Trendy Diets May Negatively Affect Oral Health

          Over the years we have heard about all of the different types of crash diets to help lose weight. There has been the Atkin’s diet, a juice cleanse, and now the Paleo diet. I am not here to tell you what diet you should or should not try. However, it is important to see how some of these could affect your oral health. You don’t want to finish a round of dieting and have a mouth full of cavities to show for it.

            When you think of dieting, you think of eating less food. Obviously the goal is to lose weight by ingesting fewer calories each day. However, by eating less you can change the amount and the content of your saliva. Decreased saliva flow increases your risk of tooth decay. So if you are dramatically cutting back on how much you are eating, be extra careful in taking care of your teeth and gums.

            Juice cleanses have become popular over the past few years. It involves drinking a concoction of different fruits, vegetables and other things that are loaded with vitamins. When they are loaded with acidic fruits, this can be very damaging to the teeth if not handled properly. The acidity can erode the tooth structure and lead to sensitive teeth. There are toothpastes available to protect your enamel (Pronamel) and it is important to drink plenty of water after ingesting the different juice mixtures. This will help to wash away some of the acidity from the teeth. And you don’t want to brush your teeth right after ingesting a citrus drink. The tooth is more vulnerable to erosion right after exposure and should be given at least 30 minutes before brushing with an abrasive tooth brush and toothpaste.

            We don’t want to talk you out of dieting, but just be sure to know how it could affect your oral and overall health before starting a program. And for more information you can visit www.dentistwestchester.com.

Lee T. Brown, DDS

Brown and Kupper, DDS

ADA, Federal Agencies, and Dentists Still Encourage Flossing

            A few months ago a study was released questioning the efficacy of flossing your teeth. Because of this, many people began to think that ‘science’ doesn’t support flossing. However, the Department of Health and Human services, the American Dental Association, and others have “reaffirmed the importance of interdental cleaning.” So what is the truth behind all of this?

            A periodontist is a specialist of the gums and bone surrounding the teeth. When it comes down to it, they are the authority in how to take care of the gums. Their group still strongly supports the importance of flossing and cleaning between the teeth. A toothbrush is absolutely essential in cleaning your teeth and gums every day, but it cannot access all of the areas in between the teeth. And even though there are plenty of studies that support the use of floss and interdental cleaning, many dentists and periodontists say the reason they support flossing is because of what they see in their offices every day. Flossing improves the health of their patient’s gums.

            Traditional flossing isn’t the only way you can clean in between your teeth. Even though I believe it should be a part of every person’s home care, there are other tools to clean in between the teeth. For people that have larger gaps between their teeth, gum recession, or dental bridges, the use of ‘soft picks’ can be helpful. These tools look like rubberized tooth picks with small rubber barbs to help clean the gum tissue. And there is a product called Super-Floss that is effective for cleaning under bridges. It is a much thicker type of floss that can remove more food and debris than traditional floss.

            The bottom line is you should floss every day. The improvement in the health of your gums will be worth the extra couple of minutes it may take you. And if you stop to see what has been hiding in between your teeth all day, it will be extra motivation!

For more information, visit www.dentistwestchester.com.

Lee T. Brown, DDS

Brown and Kupper, DDS

What should I know when buying dental supplies for my family?

            When you walk down the ‘oral care’ aisle at any store, the number of options can be intimidating. There are so many different brands and variations of similar products. Hopefully we can help simplify the process.

What kind of tooth brush should I buy?

• Do yourself a favor and get an electric tooth brush with a 2 minute timer. It will reduce the chances of tooth decay, gum disease, gum recession. Chances are it will save you thousands of dollars during your life.
• If you absolutely can’t stand an electric brush, make sure it is a soft bristle brush.
• The expensive brushes are great, but you don’t have to buy the most expensive brush to get a solid brush. However, remember that you get what you pay for and if it only costs $10 it probably is inexpensive for a reason.
• Use a different brush or brush head after you are sick. You don’t want to increase the risk of spreading anything bad to your family.

What kind of tooth paste should I buy?

• Look for the ADA approval on the box. If it has that, it has been put through a serious screening process to earn it.
• If you use sensitivity toothpaste, you should use it twice a day and every day. It is more effective when used consistently.
• If you want whiter teeth, toothpaste isn’t going to make a huge difference. Whitening toothpaste is more abrasive and reduces surface staining but does not whiten like bleaching your teeth can.
• Use a flavor that you like. It will make it more likely to brush consistently and for long enough.

What kind of mouth rinse should I buy?

• Only let your children use mouth rinse made for adults if they can consistently spit it out after using. But there are some rinses specifically designed for kids.
• I usually recommend alcohol free because it is less abrasive to your gums.
• Use a mouth rinse with fluoride. It reduces the potential for cavities.

Like anything else, if you are not sure what product may work best in your situation then just give us a call. We are happy to walk you through the different choices in more detail.

For more information visit www.dentistwestchester.com.

Lee T. Brown, DDS

Brown and Kupper, DDS

“I want to quit tobacco”

            Many people who have become addicted to using tobacco products want to stop. But as they can attest, that is much easier said than done. Everyone has been educated on the risks associated with tobacco use, but we want to reiterate how it can affect your dental and overall health. And we can also offer couple of tips on quitting tobacco.

Why should I quit using tobacco?

• Your mouth will be healthier. Quitting can lower your risk for receding gums and bone loss in the jaw bone surrounding the teeth.
• You will look and feel better. The stains created from smoking cannot be completely cleaned through brushing at home. Quitting will reduce stain and brighten your smile.
• You will set a healthy example. Chances are you are a role model to someone. Sometimes its children and sometimes it is a peer. By quitting you may inspire someone else to do the same.

