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What Triggers a Canker Sore?

A CANKER SORE, a shallow ulcer that can develop on the inside of the cheeks or lips, can mean days of discomfort. Different things can trigger a canker sore. The most common are a bitten lip or cheek (which only becomes easier to bite again when it swells), long periods of stress and the strain that puts on the immune system, illness, poking braces wires or ill-fitting dentures, and highly acidic foods like lemons, strawberries, tomatoes, and pineapple.

Avoiding Triggers

Anyone who frequently develops canker sores should identify the triggers and try to avoid them, because an ounce of prevention is worth a pound of cure. This could mean cutting back on acidic foods, using dental wax during orthodontic treatment, and reducing stress levels.

Tips for Managing a Canker Sore

Here are a few tips to help with canker sores when they appear:

1. Rinse with warm salt water to help the healing process.

2. Use painkillers or topical medication to reduce discomfort.

3. Find a toothpaste that doesn’t contain sodium laurel sulfate (it should still contain fluoride though).

4. Brush with a soft-bristled toothbrush.

5. Eat a diet rich in vitamin B12, iron, and folate (good sources include carrots, salmon, parsley, spinach, kale, and yogurt).

6. Maintain good oral hygiene habits. It’s easier to maintain good oral health when plaque is under control.

Top image used under CC0 Public Domain license. Image cropped and modified from original.
The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.
3 Incredible Women in Dental History

THROUGHOUT HISTORY, WOMEN have faced numerous challenges in pursuing their careers. Dentistry is no exception. It has taken significant determination and persistence for women to establish themselves in the field of dentistry. In this blog post, we will be discussing three pioneers of women in dentistry: Ida Gray, Lucy Hobbs Taylor, and Emeline Roberts Jones.

Ida Gray

Ida Gray was the first African-American woman to become a licensed dentist in the United States. Born in Tennessee in 1867, she became an orphan when her mother died in her early teens, after which she went to live with her aunt in Cincinnati. While Gray attended segregated public schools alongside her aunt’s three children and worked as a seamstress, she found time to work in the dental offices of Jonathan Taft, an early advocate of training women as dentists.

Despite facing racial and gender discrimination, Gray was determined to pursue a career in dentistry. She graduated from the University of Michigan Dental School in 1890, making her one of the first African-American women to earn a degree in dentistry. After graduation, Gray established her practice in Chicago, where she treated both black and white patients. Gray’s dedication to dentistry and her community paved the way for future generations of female dentists.

Lucy Hobbs Taylor

Lucy Hobbs Taylor was the first woman to graduate from a dental school in the world. Born in New York in 1833, Taylor was a teacher before deciding to pursue a career in dentistry. She faced significant opposition from the male-dominated field of dentistry, with many dental schools refusing to admit her because of her gender. However, Taylor’s perseverance paid off when she was finally admitted to the Ohio College of Dental Surgery in 1861.

She graduated in 1866, becoming the first woman to earn a degree in dentistry. After graduation, Taylor married a Civil War veteran who she trained to be a dentist too! They established a successful practice together in Lawrence, Kansas, where she provided dental care to women and children. She also became an advocate for women’s rights and education.

Emeline Roberts Jones

Emeline Roberts Jones was the first woman to practice dentistry in the United States. Born in New York in 1836, Jones was a schoolteacher before deciding to pursue a career in dentistry. Like Taylor, Jones faced significant opposition from the male-dominated field. However, she was determined to succeed and eventually became an apprentice to her brother-in-law, a practicing dentist.

After completing her apprenticeship, Jones established her practice in Connecticut in 1855. She treated both men and women and was known for her gentle touch and compassionate care. Jones also became an advocate for women’s rights and education and was a member of several women’s suffrage organizations.

