Tag Archive for: teeth

Oral Health in East Vancouver: Which Symptoms Shouldn’t be Ignored?

No oral symptom should be ignored – ever! Every oral health symptom is a warning that something abnormal is happening in the oral cavity and, if that warning isn’t heeded, it could lead to something far more serious. The important thing to be aware of here is that what happens in the mouth is not just limited to the teeth and gums – and far too many people aren’t aware of that fact. Because many oral health issues, such as gum disease and infected root canals, can dramatically affect overall health, not to pay attention to the early oral warning signs is to literally put your overall health at risk. So let’s look at some of the more common oral symptoms you should know about.

Pain – pain of any kind; mild, moderate, severe, occasional, sharp, aching, dull, deep – is not normal and is an indication that something is wrong, possibly seriously wrong. Pain can be an indicator of decay, a possible root canal infection, an abscess, a jaw infection, or gum disease. Pain is a wake-up call and even if it goes away you should make an appointment and have it diagnosed by a dentist. (Exceptions to this is if you bite your tongue or lip, or eat something that is too hot and burns your lips or palate.)

Sensitivity – to heat, cold, acidic foods, even brushing is another warning sign that should not go unattended. It can indicate decay, exposed root surfaces due to gum recession, a leaky filling, and even gum disease.

Bleeding – a little, a lot, occasionally, consistently, only when brushing or flossing and eating, or for no apparent reason – isn’t normal and never should be considered to be so. Bleeding is usually an indicator of gum disease but can indicate other oral problems, such as an abscess. As with any oral symptom, the determination of its cause and severity should always be done by a dentist. Self-diagnosis should never be attempted by the patient nor should the dental appointment be put off.

bleeding gums vancouver

Swelling – any lumps, or bumps, ridges, pimples, or any other type of swelling – anywhere in the oral cavity (lips, gums, or any other area of the mouth and face) is definitely a warning signal. There could be many causes of this and only the dentist can diagnose it. This should be dealt with ASAP.

Ulcerations and Discolorations – any ulceration, discoloration, redness, or sore spot on the lips, tongue, inside of the mouth, face or neck must be considered as not normal and checked out by a dentist, especially if it doesn’t resolve itself within 10 days to two-weeks. (For example, an ulceration such as herpes may show up suddenly, heal itself within two-weeks and may not need to be treated by a dentist.) There could be many causes to consider, some benign but others could be much more serious. This is not a symptom to put off until tomorrow!

Loss of Feeling – loss of feeling in any area of your mouth or face can be cause for concern as it could indicate nerve damage. This must be looked at by a dentist immediately.

Persistent Coughing or Difficulty in Swallowing – Either, or both, of these symptoms could be related to an oral health issue but could also be an indicator of a more serious medical issue. This should be dealt with by a dentist or a health practitioner if it persists for more than a week and there doesn’t seem to be an obvious cause, such as a cold.

Other Diseases of the Mouth – There are over 20 other health/medical issues whose early signs and symptoms can be found in the oral cavity. These can range from a drug reaction to serious cancers, such as oral cancer, squamous cell carcinoma, and leukemia. Any of the symptoms listed above could also be related to a medical problem and you should be acutely aware that any oral symptom, whether listed here or not, that appears and stays should be examined by a dentist and if necessary referred to the proper medical specialist. Early detection of these signs is also the reason why everyone, even if free of dental disease, should have a complete oral examination at least once a year.

Oral Health Problems without Symptoms

Please don’t think that if you don’t have an oral symptom you don’t have an oral problem! There are also a number of oral health problems that can exist even before a recognizable symptom appears. Far too many people believe that they couldn’t possibly have an existing oral problem if an observable symptom doesn’t manifest itself. This belief has led to an untold number of dental emergencies that could have easily been avoided by regular dental check-ups. The main thing to consider here is that many oral health problems may reach a serious stage before a symptom appears, such as pain.

For example, in many people decay can progress deeper into the tooth before pain shows up. So can gum disease and an infected root canal, even an abscess. Thus, while you should be aware of the various signs and symptoms of oral problems – if you wait for them to appear you could be putting your teeth and overall health at risk – unnecessarily.

Of course if a symptom appears, or whether it comes and goes, or seems to have gone away (however minor you think it is), you must schedule an appointment to have it professionally diagnosed and treated. If you are one of the tens of millions who haven’t had regular dental check-ups you cannot afford to wait until an emergency situation is created. For those of you who have put off regular dental treatment –  for whatever reason – the only way you are going to be able to know what is going on in your mouth and catch something before it becomes serious, is to schedule an examination with the dentist.

