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Posts for: January, 2021

By Edward C. Smith, DMD, MPH, LLC
January 28, 2021
Category: Oral Health
Tags: oral health   oral hygiene  
HerestoHealthySmilesin2021

A New Year's resolution can be just about anything, from losing weight to visiting every major league baseball park. But a resolution you're more likely to keep ought to have two things going for it: It's doable and it changes your life for the better. Here's one that meets those criteria—taking better care of your smile. So we hope that made your 2021 list.

Resolving to pursue more committed dental care can have a double benefit. It can improve your dental health and it could help you gain a more attractive smile. What's more, it's not hard to do—it takes only about five minutes of your time each day, along with a couple of dental visits a year.

Here's how you can make better smile care in 2021 one of your best New Year's resolutions ever.

Brush and floss daily. Your mouth's biggest enemy is dental plaque, a thin film of bacteria and food particles on tooth surfaces. The bacteria in plaque can cause both tooth decay and gum disease. But by removing accumulated plaque with brushing and flossing, you can drastically reduce your risk for dental disease. The key is to do it every day without fail—no holidays!

Have your teeth cleaned. Even if you're an oral hygiene ninja, you can still miss some plaque, which may then harden into calculus (or tartar). This calcified form (which is just as harmful as softer plaque) is nearly impossible to remove by brushing or flossing. But we can at the dental office—which is why having your teeth professionally cleaned every six months makes it even less likely you'll encounter dental disease.

Give your teeth a better diet. If you're also resolving to eat more nutritiously, here's an extra incentive: Your diet can impact your dental health. On one hand, diets high in certain carbohydrates (particularly sugar) increase your risk for disease. On the other hand, a balanced diet of fresh fruits and vegetables, whole grains, and dairy products can strengthen your teeth and help them stay healthy.

Update your dental work. You may have fillings, crowns or bridges that fixed a dental problem in the past but may have since fallen into disrepair. If so, now is the time to update them—and putting it off could increase your risk for disease or other serious dental problems. Taking care of needed renovations to older dental work promotes better oral health, and may also improve your smile.

Want to start the New Year off right in regard to your teeth and gums? See us for a complete checkup and evaluation of your dental health. Together, we can develop just the right care plan to help you achieve your resolution of a healthier mouth and a more attractive smile.

If you would like more information about effective dental care, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Daily Oral Hygiene.”


By Edward C. Smith, DMD, MPH, LLC
January 18, 2021
Category: Oral Health
ListentoEllenDeGeneresDontThinkYouCanGetAwayWithoutFlossing

This year's Carol Burnett Award, presented at the Golden Globes, goes to Ellen DeGeneres for her “outstanding contributions to the television medium on or off the screen.” This is the latest in a long list of honors for the comedienne, talk show host and activist that includes Emmys, Grammys and Teen Choice Awards. And one not quite as well-known: a 2004 “Flossy” award.

DeGeneres received this honor from the National Flossing Council in recognition of her passionate promotion of oral hygiene, particularly flossing. She wrote about its virtues in her 2003 book, The Funny Thing Is…., saying, among other things, “Don't even think for a second that you can get away with not flossing.”

DeGeneres's motivational cheerleading for flossing is helpful and necessary because, well, many of us just don't like doing it. It requires more manual dexterity than its more popular sibling, brushing. And the tendency for the floss to gunk up with plaque residue for some is simply unpleasant.

Mainly, though, many folks think brushing is enough. Not so fast, according to dental professionals. While brushing removes disease-causing bacterial plaque from broad tooth surfaces, it can't effectively get into the spaces between teeth. It takes flossing to clear plaque from these more difficult areas.

But don't fret: There are ways to make flossing an easier—and more pleasant—task.

Ask us for help. As we said before, flossing does take some hand dexterity and coordination to perform. You may also wonder if you're doing it effectively. We can provide training and tips on how to be a more effective flosser at your next visit.

Practice, practice, practice. You probably think nothing of riding a bicycle, and yet it probably took you weeks or months as a kid to become proficient. Similarly, your first attempts at flossing might feel awkward, but you'll improve with practice, so don't give up.

Brush before you floss. Most people floss before brushing, but if you tend to encounter a lot of soft plaque debris that makes flossing “icky” for you, then try brushing first to clear a good portion of it out of the way before you floss. Just be aware, most professionals believe that flossing first is better because it loosens up debris between teeth so the bubbles from the toothpaste can carry it away. But any flossing is better than no flossing!

Try flossing tools. For some people, floss picks, small pre-threaded tools you can use with one hand, seem easier to maneuver than regular floss thread. If you have issues with manual dexterity, an oral irrigator can make the task easier: This handheld device uses a stream of pressurized water to loosen and flush away plaque between teeth.

So, follow Ellen DeGeneres's advice she gave Tulane University graduates during a commencement speech: “Remember to exfoliate, moisturize, exercise…and floss.” The latter, along with brushing, will certainly help keep your teeth and gums healthy.

If you would like more information about best oral hygiene practices, please contact us or schedule an appointment. To learn more, read the Dear Doctor magazine article “Daily Oral Hygiene.”


By Edward C. Smith, DMD, MPH, LLC
January 08, 2021
Category: Dental Procedures
Tags: dental implant  
AToothinaDayImplantCouldGiveYouaPerfectSmileFromDayOne

Getting a new implant tooth in only one day sounds too good to be true. But it's true—up to a point. Whether or not you can undergo an immediate crown replacement (attaching a crown to an implant right after surgery) will depend mostly on the underlying bone.

Traditionally, an implant crown isn't attached until several weeks after surgery to allow bone cells to grow and adhere to an implant's titanium surface (osseointegration). The gums are sutured back in place to protect the metal implant until it develops a durable hold within the bone. But this also leaves you with a noticeable missing tooth gap during the integration period.

A “tooth in a day” procedure gives you a full smile right after implant surgery. There is one catch, though—this first crown will be temporary and it won't be able to receive biting pressure.

Until the bone and implant fully integrate, attaching a full-sized permanent crown can damage the implant. To avoid this, the initial crown is slightly shorter than the future permanent crown. This prevents it from contacting solidly with teeth on the other jaw while biting or chewing, which can generate enough force to potentially damage the implant.

If you undergo an immediate-load crown on your implant, you'll have to return later for the full-length permanent crown. In the meantime, though, you'll avoid the embarrassment of a missing tooth in your smile.

With that said, the target bone must be healthy and intact for you to undergo a “tooth in a day” procedure. That isn't always the case with missing teeth—over time, bone volume can gradually diminish. The subsequent loss can complicate implant placement, which must be exact to achieve the most natural outcome. If extensive bone loss exists, you may need grafting to build up enough bone to adequately support an implant.

Even if an implant can be placed, the bone may still be too weak to allow for immediate crown placement. In that case, the traditional procedure may be the best course to allow the bone and implant to fully bond.

To determine if you're a candidate for a “tooth in a day” implant procedure, you'll first need to have a thorough dental exam that includes an assessment of bone health. If it's sound, you may be able to have a full smile right after implant surgery.

If you would like more information on dental implant restorations, 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 “Same-Day Tooth Replacement With Dental Implants.”