Sealants? Why not?!

smiling patientIf someone told you if you painted sealer on your home deck you could increase the deck life by 80%, would you do it? That’s basically the same mentality with dental sealants. Dental Sealants have been around for many years and quite honestly provide a service that is paramount to the longevity and avoidance of cavities.

What is a dental sealant?

First maybe we should explain the anatomy of the tooth. As you may have noticed when looking at your teeth in a mirror, you can see grooves throughout your tooth. These fissures or grooves allow for us to break down food more efficiently. Because these grooves and fissures are so profound, it is easy to get microscopic portions of food trapped in these grooves, and if not brushed out on a daily basis, the acid produced from carbohydrates sits in these grooves and eventually eats away at the enamel thus causing decay.

So, why a sealant?

sealantsHere’s why and what a sealant is and does: A sealant is a liquid clear plastic filling material similar to a composite (tooth colored filling). When cured with a high intensity UV light, the material hardens in the grooves. There are a couple basic steps that are involved when placing a sealant. The tooth must be cleaned with a pumice material, then washed off, and then an acid etch is placed for 20 seconds to assist with drying and cleaning the tooth even further and prepares for the bonding stage of the procedure. Bonding material is lightly placed on the tooth and then light cured. After curing, the sealant material is placed in the grooves and also light cured until hard. This thin layer of composite will help your teeth from getting decay. However, this doesn’t mean you will not brush your teeth anymore, because brushing is still preventive measure that needs be taken so sugars do not sit on the areas of your teeth the sealants do not cover. Keep in mind as well, sealants do not last forever! We’ve seen some sealants last up to 5 years but the real number is between 1-5 years given there is no preparation to the tooth to mechanically retain a sealant, other than the bonding process.

Honestly, everyone can benefit from sealants; they are not limited to children but adults also have sealants placed. If you have teeth that have never had any fillings, even as an adult it could be beneficial to have sealants. Any extra protection helps! Even though Sealants can last up to 5 years there is no guarantee with wear and tear over time how long sealants can effectively last, but even if they lasted just a couple of years, that is two years of effective protection and cavity fighting power!

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Be clean before you get cleaned!

tooth and bacteriaDid you know that your toothbrush is a vessel for bacteria? And if it is not appropriately kept, you may be amassing an assortment of germs and bacteria and transferring these to your oral cavity when you brush your teeth? The ADA recently came out with a study along with the University of Alabama that has shown and proven the importance of proper storage of your toothbrush and the effects of bacteria that grow on your toothbrush.

It has been said for years to make sure you always store your toothbrush 8 feet away from your toilet, because fecal fumes and bacteria can shower your toothbrush and expose you to intestinal bacteria, coliforms, yeasts and Staphylococci (Staph Infection). Yes, that’s right! According to Maria L. Geisinger, DDS, assistant professor of periodontology in the School of Dentistry at the University of Alabama Birmingham, “Appropriate storage and care of your toothbrush are important to achieving personal oral hygiene and optimally effective plaque removal. “

Our mouth has hundreds of varieties of microorganisms which are capable of transporting to your toothbrush when you are brushing your teeth. As we all know, mostly all of us store our toothbrushes in the bathroom, which can be considered the cleanest room in your home but can also expose your toothbrush and your oral cavity to a slurry of gastrointestinal microorganisms that can be transmitted by “fecal-oral” path. According to Dr. Geisinger “The number of microorganisms can vary wildly from undetectable to 1 million colony-forming units.” Proper care of your toothbrush is the essential to your health overall.

So the question remains, what is the correct way and method to store your toothbrush in order to avoid transference of these bacteria and microorganisms?

What should I do if I am sick? Should I continue to use the same toothbrush?

It has been recommended by the ADA to throw away your toothbrush and replace it after sickness. It’s not worth the risk; no one likes to be sick let alone repeatedly sick! Toss it!

strong>When should I replace my toothbrush?

We recommend you replace your toothbrush every 3 months. Not only do your toothbrush bristles breakdown over time and become less effective, they can also accumulate harmful bacteria that can not only affect you but if stored close to another toothbrush can cross contaminate another toothbrush as well.

We recommend the following to not only procure your oral health but to also offset any accumulation of bacteria in your mouth.

  1. Wash your hands (thoroughly and often)
  2. Regular Cleanings. Don’t miss your routine dental cleaning, exam and x-rays. Make sure to pre-appoint for your 6, 4 or 3 month cleaning so you won’t ever miss a cleaning. By committing to having your teeth cleaned regularly you can decrease the bacterial burden that accrues in your mouth in a very short extent of time. By having your teeth cleaned and examined we can not only catch cavities in their early stages, but we can also eradicate the bacteria that accumulate and are non-removable by just your toothbrush.
  3. Antimicrobial Mouth Rinse. Use Antimicrobial mouth rinse before you brush your teeth. This assists you in decreasing the bacterial burden in your mouth that you can obtain from your toothbrush (if not properly stored).
  4. Don’t share your toothbrush. Ever.
  5. Floss regularly. By flossing your teeth you are removing bacteria from between the teeth, where your toothbrush is incapable of reaching. We recommend you floss 2-3 times a day, but even once is better than nothing. Create a habit, start one time a day and make it part of your regular routine just like brushing your teeth!

