On the big screen, Australian-born actress Margot Robbie may be best known for playing devil-may-care anti-heroes—like Suicide Squad member Harley Quinn and notorious figure skater Tonya Harding. But recently, a discussion of her role in Peter Rabbit proved that in real life, she’s making healthier choices. When asked whether it was hard to voice a character with a speech impediment, she revealed that she wears retainers in her mouth at night, which gives her a noticeable lisp.
“I actually have two retainers,” she explained, “one for my bottom teeth which is for grinding my teeth, and one for my top teeth which is just so my teeth don't move.”
Clearly Robbie is serious about protecting her dazzling smile. And she has good reasons for wearing both of those retainers. So first, let’s talk about retainers for teeth grinding.
Also called bruxism, teeth grinding affects around 10 percent of adults at one time or another, and is often associated with stress. If you wake up with headaches, sore teeth or irritated gums, or your sleeping partner complains of grinding noises at night, you may be suffering from nighttime teeth grinding without even being aware of it.
A type of retainer called an occlusal guard is frequently recommended to alleviate the symptoms of bruxism. Typically made of plastic, this appliance fits comfortably over your teeth and prevents them from being damaged when they rub against each other. In combination with stress reduction techniques and other conservative treatments, it’s often the best way to manage teeth grinding.
Orthodontic retainers are also well-established treatment devices. While appliances like braces or aligners cause teeth to move into better positions, retainers are designed to keep teeth from moving—helping them to stay in those positions. After active orthodontic treatment, a period of retention is needed to allow the bite to stabilize. Otherwise, the teeth can drift right back to their old locations, undoing the time and effort of orthodontic treatment.
So Robbie has the right idea there too. However, for those who don’t relish the idea of wearing a plastic appliance, it’s often possible to bond a wire retainer to the back surfaces of the teeth, where it’s invisible. No matter which kind you choose, wearing a retainer can help keep your smile looking great for many years to come.
If you have questions about teeth grinding or orthodontic retainers, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Teeth Grinding” and “The Importance of Orthodontic Retainers.”
Although we’ve made great strides over the last century making dental visits more pleasant and comfortable, many people still feel a little apprehension about them at one time or another. For a few, though, this apprehension escalates into high anxiety — so high they may even avoid important dental treatment altogether.
If you have a significant phobia regarding dental visits and treatment, here are some things you can do to reduce your anxiety and feel more comfortable when you undergo treatment.
Let us know about your feelings of anxiety. We’re conditioned by society to regard such fears as irrational or “silly,” and so we tend to hide our negative emotions. Dentists, however, have been trained to work with fearful patients to reduce their anxiety levels. Being honest with us about your fears and nervousness is the first step to developing an anxiety-reducing strategy that will make your visits more pleasant.
Counteract bad experiences with good. For most people the fear they have during dental visits stems from earlier unpleasant experiences at the dentist. The fear can be so ingrained that simply trying to convince yourself or to be told “there’s nothing to be afraid of” will have little to no effect. Instead, build a memory collection of positive and pleasant dental visit experiences that serve to counteract the unpleasant. To do this we might first get you acclimated to routine visits and then gradually transition to more invasive procedures. This may increase the normal time for dental treatment, but the reduction in anxiety is worth the extra time.
Consider sedation therapy. In addition to modifying your experiences, you may also benefit from sedation medications that reduce anxiety, especially in the early stages of treatment. Depending on your medical history and current status, we can prescribe a sedative for you to take an hour or so before your appointment to help you relax. We can also increase the level of anesthesia (from local to intravenous or gas anesthesia, for example) if your anxiety is especially acute.
Taking proactive steps to minimize dental visit anxiety will increase the probability that you’ll obtain needed dental care. Your teeth and gums will be healthier for it.
If you would like more information on coping with dental visit anxiety, 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 “Overcoming Dental Fear & Anxiety.”
It’s easy to work up a thirst in the summer. You might be shooting hoops in the park, riding on a trail or playing volleyball on the beach. No matter what your favorite summertime activity is, outdoor fun can leave you dry—and then it’s time to reach for a cold one. But when your body craves hydration, what’s the best thing to drink?
The answer’s simple: water!
Sure, we’ve all seen those ads for so-called “energy” and “sports” drinks. But do you know what’s really in them? Sports drinks (all of those different “…ades”) are mostly water with some sugars, salts and acids. “Energy” drinks (often promoted as “dietary supplements” to avoid labeling requirements) also contain plenty of acids and sugars—and sometimes extremely high levels of caffeine!
Studies have shown the acid in both sports and energy drinks has the potential to erode the hard enamel coating of your teeth, making them more susceptible to decay and damage. And the sugar they contain feeds the harmful oral bacteria that cause tooth decay. So you could say that the ingredients in these beverages are a one-two punch aimed right at your smile.
It’s a similar story for sodas and other soft drinks, which often have high levels of sugar. In fact, some popular iced teas have 23 grams (almost 6 teaspoons) of sugar per 8-ounce serving—and a single 24-ounce can holds 3 servings! Many diet sodas (and some fruit juices) are acidic, and may damage your tooth enamel.