Now let’s fast-forward to what the dental field looks like for women today:

The Legacy of These Dental Pioneers

Today, women make up a significant portion of the dental profession, and their contributions to the field are invaluable. Women have brought new perspectives and approaches to dentistry, resulting in better patient care and outcomes. The legacy of Ida Gray, Lucy Hobbs Taylor, and Emeline Roberts Jones continues to inspire and empower women in dentistry and beyond.

We’re lucky to stand on the shoulders of these giants!

Top image used under CC0 Public Domain license. Image cropped and modified from original.
The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.
Which Kids’ Toothbrush Is Best?

HERE’S A HANDY GUIDE that can help parents navigate the toothbrush aisle the next time they need to replace a child’s toothbrush (which should be every few months — certainly by the time the bristles look bent). Start out by choosing from toothbrushes with the ADA’s Seal of Acceptance.

Manual or Electric Toothbrush?

Next, electric or manual? While both types of toothbrushes have the same capacity to clean teeth, electric toothbrushes might be a better choice for some kids. A child with a tendency to brush too hard, who has limited dexterity, who needs help getting to their molars, or who has special needs and difficulties may do better with an electric toothbrush, but one who is great at brushing is just fine with a manual brush.

Soft Bristles Are Better

What about bristle hardness? We recommend soft-bristled brushes to our patients, especially for young children. Soft bristles are gentle on gums but still effective against plaque and food debris.

One Size Does NOT Fit All

Size is also important. A child’s toothbrush should fit their hand and mouth, or they won’t be able to use it effectively. A non-slip grip might also be a good idea if they have a tendency to drop their toothbrush.

Their Favorite Toothbrush Is the One They Choose

We are happy to give specific toothbrush recommendations. A child can also pick their favorite from a selection that meets the other requirements. They’re more likely to enjoy brushing with a toothbrush that’s their favorite color or has their favorite character on the handle. In the end, the best toothbrush is the one they use!

Top image used under CC0 Public Domain license. Image cropped and modified from original.
The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.
Tips for Teaching Kids Effective Flossing

AS PARENTS, THERE ARE so many things we must teach our children so that they are ready to go out into the world as adults. One lesson we prioritize as dentists is teaching them how to floss properly. We’re happy to give parents everywhere our best tips on how to train a great flosser.

Why Make Flossing a Priority?

Even if it is already a challenge to get your child to brush their teeth, we strongly encourage adding daily flossing to the routine. ​​While brushing can remove plaque and food particles from the surface of the teeth, flossing is the only way to remove plaque and debris from the places a toothbrush cannot reach, such as between the teeth and under the gumline. When plaque and debris are left to accumulate, they can lead to gum disease, cavities, and even tooth loss.

What Is the Right Age to Begin Flossing?

Children should start flossing as soon as two teeth touch each other, which is usually around age two or three. Until they have enough dexterity to floss for themselves, parents should be flossing their teeth for them each day, both to make it a routine and to give them an example of how to floss.

Tips for Parents

Teaching a small child how to floss is a very different task than flossing your own teeth, so here are a few tips to help you know where to start:

  • Establish the routine early. Begin flossing their teeth while they’re toddlers so they will be used to it and possibly eager to take over their own flossing when they’re old enough.
  • Explain the importance of flossing. A child is more likely to tolerate or even look forward to flossing if they understand how much it matters for keeping their smile healthy.
  • Flossing is for big kids. Encourage them by explaining that big kids floss their teeth. They’ll want to prove their maturity by mastering this skill.
  • Use flossers or floss picks if you need them to help make flossing easier.

The Steps of Flossing

When your child is ready to try flossing, follow these steps with them:

  • Show them how to pull out the right amount of floss (about a foot and a half) and how to wrap it loosely around their middle fingers, with an inch or two of floss left in the middle to slip between the teeth.
  • Show them how to curve the floss around each tooth in a C-shape and gently work down to the gums so the floss doesn’t snap their gums.
  • Show them how to rotate the strand of floss so they’re always using clean floss between each pair of teeth. Using dirty floss only moves plaque around instead of getting rid of it!