Tips to Quit:

• Make a list of personal reasons for quitting and keep it in a place that you will frequently see.
• Set a date to quit in the future and do everything you can to stick to it. Try to find a time during the year that is ‘low stress.’
• Get help: ask your physician, family, friends and anyone else for their support in quitting.
• Find a healthy substitute. When you have a tobacco craving, try sugar-free gum or sugar-free candy. There is a sugar substitute called xylitol that has been shown to actually fight tooth decay.
• The four D’s:
• Delay- the craving will pass in 5-10 minutes
• Drink water- it gives you something to hold and put in your mouth
• Do something else- distract yourself by being active
• Deep breathing- this will help relax you.

We know it sounds a lot easier than it actually is, but hopefully you can use some of this information to help you or someone you know quit using tobacco. For more information go to www.dentistwestchester.com.

Lee T. Brown, DDS

Brown and Kupper, DDS

CDC Reports Benefits of Dental Sealants for Children:

           Dental sealants are placed over the pits and fissures on the chewing surfaces of teeth. Their goal is to protect those surfaces from the start of tooth decay. As soon as the permanent molars erupt, we typically recommend placing sealants. Depending on how susceptible each individual’s teeth are to cavities, we may even recommend sealants on the premolars as they erupt. Below we will discuss some of the advantages of dental sealants.

            ADA News reports that sealants can prevent around 80% of cavities in school aged children. However, 60% of those children did not receive dental sealants according to the CDC. The same report also found that if you did not have sealants, you had 3 times as many cavities as those who did. The resulting dental work totaled around $300 million that could have been prevented had some 7 million low-income children been provided sealants.

Because this is such a large problem, many local organizations have out-reach programs that offer free dental services to underprivileged children. A major focus of these programs is preventative dentistry. Along with fluoride treatments and home care instructions, sealants are an important part in breaking the cycle of early on-set tooth decay.

Are there any concerns or health related consequences with dental sealants? The only concern brought to our attention has been the presence of BPA (bisphenol-A) in the sealants. There is some concern BPA could be related to some health issues. But the ADA states that the potential exposure is minute and less than simply breathing air or handling a receipt. The sealants are made from a similar compound as composite (tooth colored) fillings, and there have not been any side affects to these fillings related to BPA.

Dental sealants are a good option for nearly every child as their permanent molars begin to erupt. They are non-invasive and can greatly reduce the potential for cavities. Be sure to ask us if you have any questions or concerns about your child and sealants.

Lee T. Brown, DDS

Brown and Kupper, DDS

Antibiotic Overkill

            For many, conventional wisdom tells them to take antibiotics when they don’t feel well. They have been told they can go to the doctor or ‘Little Clinic’ to get a prescription for antibiotics. This will eventually make them feel better. But in many cases the antibiotics are taken after they already feel their worst, and the progression of the illness allows them to start feeling better shortly thereafter. So naturally we credit the medication for curing the ailment. In reality, the body is naturally fighting the disease and curing what ails you. But the whole experience makes you feel the antibiotics were the correct choice.

Why is it a problem to just take antibiotics regardless of the issue?

            Antibiotics are designed to attack bacterial infections, not viral infections. So if you have a cold or the flu, antibiotics will not help you get better. But the more serious issue is what it can do to your health in the long run. By taking antibiotics too frequently, your body can develop immunity to those types of antibiotics. So when an infection arises and those antibiotics are truly needed, they may not be as affective. This can make treatment more difficult and the disease more dangerous.

Some statistics that show how big of a problem antibiotic resistance has become:

• Over 70% of illness causing bacteria are resistant to at least one type of antibiotic.
• It is estimated over 50,000 deaths can be contributed to antibiotic resistance in the US and Europe in 2015.
• If the problem persists, scientists are projecting that number to rise as high as 10 million by 2050.
• The primary reason for this trend is over prescribing antibiotics.

How is this related to dental health?

            Don’t let dental infections grow too large or go too long before treatment. If you wait longer than recommended to treat an abscess then you may need to take even more antibiotics.

With cold and flu season quickly approaching, don’t be surprised if more and more health care professionals are hesitant to prescribe antibiotics if they are uncertain of the underlying problem.   

Lee T. Brown, DDS

Brown and Kupper, DDS

www.DentistWestChester.com.

American Dental Association confirms dental amalgams are safe

            There is much debate concerning the safety of using dental amalgams to restore tooth decay. These fillings are made from a mixture of mercury, silver, and other metals. The obvious concern is over the mercury content. A new study out of the University of Georgia confirms that while these fillings can contribute to higher levels of mercury in the blood, the levels are still well below the established safety thresholds set by the Environmental Protection Agency (EPA). Lets examine the findings more closely and see how that may affect you and your future dental treatment.

            After examining the findings of this study, the ADA acknowledges while there is a “statistically significant difference in circulating levels of mercury, all the levels observed were within the lower 95% confidence limit set forth as safe by the National Research Council of the National Academy of Sciences.” What does this mean? They are basically saying it is not something they are worried about. Even though the levels are slightly higher, it doesn’t appear to affect your overall health.

            What are our thoughts on amalgam fillings? I certainly understand and empathize with the concern over mercury exposure. But if you eat a lot of fish, you are exposing yourself to the potential of elevated mercury levels in your bloodstream. So we obviously do our best to avoid the use of amalgam fillings, but we do not recommend all amalgam fillings be replaced without cause. This causes additional trauma to the tooth which could lead to future sensitivity and more complex treatment.   

            There are a few situations where we may recommend the use of amalgam fillings. It is usually on a back tooth where keeping the area dry and isolated is challenging. Without total isolation from saliva, tooth colored fillings do not last as long. Amalgam fillings work more predictably when dry, but have a better prognosis than tooth colored fillings when saliva contamination is possible.

            If you have any concerns about the type of fillings you already have or will need in the future, your best bet is to have a discussion with your dentist. We can help walk you through the pros and cons of whatever option you are comfortable with.

