We say that we are going to have our teeth cleaned — but a lot more than simple cleaning takes place during a visit to a dental hygienist.

1. Health History
   Your hygienist will ask you about your general health and your dental health and any recent changes in either. By doing so she will pinpoint any issues that require special precautions during your cleaning.
2. Cancer Screening
   Next, the hygienist carefully examines the skin in and around your mouth looking for lumps, bumps, sores, tenderness or swellings and refers areas of concern to the dentist for further evaluation. The hygienist is one of the few people who get to closely assess your whole mouth, so she is trained to spot cancer and other diseases.
3. Evaluating Your Periodontal Health
   Your hygienist will look closely at the state of your periodontal health (from peri meaning around and dont meaning tooth). This includes checking your gums and the other tissues surrounding your teeth for inflammation (gingivitis) or bleeding.
4. Checking for Decay
   The hygienist will examine your teeth for decay and will note the location and condition of stains or hard mineral deposits (calculus or tartar). These deposits result from a buildup of plaque (a film of bacteria) that has not been removed by daily brushing.
5. Scaling
   The hygienist uses hand tools or a sonic scaler to remove the calculus from your teeth.
6. Polishing
   A mechanical polisher and an abrasive polishing compound are used to polish the surface of your teeth so that they are smooth, making them more resistant to plaque, removing stains and leaving your teeth feeling squeaky clean.
7. Measuring
   The hygienist uses a tiny probe to measure the space between your teeth and gums. Periodontal disease begins by forming pockets between the teeth and gums, so this measuring is key to your periodontal health. Generally a space of 3mm or less indicates healthy gums, pockets of 4 to 5mm indicate periodontal disease that may be reversed with good oral care at home, and pockets that are 6mm deep or more require specialized treatment by a dentist or periodontist (a dentist who specializes in care of gums).
8. Education
   Based on the observed conditions of your gums and teeth, the hygienist will provide information aimed at improving your home oral cleansing routines and about your risk for tooth decay and gum disease.
9. Making Your Next Appointment
   The hygienist will make an appointment for your next cleaning — in three, four, or six months depending on the health of your gums and teeth. Keeping these appointments not only keeps your teeth looking their best, but it also assures good management of your dental health.

Contact us today to schedule an appointment to discuss your questions about dental hygiene. You can also learn more by reading the Dear Doctor magazine article “Dental Hygiene Visit.”

]]>Sun, 11 Dec 2011 04:45:03 -0600http://www.hanoshfamilydentistry.com/blog/post/gum-disease-can-increase-your-risk-of-heart-disease.html

You've probably heard that old song about the leg bone being connected to the knee bone; it's easy to see how the human skeleton links together. But the concept of anatomical parts being interconnected actually goes further than you might think. Problems in almost any part of the body can have profound effects in other areas. Your gums offer a perfect example.

Believe it or not, medical research has established a connection between gum disease and cardiovascular disease (CVD). They appear to be linked by inflammation, a protective response to infection. Inflammation can be characterized by a redness and swelling of the body's tissues that you can see. Or its effects can be less obvious.

Gum disease is an infection caused by bacteria, which build up in the mouth in the absence of regular or effective brushing and flossing. When left undisturbed, the bacterial biofilms (dental plaque) change over time so that a small set of highly pathogenic (“patho” – disease; “genic” – causing) organisms emerge that cause periodontitis (“peri” – around; “odont” – tooth; “itis” – inflammation).

Periodontitis can cause not just a localized inflammation of the gum tissue, but also a systemic (whole-body) inflammation. And this chronic, low-grade inflammation throughout the body appears to increase the risk of heart disease considerably. The good news is that there is a lot we can do about gum disease. And when we reduce the inflammation it causes, we can also reduce the risks for CVD and the heart attacks and strokes that can result.

The first step is a thorough, professional periodontal cleaning to remove the bacterial biofilm attached to the roots of the teeth. Sometimes a short course of antibiotics is prescribed to further fight the infection. Advanced periodontitis may require surgery so that we can reach all of the contaminated root surfaces for removal of the bacterial biofilm.

We will also review with you how you can prevent the growth of harmful bacteria through an effective daily oral hygiene routine. This is crucial to maintaining your oral health, which in turn affects your general health and overall well-being.

Contact us today to schedule an appointment to discuss your questions about the relationship between gum disease and heart disease. You can also learn more by reading the Dear Doctor magazine article, “The Link Between Heart & Gum Diseases.”

]]>Sun, 04 Dec 2011 04:53:56 -0600http://www.hanoshfamilydentistry.com/blog/post/how-to-obtain-a-beautiful-smile-through-porcelain-veneers.html

If you've ever looked through a magazine and viewed the perfectly aligned white smiles of celebrities and models, you may be already familiar with the look of porcelain veneers. To achieve a picture-perfect smile, many Hollywood stars choose porcelain veneers (thin-layers of porcelain) that are bonded to the front of teeth allowing for the alteration of tooth position, shape, size and color. By fixing imperfections, as well as whitening them, veneers offer celebrities a perfect smile that, when maintained properly, can last for several decades.

Evaluation: If porcelain veneers sound appealing, our office can help you decide if you're a good candidate for them. We will ensure you have sufficient tooth structure, that your teeth are in more or less a normal position, and that symmetrical gum contours are present, allowing for proper “framing” of the teeth, necessary for a beautiful smile.

The Process: Once it's been determined that you're a good candidate for veneers, our office will begin a smile analysis using computer imaging to digitally replicate your smile and then fabricate a mock-up smile made of tooth-colored wax. We will work with you to determine the right color and shade for your veneers. You can choose the brightest, whitest “Hollywood smile” or opt for a more natural color and enhanced look.

Next Steps: After your initial appointment, it typically takes the laboratory one week to fabricate your porcelain veneers. The insertion of your veneers can be done with or without a local anesthetic. We will place the veneers on your teeth with a light-sensitive resin, which sets with the use of a white light, effectively bonding them to your teeth. While you may initially experience some tooth sensitivity to hot or cold, this will disappear after a few days. Maintaining your perfect smile requires simple brushing and flossing techniques and routine check ups.

Contact us today to schedule an appointment to discuss any questions you may have regarding porcelain veneers. Read more about this topic in the Dear Doctor magazine article “Smile Design, Enhanced by Porcelain Veneers.”

]]>Sun, 27 Nov 2011 04:44:55 -0600http://www.hanoshfamilydentistry.com/blog/post/questions-you-should-ask-before-whitening-your-teeth.html

Having a whiter, brighter smile can do wonders for improving self-confidence, career opportunities, and interpersonal relationships, as demonstrated in numerous scientific studies. In fact, according to a poll conducted on behalf of the American Academy of Cosmetic Dentistry (AACD), the following was revealed:

• 99.7% of Americans believe a smile is an important social asset.
• 74% feel an unattractive smile can hurt chances for career success.
• 50% of all people polled were unsatisfied with their smile.

