Supernumerary Teeth

MOST PEOPLE WILL develop a total of twenty baby teeth that are gradually replaced by a total of thirty-two adult teeth. Sometimes those teeth don’t all appear, a condition called hypodontia. In even rarer cases, all the normal teeth will be present, plus at least one extra! These extra teeth are supernumerary teeth, and the condition is called hyperdontia.

Why Do Extra Teeth Form?
There are two main competing theories about what causes supernumerary teeth. One possibility is that an individual tooth bud might divide abnormally and result in two teeth instead of one. Another is that extra teeth could result from hyperactivity in the dental lamina (the tissue in our jaws that forms tooth buds). Hereditymight also play a role.

Supernumerary teeth can come in various forms. They might be conical (peg-shaped), tuberculate (with multiple cusps), supplemental (duplicates of normal teeth), or odontoma (a mass of dental tissue that doesn’t quite form a tooth).

Who’s Most Likely To Have Them?
Hyperdontia affects far more men than it does women. One study done in southern China showed that only 2.7 percent of children had supernumerary teeth, with a ratio of 6.5 affected boys for every 1 affected girl. They’re also more common in permanent teeth than baby teeth. Several developmental conditions increase the likelihood of having at least one extra tooth, such as cleft lip or palate and Gardner syndrome, but there’s still a lot of debate about what actually causes hyperdontia.

How Do These Teeth Affect Oral Health?
The most obvious effect of a supernumerary tooth is on the appearance of the person’s smile, but not all of the concerns are cosmetic. They often remain impacted in the gum line and can cause crowding and alignment problems for the normal series of teeth, sometimes making it harder for them to erupt. In serious cases, they can cause root resorption in the surrounding teeth.

Treatment For Hyperdontia
Sometimes, an extra tooth won’t cause any problems for the rest of the teeth, in which case it can remain where it is. If it is causing problems, however, the typical treatment is simply to extract the extra tooth or teeth so that the normal teeth will have enough room.

Let Us Take Care Of You
If you or someone you know is experiencing oral health problems because of supernumerary teeth, give us a call! We’ll be happy to take a look and determine whether or not extraction is necessary. In the meantime, keep on brushing and flossing to keep your teeth healthy, no matter how many you have!

Remember to smile! It’s contagious!

Don’t Forget To Clean That Tongue!

YOU HEAR ALL THE TIME about the importance of brushing your teeth for two minutes twice a day, and you hear almost as often about the importance of daily flossing. What you probably don’t hear a lot is that, if we want to maintain good oral health and hygiene, it’s also important for us to clean our tongues.

Why Should We Clean Our Tongues?
The tongue is one of the most bacteria-covered spots in our bodies. A tongue doesn’t just have taste buds on it, it also has crevices, elevations, and all sorts of tiny structures that bacteria will hide between unless physically removed. Letting all this bacteria sit and multiply can cause bad breath or halitosis, as well as tooth decay on the inner surfaces of the teeth. This is why it’s so important to regularly clean our tongues — so we can get rid of all the unwanted bacterial buildup!

Another benefit to removing the bacteria from our tongues is that it clears the way for our tastebuds to do their jobs. A bacteria-free tongue can taste food much more effectively, and it makes the first stage of the digestive process more effective too, which means improving our digestive health!

The Right Tools For Tongue-Cleaning
You might think mouthwash or rinsing with water is enough to clean your tongue, but that bacteria is stubborn, and simply swishing liquid in your mouth won’t clean out all those crevices on the tongue’s surface. If you really want to clean out that biofilm of bacteria, the key is to scrape it, preferably with a tongue-scraper. You can find these at the store near the toothbrushes, and you should use one every time you brush your teeth.

A toothbrush can do a decent job of cleaning your tongue if you don’t have a special tongue-scraper, and some toothbrushes even have bumps for tongue-scrubbing built in. After you brush your teeth but before you rinse and spit, take that brush or scraper to your tongue. Start at the back and work your way forward, and make sure to get as much of the surface as you can. It’s quick and easy and will make a major difference!

