Archive | Preventative Care

Quiz: Are You At Risk for Decay?

  1. Do you use a toothpaste that contains fluoride? If NO- give yourself 12 points.
  2. Do you drink beverages that contain sugar, or add sugar, to drinks such as coffee or tea more than 3 times a day? If YES- give yourself 12 points.
  3. Have you had more than 2 new cavities in the past 3 years? If YES- give yourself 14 points.
  4. Do you snack on candy or other sugary foods more than twice a day? If YES- give yourself 12 points.
  5. Have you lost a tooth in the last 3 years due to decay? If YES- give yourself 12 points.
  6. Do you brush your teeth less than twice a day? If YES- give yourself 8 points.
  7. Does the water you drink and cook with contain fluoride? If NO- give yourself 8 points.
  8. Do you have your teeth cleaned at least once a year by a dentist or dental hygienist? If NO- give yourself 7 points.
  9. Do you take any medicines that make your mouth dry or is your mouth dry as a result of radiation therapy or some other condition? If YES- give yourself 7 points.
  10. Do you clean between your teeth with dental floss or interproximal brush at least once a day? If NO- give yourself 6 points.
  11. Is it uncomfortable to brush areas where your gums have receded? If YES- give yourself 4 points.

Total your score. If your score is 30 points or more you may be at a higher risk for tooth decay. The best way to help prevent tooth decay is to brush with a toothpaste containing fluoride, floss daily, avoid beverages and snacks that contain refined carbs such as sugar, and have regular cleanings with one of our highly trained hygienists and periodic exams with Dr. Powell.

Our goal at Asheville Dental Care is to provide our patients with quality dental care. Starting patients with helpful instruction on their oral health can prevent future issues. (Most of the time inconvenient and costly.)

 

 

 

Do you need a “Regular ” cleaning OR periodontal maintenance?

 

The prophylaxis patient

A prophylaxis is the type of cleaning that everyone expects when they get to the dentist’s office.  It involves scaling calculus above the gum line followed by ordinary flossing, and pumice polishing using a rubber cup on a slow speed handpiece (drill).  Note that this procedure can be done only if the patient has little or no calculus below the gum line.  In other words, a prophylaxis is performed only on patients with little bone loss and only minor, localized pocketing.  When the dentist or hygienist probes the gums around the teeth in a “normal” patient, he finds the probe goes no deeper than two or three millimeters below the gum line.   A prophylaxis is not appropriate on patients who have periodontal problems beyond minor redness and bleeding.   A prophylaxis patient can expect a full dental exam, x-rays and his/her cleaning on the same initial visit.

Periodontal Maintenance

Periodontal disease most frequently starts between the teeth because it is between the teeth that patients are most likely to neglect to clean.  Left alone, the bone loss continues until the pockets become deeper and deeper, eventually fanning around the tooth to effect the bone on the outside and inside of the teeth.  When pockets measure 4 to 6 mm between the teeth, then the patient fits into a more severe classification of periodontal disease.  He is said to have moderate periodontal disease.  The treatment for moderate periodontal disease is root planing, the same as is done for incipient periodontal disease.  But since there is more root exposed above bone line to plane, the patient’s mouth is done in two separate visits, one half of the mouth per visit.  Once the initial periodontal treatment has been carried out, these patients are frequently placed on a three or four month recall schedule to receive periodontal maintenance prophylaxis rather than the normal six months prophylaxis that non-periodontal patients are placed on.

 

Benefits of Topical Fluoride

Professionally applied topical fluoride is recommended in our office, to prevent cavities, to all ages. We suggest a fluoride varnish be placed on the teeth at your six month cleaning appointment. Fluoride varnish applications take less time and the effects are far greater than previously offered medications.

