What you should know about dry mouth

Dry Mouth

Everyone has a dry mouth once in a while — if they are nervous, upset or under stress.

But if you have a dry mouth all or most of the time, it can be uncomfortable and can lead to serious health problems.

Dry mouth can

  • Cause difficulties in tasting, chewing, swallowing, and speaking

  • Increase your chance of developing dental decay and other infections in the mouth

  • Be a sign of certain diseases and conditions

  • Be caused by certain medications or medical treatments


Dry mouth is not a normal part of aging. So if you think you have dry mouth, see your dentist or physician — there are things you can do to get relief.

What is Dry Mouth?

Dry mouth is the condition of not having enough saliva, or spit, to keep your mouth wet.

Symptoms Include:

  • A sticky, dry feeling in the mouth

  • Trouble chewing, swallowing, tasting or speaking

  • A burning feeling in the mouth

  • A dry feeling in the throat

  • Cracked lips

  • A dry, tough tongue

  • Mouth sores

  • An infection in the mouth


What Can be Done About Dry Mouth?

Dry mouth treatment will depend on what is causing the problem. If you think you have dry mouth, see your dentist or physician. He or she can try to determine what is causing your dry mouth.

  • If your dry mouth is caused by medicine, your physician might change your medicine or adjust the dosage

  • If your salivary glands are not working right but can still produce some saliva, your physician or dentist might give you a medicine that helps the glands work better

  • Your physician or dentist might suggest that you use artificial saliva to keep your mouth wet

What can I do?

  • Sip water or sugarless drinks often

  • Avoid drinks with caffeine, such as coffee, tea, and some sodas. Caffeine can dry out the mouth

  • Sip water or a sugarless drink during meals. This will make chewing and swallowing easier. It may also improve the taste of food

  • Chew sugarless gum or suck on sugarless hard candy to stimulate saliva flow; citrus, cinnamon or mint-flavored candies are good choices

  • Don't use tobacco or alcohol. They dry out the mouth

  • Be aware that spicy or salty foods may cause pain in a dry mouth

  • Use a humidifier at night

For more information regarding dry mouth, please contact our Parkland dental office today!

Lost Filling or Crown

Lost Filling of Crown

Fillings, which are materials used to fill cavities in the teeth, and crowns, which slip over and cover the tops of damaged teeth, sometimes loosen and fall out. This is rarely an emergency, but it can be painful because the exposed tooth tissue is often sensitive to pressure, air or hot and cold temperatures. In some cases, a filling or crown may come loose because decay has developed underneath it. The decay can cause the tooth to change shape and as a result, the crown of filling no longer fits the tooth properly.


What You Can Do

You may be eating, or biting on something hard when you discover that a filling or a crown has become lose or fallen out. You may feel the lost filling or crown in your mouth.

If it's a crown, put it in a safe place and make an appointment to see your dentist as soon as you can. You don't want to wait too long because the tooth will be weak and could be damaged more if it is not protected by the crown. Also, when a crown is missing for a long time, your teeth may move. If this happens your crown may no longer fit.

If the tooth is sensitive and you can't get to your dentist right away, here's what you can do:

If you can reach the sensitive area, apply a little clove oil with a cotton swab. It works well to dull tooth pain. You can buy clove oil in pharmacies and also in the spice aisle of many supermarkets. If you have the crown, you may be able to slip it back over the tooth. Before you do that, it's important to clean the inside of the crown as best you can. To hold it in place temporarily, coat the inner surface of the crown with tooth "cement," which you can buy in the dental section of your pharmacy. There are several temporary cements available. Some need to be mixed; others come ready to use. You also can use denture adhesive or even petroleum jelly if nothing else is available. These aren't permanent solutions, but they will help to hold the crown in place until you can see your dentist. You should not use any household glues to hold the crown in place. These products are not safe to put in your mouth and can damage the tooth and crown.

If you've lost the filling or crown, you can use over-the-counter dental cement to cover the tooth surface. This will help to protect and seal the area until you're able to see your dentist, and can make you more comfortable.


What Our Dentist Will Do

If the tooth is structurally sound and the crown still fits properly, your dentist will clean the area and then replace the crown.

If the tooth has been affected by decay, your dentist will need to prepare the tooth again by removing the decay and then making a new filling or crown to replace the old one.

Contact our Parkland dental office of Light Dental Studios today if you lost your fillings or crowns.

TMJ Disorder Treatment

TMJ disorders

What Is TMJ?

