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FindOutHowTheseFamousCelebritiesProtectTheirSmilesFromTeethGrinding

The fast-paced world of sports and entertainment isn’t all glitz and glamour. These high-profile industries create a unique kind of emotional and mental stress on celebrities. For many of them, a way to “let off steam” is an oral habit known as teeth grinding.

Teeth grinding is an involuntary habit in which a person bites and grinds their teeth outside of normal activities like eating or speaking. It’s common among young children, who usually grow out of it, but it can also affect adults, especially those who deal with chronic stress. If not addressed, teeth grinding can eventually wear down teeth, damage gum attachments or fracture weaker teeth. It can even contribute to tooth loss.

A number of well-known personalities in the spotlight struggle with teeth grinding, including actress Vivica Fox, model and TV host Chrissy Teigen, and star athletes Tara Lipinski and Milos Raonic of ice skating and tennis fame, respectively. The habit represents not only a threat to their dental health, but also to one of their most important career assets: an attractive and inviting smile. Fortunately, though, they each use a similar device to manage their teeth grinding.

Besides seeking ways to better manage life stress, individuals with a teeth-grinding habit can protect their teeth with a custom mouthguard from their dentist. Made of slick plastic, this device is worn over the teeth, usually while sleeping, to minimize dental damage. During a grinding episode, the teeth can’t make contact with each other due to the guard’s glossy surface—they simply slide away from each other. This reduces the biting forces and eliminates the potential for wear, the main sources of dental damage.

Chrissy Teigen, co-host with LL Cool J on the game show Lip Sync Battle, wears her custom-made guard regularly at night. She even showed off her guard to her fans once during a selfie-video posted on Snapchat and Twitter. Vivica Fox, best known for her role in Independence Day, also wears her guard at night, and for an additional reason: The guard helps protect her porcelain veneers, which could be damaged if they encounter too much biting force.

Mouthguards are a prominent part of sports, usually to protect the teeth and gums from injury. Some athletes, though, wear them because of their teeth grinding habit. Tara Lipinski, world renowned figure skater and media personality, keeps hers on hand to wear at night even when she travels. And Milos Raonic, one of the world’s top professional tennis players, wears his during matches—the heat of competition tends to trigger his own teeth-grinding habit.

These kinds of mouthguards aren’t exclusive to celebrities. If you or a family member contends with this bothersome habit, we may be able to create a custom mouthguard for you. It won’t stop teeth grinding, but it could help protect your teeth—and your smile.

If you would like more information about protecting your smile, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Teeth Grinding” and “When Children Grind Their Teeth.”

WithoutPromptInterventionGumDiseaseCouldDamageToothRoots

Periodontal (gum) disease often involves more than gum inflammation. The real danger is what this bacterial infection may be doing to tissues beneath the gum line—including tooth roots and supporting bone.

Gum disease can do extensive damage to the forked areas where the roots separate from the main tooth body. If one of these areas, known as a furcation, becomes infected, the associated bone may begin to diminish. And you may not even know it's happening.

Fortunately, we may be able to detect a furcation involvement using x-rays and tactile (touch) probing. The findings from our examination will not only verify a furcation involvement exists, but also how extensive it is according to a formal classification system that dentists use for planning further treatment.

A Class I involvement under this system signifies the beginning of bone loss, usually a slight groove in the bone. Class II signifies two or more millimeters of bone loss. Class III, also called a “through and through,” represents bone loss that extends from one side of the root to the other.

The class of involvement will guide how we treat it. Obviously, the lower the class, the less extensive that treatment will be. That's why regular dental checkups or appointments at the first sign of gum problems are a must.

The first-line treatment for furcation involvements is much the same as for gum disease in general: We manually remove bacterial plaque, the main source of infection, from the root surfaces using hand instruments and ultrasonic equipment. This is often followed by localized antibiotics to further disinfect the area and stymie the further growth of the furcation involvement.

We also want to foster the regrowth of lost tissue, if at all possible. Classes II and III involvements may present a challenge in this regard, ultimately requiring grafting surgery to stimulate tissue regeneration.

The best approach by far is to prevent gum disease, the ultimate cause for a furcation involvement. You can reduce your chances of gum disease by brushing and flossing daily to remove disease-causing plaque. Regular dental cleanings and checkups, at least every six months, help round out this prevention strategy.

A furcation involvement could ultimately endanger a tooth's survival. We can stop that from happening—but we'll have to act promptly to achieve the best results.

If you would like more information on treating gum disease, 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 “What are Furcations?

ReplacingaMissingToothisntJustAboutImprovingYourSmile

Seven out of ten Americans are missing at least one tooth due to decay, periodontal (gum) disease or injury. Unfortunately, the consequences go far beyond a missing tooth — the loss of even one could set in motion a cascade of problems.

Perhaps the most damaging of these problems is bone loss. Like other living tissue, bone has a life cycle — older cells dissolve (resorb) into the body and are replaced by fresher cells. This growth cycle in the jawbone receives stimulation from forces generated by teeth when we chew or bite. If a tooth is no longer present to provide this stimulation, the affected bone cells won’t regenerate at a healthy rate. Over time this causes the volume of bone to diminish, as much as 25% the first year after tooth loss.

The void left by a missing tooth can also adversely affect remaining teeth. Teeth are held in place by a tough but elastic tissue known as the periodontal ligament that lies between the tooth and the bone. The ligament enables teeth to move gradually in response to mouth changes so that the teeth remain tightly aligned with each other. When there’s a gap from a missing tooth, this tendency will cause the teeth on either side to move (or “drift”) toward the open space. Although a natural phenomena, it can result in a malocclusion (poor bite).