Prevention – Prevention – Prevention

People find many reasons for putting off going to the dentist. Fear, no time, the expense, and a host of other seemingly legitimate reasons. Yet there is no doubt that no matter what excuse you use, the longer you put off a dental examination, or treatment for any existing problems, the more it will end up costing you in time, suffering and money! Given the direct relationship of oral health to overall health – the medical costs incurred because of untreated oral health issues will only add to the total cost. There can be no doubt; ‘an ounce of prevention is worth a pound of cure!’

Do your mouth a  favour and book an appointment with EastVan Dental Clinic where our highly skilled dental professionals can examine your oral cavity and make recommendations so you can have a healthier mouth. East Vancouver Dental Clinic is located on Commercial Drive in Vancouver, BC. Call us at: (604) 251-4000 to schedule your next dental appointment.

Educational Video for your Kids

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How Does Sugar Damage Your Teeth? Why Is Sugar Bad For Your Teeth?

Sugar acts like an acid dissolving the enamel on teeth. Each time you eat a snack containing sugar, the resulting acid attack can last up to 20 minutes. The naturally-occurring bacteria in the mouth use sugar as energy to multiply and stick themselves to the surface of a tooth. Over time, this turns into plaque and continues to eat away at the tooth’s enamel. Tiny holes will eventually be made in the enamel. These are cavities. Left untreated, cavities will continue to grow.

Sugar attacks the enamel on your teeth and can lead to cavities. You can avoid the damaging effects of sugar by brushing and flossing your teeth two to three times a day and limiting the amount of sugary foods and snacks you eat and drink.

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Vancouver Dentist Address Tooth Loss

There are two basic ways to have a tooth removed: You can go to your nearest Vancouver dentist for a careful extraction, or you can take a serious blow to the face. Unfortunately, many people end up going with option number two. They catch a stray elbow during a basketball game, fall face-first on the sidewalk, or — in rare cases — get in a fist fight.

What should I do if I lose a permanent tooth?

A knocked-out (or, in dental speak, “avulsed”) tooth is an emergency. If you don’t get help soon, it will be impossible to salvage the tooth, and the socket can become badly infected. By taking quick action, you can save both the tooth and the socket.

Here’s what you need to do:

  • Find that tooth!
  • Pick it up by the crown, not the fleshy root. If the root looks dirty, give it a quick rinse with a sterile saline solution, milk, or saliva. Don’t scrub it or touch it — you could wind up losing vital tissue.
  • As unappealing as it sounds, try to put the tooth back in its socket. Then hold it in place with gauze or a clean washcloth until you get to a dentist.
  • If the tooth won’t go back in place, put it in a glass of milk or sterile saline solution. Don’t put it in water. (Water doesn’t preserve the tooth as well, which can make it more difficult to reimplant.) You can also carry the tooth tucked between your gum and cheek until you get to the hospital or dentist’s office.
  • Get to a dentist immediately. (And don’t forget to bring the tooth!) If a dentist isn’t available, go to a hospital emergency room.

What if my child knocks out a baby tooth?

Unlike permanent teeth, baby teeth can’t be replaced. If your child knocks out a baby tooth prematurely, don’t waste any time looking for it. Instead, comfort your child and help her rinse her mouth out with cold water. Then call a pediatric dentist right away. The dentist won’t be able to save the tooth, but he can give your child pain relievers to make her feel better, and antibiotics to prevent an infection. Your child may also need a spacer, a device that keeps the other teeth from crowding into the newly formed gap. This gives future permanent teeth room to grow.

If my tooth isn’t knocked out but just loosened, should I still see a dentist?

It’s a good idea. Even if the accident left you with only a loose tooth, a dentist’s attention can help reduce the risk that the tooth will die or fall out later.

How can I keep my teeth where they belong?

Sports injuries are a leading cause of knocked-out teeth. If you or your child play any sport with a risk of falls or blows to the face, helmets, face masks, and mouth guards should be standard equipment. According to the American Academy of Pediatric Dentistry, that list includes football, basketball, baseball, soccer, hockey, skateboarding, gymnastics, and martial arts. If store-bought mouthguards aren’t comfortable, you can get a customized one from your dentist.

