Saliva is a true workhorse among bodily fluids — it breaks down food for digestion, keeps harmful bacteria in check and neutralizes acid that is destructive to tooth surfaces. So when saliva flow is chronically diminished, it’s more serious than the uncomfortable feeling of “dry mouth” — it can have a detrimental effect on your overall health.
It’s normal to experience temporary mouth dryness: in the morning (because saliva flow slows during sleep), when we’re under stress, or after smoking or consuming certain foods and beverages like onions or coffee. But chronic dry mouth (“xerostomia”) is different — the mouth remains dry for extended periods, leading to problems like tooth decay caused by inadequate acid neutralization.
Medications are one of the most common causes for xerostomia. According to the Surgeon General, there are over 500 medications — both prescription and over-the-counter — that can cause it, including antihistamines, diuretics and antidepressants. Radiation or chemotherapy used for cancer treatment may also cause dry mouth, sometimes permanently. There are also systemic conditions that affect saliva flow like diabetes, Parkinson’s disease, cystic fibrosis, and many autoimmune diseases.
Treating chronic dry mouth will of course depend on the underlying cause. If drug-related the first approach should be to find a substitute medication that won’t as readily cause reduced saliva flow. If that’s not possible, then it’s helpful to drink more water when taking the medication (a few sips before and a full glass afterward). You can also cut back on caffeinated, acidic or sugary foods and drinks as well as alcohol, and refrain from tobacco use.
A saliva stimulant might also help. Besides prescription medication, there are other products like xylitol, a natural alcohol sugar found in chewing gum, toothpaste or rinses, that help increase saliva flow — and xylitol also inhibits the growth of decay-causing bacteria.
The most important thing for chronic dry mouth is maintaining consistent daily hygiene through brushing and flossing and regular dental cleanings and checkups. Helping to increase your saliva flow and making every effort to prevent dental disease will help keep this condition from harming your teeth and gums.
If you would like more information on the causes and treatment of dry mouth, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Dry Mouth.”
Whether you live in the snow belt or the sunny south, the winter season often means a change in the weather. In many places, the sun isn't as strong and cooler temperatures bring relief from the summer's heat. Yet even though it may be chillier outside, your body's need for hydration is the same as it was in the summer—and a lack of proper hydration can be bad news for your oral hygiene.
Everyone knows we need to drink plenty of water every day to stay healthy. It's important for good oral hygiene because water is the major component of saliva, which fights bacteria and helps neutralize the acids that cause tooth decay. Water also keeps the soft tissues of the mouth moist and healthy, and helps fight bad breath. In many communities tap water is fluoridated, which offers proven protection against cavities.
But in the middle of winter, fewer people carry around bottles of cold water for refreshment—and that's a shame, because we need it just as much! While indoor (and outdoor) air is often drier in winter, your body continues to lose water in the same ways. And if you keep up a healthy exercise routine (like jogging, snow sports or backyard fun and games), you still need plenty of hydration. An ice-cold glass of water may not be as appealing in January as in July…but it's just as important.
Of course, the water you drink doesn't have to be freezing cold to do its job. Hot tea (especially herbal tea) can be a healthy option for wintertime hydration. So is plain water without ice. Fruits and vegetables also contain lots of water, plus vitamins, fiber, and many more substances that are good for your body.
But there are some drinks you should avoid—or at least take in moderation. Regularly drinking coffee and tea can stain your teeth, and excessive caffeine may have negative health effects. Consuming alcoholic beverages can cause dry mouth, and may increase the risk of oral cancers. And, of course, drinks that contain sugar (including soda, some juices, and many coffee and hot chocolate beverages) are linked not only to tooth decay, but to other health problems as well.
And whatever the season, don't forget to come in to the dental office for regular checkups and cleanings. We can remove the sticky tartar that clings to your teeth and may cause tooth decay and other problems. We will also perform a complete dental exam, evaluate your oral health and help resolve small problems before they turn into big headaches (or toothaches). Working together, we can help you enjoy the benefits of good oral hygiene all though the year.
If you would like more information on oral hygiene, please contact us or schedule a consultation. You can learn more by reading the Dear Doctor magazine articles “10 Tips For Daily Oral Care at Home” and “Think Before You Drink.”
The movie Bohemian Rhapsody celebrates the iconic rock band Queen and its legendary lead vocalist, Freddie Mercury. But when we see pictures of the flamboyant singer, many fans both old and new may wonder—what made Freddie’s toothy smile look the way it did? Here’s the answer: The singer was born with four extra teeth at the back of his mouth, which caused his front teeth to be pushed forward, giving him a noticeable overbite.
The presence of extra teeth—more than 20 primary (baby) teeth or 32 adult teeth—is a relatively rare condition called hyperdontia. Sometimes this condition causes no trouble, and an extra tooth (or two) isn’t even recognized until the person has an oral examination. In other situations, hyperdontia can create problems in the mouth such as crowding, malocclusion (bad bite) and periodontal disease. That’s when treatment may be recommended.