The varnish is applied after your teeth have been polished. Your hygienist will “paint”on the thick coating to sensitive or weak areas of the teeth. The medication flows across the tooth surfaces and comes in contact with saliva, releasing calcium and fluoride. This process enables the medicine to continuously release fluoride up to 24 hours. It can also be used on newly erupted teeth to prevent future decay. The varnish acts as a barrier against demineralization and acid erosion, provides protection beyond the coating and helps repair already demineralized enamel. Varnish is virtually invisible when applied to the tooth surface. There is no waiting period before you can eat or drink, unlike to other fluoride treatments.

Some factors that can increase tooth decay are:

  • High sugar and starch diets
  • Receding gums
  • History of cavities
  • Poor oral hygiene
  • Orthodontic brackets
  • Hundreds of medications that cause dry mouth

No soda for the kids? What about juice?

Many parents think that keeping their children from drinking sodas is a great step toward preventing tooth decay, it is. But, what do you replace their favorite beverage with? Most would substitute with fruit juice. Bad idea. Fruit juices, even “no sugar added” are full of sugar. When giving toddlers a sippy cup at bedtime, sugar coats the teeth overnight and can cause a condition called baby bottle tooth decay or “bottle rot”.  Start children out with good bedtime habits like brushing well and only drinking water after brushing. Setting a routine of good habits early in life will result healthy habits, healthy teeth, and healthy lives!

Periodontal Disease: Is It Contagious?

Periodontal disease is NOT contagious. It is a multi-faceted disease that effects the life span of your teeth and gums. The initiating factors are primarily oral bacteria, which can spread from person to person. So, in that respect, periodontal disease is technically “infectious” because it takes direct contact (person to person, intimate kissing) or sharing a toothbrush. Being in the same room with someone with periodontal disease is not enough contact to contract the disease.

Dry Mouth (Xerostomia)- The Damaging Effects

We all need saliva to moisten and cleanse our mouths and digest food. Saliva also prevents infection by controlling bacteria and fungi in the mouth. When we don’t produce enough saliva, our mouth gets dry and uncomfortable. Fortunately, there are many effective treatments for dry mouth. Unfortunately, many people with this problem are not fully aware of it until Dr. Powell detects the damage it causes to your teeth.

There are many causes of xerostomia. Some medications can cause dry mouth as a side effect, prescription and non-prescription. Common drugs which can cause dry mouth are to treat depression, pain, allergies, colds, asthma, hypertension and more. Some cancer treatments, smoking, dehydration, and nerve damage can cause xerostomia as well. Dr. Powell or your hygienist will consider your medications at your office visit for this possibility.

Dry mouth is a problem because it increases a person’s risk of gingivitis, tooth decay, and mouth infections. Denture wearers also have problems if battling dry mouth. At Asheville Dental Care we have a variety of different products you can try to see which you like best!

Some ways you can overcome dry mouth is :

  • Drink plenty of water
  • Brush with a fluoride toothpaste
  • Use fluoride rinse
  • Maintain regular visits to you dentist
  • Use over the counter saliva replacements (ex:Biotene products)

Ten Healthy Foods for Your Teeth

BELIEVE IT OR NOT, THE FOODS you consume can affect your smile as much as brushing or flossing. Every time you eat sugary or starchy foods, the bacteria in plaque get another chance to form decay-causing acid. And bad breath can make you want to hide even the most pristine teeth. But choosing foods that naturally fight bacteria, remove plaque, strengthen enamel, and freshen breath is a good way to preserve your pearly whites. Pick these 10.

1. Celery

Celery protects your teeth in two ways.  The extra chewing it requires produces plenty of saliva, which neutralizes the bacteria Streptococcus mutans that causes cavities. Additionally, chomping on naturally abrasive foods massages gums and cleans between teeth. Try This: Snack on a handful of raw celery or carrots once a day.

2. Cheese

Studies from the last decade show that cheese, with its low carbohydrate and high calcium and phosphate content, provides several benefits for your teeth. It helps balance your mouth’s pH (an acidic pH encourages the growth of cavity-causing bacteria). Cheese also preserves and rebuilds tooth enamel and produces saliva, which kills the bacteria that cause cavities and gum disease. Try This: Enjoy a 1-inch cube (about 1/2 ounce) of cheese after dinner instead of a sweet dessert.