These statistics demonstrate why you should have a solid understanding about any cosmetic procedure — even teeth whitening — before making your decision to proceed. To help you ensure that you have the facts, we created the following list of questions.

• Am I a good candidate for tooth whitening?
• How much will the entire process cost?
• Does my insurance cover the cost (or any portion of the cost)?
• How does teeth whitening work?
• Is bleaching teeth safe?
• Will the bleaching agents damage tooth enamel?
• Can whitening treatments make my teeth sensitive?
• How does your professional bleaching differ from home whitening?
• What type of bleach and strength will you use?
• How long can I expect the results to last?
• What will the bleach do to my gums, filings, crowns, veneers, and/or bridgework?

Please note that we may cover most or all of these questions during your initial consultation; however, we encourage you to bring this list with you to ensure you get the answers you need so that you can make the best decision. To learn more now, continue reading the Dear Doctor article, “Teeth Whitening: Brighter, Lighter, Whiter....” Or, you can contact us to discuss your questions or to schedule an appointment.

]]>Sun, 20 Nov 2011 04:42:13 -0600http://www.hanoshfamilydentistry.com/blog/post/how-ithe-biggest-loseri-star-jillian-michaels-keeps-her-winning-smile.html

Anyone who has seen fitness and life coach Jillian Michaels on The Biggest Loser and Losing It with Jillian knows she has the expertise and determination to help overweight people reach new levels of fitness and health. Using her own difficult life experiences, Jillian is able to help others look below the surface to the roots of their own unhealthy lifestyles. As a child, she suffered from night terrors, then her parents divorced when she was 12. She reacted to her anger and unhappiness by comforting herself with food. By age 17 she weighed 175 pounds — too much weight for her small 5'2" frame. To get Jillian involved in physical activity, her mother signed her up for a martial arts class. It was the right choice. Jillian loved the physical and spiritual aspects of martial arts practice, and this training pointed the way to what ultimately became her career.

It's no wonder Jillian is concerned about America's obesity problem — especially in children. To counter it, she and a business partner put together a Wii game, “Jillian Michaels' Fitness Ultimatum.” “If you turn exercise into a game, it's much easier to get kids to join in,” she says.

For adults, Jillian is concerned with unhealthy body images put forward by the fashion industry and media. She says, “Educating women on the importance of a healthy diet and exercise program is essential, but getting them to realize that women are supposed to have curves is equally important.” She is working on a new book, which is designed to help people live a healthy lifestyle, realize their true potential, and find happiness in just being themselves.

Since good health also includes good oral health, here's a sampling of what Jillian discussed about healthy habits in her interview with Dear Doctor magazine.

How can parents encourage their children to have healthy habits? Jillian says it starts with parents setting a good example. Parents can persuade children to get exercise by going outside to play with them. Gardening together and serving kids home-grown vegetables is a good way to encourage healthy eating.

What is her dental care routine? Jillian brushes her teeth two or three times a day with an electric toothbrush and she flosses daily. She never leaves home without toothpaste, an electric travel toothbrush, and floss as well as some sort of lip gloss. She sees her dentist, whom she calls “amazing,” at least twice a year for cleanings.

How does she guard against damage from martial arts? Jillian broke her two front teeth as a child and had them repaired with crowns. Now she wears a mouthguard when doing vigorous exercise.

What other cosmetic dental procedures has she had? She also had braces and has had her teeth whitened.

Jillian knows that it takes hard work and commitment to health and exercise, along with good oral health habits, to look and feel your best. You can learn more about Jillian by reading the entire interview in the article “Jillian Michaels: The Biggest Loser's health and wellness expert talks about her oral health, keeping fit and plans for the future.” Contact us today to discuss your questions about tooth whitening, crowns, or mouthguards or to schedule an appointment.

]]>Sun, 13 Nov 2011 04:47:32 -0600http://www.hanoshfamilydentistry.com/blog/post/5-reasons-we-can-help-your-snoring-and-other-sleep-related-breathing-disorders-srbds.html

Snoring and other sleeping disorders impact between 50 and 70 million Americans each year. However, did you know that our office can help when it comes to diagnosing and treating sleeping disorders? For this reason, we have put together this list to highlight how we can have a positive impact on your snoring.

1. Many people are surprised to learn that physician training is lacking and very slowly evolving in the area of sleep related breathing disorders. Therefore, there is limited public and medical awareness. The American Academy of Sleep Medicine (AASM) has acknowledged that properly trained dentists are the first line of therapy for treating mild to moderate sleep apnea effectively.
2. Because we see our patients on a more regular basis than many primary-care physicians, we dentists are in a unique position to identify and/or detect a SRBD. However, for us to accomplish this, you must share the facts about your sleeping habits and issues related to breathing. In other words, do not be embarrassed to let us know that your spouse, sleeping partner or family complain to you about your snoring!
3. When it comes to treating complications associated with Oral Appliance Therapy (OAT) used in managing Sleep Related Breathing Disorders (SRBD), dentists are the primary professionals who are specifically trained to create, fit, adjust, monitor and treat any complications associated with a mouthpiece (oral appliance).
4. Did you know that dentists help identify the approximately 90% of misdiagnosed cases of patients suffering from a SRBD? Well, it is true. We play a critical role in diagnosing and treating these patients.
5. Another reason why it is much easier for us to diagnose and treat these problems is because the core of our training is centered upon the oral cavity, mouth and parts of the upper airway — the very areas where your snoring and SRBDs occur.

If you suffer from snoring or any other Sleep Related Breathing Disorder, it is imperative that you seek and obtain treatment. Ignoring these problems can lead to issues such as: an irregular heartbeat, heart attacks, high blood pressure, and other forms of heart disease as well as strokes and impotence. Contact us today to discuss your questions about snoring or to schedule an appointment. You can also learn more about snoring and sleep disorders when you continue reading the Dear Doctor magazine article “Sleep Disorders & Dentistry.”

]]>Sun, 06 Nov 2011 04:32:26 -0600http://www.hanoshfamilydentistry.com/blog/post/welcome-to-our-blog.html Welcome to the Blog of Dr. Fred N. Hanosh!

Whether you are an existing patient or searching for a dentist in the Paradise and Chino, CA areas, we're excited you are here. With the dental industry advancing, we recognize the importance of keeping our patients and visitors up to date with all of the new and exciting things taking place in our practice.

As we move forward with our blog, we hope to promote dental awareness as a vital part of your healthy lifestyle. Here you will find a variety of articles and topics including dental news, advancements in dental technology and treatment, practical dental health advice and updates from Dr. Fred N. Hanosh and his staff.

We hope you find our blog to be helpful, engaging and informational to ensure your best dental health.

As always, feel free to contact us with any dental questions or concerns.

