THERE WON’T BE a pop-quiz later, but we still want our patients to be familiar with the anatomy of their teeth, starting with the crown and going down to the roots. Everything visible above the gums is the crown, which has three layers.
Tooth Enamel
On the outside is the enamel, the hardest substance in our bodies. It needs to be that hard to withstand a lifetime’s worth of chewing our food, but enamel doesn’t replace itself once it’s gone. That’s why it’s so important to brush, floss, limit our consumption of sugary and acidic food and drink, and schedule regular dental cleanings.
Dentin and Pulp
Underneath the enamel is the dentin, a more bony layer that is yellow and porous. At the very center is the pulp chamber, which contains nerves and blood vessels. The pulp is how our teeth feel temperature changes and pain if something is wrong. Never ignore dental pain; it’s a natural warning sign from the body!
Roots
Beneath the gum line are the roots of the teeth. They’re longer than the crowns, anchored deep in the jawbone and cushioned by the periodontal membrane. Unlike the crowns, roots are only protected by gum tissue and cementum (which isn’t as hard as enamel). Each root tip has a tiny hole, through which nerves and blood vessels connect to the pulp.
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.
NOT MUCH WAS understood in Medieval England about cavities or gum disease, but they did care very much about keeping their breath fresh. They didn’t know about germs, and they believed that bad smells were infectious on their own, including bad breath.
The Masters of Masking Dental Problems With Smell
How did smell-based dental care work? Mostly by chewing spices. You can even find evidence of this practice in the Canterbury Tales. Chaucer’s characters keep their breath fresh by chewing cardamom and licorice. Women were sometimes recommended a mixture of aniseed, cumin, and fennel.
Rock-Hard Bread and Chipped Teeth
So which dental problems went unaddressed while all the focus was on breath? They didn’t have to worry about cavities too much because sugar wouldn’t enter their diets until the 1400s, but grinding flour between millstones tended to leave tiny bits of stone in their bread. You can imagine how much that could damage their teeth over time, and it was a big reason most adults would lose four to six teeth in their lifetimes.
Toothaches in the Middle Ages
What if you got a toothache? If you were rich, you could treat it with myrrh and opium. If not, you might be instructed to burn a mutton fat and sea holly seed candle very close to your tooth. This was supposed to make the “worms” inside the tooth fall out into a basin of water. (We’re very glad to live in the 21st century, where we know worms don’t cause toothaches.)
Fresh Breath in Modern Times
Today, we have the benefit of centuries more knowledge than people had in the middle ages. We know that bad breath isn’t the cause of dental problems but a symptom of them. The simplest and most common cause is leftover food particles stuck between our teeth after a meal. The bacteria in our mouths break down these particles, and the end result doesn’t smell good. We can combat this with a good daily hygiene routine.
Causes of Chronic Bad Breath
Chronic cases of bad breath (also called halitosis) might not be solved by good daily brushing and flossing habits. Halitosis may be caused by:
Chronic conditions. Sometimes, bad breath is linked to conditions that seem unrelated, such as diabetes, liver or kidney disease, and acid reflux.
Medications. A common side-effect of medications is dry mouth. Without saliva to wash away food particles and neutralize acid, the mouth is vulnerable to problems like bad breath.
Mouth-breathing. Whether it happens by habit or because breathing through the nose is difficult, mouth-breathing tends to dry out the mouth, leading to the same problems as described above.
Mouth, nose, and throat infections. Bad breath can be the result of increased mucous when we have a cold or a sinus infection.
Pregnancy. Symptoms such as morning sickness and nausea can cause bad breath because of the extra acid in the mouth. This is also a problem for people struggling with bulimia.
Tobacco products. Tobacco in any form leaves smelly chemicals in the mouth and can also dry it out. In addition, it increases the risk of oral cancer and gum disease, which negatively impact breath as well.
Tooth decay and gum disease. Poor dental health often goes hand-in-hand with chronic bad breath because cavities and periodontitis are caused by the same bacteria that produces those nasty-smelling chemicals.
