Preventive Dental Care

Dental Health and Dry Mouth

We all need saliva to moisten and cleanse our mouths and digest food. Saliva also prevents infection by controlling bacteria and fungi in the mouth. When we don't produce enough saliva, our mouth gets dry and uncomfortable. Fortunately, there are many effective treatments for dry mouth.

What Causes Dry Mouth?

There are several causes of dry mouth, also called xerostomia. These include:

Side effect of certain medications. Dry mouth is a common side effect of many prescription and nonprescription drugs, including drugs used to treat depression, anxiety, pain, allergies, and colds (antihistamines and decongestants), obesity, acne, epilepsy, hypertension (diuretics), diarrhea, nausea, psychotic disorders, urinary incontinence, asthma (certain bronchodilators), and Parkinson's disease. Dry mouth can also be a side effect of muscle relaxants and sedatives.

Side effect of certain diseases and infections. Dry mouth can be a side effect of medical conditions, including Sjögren's syndrome, HIV/AIDS, Alzheimer's disease, diabetes, anemia, cystic fibrosis, rheumatoid arthritis, hypertension, Parkinson's disease, stroke, and mumps.

Side effect of certain medical treatments. Damage to the salivary glands, the glands that produce saliva, for example, from radiation to the head and neck and chemotherapy treatments for cancer, can reduce the amount of saliva produced.

Nerve damage . Dry mouth can be a result of nerve damage to the head and neck area from an injury or surgery.

Dehydration . Conditions that lead to dehydration, such as fever, excessive sweating, vomiting, diarrhea, blood loss, and burns can cause dry mouth.

Surgical removal of the salivary glands.

Lifestyle. Smoking or chewing tobacco can affect saliva production and aggravate dry mouth. Continuously breathing with your mouth open can also contribute to the problem.

Above article from: Webmd.com

Dentist Boca Raton FL
Dental Concepts
Bruce Braverman, DMD,
2500 North Military Trail, Suite 230
Boca Raton, FL 33431
Telephone: (561) 241-1010

Dental Crowns

A dental crown is a tooth-shaped "cap" that is placed over a tooth - covering the tooth to restore its shape and size, strength, and/or to improve its appearance.

The crowns, when cemented into place, fully encase the entire visible portion of a tooth that lies at and above the gum line.

Why Is a Dental Crown Needed?

• A dental crown may be needed in the following situations:
• To protect a weak tooth (for instance, from decay) from breaking or to hold together parts of a cracked tooth
• To restore an already broken tooth or a tooth that has been severely worn down
• To cover and support a tooth with a large filling when there isn't a lot of tooth left
• To hold a dental bridge in place
• To cover misshapened or severely discolored teeth
• To cover a dental implant

What Types of Crowns Are Available?

Permanent crowns can be made from all metal, porcelain-fused-to-metal, all resin, or all ceramic.

Metals used in crowns include gold alloy, other alloys (for example, palladium) or a base-metal alloy (for example, nickel or chromium). Compared with other crown types, less tooth structure needs to be removed with metal crowns, and tooth wear to opposing teeth is kept to a minimum. Metal crowns withstand biting and chewing forces well and probably last the longest in terms of wear down. Also, metal crowns rarely chip or break. The metallic color is the main drawback. Metal crowns are a good choice for out-of-sight molars.

Porcelain-fused-to-metal dental crowns can be color matched to your adjacent teeth (unlike the metallic crowns). However, more wearing to the opposing teeth occurs with this crown type compared with metal or resin crowns. The crown's porcelain portion can also chip or break off. Next to all-ceramic crowns, porcelain-fused-to-metal crowns look most like normal teeth. However, sometimes the metal underlying the crown's porcelain can show through as a dark line, especially at the gum line and even more so if your gums recede. These crowns can be a good choice for front or back teeth.

All-resin dental crowns are less expensive than other crown types. However, they wear down over time and are more prone to fractures than porcelain-fused-to-metal crowns.

All-ceramic or all-porcelain dental crowns provide the best natural color match than any other crown type and may be more suitable for people with metalallergies. However, they are not as strong as porcelain-fused-to-metal crowns and they wear down opposing teeth a little more than metal or resin crowns. All-ceramic crowns are a good choice for front teeth.