--The Dr. Fred N. Hanosh Team
]]>Tue, 01 Nov 2011 11:12:11 -0500http://www.hanoshfamilydentistry.com/blog/post/are-dental-x-rays-really-safe.html

Yes, dental x-rays are a safe and vital tool we use for measuring and monitoring your oral health. We feel it is imperative to ensure that our patients have the facts — especially when it comes to their oral healthcare. This is why we want to respond to this important question about the safety of dental x-rays.

We want you to know what they are, how they are used, what makes them a safe and effective tool, and why they are so important to dentistry and your health. X-rays are a form of electromagnetic radiation, in fact, just like natural daylight, except they have a much shorter wavelength. And because they are a form of ionizing radiation, they can easily penetrate bodily tissues without causing any harm when used properly. The reasons we use them are obvious; they help us literally see what is unseen. For example, they enable us to see bone structure and roots of teeth among other things, and are commonly used for diagnosing tooth decay. Furthermore, today's x-ray machines and other image capturing techniques are so sophisticated and sensitive that the amount of radiation required for diagnosis is almost nothing when compared to what you get from the background radiation present in everyday living. In fact, the average single digital periapical (“peri” – around; “apical” – root end of a tooth) film is equal to 1/10 the amount of everyday natural environmental exposure. These facts make it clear that dental x-rays are completely safe and, thus, are nothing you need to be concerned about.

Learn more about this topic by reading the Dear Doctor magazine article “X-ray Frequency And Safety.” If you need to schedule an appointment, contact us today.

]]>Sun, 30 Oct 2011 04:35:45 -0500http://www.hanoshfamilydentistry.com/blog/post/tvs-nate-berkus-discusses-dental-sealants-fluoride-treatments-and-flossing.html

Nate Berkus, author, interior designer and host of his own television program, The Nate Berkus Show, is a consummate professional who has always focused on “helping others love the way they live,” as he puts it. Berkus is known as one of America's most beloved go-to-guys for inspiration on the latest design trends. And then there is his captivating smile.

In an exclusive interview with Dear Doctor magazine, Berkus discusses his trademark smile. Unlike most people in Hollywood, his smile is totally natural — he never wore braces or had any cosmetic work. However, Berkus does give credit to his childhood dentist for the preventative healthcare he received as a young boy. Berkus states, “I'm grateful for having been given fluoride treatments and sealants as a child. Healthy habits should start at a young age.”

As for his oral hygiene routine today, Berkus says he brushes his teeth at least two times a day, and sometimes three times a day. Berkus is also an avid “flosser” and follows the important flossing advice he learned from his dentist: “Floss the ones you want to keep.”

In addition to his design expertise, Berkus is right on the mark with his opinions on oral hygiene. In fact, he inspired our office to put together the following list of facts and oral health tips:

• The first step in improving your oral health is to learn good oral hygiene behavior. Simply put, to maintain optimal oral health, you must brush and floss properly so that you thoroughly remove the dental plaque.
• The second step is a thorough evaluation system. We are a key part of this step. During your next office visit, we can conduct a thorough examination, review your brushing and flossing techniques, examine the health of your tongue and discuss any questions you have. We can also clean your teeth and ensure that you leave our offices confident with your new oral hygiene routine. And if you don't have an appointment, contact us today to schedule one.

To learn more about improving your oral hygiene, you can continue reading the Dear Doctor magazine article “Oral Hygiene Behavior - Dental Health For Life.” And to read the entire interview with Nate Berkus, please see the article “Nate Berkus.”

]]>Tue, 03 Jan 2012 10:54:27 -0600http://www.hanoshfamilydentistry.com/blog/post/tv-host-maria-menounos-puts-diabetes-in-the-spotlight.html

Maria Menounos, an independent filmmaker, actress, and co-host of daily entertainment news program Extra, learned at an early age about the importance of maintaining good general and dental health when her father, Constantinos, a Greek immigrant, was diagnosed with type 1 diabetes. As a result, her parents made sure the family consumed a diet filled with fresh fruits and vegetables, many of which they produced themselves. Maria and her family also consumed little-to-no junk food.

Menounos is still committed to helping those with diabetes. In fact, because she saw first hand the power of communication in the lives of diabetes patients and their families, Menounos is an avid ambassador for the American Diabetes Association.

Maria's experience with diabetes is one that she shares with millions of people worldwide. And if you or someone you care about is suffering from this disease, it's important to be aware of the connection between diabetes and oral health. Recent research has shown a link between two chronic inflammatory conditions: periodontal (gum) disease and diabetes. Evidence consistently reveals that diabetes is a risk factor for increased severity of periodontal disease and conversely, periodontitis is a risk factor for worsening blood glucose control in patients with diabetes and may also increase the risk of diabetic complications. Periodontal inflammation is also associated with an elevated systemic (general body) inflammatory state and an increased risk of major cardiovascular (“cardio” – heart; “vascular” – blood vessel) events such as heart attack, stroke, adverse pregnancy outcomes (e.g., low birth weight and preterm births) and altered blood sugar control in people with diabetes.

If you are interested in learning more about periodontal disease, you can continue reading the Dear Doctor magazine article “Diabetes & Periodontal Disease.” Or, if you are diabetic and fear you may have periodontal disease, you can contact us today to schedule an appointment so that we can conduct a thorough examination. During this private consultation, we will also discuss any questions you have as well as what treatment options will be best for you. And to read the entire interview with Maria, please see the Dear Doctor magazine article “Maria Menounos.”

]]>Sun, 18 Dec 2011 00:00:01 -0600http://www.hanoshfamilydentistry.com/blog/post/the-secrets-behind-vanna-whites-smile.html

Describing Vanna White, co-host of the hit television game show Wheel of Fortune as friendly is an understatement. Yes, a good portion of the credit goes to her bubbly personality; however, you can't look at her without noticing her world-famous smile.

During an interview with Dear Doctor magazine, Vanna shared some of the secrets to her trademark smile. Secrets that she is instilling in her children.

“I floss every day and I brush my teeth at least twice a day — morning and night — and sometimes after lunch.” She added, “I think that flossing is the most important thing. I believe that dental floss helps a lot, as it keeps your gums strong and looking younger.” And when asked about how often she has her teeth professionally cleaned she replied, “...every four to five months because I get a lot of plaque buildup.”

A typical dental hygiene visit is one that involves prophylaxis, a dental (and insurance) term for scaling and or polishing procedures to remove plaque and calculus (tartar) from the crown or portion of the tooth that you can see. Scaling is a procedure where we use special hand-held instruments and/or ultrasonic scalers to remove plaque, bacteria and tartar that can coat your teeth causing them to feel rough or fuzzy. To polish your teeth, we use a rubber polishing cup, prophy paste and a motorized instrument that removes bacterial plaque and surface stains. This is usually the last portion of a routine cleaning because it leaves your teeth feeling smooth and shiny.

