Keys to Controlling Bad Breath



If you’re serious about learning what’s causing your bad breath, consider scheduling an appointment with your dental professional. Given your full medical and dental history along with an oral examination, your dentist should be able to identify the culprit. The causes of bad breath are numerous and include certain foods, alcohol or cigarettes, poor oral hygiene, periodontal disease, diabetes, dry mouth, sinus or throat infections, lung infections or abscesses, kidney/liver failure, gastrointestinal issues and severe dieting.


Treatment of Bad Breath

It is important to conduct thorough oral hygiene at home twice daily utilizing tooth brushing with a fluoride antibacterial toothpaste and flossing to remove food debris and plaque on teeth, bridgework and implants, and brushing the tongue to remove odor-causing bacteria. A published study reported that tongue and tooth brushing in combination with dental flossing significantly decreased bleeding of the gum tissue over a two week period of time as well as reduced bad breath. Another clinical study conducted by the University of Buffalo dental researchers confirmed that brushing twice a day with an antibacterial toothpaste and using a tooth brush with a tongue cleaner can eliminate bad breath.


Tongue Cleaning is the Key to Fresher, Cleaner Breath

Cleaning your tongue is very important. You can purchase a Colgate 360 toothbrush with the tongue cleaner on the back of the toothbrush for cleaning both your teeth and tongue. After tooth brushing your upper and lower teeth with an antibacterial toothpaste, flip the toothbrush over to the tongue cleaner and place the tongue cleaner in the posterior region of the tongue and move it forward to the anterior section of the tongue. After you have scraped that portion of the tongue, rinse the tongue brush off with warm water to remove any odor causing bacteria. Then replace the tongue brush in the next posterior section again and repeat as described above again.

Consult your dentist or dental hygienist when choosing oral hygiene aids to help you eliminate plaque and odor causing bacteria and review the techniques that should be utilized at home. Also, ask your dental professional what oral hygiene care products they would consider you use to help eliminate bad breath (antibacterial toothpaste, antiseptic mouth rinse, tongue brushes or scrapers and interproximal cleaning devices). The key to a clean, fresh mouth is optimal oral hygiene conducted at home on a regular basis and professional recommendations discussed with you by your dentist.

Caring For Your Dental Implants



Dental implants have been used successfully for many years. Your implant should last for a very long time if you take the following points to heart.


Smoking

This is one of the greatest risks for implant-related complications. You should therefore try to quit smoking.


Oral Hygiene

Thoroughly cleaning and caring for the implant during all steps of the treatment is extremely important. Careful attention to your oral hygiene every day is important for the survival of your implant.




Maintenance

Visiting your dental practice for regular checkups (recalls) is just as important. You and your dental team have to decide how often these visits should take place, but they are usually at intervals of 3 to 6 months. At these visits, your implants, teeth, and gums are checked and professionally cleaned, including the areas you cannot reach at home. Professional cleaning of implants is more complex than cleaning teeth, which means that it takes longer and may require special instruments.

Mucositis and peri-implantitis can develop without any obvious symptoms. This is another reason why regular checkups with your dentist are so important. Mucositis and peri-implantitis do not usually cause pain, so patients often fail to notice the development of these diseases.

Periodontal Disease: Causes and Prevention



What Is It?

Periodontitis is a term used to describe a group of conditions that involves inflammation of the gums and other structures that support the teeth. Periodontitis is caused by bacteria found in dental plaque and often, but not always, starts as gingivitis.

In trying to eliminate the bacterial infection, your body produces substances that destroy the structures that hold the teeth in the jaw, including the periodontal ligament and underlying bone. As this process continues, the teeth become loose. Pockets form between the teeth and gums, allowing more bacteria to accumulate. Left untreated, periodontitis can result in tooth loss.

Periodontitis usually is relatively painless. The onset of significant pain may signal the development of an abscess.

Older adults are more likely to have periodontitis.

People who smoke are four to seven times more likely than nonsmokers to get periodontitis. Smoking may impair the body's defense against bacteria.


Symptoms

Symptoms include:

  • Reddened, swollen or bleeding gums
  • Receding gums
  • Loose Teeth
  • Bad breath
  • An unpleasant taste in the mouth
However, many people are unaware of these symptoms or do not believe they are signs of a serious problem.


