Causes of a Toothache
I found this diagram on the internet and it really helps explain causes of tooth sensitivy or pain. Causes of a toothache can be many different things. I wanted to share this. Dr. Johnston
Deep Cleaning / Dental Scaling
When teeth and gums don’t get cleaned properly, the food particles mix with bacteria in your mouth and develop a soft substance called plaque. This plaque if not removed can turn into a harder substance known as dental tartar or calculus. If tartar is still not removed, it start impinging on the gums and create a seperation between the gums and the tooth. Once this seperation occurs, it allows for more food particles and bacteria to work its way down into the gum. The bacteria secrete waste from eating your microscopic food particles that can destroy gums and bone around the tooth. Once this sequence is established, brushing or flossing will not help remove this. A dental deep cleaning or Scaling and root planing procedure is needed. This is where dental professionals such as a dentist or dental hygienist takes their instruments and goes under the gumline to remove this structure of tartar. Once destruction of the bone has occured, the bone cannot grow back. If enough bone gets destroyed around the tooth, the tooth then loses its support and removal of the tooth is indicated. We commonly find that missing rountine cleanings (depending on one’s dental hygiene) over 1-2 yrs will lead to this. Its very important to see a dentist and have your teeth professionally cleaned so this process does not occur. I have attached a diagram that describes this. – Dr. Johnston
Product Review: Sonicare Diamond Clean
I was out in Las Vegas for a huge Cerec meeting, where they introduced a new camera technology for the Cerec. I happened to win this Sonicare Diamond Clean toothbrush there. For all my career, I have been a huge fan of Oral B electric toothbrushes. Its been a really long time since I have checked out Sonicare. I tried this Sonicare Diamond Clean brush the other night. I thought it was really good. This brush comes with a USB charging case, great for traveling. It has about 5 different modes on it.Its a bit pricey at $219. But its very high tech. https://youtu.be/ZHCHoqsF138 I look forward to brushing with this brush everyday. I can’t say I am a total Sonicare fan at this point, but its making me lean a little in that direction. I have asked multiple colleagues and dental hygienist what brush they recommend, and there is about a 50/50 split on Sonicare vs Oral B. The majority of the consesus was electrics are better than manual no matter what brand you have. I am meeting with Sonicare later this month. I may start carrying both Sonicare and Oral Bbrushes in the office for purchase. Have a great day!Dr. Johnston
Most Dental Problems are Silent
Daily, I get asked from patients, if I am not having pain, why do I have to get a filling? Like cancer and heart disease in the body, most dental problems are silent. Lets look at a few silent dental problems. Cavities When a cavity starts to hurt, that is when it is almost too late to just simply do a filling! Cavities do no hurt until they get close to the nerve in the tooth. The tooth has 2 layers to protect the nerve, the enamel and the dentin. The enamel is one of the hardest elements of the human body, its amazing to think microscopic bacteria can destroy it. Once the bacteria sets up in the dentin of the tooth, the tooth can literally become an eggshell and still look like nothing is wrong. The longer the bacteria sit inside the tooth, the more they destroy by their acid secretion/waste. The bacteria work their way through the dentin to the nerve. This is when pain can start. By then, the nerve has bacteria in it and an infection develops at the root tip of the tooth. The only way to save this tooth now is a root canal and crown, when a filling would have been more simple and cost effective. The assumption is if the tooth doesn’t hurt, it doesn’t need to be fixed Gum Disease Gum Disease is bacteria, plaque and tartar, that develops under the gums. The bacteria also secrete a substance that can kill and destroy bone structure around the teeth. As painful as that sounds, it can present no pain. With destroyed bone around the teeth, teeth can eventually get lose and fall out. Generally, this process can take 5-15 years, but can also happen rapidly, depending on diet, hygiene, bacteria levels in the mouth, etc. Existing Root Canals Once a root canal is completed, there is no more nerve in the tooth. At the bottom of the tooth (the root tip) is where a infection can set up. Bone doesn’t have nerves like tissue does, so therefor if there is an infection underneath a root canal, it can’t be felt. Once this gets to a large level, prognosis of retreating the root can decrease. Implants Dental implants can get gum disease around them and fail as well. Anytime a dental implant becomes loose, its a failure. So, the point of this blog is for me to show you examples of why and how most dental problems are silent. After any dental work is completed it should be checked yearly with an x-ray. The more dental work you have completed, the more work it takes to keep the work lasting. Don’t take chances and see a dentist routinely, so we can get to the problem, before other major problems creep up on you.