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By Coweta Dentistry Associates
June 02, 2014
Category: Oral Health
Tags: missing teeth  
ReplacingMissingBackTeethDeservesaHighPriority

For most people, replacing missing front teeth takes a higher priority over missing back teeth. The reason is obvious: others can see those missing in front, but not necessarily those in the back.

From a functional view, however, you should still consider replacing missing back teeth. Not only will it improve your chewing ability, it may also prevent a chain reaction of negative effects to your remaining teeth.

Teeth are held in place in the jawbone by a membrane called the periodontal ligament. The ligament is a living tissue that allows teeth to move to keep contact with adjacent and opposing teeth as natural wear occurs. When a space is created by a missing tooth, this natural movement accelerates and the teeth may shift beyond normal ranges.

As a result you can encounter excessive mobility of teeth from bite irregularities, uneven tooth wear, bone loss, potential painful problems with the temporo-mandibular joints (connecting the lower jaw to the skull), and a loss in facial height.

There are three basic options for this kind of tooth replacement. The best option is dental implants: these free-standing replacements don't normally affect surrounding teeth, they're easier to clean, and they help support the bite. On the downside, there must be enough remaining bone to support the implant.

The next best option is a fixed bridge. This option only works, however, if there are teeth on either side of the missing tooth space capable of supporting the bridge, and they must be reduced in size by removing the enamel with the dental drill. They also have a tendency to retain plaque, the main cause of gum disease.

That leaves the last, and least favorable, option, a removable partial denture. They may also trap food and be difficult to wear. They can move in the mouth, stressing — and possibly loosening — the remaining teeth that hold them in place. With all its drawbacks, though, if a partial denture is the only solution to missing back teeth, it's a better alternative than doing nothing and risking long-term problems.

If you would like more information on replacement options for back teeth, 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 “Replacing Back Teeth.”

By Coweta Dentistry Associates
May 16, 2014
Category: Oral Health
TaylorHicksIShouldHaveWornaMouthguard

Some train intensively for months ahead of time, so they can achieve peak performance during the season; others simply enjoy occasional pick-up games with friends. But here’s something all athletes, both amateurs and professionals, should know: Dental accidents in sports can happen at any time, and the consequences of not wearing the proper protective equipment can be serious.

Don’t believe us? Just ask American Idol season 5 winner Taylor Hicks. Before his singing career took off, Hicks was a high-school basketball star; he lost his two front teeth during a championship game.

“It was just one of those collisions that happen in sports,” Hicks recently told Dear Doctor magazine. “I never wore a mouthguard in basketball. Obviously I should have.”

We agree. And we want to remind you that basketball isn’t the only game that poses a risk to your teeth (although statistics show it’s the leading cause of sports-related dental injuries). Soccer, bike riding, and equestrian sports — along with some two dozen other games and physical activities — are all on the American Dental Association’s list of sports in which participants should wear a mouthguard.

What’s the best kind of mouthguard? The answer is: the one you actually wear. For the maximum comfort and protection, there’s nothing like a custom-fitted mouthguard provided by our office. This is a piece of protective equipment that’s individually crafted just for you — in fact, it’s made from a model of you own teeth! Not only will it fit your mouth perfectly, but it’s also strong, lightweight and easy to wear.

It’s true that off-the-shelf mouthguards are available from big-box retailers in limited sizes (like small, medium and large); also available are the so-called “boil and bite” types, which you soften in hot water before molding them into shape with the pressure of your fingers, teeth and tongue. Either one of these options is probably better than nothing — but neither provides the level of protection and comfort that a custom-made mouthguard offers.

When you consider the potential cost of tooth replacement — not just its hefty price tag, but also the lost time, trouble and inconvenience it can cause — we think you’ll agree that a perfectly fitted mouthguard, made by our office, is a piece of sports equipment you really can’t afford to do without. Best of all, its cost is quite reasonable.

So if you’re the active type, come in to ask us about fitting you with a custom mouthguard. For more information, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Athletic Mouthguards” and “An Introduction to Sports Injuries & Dentistry.”

By Coweta Dentistry Associates
March 25, 2014
Category: Oral Health
Tags: oral cancer  
KickingtheTobaccoChewingHabitaMustforLong-TermHealth

Chewing tobacco, especially among young athletes, is considered fashionable — the “cool” thing to do. Many erroneously think it’s a safe alternative to smoke tobacco — it is, in fact, the source of numerous health problems that could ultimately lead to disfigurement or even death.

Chewing or dipping tobacco is especially linked with the sport of baseball. Its traditions in baseball go back to the late Nineteenth Century when players chewed to keep their mouths moist on dusty fields. The habit hit its greatest stride after the surgeon general’s warning on cigarettes in the late 1950s. Now, players wishing to emulate their major league heroes are prone to take up chewing tobacco at an early age.