Temporary versus permanent. Temporary crowns can be made in your dentist's office whereas permanent crowns are made in a dental laboratory. Temporary crowns are made of acrylic or stainless steel and can be used as a temporary restoration until a permanent crown is constructed by the dental laboratory.

Above article from: Webmd.com

Dentist Boca Raton FL

Dental Concepts

Bruce Braverman, DMD,

2500 North Military Trail, Suite 230

Boca Raton, FL 33431

Telephone: (561) 241-1010

The Most Confusing Aisle In The Store??

If you have been shopping for toothpaste lately, you know that it can be very confusing.

Unlike the old days when the choices were few, these days it seems that there are way too many options! Whitening toothpastes, tartar control, paste or gel, gum health, desensitizing, – which is best? This is a question we get asked all the time. Sometimes it seems like the best thing to do would be to forget the labels and buy whatever is on sale!!

The fact is – buying a particular type or brand of toothpaste is usually not as important as the way you brush and how often you do so. But in any case, here is a quick run-down.

Tartar control toothpaste:  Tartar is calcified plaque which naturally forms and can wreak havoc on your teeth and gums. While tartar control toothpaste has been shown to reduce the formation of new deposits, it can’t remove current ones and does nothing to prevent these formations where they are the most dangerous – underneath the gum line.

Paste vs. gel: No significant difference here; it’s more of a personal preference.

Desensitizing toothpaste:  These pastes have ingredients in them which block the small tube-like channels that connect to the nerve tissue inside of your teeth. If you have exposed roots due to gum recession or teeth that are generally sensitive to hot and cold, this may be a good solution for you. But please be patient – it takes 4 to 6 weeks for the magic to kick in.

Whitening pastes:  The abrasiveness of these products may reduce surface stains, but they do little to treat the actual yellowing of teeth from the inside. The good news is that most teeth can be whitened with the right treatment. Be sure to ask us what the proper whitening method is for you.

“Gum Care” toothpaste: Studies have shown these to be questionable at best, and they may not be as valuable as standard toothpastes in preventing cavities.

Expensive or bargain brand? The good news here is that price doesn’t seem to be related to effectiveness when choosing a toothpaste. As a matter of fact, recently Consumer Reports magazine rated an expensive paste near the bottom of their list with bargain basement Ultra-Brite near the top in several categories!

So which brand should I use?
Most studies are fairly inconclusive on this one. Your best bet is always a brand that contains fluoride and has the American Dental Association seal of approval. And if that brand happens to be on sale – all the better!!

In the end, the most important thing is to brush often (morning, night-time, and after every meal), use a soft brush, try to reach every surface of every tooth, and spend two minutes doing so.

The proper technique is important as well, and we will be glad to demonstrate this to you at your next visit to Dr. Braverman's office! If you have any more questions or would like to set up a visit, please give us a call at (561) 241 - 1010. We are here to help you!

Keep Your Breath Fresh Step by Step

1. We’ve all done a hand check, right? But other than a false sense of security -- or maybe a hand that smells -- what does it prove? Not much. But what we do know is you are what you eat. When you eat, food starts to be digested in your mouth. Bacteria break down food particles and releases sulfur compounds that are involved in bad breath.
2. Another cause is poor oral health. Bacteria from tooth decay or gum problems will linger in your mouth like a vacationing guest at your house, so ask yourself: Are you really brushing and flossing as you should? Are you using an antibacterial mouthwash? A more severe problem, like gingivitis or periodontal disease, will require professional intervention. So visit your dentist regularly as part of your battle against halitosis.
3. Speaking of bacteria, your tongue can be a magnet for unpleasant germs and smells, so don’t forget it when you’re brushing. If your tongue feels like it needs to be shaved with a razor, brushing may not be enough. If that’s the case, use a tongue-cleaning device to scrape it clean. You might even get one free when you see your dentist.
4. It may seem obvious, but eau du tobacco … no. If you want fresh breath, don’t smoke.
5. How wet is your whistle? Saliva is the body’s natural way of keeping your mouth cleansed, and the salivary gland doesn’t work as well if your well is dry.
6. Finally, persistent bad breath could be the sign of a major medical problem, like acid reflux, sinus infections, diabetes, or kidney problems. So make sure you get regular medical checkups and follow any special instructions your doctor may give you.

