur after a professional teeth-whitening treatment, but usually goes away shortly after the procedure ends.
  • Gum disease: Inflamed gum tissue pulls away from the tooth, leaving vulnerable areas exposed.

If you are exhibiting any signs or symptoms of tooth sensitivity, visit your dental professional immediately for a proper assessment.

Sensitive Teeth Treatments

Sensitivity pain is not something anyone should have to live with. Fortunately, there are a number of treatment options available that can help relieve the issue. Since 80% of sensitivity starts at the gum line, it’s crucial to brush with a toothpaste that’s good for your gums and a toothbrush or brush head with softer bristles to avoid damaging the gums.

See Durango Dentists for proper assessment and to find out the best steps to take for treatment.

How to Prevent Tooth Sensitivity

Here are some steps you can take to prevent tooth sensitivity:

  1. Use a soft-bristled toothbrush, which will help prevent gum loss.
  2. Brush with a sensitivity toothpaste like Crest Gum and Sensitivity, which will continue removing plaque to clean teeth while providing fast relief from sensitivity by treating it at the source—your gum line.
  3. Brush and floss your teeth twice a day to prevent gum loss.
  4. Be sure to clean all parts of your mouth, including between teeth and along the gum line.
  5. Avoid acidic foods and drinks.

Crest Sensi-Stop Strips are thin, flexible strips which are applied directly to sensitive areas, providing targeted delivery of the key ingredient. Within minutes, strips build a lasting barrier that helps to stop sensitivity pain, relieving symptoms for up to 30 days.

When it comes to teeth sensitivity, a healthier mouth starts with good brushing habits.

What Helps Sensitive Teeth?

If you have sensitive teeth, don’t neglect your daily oral care routine. Just be sure to use a soft toothbrush and soft floss. You can also try a toothpaste designed for sensitive teeth, Crest offers a variety of oral care products that help relieve sensitivity pain, like Crest Gum and Sensitivity toothpaste. Also, try spreading some sensitizing toothpaste along the exposed cementum or dentin area before bed to help reduce sensitivity. Just use your fingertip or a cotton swab to rub the toothpaste directly onto the exposed spot.

Vitamin C, Calcium, and Oral Health

Eating a variety of nutritious food is good for your overall health, including your oral health. Some vitamins in particular have demonstrated benefits to building healthy teeth and gums, namely calcium and vitamin C, so be sure to include foods rich in these nutrients in your diet.

Calcium for Teeth

Calcium has been shown to help build strong teeth, and vitamin C is a powerful antioxidant that also plays an important role in collagen synthesis, by which it helps you develop and maintain healthy gums. Dairy products, including milk, yogurt and cheese are good sources of calcium. Also, try switching to low-sugar or sugar-free varieties of yogurt, since sugar (and bacteria) can promote tooth decay.

Vitamin C for Gums

Many fruits and vegetables including berries, oranges and cantaloupe, as well as green vegetables including broccoli and spinach are excellent sources of vitamin C. Of course, in addition to eating right, it’s important to follow a consistent dental care routine of twice-daily tooth brushing and daily flossing to promote oral health. And be sure to see Dentists Durango regularly and talk to them if you have questions about how your diet might affect your oral health.

If you suffer from bleeding gums and your dentist rules out poor dental hygiene, reassess your diet. Be sure to consume plenty of foods rich in vitamin C. They aren’t hard to find. Oranges, carrots, sweet potatoes, and red peppers are especially high in vitamin C. Try to get your vitamin C from actual fruits and vegetables, instead of fruit and vegetable juices. Besides being high in sugar, most fruit juices are quite acidic, and they can promote erosion of the tooth enamel. Fruit juices are fine in small amounts, but drink them with meals, or use a straw if possible to minimize the juice’s contact with your teeth.

Vitamin C is water-soluble, which means that the body doesn’t store it long-term and you need to consume it every day. Multivitamins or vitamin C supplements can help you get enough, especially if you are ill or following a restricted diet and you have problems eating a variety of fruits and vegetables. Many multivitamin formulas contain vitamin C, or you can find it as an individual supplement.

