Some tips on overcoming nerves when going to the dentist

Some people get a bit nervous about the idea of going to the dentist.

As a result of the major progress that has been made in diagnosis and treatment, the process gets more comfortable all the time. So you may be worrying unnecessarily.

But, if you’re in any way tense or anxious, tell your dentist and the dental staff.

They will understand and will be able to adapt the treatment to your needs.

It can also help if you choose a time for your dental visit when you’re less likely to be rushed or under pressure. Dashing out from a busy day at work may make you feel more stressed.

For many people, that means making an early-morning or a Saturday appointment helps a great deal.

There are also other steps than can help. If the sound of the drill bothers you, take a portable audio player and headset so you can listen to your favorite music.

You can also help to relax by simply visualizing yourself somewhere you feel relaxed.

Sometimes these simple steps can help you feel a lot better. So why not give it a try on your next visit?

How dentistry has developed over the last 300 years

When you visit a modern dental surgery, its hard to imagine the challenges of dental treatment without all the latest technology.

Yet specialists have been taking care of peoples teeth for thousands of years.

Here are some of the key developments over the last 300 years.

1723: French surgeon Pierre Fauchard – credited as being the father of modern dentistry – publishes the first book to describe a comprehensive system for the practice of dentistry.

1760: John Baker, the earliest medically-trained dentist to practice in America, immigrates from England and sets up practice.

1790: John Greenwood adapts his mothers foot treadle spinning wheel to rotate a drill.

1790: Josiah Flagg, a prominent American dentist, constructs the first chair made specifically for dental patients.

1832: James Snell invents the first reclining dental chair.

1841: Alabama enacts the first dental practice act, regulating dentistry in the United States.

1844: Horace Wells, a Connecticut dentist, discovers that nitrous oxide can be used as an anesthesia and successfully uses it to conduct several extractions in his private practice.

1880s: The collapsible metal tube revolutionizes toothpaste manufacturing and marketing.

1890: Willoughby Miller notes the microbial basis of dental decay in a book which started a world-wide movement to promote regular toothbrushing and flossing.

1896: New Orleans dentist C. Edmond Kells takes the first dental x-ray of a living person in the U.S.

1938: The nylon toothbrush, the first made with synthetic bristles, appears on the market.

1945: The water fluoridation era begins when the cities of Newburgh, New York, and Grand Rapids, Michigan, add sodium fluoride to their public water systems.

1950s: The first fluoride toothpastes are marketed.

1960: The first commercial electric toothbrush, developed in Switzerland after World War II, is introduced in the United States. A cordless, rechargeable model follows in 1961.

Why dry mouth can be a problem and what to do about it

Your saliva plays an important role in your oral health and reduced saliva flow can lead to health problems.

Reduced saliva flow can lead to a dry mouth and this is a common problem among older adults.

It can be caused by various medical disorders and is often a side effect of medications such as antihistamines, decongestants, pain killers and diuretics.

Dry mouth can be associated with various problems such as a constant sore throat, burning sensation, problems speaking, difficulty swallowing, hoarseness or dry nasal passages.

Drying irritates the soft tissues in the mouth, which can make them inflamed and more susceptible to infection. Without the cleansing effects of saliva, tooth decay and other oral health problems become more common.

So, if dry mouth is not treated, it can damage your teeth.

Without adequate saliva to lubricate your mouth, wash away food, and neutralize the acids produced by plaque, extensive decay can occur.

Your dentist can recommend various methods to restore moisture. Sugar-free candy or gum stimulates saliva flow, and moisture can be replaced by using artificial saliva and oral rinses.

Whats involved in getting a dental implant?

Dental implants are increasingly popular as a way to replace missing or damaged teeth.

Their great advantage is that they look natural and feel secure helping you to restore your smile and eat more easily.

Implants are an ideal solution for many people but they are not an option for everyone.

Placing implants requires some surgery so patients must be in good health, have healthy gums and have adequate bone to support the implant.

They must also be committed to taking action to maintain their oral hygiene and to visiting the dentist regularly.

The process for placing implants is as follows:

First, surgery is performed to place the anchor. This can take up to several hours. Following the surgery, you may need to wait up to six months for the bone to grow around the anchor and firmly hold it in place. Sometimes follow up surgery is required to attach a post to connect the anchor to the replacement teeth. Alternatively, the anchor and post may already be attached and are placed at the same time.

After the gums have had several weeks to heal, the next step is to fit specially-made artificial teeth to the post portion of the anchor. This can take a few weeks to complete as several fittings may be required.