However, if you have been seeing blood when you brush your teeth or while flossing, you have the telltale signs of periodontal (gum) disease. During your cleaning appointment, we will clean below the gum line to treat and manage your periodontal disease (an infection of the gum and jaw bones). We may also discover that additional, deep-cleaning treatments (such as root planing) may be needed to treat and manage your periodontal disease.

To learn more about this topic, continue reading the Dear Doctor magazine article “Teeth Polishing.” Or you can contact us today to schedule an appointment so that we can conduct a thorough examination and cleaning. And if you want to read the entire feature article on Vanna White, continue reading “Vanna White.”

]]>Sun, 25 Dec 2011 00:00:01 -0600http://www.hanoshfamilydentistry.com/blog/post/maria-menounos-discusses-diabetes-diet-and-dental-sealants.html

As the youngest person ever to host Entertainment Tonight, Maria Menounos, an independent filmmaker, actress, and co-host of daily entertainment news program Extra, has made a huge splash in the world of entertainment journalism. However, she is also an avid ambassador for the American Diabetes Association, a cause that is very dear to her heart because her father is a diabetic.

Her father's illness taught Menounos and her family about the importance of maintaining good general and dental health. This included a diet packed with fruits and vegetables, many of which they raised themselves. According to Menounos, they also ate little-to-no junk food. These habits still help keep the busy celebrity journalist fit and smiling with beautiful, healthy teeth.

Speaking of her smile, Menounos openly discusses her oral health in her interview with Dear Doctor magazine. She has had no major dental enhancements — not even braces — but does occasionally brighten her smile with tooth whitening. She also feels that her teeth are healthy due to the sealants she had as a child.

We could not agree more with Maria! Sealants for the tiny grooves in teeth known as “pits and fissures” are something that every parent or caregiver should consider for their children. The enamel of newly erupted teeth is more permeable, meaning that the acids produced by bacteria in the mouth can damage these teeth more easily, making them more susceptible and less resistant to decay. The good news is that dental sealants help protect teeth until the enamel has matured. Because of sealants — along with fluoride, good hygiene, and better nutrition (including less sugar consumption), tooth decay has been dramatically reduced.

If you are interested in learning more about dental sealants, contact us today to schedule an appointment so that we can conduct a thorough examination. During this private consultation, we will also discuss any questions you have as well as what treatment options will be best for you or your children. However, to learn more about dental sealants now, you can continue reading the Dear Doctor magazine article “Sealants for Children.” And to read the entire interview with Maria Menounos, please see the Dear Doctor magazine article “Maria Menounos.”

]]>Fri, 13 Jan 2012 13:39:01 -0600http://www.hanoshfamilydentistry.com/blog/post/six-ways-to-get-whiter-teeth.html

Time to tune up the brightness on your teeth? Here are six modern methods of whitening and brightening your smile.

• In-office “power” bleaching under the supervision of my staff and me is recommended if your teeth are badly stained, or if you are about to have veneers or crowns made. It's quick, safe, and effective. Gels containing high concentrations of bleach are applied to your teeth in our office, often with the enhancement by heat and light to make them act faster. Results show teeth becoming up to ten shades lighter in about an hour.
• “Take home” whitening solutions and trays are designed to fit your mouth and can also be provided by my office. The technique is easy to perform and is less expensive than in-office power whitening system, although it takes longer to see the same results. General recommendations are for 30 minute applications twice a day. You can usually see a change after two to four sessions. This requires patience, because it is important not to exceed recommended exposure in order to avoid damage to your teeth, gums, and the inside skin of your mouth. After two weeks of use, teeth can be expected to be about eight shades lighter.
• Whitening strips look like clear Band-Aids that are applied to the tooth surfaces. They should be worn twice a day for 30 minutes each time, for seven days. On average, they claim to lighten teeth more than three shades. They take about two weeks to work at 30 minutes per day.
• “Paint on” or “Brush on” whitening formulas are also available. These are gels that are painted onto the teeth every night at bedtime, for two weeks. Some claim that this line of home whitening can whiten teeth two to five shades. These gels may make your mouth feel goopy, but they are relatively inexpensive. Some gels come with a small brush to scrub them onto the teeth.
• Over-the-counter “mouth-tray” whiteners use mouth trays that are not designed for your particular mouth, so they may not fit well and may be messy or uncomfortable. They are filled with gel and worn 45 minutes a day for one week. On average, teeth become two shades whiter.
• Whitening gum is a relatively new product. It requires chewing two pieces for at least 20 minutes, four times a day, to see an effect.

Contact us today to schedule an appointment to discuss your questions about tooth bleaching. You can also learn more by reading the Dear Doctor magazine article “Teeth Whitening.”

]]>Mon, 23 Jan 2012 11:16:50 -0600http://www.hanoshfamilydentistry.com/blog/post/what-could-be-causing-your-temporomandibular-disorder-tmd.html

When treating Temporomandibular (jaw joint) Disorder (formerly known as Temporomandibular Joint Disorder, TMJ), we feel we have two equally important challenges facing us. First, we must start your treatment by relieving the symptoms of pain and discomfort. We typically accomplish this with heat, mild pain medications, a diet of soft foods, and some simple jaw exercises. Once we have begun to relieve your pain, our second critical objective is to identify and remedy what is causing the pain. It could be the result of an injury or trauma to the jaws and/or teeth or it could be due to a bite issue or a filling or crown that is too high and thus causing a misaligned bite. There are many other reasons, so it is first necessary to obtain a thorough medical history and conduct a comprehensive evaluation so that we can properly diagnose and treat the TMD condition and what is causing it.

Next to stress resulting in clenching and grinding habits, the four most common causes leading to TMD include:

• Underlying dental conditions that are triggering muscle pain
• Internal joint derangement (displaced or improperly positioned jaw joint)
• Osteoarthritis (degenerative joint disease)
• Synovitis — the painful inflammation of a synovial joint-lining membrane that is characterized by swelling, due to effusion (fluid collection)

If you or another family member suffer from chronic jaw pain, please let us know so that we can properly address your concerns and conduct a thorough examination. Or if you are in constant or severe pain, contact us as soon as possible to schedule an appointment. You can learn more about the signs, symptoms, and treatment options for TMD by reading “TMD — Understanding The Great Imposter.”

]]>Tue, 31 Jan 2012 04:12:10 -0600http://www.hanoshfamilydentistry.com/blog/post/what-you-should-know-about-sensitive-teeth.html

It is not uncommon to have one or more teeth that are particularly sensitive to heat, cold, or pressure. If you have such a tooth, you probably want to know what caused it and what you can do about it. Here are some frequently asked questions, and their answers.

What causes teeth to become sensitive?
The most common cause of sensitivity is exposure of the tooth's dentin, a layer of the tooth's structure that is just below the outer protective layer (the enamel).