We Are Happy to Demonstrate Great Flossing Technique

Children shouldn’t merely be learning to floss; they should be learning how to do it right. Talk to us about having a team member at our practice demonstrate how all of these tips we’ve discussed work in practice. We’re here to help you make flossing correctly a part of your child’s daily routine.

Let’s start training the next generation of flossers!

Top image used under CC0 Public Domain license. Image cropped and modified from original.
The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.
Tips for Men’s Oral Health

ON AVERAGE, BOYS and men are up to 20% less likely to brush twice a day and even less likely to replace their old toothbrushes on a regular basis than girls and women. Luckily, it’s a simple problem to fix: make brushing for two full minutes a regular part of the morning and nighttime routine! And don’t forget to floss once a day as well.

Unhealthy Oral Habits

Because men are more likely to drink, smoke, and chew tobacco than women are, they put themselves at higher risk of serious oral health problems like periodontitis (advanced gum disease), tooth loss, and oral cancer. By avoiding harmful habits, men can do a lot to protect their oral health, which is why we recommend minimal alcohol consumption and complete avoidance of tobacco products.

Medications and Side-Effects

Dry mouth is a common side effect of high blood pressure and heart disease medications, and because men are more susceptible to those conditions, they are also more likely to get dry mouth, which increases the risk of developing cavities, gum disease, and chronic bad breath.

Oral Hygiene Matters!

Men are also less likely to keep up with their regular dental exams — and more likely to try to tough it out if they’re experiencing toothaches or other symptoms! This strategy is neither safe nor effective for addressing dental health problems. Going to the dentist isn’t unmanly, it’s smart, even if it’s purely preventative.

Top image used under CC0 Public Domain license. Image cropped and modified from original.
The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.
Dental Health and Eating Disorders

EATING DISORDERS ARE incredibly dangerous, sometimes life-threatening mental conditions. The first health impacts that probably come to mind are the psychological toll they take and the malnutrition they cause if left unchecked. However, they also take a toll on oral health. Our teeth and gums require a variety of nutrients, vitamins, and minerals to stay healthy, in addition to daily oral hygiene habits and regular dentist visits.

Malnutrition Versus Oral Tissues

The eating disorder anorexia nervosa harms oral health through malnutrition. The disorder is characterized by severely limited food intake, sometimes paired with compulsive exercise, purging, or both. Without sufficient nutrients, the jaw bones can develop osteoporosis, increasing the risk of tooth loss.

Without drinking enough fluids, the salivary glands will struggle to produce saliva, leading to dry mouth. Dry mouth increases the risk of gum disease and tooth decay. Saliva is the mouth’s first line of defense. It neutralizes acids and washes away leftover food particles. In addition, without nutrients to help keep the immune system strong, our gums become more vulnerable to bleeding.

Bulimia: A Two-Pronged Attack on Oral Health

Bulimia is characterized by the combination of overeating and forcibly purging food by vomiting or taking laxatives. Frequent vomiting puts the tooth enamel in contact with strong stomach acid. As hard as tooth enamel is, it is extremely vulnerable to acid erosion. A person struggling with bulimia is at risk of tooth discoloration, decay, and even tooth loss due to this disorder.

Take Care of Your Oral Health

Oral hygiene is important for everyone who wants healthy teeth and gums, minty fresh breath, and sparkling smiles, but it’s especially crucial for someone battling or recovering from the effects of an eating disorder. Acid erosion can be minimized by rinsing with water and waiting half an hour before brushing. It’s critical to give your saliva plenty of time to neutralize any leftover acid before brushing so that you don’t cause additional erosion.

You Don’t Have to Win This Fight Alone

There is a lot of stigma surrounding eating disorders, but these are legitimate mental illnesses. Recovery can be long and difficult, and many people require help and support to achieve a healthy relationship with food and with their weight. This help could come from sympathetic friends, family members, or licensed mental health professionals. The National Eating Disorders Helpline is another great resource. Dental health professionals are always here too, to help patients maintain good oral health while they focus on their mental and physical health struggles.