Recommended Vitamin C and Calcium Dosages

The Institute of Medicine recommends 90 milligrams per day for men older than 18 years and 75 milligrams per day for women older than 18 years. Many physicians recommend 1,200 to 1,500 milligrams of calcium daily for most adults, so you may want to consider a calcium supplement, especially if dairy products aren’t a regular part of your diet.

Types of Gum Disease: Stages, Factors & Related Conditions

Gum Disease Stages

Chances are you or someone you know has a form of gum disease. In fact, 75% of Americans will develop gum disease in their lifetime. It’s important to distinguish that there isn’t just one form of gum disease, but multiple that may affect your overall oral health. If left untreated, certain forms of gum disease can leave you at risk for certain forms of cancer, diabetes, and heart disease. It’s important to educate yourself of the symptoms, risks and treatments for gingivitis and its more advanced stage, periodontitis the two most common forms of gum disease.

Gingivitis is the most well-known form of gum disease—you’ve heard about it from your dentist, or seen ads about fighting it on TV—but besides knowing the name, can you identify what gingivitis actually is? Gingivitis develops when plaque that contains bacteria slowly backs up on your teeth and gums. Given time, the toxins released by the built-up plaque begins to damage your teeth and gums, making them sensitive, irritated and puffy. Prolonging gingivitis can lead to much more serious conditions.

If left untreated, gingivitis can turn into periodontitis—a much more dangerous form of gum disease. Periodontal disease can cause an infection that destroys the bone supporting your teeth which may lead to tooth loss, bleeding gums and bad breath.

Gum Disease Risk Factors

For many people, mild gum disease won’t show any symptoms, but if you notice anything different about your mouth or teeth, be sure to tell your dental professional. Failing to maintain a proper oral care routine at home puts you at major risk to develop gum disease. Gum disease is also caused by a litany of other factors that have nothing to do with brushing your teeth. For example, tobacco users often see an increase in disease along their gum lines. In fact, smokers are 2x more likely to develop gum disease. Changes in the human body can also lead to gum disease. Hormonal changes caused by pregnancy can lead 60-70% of pregnant women to experience issues with gum disease.

Conditions Related to Gum Disease

Conditions like diabetes and heart disease can also be impacted by gum disease. In fact, 95% of people who suffer from diabetes will experience some form of gum disease. Gum disease also impacts heart health, and could even lead to cardiovascular disease if not treated.

Diabetes

Several types of health conditions contribute to poor healing of oral tissues. But people with diabetes should always be aware that they are at risk for poor healing from any type of dental problem. Diabetes is one of the most common endocrine disorders. People with diabetes are at greater risk for infections and often suffer from dry mouth, which can promote tooth decay and gingivitis. And because people with diabetes are also prone to poor healing of oral tissues, gingivitis can be more difficult to treat if it does occur. This is why a regular oral care routine is especially important. If you have sensitive teeth or gums, choose a toothbrush with soft bristles and a soft floss to minimize discomfort. If you have diabetes, be sure to tell Durango Dentists. He or she may want results from a blood test to show how well you control your condition.

Leukemia

Leukemia can increase your risk of developing gum disease. Gingivitis can be an early symptom of leukemia, especially in children. Data from studies of childhood leukemia have shown that about 25 percent of children with leukemia develop gingivitis as the first sign of cancer. In leukemia patients, gingivitis occurs when leukemia cells infiltrate the gums, and gingivitis can become severe because leukemia reduces the body’s ability to fight the infection. A patient with active leukemia who develops gingivitis may need to refrain from tooth brushing and flossing and wipe the teeth and gums with clean gauze. Because blood doesn’t clot well in leukemia patients, even gently brushing and flossing can cause too much bleeding from infected gums. Also, a dentist or dental hygienist may recommend a specialized mouth rinse to help control plaque while the patient is undergoing treatment for leukemia. Once leukemia is in remission, most patients can follow a regular oral care routine of twice-daily tooth brushing and daily flossing, along with regular visits to the dentist. Because of the plentiful blood supply to the gums, they can return to a healthy condition with proper oral care. For sensitive teeth and gums, choose an extra-soft or soft-bristled brush and soft floss.