Implant surgery can be done either in a dental office or in a hospital, depending upon a number of factors. A local or general anesthetic may be used. Usually pain medications and, when necessary, antibiotics are prescribed.

After your implants are fitted, your dentist will give you tips and advice on maintaining your oral hygiene.

Your dentist can help you decide whether you would be a good candidate for implants.

Preventing tooth decay in babies and infants

The habits of good dental care should begin as early as possible and its important to take steps to avoid problems with infants and children.

Children need strong, healthy teeth to chew their food and baby teeth also keep a space in the jaw for the adult teeth.

If a baby tooth is lost too early, the teeth beside it may drift into the empty space. So, when it’s time for the adult teeth to come in, there may not be enough room. This can make the teeth crooked or crowded.

The name given to decay in infants and children is baby bottle tooth decay.

It can destroy the teeth and most often occurs in the upper front teeth – though other teeth may also be affected.

Decay can happen when sweetened liquids are given to an infant and are then left clinging to their teeth for long periods. Many sweet liquids cause problems, including milk, formula and fruit juice.

What happens is that bacteria in the mouth use these sugars as food and then produce acids that attack the teeth.

It’s not just what you put in your child’s bottle that causes decay, but how often. Giving your child a bottle of sweetened liquid many times a day isn’t a good idea.

Here are some tips to avoid baby bottle tooth decay in your children:
– After each feeding, wipe the baby’s gums with a clean gauze pad. Begin brushing your child’s teeth when the first tooth erupts. Clean and massage gums in areas that remain toothless, and begin flossing when all the baby teeth have erupted, usually by age 2 or 2.
– Never allow your child to fall asleep with a bottle containing milk, formula, fruit juice or sweetened liquids.
– If your child needs a comforter between regular feedings, at night, or during naps, give them a clean pacifier recommended by your dentist or physician. Never give your child a pacifier dipped in any sweet liquid.
– Avoid filling your child’s bottle with liquids such as sugar water and soft drinks.
– If your local water supply does not contain fluoride (a substance that helps prevent tooth decay), ask your dentist how your child should get it.

Start dental visits by the child’s first birthday and make visits regularly.

If you think your child has dental problems, take the child to the dentist as soon as possible.

The power of panormaic x-rays

X-rays are extremely valuable for helping dentists identify issues that may not show up on normal oral examination.

The three most common types of dental X-rays are the bitewing, periapical and panoramic X-rays.

Panoramic X-rays give a broad overview of the entire mouth – supplying information about the teeth, upper and lower jawbone, sinuses, and other hard and soft tissues of the head and neck.

Unlike other X-rays, where the film is placed inside the patients mouth, the panoramic film is contained in a machine that moves around the patient’s head. So they are very easy to use.

Panoramic X-rays are often used to check wisdom teeth but they will also reveal deep cavities and gum disease. They are also useful to help patients with past or present jaw problems or those who require full or partial removable dentures, dental implants, or braces.

They can also be valuable in assisting people who are suspected of having oral cancer or have had recent trauma to the face or teeth.

Panoramic X-rays play an important role in thorough dental examinations and are recommended at least every five years or so for most patients.

What to expect when having a tooth extracted

The process of having a tooth extracted may seem worrying but you’ll find it much easier if you know what to expect on the day and afterwards.

Your dentist will make the process as comfortable as possible for you by numbing the area around the tooth to be extracted.

In most cases, a small amount of bleeding is quite normal and your dentist will advise you what process to follow to allow healing as quickly as possible.

Generally, you should avoid anything that might prevent normal healing.

For example, it’s best not to smoke, rinse your mouth vigorously or drink through a straw for 24 hours afterwards as these could delay healing.

For the first few days, if you need to rinse your mouth, do it gently. If you are suffering pain or swelling, apply a cold cloth or an ice bag.

If necessary, your dentist will recommend something for any pain.

At the beginning, don’t clean around the socket where the tooth has been removed but you should brush and floss the other teeth as usual.

Modern procedures make having an extraction and the follow-up more comfortable than ever before.

How to overcome problems with teeth grinding

When under stress, many people find themselves grinding their teeth or clenching their jaws.

This habit actually has a name – bruxism – and often it’s something we do when we sleep.

It can be caused by stress and anxiety and it can also be due to sleep disorders, an abnormal bite or missing and crooked teeth.

It can lead to symptoms such as dull headache or a sore jaw.

Your dentist can fit you with a mouth guard to protect your teeth during sleep.

Severe grinding can lead to painful or loose teeth and this can lead to fractures in your teeth.