Tongue Scrapers Go Way Back
How long do you think tongue scrapers have been around? A few decades? Try since ancient times! Tongue-scraping is part of the daily hygiene regimen recommended by Ayurveda, the traditional medicine of India. Over the centuries, tongue scrapers in different cultures have been made of many different materials, including metals like copper, silver, gold, tin, or brass, as well as ivory, mother-of-pearl, whalebone, and tortoiseshell. These days, they’re most often made of plastic or stainless steel.

Need More Tips On Tongue-Cleaning?
If you have questions about cleaning your tongue or finding the right tongue-scraper, just ask! We are more than happy to help you add this important step to your dental hygiene routine. And don’t forget to keep brushing and flossing and scheduling those regular dental appointments!

Way to be the best patients!

Five Types Of Dental Fillings

IT’S NEVER A GREAT feeling when the dentist tells you that you have a cavity, especially when you’ve been diligently brushing and flossing to keep your teeth healthy. The next step after a cavity is discovered is typically a dental filling. Fillings come in several different materials that have their own advantages and disadvantages, so let’s take a look!

1. The Classic: Amalgam Fillings
Amalgam fillings are what you might think of as “silver” dental fillings, though they’re actually composed of a mixture of tin, copper, silver, and mercury. They have been used for over 150 years! The reason dentists have been using them for so long is that they are strong and long-lasting, and they are also the least expensive option. However, they’re very noticeable and tend to darken over time, so if you want something that blends in, amalgam fillings probably aren’t the ones you want.

2. Low Profile: Composite Fillings
Composite dental fillings are made of acrylic resin and powdered glass. Unlike amalgam fillings, they can be colored to match your teeth, which is part of what makes them so popular. They do wear out faster, though, and aren’t always the best choice for teeth that take the greatest chewing pressure.

3. Putting On The Ritz: Gold Fillings
Gold fillings aren’t made of pure gold, just like amalgam fillings aren’t made of pure silver, but they are some of the most durable fillings available, capable of lasting more than two decades. They can’t corrode like amalgam fillings, and they’re very strong. Unfortunately, they are also very expensive, costing between six and ten times more than amalgam fillings.

4. Delicate Yet Realistic: Ceramic Fillings
Ceramic fillings are mostly made of porcelain. This makes them another low-profile option, and not only are they tooth-colored, they’re also stain-resistant! The drawbacks of ceramic fillings are that they are more brittle than composite fillings, and they are also nearly as expensive as gold.

5. Down To The Roots: Glass Ionomer Fillings
The final type of filling is resin or glass ionomer fillings. These are made of acrylic and fluoroaluminosilicate, a component of glass. They are typically used as cement for inlay fillings, for fillings in the front teeth, and for fillings when the decay extends into the root of the tooth. They are also used on baby teeth. Weaker than composite resin, glass ionomer fillings might only last around five years, and they don’t match the color of teeth as closely.

No matter what filling you get, your tooth will still need plenty of love and care!

Bring Your Questions To The Experts!
Still have questions about the different types of fillings? Just ask us! You should also come see us if you’ve noticed any problems with existing fillings, such as damage or a separation between the filling and the tooth. A loose or damaged filling could lead to worse complications for the tooth, so don’t wait to schedule your appointment!

We love our patients!

Night Guards For Teeth Grinding

HAVE YOU EVER woken up with a sore jaw, tooth pain, or a headache? These are common symptoms of sleep bruxism, or teeth-grinding. The American Dental Association estimates that 10-15 percent of adults struggle with sleep bruxism, and children can experience it too. Because it happens during sleep, it can be difficult to control or stop. One way to protect the teeth from the damaging effects of grinding is to wear a night guard.
 

What Night Guards Are

Night guards come in hard, medium, and soft varieties, with the soft ones resembling mouth guards for sports and hard ones resembling clear plastic retainers, though they’re much sturdier and you usually only need one for the upper teeth. Wearing a night guard provides a cushioning effect so that the upper and lower teeth can’t wear away at each other. It will protect your teeth from external damage caused by grinding, such as chipping and erosion, but as long as the grinding still happens, other symptoms like jaw pain may not change.

What Night Guards Are Not

While hard night guards might look like retainers, they are not necessarily interchangeable. You should never use a normal retainer as a night guard, because it doesn’t have the necessary thickness to withstand the pressure. You should also be careful about using night guards as retainers. If you have a hard night guard that is properly fitted to your teeth, it can serve as a retainer, but a soft night guard won’t prevent your teeth from shifting.