Menopause

Although it is rare, a condition called desquamative gingivitis can occur in older women after they go through menopause. This type of gingivitis can be extremely painful because the outermost layers of the gums pull away from the underlying tissue and expose nerves. The gums can become so loose that the outer layer can be rubbed away with the slightest touch of a cotton swab. Treatment of desquamative gingivitis involves working closely with a dentist. If you are a woman still experiencing other symptoms of menopause, some type of hormone therapy may help. Or your dentist may prescribe a corticosteroid in the form of pills to swallow or a paste that you apply directly to the gums.

Vitamin C Deficiency

Gum tissue conditions can have many causes, but don’t forget to consider poor nutrition. Inadequate vitamin C can promote bleeding gums that can develop into gingivitis if left untreated. Vitamin C also helps the body perform maintenance and repair on bones, teeth, and cartilage, and it also helps wounds heal.

Gum Disease Treatments

There are ways in which you can treat or severely limit gum disease. First and foremost, follow your dental hygienist’s or dentist’s instructions for regular oral care at home in order to get the most benefit out of your treatment. That means twice-daily tooth brushing and daily flossing, plus regular visits to the dentist for follow-ups and professional cleanings. If you experience any new problems following a regular oral care routine, ask your dental hygienist or dentist to recommend products that can make your routine easier.

When you want to treat gum disease, especially gingivitis, try these simple but effective methods:

  1. Brush twice a day, every day
  2. Floss daily
  3. Rinse thoroughly with an anti-gingivitis mouthwash
  4. Visit your dental professional regularly

Questions About Gum Disease

Q: What does gum disease look like?
A: Gingivitis—and its later form, periodontitis—are formed by plaque buildup along the gum line. Though you may not notice anything in mild cases of gum disease, sensitive teeth, bleeding or swollen gums are the most common warning signs that something needs to be addressed.

Q: Can gum disease be cured?
A: Gum disease can be cured—and prevented, for that matter—by adhering to a routine recommended by dentists. That is: brushing twice-a-day, every day. Using floss daily. Rinsing with an anti-gingivitis mouthwash and visiting you dentist regularly. Using an electric toothbrush with a round brush head also helps to combat the effects of gum disease.

Q: Can gum disease be reversed?
A: Gum disease symptoms can be reversed by adhering to a strict oral care regimen.

Q: What exactly Is gum disease?
A: The American Dental Association (ADA) defines gum disease as “an infection of the tissues surrounding and supporting the teeth.” What does this mean to you? It means that gum disease is the leading cause of tooth loss in adults.

Q: What causes gum disease?
A: Gum disease is caused by plaque—a semi-transparent, sticky film of bacteria that forms on your teeth and can build up to create damaging toxins if you don’t have a proper oral care regimen. The beginning stage of this plaque buildup is a characteristic of gingivitis. Plaque itself is caused naturally by the things you do every day, such as eating or breathing.

Q: How do I know if I have gum disease?
A: There are several telltale signs of gum disease. They include:

  • Bleeding gums (especially when you brush and floss)
  • Tender, swollen gums
  • A receding gum line
  • Persistent bad breath
  • Loose teeth

Q: Is gum disease inevitable?
A: Fortunately, it’s not. While we all have plaque (it’s naturally occurring), there are several easy steps you can take every day to help keep your smile healthy for life. And while you might be familiar with each step, you might not realize how important it is that you do all the steps together, every day.

Q: What if I think I have gum disease?
A: Don’t worry, you’re not alone. More than 80 percent of adults have some form of gum disease. In most cases, you can help reverse, and even protect against, its effects. So how do you treat gum disease? Great question!

Restorative Dentistry & Types of Dental Restoration

What Is Restorative Dentistry?

