Dentists Journal

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7/17/2021

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Scientists have identified a Chinese herb which may help prevent dental caries

Scientists have identified a Chinese herb which may help prevent dental caries due to its antibacterial capacity and tooth mineralisation benefit. Researchers, including those from West China School of Stomatology, figured out the main active ingredient of Galla Chinensis, a natural herb, and further improved its anti-caries efficacy.

To maintain a healthy mouth, the oral environment must be relatively neutral. When the environment in the mouth becomes more acidic, dental cavities or other disorders may develop. Galla Chinensis was revealed to inhibit the acid production of caries-associated bacteria as well as make teeth more resistant to acidic attack.

The researchers tested hundreds of Chinese herbs and identified that Galla Chinensis has a strong potential to prevent dental caries due to its antibacterial capacity and tooth mineralisation benefit. Galla Chinensis also possesses substantial antiviral, anticancer, hepatoprotective, antidiarrheal and antioxidant activities, researchers said.

owever, the main active ingredient of Galla Chinensis is unknown, which restricts the application in dentistry. In the study, published in The Open Dentistry Journal. several Galla Chinensis extracts with different main ingredients were obtained and determined by liquid chromatography-mass spectrometry (LC-MS) analysis.

The antibacterial capacity was determined using the polymicrobial biofilms model, which can generate reproducible plaque-like biofilms that occur in vivo. The effect of inhibiting tooth demineralisation was tested using an in vitro pH-cycling regime, which mimicked the periodic pH change in mouth.

“Medium molecular weight gallotannins are the most active constituent in terms of caries prevention,” said Xuelian Huang, lead author of the study. In dental caries, significant reductions in caries prevalence and incidence have been made by the introduction of fluoride, researchers said.

However, it is not a total cure and there is still a need to seek products complementary to fluoride. With these new findings, the research team is working with the industry to develop new oral care products.

(07/10/2021)
by The Indian Express

More Information: https://indianexpress.com/article/technology/science/chinese-herb-found-with-antibacterial-properties-capable-of-fighting-dental-issues-study-4941987/


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4 Underlying Health Issues That Impact Your Oral Health

As you enter the treatment room for your appointment, you can’t help but think about all the times you were “just too tired” to properly brush or floss your teeth. By the time your dentist is conducting their exam, you’ve thoroughly convinced yourself that they will find a handful of cavities. However, when the dentist opens their mouth, the only word you hear is “diabetes.”

Although your dentist does look for signs of tooth decay and cavities, they also use your bi-yearly visits to look for other conditions that could impact your teeth and gums. Here are four underlying health conditions that your dentist can find at your visit.

High Blood Pressure

According to the American Heart Association, over 100 million people in the U.S. have high blood pressure. In addition to putting you at risk for a heart attack or stroke, high blood pressure can also make you vulnerable to oral health issues like gum disease. Therefore, your dentist will check for any abnormal symptoms, like red or bleeding gums, which has been linked to patients with high blood pressure. Also, medications used to treat this condition can cause dry mouth and tooth decay. To ensure that your oral health remains intact, make sure to seek treatment as soon as these symptoms are present and to thoroughly discuss the side effects of each medication with your doctor.

Osteoporosis

Although this condition largely affects post-menopausal women, Osteoporosis can happen to people of any gender or age. This health issue causes the bones in your body to become weak and brittle. In fact, they become so frail that even a strong cough can cause a fracture. To ensure that patients get the early intervention and treatment they need, dentists check for loose teeth at each visit. This could be a sign that the density in your jawbone has dropped, which will require you to undergo a bone density test with your doctor.

Diabetes

Diabetes is rampant in the U.S., and currently affects 100 million Americans (who have either been diagnosed as diabetic or pre-diabetic). In addition to having disastrous effects on your body, diabetes can also cause periodontitis. This is a severe form of gum disease that causes your gums to pull away from your teeth and potentially result in them falling out. In severe cases, a Periodontist may recommend gum surgery. However, changing your diet to keep your blood sugar under control is often an effective solution.

Lung Disease

When gum disease is present, the harmful bacteria in your mouth can spread to other areas of your body. Recent studies have reinforced this theory by finding links between lung conditions (like bronchitis and pneumonia) and gum disease. Therefore, it is important that you consistently prioritize your oral hygiene routine to limit the number of bacteria present in your mouth at any given time. Also, smoking exacerbates the issue; so make sure to speak with your dentist or doctor about putting a plan in place to quit.