Where To Get Yours

You can either buy your night guard over-the-counter or get a custom night guard from the dentist. A typical over-the-counter night guard requires you to shape it to your teeth by boiling it, allowing it a moment to cool, and then gently biting into it. If you obtain your night guard through your dentist, the added comfort and quality will be worth the greater price. These night guards are made in a laboratory from an impression of your teeth taken by dental professionals.

Cleaning And Storing Your Night Guard

If you don’t want to end up with a night guard that is smelly and gross, it’s important to clean and store it correctly. Always rinse your night guard after you take it out, then brush it with your toothbrush (but no toothpaste). In order to prevent bacterial growth, a night guard should never be stored wet, so give it time to air dry before placing it in its case, and it might be better to leave it on the nightstand instead of in the bathroom.

Ask Us About Your Night Guard

If you think you might have bruxism, don’t wait; come talk to us about it. We can get you your perfect night guard, and we can also help you with other methods of reducing the symptoms, such as discussing ways to reduce stress levels and recommending an orthodontist if misaligned teeth are contributing to the grinding.

Thank you for trusting us to take care of your dental needs!

The Different Types Of Teeth

YOU’VE PROBABLY NOTICED that your teeth aren’t all the same shape, but do you know the reason? Humans have four different types of teeth, and they each serve specific purposes, both in helping us chew and in giving us our beautiful smiles!
 

Types Of Teeth And What They Do

The reason we need so many different types of teeth is that we are omnivores, which means we eat both plants and meat. We need teeth that can handle all of our favorite foods!

Incisors

At the very front of the mouth, the top four and bottom four teeth are the incisors. The middle ones are central incisors, while the ones on the sides are lateral incisors. Incisors are built for slicing. When we take a bite out of an apple, for instance, our incisors shear off a tasty chunk of fruit, but they aren’t the teeth we actually chew with.

Canines

Next to the lateral incisors are our canines, which are the sharpest and longest teeth in our mouths. This enables them to grip and tear food, particularly meat. Unlike incisors, we only have four canines. Their long roots and their position at the “corners” of our dental arches also make them some of the most important teeth in our smiles, because they provide much of the shape. Another name for canine teeth is eyeteeth. That might seem weird, but it’s because these teeth are directly beneath our eyes!

Premolars

After the canines, we have our premolars. You can think of premolars as hybrids between canines and molars. They have sharp outer edges, but they also have flat chewing surfaces, which means they can help the canines with tearing food and the molars with grinding it up. We don’t have any premolars as children; our eight adult premolars are actually the teeth that replace our baby molars!

Molars

Finally, we have the molars. Molars are our biggest teeth, with multiple roots and large, flat chewing surfaces. We have eight baby molars and up to twelve adult molars, depending on whether or not we have and keep our wisdom teeth. Molars are the teeth that do most of the chewing, because those flat surfaces are perfect for grinding and crushing food until it’s ready to be swallowed.

What About Herbivores And Carnivores?

Our teeth are the way they are because we’re omnivores. Herbivores (plant-eaters) and carnivores (meat-eaters) have very different teeth. Herbivores typically have chisel-like incisors and large, flat premolars and molars for chewing plants, while their canines are small, if they have them at all. Carnivores tend to have much bigger canine teeth than we do, but their incisors are much smaller, and while they still have premolars and molars, they are often serrated like knives, built for shredding rather than grinding.

Biannual Visits

What do all four types of your teeth have in common? They need regular attention from a dentist! Keep bringing those incisors, canines, premolars, and molars to see us every six months so that we can make sure they’re all staying healthy. In the meantime, you can do your part by remembering to brush twice a day, floss daily, and cut back on sugary treats!

We look forward to seeing you again!

The Anatomy Of A Tooth

TEETH ARE A LOT more complicated than they might seem from the outside, which is why we’re using this post to provide a brief dental anatomy lesson. Now let’s dive right into the structure of a tooth! The easiest way to do this will be to divide that anatomy into two main categories: the crown and the root.
 

