My Blog

By Paul F Levy, DDS, PC
April 28, 2022
Category: Oral Health
Tags: oral hygiene  
5TipsForKeepingYourToothEnamelHealthy

You know what people say: "Protect your tooth enamel, and it will protect your teeth." Then again, maybe you've never heard anyone say that—but it's still true. Super strong enamel protects teeth from oral threats that have the potential to do them in.

Unfortunately, holding the title of "Hardest substance in the human body" doesn't make enamel indestructible. It's especially threatened by oral acid, which can soften its mineral content and lead to erosion.

That doesn't have to happen. Here are 5 things you can do to protect your enamel—and your teeth.

Don't brush too often. Brushing is essential for removing bacterial plaque, the main cause for dental disease. But more isn't always good—brushing too frequently can wear down enamel (and damage your gums, too). So, limit daily brushing to no more than twice a day.

Don't brush too soon. Oral acid normally peaks at mealtime, which can put your enamel into a softer than normal state. No worries, though, because saliva neutralizes acid within about an hour. But brushing before saliva finishes rebuffering could cause tiny bits of softened enamel to flake off—so, wait an hour after eating to brush.

Stop eating—right before turning in for the night, that is. Because saliva flow drops significantly during sleep, the decreased saliva may struggle to buffer acid from that late night snack. To avoid this situation, end your eating or snacking at least an hour before bedtime.

Increase your calcium. This essential mineral that helps us maintain strong bones and teeth can also help our enamel remineralize faster after acid contact. Be sure, then, to include calcium-rich foods and calcium-fortified beverages in your diet.

Limit acidic beverages. Many sodas, sports and energy drinks are high in acid, which can skew your mouth's normal pH. Go with low-acidic beverages like milk or water, or limit acidic drinks to mealtimes when saliva flows more freely. Also, consider using a straw while drinking acidic beverages to lessen their contact with teeth.

Remember, enamel isn't a renewable resource—once it's gone, it's gone. Take care of your enamel, then, so it will continue to take care of you!

If you would like more information on caring for your tooth enamel, 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 “6 Tips to Help Prevent the Erosion of Tooth Enamel.”

UnlikeBradPittYouDidntMeanToChipYourToothWeCanStillFixIt

It's not unusual for serious actors to go above and beyond for their roles. They gain weight (or lose it, like Matthew McConaughey for True Detective). They grow hair—or they shave it off. But perhaps nothing tops what Brad Pitt did to assume the character of Tyler Durden in the movie Fight Club—he had his dentist chip his teeth.

While a testament to his dedication to the acting craft, Pitt's move definitely falls into the category of "Kids, don't do this at home." Fortunately, people deliberately chipping their teeth isn't a big problem. On the other hand, accidentally chipping a tooth is.

Chipping a tooth can happen in various ways, like a hard blow to the jaw or biting down on something too hard. Chipping won't necessarily endanger a tooth, but the missing dental structure can put a damper on your smile.

But here's the good news: you don't have to live with a chipped tooth. We have ways to cosmetically repair the damage and upgrade your smile.

One way is to fit a chipped or otherwise flawed tooth with a dental veneer, a thin wafer of dental porcelain bonded to the front of a tooth to mask chips, discolorations, gaps or other defects. They're custom-made by a dental lab to closely match an individual tooth's shape and color.

Gaining a new smile via dental veneers can take a few weeks, as well as two or more dental visits. But if you only have slight to moderate chipping, there's another way that might only take one session in the dentist's chair. Known as composite bonding, it utilizes plastic-based materials known as composite resins that are intermixed with a form of glass.

The initial mixture, color-matched for your tooth, has a putty-like consistency that can be easily applied to the tooth surface. We apply the composite resin to the tooth layer by layer, allowing a bonding agent in the mixture to cure each layer before beginning the next one. After sculpting the composite layers into a life-like appearance, the end result is a "perfect" tooth without visible flaws.

Unlike Brad Pitt, it's pretty unlikely you'll ever find yourself in a situation requiring you to purposely damage your teeth. But chips do happen—and if it happens to you, we have more than one way to make your teeth as good as new.