The term “restorative dentistry” is the integrated management of oral health problems and restoring of the mouth to a functional and esthetic state. While it is not currently recognized as a dental specialty by the American Dental Association, general dentists are able to perform many of these procedures without additional education and certification. It all depends on how difficult the procedure is and what the dental professional feels comfortable with. Many of the procedures are also covered by the dental specialty of prosthodontic dentistry, including fillings, veneers, crowns, bridges, full and partial dentures and dental implants.

Replacing Missing Teeth

Restorative dentistry is often referred to as prosthodontic dentistry. Whether your dental professional uses the term “restorative dentistry” or “prosthodontic dentistry,” the goal is to preserve natural teeth as much as possible. Replacing missing teeth with a dental implant, bridge, full or partial denture helps promote dental health as well. Filling in empty spaces in the mouth can help prevent cavities in the remaining teeth because odd-shaped gaps are vulnerable spots for plaque-causing bacteria to build up. Missing teeth also put extra stress on your remaining natural teeth because you don’t have as much surface area to chew with.

Tooth Restoration Options

When deciding on a strategy for restorative dentistry, you’ll need to consider both physical and fiscal factors—your health and your budget. Most dentists involved in restorative dentistry will try to preserve your natural teeth if possible before resorting to full or partial dentures so you won’t have to remove and clean the devices regularly. But sometimes full or partial dentures are the better option if you have many missing teeth and you’re not a good candidate for dental implants due to other health issues.

Types of Dental Restoration

These days, thanks to a variety of options for dental restoration, you have many choices for repairing, worn, decayed, damaged or missing teeth and restoring a healthy and beautiful smile. Depending on the nature of your problem, your dentist will perform one of two types of dental restorations:

  • Direct.

    Direct tooth restoration involves placing a filling into a prepared tooth cavity immediately. This procedure can be done in a single office visit. Your dentist chooses from a variety of filling options based on the type and location of the filling. For example, glass or resin ionomers are often used for replacements near the tooth root or other areas not subjected to heavy pressure from chewing.
  • Indirect.

    Indirect tooth restoration involves customized tooth replacements in the form of crowns, onlays, or inlays. A crown covers the entire chewing surface of a tooth, an inlay lies within the cusps of the tooth, and an onlay covers and one or more cusp tip, including part of the chewing surface. An indirect tooth restoration will require more than one office visit because the inlay or onlay must be fabricated in a lab. Crowns, inlays and onlays can be made from a variety of materials. Gold is still used for some inlays, but for someone concerned about white teeth, porcelain and tooth-colored composite resins are other options.

Dental Restoration Costs and Insurance

Also, keep in mind that most dental insurance plans don’t currently cover dental implants. They may be covered under your medical insurance depending on the reason for your tooth loss and whether you have other related medical conditions. Talk to Holistic Dentistry in Durango to determine the best strategy to promote your oral health.

The Benefits of Fluoride Toothpaste, Mouthwash, & Water

Does Fluoride Prevent Tooth Decay?

Fluoride helps prevent tooth decay by slowing the breakdown of enamel and increasing the rate of the remineralization process. The new enamel crystals that form are harder, larger and more resistant to acid. Tooth enamel is hard yet porous. Plaque on the surface of your teeth can produce acids that seep into the pores (rods) of the enamel and break down its internal structure. This process, called demineralization, can create a weak spot in the tooth that may become a cavity if left untreated. Learning what fluoride does for the health of your teeth will help you become more aware of how to identify plaque and prevent it from becoming a cavity.

Learn About Fluoride Benefits for Your Teeth?

Common fluoride sources are fluoridated drinking water, toothpaste and some mouth rinses.

Fluoride Toothpaste

Toothpastes containing fluoride help prevent cavities in both children and adults. To help strengthen weak spots and exposed roots, and to help prevent the early stages of tooth decay, brush regularly with a fluoridated toothpaste.

  • You should always supervise your children when they’re brushing their teeth.
  • Children under the age of 6 should only use a “pea size” dab of toothpaste when it contains fluoride.

