DEPENDING ON HOW MANY wisdom teeth come in and whether or not they have to be removed, most adults have 28-32 adult teeth. There are a few outliers in either direction, however. Some people have fewer teeth than they should (called hypodontia or congenitally missing teeth), while others have one or more extra (called hyperdontia or supernumerary teeth). How does this happen and what do we do about it?
Congenitally Missing Teeth
Between 2-4 percent of the population has at least one tooth missing from the adult set. The most common teeth affected by this condition are wisdom teeth, lower second premolars, and upper lateral incisors. It’s not really an issue to be missing wisdom teeth, but missing incisors and premolars can cause difficulties with chewing, the surrounding teeth may shift, and the decreased jaw support can lead to additional tooth loss.
The reason for congenitally missing teeth is nearly always genetics,which is why you tend to see it run in families. Sometimes it happens in conjunction with a larger genetic disorder like Down syndrome or ectodermal dysplasia.
At the other end of the dental spectrum is hyperdontia, where extra teeth develop in the jaw. It happens more often with adult teeth than baby teeth. We don’t fully understand what causes this condition, but one leading theory is that it could be the result of a tooth bud dividing abnormally, producing two teeth instead of one.
Supernumerary teeth aren’t always shaped like normal teeth. They can also be peg-shaped, have multiple cusps, or simply be a mass of dental tissue. However they develop, they often don’t have room to erupt, so they remain impacted in the gums, causing crowding and alignment problems for the normal teeth.
Treatment For Hypodontia And Hyperdontia
The typical treatment for extra teeth is to extract them if there isn’t room for them, but dealing with a congenitally missing tooth can be more complicated. Depending on the age of the patient and how long the tooth has been missing, different options may be better. The first step is usually orthodontic treatment so that the gap will be wide enough to fit a replacement tooth. These come in a few forms:
Removable partial dentures are a simple solution. They can be attached to a retainer or anchored in place by the surrounding teeth.
Dental bridges “bridge” the gaps by anchoring to the neighboring teeth, but unlike dentures, they’re cemented in place.
The most permanent solution is a dental implant, which functions like a normal tooth. An implant consists of a post fixed in the jaw bone with a crown on top that matches the natural teeth. Implants can also provide support for bridges when multiple teeth are missing.
Let’s Take A Look At Those Teeth
With regular dental appointments, we can catch cases of hypodontia and hyperdontia early on and make a plan for how to address it. Keep up with your daily dental hygiene routine, keep scheduling those regular appointments, and give us a call if you have any questions about these rare conditions!
“BRUSH YOUR TEETH for two full minutes twice a day and floss your teeth once a day.” You’ve probably lost count of how many times you’ve heard that, but how often have you heard that you should be cleaning your tongue every day too?
The Difference A Clean Tongue Makes
More bacteria likes to live on our tongues than just about anywhere else on our bodies. That’s because all those tiny crevices in the tongue’s surface are prime real estate for all kinds of pathogens. If we don’t actively keep our tongues clean, the harmful bacteria will stay put and multiply, causing bad breath and contributing to tooth decay on the inner surfaces of our teeth.
Another reason to regularly get rid of all that tongue bacteria is that it can dramatically improve your sense of taste. When the tongue is covered in bacteria, the tastebuds have a hard time doing their job, but with the bacteria gone, they’re free to absorb all those delicious flavors at their full capacity. Yum!
Chemical digestion begins in our mouths, and a clean tongue makes this process more effective too. So, if you want to enjoy your favorite foods as much as possible, keep your breath clean and fresh, and improve your digestive health, clean your tongue!
Finding The Best Tools For Cleaning Your Tongue
Keeping your tongue clean takes more than swishing mouthwash or rinsing with water. The bacteria hiding in all those tiny grooves is very stubborn, and washing with liquid won’t be enough do dislodge them. To really clear off the biofilm of bacteria, you need to scrape it with a tongue-scraper.
If you don’t find these in the grocery store near the toothbrushes, you can order one online, and some toothbrushes have tongue scrapers built in on the reverse side. Between brushing and rinsing your teeth is the best time to scrape your tongue. Start at the back and work forward, and try to get as much of the surface area as you can.
For the first few days, you might be surprised by how much biofilm comes away with the tongue scraper, but the longer you stick with it, the cleaner your tongue will become, until it seems like you’re scraping away nothing but clean spit. See if you notice the difference in your breath and your sense of taste when you get to this point!
Tongue-Scraping Is Older Than You Think
If you’ve never heard of tongue-scraping before, you might think it’s a new idea, but it’s actually been around since ancient times in some cultures. It’s part of the daily hygiene routine in Ayurveda, the traditional medicine of India. Tongue-scraping tools have been made of many different materials across the centuries, including copper, silver, gold, ivory, whalebone, and tortoiseshell. Today, they’re typically plastic or stainless steel.