3. Green Tea

Green tea (Camellia sinensis) contains substances called catechins that kill the bacteria in your mouth that turn sugar into plaque (a sticky mass of bacteria, sugars, proteins, and fats that produces cavity-causing acid when it comes in contact with sugary or starchy foods). Catechins also wipe out the bacteria that cause bad breath. Try This: Drink 2 to 5 cups of green tea (regular or decaffeinated) a day. Consider making a thermos of green tea to drink at work. The night before, steep 3 to 4 green tea bags in 4 cups of boiling-hot water in a covered thermos for three to five minutes. Remove the bags. Serve the tea the next day over ice or after reheating it.

4. Kiwis

For their size, kiwis pack more vitamin C than any other fruit. In fact, one large kiwi supplies more than 100 percent of your recommended daily amount. If you don’t get enough vitamin C, research shows that the collagen network in your gums can break down, making your gums tender and more susceptible to the bacteria that cause periodontal disease. Try This: Instead of topping your morning oatmeal with brown sugar, use a sliced kiwi.

5. Onions

Onions contain powerful antibacterial sulfur compounds. In a 1997 test tube study, onions killed various types of bacteria, including S. mutans. Research indicates that they are most powerful when eaten freshly peeled and raw. Of course, raw onions can do a number on your breath, so be sure to have some fresh parsley on hand (see below). Try This: Add a few onion slices to salads and sandwiches each day.

6. Parsley

Chewing parsley or mint leaves after a pungent meal will help you maintain sweet-smelling breath. These herbs contain monoterpenes, volatile substances that travel quickly from your bloodstream to your lungs, where their odor is released via your breath. Try This: Top zesty dishes with a few tablespoons of minced fresh parsley or garnish dessert with a few sprigs of fresh mint.

7. Sesame Seeds

According to fossils, our Paleolithic ancestors had great teeth. Anthropologists suggest that this is partly due to the cleansing action of primitive foods like seeds, which slough off plaque and help build tooth enamel. Sesame seeds, for example, are also high in calcium, which helps preserve the bone around your teeth and gums. Try This: Sprinkle a tablespoon of sesame seeds on salads and steamed vegetables a few times a week for a gentle teeth cleaning and 87 mg of calcium.

8. Shiitake Mushrooms

A 2000 study in Caries Research showed that lentinan, a sugar found in shiitake mushrooms, prevents mouth bacteria from creating plaque. Try This: A few times a week, add four to five sliced shiitakes to soups or stir-fries. Buy fresh shiitakes or dried ones, which can be reconstituted by soaking them in hot water for about 25 minutes before use.

9. Wasabi

Otherwise known as Japanese horse-radish, this condiment not only provides zing to sushi, it also protects your teeth. A 2000 study  revealed that the substances that make wasabi taste hot, called isothiocyanates, also inhibit the growth of cavity-causing bacteria. Try This: Eating wasabi a few times a week will protect you from cavities. For a smile-saving salad dressing, combine 3 tablespoons rice wine vinegar, 1 tablespoon honey, 1 teaspoon wasabi paste, 1 teaspoon soy sauce, and 1/2 teaspoon sesame oil.

10. water

Drinking water keeps your gums hydrated and is the best way to stimulate saliva–your body’s greatest defense against the bacteria that cause plaque and cavities. Rinsing your mouth with water also helps wash away trapped food particles that decompose in the mouth and cause bad breath. Try This: Aim to drink six 8-ounce glasses of purified water throughout each day to keep your gums (and whole body) hydrated and to stimulate saliva. If you can’t brush your teeth after eating, be sure to rinse your mouth with water.

Save Your Smile with These Easy Tips

In addition to regular brushing, following these suggestions can greatly increase the life of your teeth and gums.

Watch Out for Minimeals. Eating small meals throughout the day can help you control your weight. But every time you eat, bacteria grow in your mouth.

The Fix: Brush your teeth or rinse with water after each meal or snack.