Diagnosis

Your Ventura dentist, Dr. Frank Esfandiari will examine your mouth, paying special attention to your gums and teeth. If you have periodontitis, a dental probeinserted between your tooth and your gums will penetrate deeper than it normally would.

Your dentist may also test for loose teeth. Teeth have a normal range of mobility, but in people with periodontitis, the teeth are looser due to the destruction of the fibers and bone supporting the teeth.

Your dentist may also order X-rays to help diagnose periodontitis. These can be compared with older X-rays to see if changes have occurred in your teeth and gums.


Expected Duration

Unlike gingivitis, periodontitis cannot be completely reversed. In some situations, the supporting fibers and bone that have been lost can be regenerated. In most cases, however, particularly in advanced stages of the disease, the effects are permanent. However, treatment and improved oral hygiene at any stage can improve the health of your gums and prevent further destruction.


Prevention

Daily brushing and flossing (morning and night) and regular visits for professional cleaning can help prevent periodontitis or allow you to have it treated during its earliest stages. If you smoke, quitting will reduce your risk significantly.


Treatment

Treatment depends on how severe your periodontitis is. Dentists classify the disease as mild, moderate or severe.

Mild periodontitis is usually treated first with a thorough cleaning called scaling and root planing. Scaling removes plaque or calculus that has accumulated on the crowns of your teeth (the parts that show) and slightly below the gum line. Root planing has two purposes: 1) to remove plaque or calculus from the roots of your teeth and 2) to smooth the roots of the teeth, making it more difficult for bacteria to cling to them. This, combined with good oral hygiene at home, often is enough for successful treatment.

Moderate periodontitis may require more than scaling and root planing. Typically, your dentist will scale and root-plane your teeth. If this does not take care of the problem, he or she may decide that you need surgical treatment. Surgery can involve reshaping the gums to fit the teeth (resective surgeries) or encouraging lost bone to regrow (regenerative surgeries). Your dentist will decide whether you will need surgery and what type you need.

Severe periodontitis likely will require surgical intervention and, in some instances, antibiotics. At this stage of disease, tooth loss is a distinct possibility.

No matter which treatment you undergo, you should start a strict regimen of brushing and flossing to help restore your teeth to health.


When To Call Your Ventura Dentist

The best course of action is to get regular dental checkups. If you have persistent bleeding or swelling of your gums or notice loose teeth, call your dentist.


Prognosis

The outlook is good if the disease is recognized early and treated aggressively. Once bone loss occurs, the prognosis depends on the severity of the loss. Quitting smoking is very important for periodontal therapy to be successful. Lifelong maintenance will be required once the disease is controlled.

New Year's Resolutions For A Healthy Smile



You might have already started about your New Year's resolutions for a healthy smile. Maybe it's to save more money, get a better job or lose some weight. Many people set new goals about having a healthy lifestyle in 2019.

Whatever your goals might be, it is important to take small steps to achieve them. Consistency is key with any resolution that you make.

Your dental health is an important part of your overall wellness, and the New Year is a great time to create resolutions for improving your health.

Healthy resolutions can keep your teeth healthy, and any of the following strategies will go a long way toward giving you a brighter, healthier smile in the coming year:


Quit Smoking or Using Other Tobacco Products

Using tobacco can harm your mouth in a number of ways, increasing your risk for tooth discoloration, cavities, gum recession, gum disease and throat, lung and oral cancer. Smokers are about twice as likely to lose their teeth as non-smokers. It’s not just smoking tobacco that has negative effects on your oral health: use of smokeless tobacco can be just as harmful to your oral health. The good news is that the risk of tooth loss decreases after you quit smoking or using smokeless tobacco.


Limit Your Alcohol Intake

You may already know that excessive alcohol intake can have an effect on your overall health, but did you know that it may also affect your oral health? According to the Academy of General Dentistry, those who smoke, eat poorly and consume excessive alcohol also have increased gum recession (periodontal pocketing). Their studies show that smokers who regularly consume alcohol are less likely to brush their teeth on a regular basis and are less concerned about their basic health than nonsmokers.


Eat Plenty of Fruits and Vegetables

Eating well is important for your dental health. Poor nutrition can affect the entire immune system, increasing susceptibility to many common oral disorders, including gum (periodontal) disease. Antioxidants and other nutrients found in fruits, vegetables, legumes and nuts improve your body’s ability to fight bacteria and inflammation, helping to protect your teeth and gums. In addition, crisp fruits and raw vegetables like apples, carrots and celery help clean plaque from teeth and freshen breath.


