My Blog
By Clarke Street Family Dental
November 28, 2021
Category: Oral Health
Tags: tooth decay  
TheresMoreWeCanDoAboutToothDecayBesidesDrillandFill

Until recently, the standard treatment for tooth decay remained essentially the same for nearly a century: Remove any decayed structure, then prepare and fill the cavity. But that singular protocol has begun to change recently.

Although "drilling and filling" saves teeth, it doesn't fully address the causes of decay. In response, dentists have broadened their approach to the disease—the focus now is on an individual patient's particular set of risk factors for decay and how to reduce those.

At the heart of this new approach is a better understanding of oral bacteria, the true cause of decay. Bacteria produce acid, which can erode tooth enamel and create a gateway into the tooth for decay to advance. We therefore want to lower those risk factors that may lead to bacterial growth and elevated acidity.

One of our major objectives in this newer approach is to reduce plaque, a thin film of food particles used by bacteria for food and habitation. Removing plaque, principally through better oral hygiene, in turn reduces decay-causing bacteria.

Plaque isn't the only mechanism for bacterial growth and acidity. Appliances like dentures or retainers accumulate bacteria if not regularly cleaned. Reduced saliva flow, often due to certain medications or smoking, limits this fluid's ability to buffer acid and acid reflux or acidic beverages like sodas, sports or energy drinks can disrupt the mouth's normal pH and increase the risk for enamel erosion.

Our aim, then, is to develop a long-term strategy based on the patient's individual set of oral disease risk factors. To determine those, we'll need to examine their medical history (including family), current health status and lifestyle habits. From there, we can create a specific plan targeting the identified risk factors for decay.

Some of the elements of such a strategy might include:

  • Daily brushing and flossing, along with regular dental cleanings;
  • Fluoride dental products or treatments to strengthen enamel;
  • Changes in diet and excess snacking, and ceasing from any tobacco use;
  • Cleaning and maintaining appliances, as well as monitoring past dental work.

Improving the mouth environment by limiting the presence of oral bacteria and acid can reduce the occurrence of tooth decay and the extent of treatment that might be needed. It's a more nuanced approach that can improve dental health.

If you would like more information on tooth decay prevention and treatment, 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 Decay: How to Assess Your Risk.”

By Clarke Street Family Dental
November 18, 2021
Category: Oral Health
Tags: oral health  
4ThingsYouCanDoAsanAdultCaregivertoEnsureTheirBestOralHealth

More than 50 million Americans care for an adult neighbor, friend or family member who can't care for themselves. A major part of that care is looking out for their health—including their teeth and gums.

Being a caregiver to someone is a labor of love—but it can be overwhelming. And with oral health especially, it's easy to miss signs of an emerging issue in their mouths that could impact the quality of their lives.

But you can be proactive about your loved one's oral health. In recognition of Family Caregivers Month in November, here are 4 guidelines that can help you ensure their teeth and gums are as healthy as possible.

Make oral hygiene easier for them. Brushing and flossing are basic to a dental disease prevention strategy. But an adult who needs care might have trouble performing these tasks: They may lack the cognitive ability or physical dexterity required. For the latter, larger handled-tooth brushes, floss threaders or water flossers can provide them better maneuverability. With cognitive decline, though, you may have to personally assist them with their hygiene tasks.

Watch for dry mouth. Also known as xerostomia, chronic dry mouth is caused by a lack of adequate saliva needed to fight disease-causing bacteria and to neutralize acid that can erode tooth enamel. For a variety of reasons, older adults are more prone to chronic dry mouth than other age groups. When this occurs, speak with their doctor about their medications (some can cause xerostomia). And, encourage your loved one to drink more water or use products that boost saliva production.

Accompany them to the dentist. Just as you would with other aspects of their health, become an active participant in their dental care. Forging a partnership with their dentist can provide you the information and guidance you need to better manage their daily home care. You can also bring up issues you've noticed with their oral health that can help guide their dentist's treatment.

Monitor their existing dental work. Your loved one may have full or partial dentures, or dental work like crowns or bridges. These existing restorations extend their dental function and protect their oral health from further disease. It's important, then, to have existing dental work checked on a regular basis to ensure its in good shape and functioning properly.

As the old saying goes, "Healthy mouth, healthy body." This is especially true for adults who need ongoing care. Keeping their teeth and gums are as healthy as possible will help them enjoy better health overall.

If you would like more information about oral care for an older adult, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Aging & Dental Health.”

By Clarke Street Family Dental
November 08, 2021
Category: Oral Health
Tags: oral hygiene  
4TipsForImprovingYourOralHygieneTechnique

Although we've advanced leaps and bounds over the years treating dental disease, our strategy for preventing them hasn't changed much. That's because these prevention basics are quite effective—and as the old saying goes, "If it ain't broke, don't fix it."

The core of an effective dental disease prevention strategy is mind-numbingly simple—brush and floss every day. These twin cleaning tasks remove accumulated dental plaque, a thin, bacterial film on tooth surfaces that's the primary oral disease driver.

True, there have been innovations concerning the "tools of the trade," i.e., toothbrushes, toothpastes and flossing devices. But what really makes this prevention strategy work is a consistent daily habit of oral hygiene.

In a way, simply "showing up" for daily oral hygiene goes a long way. But you can go even farther if you perform these tasks with greater proficiency—becoming a hygiene "ninja," of sorts.

Here, then, are 4 tips to improve your brushing and flossing prowess.

Be thorough when you brush. Try to cover all of your tooth surfaces when you brush, being sure to work the bristles into all the nooks and crannies and around the gum lines. A thorough brushing should take about 2 minutes.