Fluoride Mouthwash

Rinsing your mouth with mouthwash that contains fluoride is another way to help protect you and your family from cavities.

  • There are many brands of mouthwash that now contain fluoride available.

Water with Fluoride

Adding fluoride to your drinking water is one of the easiest and most cost-effective methods of protecting children and adults from tooth decay.

  • Not certain about the fluoride levels in your water system? Inform your dental professional if your drinking water is not fluoridated. He or she may recommend that you use high-concentration fluoride treatments.
  • If your water does not contain fluoride, your dental professional may recommend prescribing fluoride tablets or drops for you and your family to help protect your teeth from cavities.
  • Fluoridated water is a great substitution for soft drinks as it helps protect your teeth while minimizing the damage done to them through sugar intake at the same time.
  • Bottled water may not include fluoride so while it may seem like the safe thing to do now, think about the fluoride you will be missing from your tap water.

Fluoride plays a key role in the health of your teeth, and now that you know of its importance, you can include it with more regularity to your oral care habits. If you have any dental problem consult Holistic Dentist in Durango.

Smoking vs. Oral Cancer: Types, Symptoms & Prevention

What Kind of Cancer Does Smoking Cause?

Quitting smoking isn’t easy, but here’s another reason you should make the effort. Smoking is more than just a cause of bad breath; it significantly raises your risk of developing oral cancer, which includes cancer of the mouth, throat, salivary glands, tongue or lip.

What are the Symptoms of Oral Cancer?

In the early stages, oral and throat cancers can have symptoms similar to a toothache or they are painless. Many cases of oral cancer are seriously advanced by the time they are detected. That’s why it is important to examine your mouth periodically. If oral cancer is identified early, it is almost always treatable.

Bad breath is an early sign of oral cancer, whether or not you are a smoker. Other early signs of oral cancer include lumps or white, red or dark patches inside the mouth, difficulty chewing, swallowing or moving the jaw, feeling that something is stuck in the throat, numbness in the mouth, thickening of the cheeks, or voice changes.

How to Prevent Oral Cancer

Tobacco use is the top risk factor for oral cancer, so the best way to reduce risk is to quit smoking or using other tobacco products. But other keys to oral cancer prevention and the promotion of oral health include seeing Holistic Dentist in Durango regularly and following a complete oral care routine that includes twice-daily tooth brushing and daily flossing.

Bad Breath (Halitosis): Causes, Remedies, and Treatments

What is Halitosis?

Bad breath, or halitosis, is mainly caused by the buildup of bacteria in the mouth, which produces a foul smell. Bad breath can be embarrassing, but fortunately once you have identified the causes, you can begin treatment.

Causes of Bad Breath (Halitosis)

The accumulation of bad breath bacteria most often comes from a lack of a complete oral care routine resulting in a buildup of plaque bacteria around the gum line and back of tongue. Other causes of bad breath include dietary choices, a buildup of bacteria while sleeping, stress, and dehydration.

Halitosis has many causes, including the following:

  • Tobacco use. If you smoke, quit. Your bad breath may be due to other causes, too, but tobacco use is a guarantee of bad breath. If you are ready to quit, ask your doctor or dentist for advice and support.
  • What you eat, or don’t eat. Certain foods, such as garlic, contribute to bad breath, but only temporarily. Once they are absorbed into the bloodstream, the smell is expelled through the breath, but the odors remain until the body processes the food, so there’s no quick fix.
  • Dry mouth. If your mouth is extremely dry, there is not enough saliva to wash away excess food particles and bacteria, which can cause an unpleasant smell if they build up on the teeth.

On rare occasions, bad breath can be a sign of a more serious medical condition so it’s important not to ignore the problem and to see a dental professional if the problem persists. By following a proper oral care routine, you can help improve your bad breath.

Bad Breath Remedies

Brush. Floss. Rinse. It sounds pretty simple, yet it’s the best routine to help you win the battle against bad breath.

