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Posts for: April, 2020

By The Scarsdale Dentist
April 25, 2020
Category: Oral Health
Tags: gum recession  
4ThingsYouCanDotoAvoidDamageFromGumRecession

Gum recession is a serious oral condition in which the gums shrink back or “recede” from their normal position around the teeth. Because they're the primary protection for teeth below the enamel, this can expose the teeth to infection or cause painful sensitivity. And receded gums most certainly can diminish your smile.

But there are preventive measures you can adopt that might help you avoid this unpleasant condition. Here are 4 things you can do to minimize your risk for gum recession.

Practice daily oral hygiene. The main cause for recession is gum disease, a bacterial infection that weakens gum attachment to teeth. Gum disease usually arises from dental plaque, a thin bacterial film that builds up on teeth. Removing it every day with brushing and flossing minimizes the risk of gum disease and gum recession.

But don't overdo it. Although brushing is key to keeping your mouth healthy, too hard and too often can damage your gums and lead to recession. A little “elbow grease” may be appropriate for other cleaning tasks, but not your teeth—use gentle strokes and let the mild abrasives in your toothpaste do the main removal work. And avoid brushing more than twice a day.

See your dentist regularly. Your personal care efforts are a major part of preventing gum recession, but you can greatly increase the effect with professional dental care. That's because with even the best hygiene practice infections and other gum problems can still arise. You may also have inherited thinner gum tissues from your parents that increase your disease risk and bear closer monitoring.

Act quickly at the first signs of disease. Gum disease is a progressive disease, and it doesn't take long for it to become intrenched. The sooner it can be treated, the less likely you'll experience recession. So, make a dental appointment as soon as possible if you notice your gums are swollen, red or painful, or if they bleed easily after brushing.

There are ways to reverse gum recession. But many treatments like grafting surgery to regenerate new gum tissues can be quite involved and expensive. Following these tips can help you avoid gum recession altogether or stop it before it goes that far.

If you would like more information on how to avoid gum recession, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Gum Recession: Getting Long in the Tooth.”


By The Scarsdale Dentist
April 24, 2020
Category: Oral Health
Tags: Oral Care Routine  

Developing A Good Oral Care Routine

Developing a good oral care routine at home can help you maintain your dental health and prevent you from getting gum disease and tooth decay. Having regular dental check-ups is an important part of your oral care routine. Dr. Jeffrey Pike is a dentist at the Scarsdale Dentist in Scarsdale, NY. He has been treating Scarsdale residents for more than 30 years.

The Four Rules of Good Oral Care

Dr. Pike recommends you follow these principles to protect your oral health:

  • Spend at least two minutes brushing your teeth, once in the morning and once in the evening. Wait at least 30 minutes after eating before brushing your teeth.
  • Floss your teeth at least once a day with nylon floss, floss picks, or a water flosser.
  • Use a soft-bristled toothbrush and fluoride toothpaste that has been approved by the ADA.
  • Visit your dentist every six months for a check-up and professional cleaning.

Consequences of Improper Oral Care

Failing to maintain a good oral hygiene routine can result in the following:

  • Gingivitis: Caused by a build-up of plaque on the teeth and around the gum line gingivitis is the early stage of gum disease. It can cause inflamed gums that may bleed when you brush or floss.
  • Periodontitis: This is the more severe stage of gum disease, which arises if you do not get treatment for gingivitis. The symptoms of periodontitis include receding gums and damage to the connective tissue and bones surrounding the teeth. It can eventually lead to tooth loss.

If you are noticing signs of gingivitis, you should work to establish a good oral care routine as soon as possible. Later stages of periodontitis may not be reversible or more difficult to treat.

While our office is temporarily closed, it's important that you maintain a good oral health routine. We look forward to seeing you as soon as we can.