Avoid Sugary Sips. Slowly sipping sweetened beverages exposes your teeth to sugar for long periods.

The Fix: Switch to water or unsweetened green tea.

Freshen Breath Naturally. Chewing sugary gum or candy between meals feeds plaque, which can cause cavities.

The Fix: Chew on a whole clove or tea-tree-flavored toothpick to help freshen breath and kill bacteria.

Choose Desserts Wisely. Eating sweets at the end of your meal leaves an enamel-corroding sugary residue.

The Fix: Choose cheese or low-sugar fruits like pears and apples as dessert.

Floss Daily. Not flossing for even one day allows cavity-causing plaque to begin forming between teeth.

The Fix: Try brushing and flossing right after dinner when you still have energy

Seeing White Spots?

Seeing White Spots?

Are you concerned with a “white spot” or any other brown or yellow discoloration on your enamel? Is your enamel rough and pitted instead of smooth and white? Help is here with MI Paste and Asheville Dental Care! These spots on your teeth can be caused from a few different things from hereditary defects to poor home care. New research indicates that treatment in the office followed by home treatments with this product can help reverse the appearance of these spots with an ingredient that is derived through milk proteins.  It also helps remineralize the weak areas of the enamel through some treatment options with the MI Paste. It’s much less costly than crowns or veneers. See if you are a candidate at your next appointment to remineralize, rejuvenate, strengthen and whiten your teeth. Dr. Powell or your hygienist would be glad to discuss this treatment with you.

Eat Healthy – Good for your body, good for your teeth!

Great News! Making smarter and healthier food choices not only helps your heart and your overall health, it can actually give you healthier teeth and gums.

Yes there is a connection between the foods you eat and the overall health of your teeth and gums. We all know that eating less sugar is good for our teeth, but who would have thought that choosing whole grains is good too?

A fourteen year study (according to ‘RealAge’) reported that men who chose whole grains were twenty-three percent less likely to develop gum disease. The group seeing the most extreme benefit ate up to three and half servings a day – that is just two slices of 100% whole wheat bread, half-cup brown rice and a cup of granola. That little whole grain is easy to work into our diets and wonderful to reap the benefits.

Whole grains make our hearts healthier and our blood sugar levels healthier, and for people with diabetes this study found that lower blood sugar levels puts you at less risk for gum disease. Healthy gums are vital to your overall health, and we invite you to talk with us, visit our website and do your own research to find out all the reasons why. In addition, learn the tips on all the ways you can improve your gum health and your overall oral health.

We are committed to helping our patients learn how to have a healthy, beautiful, smile that will last a lifetime!

Thank you for being our patient!

Dr. Robert Powell

Want to Live Longer and Healthier – Floss!

Flossing regularly and eating whole grains can help prevent periodontal disease.

My wife loves Dr. Oz. She watches his show as often as she can, regularly discovering little tips and ideas on how we can live longer, healthier lives.

This past Friday, I came home to Meridith telling me about the importance of giving up our bad habits. Dr. Oz’s Friday show covered the risk bad habits have on our overall health. He did a segment on the impact curing just one bad habit would have on your overall life and health. Audience members shared their secrets – everything from smoking, to not sleeping, to eating late at night, and the results were incredible. If audience members stopped those habits today,. they would not only live longer, they would live lives that were far healthier.

And yes, there was even a habit related to your dental care. One audience member wanted to stop neglecting her teeth – that was her bad habit. Dr. Oz’s response. If she would start flossing her teeth regularly, starting right now, she could extend her life by six years. She would cut her risk of heart disease, diabetes and several other diseases so common as we grow older.

Doctors and researchers are discovering that the care of your teeth is becoming more and more important to your overall health. Next time your in, please take a moment ask us questions and let us share several tips and ideas of how you can improve your overall dental health. The care of your teeth and gums is important to us, and we want all of our patients to live longer, healthier lives! For more on Dr. Oz and his tips of oral and overall health go to www.droz.com.