Keeping Your Breath Fresh
Even if strict oral hygiene isn’t enough to keep the bad breath completely at bay, it will help to manage it, and treating the underlying cause may be able to eliminate it. If you are a habitual mouth-breather, try breathing through your nose more. Quitting smoking will eliminate a major cause of bad breath. If dry mouth is the problem, chew sugar-free gum and mints to stimulate saliva production, sip water, and use a humidifier to help keep up the moisture.
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.
SOME OF US remember the soreness and discomfort of our incoming adult molars, not to mention how hard it was to chew. It’s the same for teething toddlers, but there’s a lot parents can do to help them through this phase.
Teething Symptoms
Beginning around six months, babies might start showing symptoms like excessive drooling, reduced willingness to breastfeed, rejecting food they used to like, difficulty sleeping, or general irritability. They might start biting, chewing, and sucking on everything they can reach or avoid it as much as they can. (Note that fever, runny nose, and diarrhea are not teething symptoms but could indicate a virus.)
Helping Soothe the Discomfort
Continuing breastfeeding can reduce teething pain, as can teething toys, which help the teeth cut through the gums faster while soothing discomfort. Avoid teething toys containing PVC, BPA, or phthalates, however, as these chemicals could be harmful if ingested. If the toy is full of gel, make sure it’s sturdy enough that a child won’t be able to reach the gooey center. Toys that can be chilled in the fridge and have clips to fasten to clothing are a good idea.
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.
SLEEP APNEA AFFECTS over 18 million adults and up to 20% of habitually snoring children in the United States alone. Sleep apnea is a sleep disorder characterized by brief, repeated interruptions to normal breathing during sleep. It can have many short and long-term effects on a person’s health (to the point of being potentially life-threatening) and is also very harmful to oral health.
Sleep Apnea Comes in Different Types
The most common type of sleep apnea is obstructive sleep apnea (OSA). It is caused by a blocked airway, usually the tongue relaxing back until it collapses against the soft palate, which in turn collapses against the back of the throat, sealing off the airway.
Less commonly, a person could have central sleep apnea, in which the brain fails to send signals to the respiratory muscles to keep breathing during sleep. Some people have a combination of both types, which is called complex sleep apnea.
Whether the airway is physically blocked or the brain isn’t sending signals to breathe, the lack of oxygen causes the brain to react to alarm and force the person to wake up long enough to take a breath. They usually don’t remember waking up because it only lasts a few seconds, but it can happen as many as hundreds of times in a single night, making it impossible to get a restful night’s sleep. The cumulative effect on sleep quality can be severe.
Sleep Apnea and Oral Health
Aside from having to deal with symptoms of sleep deprivation like morning headaches, exhaustion, and difficulty concentrating (all of which can be terrible for kids trying to do well in school), sleep apnea means oral health difficulties.
Sleep apnea is associated with an increased risk of moderate to severe gum disease and temporomandibular joint disorders (TMD). This is because the jaw reflexively clenches in an effort to keep the airway open during a sleep apnea episode. This kind of TMD issue can compound, leading to problems like pain when chewing, neck and shoulder pain, damaged teeth, and chronic headaches.
The Dentist Can Help
It is so common to experience dental symptoms with sleep apnea that the dentist is often the first health care professional to observe the signs and diagnose the condition. That’s one good reason of many to keep up with your and your child’s regular dental appointments — not just for the sake of your oral health, but also your overall health!
Common ways sleep apnea is treated include nighttime dental devices that adjust the position of the jaw and tongue and continuous positive airway pressure (CPAP) machines.
Healthier Sleep Means a Healthier Smile!
We all need to sleep well to feel our best. If you or your child have been struggling with the effects of sleep apnea, your next visit to the dentist could change your life. Schedule your next appointment today, and we can see if you’re showing signs of sleep apnea and put you on the path to a full night’s sleep and the healthy smile you deserve.
Wishing a wonderful night’s sleep to all of our patients!
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.