For more information, visit www.dentistwestchester.com.

Lee T. Brown, DDS

Brown and Kupper, DDS

Self-Repairing Fillings:

            Scientists in London are working on the development and release of a new type of tooth filling. It is known as bioactive glass and is designed to block cavities and repair bacterial damage. The implications of this are exciting because it can help fillings last longer and slow down the spread of cavity around existing fillings.

            The new fillings are made from bioactive glass composites and release fluoride, calcium, and phosphate. These components are all needed to form tooth mineral. This could be really helpful since bacteria can work against your tooth at a microscopic level. So if there is the smallest of openings that cannot be detected visually, it can be a point of entry for a cavity. If the filling materials could help close those microscopic gaps, it could strengthen the filling and make it last longer.

            Another application could be reducing the potential for tooth sensitivity and future root canals after a filling is placed. To remove tooth decay, you have to drill into the tooth and create a clean margin where cavity no longer exists. By doing this you get closer to the nerve of the tooth. If the filling material can help create an additional barrier of new tooth structure between the filling and the nerve, it lessens the chances of sensitivity.

            There hasn’t been much testing on its effectiveness to incipient cavities, but there is hope that these fillings can help stop cavities before they begin to progress too deeply. An incipient cavity is tooth decay that hasn’t yet penetrated the outer tooth layer of enamel. If bioactive glass composites can be placed over the cavity without any drilling in an effort to help heal the tooth, it could make dentistry more proactive and less invasive. 

            We are always looking for a way to be more preventive and less invasive in providing dental care. Advancements like bioactive glass fillings wont be available for a few years, but we are excited about the possibilities they may offer.

For more information, visit www.dentistwestchester.com.

Lee T. Brown, DDS

Brown and Kupper, DDS

Skipping Regular Dental Visits May Affect Your Overall and Dental Health

            Many people see their dentist and dental hygienist more often than their primary care doctor. If you have fairly good oral health, we typically recommend semi-annual professional cleanings and exams. If you have active periodontal disease or a history of periodontal disease, then we may see you even more frequently. But why is it important to stay regular with your dental visits?

            Having your teeth professionally cleaned a few times a year helps to prevent bone loss and gum loss around the teeth. Persistent loss of either can result in pain or even tooth loss. Even if you have excellent home care, there are certain areas that cannot be adequately maintained. For example: many of us build calculus on our lower front teeth. This calculus is a hard collection of bacteria that cannot be brushed or flossed away. If it is not routinely cleaned, it may lead to cavities and gum disease. The dentist or hygienist have specialized instruments that can clean and polish these areas to prevent any unwanted progression.

            During each cleaning appointment, we complete an oral cancer screening. Much like visiting the dermatologist, we look for any areas that may be new or changing. This could be areas that are red, white, or ulcerated. There are some areas you can see and examine at home, but there are a lot of areas that you are unable to identify. If we find an area of concern, we will measure the area and take a picture. A few weeks later we will follow up to see if anything has changed. If we become very suspicious of a particular area, we may refer you to a specialist for a biopsy and diagnosis. Even though these areas are not extremely common, it is important to identify as early as possible to improve the prognosis.

            The most commonly known reason that we recommend frequent visits is to check for tooth decay. The earlier we identify a cavity, the better the prognosis. A small filling can become a really big problem if not addressed quickly. This may lead to bigger fillings, crowns, root canals, or even tooth loss.

            If you have questions regarding how often you should have a professional cleaning and exam, feel free to call us and ask any questions you may have. You can also visit www.dentistwestchester.com for more information.

Lee T. Brown, DDS

Brown and Kupper, DDS

E-Cigarettes and your mouth

            E-cigarettes use a battery powered heating element to deliver nicotine and flavorings to the user. It is also commonly known as ‘vaping’. They refer to these as vaping instead of smoking because they produce a vapor instead of burning. They are continuing to gain popularity, especially among the millennial generation. Part of their rise in popularity is because E-cigarettes have been touted as a safer option than traditional cigarettes, and there is some truth to that. However, the long term affects are still mostly unknown.

             One advantage e-cigarettes have over traditional cigarettes is they contain much less nicotine than traditional cigarettes. While that is an obvious advantage, nicotine is still a highly addictive substance in that amount. The side affects that are associated with nicotine use include depression, anxiety, and irritability.

            Traditional cigarettes can stain your teeth, cause gum disease, and even lead to oral cancer. E-cigarettes are less likely to cause staining, but the nicotine still has the ability to interfere with your saliva. This can lead to dry mouth, increased bacteria, and increased risk of tooth decay.

            There is also concern that e-cigarettes can serve as a gateway drug to using traditional cigarettes. Many young people perceive e-cigarettes to be much milder and less addictive. However, once they are addicted to the nicotine the potential risk of cigarette use greatly increases.

            While e-cigarettes are likely healthier than traditional cigarettes, I am in no way advocating for their use. There may be some advantages in using them to assist in quitting smoking, but I would recommend talking with your medical doctor before trying anything on your own.

For more information, visit www.dentistwestchester.com.

Lee T. Brown, DDS

Brown and Kupper, DDS

College students and cavities

            Unfortunately, we have seen college students with a great dental history come home after a few years away at college with some new cavities. So what changed during their time away at school? Let’s look at a few things that can contribute to developing new cavities.

            A common cause of the increased decay rate is from an influx in sodas and sugary drinks. This may include regular soda, diet soda, energy drinks, and even sports drinks like Gatorade. When used in moderation, it is typically not a big problem. But the constant exposure to the sugar or acid will weaken the enamel and result in cavities. Even diligent brushing twice per day can’t eliminate the harmful affect of long term exposure to sugar and acid. This information is important for students know when they are up late cramming for a test. Like anything else, moderation is the key.