Above article from: WebMD.com


Dentist Boca Raton FL
Dental Concepts
Bruce Braverman, DMD,
2500 North Military Trail, Suite 230
Boca Raton, FL 33431
Telephone: (561) 241-1010

Your Teeth and Dental Bonding

Dental bonding is a procedure in which a tooth-colored resin material (a durable plastic material) is applied and hardened with a special light, which ultimately "bonds" the material to the tooth to restore or improve person's smile.

For What Conditions Is Dental Bonding Considered?

Dental bonding is an option that can be considered:

• To repair decayed teeth (composite resins are used to fill cavities)
• To repair chipped or cracked teeth
• To improve the appearance of discolored teeth
• To close spaces between teeth
• To make teeth look longer
• To change the shape of teeth
• As a cosmetic alternative to amalgam fillings
• To protect a portion of the tooth's root that has been exposed when gums recede

What's the Procedure for Having a Tooth Bonded?

• Preparation. Little advance preparation is needed for dental bonding. Anesthesia is often not necessary unless the bonding is being used to fill a decayed tooth. Your dentist will use a shade guide to select a composite resin color that will closely match the color of your tooth.
• The bonding process. Next, the surface of the tooth will be roughened and a conditioning liquid applied. These procedures help the bonding material adhere to the tooth. The tooth-colored, putty-like resin is then applied, molded, and smoothed to the desired shape. An ultraviolet light or laser is then used to harden the material. After the material is hardened, your dentist will further trim and shape it, and polish it to match the sheen of the rest of the tooth surface.
• Time-to-completion. Dental bonding takes about 30 to 60 minutes per tooth to complete.

What Are the Advantages and Disadvantages of Dental Bonding?

• Advantages: Dental bonding is among the easiest and least expensive of cosmetic dental procedures. Unlike veneers and crowns, which are customized tooth coverings that must be manufactured in a laboratory, bonding usually can be done in one office visit unless several teeth are involved. Another advantage, compared with veneers and crowns, is that the least amount of tooth enamel is removed. Also, unless dental bonding is being performed to fill a cavity, anesthesia is usually not required.
• Disadvantages: Although the material used in dental bonding is somewhat stain resistant, it does not resist stains as well as crowns. Another disadvantage is that the bonding materials do not last as long nor are as strong as other restorative procedures, such as crowns, veneers, or fillings. Additionally, bonding materials can chip and break off the tooth.

Because of some of the limitations of dental bonding, some dentists view it as best suited for small cosmetic changes, for temporary correction of cosmetic defects, and for correction of teeth in areas of very low bite pressure (for example, front teeth). Consult with your dentist about the best cosmetic approach for your particular problem.


Above article from: WebMD.com


Dentist Boca Raton FL
Dental Concepts
Bruce Braverman, DMD,
2500 North Military Trail, Suite 230
Boca Raton, FL 33431
Telephone: (561) 241-1010

Dental Health With Crooked Teeth and Misaligned Bites

There are several reasons why some people's teeth grow in crooked, overlapping, or twisted. Some people's mouths are too small for their teeth, which crowds the teeth and causes them to shift. In other cases, a person's upper and lower jaws aren't the same size or are malformed, resulting in either an overbite, when there is excessive protrusion of the upper jaw, or an under bite, when the lower jaw protrudes forward causing the lower jaw and teeth to extend out beyond the upper teeth.

Most often crooked teeth, overbites, and under bites are inherited traits just as the color of your eyes or size of your hands. Other causes of misaligned bites are early loss of baby or adult teeth; improper fit of dental restorations (for example, fillings or crowns); gingivitis (gum disease); undue pressure on the teeth and gums; misalignment of jaw after severe facial injury; tumors of the mouth or jaw; or common oral health problems in children such as thumb sucking, tongue thrusting, pacifier use beyond the age of three, or prolonged use of a bottle.

What Problems Come With Crooked Teeth and Misaligned Bites?

Crooked teeth and misaligned bites can:

• Interfere with proper chewing.
• Make keeping teeth clean more of a challenge, increasing the risk of tooth decay, cavities, and gingivitis.
• Strain the teeth, jaws, and muscles, increasing the risk of breaking a tooth.
• Make people feel self-conscious about their appearance and affect their self-esteem.