The dentin is sensitive but the enamel layer is not. Why?
The enamel is composed of minerals that are hard and protective. It is not living tissue and has no nerve supply. The dentin layer underneath is bone-like living tissue that does contain nerve fibers. It is protected by enamel above the gum line and by gum tissue in the area of the tooth's root, below the gum line. If the tooth's protective covering is reduced, the nerve fibers in that section of the dentin are exposed to changes in temperature and pressure, which they conduct to the inner pulp layer (nerve) of the tooth. The sensations that reach the tooth's interior pulp layer cause pain.

What causes exposure of the dentin layer in teeth?
Often the dentin is exposed by receding gums, causing areas of the tooth that are normally below the gum surface to be uncovered.

What makes gums recede?
One cause of receding gums is excessive, rough brushing techniques. This is particularly common in individuals who have a family history of thin gum tissues. Removing the film of bacteria called plaque requires only gentle action with a soft brush. This is one reason that we stress the value of learning proper and effective brushing techniques. Gum recession becomes worse after the uncovered dentin of the tooth's root is exposed to erosion from sweet and acidic foods and beverages, such as fruit juices.

Doesn't tooth sensitivity indicate decay?
Decay can also cause tooth sensitivity. As decay destroys a tooth's structure, it eventually invades the inner pulp of the tooth, causing greater and greater pain.

How can you prevent or reduce tooth sensitivity?
As we mentioned above, learn proper brushing techniques; we would be happy to demonstrate them. Use a toothpaste that contains fluoride, which increases the strength of the tooth's protective coating. In more serious cases, we can apply a fluoride varnish or a filling material as a barrier to cover sensitive areas. If you experience long-term tooth sensitivity, make an appointment for an assessment and diagnosis so that we can determine the cause and proper treatment.

Contact us today to schedule an appointment to discuss your questions about sensitive teeth. You can also read the Dear Doctor magazine article “Sensitive Teeth.”

]]>Wed, 08 Feb 2012 04:13:08 -0600http://www.hanoshfamilydentistry.com/blog/post/your-smile-design-perfection-vs-the-natural-look.html

We have noticed that there are two types of patients when it comes to enhancing a person's smile. One type, which we'll call the “Perfect Minded” patient, expects teeth that are completely regular in their arrangement and of maximum whiteness and brightness, often beyond the range of traditional guides for tooth color. They are looking for a perfect “Hollywood” smile. The other, the “Natural Minded” patient, is looking for a more natural look. This person expects a general sense of regularity and alignment of teeth with definite brightness, but not so much that the teeth are noticeable before and above other facial features. Which type are you?

The “Perfect Minded” Patient
While you expect maximum regularity and alignment of teeth along with maximum whiteness and brightness, the “perfect minded” patient requires a smile completely symmetrical (balanced from one side to the other). If we drew a vertical line down the center of your face (midline), it would fall directly between your front teeth and your smile would look just the same on each side of the line. You also expect your smile to be horizontally symmetric, so that it matches the curvature of your lower lip and the gum lines match from side to side.

The “Natural Minded” Patient
You are looking for a more subtle, natural look produced by including some minor irregularities in your look. Like the “Perfect Minded” individual, you still expect your teeth to be generally regular and well aligned but you also want to have some minor asymmetries (not matching) as you move farther back along your jaw to make your teeth look real. Your preference in tooth color is not a super shade of white, but for a tooth color that looks very natural for your facial skin and hair color.

There is no right or wrong here. What is important is to be sure to communicate your expectations to us before embarking on a program of smile redesign.

Contact us today to schedule an appointment to discuss your questions about Smile Design. You can also learn more by reading the Dear Doctor magazine article “Great Expectations — Perceptions in Smile Design.”

]]>Thu, 16 Feb 2012 04:28:59 -0600http://www.hanoshfamilydentistry.com/blog/post/laser-dentistry-faqs.html

For years, lasers have revolutionized the medical industry and now they are beginning to do the same within the field of dentistry. However, anytime new technologies are introduced, people naturally will have questions. Here is a list of frequently asked questions (FAQs).

What is a laser?

Lasers are beams of light that are a single wavelength and color. Laser is an acronym derived from “Light Amplification by Stimulated Emission of Radiation.”

How are they different from regular sunlight?

White light is made up of light with many wavelengths corresponding to the visible spectrum comprising the rainbow (red, orange, yellow, green, blue, indigo, and violet). Laser light consists of beams of a single color and hence a single wavelength of light, concentrated to a high energy level, which can penetrate living tissue.

How are they used in dentistry?

Dental laser usage typically falls into three categories: disease diagnosis; soft tissue procedures of the gums, lips and tongue; and hard tissue procedures of the bone or tooth enamel and dentin. Examples of the most common hard tissue treatments include the diagnosis and removal of tooth decay, while the most common soft tissue treatments include the removal of gum tissue as it relates to cosmetic dentistry and the treatment of gum disease.

Are they safe?

Absolutely! Before blazing a trail in the field of dentistry, lasers have been used for years in the medical field with research evidence and the FDA approving both their safety and efficacy. In fact, they are minimally invasive and can result in less tissue removal, less bleeding and less discomfort for patients after surgery. And what could be better than that?

Want to learn more?

To learn more about lasers and how they are used in dentistry, read the article “Lasers Shine A Light On Dentistry.” And if you want to schedule an appointment, contact us today.

]]>Thu, 01 Mar 2012 11:22:29 -0600http://www.hanoshfamilydentistry.com/blog/post/dental-crown-faqs.html

Dental crowns are excellent tools that we use to restore functionality, color and/or beauty to teeth and your smile. And while many people may have heard of them, often times there are many questions surrounding the process, costs and their maintenance. This is why we have put together this list of some of the questions we are commonly asked on this subject. Our goal is to provide you with straightforward answers so that you have a clearer understanding of the treatment and are comfortable making the decision to go forward with these excellent tooth restorations should they ever be required.

What Is A Crown?

A dental crown is a tooth-shaped “cap” or cover that a dentist places over a tooth that is badly damaged from trauma or decay in order to restore its color, strength, size and functionality. They are also used for cosmetic reasons to improve discolored or misshapen teeth.

Why Can The Cost Of Crowns Vary?

The reason the cost of a crown can vary greatly, even from dentist to dentist is quite simple. The most beautiful crowns require the artistry and years of experience of a team of dental professionals; your dentist and the laboratory technicians that handcraft crowns. To meet higher expectations of some individuals requires more experience, artistry and skill. And great art just tends to cost more. A customized temporary crown may even be used as a preview to see what a final crown will look like. Another critical factor is the choice of materials used. For example, while all porcelain crowns are made from high-quality ceramic (glass) material, they are not equal. It is therefore more expensive in terms of time, skill and expertise to produce the most natural looking results.

How Long Will A Crown Last?

Most dentists expect a crown to last at least 7-10 years with normal wear and proper maintenance. However, depending on the materials used and location of the tooth, they can last upwards of 50 years or more. For example, a gold crown has the longest lifespan because gold is such a durable material that has little to no negative impact on surrounding teeth. On the other hand, porcelain produces a completely natural look but can cause wear to adjacent teeth.