Taking stress out on your teeth in this way can lead to long term damage so, if stress is the cause, you need to find a way to relax!

Relaxants, counseling and even exercise may help reduce stress and tension and can be a big help to your teeth.

Common questions about dental insurance

Understanding what’s covered by your dental insurance is an important part of making sure you get the best oral care possible.

Here are some common questions that arise when people want to understand their cover better.

– If treatment my dentist recommends is not covered by my insurance, does that mean it’s not necessary?

Some plans make exclusions such as sealants, pre-existing conditions, adult orthodontics, and specialist referrals. This depends on your dental plan and you should not let the level of cover determine whether you need treatment.

– My dental benefit will only pay for a large filling but my dentist recommends I get a crown. Which should I choose?

Some plans will only cover the least expensive solution but it may not be the best option for your needs. You should decide based on your health needs and not on your insurance cover.

– My dental plan says it will pay 100 percent for checkups and cleanings but the insurance company says I owe for part of the dentist’s charge. How can this be?

Some plans provide cover based on a “customary fee” for each procedure. So, if your dentist’s fee is higher, your benefit will be based on a percentage of the customary fee instead of your dentist’s fee. Although these limits are called “customary,” they may not accurately reflect the fees that dentists charge in your area.

– Will my plan cover the care my family will need?
If your employer offers more than one plan, check the exclusions and limitations of the coverage as well as looking at the general benefits. It’s a good idea to discuss your family’s likely needs with your dentist before choosing a plan.

The plan document should specify who is eligible for coverage under the plan.

Plans offered by the same provider or employer can vary according to the contracts involved so your dentist will not be able to answer specific questions about your benefit or predict what the coverage for a particular procedure will be.

If you have specific questions about coverage, talk to your plan provider.

Treating Sensitive Teeth

Sensitive teeth is a common problem that causes many people to feel discomfort with hot or cold foods and drinks.

It can also make it uncomfortable to brush or floss the teeth and therefore can lead to further oral problems.

However, sensitive teeth can be treated.

If you suffer from this, your dentist may suggest that you try a desensitizing toothpaste, which contains compounds that help block transmission of sensation from the tooth surface to the nerve.

For desensitizing toothpaste to work, you normally have to make several applications.

If the desensitizing toothpaste does not help, your dentist may suggest further solutions.

For example, fluoride gel – which strengthens tooth enamel and reduces the transmission of sensations – may be applied to the sensitive areas of the teeth.

If the sensitivity is caused by receding gums, your dentist may use bonding agents that “seal” the sensitive teeth.

The sealer is usually made of a plastic material.

If there is severe hypersensitivity which cannot be treated by other means, there is the option of endodontic (root canal) treatment.

Sensitive teeth is a problem that can stop you enjoying your food but is one that can often be solved.

What to do if your tooth cracks

While our teeth are normally very strong, they can crack for a number of reasons.

Reasons could include tooth decay, trauma/injury, grinding of the teeth or a stress fracture.

Sometimes, our jaw may be stronger than our teeth and the teeth can fracture when we bite heavily on food.

We can protect our teeth in some circumstances – for example it may be advisable to wear a mouthguard during sports.

Taking proper care of the teeth and regular visits to the dentist will help keep your teeth in good shape.

If a tooth cracks, it may become painful if the nerve is exposed and the area can become tender.

If this happens, rinse your mouth with warm water to clean the area and apply a cold compress to reduce swelling. Then call your dentist immediately.

Treatment will depend on where the tooth has fractured, how close it is to the nerve and the overall condition of the tooth.

A cracked tooth may be repaired with silver alloy, gold, porcelain or plastic. Or it may require a crown or overlay or bonding, which applies porcelain or enamel to the fractured tooth.

If you contact your dentist quickly, they will be able t

Taking steps to stop oral cancer before its too late

Oral cancer hits more than 30,000 Americans every year but you can minimize the risk by taking steps to ensure its caught early enough.

The first indications of oral cancer may be a very small, but dangerous, oral spot or sore that you are not even aware of.

In a routine examination, your dentist will carefully examine the inside of your mouth and tongue.

If they notice a flat, painless, white or red spot or a small sore, this may be completely harmless. But harmful spots or sores often look the same as harmless ones.

To ensure that a spot or sore is not dangerous, your dentist may choose to perform a simple test, such as a brush test. This collects cells from the lesion which can them be analyzed.

Any positive results from a brush test must usually be confirmed by a biopsy before deciding the next step.

If precancerous cells are found, the lesion can be surgically removed if necessary during a separate procedure.