            Other issues responsible for an increase in tooth decay are candies, mints, and fruit snacks. Students that snack on these while studying have constant exposure of sugar. This repeated exposure will lead to tooth decay. Unfortunately, brushing cannot reach between the teeth to eliminate all of the harmful affects of the sugary snacks. I am not recommending that all of these snacks should be completely removed from you diet. Once again, it is all about moderation. Following a snack or candy, finding a way to brush would be ideal. However, it is understandable that everyone isn’t going to bring a toothbrush and toothpaste with them to the library. So if you are unable to brush, I recommend drinking water to help cleanse the teeth or chewing sugar free gum. Then be sure to brush when you get home.

            We hope a few minor changes can make a big difference. Our goal is to educate students early so they don’t have to learn the hard way!

Please feel free to contact us with any questions about you or your child, or visit us at www.dentistwestchester.com.

Lee T. Brown, DDS

Brown and Kupper, DDS Inc.

Dental Myths

Dental Myth: If it doesn’t hurt, you don’t need to fix it

Cavities can be tricky. They can be difficult to diagnose in certain areas and it can be challenging to predict how large they will be. After a filling is completed, it can be just as difficult to predict whether or not the tooth will become sensitive. And there are still many people out there who think that a cavity or a crack on a tooth doesn’t need to be fixed until it breaks or becomes symptomatic. Let’s talk about some of the risks in waiting for a tooth to hurt.

            The deep grooves and fissures of the teeth are the most common areas for us to find cavities beginning to develop. We use clinical exams, a dental explorer, and even specialized cameras to identify problem areas in their earliest stages. If we waited until you had sensitivity to hot or cold drinks to diagnose and treat the areas, the tooth decay would be beyond its incipient stage. And the deeper the cavity, the higher the risk of sensitivity and possible root canal treatment. By maintaining regular cleanings and exams, it allows us to help diagnose and treat these areas early and improve your prognosis.

Dental Myth: If I can’t see the cavity, it isn’t that big.

            Many cavities can grow quite large and even infect the nerve of the tooth before they are visible. A cavity can begin as a microscopic opening in the enamel (outer layer) and spread into the dentin (inner layer). It can then quietly grow larger within the tooth, and sometimes infect the nerve without any symptoms. In these situations, we rely on x-rays to help us diagnose and treat the cavities. Regular exams and x-rays are sometimes our only way to find these areas before they grow into much larger and more expensive problems.

For more information, visit www.dentistwestchester.com.

Lee T. Brown, DDS

Brown and Kupper, DDS

Why do my kids need sealants?

            When your kid’s permanent molars begin to erupt, we typically discuss the importance of sealants. Dental sealants are placed over the deep pits and fissures of teeth to help prevent the start of cavities. These deep grooves are common areas for cavities to begin in children, and sealants have been proven to help reduce the incidence in tooth decay.

Which teeth typically need sealants?

            Usually it is only the permanent molars that need sealants, but if there is a higher risk of tooth decay we may recommend sealants on other permanent teeth. This could include incisors or premolars.

How old will they be when sealants are recommended?

            The permanent first molars typically erupt around 6 years old. Every child can vary on timing, so it may not be until they are 8 or even 9. Recommendations may also be made based on each child’s ability to tolerate the procedure.

What should they expect during a sealant?

            It is essential to keep the tooth completely dry during the procedure. Any saliva on the tooth will cause the sealant to fall off. So we protect the area with cotton and use suction to remove any moisture. The tooth is brushed clean, cleaned microscopically with a liquid, then rinsed and dried. The sealant material is then painted on as a liquid and is hardened by a strong light for about 20 seconds. If everything goes well, each individual sealant should only take a few minutes.

Do they need to wait to eat after the sealant is placed?

            After the procedure, they are free to eat, drink, brush and floss. However, we recommend avoiding sticky and hard foods for a few days. The sealant needs to ‘wear down’ into the correct spot, and this can take a few days. If they chew food that is too stick or hard, it could increase the risk of losing the sealant before it settles into their bite.

How much does it reduce their risk of cavities?

            For children who have had sealants placed, studies have shown a 70-80% reduction in the incidence of cavities in the grooves of the teeth. It is a very effective preventative measure that can be taken to help protect their teeth.

For more information, visit www.dentistwestchester.com.

Lee T. Brown, DDS

Brown and Kupper, DDS

Why is an electric toothbrush better than a regular toothbrush?

It has a two-minute timer:

The proper amount of time to brush your teeth is two minutes. Typically, the average person will brush their teeth for only 30 to 45 seconds before finishing. They stop because it feels like it has been a long time and the teeth feel cleaner than before brushing. By brushing for 30 seconds, you have only removed the macroscopic particles on your teeth. To truly clean on a microscopic level you need 30 seconds on each quadrant of the mouth. We have found that brushing for the full two minutes to be one of the biggest difference makers to improving your oral health and reducing the risk of cavities and gum disease.

It doesn’t wear down the gum tissue:

            When using a regular toothbrush, many people tend to brush in a ‘sawing’ motion. The toothbrush and the toothpaste have abrasives that can wear down the gums and cause recession. If the gums recede too far, then a surgical procedure is needed to restore the tissue. An electric toothbrush doesn’t require you to use a brushing motion. You can simply move it from tooth to tooth and the motion of the brush head will properly clean the teeth.

The toothbrush doesn’t get distracted (like we all do):

            When we brush our teeth in the morning and before bed, our mind tends to wander. Even if we are a little distracted, the electric toothbrush will continue to do its job. We don’t have to worry that it will scrub too hard in one area and cause recession. It should also beep or vibrate every 30 seconds as a reminder to move on to the next quadrant.

Which one is right for me?
            Talk your dentist or hygienist about all of your options. You don’t have to break the bank to get a great toothbrush. And if you aren’t sure, just ask!

