Archive:

Patient Login

New Patient Forms

 

 

/blog.html

 

Posts for: October, 2013

By Edward C. Smith, DMD, MPH, LLC
October 28, 2013
Category: Oral Health
Tags: bad breath  
FindingtheRootCauseofBadBreathistheKeytoSuccessfulTreatment

Halitosis (bad breath) is a major personal and social concern — so much so that Americans spend nearly $3 billion annually on rinses, mints and gum to freshen breath. While helpful in alleviating occasional bad breath caused by oral dryness (brought on by stress, eating certain foods, prescription medications, smoking or consuming alcohol), those with chronic halitosis require a much different treatment approach.

That's because there are a number of possible causes for chronic halitosis, among them: xerostomia (chronic dry mouth), caused by mouth breathing; periodontal (gum) disease; or candidiasis, a yeast infection caused by some antibiotics. It may also arise as a secondary symptom of systemic diseases like liver disease, diabetes or cancer.

The most common cause, though, is bacteria. Many types of oral bacteria can produce terrible odors, most notably volatile sulphur compounds (VSCs) with their “rotten egg” smell. Because of its relative dryness and difficulty in cleaning, the back of the tongue is a wonderful environment for bacteria to multiply and thrive.

If you suffer from chronic halitosis, our primary objective then is to try to uncover its specific cause, which will determine what course of treatment we would recommend. First, what is your experience with halitosis — have others noticed it or just you? Next, we would consider your medical history — have you had any health issues with your ears, nose or throat, or experienced any gastrointestinal disorders or lung problems? What kind of medications do you take, and are your kidneys and liver functioning properly? We would also perform a thorough dental exam for any signs of tooth decay, gum disease or a dry, coated tongue as well as look at your diet and lifestyle choices, like smoking or alcohol use.

Having a better idea of what may be causing your bad breath, we can then tailor a treatment plan that might involve, among other things, treatment for tooth decay, a periodontal cleaning (scaling), instruction on better oral hygiene and tongue cleaning with a scraper or brush, or the removal of third molars where debris may be accumulating in the gum flaps.

Finding the cause of bad breath can take time, but is well worth the effort. The end result is a treatment plan that works.

If you would like more information on understanding and treating chronic halitosis, 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 “Bad Breath: More than just embarrassing.”


By Edward C. Smith, DMD, MPH, LLC
October 18, 2013
Category: Dental Procedures
Tags: celebrity smiles   braces  
KristiYamaguchisBracesHelpedGiveHeraWinningSmile

If Kristi Yamaguchi's kids inherit her figure skating ability, they might just be headed for the Olympics — after all, their mom won the gold medal for figure skating in the 1992 games. When it comes to teeth, however, she wouldn't mind if they inherited her spouse's instead. “My husband [fellow Olympian turned pro hockey player Bret Hedican] never had braces,” she recently told an interviewer. “I'm hoping they get his teeth.”

When you look at the elegant skating star's pearly smile, you'd never suspect she had dental problems. In fact, Kristi had four permanent teeth extracted to relieve the crowding in her mouth. She also wore braces to correct irregularities in both upper and lower teeth. Could orthodontics work the same “magic” for your kids — or yourself?

It just might. The first step toward finding out is having an orthodontic evaluation. For kids, the right time for an initial evaluation is no later than age 7. By then, the first molars are usually present and your child's bite pattern is establishing. Even though treatment may not begin for several more years, it's helpful to know what problems may arise in your child's individual situation — and to start treating them at just the right time.

Orthodontics has progressed a great deal in the two decades since Yamaguchi's braces came off. Today, small devices called palatal expanders are often used to create more space in the mouth, as an alternative to tooth extraction. There are also many new options for orthodontic appliances, in addition to standard metal braces. These include unobtrusive tooth-colored braces and lingual braces, which are applied to the tongue side of the teeth and can't be seen. In some cases, clear plastic aligners can be used instead of braces, for a look that's almost invisible.

Adolescence is often the preferred time to do orthodontic treatment. By then, the permanent teeth have mostly come in, but there's still some growing left to do. But age isn't a factor that should stop you from getting the smile you've always wanted. About one in five orthodontic patients today is an adult — and those less-visible appliances can fit in well with the more “professional” image of an older person.

Orthodontics can't help make someone an Olympic athlete — only lots of talent and practice can do that. But it can make a big difference in a person's appearance. “Once my braces came off, it was like — Wow! That looks so much nicer,” Yamaguchi recollected. And today, the mother of two, author, and philanthropist sports the same appealing smile she had on the podium at the Albertville Olympic Games.

If you would like more information on how orthodontics could help you get the smile you've dreamed about, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine articles “Early Orthodontic Evaluation” and “The Magic of Orthodontics.”


By Edward C. Smith, DMD, MPH, LLC
October 04, 2013
Category: Oral Health
TestYourKnowledgeAboutThumbSuckinginChildren

Are the following statements true or false?

Thumb sucking in children may cause problems with their teeth later on.

A: TRUE

Prolonged thumb sucking may be responsible for many problems with the bite. The constant pressure of the thumb itself can create a gap between the top and bottom teeth in front, a condition called an “open bite.” It also reinforces the habit of using the “tongue thrust” motion in swallowing, where the tongue is positioned between top and bottom teeth. This habit may also block full eruption of the front teeth.

Infants and young children swallow exactly the same way that adults do.

A: FALSE

When they swallow, young children use what is called the “infantile swallowing pattern.” In this method, which begins before their teeth have erupted, the tongue is thrust forward in the mouth, sealing and supporting the lips. In adult swallowing, the tongue touches the roof of the mouth, behind the front teeth. The transition from the infantile method usually happens naturally, by around age 4.

Most open bites result from the habit of positioning the tongue too far forward.

A: TRUE

Failure to transition between the infantile and adult swallowing pattern is believed to be the cause of most open bites. The tongue's position alone may prevent the front teeth from fully developing. Allowing the thumb to rest between the teeth has the same effect — and it can also push the front teeth forward. Other causes of an open bite are skeletal or jaw-related problems.

It is harder to cure open bites caused by thumb sucking or bad tongue position than those from other causes.

A: FALSE

Open bites that are caused by skeletal factors (patterns of bone growth, etc) are often difficult to resolve. Those caused by dental factors (tongue position, tooth eruption, etc) are generally easier to fix. However, the pressure exerted by the thumb over a long period of time can influence bone growth in the jaw.

There is a dental appliance that can help discourage thumb sucking.

A: TRUE

A thin metal “tongue crib” placed behind upper and lower incisors discourages the thumb-sucking habit. It also helps to “re-train” the tongue, keeping it from going between upper and lower teeth. To successfully treat an open bite caused by dental factors, and to prevent its reoccurrence, it is essential to eliminate the unhelpful habits of both the thumb and the tongue.

If you would like more information about thumb sucking or open-bite problems in children, 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 “How Thumb Sucking Affects The Bite.”


By contactus@edwardsmithdmd.com
October 01, 2013
Category: Uncategorized
Tags: Untagged