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Posts for tag: tooth decay

By ason A. Dunville, D.D.S, P.C. General Dentistry
January 08, 2019
Category: Oral Health
Tags: tooth decay  
HowaNewApproachtoTreatingDecayCouldBenefitYou

Dental caries (tooth decay) is a leading cause of tooth loss. But with prompt diagnosis and care we can often stop it before it causes too much damage.

The traditional treatment approach is simple: remove all diseased tooth structure and then restore the tooth with a filling. But this otherwise effective treatment has one drawback: you may lose significant healthy structure to accommodate a suitable filling or to make vulnerable areas easier to clean from bacterial plaque.

That's why a new treatment approach called minimally invasive dentistry (MID) is becoming more common. The goal of MID is to remove as little of a tooth's natural enamel and dentin as possible. This leaves the treated tooth stronger and healthier, and could reduce long-term dental costs too.

Here's how MID could change your future dental care.

Better risk assessment. MID includes a treatment protocol called caries management by risk assessment (CAMBRA). With CAMBRA, we evaluate your individual tooth decay risk, including oral bacteria levels, the quality of saliva flow to neutralize mouth acid, and sugar consumption. We then use our findings to customize a treatment plan that targets your areas of highest risk.

New detection methods. The real key to fighting tooth decay is to find it before it can destroy tooth structure with the help of new diagnostic technology. Besides advances in x-ray imaging that provide better views with less radiation exposure, we're also using powerful dental microscopes, lasers and infrared photography to show us more about your teeth than we can see with the naked eye.

"Less is More" treatments. In contrast to the dental drill, many dentists are now using air abrasion rather than a dental drill to remove decayed tooth material. Air abrasion emits tiny material particles within a pressurized air stream that leaves more healthy tooth structure intact than with drilling. We're also using new filling materials like composite resin that not only resemble natural tooth color, but require less structural removal than other types of fillings.

Using MID, we can treat tooth decay while preserving more of your natural teeth. This promises better long-term outcomes for future dental health.

If you would like more information on new treatments for tooth decay, 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 “Minimally Invasive Dentistry: When Less Care is More.”

By ason A. Dunville, D.D.S, P.C. General Dentistry
December 05, 2015
Category: Oral Health
ActorDavidRamseyDiscussesBabyBottleToothDecay

Cavities can happen even before a baby has his first piece of candy. This was the difficult lesson actor David Ramsey of the TV shows Arrow and Dexter learned when his son DJ’s teeth were first emerging.

“His first teeth came in weak,” Ramsey recalled in a recent interview. “They had brown spots on them and they were brittle.” Those brown spots, he said, quickly turned into cavi­ties. How did this happen?

Ramsey said DJ’s dentist suspected it had to do with the child’s feedings — not what he was being fed but how. DJ was often nursed to sleep, “so there were pools of breast milk that he could go to sleep with in his mouth,” Ramsey explained.

While breastfeeding offers an infant many health benefits, problems can occur when the natural sugars in breast milk are left in contact with teeth for long periods.  Sugar feeds decay-causing oral bacteria, and these bacteria in turn release tooth-eroding acids. The softer teeth of a young child are particularly vulnerable to these acids; the end result can be tooth decay.

This condition, technically known as “early child caries,” is referred to in laymen’s terms as “baby bottle tooth decay.” However, it can result from nighttime feedings by bottle or breast. The best way to prevent this problem is to avoid nursing babies to sleep at night once they reach the teething stage; a bottle-fed baby should not be allowed to fall asleep with anything but water in their bottle or “sippy cup.”

Here are some other basics of infant dental care that every parent should know:

  • Wipe your baby’s newly emerging teeth with a clean, moist washcloth after feedings.
  • Brush teeth that have completely grown in with a soft-bristled, child-size toothbrush and a smear of fluoride toothpaste no bigger than a grain of rice.
  • Start regular dental checkups by the first birthday.

Fortunately, Ramsey reports that his son is doing very well after an extended period of professional dental treatments and parental vigilance.

“It took a number of months, but his teeth are much, much better,” he said. “Right now we’re still helping him and we’re still really on top of the teeth situation.”

If you would like more information on dental care for babies and toddlers, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “The Age One Dental Visit” and “Dentistry & Oral Health for Children.”

By ason A. Dunville, D.D.S, P.C. General Dentistry
August 25, 2014
Category: Oral Health
Tags: tooth decay  
WarningSugarCanBeDangeroustoyourHealth

Look around and you’ll find warning labels on lots of household items: alcoholic beverages, drain uncloggers, pesticides and pool toys (not to mention cigarettes and chainsaws). Now, California lawmakers are proposing to add one more item to the list: sugary soft drinks. A bill to that effect recently passed the California state Senate, and is presently headed to the Assembly. If approved by both houses and signed by the governor, it would require sugary beverages to carry a warning label.

The proposed label would read: “STATE OF CALIFORNIA SAFETY WARNING: Drinking beverages with added sugar(s) contributes to obesity, diabetes, and tooth decay.” It would appear on drink packaging and vending machines. While some may feel it’s an infringement on personal choice, recent polling seems to show that the tide of public opinion may have turned toward recognizing the potential health dangers of sugary drinks.

How real are those dangers? The medical groups sponsoring the bill (including the California Medical Association) point to numerous scientific studies showing, among other things, that:

  • Drinking one soda per day increases an adult’s likelihood of being overweight by 27 percent — and for a child, the likelihood is doubled!
  • Drinking one or two sodas per day increases the risk of developing type II diabetes by 26 percent.
  • People who drink two to three sodas per day are 2.75 times more likely to have a heart attack.
  • Drinking sugary beverages daily for only two weeks increases LDL (“bad”) cholesterol and triglyceride levels by 20 percent; over a longer period, it has even worse effects.
  • Children who consume sugary beverages are much more likely to develop tooth decay.

No matter where you stand on the debate over warning labels, you should understand the potential dangers of consuming foods and beverages with added sugar. For years, dentists have been cautioning people to limit their intake of sugary treats, including sodas and other sweets. Initially, our warnings came from the standpoint of oral health. Now, we have evidence that many other health problems have the same cause. We want to share this information with you because we’re concerned about your overall health — not just your oral health. You can learn more by reading the Dear Doctor magazine article “Think Before You Drink.”