For more information, visit www.dentistwestchester.com.

Lee T. Brown, DDS

Brown and Kupper, DDS

Chewing sugar free gum can improve your dental health

            Men’s Health magazine recently had an article titled, “This $1 Habit Could Save You Hundreds In Dental Bills.” The article discussed how chewing sugar free gum is a simple and inexpensive trick to help keep your mouth healthy and reduce your dental expenditures. So how does chewing sugar free gum promote dental health?

Chewing sugar free gum reduces the acidity in our mouth and reduces the bad bacteria present. It does so by increasing saliva production, which in turn helps to remove food from the teeth and neutralize the acid that wears away at enamel. This obviously should mean less dental work needed over time.

How long do you need to chew the gum for it to be effective? It should be at least for 20 minutes to get the maximum benefit that sugar free gum can give you. If you only chew gum for enough time to freshen your breath and quickly dispose of it, it doesn’t provide adequate time to cleanse some of the surface areas and change the acidity in the mouth.

            Does chewing sugar free gum replace brushing, flossing, or using mouth rinse? It should only be used as a supplement to the usual home care techniques. Brushing, flossing, and rinsing are the only ways to adequately clean the teeth. If you try to replace these with chewing sugar free gum, I think you could run into some serious dental issues. But chewing gum could be a great way to supplement your home care routines if you are snacking throughout the day and you do not have a toothbrush and toothpaste with you.

            Be sure you check the ingredients and labels on gum before you buy with the purpose of improving your oral health. If you are consistently chewing gum loaded with sugar, it could have the opposite effect. And definitely talk with your dentist for any other recommendations regarding your individual situation.

For more information, visit www.dentistwestchester.com.

Lee T. Brown, DDS

Brown and Kupper, DDS 

Researchers working on fillings that regenerate tooth structure

            In both medicine and dentistry there is a focus on being preventative and less invasive with treatments. Sealants, fluoride treatments, and regular cleanings are a great way to focus on preventative dental treatment. But once a cavity has formed, our only course of treatment involves drilling away tooth structure to remove the tooth decay. Currently, researchers are working on developing fillings that “allow teeth to heal themselves.” This is a very exciting development because it could limit the number of invasive procedures a dentist may need to perform.

            The treatment that researchers have been working on would stimulate stem cells to encourage the growth of dentin. Dentin is the bony material that makes up the majority of the tooth and lies just under the hard, outer shell of enamel. These fillings would allow you to effectively re-grow tooth structure that was damaged by decay. Hopefully this could become an alternative to traditional dental fillings.

            So why would it be important to reduce the number of fillings needed or the size of the fillings performed? Typically, a smaller filling leads to a better prognosis. A smaller filling stays further from the pulp (where the nerve is found) and decreases the potential for sensitivity. And every time you work on a tooth, you risk possible sensitivity and the need for a root canal in the future. Each root canal contains another set of risks that include root fracture and tooth loss. Bottom line: if you can avoid invasive procedures on the teeth it can be beneficial to you in the long run.

            Even though we still know very little about this development, it is safe to say it will not eliminate the need for all invasive dental procedures. But every little bit helps and it can hopefully prevent a ripple affect on your dental health that could affect you for years.

For more information, visit www.dentistwestchester.com.

Lee T. Brown, DDS

Brown and Kupper, DDS 

Sports drinks can be bad for your teeth

            Gatorade, Powerade, and a number of other sports drinks have gained popularity over the years. Their original intent was to provide hydration for athletes looking to replenish their fluids and electrolytes after training or competition. When used in this capacity, these drinks are safe and effective for people of nearly all ages. But as they surged in popularity, many began to drink sports drinks throughout the day. Misuse of these drinks can lead to other health problems like tooth decay and obesity.

            So how can sports drinks be bad for you? The purposes of sports drinks are somewhat misunderstood as drinks that provide nutrition for children or adults. The reality is they are loaded with sugar and are very acidic. This leads to an increased risk for tooth decay, erosion of the enamel, and even obesity. While it is generally understood that sodas and concentrated juices can be bad for you, sports drink don’t have the same persona. This leads people to overuse or incorrectly use these drinks, and the health concerns can quickly follow.

            One alarming area where we have found sports drinks to cause serious dental issues is with young adults going through braces or Invisalign. With braces on the teeth it is more challenging to remove the sugar deposits on the teeth. With Invisalign it is even more concerning if they drink sports drinks with the retainers in place. The Invisalign then acts as a reservoir for the sugary and acidic drink to attack the teeth. Be sure you discuss some of these factors with your dentist before you begin any orthodontic treatment.

            Sports drinks can be very beneficial when used in the correct setting for recovery following exercise. But be sure you and your child understand the proper use of these drinks and how to clean up afterwards. This can save you a lot a issues with your teeth and health moving forward.

For more information, visit www.dentistwestchester.com.

Lee T. Brown, DDS

Brown and Kupper, DDS Inc.

Why does my jaw hurt?

            The Today Show recently did a segment titled: “Why does my jaw hurt? 4 odd symptoms women over 40 shouldn’t ignore.” Obviously we believe anyone with jaw pain should visit the dentist, regardless of their age. But it is interesting that the article was directed to women over 40. Even if you are in excellent health and take good care of yourself, you are still getting older and certain risk factors increase with age.

What should I do when I first experience jaw pain?

            If the area is sore, it is possible you aggravated or sprained a muscle or ligament associated with the TMJ (temporomandibular joint). And like most acute injuries, your jaw requires rest and anti-inflammatory medication like ibuprofen (Advil) or naproxen (Alieve). It would also be helpful to rest the muscles by avoiding gum and chewy foods for a few days. If the symptoms do not subside within a week or two, then you should come in for a more thorough exam.