While going in for your bi-yearly visit can seem like nothing more than a brief exam, it can lead to early treatment and intervention for underlying health issues! Therefore, make sure to visit your dentist at least twice a year to ensure both your oral and overall health is in tip-top shape! 

(07/11/2021)
by Cape Heart Dentistry

More Information: https://www.capehartdentistry.com/blog/2020/06/12/dentist-in-lewisville-talks-health-issues-that-impact-your-oral-health/


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Why Do Dentists Insist on X-Rays?

A simple oral exam only allows a dentist to see the visible surfaces of the teeth and the insides of the oral cavity. With the help of an X-ray, dentists can visualize the structures present within the tooth cavity as well as the supporting bone. This allows them to detect and treat dental issues that may otherwise remain undiagnosed and lead to more problems.

Who Needs a Dental X-Ray?

A patient’s requirement for a dental x-ray depends on their dental and medical health conditions. The American Dental Association has set up guidelines that should be followed by every dentist with regards to using dental X-rays on patients. While it is not the norm, some dentists may advise dental X-rays on your initial appointment to set a baseline record that can be used in the future for diagnostic comparisons or dental changes that may occur over some time.

Patients with progressive diseases like periodontitis may need dental X-rays every few months to monitor bone loss. Wisdom teeth that sway from their typical pattern of eruption can become impacted and lead to further dental issues; they require regular monitoring as well through dental X-rays.

Problems That Can Be Detected by Dental X-Rays:

Dental cavities that are not visible on the surface of the tooth or those that may appear small but have larger decay underneath. Dental decay underneath an old filling can also be detected.Bone loss caused due to gum disease.Infection that has reached the root canal of the tooth or even the bone.

Some procedures, like the placement of dental implants, warrant the need for dental X-rays for the treatment to be carried out correctly.Diagnosis of developmental anomalies like cysts or tumors.Monitor the possibility of wisdom teeth getting impacted.In children, dental X-rays can be used to determine adequate space for erupting teeth.

Types of Dental X-Rays:

Periapical X-Ray:  Captures the image of two or three teeth at a time and displays the entire tooth down to the root. Used for detection of tooth and root cavities, and signs of infection or abscess around the root.

Bitewing X-Ray:  This type of X-ray allows dentists to detect cavities that may arise in between two teeth, an area that is not visually accessible inside the mouth. The patient is required to bite down on the film while the X-ray is being taken, which gives it its name.

Panoramic X-Ray:  This is a type of sizeable dental X-ray that requires a separate machine. The X-ray provides a detailed image of all the teeth in both lower and upper arches, along with the bone and supporting structures. They are usually used for extensive dental work like multiple extractions, braces, dental implants, etc.

CBCT:  This type of X-ray offers three-dimensional images of the teeth, roots, and the jaw. It exposes the patient to a considerable amount of radiation compared to conventional dental X-rays, and hence, is used only when regular X-rays do not offer the same diagnostic results.

Are Dental X-Rays Safe?

Patients often have concerns with the number or frequency of X-rays they may have to undergo during dental treatment. While these concerns are not completely unwarranted due to the ill-effects of excessive radiation exposure, dentists usually insist on dental X-rays only when it is absolutely necessary. Moreover, the dose of radiation due to dental X-rays is so minuscule that patients do not need to worry about any form of harmful effects.

With continued advancements in dentistry, the risks associated with dental X-rays have minimized substantially. However, if you still have questions about dental X-rays and the potential risks that concern you, it is always a good idea to talk to your dentist. You can enquire about the reason for dental x-rays being advised to you and also how often you may need them.

(07/11/2021)
by Lesuer Family Dental

More Information: https://www.lesueurfamilydental.com/why-do-dentists-insist-on-x-rays/


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How Does a Dental Crown Protect Your Tooth?

A dental crown can be used to fix a wide range of dental issues. Also called caps, these are tooth-like shells that are used to encase an entire tooth. It serves multiple functions: protecting the tooth from further decay and restoring its appearance.