Easy does it. Hard scrubbing may work on floors, but not your teeth—aggressive brushing can damage your enamel and gums. Brush gently and let the mild abrasives in your toothpaste do the heavy work of plaque removal.

Don't forget to floss. Although you may not like this "other hygiene task," flossing is necessary to remove plaque between teeth that your brush can't reach. Be sure, then, that you floss at least once a day.

Take the "tongue test." Wondering how well you're doing with your oral hygiene? A quick way to find out is by swiping your tongue across your teeth: If they feel gritty rather than smooth, you may have left some plaque behind.

Be sure to also ask your dentist for additional tips on better brushing and flossing. Improving your technique can help you put even more distance between you and dental disease.

If you would like more information on daily care for teeth and gums, 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 “Daily Oral Hygiene.”

RussellWilsonsFunnyVideoAsideRemovingWisdomTeethisNoLaughingMatter

There are plenty of hilarious videos of groggy patients coming out of wisdom teeth surgery to keep you occupied for hours. While many of these have turned everyday people into viral video stars, every now and then it really is someone famous. Recently, that someone was Seattle Seahawks quarterback Russell Wilson.

The NFL star underwent oral surgery to remove all four of his third molars (aka wisdom teeth). His wife, performer and supermodel, Ciara, caught him on video as he was wheeled to recovery and later uploaded the clip to Instagram. As post-wisdom teeth videos go, Wilson didn't say anything too embarrassing other than, "My lips hurt."

Funny videos aside, though, removing wisdom teeth is a serious matter. Typically, the third molars are the last permanent teeth to erupt, and commonly arrive late onto a jaw already crowded with other teeth. This increases their chances of erupting out of alignment or not erupting at all, remaining completely or partially submerged within the gums.

This latter condition, impaction, can put pressure on the roots of adjacent teeth, can cause abnormal tooth movement resulting in a poor bite, or can increase the risk of dental disease. For that reason, it has been a common practice to remove wisdom teeth preemptively, even if they aren't showing any obvious signs of disease.

In recent years, though, dentists have become increasingly nuanced in making that decision. Many will now leave wisdom teeth be if they have erupted fully and are in proper alignment, and they don't appear to be diseased or causing problems for other teeth.

The best way to make the right decision is to closely monitor the development of wisdom teeth throughout childhood and adolescence. If signs of any problems begin to emerge, it may become prudent to remove them, usually between the ages of 16 and 25. Because of their location and root system, wisdom teeth are usually removed by an oral surgeon through one of the most common surgeries performed each year.

This underscores the need for children to see a dentist regularly, beginning no later than their first birthday. It's also a good idea for a child to undergo an orthodontic evaluation around age 6. Both of these types of exams can prove helpful in deciding on what to do about the wisdom teeth, depending on the individual case.

After careful monitoring throughout childhood and adolescence, the best decision might be to remove them.  If so, take it from Russell Wilson: It's worth becoming the star of a funny video to protect both current and future dental health.

If you would like more information about wisdom teeth removal, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Wisdom Teeth.”

By Clarke Street Family Dental
October 19, 2021
Category: Oral Health
Tags: oral hygiene  
FollowTheseTipsforCleanerandHealthierTeethandGums

It gradually dawned on our ancient ancestors that a healthy mouth was usually a clean one. To achieve that blessed oral state, they chewed on tree bark or employed primitive toothbrushes like bamboo sticks with hog hair bristles attached to their ends.

Today, we have better tools and methods for achieving a cleaner and healthier mouth. But these advancements do little good if a) we don't use them on a daily basis, and b) we're not proficient with them.

October is National Dental Hygiene Month, highlighting once again the importance of these two points for keeping teeth and gums as clean as possible. First and foremost, oral hygiene should never take a holiday—even a day or two of accumulated plaque, the bacterial biofilm that builds up on teeth surfaces, can trigger the occurrence of gum disease or tooth decay.

But while "showing up" every day to brush and floss goes a long way toward a healthy mouth, you also need to perform these tasks well. An inadequate job can leave residual plaque that could still cause disease.

Here are a few handy tips to improve your oral hygiene routine.

Do a thorough job. Plaque can be stubborn, clinging to the nooks and crannies of teeth and around the gum lines—and it can easily be missed while brushing. Be sure, then, to thoroughly work your toothbrush's bristles into all dental surfaces. Your efforts should take about 2 minutes to complete.

Don't be too aggressive. You may need "elbow grease" to clean your floors, but not your teeth. Too much pressure applied while brushing can damage enamel and gums. Instead, go easy when you brush and let the toothpaste's mild abrasives do the heavy lifting.

Use flossing tools. Many people avoid flossing because they find it too hard or cumbersome with traditional flossing thread. If this is a problem for you, consider using a flossing tool—a floss threader or pick, or even a water flosser appliance that uses pressurized water to break up and remove plaque.

Take the "tongue test." Wondering how well you're doing with your hygiene efforts? One quick way to find out is the "tongue test": Simply swipe your tongue across your teeth just after brushing and flossing. If they feel gritty rather than smooth, you may have left some plaque behind.

Besides your personal hygiene efforts, be sure you also have your teeth cleaned regularly by a dental hygienist to rid your mouth of any residual plaque and tartar (hardened plaque)—these can also cause dental disease. Professional care coupled with proficient daily hygiene will help ensure you have cleaner mouth and better dental health.

If you would like more information on the best ways to incorporate oral hygiene into your life, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Daily Oral Hygiene.”





This website includes materials that are protected by copyright, or other proprietary rights. Transmission or reproduction of protected items beyond that allowed by fair use, as defined in the copyright laws, requires the written permission of the copyright owners.