What if I have jaw pain and tooth pain at the same time?

             If both the teeth and jaw hurt at the same time, it is possible the problem could be related to the jaw or an individual tooth. You can sometimes experience referred pain because the nerves to the teeth are closely related to the nerves of the TMJ. Your first option would still be rest and anti-inflammatory medication. But if it is more than a day or two, I would recommend coming in for an exam to help determine what the cause could be.

           

What is the most serious concern if you are experiencing jaw pain?

            Jaw pain can be associated with heart attacks, but it is more frequent in women than in men. I don’t recommend going to the emergency room any time you experience jaw pain, but you need to be aware of all of the symptoms and your risk factors. So if you are experiencing jaw pain with some of the more traditional heart attack symptoms, it would be a good idea to call your doctor or 911 if serious enough.

For more information, visit www.dentistwestchester.com.

Lee T. Brown, DDS

Brown and Kupper, DDS Inc. 

Update on Oil Pulling:

            Here we are a few years after oil pulling first became popular. The craze has definitely subsided quite a bit but we still field some questions from time to time. In case you missed the initial trend: oil pulling involves swishing with coconut, olive, sesame, or sunflower oil for 20 minutes before spitting out. The belief is that it can help remove toxins from your mouth and body. Here is our take as dental professionals.

            We still haven’t seen any long term studies proving the benefits of oil pulling are backed by scientific evidence. Does that mean it can’t be proven effective in the future? No. But we can’t recommend anything for your oral health when we are unsure of its short and long term effects.

            There is one study the ADA (American Dental Association) referenced that compares the benefits of oil pulling to chlorhexidine rinse (a prescription strength anti-bacterial mouth rinse). This particular study found oil pulling more effectively reduced the presence of streptococcus mutans in the mouth. However, this did not investigate whether or not the reduction produced a clinical benefit to the person.

            Even if some scientific data is shown that oil pulling can help make the oral cavity healthier, it is unlikely I would recommend its use over traditional home care options. Oil pulling calls for swishing for up to 20 minutes at a time. I believe you are better suited to spend those 20 minutes using a toothbrush, toothpaste, floss, and a fluoride mouth rinse.  You could use all of these tools using less time and have a more predictable and proven outcome.

            We will continue to follow the studies that become available involving oil pulling and their benefits. But until proven otherwise, I would recommend sticking with traditional methods.

For more information, visit www.dentistwestchester.com.

Lee T. Brown, DDS

Brown and Kupper, DDS Inc.

            

What is fact and fiction with dental insurance?

            It can be very challenging to navigate all the nuances of dental insurance. With so many carriers and different plans within those carriers, it can be overwhelming. Below we discuss a few of the facts and fictions involving dental insurance that you should know.

Fiction: Insurance companies pay the fees that a dental office charges.

Fact: It has been our experience that some insurance companies tell their customers that “fees are above the usual customary rate.” We believe that the “insurance benefits are low.” The reality is that you get back only what your employer, puts in minus the profits of the insurance company. We aren’t saying insurance companies aren’t entitled to some profit, but it should be known what their methods are.

Fiction: The new plans that are offered are basically the same as the plans that have always been available.

Fact: The new plans are referred to as PPO’s or DMO’s. They are simply discount plans. These plans require the dental office to discount their fees nearly 50%. If an office chooses to take these plans and take care of daily overhead, the dentist must choose less expensive or faster options for treatment. This increases the chance that the treatment may not provide the same long term results as when an office is not restricted by the insurance company.

Fiction: Once you hit your annual deductible, the rest of the treatment is free.

Fact: Dental insurance doesn’t work the same as medical insurance. It is more comparable to a coupon or discount. It rarely pays for the entire service and the percentage it will pay is vague and open to interpretation by the insurance company. The big difference from medical: once you have reached your yearly maximum, it no longer pays on anything.

Fiction: My insurance pays for any work I need to have done.

Fact: Not all recommend procedures will always be covered by your insurance. When your employer selects a dental plan, it is decided which procedures may or may not be included. The lack of coverage by your insurance company does not mean it is not needed.  It just means the chosen plan does not cover the recommended procedure.

            This can be very confusing and frustrating. If you have any questions or concerns on which dental plan may be best for you and your family, feel free to contact us and we can hopefully help you in deciding which one is best for you.

Lee T. Brown, DDS

Brown and Kupper DDS, Inc.

www.dentistwestchester.com.

What is in my water?

            There is some debate over drinking tap water versus drinking filtered or bottled water. Both have their advantages and disadvantages and everyone is entitled to their own opinion. But as dentists, we encourage children to drink fluoridated tap water to help them develop strong teeth. Since the introduction of fluoride into tap water, communities have seen a dramatic decrease in childhood cavities.

            In Butler County, the fluoride content is 0.97mg/l. The regulatory limit is 2 mg/l. So we are well below the amount that could potentially cause any harm. And while there is a small amount of chlorine in our water, we are even further away from the regulatory limit. Bottom line, our water is well controlled and within a healthy limit.

            But the question can still be asked: Is bottled water safer than tap water? This is not necessarily true. Both the tap water and the bottled water are regulated to ensure their quality. The Environmental Protection Agency is in charge of all public water systems, and bottled water is monitored by the Food and Drug Administration. So depending on the source of the water and its treatment process, some bottled waters may contain more or less substances than your tap water. You can go online to check on the water quality information in your area.

            What should you do if you don’t have fluoride in your water? We typically recommend some type of fluoride supplement if you are not getting any fluoride in your tap water. Fluoride is very important during the developmental years to help form strong and healthy teeth. Depending on the age of you or your child, and depending on their dental history, we will make specific recommendations to help keep their teeth strong. Sometimes it is a prescription toothpaste and sometimes there are ‘fluoride trays’ that can be used as supplements.