The temporomandibular joint (TMJ), located just in front of the lower part of the ear, allows the lower jaw to move. The TMJ is a ball-and-socket joint, just like the hip or shoulder. When the mouth opens wide, the ball (called the condyle) comes out of the socket and moves forward, going back into place when the mouth closes. TMJ becomes dislocated when the condyle moves too far and gets stuck in front of a bony prominence called the articular eminence. The condyle can't move back into place. This happens most often when the ligaments that normally keep the condyle in place are somewhat loose, allowing the condyle to move beyond the articular eminence. The surrounding muscles often go into spasm and hold the condyle in the dislocated position.


Symptoms

The jaw locks in an open position and you cannot close your mouth. The condition can cause significant discomfort until the joint returns to the proper position.


Diagnosis

The dentist bases the diagnosis on the position of the jaw and the person's inability to close his or her mouth.


Expected Duration

The problem remains until the joint is moved back into place. However, the area can be tender for a few days.


Prevention

TMJ dislocation can continue to happen in people with loose TMJ ligaments. To keep this from happening too often, dentists recommend that people limit the range of motion of their jaws, for example by placing their fist under their chin when they yawn to keep from opening their mouths too widely. Conservative surgical treatments can help to prevent the problem from returning. Some people have their jaws are wired shut for a period of time, which causes the ligaments to become less flexible and restricts their movement. In certain cases, surgery may be necessary. One procedure, called an eminectomy, removes the articular eminence so the ball of the joint no longer gets stuck in front of it. Another procedure involves injecting medications into the TMJ ligaments to tighten them.


Treatment

The muscles surrounding the temporomandibular joint need to relax so that the condyle can return to its normal position. Many people can have their dislocated jaw corrected without local anesthetics or muscled relaxants. However, some people need an injection of local anesthesia in the jaw joint, followed by a muscle relaxant to relax the spasms. The muscle relaxant is given intravenously (into a vein in the arm). Rarely, someone may need a general anesthetic in the operating room to have the dislocation corrected. In this case, it may be necessary to wire the jaws shut or use elastics between the top and bottom teeth to limit the movement of the jaw.

To move the condyle back into the correct position, a doctor or dentist will pull the lower jaw downward and tip the chin upward to free the condyle . The doctor or dentist then guides the ball back into the socket. After the joint is relocated, a soft or liquid diet is recommended for several days to minimize jaw movement and stress. People should avoid foods that are hard to chew, such as tough meats, carrots, hard candies or ice cubes, and be careful not to open their mouths too widely.


When to Call our Office

A TMJ dislocation requires an immediate visit to the doctor or hospital emergency room to have the joint put back in place. You may be referred to an oral and maxillofacial surgeon for treatment.

Helping Children Prevent Decay and Cavities

helping Children prevent Cavities

According to the Academy of General Dentistry, an increase in sugar intake may lead school children to a high risk of cavities.

In the past 15 months, researchers have studied dietary habits of preschoolers and have monitored their teeth, and the study showed that cavity-free children dropped from 23 to 19 percent.

Our dentists in Parkland recommend that parents can help their children prevent decay and cavities by monitoring their dietary habits. Instead of giving them snacks, they can have apples, carrots and other snack alternatives—something that are naturally sweet.

And more importantly, children should brush and floss at least twice a day to prevent decay and cavities.

If your children’s school lunch program doesn’t offer healthy alternatives, make sure to talk to the school about incorporating healthy lunches or snacks.

Finally, children may need sealants as another way to prevent decay and cavities. Sealant is a thin coating of bonding material applied on a tooth, and it acts as a barrier to decay and cavities.

Talk to your dentist in Parkland at Light Dental Studios of Parkland to learn more about dental sealants.

Kids Toothpaste, Toothbrushes, and More

Pediatric Dentistry

Toothpastes

So many toothpastes are on the market today, choosing one can be confusing. When buying toothpaste for your child, look for one that contains fluoride and tastes good. Some toothpastes also are approved by the American Dental Association (ADA). The ADA Seal of Acceptance means that the manufacturer has provided data proving that the toothpaste is safe and effective. Some manufacturers choose not to seek the ADA seal of approval. So, toothpastes without the ADA seal also may be safe and work well, but their performance has not been evaluated by the ADA.

Children only need a small pea-size amount of toothpaste on their toothbrushes. Be sure your child understands that toothpaste is not food. It needs to be spit out, not swallowed.


Toothbrushes

The type of toothbrush your child uses is important because the wrong kind can be damaging to soft tissues. Regardless of your child's age, his or her toothbrush should have soft nylon bristles. Harder bristles can cause gums to wear away over time. When your child is an infant, the toothbrush should be very small. As he or she grows, select small toothbrushes that can fit easily in the mouth and brush one or two teeth at a time. Your child's toothbrush should be able to reach all the teeth, including the molars in the very back.

