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Posts for category: Oral Health

By Douglas L. Schneck, DDS
August 14, 2021
Category: Oral Health
SafelyRemoveaLooseBabyToothforaHappyToothFairyEncounter

Although Santa Claus has Christmas and the Easter Bunny has Easter, neither of these mythical characters has a day just for them (unless you count the Feast of Saint Nicholas in early December). Not so the Tooth Fairy: According to NationalToday.com, August 22nd is National Tooth Fairy Day, in celebration of this favorite sprite of children.

And, there's good reason for the love—he (or she, if you prefer) comes bearing gifts. Well, not technically a gift: the deal is a tooth in exchange for a treat. Now, what the Tooth Fairy does with all the millions of teeth obtained, no one knows. But that he/she has a huge potential supply is undeniable.

The teeth sought are a specific kind—primary ("baby") teeth that start showing up on the jaw a few months after birth and then gradually fall out by adolescence. Kids have around twenty of these teeth for the potential under-the-pillow exchange.

Here's how it happens: The roots slowly begin to dissolve and the gum tissues holding the tooth in place detach. The sure sign this is occurring is the tooth's noticeable looseness. The process continues naturally, and with no help from us, until the tooth falls out.

But children especially can grow impatient—a wiggly tooth becomes annoying, not to mention all that "earning potential" just hanging there. And so, there's an understandable urge to help it along. But some methods for doing so are problematic—tying a string to the tooth and yanking, for example. Trying to remove a tooth not quite ready can result in excessive bleeding or damage to the tooth socket.

Depending on a tooth's degree of looseness, there is a way to take it out safely. You can do this by draping a piece of gauze pad over the tooth and grasping it firmly between your fingers. Then, gently give the tooth a gentle downward pinch or squeeze. If it's loose enough, it should come out. If not, simply wait another day or two and try again.

A tooth ready to come out doesn't normally bleed much. If it does, have the child bite down on a clean piece of gauze or a wet tea bag for a few minutes until the bleeding stops. They might also eat softer foods for a few days to avoid a resumption of bleeding.

Of course, the tooth inevitably comes out whether you help it along or not. In the event it does away from home, make up some kind of small container your child can carry with them to secure the lost tooth. It's a fun project—and we wouldn't want to lose the opportunity for that profitable encounter with You-Know-Who.

If you would like more information about caring for children's primary teeth, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Losing a Baby Tooth.”

By Douglas L. Schneck, DDS
July 25, 2021
Category: Oral Health
Tags: oral hygiene  
BrushorFlossFirstHeresWhatYouNeedtoKnowtoDecide

If you like conundrums like "Which came first? The chicken or the egg?", then you may enjoy this one: "Which should you do first, brush or floss?"

Both of these oral hygiene tasks are equally important for removing dental plaque, a thin bacterial film that forms on teeth after eating. Removing plaque on a daily basis minimizes your risk for developing tooth decay or periodontal (gum) disease, the top causes for tooth loss. Brushing removes plaque from broad tooth surfaces, while flossing removes it from between teeth where brushing can't reach.

There is wide consensus that you need both brushing and flossing to thoroughly remove plaque. But there is a debate over which of these two tasks you should do first for the most effective outcome. Those debates are more or less good-natured, but there are proponents on both sides on which task should come first.

Those on the "Brush First" side say brushing initially gets the bulk of accumulated plaque out of the way. If you floss first, you may be plowing through a lot of soft plaque, which can quickly turn your floss into a gunky mess. More importantly, you may only be moving plaque around with the floss, not actually removing it. By brushing first, there's less plaque to deal with when flossing.

"Floss First" folks, though, say flossing before you brush loosens plaque stuck between teeth that can be more easily brushed away. But perhaps a more important reason is psychological: People don't really like flossing as much as brushing. Because of this, putting it off to the end may mean it doesn't happen; doing it first will help ensure it actually gets done.

In the end, though, the order you perform these tasks comes down to personal preference. You can try both ways to see which one suits you best. The important thing, however, is that you do both tasks—if you do, you can greatly lower your risk of dental disease that could rob you of your teeth.

If you would like more information on effective oral hygiene, 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 “Brushing and flossing: Which Should Be Done First?

By Douglas L. Schneck, DDS
July 15, 2021
Category: Oral Health
Tags: dental injury  
TakeTheseImmediateActionstoSaveaKnocked-OutTooth

Accidents do happen, especially if you or a family member has an active lifestyle. One such risk, especially for someone playing a contact sport, is having a tooth knocked out.

But as extreme as this injury can be, it doesn't necessarily mean the tooth is lost forever. Gum (or periodontal) cells remaining on the tooth root can regenerate and regain their attachment with the periodontal ligament that holds teeth in place. But you have to act quickly—the longer the tooth is out of the socket, the more likely these cells will dry out and die.

So, by doing the following within 5-20 minutes of the injury (and the earlier the better), that knocked-out tooth has a reasonable chance of survival.

