Singer and actor Demi Lovato has a new claim to fame: formidable martial artist. When she is not in the recording studio, on stage or in front of the camera, Lovato can often be found keeping in shape at Jay Glazer's Hollywood (California) gym. Glazer, who is best known as a sports journalist, also runs conditioning programs for professional athletes and celebrities based on mixed martial arts. On March 6, Glazer got more than he bargained for when 5'3" Lovato stepped into the ring and knocked out his front tooth.
Glazer reportedly used super glue to put his tooth back together. Not a good idea! While it may not be convenient to drop everything and get to the dental office, it takes an expert to safely treat a damaged tooth. If you glue a broken tooth, you risk having to undergo major work to correct your temporary fix—it's no easy task to "unglue" a tooth, and the chemicals in the glue may damage living tooth tissue as well as the surrounding gum and bone.
Would you know what to do in a dental emergency? Here are some guidelines:
- If you chip a tooth, save the missing piece if possible. We may be able to reattach it.
- If your tooth is cracked, rinse your mouth with warm water, but don't wiggle the tooth around or bite down on it. If it's bleeding, hold clean gauze to the area and call our office.
- If your tooth is knocked loose or is pushed deeper into the socket, don't force the tooth back into position on your own. Immediate attention is very important.
- If your tooth is knocked out, there's a chance it can be reattached. Pick up the tooth while being careful not to touch the root. Then rinse it off and have either someone place into its socket, or place it against the inside of your cheek or in a glass of milk. Please call the office immediately or go to a hospital.
What's the best thing to do in an emergency? Call us right away, and DON'T super glue your tooth! You can prevent worse problems by letting a professional handle any dental issues. And if you've been living with a chipped, broken or missing tooth, call us to schedule an appointment for a consultation—there are several perfectly safe ways to restore your smile. Meanwhile, if you practice martial arts to keep in shape, think twice before getting into the ring with Demi Lovato!
Energy drink makers would have you believe their products are a healthy rehydration choice for athletes while also giving them keener focus and renewed vitality. But before adding them to your sports regimen, you should also consider what effect these beverages could have on your teeth.
Energy drinks are similar in ingredients to sports drinks like Gatorade® and PowerAde®, which mostly consist of water, salts, vitamins, sugars and acids. In addition, energy drinks like Red Bull® and Monster Energy® add caffeine to boost energy.
Besides their sugar content, the main threat from a dental health perspective for both of these drinks is their acidity, which can severely erode tooth enamel. The irreplaceable loss of enamel significantly increases your risk of tooth decay and eventually tooth loss.
The threat of enamel erosion is especially pronounced whenever the mouth’s pH level falls below 5.5. The acidity of both sports and energy drinks falls well below this mark. In one experimental study samples of enamel exposed to a number of sports drinks lost an average of 1.5% of mineral content over five days; energy drinks more than doubled that loss at 3.1%.
Given the potential harm these beverages, especially energy drinks, can cause your teeth, you should exercise caution when consuming them. In fact, our best advice is for you to avoid energy drinks altogether, for your overall health as well as your teeth’s sake.
Unless you’re participating in a physically intense sport, water is your best source for hydration after exertion. Â If you do drink sports beverages, try to limit them to meal times when your saliva is most active to neutralize mouth acid. You can also rinse out your mouth with water after drinking to help further reduce mouth acidity.
As an athlete, you’ve trained your body to be at its optimum physical peak. Don’t let energy or sports drinks take the edge off your health, especially your teeth.
If you would like more information on the effects of sports or energy drinks on dental health, 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 “Sports and Energy Beverages Bathe Teeth in Erosive Acids.”
This month marks the 20th annual observance of Oral Cancer Awareness Month. Last year, over 50,000 people in the US were diagnosed with oral cancer, and over 10,000 people died from the disease. The 5-year survival rate for oral cancer is only around 57%, making it more deadly than many other types of cancer. But if oral cancer is caught and treated early, the 5-year survival rate jumps to over 80%. This is one reason why regular dental checkups are so important—we can be your best ally in detecting oral cancer in its early stages.
Oral cancer is particularly dangerous because it often develops without pain or obvious symptoms. Early detection greatly improves the chances of successful treatment, but signs of the disease frequently go unnoticed until the cancer is advanced. Fortunately, dentists and dental hygienists are trained to recognize signs of oral cancer in the early stages, when it is most treatable. Oral cancer can appear on any surface of the mouth and throat, with the tongue being the most common site, particularly along the sides, followed by the floor of the mouth. As part of a regular dental exam, we examine these surfaces for even subtle signs of the disease.