After understanding the cause of your bad breath, you can begin taking the proper steps to help achieve fresher breath. These easy steps will help you get the most from your dental health routine:

  1. Round out your routine with a mouthwash that fights bad breath and odor-causing compounds found in certain foods to keep your mouth at its freshest.
  2. Limit caffeinated and alcoholic drinks, as well as sugary and acidic juices, and drink plenty of water to stay hydrated. The amount of water you need will vary based on your physical build and daily activity level.
  3. Chew sugarless gum to stimulate saliva production. Eating a mint is a temporary but less recommended method for breath freshening because it can leave a sugary residue behind.
  4. Floss daily to help prevent food particles from becoming trapped, as well as the buildup of plaque.
  5. Brush your teeth for two minutes twice a day with an Toothbrush to remove plaque bacteria. Follow up with a good tongue brushing. Pay special attention to the back of your tongue, where most odor-causing bacteria are found.

Bad Breath Treatments

Bad breath that seems to have no other cause may indicate an infection elsewhere in the body. If you have chronic bad breath and your dental professional rules out any oral problems, see your doctor for an evaluation. Bad breath can be a sign of a range of conditions including respiratory tract infections, chronic sinusitis or bronchitis, diabetes, or liver and kidney problems, so it’s important not to ignore the problem.

The best way to improve bad breath is to follow a thorough oral care routine including twice-daily tooth brushing and daily flossing to remove the food particles and bacteria that can cause bad breath. Mouthwashes only improve bad breath for the short term, and if you have a chronic problem, Holistic Dentist Durango may suggest an antimicrobial rinse to help keep bacteria at bay.

Why We Have Wisdom Teeth: Surgery, Pain, and Treatment

Why Call Them ‘Wisdom Teeth?’

Your dentist might refer to them as the third molar. But for everyone else, “wisdom teeth” is the name for those protrusions that begin to appear in the back of your mouth around age 18-24. Ever wonder how these teeth developed such a lofty reputation?

Like so many other words, we inherited this one from the ancient Greeks. Those writers actually had three names for these late-blooming teeth, but the one later inherited by English was “sóphronistér.” This referred to moderation and the act of teaching–abilities the ancient Greeks believed came later in life. So you acquire wisdom teeth around the same time you start to become wise, at least according to the ancients.

Why Do We Have Wisdom Teeth?

Your teeth arrive in an orderly fashion, with the molars appearing last. Usually your first set of molars appears around age 6, with the second set appearing around age 12. The last set—the wisdom teeth—take much longer than all your other teeth, and about 1 in 5 adults never gets them. Your ancestry plays a role in this. Tasmanian natives almost never have wisdom teeth, while indigenous Mexicans get them almost always. That seems to be due to a genetic mutation that first arose in China more than 300,000 years ago.

Scientists think that changes in the way we eat have changed the shape and function of our mouths, too. In the days of our ancient ancestors, humans lived on lots of foods that require intense chewing. Foods like roots, nuts, leaves, and meats are thought to have made up a big part of our diets in those days. These days most of our foods are softer, and we have knives and forks to do a lot of the “chewing” for us. We’ve simply outgrown our need for wisdom teeth, but that doesn’t stop them from trying to make an appearance.

Impacted Wisdom Teeth

Often your wisdom teeth don’t pop out of the gum line (the medical term is “erupt”) in the way they should. Sometimes wisdom teeth grow in crooked, pressing against or away from other teeth and are termed “impacted.” Estimates of how often new wisdom teeth are impacted vary widely. Some reviews say more than 70% of all new third molars are impacted, while others say less than 40%. This problem sometimes leads to pain, inflammation, and infection, though not always.

One study showed that about 12% of impacted wisdom teeth included more serious symptoms. It is traditionally argued that impacted wisdom teeth crowd other teeth, throwing them out of alignment. However, it has been argued that because wisdom teeth develop from the spongy tissue near the jaw without strong support, they can’t anchor and disrupt the other teeth that are more firmly rooted.