Procuring your oral health is paramount! We only get one set of adult teeth, so take care and be wise with your decisions. Get your teeth cleaned regularly, brush and floss daily, wash your hands and use commons sense. Don’t share your toothbrush, ever! By all means store your toothbrush in a cool dry place, preferably upside down in a cup to air dry and make sure to clean out the cup daily. The location where you store your toothbrush, can also accumulate harmful bacteria, so take care and be smart but be consistent!

Dental Implants – The Future of Dentistry

Have you ever wondered what a Dental Implant is and what is its purpose? A Dental Implant is a long term alternative to a Dental Bridge. Dr. Yarbrough has been placing Dental Implants for over 10 years. He completed an Implantology Preceptorship at University of Texas San Antonio Health and Science and has worked with several different implant systems and procedures. The purpose of a Dental Implant is to replace a missing tooth, increase chewing power and aesthetically improve one’s smile. Depending on whether or not a patient is a candidate for a dental implant, implants are a great alternative to a dental bridge. With proper maintenance and regular examinations and cleaning, dental implants can have a success rate up to 97%.

What is a Dental Implant?

Implant placementA Dental Implant is a titanium fixture that is placed in the jaw bone to act and resemble the root of a tooth. After several months of Osseo Integration, the implant is used as an anchor to hold a fixed tooth- like restoration called a crown or cap.

Dental Implant vs. Dental Bridge

Over the years, Dental Implants have slowly replaced the placement of Dental Bridges. A dental bridge conceptually is the same as a Dental Implant because it is used to replace a missing tooth. The biggest difference is a dental bridge involves 2 other teeth and in most cases, teeth that do not have any issues, which means we have to drill on virgin teeth, teeth that do not necessarily have decay or need a restoration. The Dental Bridge, bridges the gap between the two anchor teeth and the missing tooth. Dental Bridges act as one unit. Disadvantages are: difficulty flossing, having to drill on virgin teeth and lower success rate as almost all Dental Bridges will need to be replaced at some point. The advantage of a dental bridge vs. a Dental Implant is cost, most insurances will cover part of the cost of a dental bridge where as they will more than likely not any of the cost of a Dental Implant.

Implant CrownA Dental Implant achieves the same thing a dental bridge does; it replaces the missing tooth, increases chewing power, and helps maintain opposing teeth’s health and position. The difference between the dental bridge and Dental Implant is the Dental Implant only replaces the missing tooth, there is no drilling on virgin teeth, the success rate is up to 97%, and the procedure is simple and less invasive. The disadvantages to a Dental Implant is cost and it is a less than immediate solution as an implant has to Osseo Integration and heal before it is loaded with the dental restoration (crown). Most insurances do NOT cover the cost of a Dental Implant, however most will cover the cost of the restoration or crown.

How do I choose?

When making a decision about a Dental Implant vs. Dental Bridge consider: longevity vs. short term. It is more than likely you will have to have your dental bridge replaced at some point, which will increase your cost significantly down the road. Whereas Dental Implants rarely have to be replaced, they have a higher success rate and are affixed in the jaw bone, you can floss an implant as if it were a regular tooth, if in fact it does fail, you only replace one tooth as opposed to 3 on a Dental Bridge. When a dental bridge fails you have to replace the entire bridge so from a cost perspective, a Dental Implant is your best solution long term.

Success/Failure Rate

• Dental Implants have a success rate of up to 97%
• Dental Bridges will all fail at some point and will need to be replaced

Home Care and Maintenance

Dental Implants require very little maintenance but to increase your success rate there are things you can do to help maintain the life of an implant.
• Good Home Care (brushing, flossing daily)
• Regular Dental Examinations and Cleanings
• No Smoking

Will I hurt after my Implant is placed?

When a Dental Implant is placed there is a window of healing time that needs to take place in order to ensure the success of your Dental Implant. 4-6 months is appropriate healing time for almost all Dental Implants as it needs to Osseo Integrate (integrate into the jaw bone). Post-operative pain is very minimal; most individuals do not feel any pain after Dental Implant placement.

Does my dental insurance cover dental implants?

Most dental insurances do not cover Dental Implants, however most insurances will partially cover the crown or restoration that is placed on the Dental Implant.

What else are Dental Implants used for?

Not only can a Dental Implant replace missing teeth it can also be used to anchor removable dentures. Basically what this means is a number of Dental Implants are placed in the jaw bone acting as anchors; once they have healed or Osseo Integrated, snaps or buttons are embedded in the denture which then allow the denture to clip/snap into the Dental Implant fixtures. This gives individuals more chewing power with their dentures and also keeps the dentures in place.