For more information, visit us at www.dentistwestchester.com.

Lee T. Brown, DDS

Brown and Kupper, DDS Inc.

‘Smart Toothbrush’ Wins Reality Show

            In the past ten years there have been some incredible advancements in technology. These changes have completely revolutionized the way we live our day to day lives. Fitness trackers help us work out more efficiently and nutrition apps help us eat better. So why not use a toothbrush that will help us take better care of our teeth? Someone with that idea just won a contest on a reality show for creating their ‘smart toothbrush,’ called Grush Brush.

            So what does Grush Brush do? The brush aims to better address the problem of tooth decay by encouraging kids to more effectively brush their teeth. It also provides data to the parents and the dentist on the brushing habits of each kid. This allows us to identify where the deficiencies are and develop a plan to improve their oral health. As you can imagine, most kids and teenagers give a version of the truth when it comes to their brushing habits. Having actual data can really help in their long term dental health.

            The developer of the Grush Brush is a pediatric dentist. This gives them an intimate knowledge of the normal habits of children and teenagers. So it has been developed specifically to help in that area. But as we all know, even adults can be less than perfect when it comes to their dental homecare. I hope that this can be used as a starting point to develop similar technology to address the issues that adults face. Different medications and medical treatments can dramatically affect your oral health. And having the technology to better address your individual needs can bring long term physical and financial benefits.

            We are really excited that these dental advancements are being covered in the media. And hopefully more and more people will use this technology and benefit from it.

For more information, visit www.dentistwestchester.com.

Lee T. Brown, DDS

Brown and Kupper, DDS Inc.

Does grinding your teeth contribute to fatigue?

            There are many people that wake up feeling tired no matter when they went to bed. Many people clench and grind their teeth at night (whether they know it or not). We used to think that these were two separate issues that should be treated differently. But recent research has shown that these two may be connected.

            During our exams, we routinely check for different signs of wear on the teeth. Sometimes it is easy to detect on visual examination and other times we check the progression using photographs. If we find you are grinding your teeth (bruxism), we would traditionally recommend a night guard to protect your teeth and jaw joint. But what is causing you to grind the teeth? Does it stem from brain function or does it result from you trying to open your airway to breathe better?

            When someone is constantly plagued by fatigue, we discuss the possibility of sleep apnea. You are referred to your doctor or sleep specialist and they perform a sleep study to determine if you suffer from sleep apnea. If a sleep apnea diagnosis is confirmed, recommendations are made that range from using a CPAP to weight management.

            Newer studies are showing that treating sleep apnea has helped treat teeth grinding. This gives us a new outlook on treating bruxism. We need to look at the possibility that these two conditions are related. And by treating your sleep apnea you can actually treat bruxism. This doesn’t work in every case, but it is an exciting development because dentists can potentially help identify cases or sleep apnea. I am not suggesting we are the ones to treat the apnea first, but since you typically see the dentist every 6 months we may be able to identify some issues in their earlier stages.

For more information, visit www.dentistwestchester.com.

Lee T. Brown, DDS

Brown and Kupper, DDS Inc. 

New E-Cigarette rules and how do they affect oral health?

            The FDA recently announced that it will regulate electronic cigarettes and their sales in a way that is similar to other tobacco products. USA Today reported this past week that the “FDA would have to approve all tobacco products not currently regulated that hit stores after February 2007.” Even though it has taken the FDA a little longer to get involved, it is important that everyone be aware of the potential risks (known and unknown) of electronic cigarettes.

            Many people assume that because e-cigarettes do not smell as strongly as traditional cigarettes, they are much healthier. The FDA is now requiring that all of the ingredients are reported and listed as harmful or potentially harmful if their long term affects are unknown. There is definitely some debate among experts on the harmful affects of e-cigarettes. But until we know more about the long term ramifications, many physicians will likely warn about their harmful potential.

            We know from years of clinical research that smoking or smokeless tobacco can negatively affect the health of your gums and contribute to irreversible gum disease. We also know that they increase your risk of oral cancer. However, we don’t know as much about how electronic cigarettes can or will affect your teeth or oral cavity. But I would definitely recommend reducing or eliminating your use of electronic cigarettes until more research is finalized. This is the same advice we would give to anyone using more traditional tobacco products.

            Finally, there is a debate to whether the e-cigarette can be an effective tool to help with smoking cessation. This may be true, but there is also an argument that these devices can be a gateway to the traditional tar-laden and chemical filled cigarettes. Is it possible both sides are correct? I’m sure we will learn more as time goes on.

For more information, visit www.dentistwestchester.com.

Lee T. Brown, DDS

Brown and Kupper, DDS Inc.

Tobacco Use Among Teenagers:

            Tobacco use is the leading preventable cause of death in America and usually begins during the adolescent years. During this time it is important to discuss some of the dangers of tobacco to make sure they don’t begin smoking cigarettes or other tobacco related products.

What is the prevalence of use?

            It is estimated that almost 25% of high school students and 8% of middle school students have tried some type of tobacco. The products they have used include cigarettes, e-cigarettes, hookahs, and smokeless tobacco. Even though the use of traditional cigarettes has declined among U.S. adolescents, the use of e-cigarettes and hookah has increase according to the CDC.

What factors increase the risk of tobacco use?

·        Studies have shown that teens are more likely to use tobacco products if they have parents, siblings or friends using tobacco.

·        Easy access to tobacco products.

·        They watch movies or shows that feature prominent characters smoking.

·        They are exposed to tobacco advertisements.

·        Advent of e-cigarettes and flavored products appeal to a younger demographic.

How is tobacco use harmful?

·        Increases the risk of asthma, cancer, heart disease, and respiratory disease.

·        Higher risk of oral conditions:

o       Gum disease, bad breath (halitosis), stained or darkened teeth, or even tooth loss.