Locate and clean the tooth. Your first priority is to find the missing tooth and clean it of any debris with clean water. Be sure not to touch the root of the tooth and only handle the tooth by the crown (the visible part of a tooth when it's in the mouth).

Insert the root end into the empty socket. Still holding the tooth by the crown, insert the opposite root end into the empty socket. Orient the crown properly, but don't worry about getting it in just right—the follow-up with the dentist will take care of that. You will, however, need to apply some pressure to get it to seat firmly.

Secure the tooth. Place a piece of clean gauze or cloth between the reinserted tooth and its counterpart on the other jaw. Then, have the person bite down on the cloth and hold it. This will help secure the tooth in place while you travel to the dentist.

Seek dental care immediately. It's important to see a dentist immediately to adjust the tooth's position and to possibly splint the tooth to better secure it while it heals. If a dentist isn't available, then visit a local emergency room instead.

Taking these actions on the scene could mean the difference between saving and losing a tooth. But act quickly—the sooner you initiate first aid for a knocked-out tooth, the better its chances for long-term survival.

If you would like more information on what to do during dental emergencies, 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 “When a Tooth is Knocked Out.”

By Douglas L. Schneck, DDS
July 05, 2021
Category: Oral Health
Tags: oral health  
DontIgnoreChronicMouthBreathing-ItCouldDisruptJawDevelopment

Although the air we breathe has one destination—the lungs—it can arrive there via two possible routes: through the nose or the mouth. In terms of survival, it matters little through which path air travels—just so it travels one of them!

In terms of health, though, breathing through the nose is more beneficial than through the mouth, and is our default breathing pattern. The nasal passages filter minute noxious particles and allergens. Air passing through these passages also produces nitric oxide, a gaseous substance that relaxes blood vessels and improves blood flow.

On the other hand, chronic mouth breathing during childhood can impact oral health. While breathing through the nose, the tongue rests against the roof of the mouth and thus becomes a mold around which the upper jaw and teeth develop. But mouth breathing places the tongue on the lower teeth, which deprives the upper jaw of support and can lead to an abnormal bite.

So why would people breathe through their mouth more than their nose? Simply put, it's more comfortable to do so. Because breathing is so critical for life, the body takes the path of least resistance to get air to the lungs. If obstructions caused by allergic reactions or swollen tonsils or adenoids are blocking the nasal pathway, the action moves to the mouth.

But chronic mouth breathing can often be treated, especially if addressed in early childhood. This may require the services of an ear, nose and throat specialist (ENT) and possible surgical intervention to correct anatomical obstructions. It's also prudent to have an orthodontist evaluate the bite and institute corrective interventions if it appears a child's jaw development is off-track.

Even after correcting obstructions, though, it may still be difficult for a child to overcome mouth breathing because the body has become habituated to breathing that way. They may need orofacial myofunctional therapy (OMT), which retrains the muscles in the face and mouth to breathe through the nose.

Chronic mouth breathing isn't something to be ignored. Early intervention could prevent future oral and dental problems and help the person regain the overall health benefits for nose breathing.

If you would like more information on overcoming chronic mouth breathing, 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 “The Trouble With Mouth Breathing.”

By Douglas L. Schneck, DDS
June 15, 2021
Category: Oral Health
Tags: tmj disorders  
3TipstoMakeMealtimesMoreEnjoyableWithTMD

Dinnertime is a great opportunity to enjoy not only your meal, but also the company of friends and family. But a temporomandibular joint disorder (TMD) can drain the pleasure from these dining experiences if the mere act of chewing is a painful ordeal.

Besides curbing pleasure while dining, eating difficulties caused by TMD can also affect your health: You may find yourself limiting your choices to only those that cause the least amount of discomfort. But those restricted choices may deprive you of a balanced diet essential to overall well-being.

But there are ways to reduce your discomfort and enjoy a greater abundance of healthy foods, as well as your dining experience. Here are 3 tips to make eating easier if you have TMD.

Prepare your food. Easing TMD discomfort starts while you're preparing your food to cook. First off, remove the tougher peel or skin from apples, potatoes or similar fruits and vegetables. And, be sure to chop foods into small enough pieces to reduce how much your jaws must open to comfortably chew your food.

Choose “wetter” cooking methods. One of the best ways to soften foods is to moisten them, either during the cooking process or by adding it in some form to the dish. Use braising techniques when you cook as much as possible. And try to incorporate sauces or gravies, especially with leaner meats, for added moisture.

Modify your eating habits. Food prep is only one aspect of a more comfortable dining experience with TMD—you can also benefit from modifying how you eat. Concentrate on taking smaller bites of food and slow down your chewing motion. You should also limit how much you open your jaw while chewing to keep it within your comfort range as much as possible.

With a little experimentation, you can find the right balance between a wide variety of foods and more comfortable eating. If you have TMD, using these tips could help mealtime become a delightful—and more nutritious—experience.

If you would like more information on managing TMD, 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 “What to Eat When TMJ Pain Flares Up.”