Posts for: August, 2015

By Randall J. Bartoe, DDS, PLC
August 29, 2015
Category: Dental Procedures
ChrissyTeigensTeeth-GrindingTroubles

It might seem that supermodels have a fairly easy life — except for the fact that they are expected to look perfect whenever they’re in front of a camera. Sometimes that’s easy — but other times, it can be pretty difficult. Just ask Chrissy Teigen: Recently, she was in Bangkok, Thailand, filming a restaurant scene for the TV travel series The Getaway, when some temporary restorations (bonding) on her teeth ended up in her food.

As she recounted in an interview, “I was… like, ‘Oh my god, is my tooth going to fall out on camera?’ This is going to be horrible.” Yet despite the mishap, Teigen managed to finish the scene — and to keep looking flawless. What caused her dental dilemma? “I had chipped my front tooth so I had temporaries in,” she explained. “I’m a grinder. I grind like crazy at night time. I had temporary teeth in that I actually ground off on the flight to Thailand.”

Like stress, teeth grinding is a problem that can affect anyone, supermodel or not. In fact, the two conditions are often related. Sometimes, the habit of bruxism (teeth clenching and grinding) occurs during the day, when you’re trying to cope with a stressful situation. Other times, it can occur at night — even while you’re asleep, so you retain no memory of it in the morning. Either way, it’s a behavior that can seriously damage your teeth.

When teeth are constantly subjected to the extreme forces produced by clenching and grinding, their hard outer covering (enamel) can quickly start to wear away. In time, teeth can become chipped, worn down — even loose! Any dental work on those teeth, such as fillings, bonded areas and crowns, may also be damaged, start to crumble or fall out. Your teeth may become extremely sensitive to hot and cold because of the lack of sufficient enamel. Bruxism can also result in headaches and jaw pain, due in part to the stress placed on muscles of the jaw and face.

You may not be aware of your own teeth-grinding behavior — but if you notice these symptoms, you might have a grinding problem. Likewise, after your routine dental exam, we may alert you to the possibility that you’re a “bruxer.” So what can you do about teeth clenching and grinding?

We can suggest a number of treatments, ranging from lifestyle changes to dental appliances or procedures. Becoming aware of the behavior is a good first step; in some cases, that may be all that’s needed to start controlling the habit. Finding healthy ways to relieve stress — meditation, relaxation, a warm bath and a soothing environment — may also help. If nighttime grinding keeps occurring, an “occlusal guard” (nightguard) may be recommended. This comfortable device is worn in the mouth at night, to protect teeth from damage. If a minor bite problem exists, it can sometimes be remedied with a simple procedure; in more complex situations, orthodontic work might be recommended.

Teeth grinding at night can damage your smile — but you don’t have to take it lying down! If you have questions about bruxism, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Stress & Tooth Habits” and “When Children Grind Their Teeth.”


By Randall J. Bartoe, DDS, PLC
August 14, 2015
Category: Oral Health
Tags: oral hygiene  
BrushingandFlossingHardtoDoConsiderYourPowerOptions

Brushing and flossing are foundational to good oral health and an essential part of daily life. Practicing both these habits removes most disease-causing bacterial plaque from tooth and gum surfaces.

It doesn’t take much to manually perform them — a quality soft-bristle toothbrush, fluoride toothpaste and string floss. But what if you have a physical impairment that makes performing these tasks difficult to perform — or your mouth condition requires a little more “power” to adequately access and clean surfaces?

You do have power options for both brushing and flossing. Electric toothbrushes, of course, have been available since the 1950s. As with other technology, they’ve improved in quality and affordability over the last few decades. They’re available in various sizes, rechargeable or battery, and each with their own claims of cleaning ability.

The ultimate question, though, is: are they as effective at removing plaque as manual brushing? That’s been the subject of a number of comprehensive studies, including one conducted by the Cochrane Collaboration, a research organization. They evaluated a number of powered toothbrushes over various lengths of time. They concluded that some powered toothbrushes with a rotation-oscillation action had a statistically significant (though modest) reduction in plaque compared with manual toothbrushes.

As to flossing, admittedly it does take some dexterity to accomplish effectively. Traditional string flossing is also difficult if not impossible for people with braces or similar access restrictions to the teeth. An oral irrigator (or water flosser) is a viable alternative. Water flossers work by pulsating water at high pressure through special tips at the end of a handheld or countertop device. The pressurized stream penetrates between teeth and below the gums to flush away plaque.

Are water flossers effective? According to one recent study orthodontic patients were able to remove up to five times the plaque between teeth as those who used only a manual toothbrush.

When considering alternatives to your manual toothbrush or string floss, speak with us first. We’ll be happy to guide you toward the best form of brushing and flossing to do the most good in your situation.

If you would like more information on oral hygiene options, please contact us or schedule an appointment for a consultation.