Posts for: October, 2018
Physical pain is never pleasant or welcomed. Nevertheless, it’s necessary for your well-being—pain is your body telling you something isn’t right and needs your attention.
That fully applies to tooth pain. Not all tooth pain is the same—the intensity, location and duration could all be telling you one of a number of things that could be wrong. In a way, pain has its own “language” that can give us vital clues as to what’s truly causing it.
Here are 3 types of tooth pain and what they might be telling you about an underlying dental problem.
Sensitivity to hot or cold. If you’ve ever had a sharp, momentary pain after consuming something hot like coffee or cold like ice cream, this could indicate several causative possibilities. You might have a small area of tooth decay or a loose filling. You might also have an exposed root due to gum recession, which is much more sensitive to temperature or pressure changes. The latter is also a sign of periodontal (gum) disease.
Acute or constant pain. If you’re feeling a severe and continuing pain from one particular area of your teeth (even if you can’t tell exactly which one), this could mean the pulp, the tooth’s innermost layer, has become infected with decay. The pain is emanating from nerves within the pulp coming under attack from the decay. To save the tooth, you may need a root canal treatment to remove the decayed tissue and seal the tooth from further infection. You should see your dentist as soon as possible, even if the pain suddenly stops—that only means the nerves have died, but the decay is still there and threatening your tooth.
Severe gum pain. If there’s an extremely painful spot on your gums especially sensitive to touch, then you may have an abscess. This is a localized area of infection that develops in the gums either as the result of periodontal (gum) disease, or an infection spreading from the tooth pulp into the gum tissues. You’ll need to see a dentist immediately for both pain relief and appropriate treatment (including a possible root canal) to heal the abscessed tissue.
If you would like more information on tooth pain and how to treat it, 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 “Tooth Pain? Don’t Wait!”
Tooth decay is a highly destructive dental disease, responsible along with periodontal (gum) disease for most adult tooth loss. And we become even more susceptible to it as we get older.
One form of decay that’s especially prominent among senior adults is a root cavity. Similar to a cavity in the crown (visible tooth), this form instead occurs at or below the gum line in the roots. They happen mainly because the roots have become exposed due to gum recession, a common consequence of periodontal (gum) disease and/or brushing too hard.
Exposed roots are extremely vulnerable to disease because they don’t have the benefit of protective enamel like the tooth crown, covered instead with a thin and less protective mineral-like material called cementum. Normally, that’s not a problem because the gums that would normally cover them offer the bulk of the protection. But with the gums receded, the roots must depend on the less-effective cementum for protection against disease.
Although we treat root cavities in a similar way to those in the crown by removing decayed structure and then filling them, there’s often an added difficulty in accessing them below the gum line. Because of its location we may need to surgically enter through the gums to reach the cavity. This can increase the effort and expense to treat them.
It’s best then to prevent them if at all possible. This means practicing daily brushing and flossing to remove bacterial plaque, the thin, built-up biofilm on teeth most responsible for both tooth decay and gum disease. You should also visit your dentist at least twice a year for professional cleanings and advanced prevention methods like topical fluoride to strengthen any at-risk teeth.
You should also seek immediate treatment at the first sign of gum disease to help prevent gum recession. Even if it has occurred, treating the overall disease could help renew gum attachment. We may also need to support tissue regeneration with grafting surgery.
Root cavities are a serious matter that could lead to tooth loss. But by practicing prevention and getting prompt treatment for any dental disease, you can stop them from destroying your smile.
If you would like more information on diagnosing and treating root cavities, 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 “Root Cavities: Tooth Decay near the Gum Line Affects Many Older Adults.”
October is National Dental Hygiene Month. It comes as no surprise that good dental hygiene habits are best acquired early in life—and with good reason, as tooth decay is the most common disease among children. In fact, a full 43 percent of U.S. children have cavities, according to a 2018 report from the U.S. Centers for Disease Control. So how do you start young children on the path to a lifetime of good oral health? Here are five tips for instilling good dental hygiene habits in your kids:
Set a good example. Good—and bad—habits often start at home. Research shows that when young children notice other family members brushing their teeth, they want to brush, too. So let your child see you brushing and flossing your teeth, and while you’re at it model good nutritional choices for optimal oral health and use positive language when talking about your own dental visits. The example you set is a powerful force in your child’s attitude toward oral care!
Start early. You can start teaching children brushing techniques around age two or three, using a toothbrush just their size with only a pea-sized amount of fluoride toothpaste. If they want to brush by themselves, make sure you brush their teeth again after they have finished. Around age six, children should have the dexterity to brush on their own, but continue to keep an eye on their brushing skill.
Go shopping together. Kids who handpick their own oral hygiene supplies may be more likely to embrace the toothbrushing task. So shop together, and let them choose a toothbrush they can get excited about—one in their favorite color or with their favorite character. Characters also appear on toothpaste tubes, and toothpaste comes in many kid-friendly flavors.
Make dental self-care rewarding. Why should little ones care about good dental hygiene? Young children may not be super motivated by the thought of a long-term payoff like being able to chew steak in their old age. A more tangible reward like a sticker or a star on a chart each time they brush may be more in line with what makes them tick.
Establish a dental home early on. Your child should start getting regular checkups around age one. Early positive experiences will reinforce the idea that the dental office is a friendly, non-threatening place. Children who get in the habit of taking care of their oral health from an early age have a much better chance of having healthy teeth into adulthood.
If you have questions about your child’s dental hygiene routine, call the office or schedule a consultation. You can learn more in the Dear Doctor magazine articles “Do Babies Get Tooth Decay?” and “How to Help Your Child Develop the Best Habits for Oral Health.”