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September 8, 2022 Uncategorized

Pregnancy is a wonderful time for a new mom to be as well as sometimes a confusing one. With limitations on what to eat, drink and medicine to take it is no wonder that the safety of dental care during pregnancy is questioned. Most dental treatment is not only safe during pregnancy but recommended. Let’s go over some of the common dental procedures that are safe during pregnancy.

X-Rays

Dental radiographs aid in the diagnosis of oral problems, such as cavities, bone loss and infections. The American Congress of Obstetricians and Gynecology and the American Dental Association both agree that x-rays are safe during pregnancy. Although the amount of radiation is minimal with new dental technology it is still important that you share your pregnancy with the dental staff so that proper shielding is used.

Cleanings

The change in hormone levels cause gums to be easily irritated by plaque which can lead to gingivitis. The CDC estimates that nearly 60 to 75% of pregnant patients have gingivitis. Cleanings are not only safe but recommended.  Some insurance will even cover an extra cleaning a year for pregnant patients.

Fillings

Pregnancy increases the chances of getting cavities. The consumption of more carbs as well as morning sickness make a nice acidic environment for cavities. It is important and safe to stop the progression of cavities during pregnancy. Your dentist will take in consideration though many factors such as what trimester you are in, how small the cavities are and the length of procedure.

Tooth Extractions and Root Canals

Dental infections can often lead to the need for a tooth extraction or root canal. A dental infection has serious consequences so it is necessary to stop that infection by one of the before mentioned treatments. Both procedures are safe during pregnancy but considerations of how far along the pregnancy is will be considered.  Local anesthetics are safe but it is recommended to avoid general anesthesia and oral sedation during pregnancy.

Elective Treatment

Elective treatment such as cosmetic procedures like tooth whitening should be avoided during pregnancy. Postponing such treatment prevents the minimal risks to the fetus.


Dental Anesthesia and Medications

Sometimes dental infections require antibiotics. Antibiotics that are considered safe during pregnancy include penicillins and amoxicillin. Your dentist will confer with your OB/GYN to ensure the proper medication is prescribed. Some dental anesthetics are not recommended during pregnancy. There are options that fall into Category B classification of drugs, such as the most commonly used lidocaine.

Even though dental care during pregnancy is safe, your dentist might modify your treatment based on recommendations by your physician. Dental treatment is ideal during the second trimester and early third trimester. If though you have any questions about your specific needs refer to your OB/GYN.


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July 21, 2022 blog

 

 

A common trend we’ve been seeing lately is the use of charcoal infused tooth products.  These products claim that they whiten your teeth.  They also promote bacteria removal from your mouth as well.  Let’s dive deep and see what are the risks and benefits of charcoal toothpaste.

First off what is charcoal toothpaste?

Charcoal is a form of carbon that is made by burning natural substances such as coconut shells and wood.  This becomes oxidized and formed into a fine powder which is placed into toothpaste.  These charcoal toothpastes generally don’t contain fluoride.  

Does it whiten teeth?

Yes and no.  Due to charcoal’s abrasive nature it may remove staining on the outside of the tooth called extrinsic staining.  But it cannot penetrate the tooth to remove the staining within, called intrinsic staining.  

Does it have an antibacterial effect?

No studies have shown that there is a significant antibacterial effect with charcoal toothpaste.

Can it do any damage?

Yes, it can damage teeth with its abrasiveness leading to loss of enamel.  The enamel is the hard, white outer surface layer of your tooth.  The more you strip it away the more yellow your teeth will look since the layer below it, the dentin, is a yellower color.  The dentin is also a sensitive layer so with more of your enamel gone you may notice increased sensitivity.  

The dark charcoal can get into small gaps you may have on your teeth.  This can range from existing dental work or micro cracks your teeth.  This type of staining is difficult to remove.  Finally without any fluoride in the toothpaste it leaves you susceptible to cavities.

 

The American Dental Association has not found any evidence that charcoal toothpaste is safe or effective for your teeth. We agree and do not recommend any charcoal based tooth product.  When considering whitening your teeth remember there are safer options to choose from such as in office or take home whitening trays.  For toothpaste recommendations refer to the ADA website to see if your toothpaste is accepted and recommended.


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March 22, 2022 Uncategorized

Teeth grinding or clenching, also known as bruxism, is a disorder that occurs commonly when people are sleeping.  Although people often clench or grind their teeth occasionally, done for a prolonged time it can lead to severe issues.  We’re answering the most common questions that patient have about clenching and grinding.

Why Do I Grind or Clench My Teeth?

Common reasons are:

  • Stress or anxiety
  • Teeth that are improper aligned, also known as malocclusion
  • Sleep apnea

 

What are some signs that I’m Grinding or Clenching my Teeth?
  • Wear or chips on teeth
  • Jaw pain
  • Muscle pain
  • Feeling popping when you open or close your mouth
  • Hearing a clicking noise when you open or close your mouth
  • Your mandible (lower jaw) moving to the right or left when opening or closing
Can I do permanent damage if left untreated?

Yes! If left untreated expect teeth to start wearing down. After the protective, hard enamel is worn down, the bottom layer of the tooth, the dentin is exposed. This is the soft and yellow looking layer. As well as being not aesthetically pleasing, even worse it can lead to sensitivity and more cavities.

Not only can you get permanent damage to your teeth but permanent damage to your jaw joint, the TMJ, is possible. It is important to let your dentist know if you are experiencing any signs or symptoms so that we can discuss the appropriate treatment to help prevent any long term damage!


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