Issues that crowns are often used to fix:

Chipped, broken or cracked teeth

Badly discolored teeth

Severely decayed teeth

Infected teeth

Short teeth

Gaps between teeth

HOW A DENTAL CROWN PROTECTS A TOOTH

Here are ways that a crown protects the wearer's tooth from further damage:

1. IT KEEPS AWAY THINGS THAT CAN DAMAGE THE TOOTH 

A dental crown protects teeth by keeping them safe from all the irritants in the mouth. Saliva, bacteria, food particles and acids are responsible for most of the dental issues people develop. Since the crown fully encases the tooth, these substances cannot reach the affected tooth to cause more damage.

For example, acids in the mouth are responsible for the vast majority of tooth decay. Some of these acids get into the mouth via the things a person eats, while others are produced by oral bacteria. These acids eat away at the protective outer layer of tooth (enamel), leaving the more sensitive parts of a tooth exposed.

2. IT REINFORCES THE TOOTH AND PROTECTS IT FROM BITE FORCES

A crown also protects one's teeth from the forces involved in chewing. This is particularly important if the tooth has already been damaged. A crown restores the structural integrity and function of the tooth, allowing the patient to chew and speak with the damaged tooth as they have always done.

3. IT HOLDS THE TOOTH TOGETHER

When a tooth is protected with a cap, any fragmented parts of the tooth are held in place by the crown. This prevents the tooth from breaking into small pieces over time. It makes dental crowns an effective way to fix teeth that have fragmented into multiple pieces.

WHAT TO EXPECT WHEN GETTING A CROWN

There is not much to getting a dental crown. It starts with an evaluation, during which the dentist examines the patient and their oral issues. If the dentist determines a crown is the best solution, the patient's tooth will be prepared. This might involve removing a portion of enamel to make sure the crown holds tightly onto the remainder of the tooth.

An impression of the patient's mouth is taken, and this is sent to a dental lab that makes crowns. It takes about two weeks for the prosthetic to be ready. The dentist will usually fit the patient with a temporary crown and send them on their way.

Once the crown is ready, the patient is called back for an appointment, during which the temporary crown is taken out and the permanent one installed.

(07/12/2021)
by Henderson Family Dentistry

More Information: https://www.hendersonfamilydentistry.com/blog/how-does-a-dental-crown-protect-your-tooth/#:~:text=A%20dental%20crown%20protects%20teeth,tooth%20to%20cause%20more%20damage.


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Dental Issues Can Delay Treatment for Patients With Multiple Myeloma

Invasive dental procedures can delay bisphosphonate and antimyeloma therapies in patients with multiple myeloma, findings from a case series study presented at ESMO Congress 2019 in Barcelona, Spain, have shown.

Bisphosphonates, which can slow bone loss and reduce bone pain, are considered to be a critical component of supportive care for patients with myeloma-related bone disease. Nevertheless, the administration of bone-modifying agents (eg, zoledronic acid, denosumab) for oncologic indications has been associated with an increased risk of medication-related osteonecrosis of the jaw, particularly for patients undergoing invasive dental procedures.

This study included 32 patients with multiple myeloma receiving intravenous bisphosphonate therapy between October 2018 and March 2019. Within this cohort, 4 patients (12.5%) required dental treatment: dental extraction in 2 patients, dental extraction with infection in 1 patient, and a dental fistula requiring surgical intervention in 1 patient.

For the 2 patients requiring dental extraction, bisphosphonate treatment was interrupted for 6 months. In the other 2 patient cases, the need for dental intervention resulted in delays of planned autologous stem cell transplantation of 15 days and 1 month, respectively.

The importance of preventive dental care (eg, dental assessment and performance of any needed dental treatment) prior to administration of bisphosphonate treatment, as well as optimal routine oral care during such treatment was emphasized by the study authors.

They suggest “a preventive approach with oral care before and during treatment with bisphosphonates can minimize the occurrence of complications associated with treatment and avoid interruptions".

(07/14/2021)
by Oncology Nurse Advisor

More Information: https://www.oncologynurseadvisor.com/home/cancer-types/multiple-myeloma/dental-issues-can-delay-treatment-for-patients-with-multiple-myeloma/


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What to know about fluoride in toothpaste

Fluoride is a naturally occuring mineral that people add to water, food, and other products. Many toothpastes contain fluoride as it has benefits for protecting tooth health. Too much fluoride can pose risks to health, but the amounts contained in toothpaste are generally safe if a person uses the toothpaste as advised.