By The Scarsdale Dentist
April 15, 2020
Category: Dental Procedures
CrazyLittleThingCalledHyperdontia

The movie Bohemian Rhapsody celebrates the iconic rock band Queen and its legendary lead vocalist, Freddie Mercury. But when we see pictures of the flamboyant singer, many fans both old and new may wonder—what made Freddie’s toothy smile look the way it did? Here’s the answer: The singer was born with four extra teeth at the back of his mouth, which caused his front teeth to be pushed forward, giving him a noticeable overbite.

The presence of extra teeth—more than 20 primary (baby) teeth or 32 adult teeth—is a relatively rare condition called hyperdontia. Sometimes this condition causes no trouble, and an extra tooth (or two) isn’t even recognized until the person has an oral examination. In other situations, hyperdontia can create problems in the mouth such as crowding, malocclusion (bad bite) and periodontal disease. That’s when treatment may be recommended.

Exactly what kind of treatment is needed? There’s a different answer for each individual, but in many cases the problem can be successfully resolved with tooth extraction (removal) and orthodontic treatment (such as braces). Some people may be concerned about having teeth removed, whether it’s for this problem or another issue. But in skilled hands, this procedure is routine and relatively painless.

Teeth aren’t set rigidly in the jawbone like posts in cement—they are actually held in place dynamically by a fibrous membrane called the periodontal ligament. With careful manipulation of the tooth, these fibers can be dislodged and the tooth can be easily extracted. Of course, you won’t feel this happening because extraction is done under anesthesia (often via a numbing shot). In addition, you may be given a sedative or anti-anxiety medication to help you relax during the procedure.

After extraction, some bone grafting material may be placed in the tooth socket and gauze may be applied to control bleeding; sutures (stitches) are sometimes used as well. You’ll receive instructions on medication and post-extraction care before you go home. While you will probably feel discomfort in the area right after the procedure, in a week or so the healing process will be well underway.

Sometimes, dental problems like hyperdontia need immediate treatment because they can negatively affect your overall health; at other times, the issue may be mainly cosmetic. Freddie Mercury declined treatment because he was afraid dental work might interfere with his vocal range. But the decision to change the way your smile looks is up to you; after an examination, we can help you determine what treatment options are appropriate for your own situation.

If you have questions about tooth extraction or orthodontics, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Simple Tooth Extraction” and “The Magic of Orthodontics.”


ShareTheseTimelyDentalCareTipsWithYourCollege-BoundSonorDaughter

It's a “change” moment when your child leaves home to attend college for the first time. For many, it's the first time to truly be on their own. While that new autonomy can be exhilarating, it does require self-responsibility to avoid some nasty pitfalls that might snare them.

So, before you bid them adieu at the dorm, be sure to give them some good, old-fashioned parental advice. And that includes teeth and gum care: While it may not seem as urgent as other potential issues, failing to maintain oral health could eventually affect the rest of their health.

The most important thing they can do mouth-wise is to brush and floss every day—and see a dentist at least twice a year. Daily oral hygiene keeps plaque, a thin bacterial film on teeth most responsible for dental disease, from accumulating.

There are other habits that foster good oral health—like eating a well-balanced diet. Encourage them to eat “real” food: less on processed items and more on fresh fruits and vegetables. That includes keeping added sugar to a minimum—not only for good overall health, but to also deprive disease-causing oral bacteria of a favorite food source. And tell them to go easy on the sodas, sports and energy drinks loaded with acid that can damage enamel.

Don't forget to mention lifestyle practices that are best avoided. Tobacco use and excessive alcohol consumption can make the mouth more susceptible to diseases like tooth decay and periodontal (gum) disease. And even if oral piercings are all the rage on campus, any hardware worn in the mouth could cause chipped teeth and contribute to gum recession.

And if you've already had the “talk” with them, you should still review the facts of life one more time. There just happens to be a connection with this particular subject and their mouth—unsafe sexual practices could leave them vulnerable to the human papilloma virus (HPV16) that could increase their oral cancer risk.

College is both an exciting and challenging time. If your new student follows these timely oral care tips, they can avoid teeth and gum problems that could linger for years to come.

If you would like more information helping your college-bound student maintain good oral health, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “10 Health Tips for College Students.”