The Unseen Effects of Tooth Loss

The most obvious effect of missing teeth is aesthetic. The way you look affects the way you feel, and the psychological and social consequences of tooth loss can also be profound, as we shall see. But it’s not just about unsightly gaps; there’s something less apparent going on in the area of a lost tooth that can affect function, health, facial aesthetics — just about everything.

Believe it or not, in the beginning, and at the end — it’s not so much about teeth as it is about bone, which needs stimulation to maintain its form and density. In the case of alveolar (sac-like) bone which surrounds and supports teeth, the necessary stimulation comes from the teeth themselves. Teeth make hundreds of fleeting contacts with each other throughout the day. These small stresses are transmitted through the periodontal ligament (“peri” – around; “odont” – tooth) that suspends each tooth in its socket, prompting the bone to remodel and rebuild continually.

When a tooth is lost, the lack of stimulation causes loss of alveolar bone — its external width, then height, and ultimately bone volume. There is a 25% decrease in width of bone during the first year after tooth loss and an overall 4 millimeters decrease in height over the next few years.

As bone loses width, it loses height, then width and height again, and gum tissue also gradually decreases. Ability to chew and to speak can be impaired. The more teeth lost, the more function is lost. This leads to some particularly serious aesthetic and functional problems, particularly in completely edentulous (toothless) people.

And it doesn’t stop there. After alveolar bone is lost, the bone beneath it, basal bone — the jawbone proper — also begins to resorb (melt away). The distance from nose to chin decreases and with it, the lower third of the face partially collapses. The chin rotates forward and upward, and the cheeks, having lost tooth support, become hollow. Extreme loss of bone can also make an individual more prone to jaw fractures as its volume depletes more and more.

So-called bite collapse can occur when only some of the back teeth, which support the height (vertical dimension) of the face, are missing. This can cause the front teeth to be squashed or pushed forward. They were not designed to support facial height or to chew food — only to hold and incise or tear it. Toothless people appear unhappy when their mouths are at rest because their lips, too, have sagged; unsupported by teeth and gum tissues they just cave in. Without teeth present, the tongue spreads into the space and the face collapses. The same is true of self-confidence.

The First Teeth To Go

In Canada, 70% of the population is missing at least one tooth, usually a back tooth. The first, or “6-year molars” are the first permanent (adult) teeth to erupt into the mouth and, unfortunately, are often the first teeth to be lost — as a result of decay, failed endodontic (root canal) therapy or fracture. In addition, they often have one or more crowns, which are still susceptible to recurrent decay. Longevity reports for crowns vary widely. The mean life span at failure of a crown has been reported as 10.3 years. Other reports range from a 3% failure rate at 23 years to a 20% failure rate at 30 years. Ultimately heavily restored and root canal treated teeth fail to recurrent decay, infection, structural failure or fracture. These teeth are at risk for extraction as a result of these complications, which are the leading causes of single posterior (back) tooth loss in adults.

Up until now, the most common — but not necessarily the best — option for replacing a single back tooth has been a three-unit fixed partial denture (FPD), also called a fixed bridge. In this case, the two teeth on either side of the gap, known as abutment teeth, are crowned and the two crowns together support a “pontic” — a false tooth in the middle (from the French word for bridge). This type of prosthesis (false replacement) can be fabricated within one to two weeks and provides normal shape, function (eating, talking and smiling), comfort, aesthetics and health. Because of these benefits, FPDs have been the treatment of choice for the last six decades. Every dentist is familiar with how and when to use them; they are widely accepted by the profession, the public, and dental insurance companies.

FPDs are not invariably successful over time. If not well maintained, the pontics can act as reservoirs for bacterial biofilm and the abutment teeth can decay. As a result, the supporting abutment teeth are susceptible to structural failure from decay, failed endodontic therapy and/or fracture, increasing their risk of loss.

The abutment teeth of FPDs may be lost at rates as high as 30% within 14 years. Such unfavorable outcomes of FPD failure include the need to replace them and the loss of an abutment tooth or teeth.

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Vancouver Dentist Addresses Teeth Grinding

Bruxism (BRUK-siz-um) is a condition in which you grind, gnash or clench your teeth. If you have bruxism, you may unconsciously clench your teeth when you’re awake (awake bruxism) or clench or grind them during sleep (sleep bruxism).

Source: Mayo Foundation for Medical Education and Research

What causes you to grind your teeth?

Although teeth grinding can be caused by stress and anxiety, it often occurs during sleep and is more likely caused by an abnormal bite or missing or crooked teeth. It can also be caused by a sleep disorder such as sleep apnea.