Toothpaste is an important part of good oral hygiene. With many options available, it can be difficult to know which one is the right choice.

Many toothpastes contain fluoride, a mineral that is naturally found in soil and rocks. This article examines what fluoride is and why manufacturers add it to toothpaste. It also covers the benefits and risks of fluoride and tips for choosing the best toothpaste.

Producers have designed toothpaste to control dental plaqueTrusted Source. Plaque is a thin layer that forms on teeth after eating sugars. The bacteria in plaque break down tooth enamel, cause decay, and lead to cavities.

People use toothpaste with a toothbrush to gently sweep away plaque and other debris from their teeth. All toothpastes share some common ingredientsTrusted Source:

Abrasives such as calcium carbonate or calcium phosphate. These remove anything sticking to the surface of the teeth without scratching them.

Binders like sodium alginate or xanthan gum. These provide elasticity and form to the toothpaste, and help prevent it from drying out by binding water to it.

Humectants such as glycerol or propylene glycol. These retain water to prevent hardening of the toothpaste.

Foaming agents like sodium lauryl sulfate or sodium alkylsulfo succinate.

Preservatives, to prevent the growth of microorganisms.

Some toothpastes contain other ingredients, depending on their formulation:

fluoride, which strengthens enamel and prevents cavities

flavorings like spearmint, peppermint, or menthol

sweeteners, including sorbitol, glycerol, and xylitol

anti-sensitivity agents including strontium chloride or potassium nitrate

 

What is fluoride and why is it in toothpaste?

Fluoride is a naturally occurring mineral which exists in:

soil

rocks

water

many foods

It is an important part of tooth development in children under the age of 7, as it strengthens developing enamel. In children and adults it also slows down the acid-producing capability of plaque, which protects teeth from decay.

In many cities and countries, local authorities add fluoride to the drinking water, which has been shown to reduce tooth decay by at least 25%. Fluoride toothpaste provides an additional layer of protection against dental decay and plaque buildup.

(07/09/2021)
by Medical News Today
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Maloclussion and tooth wear: common issues you don´t have to live with

Just because something is common does not mean it is healthy or that you have to live with it. Obesity in the United States is just one case in point. Two more examples are malocclusion and tooth wear.

More commonly referred to as an improper bite, malocclusion is a misalignment or incorrect placement of teeth on the upper and lower jaws. Excessive tooth wear, meanwhile, refers to the progressive loss of tooth substance; the proper name for this issue is enamel attrition.

Unfortunately, tooth wear and malocclusion are very common in the U.S. Millions of adults nationwide have some level of enamel attrition and poor bite. The majority of them also suffer from headaches, receding gums, tooth chipping or loss, TMJ pain, ear-related pain or ringing, or eye socket pain.

An increasing number of people are dealing with the advanced loss of tooth substance due to wearing them down. Tooth wear can have multiple causes, including grinding and clenching.

Absolutely! Contrary to popular belief, your teeth do not have to wear as you get older and gum recession need not be something that you wake up to every day. Your teeth can look youthful and healthy at any age, whether you are 18 or 88.

Your jaw does not have to feel uncomfortable either; if your jaw pops or clicks, there are dental procedures available to remedy the issue. Headaches can also be alleviated with the help of a dentist.

Now that you know common issues like malocclusion and tooth wear are treatable, we are happy to do so for you. The process begins by diagnosing the issue and then forming the best dental plan for your unique case.

(07/10/2021)
by Dental Wellness Group

More Information: https://dentalwellnessgroup.com/malocclusion-tooth-wear-common-issues/


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How to get rid of BAD BREATH: These foods could cause bad oral hygiene

BAD breath affects about half of all adults. But, it could be prevented by steering clear of certain foods, including cheese, cabbage and brussels sprouts, according to dentist Dr Harold Katz.

Bad breath could be caused by having a dry mouth, as saliva helps to keep harmful germs and bacteria away, Katz said.

Dry mouth becomes more common in winter, as more people stay inside with the heating on. Gas and oil burners pump out dry air, which could lead to a dry mouth.