What Materials Are Most Often Used For Crowns?

The three most common materials used to make crowns are as follows:

• Gold
• Porcelain-Fused-to Metal (PFM)
• All porcelain

To learn more on this topic, read the Dear Doctor article, “Porcelain Crowns & Veneers.” You can also contact us to discuss your questions or to schedule a consultation.

]]>Sat, 03 Mar 2012 04:11:50 -0600http://www.hanoshfamilydentistry.com/blog/post/test-your-knowledge-how-much-do-you-know-about-mouthguards.html

We have learned that an important part of oral health is education — but more importantly, making it fun to learn so that you retain (and apply) what you learn! For this reason, we have put together the following self-test so that you can quickly access your knowledge on the subject of mouthguards.

1. The first sport to use (and require) protective mouthguards was:
   1. football
   2. boxing
   3. baseball
   4. ice hockey
2. Research conducted by the American Dental Association (ADA) found that individuals are ___ times more likely to damage their teeth when not wearing a mouthguard while engaged in contact sports or rigorous physical exercise.
   1. 10
   2. 20
   3. 40
   4. 60
3. As a rule of thumb, females do not require mouthguards because they are not as physically active as their male counterparts.
   1. True
   2. False
4. The American Academy of General Dentistry (AAGD) reports that mouthguards prevent more than ______ injuries to the mouth and/or teeth each year.
   1. 200,000
   2. 300,000
   3. 400,000
   4. 500,000
5. Which of the following sports or activities does the ADA recommend that participants wear protective mouthguards:
   1. acrobatics
   2. bicycling
   3. handball
   4. all of the above
6. The US Centers for Disease Control (CDC) reports that more than ______ sports-related injuries end-up in the emergency room each year with injury or damage to the teeth and mouth.
   1. 275,000
   2. 425,000
   3. 600,000
   4. 735,000
7. Over-the-counter mouthguards are just as effective as professionally made mouthguards.
   1. True
   2. False
8. In addition to the trauma of having a tooth (or teeth) knocked out, individuals who have suffered from this type of injury may end up spending ______ per tooth over a lifetime for teeth that are not properly preserved and replanted according to the National Youth Sports Foundation for Safety.
   1. $10,000 to $20,000
   2. $15,000 to $25,000
   3. $25,000 to $35,000
   4. Less than $10,000

Answers: 1) b, 2) d, 3) b, 4) a, 5) d, 6) c, 7) b, 8) a

You can learn more about the importance of mouthguards when you continue reading the Dear Doctor magazine article “Athletic Mouthguards.” And if you have already experienced a dental injury, it may not be too late. However, we need to evaluate the damage so that we can establish a plan for restoring optimal oral health. Contact us today to learn more about protecting your mouth and teeth or to schedule an appointment.

]]>Sun, 11 Mar 2012 04:13:23 -0500http://www.hanoshfamilydentistry.com/blog/post/foolproof-flossing.html

Dental professionals agree that effective removal of plaque, the film of bacteria (also called a biofilm) that gathers on everyone's teeth, is the key to good dental health. Daily brushing and flossing are the usual recommendation for plaque removal. It is important to ask us about effective brushing and flossing. At your next appointment, ask us for a demonstration.

Effective brushing removes plaque from the easily accessed surfaces of the teeth. To remove plaque from between the teeth, you must floss.

Some people find it awkward to hold the floss with their fingers as they move it around their teeth. One technique for flossing, suggested by a dentist in Dear Doctor magazine, may make it easier than more traditional methods, although it does take a little practice.

Preparation
This method requires tearing off a 10 to 12 inch length of floss and tying it to form a circle big enough for your fingers, but not your thumbs, to fit within it. The circle should be knotted with a double knot.

To Clean Teeth and Gums
Keep the floss taut at all times, with about and inch or less between your thumb and index fingers for your upper teeth, or index fingers only for your lower teeth. Curve the floss around each tooth and gently move it up and down until you hear a squeaky clean sound. Extend the downward movement of the floss to just below the surface of the gum, without being too harsh and causing injury. As you move from tooth to tooth, move around the floss circle so that each tooth gets a clean section of floss.

Upper Teeth
Place all your fingers in the ring, with the floss over your left thumb and right index finger to floss your upper left teeth, and over your right thumb and left index finger to do the other side.

Lower Teeth
Use both index fingers to floss all your lower teeth.

You may only need to floss once a day before or after brushing to keep your gums health and ward off periodontal (gum) disease. Your dentist will guide you as to how often you may need to floss your teeth. Try this technique and see how it works for you.

Contact us today to schedule an appointment to discuss your questions about flossing techniques. You can also learn more by reading the Dear Doctor magazine article “Flossing — A Different Approach.”

]]>Mon, 19 Mar 2012 04:14:01 -0500http://www.hanoshfamilydentistry.com/blog/post/take-a-new-look-at-root-canal-treatment.html

The term “root canal” strikes fear into many dental patients. But rest assured that this procedure is the best solution to many severe dental problems. It can be pain-free and will actually relieve pain and suffering from infections and dental injuries.

Why would you need root canal treatment? This procedure becomes necessary when the pulp, the nerve tissue on the inside of a tooth's root, becomes inflamed or infected because of deep decay, or when it has suffered a severe injury as a result of an accident or blow to the mouth. The pulp is composed of living tissues including nerves and blood vessels.

Root canal treatment may be necessary if you have a wide variety of signs or symptoms. The pain can feel sharp or intense when biting down, or linger after eating hot or cold foods. Sometimes it can be a dull ache or there may be tenderness and swelling in your gums near the site of the infection.

After trauma, the pulp of a tooth can be exposed or damaged because a tooth has fractured or cracked, necessitating root canal treatment. And the procedure is often needed for permanent teeth that have been dislodged or knocked out.

What exactly is root canal treatment? Root canal treatment is also called endodontic treatment, from the Greek roots “endo” meaning “inside” and “odont” meaning “tooth.” During the procedure, the area is numbed to relieve pain. A small opening is created in the chewing surface of the tooth and very small instruments are used to remove dead and dying tissue from the inside. The pulp is needed during a tooth's growth and development, but a mature tooth can survive without it. The canal is disinfected and then sealed with filling materials. Sometimes root canal specialists use microscopes to work at an intricate level of detail on these tiny areas of the tooth's root.

By having root canal treatment, you prevent inflammation and infection from spreading from the root of a particular tooth to other nearby tissues. Infection can result in resorption, an eating away of the root and its anchoring bone, and you could lose your tooth or teeth. So please don't hesitate when we recommend this treatment. It's not as bad as you think, and you will feel significantly better afterwards.

Contact us today to schedule an appointment to discuss your questions about root canal treatment. You can also learn more by reading the Dear Doctor magazine articles “Common Concerns About Root Canal Treatment” and “Trauma & Nerve Damage to Teeth.”