Our patients’ overall health is important to us!

Top image used under CC0 Public Domain license. Image cropped and modified from original.
The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.
Kissing and Contagious Cavities

THE REASON DAILY brushing and flossing are so important for keeping harmful oral bacteria populations under control is that they reproduce very quickly. In a healthy, clean mouth, there might be anywhere from a thousand to a hundred thousand bacteria on each tooth surface, but that can quickly become as many as a hundred million to a billion bacteria per tooth without brushing or flossing.

Our Oral Bacteria

On average, an individual will have between 34 and 72 different types of oral bacteria. Once we get a strain of bacteria in our mouths, it probably isn’t going away. The trouble is that each person has different bacteria, so kissing or even sharing drinks with someone could introduce new strains.

Kids Don’t Have Adult Oral Bacteria Yet

This is more dangerous for children than adults. Young children don’t have as many types of oral bacteria as adults yet, and their immune systems aren’t used to dealing with them. Too many kisses from Mom and Dad can actually leave them more vulnerable to developing cavities.

Protect Your Child’s Oral Health

The best way to avoid sharing your oral bacteria with your child is to keep those kisses to the cheek, don’t share your spoon or fork with them, make sure they always have their own drink instead of giving them sips from yours, and don’t clean a dropped pacifier with your mouth.

As long as you’re taking good care of your oral health and hygiene, you don’t need to worry as much about spreading dangerous, cavity-causing germs with your kisses, but even then, avoid doing things that could spread oral bacteria to small children.

Top image used under CC0 Public Domain license. Image cropped and modified from original.
The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.
Being Lip-Tied or Tongue-Tied

IT’S COMMON ENOUGH to be tongue-tied in the sense of not being able to get your words out, but a tongue tie is also a real medical condition, as is a lip tie. These conditions are both caused by pieces of tissue in the mouth called frena. One frenum connects the tongue to the floor of the mouth, and another connects the upper lip to the upper gums. These aren’t the only two frena we have, but they’re the important ones for this subject.

Normal Versus Abnormal Frena

A normal frenum is thin and very stretchy, allowing for the free mobility of the lips and the tongue, which is important for normal chewing, talking, and swallowing. If the upper lip or tongue frenum is unusually thick or tight, it can restrict movement and make each of those functions harder. This is a tongue tie or a lip tie.

A person with a tongue tie may not be able to lift their tongue to touch the roof of their mouth, causing significant difficulties for word pronunciation, chewing, and swallowing. A person with a lip tie may have a large gap between their upper front teeth and a higher risk of gum recession. In infancy, they may not be able to effectively latch while breastfeeding.

How We Treat Lip and Tongue Ties

Fortunately, with modern dentistry, there’s an easy fix for lip and tongue ties. A simple surgery called a frenectomy can be done to remove or reduce the abnormal frenum. In cases where the lip or tongue’s movement is restricted and particularly if there is pain or discomfort, the procedure is definitely worth considering.

A frenectomy is a very quick procedure with a short recovery time. In most cases, the procedure is performed by oral surgeons or periodontists (gum health specialists). They will first numb the area, then make a small incision in the frenum to release, reduce, or remove it.

Some doctors use laser surgery to cut through the tissue and shorten recovery time. A laser also lowers the (already small) risk of complications. Make sure to follow all post-operation instructions to achieve the best results with the shortest recovery.

Your Dentist Can Diagnose a Lip or Tongue Tie

For most of us, frena aren’t something we ever have to think about because they aren’t causing us problems, but if you believe yours or your child’s might be interfering with the normal function of the lips or tongue, schedule an appointment with the dentist to find out. We can take a look and determine whether you would benefit from a frenectomy.

Taking care of our patients’ smiles is what makes us smile!

