My Blog
By Alexandria Smiles Dentistry
September 19, 2020
Category: Dental Procedures
DIYOrthodonticsisaRecipeforDentalDisaster

Do-It-Yourself (DIY) is a deeply held American trait for building, renovating or repairing things without the services of a professional. The Internet has only made this tradition easier: There are scores of videos showing people how to do things on their own like build a deck, fix a dryer or bake an award-winning soufflé.

But some things are best left to the experts, which if you tried to do using too little knowledge or a lot less training could turn out disastrous. A prime example is becoming your own orthodontist and using dubious home methods to straighten your teeth. If that sounds preposterous, the American Association of Orthodontists recently reported it does happen, with one in ten of their members saying they have treated patients who attempted their own smile-straightening projects.

Often found on social media, these methods usually involve household items like rubber bands or dental floss to straighten teeth. Like other forms of DIY, the object is to save money. In the end, though, these self-orthodontic methods could result in dental damage that could cost much more to repair (if indeed it's repairable) than what might have been spent with professional orthodontics in the first place.

Utilizing extensive training, experience and artistry, orthodontists work with the mouth's natural ability to move teeth in a precise manner for a planned outcome. They carefully consider each individual patient's jaw and facial structures, along with the severity and complexity of their bite problem, as they design and implement a treatment plan involving braces, clear aligners or other orthodontic appliances.

A rigged homemade device to move teeth can't adequately take these factors into account. As a result, you may be risking permanent gum and bone damage—and you may even lose teeth in the process. Even if repairable, such damage could require oral surgery, cosmetic dentistry or more extensive orthodontic procedures.

In the end, you're highly unlikely to be successful at DIY orthodontics—and you won't save any money. A healthy and beautiful smile is well worth the cost of professional, high-quality orthodontics.

If you would like more information on orthodontic options, please contact us or schedule an appointment for a consultation.

By Alexandria Smiles Dentistry
September 09, 2020
Category: Oral Health
Tags: mouthguards  
ItsTimeforFootballIsYourFavoritePlayersMouthFullyProtected

It's September—and that means football season is underway. Whether you're playing, spectating or managing a fantasy team, the action is about to ramp up. Unfortunately, increased “action” also includes injury risk, especially for a player's teeth, mouth and jaws.

Injury prevention is a top priority for all players, whether the pros or the little guys in Pee Wee league. For oral injuries, the single best way to avoid them is by wearing an athletic mouthguard. This soft but durable plastic appliance helps cushion the force of a direct blow to the face or mouth. Wearing one can help prevent tooth and gum damage, as well as lessen the risk for jaw or facial bone fractures.

Mouthguard use is fairly straightforward—a player should wear one anytime there's player-to-player contact. That's not only during game time, but also during practice and informal play. But what's not always straightforward is which type of mouthguard to purchase. That's right: You'll have to decide from among a variety of mouthguards on the market.

Actually, though, most fall into one of two categories: the “Boil and Bite” found in most retail stores with a sports gear department; or the custom mouthguard fashioned by a dentist.

The first are called Boil and Bite because the mouthguard must first be softened with hot water and then placed in the intended wearer's mouth to bite down on in its softened state. When the mouthguard cools and re-hardens, it will retain the bite impression to give it somewhat of an individual fit. These retail guards are relatively inexpensive and reasonably effective in cushioning hard contact, but they can also be on the bulky side and uncomfortable to wear.

In contrast, custom mouthguards are formed from an accurate impression of the wearer's bite taken in the dental office. Because of the individualized fit, we can create a guard with less bulk, greater comfort and, due to their precision, better effectiveness in preventing injury.

A custom guard is more expensive than a retail mouthguard, and younger players may need a new upgrade after a few seasons to accommodate fit changes due to jaw development. But even so, with its higher level of protection and comfort (making it more likely to be worn during play), a custom mouthguard is a worthwhile investment that costs far less than a devastating dental injury.

So, if you or a family member will be hitting the gridiron this fall (or, for that matter, the basketball court or baseball diamond later in the year), be sure you invest in a mouthguard. It's a wise way to ensure this football season will be a happy one.

If you would like more information about dental safety and sports, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Athletic Mouthguards.”

By Alexandria Smiles Dentistry
August 30, 2020
Category: Dental Procedures
HowAFVsAlfonsoRibeiroSavedHisTooth

Remembered fondly by fans as the wacky but loveable Carlton on The Fresh Prince of Bel-Air, Alfonso Ribeiro is currently in his fifth year hosting America's Funniest Videos. It's the perfect gig for the 48-year-old actor, who loves to laugh and make others laugh as well. This is quite the opposite experience from one he had a few years ago that he remembers all too well: a severely decayed tooth.

After seeing his dentist for an intense toothache, Ribeiro learned he had advanced tooth decay and would need root canal treatment. Ribeiro wasn't thrilled by the news. Like many of us, he thought the procedure would be unpleasant. But he found afterward that not only was the root canal painless, his toothache had vanished.

More importantly, the root canal treatment saved his tooth, as it has for millions of others over the last century. If you're facing a situation similar to Alfonso Ribeiro's, here's a quick look at the procedure that could rescue your endangered tooth.

Getting ready. In preparation for root canal therapy, the tooth and surrounding gums are numbed, often first with a swab of local anesthesia to deaden the surface area in preparation for the injection of the main anesthesia below the surface. A dental dam is then placed to isolate the infected tooth from its neighbors to prevent cross-contamination.