]]>Tue, 27 Mar 2012 04:07:20 -0500http://www.hanoshfamilydentistry.com/blog/post/facts-you-should-know-about-tooth-wear.html

You may have noticed, as you get older, that the enamel of your teeth is looking worn in certain areas. Sometimes tooth wear takes the form of a minor chipping or fracturing at the incisal (cutting) edges of the teeth, or a loss of tooth material from the area near the gum line. In more severe cases, worn teeth look quite a bit smaller than they used to. Why does this happen?

Some wear with age is natural. But too much wear can interfere with your bite, expose more sensitive inner parts of the tooth to decay, and give you a more aged appearance.

There are things you can control that affect wear:

Your habits: Clenching or grinding habits, also called “bruxism,” is a major cause of tooth wear. The motion of teeth sliding over each other with forces that are beyond what's normal for biting or chewing causes a mechanical removal of tooth enamel. This can happen during sleep or periods of high stress. In either case there are therapies available, such as a thin, professionally made mouthguard that prevents your teeth from coming into contact with each other. Holding foreign objects, such as nails and bobby pins, between your teeth can also cause wear.

Your diet: Tooth enamel can be eroded (dissolved away) by acidic beverages, such as sodas, sports drinks and juices. Frequent snacking on sugary foods encourages the growth of oral bacteria that produce acid as a byproduct — also leaving your teeth vulnerable to tooth decay. Your saliva can buffer the effects of the acid in your mouth in about half an hour; if you consume these types of foods and beverages continually, there won't be enough time for this to work.

We can restore the appearance and function of worn teeth in a variety of ways. Porcelain crowns and veneers, for example, can re-establish the normal thickness and length of teeth while improving their color and giving you a more youthful appearance.

If you have any questions about tooth wear, please contact us today to schedule an appointment for a consultation. You can learn more about tooth wear by reading the Dear Doctor magazine article “How And Why Teeth Wear.”

]]>Wed, 04 Apr 2012 04:14:06 -0500http://www.hanoshfamilydentistry.com/blog/post/test-your-dental-injuries-iq.html

Every parent, caregiver, coach, sports fan and especially injured party dreads the moment when an injury to the mouth occurs during a sporting event. The first thought observers have after looking closely to see if it is their child or someone they know is, “I hope someone knows what to do!” Do you know what to do in case of a dental sports emergency? Test your dental injury IQ with this simple, quick quiz. The answers are listed at the bottom of this article.

Dental Injury IQ

1. If a tooth (including its root) is totally knocked out, what can you safely store it in while finding a dentist within 5 minutes of the injury?
1. Water or salt water
2. Milk (preferably cold)
3. Inside the cheek (mouth) of the injured person
4. All of the above
2. True or False: Immediately following the injury, fresh cold tap water or bottled water is the best way to remove debris from where a tooth was knocked out.
3. If a tooth has shifted from its original position following an injury, you should...
1. See a dentist within 5 minutes
2. See a dentist within 6 hours
3. See a dentist within 12 hours
4. Only see a dentist if the tooth is not better in a few days
4. True or False: You treat a knocked out baby tooth in the same manner as you do a permanent tooth.
5. The most important thing to do to save a tooth that has been completely knocked out of the mouth is to…
1. See a dentist as soon as possible
2. Replant the tooth within 5 minutes
3. Stop the bleeding before re-planting the tooth
4. Rinse the tooth with fresh, clean water

The Answers

1) d = all of the above, 2) true, 3) b = see a dentist within 6 hours, 4) false – baby teeth are typically not replanted, 5) b = replant the tooth within 5 minutes

Want To Learn More?

Contact us today to discuss your questions or to schedule an appointment. You can also learn more about treating dental injuries when you read the Dear Doctor article, “The Field-Side Guide To Dental Injuries.” Or, you can download a FREE, pocket-sized guide for managing dental injuries.

]]>Thu, 12 Apr 2012 04:27:28 -0500http://www.hanoshfamilydentistry.com/blog/post/some-facts-about-thumb-sucking.html

It may alarm some people, but finger or thumb sucking is a completely normal activity for babies and young children. In fact, sonograms often reveal babies sucking a finger or thumb while still in the womb! However, if children are allowed to suck fingers, thumbs or pacifiers indefinitely, it can become problematic, with serious consequences particularly as they get older.

The list below contains important facts about thumb sucking and pacifiers that all parents of young infants should know.

• The American Academy of Pediatric Dentistry recommends that parents and caregivers encourage children to stop thumb sucking by age 3.
• Recent studies have shown that pacifier use after the age of two may cause long-term changes in the mouth; thus these researchers recommend stopping pacifier use by 18 months.
• If thumb and finger sucking habits do not stop soon enough, the upper front teeth may tip toward the lip or not come into the correct position in the mouth.
• Most children who suck their thumbs or fingers tend to stop between the ages of 2 and 4.
• For obvious reasons, a pacifier habit is often easier to break than a finger or thumb-sucking habit.
• One tip for encouraging older children to stop this habit gradually is to use behavior modification with appropriate rewards given at pre-determined intervals to refrain from using a pacifier, or sucking fingers or a thumb.

Be sure to inform us if any of your children suck their fingers, thumb or a pacifier so that we can begin monitoring their development. Our general recommendation is that you schedule an appointment around your child's first birthday.

]]>Fri, 20 Apr 2012 04:09:15 -0500http://www.hanoshfamilydentistry.com/blog/post/how-to-get-over-dental-phobia.html

If you fear a visit to the dentist, you are not alone. Studies have shown that up to 75% of people surveyed have some fear of dental visits, and 10 to 15% fear the dentist so much that they avoid any dental treatment. This can have serious repercussions, leading to toothaches, infections, and loss of teeth. Poor oral health can even negatively affect your general state of health.

Here's the good news. Even people who are the most afraid of the dentist can learn to reduce their fear and feel calm and safe during a dental visit.

Dental fears develop when people have bad dental experiences. For many, the problem is a sense of loss of control. Sometimes, fears are based on stories people have heard or even movies they have seen.

The feeling of being afraid reinforces your fear. If you experience the rapid heartbeat, sweaty palms, tensed muscles, and other symptoms of fear while in the dentist chair, you are likely to remember these unpleasant feelings afterward and become even more fearful. In order to reverse this process, you need to begin to associate dental visits with good experiences and a sense of control. Here's how we can help you do this:

• Know that you are not alone and we are here to help you.
• Talk to us about your fears. We are sure to listen and not be judgmental. If you don't talk about it, you can't get over it.
• We will start by doing things that cause only mild or no anxiety. We want each visit to be a good experience, so you are able to leave our office with a feeling that it was okay, and you can do it again.
• Our goal is for you to overcome your fear. We will make this a priority and that priority is as important as “fixing your teeth.” We will be happy to talk about the time and fees associated with your treatment so that you can overcome your fear and gain a sense of control of the situation.
• It took a while for your fears to develop, so you should realize that it will also take a while to get over them. We will spend as much time as you need to get over your fears and will not rush you into doing anything for which you are not ready.