That’s why it’s important to replace a missing tooth with a life-like replica — not just for appearance’s sake, but also to improve function and prevent the rise of these other problems. While many options exist (from removable dentures to fixed bridges) the choice most preferred by dentists and patients is the dental implant.

An implant replaces the tooth root as well as the crown, because it’s imbedded securely into the jawbone. Because of a natural affinity with titanium, the principal metal used in implants, bone cells will grow to its surface. Not only will this anchor the implant more securely, it will slow or even stop bone loss.

If you have a missing tooth, you should visit us as soon as possible to consider your options for a replacement. A new tooth will help stop even greater problems from occurring.

If you would like more information on effects and treatment of tooth loss, 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 “The Hidden Consequences of Losing Teeth.”

OralCancerIsDeadly-ButYouCanLowerYourRiskWithaHealthyLifestyle

An estimated 50,000 Americans are expected to be diagnosed this year with some form of oral cancer. Five years from now, if current survival rates still apply (57%), a little more than half will still be alive. That's why the Oral Cancer Foundation designates each April as Oral Cancer Awareness Month to call attention to this serious disease, and what you can do to lower your risk of contracting it.

Oral cancer has one of the lowest survival rates among known cancers, mainly because it easily goes undetected until its later stages when known treatments aren't as effective. Patients don't always have overt symptoms or they mistake cancerous lesions for everyday mouth sores. On the other hand, early detection and treatment dramatically improve survivability.

Here are some things you can do to reduce your risk for oral cancer or improve your odds for early detection.

Don't use tobacco. If you're a smoker, you're five to nine times more likely to develop oral cancer than a non-smoker. Using smokeless snuff or chewing tobacco is also risky—four times the risk of non-users. And preliminary evidence suggests that e-cigarettes increase the risk of cancer as well.

Make better food choices. A diet heavy in processed foods, especially nitrites used in curing meats and other products, can damage cellular DNA and lead to cancer. On the other hand, natural foods like fresh fruits and vegetables contain nutrients that lower cancer risk. A nutritious diet also contributes to healthier teeth and gums.

Practice safer sex. While older adults have traditionally accounted for most oral cancer cases, there has been a recent, unsettling rise among younger people. Most researchers tie this to the Human Papilloma Virus (HPV 16), which is sexually transmitted. You can reduce your risk for contracting HPV 16 and subsequent oral cancer by following safe sex practices.

Undergo oral cancer screenings. Your semi-annual dental visits to clean your teeth are also a prime opportunity to check for oral abnormalities, especially if you're older. During an oral cancer screening we visually inspect your face, neck, lips and the inside of your mouth for any suspicious sores or discolorations. Early detection leads to better outcomes.

You should also modify your alcohol consumption—moderate to heavy drinkers have three to nine times greater risk for oral cancer than light or non-drinkers. And, you can further lower your risk of lip cancers by limiting your exposure to the sun and wearing protective sunscreen.

Oral cancer is a dangerous condition that could threaten your life. Regular dental care and healthy lifestyle practices can help lower your risk for encountering this deadly disease.

If you would like more information about oral cancer, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Diet and Prevention of Oral Cancer.”

TooOldtoStraightenYourSmileNotIfYoureLikeTheseA-ListCelebrities

If you're well past your teen years, you probably have several reasons for not straightening your crooked smile: the expense, the time and the embarrassment of being a 30-, 40- or 50+- something wearing braces. But we have five reasons why adult orthodontic treatment can be a smart choice: Tom Cruise, Kathy Bates, Carrie Underwood, Danny Glover and Faith Hill.

That's right: Each of these well-known entertainers and performers—and quite a few more—underwent treatment to improve a poor dental bite. And not as teenage unknowns: Each on our list wore braces or clear aligners as famous adults (the paparazzi don't lie!).

Here are a few of the reasons why these celebrities chose to change their smile through orthodontics—and why you can, too.

Age isn't a factor. Straightening misaligned teeth isn't reserved only for tweens and teens—there are a growing number of adults well into their middle and senior years undergoing orthodontic treatment. As long as your teeth are relatively sound and your gums are healthy, it's altogether appropriate to undergo bite correction at any age.

A boost to your dental health. Gaining a more attractive smile through orthodontics is in some ways an added benefit. The biggest gain by far is the improvement straightening your teeth can bring to your long-term health. Misaligned teeth are more difficult to keep clean of dental plaque, which can increase your disease risk. They also may not function as well as they should while chewing food, which can affect your digestion.

Traditional braces aren't the only way. If the thought of displaying all that hardware makes you cringe, it's not your only option. One of the most popular alternatives is clear aligners, custom plastic trays that are nearly invisible on your teeth—and you can take them out, too. Another method growing in popularity are lingual braces: All the hardware is behind the teeth and thus out of sight. And you can, of course, opt for traditional braces—just ask Tom Cruise!

Oh, yes—a new smile! Orthodontics was truly the first “smile makeover.” It can improve your appearance all by itself, or it can be part of a comprehensive plan to give you an entirely new look. While the gains to your health are primary, don't discount what a more attractive smile could do for you in every area of your life.

The best way to find out if orthodontics will work for you is to visit us for an initial exam and consultation. Just like our A-list celebrities, you may find that orthodontics could be a sound investment in your health and self-confidence.

If you would like more information about orthodontic treatments, please contact us or schedule an appointment. To learn more, read the Dear Doctor magazine articles “Orthodontics for the Older Adult” and “The Magic of Orthodontics: The Original Smile Makeover.”





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