PEOPLE IN MIDLOTHIAN might need to find a new dentist for all sorts of reasons. Maybe they just moved into the area. Maybe their old one retired. Maybe they’re new parents and need to find one for their child. Whatever the reason is, we recommend not waiting until an urgent dental health emergency pops up before finding a dental practice that fits your needs. Here are five important factors to keep in mind when searching for the best dentist for you.
1. Location, Location, Location!
How close is the practice to your home? To your child’s school or where they play sports? To your workplace? Make sure the distance isn’t so great that making it to twice-yearly checkups will become a major inconvenience. It’s a good idea to decide on a radius that seems doable for you and your family, then determine who the best dentist is within that radius. On the other hand, there might be a practice slightly farther away that is still worth it for other reasons!
2. Reputation Matters
What kind of reviews does the practice have? What are their other patients saying about them? Check out the Yelp and Google reviews and maybe ask around your neighborhood, coworkers, and friend group to see if anyone you know is familiar with that particular practice. While there can sometimes be hidden gems, a lot of good feedback is generally a positive sign.
3. What Specialties Can They Claim?
A dental practice that operates close to you and has fantastic reviews might still not be right for you if they don’t offer some of the services you think you’re likely to need. How good are they with child patients? Do they offer cosmetic treatments? How much experience do they have with root canal therapy or treating gum disease? Do some research into a dentist’s specialties to see if they’re a good fit.
4. How Well Do They Fit Your Budget?
Sometimes a practice’s only flaw is the cost of their services in comparison to your budget, or that they aren’t in your dental insurance network. It’s still important to find a dentist for regular appointments in this case, because those checkups are much easier on a budget than a serious dental problem that could’ve been caught and treated cheaply in an early stage. Finding a budget-friendly dentist is an excellent investment, both financially and in terms of dental health.
5. Patient Comfort
If you aren’t comfortable around a dentist or within their practice, then the other factors might not matter much to you. It’s a good idea to pay a practice you’re considering an early visit just to get a sense of the place and the staff. A good dental practice will always prioritize patient comfort, especially considering how many patients struggle with dental anxiety!
Meanwhile, keep up those oral hygiene habits!
We Look Forward to Meeting You as Your Midlothian Dentist!
If you weren’t sure how to start looking for a great dentist in Midlothian, VA before, we hope we’ve given you a few ideas of where to begin! If you want to learn more about our practice to see if we’re a good fit for you, just give us a call or stop by. We’re happy to answer any questions you may have!
Thank you for trusting us with your dental health needs!
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.
WE HEAR A LOT that it’s bad to chew ice. It’s because ice can do a lot of damage to our teeth and gums.
Extreme Temperature Changes Versus Enamel
Tooth enamel might be the strongest substance in the body, but it’s also brittle. The issue with ice isn’t just that it’s hard, it’s also that it’s cold. Extreme temperature changes cause tooth enamel to expand and contract, creating tiny cracks and weakening the overall structure. It’s the same thing that happens to pavement in places that get snow.
Gum Injuries and Tooth Damage
While weaker enamel can lead to tooth sensitivity and vulnerability to decay, ice also isn’t good for gum tissue. It’s so cold that it creates a numbing effect, which can make it difficult to notice if it causes an injury to the gums. It’s also hard enough to break or chip teeth.
Where Do the Cravings Come From?
Why crave ice if there are only downsides to chewing it? The scientific term for compulsive ice eating is pagophagia. It could indicate an eating disorder called pica (the compulsion to eat non-food items, or it could be related to iron deficiency anemia. The chill of ice stimulates blood flow, counteracting low oxygen levels in the brain, but that only treats a symptom of anemia, not the cause.
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.
THERE’S A LOT OF strange stuff buried in the history of dental health and hygiene, but there are a few traditions that really stand out.
Stopping Bruxism With Skulls
The ancient Babylonians had a very peculiar way of treating bruxism (chronic teeth-grinding). They believed the problem was caused by demons, so the solution was to scare the demons away…by sleeping right next to a human skull. Supposedly the grinding habit would leave along with the demon. We suggest consulting a dentist instead.
Mice for Pain Management?