Source: WebMD

How do I stop grinding my teeth?

Treatments for bruxism designed to reduce symptoms or get rid of teeth grinding altogether include:

  • Reducing stress
  • Drinking more water
  • Getting more sleep
  • Not chewing gum or on other objects
  • Consciously relaxing the face and jaw throughout the day
  • Buying a teeth grinding mouth guard
  • Avoiding alcohol, which increases the urge to clench the teeth
  • Avoiding caffeine, which can make you jumpy and tense

The most popular and widely used of these solutions is mouth guards.

Source: Arizona Family Dental

Why do I want to clench my teeth?

My dentist explained that bruxism, a condition most often caused by stress, involves grinding your teeth, either at night or throughout the day, without realizing it. Are you waking up with headaches, a sore jaw or neck pain? Then you may be unconsciously grinding or clenching your teeth, as well.

Source: Colgate

What is bruxism?

Bruxism is a habit that affects around 8-10% of the population. It is broadly characterized by grinding of the teeth and clenching of the jaw that causes tooth wear and breakage, disorders of the jaw (pain and limited movement) and headache.

What can I do to stop teeth grinding?

Train yourself not to clench or grind your teeth. If you notice that you clench or grind during the day, position the tip of your tongue between your teeth. This practice trains your jaw muscles to relax. Relax your jaw muscles at night by holding a warm washcloth against your cheek in front of your earlobe.

Source: WebMD

How can I stop clenching my teeth at night? Home Remedies

  1. Reduce your stress. Stress is one major cause of teeth grinding, so you should aim to relieve your stress. You can relieve the stress in your life by attending stress counselling, exercising, or meditating. You may also consider looking into natural remedies to reduce stress. There is also a large variety of tea plants, like chamomile and lavender, which can calm you down before bed time.
  2. Remove caffeine from your diet. Stop drinking soda, coffee, and energy drinks and try not to eat too much chocolate. Caffeine is a stimulant which will make it more difficult for you to relax your mind and the muscles of your jaw, especially at night making you agitated throughout the day.
  3. Avoid alcohol. Alcohol is a depressant which will make it more difficult for you to sleep healthily. Teeth grinding tends to get worse after alcohol consumption. Though alcohol may make it easier for you to fall asleep, it will make you sleep a less restful, more shallow sleep, which will increase your teeth grinding.
  4. Stop chewing on non-foods. Stop yourself from stress-related habits that have to do with your mouth. Chewing non-food items is a sign of an increased stress level. For example, if you tend to chew on pencils or pens when you are stressed out, you should eliminate that habit. If this is particularly challenging, you can chew gum or suck on a mint whenever you have the urge to chew on non-foods, and slowly wean yourself off of them.
  5. Train yourself not to clench your jaw during the day. If you notice that your jaw is tense or that your teeth are gritted together, practice relaxing the jaw by placing the tip of your tongue between your teeth.
  6. Add calcium and magnesium supplements to your diet. Calcium and magnesium are necessary for muscle function and nervous system health. If you don’t have enough, you can have problems with clenching, tension, and other muscle problems. Remember that your heart is also a muscle and it can suffer from stress or lack of calcium.
  7. Relax before bed. It is important to reduce stress before bed so that you’re more relaxed during the night and therefore less likely to grind your teeth. Here are some ways to relax before bed and have a more restful sleep

What does it mean when you clench your jaw?

Because of anxiety or other issues, some people grind their teeth or clench their jaw thousands of times a night while they sleep. They put so much pressure on their jaws — 250 pounds (or more) worth of force — that they wear down their teeth, sometimes even causing joint and muscle problems.

Source: Everyday Health Media, LLC

Can grinding teeth cause ear pain?

The symptoms can cause temporomandibular joint problems (TMJ). Grinding can wear down your teeth. … Earache (partly because the structures of the temporomandibular joint are very close to the ear canal, and because you can feel pain in a different location than its source; this is called referred pain).

Source: Medline Plus

Can grinding my teeth cause headaches?

Here’s how it happens: Your jaw muscles tighten when you grind or clench your teeth – or do things such as chew gum. The pain from your jaw created by the clenching then travels to other places in the skull, causing headaches or, in severe cases, migraines. You may also experience toothaches, earaches or shoulder pain.

Need to talk to a dentist? Simply pick up the phone and give us a call at: (604) 251-4000 and one of our dentists will be happy to help you.