Contact us today to schedule an appointment to discuss your questions about any fears you may have. You can also learn more by reading the Dear Doctor magazine article “Overcoming Dental Fear & Anxiety.”

]]>Sat, 28 Apr 2012 04:13:41 -0500http://www.hanoshfamilydentistry.com/blog/post/common-ways-we-can-treat-your-temporomandibular-disorder-tmd.html

Temporomandibular Disorder (TMD), which was formerly known as Temporomandibular Joint Disorder (TMJ), is an interesting condition because it can be hard to diagnose and often mimics many other conditions. It arises when there are problems inside the temporomandibular joint, and the muscles attached to it, causing pain. When treating TMD, we typically start by relieving the symptoms of pain and discomfort with heat, mild pain medications, a diet of soft foods, and some simple jaw exercises. We feel that it is critical to address your pain issues as soon as possible before preceding any further with treatment.

Once we have provided some pain relief and after having completed a thorough history and examination, we can move to the next phase of treatment. This may include the introduction of a bite guard or some form of oral appliance therapy. A bite guard is an unobtrusive yet rigid plastic horseshoe-shaped appliance that fits snuggly over the biting surfaces of the upper teeth. When in place and properly adjusted, this custom-made appliance allows your muscles and therefore jaw joints to relax. And it will prevent you from grinding your teeth, another contributing factor to TMD. We will probably ask you to wear it when sleeping or in times when you are feeling stressed when clenching or grinding habits may be active. We may also suggest that you obtain some relaxation therapy and/or biofeedback from a licensed therapist, as this can prove helpful in treating TMD.

If you have suffered from frequent jaw pain in the past and suspect that you may have TMD, please let us know so that we can address it at your next appointment. Or if you are currently in constant or severe pain, contact us immediately to schedule an appointment. You can learn more about the signs, symptoms, and treatment options for TMD by reading “TMD — Understanding The Great Imposter.”

]]>Sun, 06 May 2012 04:12:38 -0500http://www.hanoshfamilydentistry.com/blog/post/understanding-dry-mouth.html

The medical term for dry mouth is xerostomia (“xero” – dry; “stomia” – mouth), something that many of us have experienced at some point in life. However, for some people it can be a chronic condition that is ideal for promoting tooth decay. It can also be a warning sign of a more serious health condition.

Dry mouth occurs when there is an insufficient flow of saliva, the fluid secreted by the salivary glands. Your major salivary glands are located in two places: inside the checks by the back top molars and in the floor of the mouth, with about six hundred tiny glands scattered throughout your mouth. And many people are surprised to learn that when they are functioning normally, saliva glands secret between two and four pints of saliva per day! While this may sound like a lot (and it is), saliva is key for buffering or neutralizing acids in the mouth. Without this powerful protection, tooth decay can increase quickly. This is especially true for older individuals who have exposed tooth root surfaces.

It is also important to note that there are times when mouth dryness is perfectly normal. For example, when you wake, you will probably have a slightly dry mouth because saliva flow slows at night. Another example is if you are dehydrated when it is simply a warning sign that you need to drink more fluids (especially water). Other causes for temporary dry mouth include stress as well as what you consume: coffee, alcohol, onions, and certain spices.

You can also have a dry mouth due to a side effect from an over-the-counter (OTC) or prescription medication. If it turns out that this is the cause in your case, you need to talk to the prescribing physician to see if there is something else you can take to avoid this side effect. If there are no substitutes, one tip you can try is to take several sips of water before taking the medication followed by a full glass of water, or chew gum containing xylitol, which moistens your mouth and decreases the risk of tooth decay.

Another cause of dry mouth is radiation treatment for cancer in the head and neck region. Yes, these treatments are crucial for fighting cancer; however, they can inflame, damage or destroy salivary glands. You can also have dry mouth from certain systemic (general body) or autoimmune (“auto” – self; “immune” – resistance system) diseases, diabetes, Parkinson's disease, cystic fibrosis and AIDS (Acquired Immune Deficiency Syndrome).

To learn more, continue reading the Dear Doctor magazine article “Dry Mouth.” Or, you can contact us today to ask your questions, discuss your circumstances or schedule an appointment.

]]>Mon, 14 May 2012 04:13:13 -0500http://www.hanoshfamilydentistry.com/blog/post/seven-easy-ways-to-prevent-gum-disease.html

Periodontal (gum) disease can lead to serious infection and even loss of teeth; but it can easily be prevented. Here are seven things you can do to prevent gum disease — or stop it in its tracks if you already have it.

1. Understand the causes of gum disease. Diseases of periodontal (from the root words meaning “around” and “tooth”) or gum tissues start with bacteria collecting on your teeth, in the areas where the teeth and gums meet. The bacteria, called plaque or biofilm, irritate the surrounding tissues and cause them to become inflamed and swollen, and to bleed easily on contact. This condition is called gingivitis.
2. Brush correctly and effectively. Brushing twice a day is not just to polish your teeth to pearly whiteness. An important reason to brush is to remove the daily coating of plaque from your teeth. At your next dental appointment, ask me or our staff to show you the most effective way to brush.
3. Floss every day. Daily flossing removes the plaque that settles in between your teeth, in places where your brush can't reach.
4. Have regular professional cleanings. Our hygienist will remove plaque that you missed by brushing and flossing. This plaque hardens into a material called calculus or tartar. In a professional cleaning your hygienist uses special tools to scrape these materials away. The hygienist also measures the distances between your gums and teeth to make sure that inflamed gums have not separated from the teeth, forming pockets in which the bacteria continue to grow.
5. Recognize the signs of developing gum disease. These signs include any of the following: gums that bleed easily when you brush or floss; bad breath; red or swollen gums; and sensitive teeth.
6. Stop smoking. If you haven't stopped smoking for your heart or lungs, here is another reason to quit. Smokers are more likely to develop periodontal disease than nonsmokers. Smoking masks the effects of gum disease, so smokers are less likely to notice the symptoms, allowing the disease to progress to a greater degree before they seek help.
7. See our office right away if your teeth become loose or your gums become red and swollen. If inflamed gum tissues do not heal, the disease continues to progress. The tissues that attach your teeth to your bone, called ligaments, are lost as pockets deepen as the infection advances. Your gums may also become red, swollen, and painful. As the infection gets worse it eats away the bone around your teeth, causing the teeth to loosen and fall out.

So start with prevention and stop periodontal disease in its early stages.

Contact us today to schedule an appointment to discuss your questions about gum disease. You can also learn more by reading the Dear Doctor magazine article “Warning Signs of Periodontal (Gum) Disease.”

]]>Tue, 22 May 2012 04:12:28 -0500