Have Any Questions About Tongue Cleaning?
If you have questions about tongue cleaning or would like our recommendations on the best tools for the job, just give us a call! We’re always happy to help our patients improve their daily dental hygiene regimens, and we look forward to seeing you at your next appointment!
“IT TAKES MORE MUSCLES to frown than to smile,” the old cliché goes, so you should smile more to conserve energy. Well, it turns out the cliché is false. Smiling takes at least ten muscles, while as few as six are required for a frown. A better expression would be “smile to burn more calories,” but that isn’t the only benefit you’ll get from flashing those pearly whites more often.
The Feedback Loop Between Smiling And Happiness
When we smile, it sets off a chemical reaction in our bodies and brains. We release endorphins, the feel-good hormones. The amazing thing is that we can release these endorphins simply by the act of smiling, even if it’s fake! Smiling and happiness are so closely tied together in our brains that it doesn’t matter which one comes first. If you’re having a rough day and want to feel better, smiling is a great, simple first step to take.
Smile Your Pain And Stress Away
That rush of endorphins has a lot of benefits, and two of the most immediate ones are reducing pain and relieving stress. Endorphins are natural painkillers with no side effects, and they help us recover more quickly from stressful situations. A 2012 experiment demonstrated this by testing how long it took for subjects’ heart rates to return to normal after performing a stressful task. The smiling subjects were the fastest to recover!
Smile To Give Your Immune System A Boost
Over time, those short-term benefits from the endorphins released by smiling can compound into something much bigger. By smiling freely and often, we can make ourselves more resilient against all kinds of illnesses — even lowering our chances of getting cancer by reducing the number of stress-induced mutations our cells go through.
Smile To Live Longer!
When we think of the benefits of smiling, we usually don’t think much farther than how it makes us look younger and more attractive to the people around us, but in the end, smiling can actually add years to our lives. Smile as often as you can so that you can take full advantage of what it can do for you, and make sure you’re taking good care of your smile so that you feel more like sharing it.(INSERT VIDEO HERE)
Let’s See Those Gorgeous Smiles!
Did you know that children smile an average of twenty times as often as adults over the course of a day? Just imagine the health benefits we could enjoy as adults if we smiled as often as we did when we were little. We encourage all of our patients to find every reason you can to smile, and come see us twice a year so that we can help you keep your smile as healthy as it can be!
IS A SIMPLE SPOONFUL of ice cream enough to make you cringe because of the pain in your teeth? Do you have to be careful when you drink hot coffee that none of it touches your chompers? If you know the feeling, then you’re one of millions who experience tooth sensitivity. Let’s take a closer look at what causes tooth sensitivity and what can we do about it.
How We Feel Sensation In Our Teeth
Each of our teeth is covered in a layer of protective enamel. Underneath this is dentin, which is a lot like bone. Dentin contains thousands of microscopic tubules that run through it from the inside of the tooth out to the enamel. At the core of each tooth is the pulp chamber, which contains nerves and blood vessels. Because of those tubules, the nerves inside the tooth can detect what’s happening on the tooth’s surface.
Common Causes Of Tooth Sensitivity
If the enamel wears away, the tubules become exposed and the nerves in the dental pulp suddenly get much more stimulation than they like. This is what makes enamel erosion one of the main causes of tooth sensitivity. Without enamel, the nerves get a nasty shock whenever anything too hot or cold, or even too sweet or sour, touches the outside of the tooth.
Root exposure from gum recession also leads to sensitivity. The enamel only covers the crown of the tooth, not the roots. Those are protected by the gums. If the gums recede (sometimes as the result of teeth grinding or improper brushing over time), it exposes the roots.
Cavities and tooth injuries can cause sensitivity as well, even if you’ve been taking great care of your gums and enamel.
Use The Right Tools To Protect Your Teeth
Fortunately for all of us, there are ways to fight back, even if our teeth are already sensitive. Using a soft-bristled brush will help prevent further enamel erosion or gum recession. There is also special toothpaste formulated for sensitive teeth. Avoiding sugary and acidic foods and drinks (particularly soda) is another way to help your teeth.
We Can Help You Fight Tooth Sensitivity
Your best ally in the fight against tooth sensitivity is the dentist! Schedule a dental appointment as soon as you notice a change in your sensitivity level, or if you’ve been struggling with it for a while. The dentist can help protect your teeth with a fluoride varnish, perform restoration work to combat enamel erosion, and may recommend a gum graft for receding gums or prescribe a toothpaste to help with sensitivity.
Together, we’ll keep your smile happy and healthy!
WE USE OUR TEETH all day, every day, for chewing, talking, and flashing big smiles at friends and family, but what are the structures that allow our teeth to do so much? Let’s take a look at what our teeth are made of.