Pericoronitis

When a wisdom tooth erupts—even partially—it may be vulnerable to pericoronitis. This is the name for gum pain and infection found in 6% to 10% of erupted wisdom teeth. Usually when wisdom teeth erupt naturally, this isn’t a problem. It tends to arise in teeth that have emerged from the gum line very slowly—usually the lower wisdom tooth.

Pericoronitis can be either acute or chronic. Acute cases cause severe pain that often radiates into nearby areas in the mouth. It can lead to gum swelling, tightness in the jaw, swollen lymph nodes, difficulty swallowing, and difficulty falling asleep. Chronic cases provoke dull pain that can go away for months, and can leave a bad taste in your mouth. Sometimes exhaustion and pregnancy can cause chronic pericoronitis pain to reoccur.

Studies show that 35% to 43% of patients with pericoronitis recently suffered from a respiratory infection, suggesting these infections may contribute to this oral health problem. Stress may make them more likely, too. It’s also more common in women than in men.

Cysts and Tumors

Impacted wisdom teeth are especially prone to developing cysts and tumors. Cysts are fluid-filled sacs that can develop on the jaw. They can cause bone loss in your jaw. Tumors are abnormal tissue growths that can very rarely be cancerous.

Both cysts and tumors can become large and painful, potentially causing problems in your mouth and even your sinuses if untreated. If a cyst or tumor is causing pain and other problems around your wisdom teeth, your dentist will probably recommend removing those teeth. Fortunately, they’re fairly uncommon. Two studies found them in only about 2.5% of removed wisdom teeth.

Other Issues

In addition to pericoronitis, cysts, and tumors, wisdom teeth may show signs of other problems. When they do, they often need to come out. Other problems include:

  • Bone loss near the roots
  • Damage done to adjacent teeth
  • Cavities
  • No room for brushing and flossing around the erupted tooth

Should You Remove Them Just in Case?

Impacted wisdom teeth have been a driving force in the preventative removal of most wisdom teeth in countries like the United States. Not all health organizations agree that this is necessary, however, and not all countries regularly extract wisdom teeth for preventative reasons.

In 2008, the American Public Health Association rejected the preventative removal of wisdom teeth, arguing that dangers from surgical removal outweigh the risks of leaving the teeth alone. The Cochrane Collaboration found that as many as 60% of all wisdom teeth removals could be eliminated if these teeth were only taken out when pain or other problems emerged. They also disputed the notion that impacted wisdom teeth crowd out other teeth.

Even so, there is evidence that these teeth should come out. Even when they don’t show other symptoms, impacted wisdom teeth can cause problems later on. When not removed, between 30% and 60% of these teeth lead to problems within 12 years that require their removal.

What Is Simple Extraction?

Have you decided you need your wisdom teeth pulled? This can go one of two ways depending on how exposed your tooth is. If the wisdom tooth has erupted completely, your dentist can pull it out in a procedure called simple extraction.

You can expect your dentist to use numbing agents to kill the pain before proceeding. A tool called an elevator is then used to loosen the teeth. A pair of dental forceps, which look similar to pliers, is then used to actually pull the tooth. Cleaning comes next, followed by gauze to staunch the bleeding.

Recovering From Simple Extraction

If you’ve just had a wisdom tooth extracted by the dentist, you will need to follow all instructions to prevent pain and bleeding, and to promote healing. The site of the extraction can ooze with blood and saliva for up to 24 hours. During this time, bite down on a gauze pad for a half hour to an hour at a time, getting a fresh pad after one hour. During the first 24 hours, don’t use straws or spit—both negative and positive pressure in the mouth can harm your recovery. You may want to rinse, but don’t—and don’t brush or floss near the extraction area.

You need to abstain from using tobacco for at least three days. Smoking hampers healing in your mouth. Try to avoid coughing and sneezing, too—allergy medicines can help with this. Refrain from alcohol, and don’t drink anything hot or carbonated either. Avoid spicy foods, which can irritate the area where your tooth was pulled. In general, take it easy. Avoid activity. Prop your head up and lie down, as this can help stop the bleeding.