When caught early enough, the chances of preventing the cancer developing are high but only half of those diagnosed survive more than five years.

Thats why regular dental examinations are so important for your overall health and not just to have good teeth.

Making your teeth look better with veneers

Everybody wants the best smile possible and there’s no need to have it spoiled by gaps in your teeth or by teeth that are stained or badly shaped.

Whether the problem was caused by nature or by an injury, you may be able to have a veneer placed on top of your teeth to restore or improve your smile.

Veneers are thin, custom-made shells crafted from tooth-colored materials designed to cover the front side of teeth.

Your dentist will usually make a model of your teeth and the veneers will be made by a specialist dental technician.

A small amount of enamel has to be removed from your teeth to accommodate the shell so having veneers is usually an irreversible process.

In order to make the most of your veneer, your dentist may suggest that you avoid foods and drinks that could discolor them, such as coffee, tea or red wine.

It’s also possible that veneers might chip or fracture.

But, for many people, veneers are well worth it as they give them a completely new smile.

Why a dental abscess should be treated quickly

If you have any kind of swelling in your gum, it almost certainly indicates a serious infection that should be treated urgently.

Dental abscesses result from a bacterial infection in the teeth or gums.

For example, it may come from an untreated cavity. Cavities result when some of the bacteria in our mouths mix with sugars and starches in our diet to produce acid.

This acid attacks the hard enamel coating of our teeth and, as the cavity gets deeper, it eventually infects the nerve and blood supply of the tooth.

In some cases, a dental abscess is caused by an infection of the gum. Bone loss from gum disease can create a pocket between the tooth, gum and bone.

When bacteria and other debris get into this pocket, an abscess can form.

The treatment for an abscess depends on how severe the infection is.

If the abscess has been caused by decay, root canal treatment may be needed or the tooth may even have to be removed.

If the abscess has been caused by the gum, the gum will need deep cleaning or surgical treatment. Again the tooth may need to be removed.

Sometimes, a small incision may be made into the gum to drain the abscess. If this happens, antibiotics and pain medication may be used to relieve discomfort.

If you wait until the gum is severely swollen before seeking treatment, the situation can become very serious.

The abscess at this stage can prevent you breathing properly and can be life-threatenting.

So if you have any signs of swelling in your gum, contact your dentist immediately.

How mouth protectors can save your teeth

If you take part in sports that carry a significant risk of injury, you should wear a mouth protector.

Accidents can happen during any physical activity and, if you participate in sports such as football, hockey, basketball, baseball, gymnastics and volleyball, you might be grateful for the extra protection one day.

Something as simple as a misdirected elbow in a game, or a spill off a bicycle, can leave you with chipped or broken teeth, nerve damage to a tooth or even tooth loss.

Mouth protectors usually cover the upper teeth and they can cushion the effect of a blow to the face, reducing the risk of broken teeth and injuries to the soft tissues of the mouth.

In addition, if you wear dental appliances such as braces on your lower jaw, your dentist may suggest a mouth protector for these teeth as well.

A properly fitted mouth protector will stay in place while you are wearing it, making it easy for you to talk and breathe. The three main types of mouth protectors are:

Stock: These are inexpensive and come ready to wear. But they often dont fit very well and they can be bulky making breathing and talking difficult.

Boil and bite: These can also be bought at many sport stores and may fit better than stock mouth protectors. You first soften them in water, then insert them and allow them to adapt to the shape of your mouth.

Custom-fitted: Protectors that are specially made for you by your dentist are more expensive but are likely to fit better than one you buy off the shelf.

Choosing to wear the right mouth protector can help you avoid serious long-term damage to your teeth and mouth.

What dentists are doing to improve services for older adults

As people are living longer and enjoying good health for many years, dentists are increasingly offering improved services to recognize the special needs of older adults.

This growing segment of the population is wearing fewer dentures and they are keeping their natural teeth longer. They are also concerned to maintain good health and a great smile for many years.

However, patients in this group sometimes require special consideration because reduced mobility and dexterity may make daily oral hygiene difficult.

And certain medical conditions and impairment may make them more anxious when visiting the dentist.

For example, problems with vision or hearing loss may cause worry. Always let the dentist and staff know if you have any concerns so that they can adjust their treatment and their pace to meet your needs.

Older patients can sometimes put up with problems such as toothaches, bleeding gums and clicking dentures because they are not aware of the wide range of treatments and techniques now available.

Dentists are increasingly sensitive to the special needs of and the importance of dental health in the older patient.

As many older patients are more health conscious than ever before, regular visits to the dentist ensure their oral health is an important part of their overall health.