Layer 1: Tooth Enamel
The portion of each tooth that we can see above our gum tissue is the crown, and it has three different layers. On the outside is a protective layer of enamel, the hardest substance in our entire bodies. It has to be so that we can chew our food effectively. Unlike bone, enamel isn’t made of living cells, so it can’t repair itself as easily. It’s also vulnerable to acid erosion. We can protect it with regular brushing and flossing, dental visits, and by cutting down on acidic and sugary foods and drinks.
Layer 2: Dentin
Underneath that hard layer of enamel is dentin, which is softer and more yellowish. Like bone, dentin is calcified living tissue. Microscopic tubules run through it from the pulp to the enamel, which is how we are able to feel temperature in our teeth. If you’re experiencing tooth sensitivity, your enamel might have worn down enough to expose these tubules.
Layer 3: Dental Pulp
At the very core of each tooth is a chamber containing dental pulp, tissue consisting of nerves and blood vessels that keep the tooth alive and give sensation. This includes pain receptors that warn us when something is wrong with the tooth, such as tooth decay reaching the pulp.
Getting Down To The Roots
Like with icebergs, there’s more to teeth than we can see on the surface. The root extends deep into the jawbone, held in place by tiny periodontal ligaments and supported by gum tissue. The roots themselves are hollow. Nerves and blood vessels run through canals in the roots up to the pulp chamber in the crown.
Unlike the crown, the root of the tooth isn’t protected by enamel. Instead, it’s covered in a slightly softer substance called cementum. Cementum and healthy gum tissue work together to protect the root,but gum recession can leave it vulnerable.
Taking Care Of The Whole Tooth
We need all of these components for our teeth to stay strong and healthy, which is why we should keep oral health and hygiene as a high priority. Regular dental appointments and good brushing and flossing habits are essential for taking care of the outside of our teeth, and good nutrition helps keep them strong from the inside out!
HAVE YOU EVER HEARD someone begin a sentence “I’d rather have a root canal than…”? The negative portrayal of root canal treatment in our culture isn’t just a cliché; it’s a myth! That’s why we’re using this post to knock down some of the most common root canal myths out there.
Myth 1: “Root Canal Treatment Is Painful”
Many adults struggle with dental anxiety. The prospect of going to the dentist may fill them with dread, even for a simple cleaning appointment, so we understand why a patient might expect something horrible and painful when they get the news that they need root canal treatment. However, thanks to modern technology and anesthetics, root canal treatment can be performed quickly and comfortably. The best part is that the pain of your infected tooth will be gone!
Myth 2: “If My Tooth Doesn’t Hurt, I Don’t Need Root Canal Treatment”
A common assumption people make is that if their teeth don’t hurt, they’re healthy. This isn’t always true. In some cases, the tooth may already have died, but it still needs root canal therapy to prevent a dangerous infection.
Myth 3: “Root Canal Treatment Is Only A Temporary Fix”
Some patients are skeptical of root canal treatment because they think the benefits won’t last very long. This is not true. A tooth does become brittle after root canal treatment, and the grinding forces from chewing and talking may cause the crown on the tooth to break, but this is only a problem with the restoration, not the root canal itself.
Myth 4: “It’s Better to Just Pull The Tooth”
It might technically be easier to yank a problem tooth than to carefully remove infected pulp, fill in the root, and place a new crown, but that doesn’t mean it’s better. Our natural teeth are nearly always preferable to any kind of false teeth. They look and work better, while an extracted tooth may result in future problems for the surrounding teeth, in addition to a lengthy replacement process.
To learn about the steps of root canal treatment, check out this video:
The Root Canal Reality
The truth is that root canal therapy is a great way to save a tooth, and modern dentistry has made the process comfortable and pain-free. If you’ve been avoiding root canal treatment because of one of these myths, do the best thing for your tooth and schedule a dental appointment today!
FADS AREN’T ALWAYS ABOUT hairstyles and slang; they can also be about the way we take care of our bodies, including our teeth. It’s important to be able to tell the difference between something that is popular and something that has the support of the dental health community. That’s why we’re going to take a critical look at a few of the recent oral health fads.
You might’ve seen this seemingly paradoxical product in the store: activated charcoal toothpaste, which will turn your teeth black when you brush but supposedly whiten them in the long run. If you haven’t seen it in the store, you’ve probably seen people using and singing its praises on social media.
The problem with these products and home-made pastes is that there is no scientific support for the claims that they are safe to scrub against our teeth, let alone effective at whitening them. On the contrary, there is actually significant concern that they could do more harm than good. Charcoal is highly abrasive, so it could be eroding away tooth enamel. Loss of enamel exposes the more yellow dentin beneath and leaves the tooth much more vulnerable to decay.
Fluoride is the active ingredient in ADA-approved toothpastes, but in recent years, we’ve seen a lot of claims and conspiracy theories about the evils of fluoride, which have given rise to an array of fluoride-free toothpastes. This mistrust of fluoride is not supported by science, and there is a wealth of scientific data on the oral health benefits of fluoride when used in small amounts.