Brush at Least Twice a Day and Floss at Least Once a Day

Brushing and flossing protect your teeth from decay and gum disease, which is caused by your teeth’s most persistent enemy, plaque – a sticky, colorless, invisible film of harmful bacteria that builds up on your teeth every day. Both brushing and flossing are equally important for good oral health: according to the Academy of General Dentistry, only flossing can remove plaque from between teeth and below the gumline, where decay and gum disease often begins.

Without proper brushing and flossing, you may develop bleeding gums, which may worsen to severely swollen, red, bleeding gums (gingivitis) and, eventually, gum disease. Because diseases of the mouth can affect the rest of your body, it is especially important to maintain good oral health.


See Your Ventura Dentist, Dr. Frank Esfandiari for Regular Checkups

By seeing your dentist in Ventura, CA, Dr. Frank Esfandiari at least twice a year, you can help prevent any dental health problems before they cause discomfort or require more comprehensive or expensive treatment. Regular visits allow Dr. Esfandiari to monitor your oral health and recommend a dental health regimen to address areas of concern.

For this new year, resolve to treat your mouth right: improve your diet, quit smoking and improve your oral hygiene habits – your teeth and your body will thank you for it!

For more information about regular dental checkups, please contact our Ventura dentist office today!

Tooth Discoloration

What is tooth discoloration?

Your teeth can become discolored by stains on the surface or by changes in the tooth material. Dentists divide discoloration into three main categories:

  • Extrinsic discoloration : This occurs when the outer layer of the tooth (the enamel) is stained by coffee, wine, cola or other drinks or foods. Smoking also causes extrinsic stains.
  • Intrinsic discoloration : This is when the inner structure of the tooth (the dentin) darkens or gets a yellow tint. Causes include excessive exposure to fluoride during early childhood, the maternal use of tetracycline antibiotics during the second half of pregnancy and the use of tetracycline antibiotics in children 8 years old or younger.
  • Age-related discoloration : This is a combination of extrinsic and intrinsic factors. In addition to stains caused by foods or smoking, the dentin naturally yellows over time. The enamel that covers the teeth gets thinner with age, which allows the dentin to show through. Chips or other injuries to a tooth can also cause discoloration, especially when the pulp has been damaged.

In rare cases, children with a condition called dentinogenesis imperfecta are born with gray, amber or purple discolorations.


Prevention

Brushing your teeth after every meal will help to prevent some stains. Dentists recommend that you rinse your mouth with water after having wine, coffee or other drinks or foods that can stain your teeth. Regular cleanings by a dental hygienist also will help to prevent surface stains.

Intrinsic stains that are caused by damage to a nerve or blood vessel in the inner part (the pulp) of a tooth sometimes can be prevented by having root canal treatment, which removes organic material before it has a chance to decay and darken. However, teeth that undergo root canal treatment may darken anyway. To prevent intrinsic stains in children, avoid water that contains a high fluoride concentration. You can check the concentration of fluoride in your drinking water supply by calling the public health department. Then consult your dentist.




Treatment

Discoloration often can be removed by applying a bleaching agent to the enamel of the teeth. With a technique called "power bleaching," the dentist applies a light-activated bleaching gel that causes the teeth to get significantly whiter in about 30 to 45 minutes. Several follow-up treatments may be needed.

It's also possible to remove discoloration with an at-home bleaching gel and a mouth guard given to you by your dentist. The bleaching gels designed for use at home aren't as strong as those applied by your dentist, so the process takes longer — usually two to four weeks. Whitening toothpastes may remove minor stains, but they aren't very effective in most cases.

If you've had a root canal and the tooth has darkened, your dentist may apply a bleaching material to the inside of the tooth.

When a tooth has been chipped or badly damaged or when stains don't respond to bleaching, your dentist may recommend covering the discolored areas. This can be done with a composite bonding material that's color-matched to the surrounding tooth. Another option is to get veneers, which are thin shells of ceramic that cover the outer surfaces of the teeth.


When You Should Contact Our Ventura Dentist, Dr. Frank Esfandiari

Tooth discoloration is mainly a cosmetic problem. Call our Ventura dental office if you're unhappy with the appearance of your teeth. Any change in a child's normal tooth color should be evaluated by Dr. Esfandiari.