After the first 24 hours you can brush again, but clean the area around the extraction carefully for the first week. If you experience swelling, rinse your mouth with warm salt water two or three times a day. Typically, swelling improves after two days.

What Is Surgical Extraction?

Surgical extraction is for wisdom teeth that haven’t grown in completely. Your dentist won’t be equipped to handle this procedure. Instead, you’ll need to visit an oral surgeon. This is surgery, so you will be given anesthesia which will numb any pain. You’ll find that you can’t remember most of the procedure.

Since the teeth haven’t erupted yet, your surgeon will need to cut into your gum line to find them. If a tooth is too big to take out in one piece, it will be cut into smaller pieces using a drill. That’s especially true if the tooth is coming in at an awkward angle. In some cases, a surgeon may find that the tooth is already infected. If that’s so, the surgery must be delayed, and you will need to take antibiotics for 7-10 days before trying again.

Immediately After Surgery

Since you’ve been under anesthesia, you do not want to drive home from your surgical extraction. Make sure you have someone with you that can get you home. It’s wise to arrange this in advance, as you may still be under an anesthetic fog when it’s time to go home.

Your surgeon will often give you a prescription for painkillers. Some patients find they can manage their pain with over-the-counter medications like ibuprofen. But if the surgeon needs to remove bone along with the tooth, the prescription painkillers may be particularly needed. If you do take prescription painkillers, be aware that they can cause nausea. Eating a small amount of food before you take them can help prevent nausea.

Recovery After Surgical Extraction

You should plan to take it easy for the first couple of days after your surgery. Your mouth will probably bleed for the first day, so keep enough clean gauze handy to staunch it. Pain and swelling will go down gradually over the next few days, and while it may be painful you should have pain medicine available to provide more comfort.

Follow your surgeon’s instructions carefully. Your mouth won’t open all the way for about a week. During that time, plan on eating soft foods that don’t require too much chewing. You should be able to return to your everyday life after a few days, but keep in mind that your mouth won’t be fully healed for another four to six weeks.

Potential Post-Surgery Problems

Wisdom tooth surgeries are common, and usually resolve without incident. However, problems can occur. Watch out for signs of infection, and notify the doctor as soon as you notice any. The doctor will drain the infection and put you on antibiotics.

Sometimes sinus problems occur after wisdom tooth surgery. The sinuses are situated close to your upper wisdom teeth, and can be injured during the surgery. These problems can be corrected by your doctor, and antibiotics will most likely be prescribed.

The lower wisdom teeth are situated near a nerve that provide your lips, tongue, and chin with feeling. Sometimes this nerve is injured during surgery and these areas may become numb after surgery. Fortunately, the numbness usually goes away a few weeks later, but in rare cases it may persist. If this is your situation, you may need surgery to fully correct the numbness.

How Common is Dry Socket?

Whether your wisdom teeth are removed through simple extraction or surgery, you may end up with a condition called dry socket. Dry socket is the most common complication following wisdom tooth removal. The socket refers to the hole left in your bone where your tooth was removed. Typically, a blood clot forms over the hole, protecting the nerves and bones underneath. However, in the case of dry socket, the clot is either removed or does not form completely. Since the clot isn’t there to protect them, your bone and nerves can be left in pain, and healing is hampered.

How common is dry socket? One study found dry socket about 3% of the time following simple extraction, and about 15% of the time after surgery performed by dental students. Another study found that generally, poor oral health was more common in cases involving dry socket, suggesting keeping your mouth clean may help prevent it.

Should You Call Your Doctor?

Some pain and swelling is normal a few days after surgery. But other complications can be more serious and may need attention. How do you know whether to call the doctor, dentist, or surgeon? Watch for these signs, if they develop, call Holistic Dentistry in Durango immediately:

  • Your breathing or swallowing is impaired
  • You develop a high fever, which can be a sign of infection
  • You find pus in your mouth or notice foul smells
  • Your pain lasts longer than a week
  • Your mouth continues oozing and bleeding after the second day following surgery
  • Your jaw or face are still swollen after the first few days
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