When fluoride was first added to the public water supply in Grand Rapids, Michigan, it reduced childhood dental caries by a whopping 60 percent, with no adverse effects except for occasional cases of mild fluorosis (harmless white patches on the enamel). Avoiding fluoride won’t do anything except put your teeth at greater risk of cavities.
Bring Us Your Questions About Dental Fads
These are just two of the fads out there. If you encounter another one, make sure you let us know about it before you try it out. We’d love to hear about these trends so that we can offer patients our professional opinions and advice. In the meantime, stick to tried and true dental health practices like brushing twice a day with fluoride toothpaste, flossing daily, and scheduling regular checkups!
When it comes to your dental health, always trust the science!
The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.
MANY OF US ARE unhappy with the way our smiles look. Maybe our teeth aren’t as white as we’d like, they have unusual shapes, or they’ve suffered some damage like chipping or fractures. Veneers are a great, long-lasting solution we can use to fix these problems and get the smiles of our dreams.
How Do Veneers Work?
Veneers are thin, tooth-colored porcelain or composite resin shells that cover the natural teeth. Because they are as resilient as tooth enamel, they protect the teeth from damage and can last many years. Veneers are custom-made to the contour of the patient’s teeth and bonded to the enamel over the course of one or two in-office procedures.
The Veneer Placement Process
Veneer placement follows these steps:
If the patient’s teeth are particularly sensitive, local anesthetic may be used, but it usually isn’t necessary. The dentist cleans the tooth and determines the ideal shade, then removes a thin layer of enamel to make room for the veneer.
The dentist takes an impression of the tooth and places a temporary veneer.
Once the custom veneer has been delivered, the tooth is cleaned and the veneer is etched, rinsed, and dried, and finally cemented onto the tooth.
A curing light helps harden the adhesive to attach the veneer to the tooth. The dentist polishes the veneer and removes any excess material.
Are Veneers Right For You?
Veneers are a fantastic option to address certain esthetic issues with one or more teeth, but they are not the best solution for every dental problem, as they can be pricey and some amount of natural enamel must be scraped away to make room for them. The best candidates for veneers are patients with chipped, broken, badly discolored, or worn teeth.For patients with alignment issues or less severe discoloration, orthodontic and whitening treatment will usually be preferable to veneers.
Taking Care Of Your Veneers
It’s important to take good care of your veneers once you have them so that they will last as long as they should before they need replacement. This mainly consists of the same good brushing and flossing habits you maintain for your natural teeth, and you can minimize the risk of the veneers becoming stained by avoiding foods and drinks that stain, such as coffee and red wine.
Bring Us Your Questions About Veneers!
If you’re considering veneers, we’re sure you have plenty of questions. Just give us a call or stop by to set up an appointment. We can tell you everything you need to know and make a plan to get you the smile you’ve always wanted!
We love when our patients love their smiles!
The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.
A TOOTHACHE IS never fun to deal with, and they can happen for a variety of reasons. Do you know what to do when one strikes, especially if it happens over the holidays or at the beginning of the weekend and you can’t get quick access to professional dental care?
The most common reason a tooth might initially feel painful is tooth decay, but it isn’t the only reason. Tooth pain can also be the result of pulp inflammation, an dental abscess, a cracked tooth, or even gum disease. Impacted teeth (teeth that are blocked from coming in where they should by bone, gum tissue, or other teeth) can also be painful. Tooth sensitivity can lead to discomfort as well, and sometimes the cause is merely a sinus infection or congestion.
Reducing Dental Pain Before Your Appointment
The best thing to do when you have a toothache is to come see us right away. If for some reason that isn’t possible, there are a few things you can do to manage your dental pain in the meantime.
Rinse and spit with warm saltwater to reduce inflammation
Apply a cold compress to the cheek near the sore area
Take anti-inflammatory medication
Use an over-the-counter topical medication
Preventing Future Toothaches
If you’ve had or currently have a toothache, you probably want it to be your last. Obviously some of the causes can’t be prevented, such as sinus infections and a tooth being damaged in an accident, but there’s a lot you can do to protect your teeth from the aches and pains that come from poor dental health.
Brushing twice a day for two minutes with a soft-bristled brush and fluoride toothpaste, flossing daily, and scheduling regular dental appointments will keep your teeth healthy. You can also help your teeth out by cutting down on sugary foods and drinks.
Bring That Tooth Pain To Us As Soon As You Can
Pain is the body’s alert system to let us know when there’s a problem, and it’s important not to ignore it. No matter what you think might be causing your toothache, schedule an appointment with us to get it taken care of before the underlying problem has a chance to get worse. We’ll be able to take a look and get your tooth the treatment it needs!