But the habit comes with a price tag. Individuals who chew tobacco are more susceptible to oral problems like bad breath, mouth dryness, or tooth decay and gum disease. Users also increase their risk for sexual dysfunction, cardiopulmonary disease (including heart attack and stroke) and, most notably, oral cancer.

Derived from the same plant, chewing and smoke tobacco share a common trait — they both contain the highly addictive drug nicotine. Either type of user becomes addictive to the nicotine in the tobacco; and like smoking, a chewing habit can be very difficult to stop.

Fortunately, many of the same treatments and techniques for quitting smoking can also be useful to break a chewing habit. Nicotine replacement treatments like Zyban or Chantix have been shown effective with tobacco chewing habits. Substituting the activity with gum chewing (non-nicotine, and with the sweetener Xylitol), or even an herbal dip can also be helpful.

Like other difficult processes, it’s best not to try to quit on your own. You should begin your efforts to quit with a consultation with your doctor or dentist — they will be able to prescribe cessation medications and provide other suggestions for quitting. You may also find it helpful to visit a behavioral health counselor or attend a tobacco cessation support group.

Rather than just one approach, successful quitting usually works best with a combination of techniques or treatments, and perhaps a little trial and error. The important thing is not to give up: the improvements to your dental health — and life — are worth it.

If you would like more information on quitting chewing tobacco, 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 “Quitting Chewing Tobacco.”

By Coweta Dentistry Associates
February 28, 2014
Category: Oral Health
Tags: sensitive teeth  
WhatCausesDentalDiscomfort

Nothing ruins a thirst-quenching cold beverage or a dish of your favorite ice cream like a sudden pang of tooth sensitivity. If you're experiencing this problem — and especially if there are other triggers, like biting down — we encourage you to make an appointment. It could be something harmless and temporary, but it's always prudent to check. At the very least, you'll feel better once the underlying problem is identified and treated if necessary.

Here are some common sources of tooth sensitivity:

  • Enamel erosion — typically caused by acidic beverages/food, regurgitation of stomach acids (due to gastroesophageal reflux disease [GERD] or the eating disorder bulimia), or improper brushing
  • Tooth decay — a sugary diet and poor dental hygiene may be contributing factors
  • Tooth fracture or chipping due to tooth grinding (bruxism) or other trauma
  • Gum recession due to age, improper tooth brushing, or gum disease
  • Filling that needs repair or replacement
  • Residual effects of recent dental work

Some things you can try at home to minimize sensitivity include:

  • Ease up on the toothbrush; a light touch is all that's needed to dislodge daily plaque build-up
  • Try using fluoride-containing toothpaste like an ointment over the affected area (fluoride decreases fluid exchange from the oral environment to the nerve inside the tooth)
  • Take a non-steroidal anti-inflammatory such as ibuprofen (use judiciously and according to the package insert guidelines)

Discomfort related to recent dental work should resolve on its own; give it several weeks. If you're feeling discomfort for another reason, even if the sensitivity subsides, the underlying cause may still require attention.

If you would like more information about tooth sensitivity, 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 “Sensitive Teeth.”

By Coweta Dentistry Associates
February 13, 2014
Category: Oral Health
HowCosmeticDentistrySavedJerryRicesSmile

As a Pro Football Hall of Famer and first runner up on the hit television show Dancing with the Stars, Jerry Rice has a face and smile that truly has star quality. However, that was not always the case. During an interview with Dear Doctor magazine, the retired NFL pro discussed his good fortune to have had just a few minor dental injuries throughout his football career. He went on to say that his cosmetic dentist repaired several of his chipped teeth with full crowns. Rice now maintains his beautiful smile with routine cleanings and occasional tooth bleaching.

If you have chipped, broken or missing teeth, or are considering a smile makeover, we want to know exactly what you want to change about your smile, as the old adage is true: Beauty is in the eyes of the beholder. This is one reason why we feel that listening is one of the most important skills we can use during your private, smile-makeover consultation. We want to use this time to ensure we see what you see as attractive and vice versa so that together we can design a realistic, achievable blueprint for your dream smile.

For this reason, we have put together some questions you should ask yourself prior to your appointment:

  • What do you like and dislike about the color, size, shape and spacing of your teeth?
  • Do you like how much of your teeth show when you smile and when your lips are relaxed?
  • Are you happy with the amount of gum tissue that shows when you smile?
  • Do you prefer a “Hollywood smile” with perfectly aligned, bright white teeth, or do you prefer a more natural looking smile with slight color, shape and shade variations?

To learn more about obtaining the smile you want, continue reading the Dear Doctor magazine article “Great Expectations — Perceptions In Smile Design.” Or you can contact us today to schedule an appointment so that we can conduct a thorough examination and discuss your cosmetic and restorative dentistry treatment goals. And if you want to read the entire feature article on Jerry Rice, continue reading “Jerry Rice — An Unbelievable Rise To NFL Stardom.”



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