Screenings performed at the dental office are the best way to detect oral cancer, but between dental visits it's a good idea to check your own mouth for any of the following: white or red patches, lumps, hard spots, spots that bleed easily or sores that don't heal. Let us know if any of these symptoms don't go away on their own within two or three weeks.
Using tobacco in any form is a major risk factor for oral cancer, especially in combination with alcohol consumption. Although the majority of people diagnosed with oral cancer are over age 55, the fastest growing segment of new diagnoses are among young people due to the rise in cases of sexually transmitted human papillomavirus (HPV) in young adults.
A routine dental visit can do much more than preventing and treating tooth decay and gum disease—it might even save your life! If you have questions about oral cancer or are concerned about possible symptoms, call us as soon as possible to schedule an appointment for a consultation.
Dental cleanings are an important part of regular dental office visits. Performed by a dental hygienist or dentist, cleanings serve two purposes: to remove bacterial plaque and calculus (hardened deposits of plaque) from tooth surfaces missed during daily brushing and flossing; and to remove stains that can dull your smile.
There are different degrees of cleaning, including root planing that removes plaque and calculus deep below the gum line, usually for patients affected by periodontal (gum) disease. For patients in good oral health, the basic cleaning approach is known as prophylaxis, a term derived from the Greek for guarding or preventing beforehand. The techniques used in a prophylaxis remove both “coronal” (tooth surfaces visible above the gum line) plaque and staining, providing both therapeutic and cosmetic benefits.
A typical prophylaxis includes a procedure known as scaling. Hygienists use special instruments known as scalers to remove plaque and calculus by hand, or an ultrasonic device that vibrates plaque loose and is flushed away with water. The procedure removes that rough coating you often feel as you rub your tongue against your teeth, leaving the tooth surfaces feeling smooth.
Tooth polishing is a subsequent procedure to scaling that also removes plaque and surface stains. Polishing is carried out with a motorized instrument with a rubber cup in which a polishing (or “prophy”) paste is contained. The hygienist moves the rapidly rotating cup filled with the paste over the tooth surface to remove plaque and stains. The end result is a highly smooth surface and a much shinier appearance.
People with dental insurance plans are often concerned tooth polishing may be viewed strictly as a cosmetic procedure, and thus not fully qualify for benefits. This should not be the case if coded properly: tooth polishing is part of the overall prophylaxis to remove plaque and staining. The primary purpose is therapeutic and preventive; the cosmetic effect is a by-product. Most dental plans will cover one or two prophylaxes (scaling and tooth polishing) a year, but there are variations so individuals should check their plans.
If you would like more information on dental cleaning, 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 “Tooth Polishing.”
The March 27th game started off pretty well for NBA star Kevin Love. His team, the Cleveland Cavaliers, were coming off a 5-game winning streak as they faced the Miami Heat that night. Less than two minutes into the contest, Love charged in for a shot on Heat center Jordan Mickey—but instead of a basket, he got an elbow in the face that sent him to the floor (and out of the game) with an injury to his mouth.
In pictures from the aftermath, Love’s front tooth seemed clearly out of position. According to the Cavs’ official statement, “Love suffered a front tooth subluxation.” But what exactly does that mean, and how serious is his injury?
The dental term “subluxation” refers to one specific type of luxation injury—a situation where a tooth has become loosened or displaced from its proper location. A subluxation is an injury to tooth-supporting structures such as the periodontal ligament: a stretchy network of fibrous tissue that keeps the tooth in its socket. The affected tooth becomes abnormally loose, but as long as the nerves inside the tooth and the underlying bone have not been damaged, it generally has a favorable prognosis.
Treatment of a subluxation injury may involve correcting the tooth’s position immediately and/or stabilizing the tooth—often by temporarily splinting (joining) it to adjacent teeth—and maintaining a soft diet for a few weeks. This gives the injured tissues a chance to heal and helps the ligament regain proper attachment to the tooth. The condition of tooth’s pulp (soft inner tissue) must also be closely monitored; if it becomes infected, root canal treatment may be needed to preserve the tooth.
So while Kevin Love’s dental dilemma might have looked scary in the pictures, with proper care he has a good chance of keeping the tooth. Significantly, Love acknowledged on Twitter that the damage “…could have been so much worse if I wasn’t protected with [a] mouthguard.”
Love’s injury reminds us that whether they’re played at a big arena, a high school gym or an outdoor court, sports like basketball (as well as baseball, football and many others) have a high potential for facial injuries. That’s why all players should wear a mouthguard whenever they’re in the game. Custom-made mouthguards, available for a reasonable cost at the dental office, are the most comfortable to wear, and offer protection that’s superior to the kind available at big-box retailers.
If you have questions about dental injuries or custom-made mouthguards, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “The Field-Side Guide to Dental Injuries” and “Athletic Mouthguards.”
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