Exactly what kind of treatment is needed? There’s a different answer for each individual, but in many cases the problem can be successfully resolved with tooth extraction (removal) and orthodontic treatment (such as braces). Some people may be concerned about having teeth removed, whether it’s for this problem or another issue. But in skilled hands, this procedure is routine and relatively painless.
Teeth aren’t set rigidly in the jawbone like posts in cement—they are actually held in place dynamically by a fibrous membrane called the periodontal ligament. With careful manipulation of the tooth, these fibers can be dislodged and the tooth can be easily extracted. Of course, you won’t feel this happening because extraction is done under anesthesia (often via a numbing shot). In addition, you may be given a sedative or anti-anxiety medication to help you relax during the procedure.
After extraction, some bone grafting material may be placed in the tooth socket and gauze may be applied to control bleeding; sutures (stitches) are sometimes used as well. You’ll receive instructions on medication and post-extraction care before you go home. While you will probably feel discomfort in the area right after the procedure, in a week or so the healing process will be well underway.
Sometimes, dental problems like hyperdontia need immediate treatment because they can negatively affect your overall health; at other times, the issue may be mainly cosmetic. Freddie Mercury declined treatment because he was afraid dental work might interfere with his vocal range. But the decision to change the way your smile looks is up to you; after an examination, we can help you determine what treatment options are appropriate for your own situation.
If you have questions about tooth extraction or orthodontics, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Simple Tooth Extraction” and “The Magic of Orthodontics.”
If you look in the mirror and see a tired, worn, misaligned, or discolored smile, you may benefit from cosmetic dentistry. This facet of dentistry allows you to pick and choose how you want your smile to appear, alter your look, and give yourself the chance to feel great about the way you look. Find out more about cosmetic dentistry and what it can do for you with Dr. Toan Bui at Transcendental in Clifton, NJ.
What are some common cosmetic dentistry procedures?
- Teeth Whitening: Teeth whitening is a popular solution for people with discolored or yellowed teeth. The treatment usually takes less than an hour and can lift the color of your teeth by up to ten shades.
- Veneers: They are a porcelain dental restoration which your dentist attaches to the front surface of the tooth. Veneers are versatile, achieving anything from repairing a small chip to overhauling your entire smile for a totally new look.
- Lumineers: While veneers require preparation of the teeth, Lumineers are a non-invasive option to change the appearance of your smile used in the same way as dental veneers.
- Cosmetic Bonding and Contouring: Cosmetic bonding uses composite resin materials molded directly onto the surface of the tooth to change its appearance. Contouring goes hand-in-hand with bonding and is used to reshape the bonded tooth.
Cosmetic Dentistry in Clifton, NJ
Cosmetic dentistry can transform your smile. If you think you can benefit from a cosmetic procedure, you should consult with your dentist to ensure that this is the best course of treatment for you. A good candidate for cosmetic dentistry has no teeth decay or gum disease and has a great at-home oral care routine to ensure their teeth remain healthy and clean.
For more information on cosmetic dentistry or how it can help you, please contact Dr. Toan Bui at Transcendental in Clifton, NJ. Call (973) 458-9899 to schedule your appointment with Dr. Bui today!
What should you do if your child complains about a toothache? Before calling our office, try first to learn what you can about the toothache.
You should first ask them where exactly the pain is coming from — one particular tooth or a generalized, dull ache. Also try to find out, as best they can tell you, when they first noticed the pain. Try then to look at the tooth or area where they indicate the pain is coming from: since tooth decay is a prime cause for tooth pain, you should look for any obvious signs of it like brown spots or cavities. You should also look at the gums around the teeth for any redness or swelling, a sign of an abscess or periodontal (gum) disease.
If you notice any of these signs, the pain persists for more than a day, or it has kept the child awake during the night, you should have us examine them as soon as possible. If you notice facial swelling or they’re running a fever, please call and we will see them immediately. If it’s definitely tooth decay, it won’t go away on its own. The longer we wait to treat it, the worse its effects in the mouth.
In the meantime, you should also try to alleviate the pain as best you can. If when looking in the mouth you noticed food debris (like a piece of hard candy) wedged between the teeth, try to gently remove it with dental floss. Give them ibuprofen or acetaminophen in an appropriate dosage for their age to relieve pain, or apply an ice pack on and off for about 5 minutes at a time to the outside of their jaw.
If any of these remedies stops the pain within an hour, you can wait until the next day to call for an appointment. If the pain persists, though, then an abscess could be developing — you should call that day to see us.
Regardless of when the pain stops, or whether you see any abnormal signs, it’s still important your child see us for an accurate diagnosis. Their toothache maybe trying to tell you something’s wrong — and the earlier a problem is found and treated, the better the outcome.
If you would like more information on dental problems in young children, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “A Child’s Toothache.”
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