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Posts for: November, 2021

By Kevin L. Ragsdale, D.D.S.
November 22, 2021
Category: Dental Procedures
WhatYouCanDoToReduceGumProblemsWhileWearingBraces

Wearing braces can ultimately give you a healthier and more attractive smile. In the short-term, though, your gums in particular may be in for a rough ride.

While we're all susceptible to gum disease, braces wearers are more likely to encounter it. This stems from two related factors: the difficulty braces pose to oral hygiene; and the potential irritation of soft tissues by the braces themselves.

The main cause for any form of gum disease is dental plaque, a thin bacterial film that accumulates on teeth. Removing plaque through brushing and flossing greatly reduces the risk of any dental disease. But braces wires and brackets make it difficult to brush and floss—as a result, some plaque deposits may escape cleaning, which makes a gum infection more likely.

To exacerbate this, braces hardware can irritate the gums and cause swelling and tissue overgrowth, also known as hyperplasia. The one-two punch of ineffective hygiene with hyperplasia are why braces wearers have a higher incidence of gum problems compared to the general population.

To guard against this, patients with braces need to be extra vigilant about keeping their teeth and gums clean of plaque. It may be helpful in this regard to use specialized tools like interproximal brushes with narrower bristle heads that are easier to maneuver around braces.

And rather than using traditional flossing thread, orthodontic patients may find it easier and more effective to use pre-loaded flossing picks or an entirely different method called oral irrigation. The latter involves a handheld wand that directs a stream of pulsating water between teeth to loosen and flush away plaque.

It's also important for patients to see their dentist as soon as possible for any gum swelling, bleeding or pain. The dentist can determine if it relates to gum disease, hyperplasia or a combination of both, and recommend treatment. In extreme cases, it may be necessary to remove the braces until the gums heal, so catching and treating any gum problem early is a priority.

Regardless of the risk for gum disease, orthodontic treatment is still well worth the investment in your health and appearance. Practicing effective oral hygiene and keeping a watchful eye on your gums will help further lower that risk.

If you would like more information on oral care during orthodontic 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 “Gum Swelling During Orthodontics.”


By Kevin L. Ragsdale, D.D.S.
November 12, 2021
Category: Oral Health
HeresWhyStartingYourChildsDentalVisitsbyAge1IsaSmartIdea

As parents, we want to do everything possible to help our kids stay healthy—and that includes their teeth. And just like other aspects of their health, it's better not to go at dental care alone. That's why we recommend beginning your child's regular dental visits no later than their first birthday.

You may think that's a bit premature, given the few teeth a child may have when they're a year old. But there are solid reasons why early childhood dental visits are a smart move, especially if you're playing the long game for their future dental health and development.

Minimizes damaging tooth decay. If a child loses just one primary tooth to decay, it could have an adverse, cascading effect on their developing bite. Dental visits begun sooner rather than later are more likely to catch and treat tooth decay, as well as provide other preventive measures that can ensure primary teeth aren't lost prematurely.

Provides you a partner for your child's dental care. A child's dental development and health depend on what you do in the home—daily oral hygiene, monitoring for signs of disease and avoiding habits that promote tooth decay. Regular dental visits help support the home front by providing you helpful insight and advice for supporting your child's dental health.

Identifies bite problems early. Although they usually develop gradually, there are often early signs of an emerging bite problem. Pediatric dentists especially are trained to notice early signs of an abnormal bite and refer you to an orthodontist for interventional treatment.

Reduces your child's dental visit anxiety. The unfamiliarity and clinical nature of a dental office can make a child susceptible to anxiety that could follow them into adulthood. Early childhood dental visits help normalize the dentist's office for your child, reduce anxiety and make it more likely they'll continue seeing the dentist later in life.

Life can be hectic with an infant in the home. But getting into the routine of regular dental visits at an early age is a worthwhile investment in healthier teeth and gums—now and in the future.

If you would like more information on good dental care practices for your child, 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 “Age One Dental Visit.”


SupermodelAshleyGrahamsUnpleasantDentalEncounterWithaFrozenCookie

Ashley Graham has a beautiful and valuable smile—an important asset to her bustling career as a plus-size model and television host. But she recently revealed on Instagram a “confrontation” between one of her teeth and a frozen oatmeal cookie. The cookie won.

Holding her hand over her mouth during the video until the last moment, Graham explained how she sneaked a cookie from her mom's freezer and took a bite of the frozen treat. Taking her hand from her mouth, she revealed her broken tooth.

Okay, maybe it wasn't an actual tooth that was broken: the denticle in question appeared to have been previously altered to accommodate a porcelain veneer or crown. But whatever was once there wasn't there anymore.

Although her smile was restored without too much fuss, Graham's experience is still a cautionary tale for anyone with dental work (and kudos to her for being a good sport and sharing it). Although dental work in general is quite durable, it is not immune to damage. Biting down on something hard, even as delicious as one of mom's frozen oatmeal cookies, could run you the risk of popping off a veneer or loosening a crown.

To paraphrase an old saying: Take care of your dental work, and it will take care of you. Don't use your teeth in ways that put your dental work at risk, tempting as it may be given your mouth's mechanical capabilities.

¬†Even so, it's unwise—both for dental work and for natural teeth—to use your teeth and jaws for tasks like cracking nuts or prying open containers. You should also avoid biting into foods or substances with hard textures like ice or a rock-hard cookie from the freezer, especially if you have veneers or other cosmetic improvements.

It's equally important to clean your mouth daily, and undergo professional cleanings at least twice a year. That might not seem so important at first since disease-causing organisms won't infect your dental work's nonliving materials. But infection can wreak havoc on natural tissues like gums, remaining teeth or underlying bone that together often support dental enhancements. Losing that support could lead to losing your dental work.

And it's always a good idea to have dental work, particularly dentures, checked regularly. Conditions in the mouth can change, sometimes without you noticing them, so periodic examinations by a trained dental provider could prevent or treat a problem before it adversely affects your dental work.

We're glad Ashley Graham's trademark smile wasn't permanently harmed by that frozen cookie, and yours probably wouldn't be either in a similar situation. But don't take any chances, and follow these common sense tips for protecting your dental work.

If you would like more information on care and maintenance of cosmetic dental work, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Porcelain Veneers: Strength & Beauty as Never Before” and “Dental Implant Maintenance.”




Kevin L. Ragsdale, D.D.S.

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