If you would like more information about repairing dental flaws with veneers or composite bonding, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Artistic Repair of Front Teeth With Composite Resin.”

By Paul F Levy, DDS, PC
April 08, 2022
Category: Oral Health
Tags: cosmetic dentistry   aging  
3WaysAgingCouldDimYourSmileandWhatToDoAboutIt

Know how to get the better of an age-guesser at the carnival? Smile! A recent study found that people tend to underestimate a person's age if they're smiling.

If true, smiling—naturally associated with youthfulness—might help you look younger than you are. Unfortunately, many older people smile less, self-conscious about the effects of aging on their teeth and gums. Their smile doesn't have the same zing as when they were younger.

If that's how you feel about your smile, a cosmetic dentist can help. Here are 3 common age-related problems a skilled dentist can help you improve.

Discoloration. After decades of eating, drinking and possibly smoking, teeth enamel can yellow and dull. But there are ways to brighten discolored teeth. One simple measure is to undergo teeth whitening with a bleaching solution. On a more permanent note, bonding tooth-colored materials, porcelain veneers or life-like dental crowns to teeth can mask stains and other imperfections.

Wearing. Speaking of all those meals, you can expect some teeth wearing later in life that makes them look shorter, and their shape and edges sharper rather than softer and rounded like a youthful smile. Dentists can improve the appearance of worn teeth by reshaping and contouring them to soften harsh edges. A procedure called crown lengthening can reposition the gums to display more of the teeth. Veneers or crowns can also transform the appearance of severely worn teeth.

Receding gums. There's also a contrasting gum problem. What some call "getting long in the tooth," The teeth look longer because the gums have receded from their normal coverage. This is often caused by gum disease, which older people encounter more than other age groups. After treating the infection, the gums may need help regaining their former position by grafting donor tissue to the area to encourage regrowth.

The effects of aging on teeth and gums are quite common, but you don't have to live with them. With a few appropriate techniques and procedures, your dentist can bring back the smile you once had—or one even better.

If you would like more information on maintaining a youthful smile, 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 “How Your Dentist Can Help You Look Younger.”

By Paul F Levy, DDS, PC
March 29, 2022
Category: Oral Health
Tags: oral health   pregnancy  
MaintainYourDentalCareDuringPregnancyForYouandYourBaby

Hearing the words, "You're going to have a baby," can change your life—as surely as the next nine months can too. Although an exciting time, pregnancy can be hectic with many things concerning you and your baby's health competing for your attention.

Be sure, then, that you include dental care on your short list of health priorities. It may seem tempting to "put things off" regarding your teeth and gums. But there are good reasons to keep up your dental care—for you and your baby.

For you: a higher risk of dental disease. Hormonal changes during pregnancy can trigger outcomes that increase your dental disease risk. For one, you may encounter cravings that include carbohydrates like sugar. Bacteria feed on sugar, which can cause both tooth decay and gum disease. This change in hormones can also trigger a form of gum disease called pregnancy gingivitis.

For your baby: dental-related complications. Some studies show evidence that a mother's oral bacteria can pass through the placenta and affect the baby. This may in turn spark an inflammatory response in the mother's body, creating potential complications during pregnancy. Other research points to what could result: Women with diseased gums are more likely to deliver premature or underweight babies than those with healthy gums.

Fortunately, you can minimize dental disease during pregnancy and protect both you and your baby.

  • Keep up regular dental cleanings and checkups during pregnancy;
  • Limit consumption of sweets and other sugary foods;
  • Brush and floss every day to remove dental plaque, which feeds bacteria;
  • See your dentist at the first sign of swollen, painful or bleeding gums;  
  • And, inform your dentist that you're pregnant—it could affect your treatment plan.

Although it's wise to put off dental work of a cosmetic or elective nature, you shouldn't postpone essential procedures. Both the American Dental Association and the American Congress of Obstetricians and Gynecologists approve of pregnant women undergoing therapeutic dental work.

Dental care during pregnancy shouldn't be an option. Maintaining your oral health could help you and your baby avoid unpleasant complications.

If you would like more information on dental care during pregnancy, 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 “Dental Care During Pregnancy.”

By Paul F Levy, DDS, PC
March 19, 2022
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.”





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