Top image used under CC0 Public Domain license. Image cropped and modified from original.
The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.
Women’s Dental Health

WOMEN FACE A different set of challenges than men do in caring for their teeth and gums, and they also have different advantages.

Oral Health Issues that Affect Women More

Women make up 90% of temporomandibular joint disorder (TMD) diagnoses. TMD can be caused by bruxism, joint structure, stress, arthritis, vitamin deficiency, or hormones. Another condition that disproportionately affects women is Sjörgen’s syndrome, which causes dry mouth. Beyond making chewing and swallowing uncomfortable and muting the sense of taste, dry mouth is dangerous for teeth and gum health.

Hormone Changes Versus Oral Health

The hormonal changes of puberty, pregnancy, and menopause can cause oral health problems. Gingivitis and gum inflammation become more likely, which means brushing and flossing are even more essential. Dry mouth and bone loss in the jaw are associated with menopause, so it’s important to keep the dentist in the loop.

Eating Disorders

Teenage girls are twice as likely to develop eating disorders as teenage boys. Eating disorders attack oral health in two ways: weakening the oral tissues through malnutrition and (in the case of bulimia) destroying tooth enamel directly through acid erosion.

The Silver Lining

So what’s the good news? Women are better than men at taking care of their teeth! Women are more likely to keep up with their daily oral hygiene habits and regular dental visits. They’re also more willing to go to the dentist when they experience tooth pain, while men might try to tough it out. Even though women are more vulnerable to certain issues, they can significantly reduce the impact by taking care of their teeth.

Top image used under CC0 Public Domain license. Image cropped and modified from original.
The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.
Soothing a Sensitive Tooth

IF EVERY BITE of ice cream or every sip of coffee gives your teeth a nasty jolt, then you know what it’s like to live with tooth sensitivity. At least one in every eight Americans (including kids) has sensitive teeth. Why does this happen to so many of us and what can we do about it?

The Basics of Dental Anatomy

It’s important to understand a little about dental anatomy when thinking about how tooth sensitivity works. The visible portion of the tooth (the crown) is made up of three layers: the outer tooth enamel layer (the hardest substance in the human body), the dentin layer (more like normal bone) and the dental pulp layer at the center (nerves and blood vessels).

Sensitive Exposed Nerves

The nerves at the center of each tooth sense what’s going on at the surface through thousands of microscopic tubules running through the dentin layer. If the enamel wears too thin, the tubules become exposed and the nerves in the teeth start feeling way more input than they’re supposed to, making temperature changes or even a sudden sweet or sour taste too much to handle.

What Causes Sensitivity?

Aside from enamel erosion, there are other things that cause sensitivity. Root exposure is one. Unlike the crown of the tooth, the root lacks the protective enamel layer. It relies mainly on gum tissue. Gum recession (often caused by teeth grinding or overbrushing) leaves the roots unprotected. Cavities or damage to a tooth like chips or fractures can also cause sensitivity, especially to hot or sweet things.

Protecting Teeth From Sensitivity

There are a few things we can do about sensitive teeth. Step one is to get rid of a hard-bristled toothbrush and buy a soft-bristled one instead. Soft bristles are enough to effectively clean away plaque, while hard bristles can damage the enamel and gum tissue even more. It’s also a good idea to switch to a toothpaste formulated for sensitive teeth. Cutting down on sugar intake and avoiding very acidic foods and drinks (especially sugar) will help as well.

The Dentist Can Help

If you’ve been dealing with tooth sensitivity, schedule an appointment so the dentist can discover the cause. Beyond what you can do to reduce the symptoms and strengthen your teeth and gums at home, the dentist can apply a fluoride varnish, prescribe a stronger desensitizing toothpaste if needed, or recommend a gum graft or dental restoration to repair any significant damage.

Your strong, healthy smile is our highest priority!

Top image used under CC0 Public Domain license. Image cropped and modified from original.
The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.
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