How Do I Know if My Teeth Are Crooked or My Bite Is Misaligned?

While you can see for yourself if your teeth are crooked, your dentist can determine if your problem warrants treatment. Your dentist will look for the following signs:

• Abnormal alignment of your teeth
• Abnormal appearance of your face
• Difficulty or discomfort when chewing or biting
• Speech difficulties, including a lisp

Your dentist will usually refer you to an orthodontist --a dentist who specializes in the diagnosis and treatment of crooked teeth and misaligned jaws.

What Tests Can I Expect at the Orthodontist?

The orthodontist will likely take X-rays, photographs of your face, and teeth impressions to determine if and what type of treatment is needed. X-rays provide information on the position of your teeth and roots and if any teeth have yet to come through the gums. Special cephalometrics or panoramic X-rays show the relationship of the teeth to the jaws and the jaws to the head. Your orthodontist may also want to take regular photographs of your face to further examine the relationship between your teeth, jaws, and head. Finally, impressions may be made of your teeth. This is done by having you bite down on a soft material that is later used to create an exact copy of your teeth.

How Are Crooked Teeth and Misaligned Bites Treated?

Once a diagnosis is made, your orthodontist can decide the best treatment for your teeth or misaligned bite. For some people, a removable retainer (to stabilize the new position of teeth) will be all that's needed to correct the problem. Removal of one or more teeth may be required if overcrowding is the main problem. For most people, braces are necessary to correct the problem. In rare and extreme cases, such as an extreme overbite or under bite, an operation may be necessary.

Above article from: WebMD.com

Dentist Boca Raton FL
Dental Concepts
Bruce Braverman, DMD,
2500 North Military Trail, Suite 230
Boca Raton, FL 33431
Telephone: (561) 241-1010

Even Your Best Friend Won’t Tell You!

It’s a situation that has happened to us all.

A friend or relative comes close to talk to you, and when they open their mouth an odor comes pouring out that could knock out a racehorse from a mile away! But besides backing up a few feet and ending the conversation as soon as possible, what do you do?

Of course you could just do nothing. But that is doing your friend a huge social disservice - and possibly not telling them of a negative health issue as well.

So how do you say something so uncomfortable to someone you care about? Here are two great answers we found while researching this question.

"As your friend, it's important to me that we're always able to say the things that are hard to say, because that's what real friends do for each other. I'm not comfortable mentioning this, though if it were me, I'd certainly want someone to say something. I don't know if you're aware - but sometimes your breath is quite noticeable. I read somewhere that this can be the result of a dental or medical problem, so I felt it was important to tell you.”

Or how about this one:

"I just wanted to let you know that you're just like me -- we occasionally have bad breath! Here's what I've found that helps." Then give them mints, gum, or mouthwash. Then add, "The only reason I'm telling you this is that someone once told me the same thing and I realized how much it helped me. Fortunately I was able to find a great dentist who helped me take care of the problem!"

   

Of course so many things can cause bad breath – all the way from pungent foods like onions and garlic all the way to serious illnesses such as pneumonia, diabetes, and liver or kidney ailments.

Some of the most common causes of bad breath, also known as halitosis, are seen every day in our dental office. Here are some examples:

§  Dry mouth (which can be caused by many common medications, mouth breathing, or lack of saliva flow

§  Gum disease – this normally does not hurt or have obvious symptoms, but is extremely common and can cause unnecessary tooth loss

§  Cavities or ill-fitting dental restorations such as fillings and crowns

§  Poorly fitting dentures

§  Improper cleaning of the tongue, teeth and gums

Whether it’s you or someone else you are concerned about, even periodic bad breath warrants a visit to the dentist. Usually the solution is a simple one, and it is just about always one that brings about better health as well.

So feel free to carry gum, breath mints, or small bottles of mouthwash with you wherever you go, either for you or to help (and drop a hint) to a breath-challenged friend. But please remember, a dental evaluation is always the best move when bad breath is around!

At Dental Concepts, our goal is to keep you as healthy as possible at all times. Whether it is an issue with bad breath, beautifying your smile, or anything else, we are here to help you! Please give us a call at (561) 241 - 1010 for an appointment or visit us on the web at www.BocaDentalConcepts.com. Let’s make sure that every conversation you or your friends have is a breath of fresh air!