Cold and flu medicines can also cause more cases of ‘winter breath’, as they too lead to dry mouth, he said.

Eating too much cheese could also cause bad breath, as it contains lots of proteins which bacteria like to feed on, the dentist added.

“Other festive foods to avoid include onions, garlic, cauliflower, cabbage, brussels sprouts. They all have a high concentration of sulphur compounds similar to the chemicals produced by the bad breath bacteria.”

Coffee contains high levels of acids which cause the bacteria to grow more quickly, which creates a bitter taste in the mouth, and subsequently leads to bad breath.

Alcohol causes dehydration, which starts drying out the mouth and, again, causes winter breath.

Over 400 painkiller and decongestant medicines can lead to dry mouth. With more cold and flu appearing during the winter months, more people suffer from winter breath, Katz said.

Preventing dry mouth was key to eliminating the threat of bad breath this winter, Katz said.

“Saliva is nature’s gift to us,” he said. “It contains natural antimicrobials that protect us against many of these bacteria.

“They thrive and multiply in the warm dry recesses of the mouth. Once they have reproduced to such large numbers, even brushing and flossing may not be enough to completely eradicate them.”

Keeping your mouth as moist as possible will help to relieve bad breath, Dr Katz said.

Drink between six and eight cups of water a day to help replenish saliva.

Using mouthwash and chewing gum from The Breath Company could help to reduce the symptoms of bad breath, Dr Katz said.

See your dentist, hygienist or dental therapist if you still suffer from bad breath after making the lifestyle changes.

(07/09/2021)
by Matt Athernon

More Information: https://www.express.co.uk/life-style/health/880007/how-to-get-rid-of-bad-breath-food-oral-hygiene


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Dentists on Wheels is Free East Bay dental clinic on tap for poor, uninsured

Dentist on Wheels founder (first photo)  Shabnam Farzaneh, left, Dr. Jeannie Shimane, a volunteer dentist, center, and Dr. Neda Oromchian, dental director for the new Dentists on Wheels clinic, work a test run in late 2020. The clinic, located at Pittsburg's St. Vincent de Paul Family Resource Center, is expected to open in late August.

The first patient at the free Dentists on Wheels pilot program in Pittsburg, California feared she needed about $8,000 worth of dental work, but a cavity filling did it.

For Shab Farzaneh, that was a sign all the work she did in setting up Contra Costa County’s first free dental clinic with the help of volunteers was well worth their effort.

“There was an assurance, we were able to give her decent advice,” Farzaneh said of the first patient, who after visiting a private dental practice had fretted about how she couldn’t afford to pay for the recommended work on an income of $2,000 a month. “There was no Doomsday. We’re not going to overdiagnose anyone because we’re not charging anyone.”

That was last fall, and after a successful 11-week trial run, Dentists on Wheels is now collaborating with St. Vincent de Paul to build a permanent dental office at its Family Resource Center at 2210 Gladstone Drive.

The wife of an oral surgeon and former business consultant, Farzaneh began thinking of founding a free dental clinic several years ago after having raised money for Operation Smile to help children with cleft palates. Though many dentists also donated their services to that cause, others who did not have time to go on international missions wanted to know how they could help locally.

The Alamo resident had no answer, and in her research for one she discovered there weren’t any free dental services for the uninsured in the county, although the need for them was “huge.”

Barabara Hunt, development director for St. Vincent de Paul of Contra Costa County, agreed about the need.

“We’re helping those people, those in-between people who are working hard for a living (but don’t qualify for Medi-Cal), and this health care program and dental care program in the United States is broken, and we’re trying to fix it,” she said.

Farzaneh initially considered running a clinic out of an RV, but when the coronavirus pandemic hit, she decided a roomier, permanent spot would be better.

“We pivoted based on our learnings,” Farzaneh said. “So we utilized that time (during the pandemic) to deepen our relationship with St. Vincent De Paul, who was one of our first nonprofits who said ‘we need a dental clinic.’ ”

Claudia Ramirez, St. Vincent de Paul’s executive director, said the nonprofit also had long wanted to help provide people with low- or no-cost dental services. For several years it partnered with two clinics that accepted Medi-Cal but neither offered free services and many patients had no dental insurance, so St. Vincent de Paul would pay for what was needed through donations.