Accessing the interior. To get to the infection, a small access hole is drilled. The location depends on the tooth: in larger back teeth, a hole is drilled through the biting surface, and in front teeth, a hole is drilled on the backside. This access allows us to insert special tools to accomplish the next steps in the procedure.

Cleaning, shaping and filling. Small tools are used to remove the diseased tissue from the interior tooth pulp and root canals. Then the empty spaces are disinfected. This, in effect, stops the infection. Next, the root canals inside the tooth are shaped to allow them to better accept a special filling called gutta percha. The access hole is then sealed to further protect the tooth from future infection, and a temporary crown is placed.

A new crown to boot. Within a couple weeks, we'll cap the tooth with a long-lasting lifelike crown (or a filling on certain teeth). This adds further protection for the tooth against infection, helps strengthen the tooth's structure, and restores the tooth's appearance.

Without this procedure, the chances of a tooth surviving this level of advanced decay are very slim. But undergoing a root canal, as Alfonso Ribeiro did, can give your tooth a real fighting chance.

If you would like more information about root canal treatments, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “A Step-By-Step Guide to Root Canal Treatment” and “Root Canal Treatment: How Long Will It Last?

By Alexandria Smiles Dentistry
August 20, 2020
Category: Oral Health
Tags: oral health  
4DentalHealthAreasThatDeserveAttentionBeforeGettingBacktoSchool

The final quarter of the 2019-2020 academic year was like no other in modern history. Because of COVID-19, U.S. schools and colleges lay dormant as millions of students carried on their studies via distance learning. Whether the upcoming school year will be online or in-person, the end of summer is still a great time to make sure your family's dental health is on track.

Normally, dental care is one of several items that families focus on right before school begins anew. But even if school won't be resuming in the traditional sense, you can still put the spotlight on your family's teeth and gums.

Here are 4 dental care areas that deserve your attention before the new school year begins.

Re-energize daily hygiene. The break in routine caused by sheltering in place may have had a stilting effect on regular habits like brushing and flossing. If so, now's the time to kick-start your family's daily hygiene. Brushing and flossing remove disease-causing plaque and are essential to long-term prevention of tooth decay and gum disease.

Schedule a dental cleaning. Regular professional cleanings, generally every six months, are necessary to remove hard-to-reach plaque and tartar. Scheduling may have been difficult this past spring, but as life starts to get back to normal, be sure to return to regular dental visits as soon as possible. During appointments, we can spot small issues that if left undetected could cause bigger problems later on.

Reassess your family's diet. If the last few months have impacted your normal food choices, you may want to take a closer look at your family's diet and what effect it may have on dental health. Processed foods with added sugar contribute to the risk of dental disease. But a diet rich in fresh fruits, vegetables and low-fat dairy contains abundant nutrients for strengthening teeth and gums.

Seek special evaluations as needed. It's a good idea to have your child undergo an orthodontic evaluation around age 6: If they have a poor bite developing, early intervention could prevent or minimize it. And you should have your teenagers' wisdom teeth monitored regularly in case they're impacted or causing other dental problems—they may require removal in early adulthood or before.

Hopefully, this unusual interruption in education will soon become a distant memory. But even with the school routine being upended as it has, you can still take advantage of the end of summer to give your family's dental health a boost.

If you would like more information about back-to-school dental care, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Top 10 Oral Health Tips for Children.”

By Alexandria Smiles Dentistry
August 10, 2020
Category: Oral Health
Tags: toothache  
YourToothacheMightSignalaProblemOtherThaninYourMouth

You expect a decayed tooth, a fracture or a gum infection to be the cause for that toothache causing you grief. Sometimes, though, the answer may be “none of the above”—there's nothing wrong going on in your mouth to cause the pain.

You pain is real—but its source is elsewhere in the body, a situation known as referred pain. It's important to find out the pain's true source to determine what kind of treatment you'll need to alleviate it.

Here are some of the likely candidates for a “toothache” that's not a toothache.

Facial nerves. Tooth pain may be associated with trigeminal neuralgia, a misfiring disorder of the trigeminal nerves that course through either side of the face. The nerve is divided into three branches, two of which are located in the upper face and one in the lower jaw. Because they're interconnected, a problem with one of the branches in other parts of the face could be felt in the branch around the jaw.

Jaw joints. Temporomandibular Joint Disorders (TMD) can cause pain in the pair of joints that connect the lower jaw to the skull. The joints can become inflamed due to stress or trauma and the associated muscles begin spasming, causing severe pain. Because of their proximity to the teeth, the pain from the joints can radiate into the dental area and mimic a toothache.

Ear or sinus infections. Both the ears and the maxillary sinus are subject to infections that can cause severe pain and pressure. With the close proximity of both the ears and the sinus to the upper jaw, it's quite possible for pain originating in these structures to be felt within the mouth.

These are only a few of the possibilities that also include migraines, shingles, fibromyalgia and even vitamin deficiencies. As such, your dentist or physician may need to do a little detective work to locate the true cause. But the effort to locate where your mouth pain is actually coming from will help ensure you get the right treatment to give you lasting relief.

If you would like more information on referred tooth pain, 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 “Referred Pain: When a Toothache Is Not Really a Toothache.”





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