Something To Chew On: The Crown

The crown of a tooth is the part that is above the gumline. It consists of three layers. The outermost layer is the enamel, which is the hardest substance in the human body. It needs to be so that we can chew our food! However, enamel isn’t made of actual cells, which means it can’t repair itself if it wears down. Good brushing and flossing habits, regular dental visits, and avoiding sugary or acidic food and drink will help preserve that enamel for life.

Beneath the enamel is dentin, which is a lot like bone, consisting of living tissue that is calcified. It contains microscopic tubules that run from the pulp at the core of the tooth to the outer enamel. That’s why we can feel temperature in our teeth! If the enamel has worn down, that normal sensation turns into painful tooth sensitivity.

At the very core of each tooth is the dental pulp chamber. The pulp includes the blood vessels that keep the tooth alive and nerves that provide sensation — including pain receptors that let us know when something is wrong. If tooth decay becomes severe enough to reach the dental pulp, you will definitely feel it, and that’s a great time to schedule a dental appointment, if not sooner!

Beneath The Surface: The Root

The root is the long part of the tooth that connects to the jaw bone. Tiny periodontal ligaments hold each tooth in place, and gum tissue provides extra support. The roots are hollow, with canals that link the nerves and blood vessels in the dental pulp to the nervous and cardiovascular systems.

The main difference in the structure of the root compared to the crown is that the root lacks enamel. Instead, it is protected by a thin, hard layer of cementum. As long as the gum tissue is healthy and properly covers the root, the lack of enamel there isn’t a problem, but this is why exposed roots from gum recession are more susceptible to decay.

Let’s Protect Those Teeth!

Every part of a tooth’s anatomy is important to it staying strong and healthy so that you can use it to chew your food and dazzle everyone around you with your smile, and that’s why it’s so important to keep up a strong dental hygiene regimen. Keep on brushing for two minutes twice a day and flossing daily, and make sure to keep scheduling those dental appointments every six months!

Thank you for choosing us to play a role in keeping your teeth healthy!

Preventing Baby Bottle Tooth Decay

SOMETIMES, BEDTIME CAN BE a real struggle, and a bottle might seem like an easy solution. Unfortunately, putting a baby to bed with a bottle of milk or juice does more harm than good, because the easier bedtime comes at the expense of the baby’s oral health. Keeping those baby teeth healthy is crucial so that the adult teeth will have a better chance of coming in straight.
 

What Is Bottle Rot?

Prolonged exposure to the sugars in milk or juice erodes the enamel on a baby or toddler’s teeth, particularly the central incisors. If you’ve ever heard of the phrase “baby bottle tooth decay” or the more sinister-sounding “bottle rot,” this is what it refers to, and it’s definitely something to avoid. It can also happen with sippy cups and even breastfeeding! If a baby’s gums and teeth aren’t properly cleaned after feeding, the sugary milk residue left in their mouth increases the risk of tooth decay.

Stopping Bottle Rot Before It Starts

Preventing bottle rot is simple: only use a bottle for the baby’s mealtimes, not to soothe them or help them fall asleep when they aren’t hungry. A pacifier will be much healthier for their teeth. After the baby reaches six months old, it’s safe to use a bottle of water, or a sippy cup of water for toddlers. Not only will it not cause bottle rot, but it won’t leave stains if it spills!

After every meal, make sure to clean out milk residue. Once baby teeth start appearing, it’s time to start brushing them. Use a soft toothbrush and a dab of toothpaste no larger than a grain of rice. Because babies can’t rinse and spit, make sure to use a non-fluoride toothpaste that is safe to swallow.

Treating Existing Bottle Rot

If your baby is already showing signs of tooth decay, come see us! We’ll be able to assess the extent of the decay, deal with any cavities, and come up with a plan to prevent future damage. One of the easiest steps you’ll be able to take at home is to limit their consumption of sugary drinks like juice and soda. You can also bring them to us for fluoride varnish treatments to give their teeth extra protection.

We Can Help

We know that parenting is full of unexpected twists and turns, but we’re happy to help you navigate the ones involved in infant and child dental care. Like you, we want your child to have a healthy smile for life! If you haven’t already brought them in for a checkup, schedule one today!

Thank you for being our valued patients!