·        It increases the risk of oral cancer, which is the 6^th most common form of cancer. Over a half million people are estimated to have oral and oropharyngeal cancer each year. Approximately 150,000 are expected to die each year from this type of cancer.

Tip for talking to teens about the harms for tobacco use:

·        Try to create an environment in which you can talk openly.

·        Explain how tobacco products can be harmful to overall and oral health.

·        Talk about a plan that could help them say no to peer pressure.

·        It is also important to establish rules so your teens understand tobacco use will not be tolerated, and follow those rules.

·        Important for adults to avoid using tobacco to help set a positive example.

·        The only bad way to talk to your kids about tobacco is to not talk about it at all.

For more information, visit www.dentistwestchester.com

Can your teeth reveal signs of disease?

            Believe it or not, we are looking for more than just cavities whenever we examine your teeth. We evaluate your bite, your jaw joint (TMJ), and the surrounding tissue. During a thorough exam we look for signs or symptoms that may tell us other things about your overall health. After all, your mouth is the gateway to your body.

You may have type 2 diabetes:

            Red and swollen gums are a sign of periodontal (gum) disease. According to the CDC; 47% of people over 30 and 70% of people over 65 have periodontal disease. And research has shown that diabetes makes periodontal disease worse. So if you constantly have bleeding or swollen gums, we may question whether or not you have a family history of diabetes.

You have acid reflux:

            If you have solid brushing and flossing habits but you still notice some lingering bad breath, it may be a sign of GERD (gastroesophageal reflux disease). Your teeth may also show signs of erosion or wear caused from your stomach acid. Many times you are unaware there is even an issue because it can happen while you sleep.

You are really stressed:

            Stress can cause us to clench and grind our teeth. Your teeth may show signs of wear or they may develop cracks. The wearing of your teeth can affect the cosmetics of your smile or even develop into joint problems. We are also on the lookout for canker sores. They are more likely to develop while you (or your body) are under stress.

You have an autoimmune disease:

            If your mouth feels very dry and you have difficulties producing saliva, it is possible you have Sjogren’s disease. This condition attacks the glands that make saliva and tears. There is no cure for Sjogren’s but symptoms can be managed to help return some moisture.

For more information, visit www.dentistwestchester.com.

Lee T. Brown, DDS

Brown and Kupper, DDS Inc.

Are you brushing your teeth correctly?

            Reader’s Digest recently came out with a list of ways you may be brushing your teeth the wrong way. This is relevant because many people can cause serious harm to their teeth by using improper techniques. Let’s take a look at each tip they listed.

You’re brushing too hard:

            When you clean you kitchen or scrub your bathroom, you want to put some firm pressure on the surface. The harder and longer you clean, the better the result. But with your teeth that logic can become a problem. If you brush too hard you can wear away the gums and even the underlying tooth.

Your angle is off:

            Brushing straight across isn’t the best way to clean your teeth and gums. You should angle the brush at 45 degrees towards the gums. You should also make small circles with your brush to properly clean any debris.

            The exception to that rule is an electric toothbrush. They are designed to go straight onto the tooth and you just need to hold it there for a few seconds.

Your toothbrush bristles are too firm:

            You should always use a soft bristled brush. If you use a hard bristle brush you are much more likely to abrade the gums and the tooth. Soft brushes also do a better job cleaning under the gums.

Your toothbrush head is too big:

            Bigger is not always better. Unless you have an unusually large mouth, smaller heads give you more control and easier access to difficult areas.

You’ve had the same tooth brush since last year:

            If the bristles are splayed out and look worn, they are no longer as effective at cleaning the teeth and gums.

You don’t consider flossing mandatory:

            Brushing alone is not enough to maintain good oral health. There are certain areas that will remain untreated even to the best brushers. Flossing helps reduce the chances of gum disease and from decay developing in between the teeth.

It’s no big deal to skip brushing your teeth before bed:

            This is a bad idea. You have ingested all kinds of food and drink during the day and the remnants can remain on your teeth. If not cleaned off before bed, it allows another 6-8 hours of unimpeded progression of any harmful bacteria.        

For more information, visit www.dentistwestchester.com.

Lee T. Brown, DDS

Brown and Kupper, DDS Inc.

Can You Use Activated Charcoal to Whiten Teeth?

Can You Use Activated Charcoal to Whiten Teeth?

            There have recently been some people blogging about the benefits of using activated charcoal to whiten teeth. It is a black, powdery substance that has been used to treat accidental drug overdose in hospitals or poison control centers. So I was obviously a little surprised to hear people were touting its teeth whitening benefits. Let’s look a little deeper into what we do and don’t know about activated charcoal.

Is there any evidence that activated charcoal has any positive affects on your teeth?

            According to ADA (American Dental Association) spokesperson Dr. Kim Harms, “there’s no evidence at all the activated charcoal does any good for your teeth.” I personally just recently heard about this potential trend, so I don’t really have any good anecdotal evidence either way. So until proven otherwise, I cannot tell you that using it will have any positive affect on your oral health.

Is activated charcoal safe for you and your teeth?

            There really isn’t any quality research on the topic of its safety, so I can’t really say one way or the other. However, because we don’t have enough information, we would have to recommend against using activated charcoal with the intention of whitening your teeth. There are plenty of other proven, safe, effective, and affordable teeth whitening options.

Do you know of any potential harmful side affects?

            We don’t know how it would affect the teeth or gums, so there is a potential that prolonged use could hurt both. Abrasive materials can wear away the teeth or gums and cause serious long term problems.

            The bottom line is until we know more, I would recommend against using activated charcoal to whiten your teeth. Ask us about all of the different options that are available and we can help customize a plan to fit your needs.

For more information, visit www.dentistwestchester.com.

Lee T. Brown, DDS

Brown and Kupper, DDS Inc.