Posts for: November, 2013

By Craig M. Mize, DDS, PA
November 27, 2013
Category: Oral Health
GiulianaandBillRancicTalkToothDecay

For some kids, having a cavity or two is just part of growing up. Not for Giuliana Rancic. When she was a child, the TV personality didn't have a single cavity — and she still doesn't. But for her husband Bill, co-star of the Style Network reality show Giuliana and Bill, it was a different story. A cavity-prone kid, he was never certain what a visit to the dentist might hold in store. “I can still remember the anticipation,” he recently told Dear Doctor magazine. “I always hoped I would get out of the checkups without a cavity!”

Why do some people get more cavities than others? There are a number of factors at work, but to understand it better, let's look at how tooth decay occurs.

How Cavities Form
Cavities — also called dental caries — are small pits or holes in the teeth that are caused by tooth decay. Tooth decay itself is a chronic disease that can flare up when plaque isn't kept under control. A thin, bacteria-laden film, plaque sticks to tooth surfaces both above and below the gum line, and can build up in the absence of effective oral hygiene.

Of course, everyone has bacteria in their mouth, both “good” and “bad” (pathogenic) types. But when the bad guys outnumber the good, trouble can start. When you consume sweets, plaque bacteria process the sugars and release acid as a byproduct. The acid eats into tooth surfaces, causing decay — and cavities that need filling. Left untreated, decay can work its way into the tooth's pulp, resulting in infection and pain. Eventually, treatment might involve a root canal — or, in the worst case, extraction.

What can you do if you seem to be prone to cavities? One effective way to fight tooth decay is by maintaining good oral hygiene. Brush at least twice daily, for at least two minutes each time. Use a soft-bristled brush and a dab of fluoride toothpaste to clean all around your teeth. Most importantly, floss above and below the gum line, every day. And just as important, don't forget to have regular dental checkups every six months.

A Healthy Balance
Another cavity-fighting strategy is eating a balanced diet. Avoid soda, sugary “energy” drinks and sweet treats — but if you choose to consume sugar, have it with meals instead of between meals. This will give your saliva, which has natural cavity-fighting properties, a chance to work.

“It's all about maintaining a healthy balance,” Giuliana told Dear Doctor. And Bill agrees: “I love nuts and fruit for a healthy snack,” he said, adding that he's meticulous about brushing and flossing. And when the couple smiles, you can see how those healthy habits pay off.

If you would like more information on preventing tooth decay, please contact us or schedule an appointment for a consultation. You can learn more about this topic in the Dear Doctor magazine articles “Tooth Decay” and “Tooth Decay – How To Assess Your Risk.”


By Craig M. Mize, DDS, PA
November 12, 2013
Category: Dental Procedures
Tags: orthodontics   frenectomy  
MinorProcedureCanHelpKeeptheSpaceBetweenTeethClosed

You have a beautiful smile, but with one noticeable flaw — there's a small gap between your two front teeth. It's a common occurrence that can be corrected with orthodontics.

There are a number of causes for this wider spacing, including an excessive overlap bite of the upper teeth over the lower, habits such as tongue-thrusting or finger-sucking, or extra (or even missing) teeth. But one of the most common is the presence of an overly large muscle attachment called a frenum or, as it's sometimes referred to, frenulum. If that's the case, you may need a minor surgical procedure in addition to orthodontic treatment to ensure the space remains closed.

The frenum is the fold of tissue that contains some muscle tissue that connects the gum to the lip. In certain people, a larger than normal frenum may extend further to the front of the roof of their mouth, just behind the teeth, and may also extend lower between the teeth and contribute to the gap. Unless some of this tissue is removed, it can force the teeth apart again after the gap has been closed through orthodontics.

This simple procedure is called a frenectomy. After numbing the area with a local anesthetic, we remove the excess tissue from the frenum extended into the space between the teeth, using either a small scalpel or a special laser. The resulting wound is generally very small and may require only a few stitches, if any. Healing usually takes no more than a week and any discomfort is easily managed by anti-inflammatory medication like aspirin or ibuprofen.

As a general rule, a frenectomy is best performed after the orthodontic treatment so that scar tissue resulting from the procedure won't interfere with the gap closure. With proper dental follow-up, the gap should stay closed — and your new enhanced smile won't fade away.

If you would like more information on treating spaces between teeth, 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 “Space Between Front Teeth.”