Replace toothbrushes about every four months or when they begin to look worn and frayed. If a toothbrush wears out much sooner than three or four months, you or your child may be using too much pressure. It's also a good idea to replace brushes after your child has had a cold or other illness to prevent reinfection.

Powered toothbrushes are fun and may remove more plaque and stain than regular toothbrushes. That doesn't mean you should run out and buy one. Regular toothbrushes are very effective, too. However, because they make brushing easier, powered toothbrushes can be helpful for special needs children who can't sit still long enough to properly brush their teeth with a regular toothbrush.


Water Irrigation Devices

These appliances usually are not necessary, but they may benefit some children with braces or other type of orthodontics who need help getting food from between teeth. However, these devices do not remove plaque that is firmly attached to the tooth. That still needs to be done with a toothbrush.


Mouthwashes And Fluoride Mouth Rinses

Mouthwash and fluoride mouth rinse are two different products. Mouthwash freshens breath, but does nothing to clean teeth. Most mouthwashes contain alcohol and are not appropriate for children younger than 6 years old. This is because young children can easily swallow the mouthwash. If your child has chronic bad breath, he or she should see a doctor. It could be caused by a health problem.

Fluoride mouth rinse coats teeth with fluoride, which helps to prevent cavities. You should check with your child's dentist or dental hygienist to determine if your child needs to use a fluoride mouth rinse. It is typically used once or twice a day by children who are cavity prone, even if the child has only one area of decay. Children as young as 7 years old can use a fluoride rinse, if they know how to spit out a liquid without swallowing it. You can test your child to see if he or she is ready. Give him or her a half-cup of water. Ask your child to put some of the water in his or her mouth, swish it around and spit it out into a second cup. If there is a half cup of water in the second cup, your child probably can spit out the mouth rinse. You should still supervise your child to make sure the rinse does not get swallowed.

For more information about your kids' oral health, please contact our Parkland dentist, Light Dental Studios of Parkland today!

Importance of Childhood Oral Hygiene & the Role of Parents

Parkland Pediatric Dentistry

Importance of the primary dentition

Primary teeth start to erupt in children from the age of six months. The primary dentition is complete by approximately two and a half years of age. The enamel of primary teeth is less densely mineralized than the enamel of permanent teeth, making them particularly susceptible to caries. Primary teeth are essential tools, both for chewing and learning to talk. They help to break up food into small pieces, thereby ensuring efficient digestion. A full set of teeth is an essential prerequisite in learning correct pronunciation. Primary teeth also play a vital role in the proper alignment and spacing of permanent teeth; it is therefore imperative that they are well cared for and preserved until normal ex-foliation takes place.

Establishing a proper oral care routine early on in life sets the foundation for the development of healthy and strong permanent teeth. In addition to good oral hygiene, diet also plays a key role in keeping teeth healthy. In this respect it is not only the quantity of sugar that is important, but also the frequency of consumption. As much as possible, children should be limited in the amount of sweets between meals, especially in the evening or at night.


New permanent teeth

Although permanent teeth are already partly formed in children aged 0 to 3 years, eruption only occurs later in life (from about 6 years on) when the 32 permanent teeth (16 in the upper and 16 in the lower jaw) replace the 20 primary teeth. During this time root resorption and crown shedding of primary teeth take place. With the eruption of the first permanent teeth (from about 6 years on), the mouth contains a mixture of both primary and permanent teeth, which puts children at increased risk of caries. Often the eruption of this permanent tooth is not realized neither by the child nor by the parents, because it is positioned behind the last primary molar and is not replacing any primary tooth. Although enamel is fully formed at eruption the surface remains porous and is inadequately mineralized. Subsequently, a secondary mineralization occurs (second maturation), in which ions from the oral cavity penetrate hydroxyapatite and increase the resistance of the enamel against caries. Furthermore, any primary teeth with caries form reservoirs of bacteria, which can easily attack the immature enamel of the new permanent teeth. During the eruption, the occlusal surfaces of the new permanent teeth are on a lower level than the primary teeth. Toothbrushing becomes more difficult than before, given the coexistence of loose primary teeth, gaps and newly erupting permanent teeth. The jaw is also growing significantly, making space for more teeth. The cleaning of the narrower interdental spaces becomes more important with increasing numbers of permanent teeth.