Water, on the other hand, has no acid and no sugar. It has no calories and no caffeine. Simple and refreshing, water gives your body the hydration it craves, with no unnecessary ingredients that can harm it. In fact, if you fill a reusable bottle from your own tap, you may not only benefit from cavity-fighting fluoride that’s added to most municipal tap water…you’ll also be helping the environment by cutting down on unnecessary packaging.
It’s best to drink water all of the time—but if you don’t, here are a few tips: If you want to enjoy the occasional soda or soft drink, try to limit it to around mealtimes so your mouth isn’t constantly bathed in sugar and acid. Swish some water around your mouth afterward to help neutralize the acidity of the drinks. And wait at least an hour before brushing your teeth; otherwise you might remove tooth enamel that has been softened by acids.
What you drink can have a big effect on your oral health—and your overall health. So when thirst strikes, reach for a cold glass of water. It can help keep you healthy this summer…and all year long.
If you would like more information about nutrition and oral health, please contact us or schedule an appointment. You can learn more by reading the Dear Doctor magazine articles “Think Before You Drink” and “Nutrition & Oral Health.”
What are you most looking forward to this summer? Maybe you’re planning a trip to the beach, or a getaway in the woods…maybe even a journey to a faraway city or a foreign land. Wherever your holiday travel leads you, we hope it’s enjoyable and safe. And while you’re packing your bags, don’t forget to take a trio of important items that can help keep your vacation trouble-free: namely, a soft-bristled toothbrush, a tube of fluoride toothpaste, and a roll of dental floss.
If you have been careful about keeping up your oral hygiene all year, you’ve probably already noticed the rewards it can bring—like a sparkling smile, fresh breath, and good dental checkups. But even if you’re planning to get away from it all this summer, don’t take a vacation from oral hygiene. And if your oral hygiene routine could stand some improvement, maybe this is the time to make a fresh start.
Maintaining good oral health while you’re on the go doesn’t have to be a high-tech pursuit. You don’t need broadband service or a good mobile signal; you don’t even need electric power. Running water is nice, but not essential. And all the tools you need can fit easily in a travel bag.
The benefits of good oral hygiene are clear. Brushing twice every day and flossing once a day can effectively fight the bacteria that cause tooth decay and periodontal disease. That’s important any time of year, but perhaps even more so when you’re traveling because it’s harder to keep a healthy diet. Grabbing a sugary drink or a snack to go is convenient, but it provides food for the bacteria that can cause dental diseases; also, the acid in some soft drinks (even diet sodas) can wear away tooth enamel, leaving you with less protection against cavities.
Summer vacations can bring welcome surprises and unforgettable experiences. But needing urgent dental care in an unfamiliar place is the kind of surprise you can do without. So even though you may be far away from the routines of home, don’t take a vacation from your oral hygiene routine. It takes just a few minutes, but it can keep your smile bright and healthy wherever you go.
Everyone has to face the music at some time — even John Lydon, former lead singer of The Sex Pistols, arguably England’s best known punk rock band. The 59-year old musician was once better known by his stage name, Johnny Rotten — a brash reference to the visibly degraded state of his teeth. But in the decades since his band broke up, Lydon’s lifelong deficiency in dental hygiene had begun to cause him serious problems.
In recent years, Lydon has had several dental surgeries — including one to resolve two serious abscesses in his mouth, which left him with stitches in his gums and a temporary speech impediment. Photos show that he also had missing teeth, which, sources say, he opted to replace with dental implants.
For Lydon (and many others in the same situation) that’s likely to be an excellent choice. Dental implants are the gold standard for tooth replacement today, for some very good reasons. The most natural-looking of all tooth replacements, implants also have a higher success rate than any other method: over 95 percent. They can be used to replace one tooth, several teeth, or an entire arch (top or bottom row) of teeth. And with only routine care, they can last for the rest of your life.
Like natural teeth, dental implants get support from the bone in your jaw. The implant itself — a screw-like titanium post — is inserted into the jaw in a minor surgical operation. The lifelike, visible part of the tooth — the crown — is attached to the implant by a sturdy connector called an abutment. In time, the titanium metal of the implant actually becomes fused with the living bone tissue. This not only provides a solid anchorage for the prosthetic, but it also prevents bone loss at the site of the missing tooth — which is something neither bridgework nor dentures can do.
It’s true that implants may have a higher initial cost than other tooth replacement methods; in the long run, however, they may prove more economical. Over time, the cost of repeated dental treatments and periodic replacement of shorter-lived tooth restorations (not to mention lost time and discomfort) can easily exceed the expense of implants.
That’s a lesson John Lydon has learned. “A lot of ill health came from neglecting my teeth,” he told a newspaper reporter. “I felt sick all the time, and I decided to do something about it… I’ve had all kinds of abscesses, jaw surgery. It costs money and is very painful. So Johnny says: ‘Get your brush!’”
We couldn’t agree more. But if brushing isn’t enough, it may be time to consider dental implants. If you would like more information about dental implants, please call our office to schedule a consultation. You can read more in the Dear Doctor magazine articles “Dental Implants” and “Save a Tooth or Get an Implant?”
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