In ancient Egypt, someone who had a toothache could be treated with a pain-killing ointment. One of the main ingredients of this ointment? Mice. We don’t know how effective this was at managing the discomfort of a toothache, but we’re pretty sure we’d rather not find out. You’re much better off scheduling an appointment so the dentist can discover the cause of the pain and recommend treatment.
Pitch-Black Smiles
Modern beauty standards are all about having dazzling white smiles, but that hasn’t always been the case in every culture. Many cultures in Asia historically preferred black teeth instead! In Japan until the end of the Meiji period in the late 1800s, wealthy women and samurai often used the practice of Ohaguro to stain their teeth black. They liked the way it looked and believed it provided some protection against tooth decay. (We don’t advise copying them.)
Sooty Teeth
Thousands of miles away and hundreds of years earlier in England, people were also blackening their teeth. When the sugar trade first reached the British Isles in the Early Modern period, sugar was so expensive that only the nobility could afford tooth-rotting sweets, so black, rotten teeth became a mark of affluence. Sumptuary laws prevented the lower classes from dressing above their station, but there was no law stopping them from using soot to imitate the appearance of a wealthy smile!
Even worse, Elizabethan England thought sugar was a vital ingredient for toothpaste!
Bedazzled Mayan Teeth
2500 years ago, the ancient Mayans would drill holes in each other’s teeth by hand, then use plant sap as glue to attach gemstones inside the holes. They were careful to avoid the nerves in the teeth, but this is still a very risky form of body modification even in modern times. Teeth shouldn’t have holes in them, whether artificial or in the form of a cavity that develops over time, as that’s how bacteria can eventually reach the pulp chamber and cause a serious infection.
What Will Future People Find Weird About Our Teeth?
Can you think of any teeth traditions we have today that future generations might think are very strange? We’re guessing it might be the online (and extremely dangerous) “do-it-yourself braces” tutorial videos or people who follow the Mayan example of embedding jewels in their teeth. We encourage our patients to prioritize their dental health by maintaining good dental hygiene habits, cutting back on sugar, and making it to their regular dental appointments.
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.
CHILDHOOD IS A TIME of scraped knees and bumps and bruises as kids run around discovering the world. As pediatric dentists, we want to help parents minimize the risk of their kids getting preventable tooth injuries while they’re enjoying what childhood has to offer.
The Main Tooth Injury Risks
For babies and toddlers, the majority of tooth injuries happen from a slip in the bathtub. Keeping a close eye on them while they’re in the tub will help, as will a non-slip bath mat.
Playground equipment is a common cause of tooth injuries in older kids, including monkey bars, jungle gyms, and even swings. Make sure to talk about safety with the kids when they’re playing on this kind of equipment. Balls and frisbees are also a risk, so stress the importance of not aiming for each other’s heads when playing with them.
Plan for an Accident
Even when we’re careful, accidents can still happen, so make an emergency plan. If a tooth gets knocked out and it wasn’t a baby tooth that was already loose, try to put it back in the socket and get to the dentist. Store it in a glass of milk if it won’t go back in.
We can also protect our kids’ teeth by keeping them healthy! Healthy teeth are less vulnerable to getting knocked out than teeth weakened by decay and gum disease.
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.
DAILY BRUSHING AND flossing are essential to keep a growing child’s smile healthy, but we already know that. We hopefully also know how important it is to set regular dental appointments. Cutting back on sugar intake and limiting it to mealtimes instead of little snacks throughout the day is another important way to reduce the risk of tooth decay.
These aren’t the only things that go into a healthy smile, however. Certain vitamins and minerals help build and protect them.
Important Vitamins for Oral Health
Saliva is the first line of defense our teeth and gum have against tooth decay and gum disease, and vitamin A keeps the saliva flowing. We can get it from foods like melon, sweet potatoes, beef liver, and spinach.
One powerful antioxidant that helps our bodies fight inflammation and heal is vitamin C. Not getting enough can mean gums that are more prone to bleeding and looser teeth, including for kids. Citrus fruits are great sources of vitamin C, but they’re also acidic, so it’s a good idea to rinse with some water after eating an orange!