When they learned Dentists on Wheels was trying to open a clinic, St. Vincent de Paul leaders were happy to give it a trial run, Ramirez said. In the meantime, it has raised $100,000 through private and Catholic Diocese of Oakland donations to build the 600-square-foot clinic.

“It’s such a key thing because we have all had dental pain at one point in time or another and we all know it is no fun,” she said.

Farzaneh said she also learned that many people lose good teeth because they choose to have them extracted to stop the pain rather than pay for expensive root canals and crowns, which can run around $2,000.

“They’re missing functionality for the rest of their lives,” Farzaneh said. “And so we’re wondering how can we provide a higher service than just extraction?”

Clinic director Dr. Neda Oromchian of Danville, a retired pediatric dentist with more than 30 years experience, refers patients to a list of dentists and specialists from throughout the Bay Area who have agreed to offer their services for free while the nonprofit pays for the lab fees.

“I have a lot of connections with the community, a good reputation, a lot of good friends,” Oromchian said.

Oromchian stressed the importance of caring for one’s teeth.

“It is really part of the whole health system, whole body, mind, kind of thing because we see first signs of certain cancers in the mouth; inflammation and gingivitis also are signs sometimes for certain immune diseases and things like that,” she said. “When they are not being taken care of, that means that their health is also getting jeopardized.”

Oromchian said that while many of the first patients were referred by St. Vincent de Paul, the clinic will be open to anyone without insurance who falls below the poverty level, including the undocumented.

(07/13/2021)
by Judith Prieve
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The 4 most common dental issues and how to spot them

Dental issues are common, and everyone deals with one eventually. Regular checkups are one way to avoid developing these issues. But sometimes, it can be difficult to get to the dentist routinely. You should always monitor your own dental health and know the signs of the most common dental issues. Below are the 4 most common dental issues and how to spot them.

Tooth Decay

Tooth decay, or cavities, form when plaque sits on your teeth and creates an acid that damages the enamel of your teeth. This is why dentists are always so adamant about reducing sugar intake. It can make cavities form quicker. You can avoid cavities by brushing and flossing regularly. You also can use fluoride treatments at home, reduce the amount of sugar you eat, and not eat as many carbohydrate-rich foods like potato chips.

In more serious cases, it’s important to see a specialist and to discuss your options. The most common treatment for extreme tooth decay is a dental implant. Ensure that the dentist you choose is qualified and has extensive experience doing dental implants. 

2. Halitosis

Bad breath is something that affects a lot of people. When you constantly have bad breath but don’t know why, you may be dealing with Halitosis. This is an oral health issue that requires treatment. Halitosis is usually caused by cavities. Cavities are holes in your teeth. Since they create space in your mouth, bacteria can rest in those spaces and cause an odor. The reason you’re not able to brush the bacteria away is that your toothbrush cannot reach those spaces.

Here are some ways to treat Halitosis:

Limit your coffee intake and instead drink more water.

Brush using a fluoride toothpaste and floss routinely

Consult with your dentist if the problem is severe and home remedies are not working

Crowded Teeth

Most people deal with moving teeth. These movements not only affect your appearance but sometimes your ability to clean your teeth well. If your teeth begin crowding too much, there may be spots that your toothbrush is unable to reach. This can cause the buildup of bacteria. 

If you think you’re dealing with tooth crowding, see a dentist immediately. Otherwise, it can lead to eroded teeth and damaged bone/tissue.

A dentist can help you create a plan for realigning your teeth. They will most likely fit you for braces or a retainer if the problem hasn’t progressed as far. You may also get a spacer installed.

Teeth Grinding

Bruxism is the official name for teeth grinding. It is when people clench their jaw, causing the lower and upper teeth to rub against each other. While there are people who do this while they are awake, bruxism describes a condition that most commonly happens during sleep. If you do it while you sleep, the habit is usually hard to break because you’re not immediately aware of it.Bruxism can cause pain and tooth decay. It can even affect the muscles and bones in your face. In severe cases, dentists have seen broken teeth as a result of teeth grinding. 

Consult a dentist immediately if you are experiencing any of these symptoms. They will fit you with a nightguard, which prevents teeth grinding.

(07/13/2021)
by Chicanol

More Information: https://www.chicanol.com/4-common-dental-issues-and-how-to-spot-them/


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