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Teeth Whitening? Everything You Need to Know

Teeth whitening can be a very effective way of lightening the natural colour of your teeth without removing any of the tooth surface. It cannot make a complete colour change, but it may lighten the existing shade.

Why would I need my teeth whitened?

There are a number of reasons why you might get your teeth whitened. Everyone is different; and just as our hair and skin colour vary, so do our teeth. Very few people have brilliant-white teeth, and our teeth can also become more discoloured as we get older.

Your teeth can also be stained on the surface by food and drinks such as tea, coffee, red wine and blackcurrant. Smoking can also stain teeth.

‘Calculus’ or tartar can also affect the colour of your teeth. Some people may have staining under the surface, which can be caused by certain antibiotics or by tiny cracks in the teeth which take up stains.

What does tooth whitening involve?

Professional bleaching is the most usual method of tooth whitening. Your dental team will be able to tell you if you are suitable for the treatment, and will supervise it if you are. First, the dental team will put a rubber shield or a gel on your gums to protect them. They will then apply the whitening product to your teeth, using a specially made tray which fits into your mouth like a mouth guard.

The ‘active ingredient’ in the product is usually hydrogen peroxide or carbamide peroxide. As the active ingredient is broken down, oxygen gets into the enamel on the teeth and the tooth colour is made lighter.

How long does this take?

The total treatment can usually be done within three to four weeks. First, you will need two or three visits to the dentist. Your dental team will need to make a mouthguard and will take impressions for this at the first appointment. Once your dental team has started the treatment, you will need to continue the treatment at home. This means regularly applying the whitening product over two to four weeks, for 30 minutes to one hour at a time.

However, there are now some new products which can be applied for up to eight hours at a time. This means you can get a satisfactory result in as little as one week.

What other procedures are there?

There is now laser whitening or ‘power whitening’. During this procedure, a rubber dam is put over your teeth to protect the gums, and a bleaching product is painted onto your teeth. Then a light or laser is shone on the teeth to activate the chemical. The light speeds up the reaction of the whitening product and the colour change can be achieved more quickly.

Laser whitening is said to make teeth up to five or six shades lighter.

How long does chair-side power whitening take?

Your dentist will need to assess your teeth to make sure that you are suitable for the treatment. Once it has been agreed, this procedure usually takes about one hour.

How long will my teeth stay whiter?

The effects of whitening are thought to last up to three years. However, this will vary from person to person. The effect is less likely to last as long if you smoke, or eat or drink products that can stain your teeth. Ask your dental team for their opinion before you start the treatment.

What are the side effects?

Some people may find that their teeth become sensitive to cold during or after the treatment. Others may have discomfort in the gums, a sore throat or white patches on the gum line. These symptoms are usually temporary and should disappear within a few days of the treatment finishing.

If any of these side effects continue, contact your friendly Vancouver Dentist.

What about home whitening kits?

There are many home whitening kits available, including paint-on whiteners and strips. How effective these are, depends on the amount of whitening agent they contain.

Regulations on the sale of these vary from country to country and some of the products on the market are not effective.

Before you decide on a whitening product, talk to one of our knowledgable receptionist at EastVan Dental Clinic.

What about whitening toothpastes?

There are several whitening toothpastes on the market. Although they do not affect the natural colour of your teeth, they may be effective at removing staining. Therefore, they may improve the overall appearance of your teeth. Whitening toothpastes may also help the effect to last, once your teeth have been professionally whitened.

Can a single tooth which has been root filled be whitened?

Yes. Sometimes dead teeth go discoloured after a root filling. If the tooth has been root treated, the canal (which contained the nerve) may be reopened. The whitening product is applied from the inside to whiten the tooth.

When might tooth whitening not work?

Tooth whitening can only lighten your existing tooth colour. Also it only works on natural teeth. It will not work on any types of ‘false’ teeth such as dentures, crowns and veneers.

If your dentures are stained or discoloured visit your dental team and ask for them to be cleaned.

How can I look after my teeth once they have been whitened?

You can help to keep your teeth white by cutting down on the amount of food and drinks you have that can stain teeth. Don’t forget, stop smoking can also help prevent discolouration and staining.

We recommend the following tips to take care of your teeth:

  • brush your teeth last thing at night and at least one other time during the day, with a fluoride toothpaste
  • cut down on how often you have sugary foods and drinks
  • visit your dental team regularly, as often as they recommend.
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