Vitamin D is what ensures that we can make good use of the other vitamins and minerals we consume. Vitamin D signals our intestines to absorb them into the bloodstream. Getting enough of it will lead to stronger, denser bones, and we can get it in our diet by eating fish, eggs, and dairy products.
Vitamins B2, B3, and B12 are important for oral health too. They all reduce the risk of oral canker sores, and B3 also helps us convert our food into energy. Good sources of B3 are fish and chicken, there’s plenty of B12 in pasta, bagels, almonds, and spinach, and B2 sources include red meat, chicken, fish, liver, and dairy products.
The Minerals Our Teeth Are Made Of
It’s common knowledge that calcium builds strong teeth and bones and that we can get plenty of calcium from dairy products, but magnesium, zinc, and iron are also important minerals for our oral health. Magnesium helps the body to absorb calcium, and we can get it from leafy greens, beans, nuts, seeds, and whole grains.
Iron helps to maintain the oxygen levels in our cells. Having an iron deficiency results in problems like increased risk of infections, mouth sores, inflammation of the tongue, and more buildup of oral bacteria. We can get iron from red meat and liver.
Finally, zinc makes it harder for plaque to build up along the gum line, making it easier to fight oral bacteria. Foods like wheat, cereal, cheese, wild rice, and beef contain zinc. Cheese is particularly good because it also contains casein, which helps keep our tooth enamel strong.
What about calcium sources for those who can’t eat dairy products?
Building and Keeping Lifelong Healthy Smiles
If your child hasn’t been getting each of these nutrients for building a strong, healthy smile, we recommend incorporating more of the foods we mentioned into their diets. Sometimes allergies or food intolerances can make this tricky, so the pediatrician may be able to recommend multivitamins and supplements. Whatever your situation, don’t forget the brushing and flossing!
We’re looking forward to seeing those growing smiles again!
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.
STAYING INFORMED ABOUT the symptoms and risk factors of oral cancer is incredibly important. We oral health professionals are on the front lines of the battle against oral cancer, and we want to recruit our patients to fight with us.
Oral Cancer Risk Factors
By far the biggest risk factor is tobacco use. Another is frequent, heavy alcohol consumption. Oral cancer affects twice as many men as women and people over age 45 are at greater risk. Other risk factors include too much sun (which can cause lip cancer), HPV, and neglecting oral hygiene. Children are less at risk, but that can change if they start using tobacco — just one more reason why parents should discourage their kids from smoking or vaping.
Symptoms of Oral Cancer
Oral cancer symptoms include red or white patches in the mouth, a sore that doesn’t heal, strange thickness in the cheek, an unusual lump, numbness of the mouth or tongue, a persistent feeling of having something stuck in the throat, chronic bad breath, and difficulty chewing or swallowing.
The Dentist Can Help
The great news is that survival rates for oropharyngeal cancers have been increasing for the last 30 years. The way we continue that trend is with awareness and early detection. The first person to spot early signs of oral cancer is often the dentist during a routine dental exam!
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.
In my 57 years of life, Dr. Simon is the best dentist I’ve ever seen. We are a military family and have moved several (more than I care to count) times. With each move comes the same challenges relating to finding new doctors, dentists, etc. A good dentist is particularly hard to find, as they are f… Read more
Colleen Moore
Service is great, staff is knowledgeable and courteous. Highly recommended.
Roy Johnson Sr.
I recently went to visit Dr.Simon and was informed that I needed quite a bit of dental work, this came as a shock to me and I was of course very nervous. Dr.Simon and his staff were very kind and accommodating through the entire process. The work that he did was excellent, he takes pride in what he … Read more
Dr. Simon is very sincere and thorough. He takes the time necessary to explain the procedures, expected outcomes and future care. His compassionate approach with a healing hand to all orthotic procedures make him a well-trusted dental professional and an exemplary human-being.
I’ve been a patient of Dr. Simon for many years and he’s the best! I’m faithful about having a check-up every six months because Dr. Simon is always on time and very considerate. I like the Brandermill location and his staff is professional, friendly and courteous.