Role of Parents

Parents have a key role in helping their children to develop a proper oral hygiene routine in the first years of their life. Parents should lead and supervise their children’s toothbrushing approximately for the first 12 years, until motor and mental functions allow the child to routinely perform a proper toothbrushing technique alone. After brushing the teeth for their children for the first 2 years of life, parents will have to use playful motivation to encourage their children to brush their own teeth from about 3 years onwards – the time when children want to brush their teeth alone. Each time the child has finished brushing, parents should re-brush the hard-to-clean areas.

At the age of around 6 years, children are able to brush their teeth using a proper brushing technique. In this phase, parents have to continue supervising the regular brushing efforts of their children. The special anatomical situation of changing dentition makes it indispensable that parents still need to help their children in the daily toothbrushing task until eruption of the second molar (around the age of 12).

Development stages of children from the age 0-12

As soon as the first primary teeth erupt into the oral cavity, parents should begin brushing their children’s teeth. From the age of two years, teeth should be brushed twice daily with smaller than a pea-size amount of children’s toothpaste. Small children tend to swallow a large amount of toothpaste, so that there is a risk of developing dental fluorosis. Supervised application of the amount of toothpaste to the toothbrush is important. Due to the risk of fluorosis, the fluoride content of toothpaste for children up to the age of 5–7 years was reduced in most European countries (250 ppm to 750 ppm). Beginning with the eruption of the new permanent teeth, children should be switched from a low fluoride containing children’s toothpaste to a higher fluoride containing toothpaste (1000 ppm to 1500 ppm). This ensures the best caries protection as possible for their new permanent teeth.


Toothpaste Use

Toothpaste with an age adapted content of fluoride is recommended

Primary teeth should be brushed by parents twice a day from the first tooth onwards. Parents should re-brush thoroughly after the child has brushed first. From the age of 6 years children have the ability to brush their teeth alone twice daily. However, parents must supervise the toothbrushing (until the age of 12) and check on the condition of the toothbrush. A worn toothbrush is also less effective at cleaning teeth.

For more information about pediatric dentistry, contact our Parkland dentist, Light Dental Studios today!

TMJ Disorders



What Is It?

The temporomandibular joint (TMJ), located just in front of the lower part of the ear, allows the lower jaw to move. The TMJ is a ball-and-socket joint, just like the hip or shoulder. When the mouth opens wide, the ball (called the condyle) comes out of the socket and moves forward, going back into place when the mouth closes. TMJ becomes dislocated when the condyle moves too far and gets stuck in front of a bony prominence called the articular eminence. The condyle can't move back into place. This happens most often when the ligaments that normally keep the condyle in place are somewhat loose, allowing the condyle to move beyond the articular eminence. The surrounding muscles often go into spasm and hold the condyle in the dislocated position.


Symptoms

The jaw locks in an open position and you cannot close your mouth. The condition can cause significant discomfort until the joint returns to the proper position.


Diagnosis

The dentist bases the diagnosis on the position of the jaw and the person's inability to close his or her mouth.


Expected Duration

The problem remains until the joint is moved back into place. However, the area can be tender for a few days.


Prevention

TMJ dislocation can continue to happen in people with loose TMJ ligaments. To keep this from happening too often, dentists recommend that people limit the range of motion of their jaws, for example by placing their fist under their chin when they yawn to keep from opening their mouths too widely. Conservative surgical treatments can help to prevent the problem from returning. Some people have their jaws are wired shut for a period of time, which causes the ligaments to become less flexible and restricts their movement. In certain cases, surgery may be necessary. One procedure, called an eminectomy, removes the articular eminence so the ball of the joint no longer gets stuck in front of it. Another procedure involves injecting medications into the TMJ ligaments to tighten them.


Treatment

The muscles surrounding the temporomandibular joint need to relax so that the condyle can return to its normal position. Many people can have their dislocated jaw corrected without local anesthetics or muscled relaxants. However, some people need an injection of local anesthesia in the jaw joint, followed by a muscle relaxant to relax the spasms. The muscle relaxant is given intravenously (into a vein in the arm). Rarely, someone may need a general anesthetic in the operating room to have the dislocation corrected. In this case, it may be necessary to wire the jaws shut or use elastics between the top and bottom teeth to limit the movement of the jaw.

To move the condyle back into the correct position, a doctor or dentist will pull the lower jaw downward and tip the chin upward to free the condyle . The doctor or dentist then guides the ball back into the socket. After the joint is relocated, a soft or liquid diet is recommended for several days to minimize jaw movement and stress. People should avoid foods that are hard to chew, such as tough meats, carrots, hard candies or ice cubes, and be careful not to open their mouths too widely.

For more information about TMJ disorders, please contact the Parkland dentist office, Light Dental Studios today!