All you want for Christmas is an electric toothbrush, right?

toothbrushElectric toothbrushes have been around in the US since the 1960’s. Over time we’ve seen the electric toothbrush evolve from not just an electric toothbrush but also to a sonic toothbrush. We know you hear us hammer on about the importance of brushing and caring for your teeth, and procuring your oral health as a result. And let’s face it, some tooth brushing is better than no tooth-brushing. What if I told you that brushing your teeth with ANY electric toothbrush is almost 100 times more effective than the traditional approach? Yes, it’s true, traditional/manual tooth-brushing allows for approximately only 300 strokes per minute. This might seem like a lot but in the scheme of things and in this day and age of technology, it’s not.

One of the most frequent questions our patients ask is:What toothbrush should I buy and how much should I spend?

Answer: spend what you can afford and honestly any electric toothbrush is better than the traditional approach. However, always make sure you are using a soft toothbrush head and even the cheap $10 Crest electric toothbrushes give you the option of a soft toothbrush head. It is best to avoid using a hard or firm toothbrush head as the results can be quite destructive to your soft tissues. Hard toothbrushes and improper brushing can wear the supporting tissues around the teeth and can over time expose the roots of the teeth which are irreversible and can turn into an unconformable situation.

What’s the difference between a Sonic toothbrush and an Electric toothbrush?

The difference all comes down to rotations per minute. For instance, an Electric toothbrush outputs between 3,000-7,500 rotations per minute whereas a sonic toothbrush outputs between 30,000-40,000 rotations per minutes! Sonic toothbrushes tend to be a little bit more expensive and some people do not like the sound of a sonic toothbrush even though they are the most effective. However, both types of toothbrushes are definitely more beneficial when it comes to preserving your oral health, gum tissues, teeth and removal of plaque and bacteria in the oral cavity.

Benefits of an electric/sonic toothbrush:

  • Most powered toothbrushes have 2 minute timers built in for optimal brushing
  • Long Term Results
  • More Efficient Brushing
  • Faster Brushing
  • Proficient Stain/Plaque Removal

Thought You Knew Everything About Brushing Your Teeth? Think Again!

Recently, we received a question from a patient, they asked:

“Does it promote cavities (or wear enamel) to eat acidic food like tomatoes and then brush your teeth shortly after?”

SHORT ANSWER: YES!!!

tooth-imageEXPLANATION: This is an interesting question that I feel like will benefit the vast majority of readers that come across it. If you ask most people when the best time to brush their teeth was, the answer you would hear over and over would be “after meals and right before bed.” WRONG. Another common answer would be “after breakfast and before bed”. Again I would argue, you guessed it, WRONG. I know this is hard to believe, because it flies in the face of what the majority of people have either been taught or assumed their entire lives. So when is the RIGHT time to brush your teeth? BEFORE MEALS!! I know this seems backwards, but that is because people either have no understanding or don’t fully grasp two main concepts: A) What causes cavities and even more surprising B) why do we brush in the first place? By answering these two questions first, we’ll be able to better wrap our heads around the logic.

WHAT CAUSES CAVITIES?
Cavities are essentially caused by ACID destruction of tooth structure. Two primary factors contribute to this.
1) Acidic foods and beverages can weaken enamel and dentin. Things like soda and sweet tea are a double whammy since they are both acidic and also feed the bacteria to produce more acid.
2) Certain bacteria, specifically Strep mutans, digest sucrose (sugar) and other fermentable carbohydrates producing acid as a byproduct.

WHY DO WE BRUSH?
Common sense tells us that we should brush to get the food off of our teeth, right? Wrong. We brush our teeth specifically to remove plaque and bacteria from our teeth. Food and debris removal is just an added bonus so we don’t get made fun of for having that little piece of green leafy something stuck on our front tooth…you know what I’m talking about.

SO…….If we brush AFTER meals, our teeth have plaque/bacteria on them when we eat or drink. This means that our teeth are being attacked not only by the natural acidity of what we’re ingesting, but also from the acid produced by the bacteria. It only takes 5 minutes for these bacteria to start creating acid. In contrast, it takes 30 minutes for your body to regulate the acidity caused by these processes back to a neutral environment. By the time you brush your teeth, it’s too late. In addition, if you brush your teeth following this acid exposure (especially with abrasive toothpaste and/or a hard toothbrush), the tooth structure is going to be more susceptible to mechanical abrasion or erosion. If we brush BEFORE meals, the plaque and bacteria are decreased, limiting the amount of acid that can potentially harm our teeth.

SUMMARY: It’s best to brush first thing in the morning BEFORE breakfast and again after work, but BEFORE dinner. It’s still good to brush before bed, but just make sure it has been at least 30 minutes since you last ate or had your favorite carbonated beverage!

Read More At: http://dryarbrough.com under the FAQ tab!