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Posts for: May, 2017

ArtificialSweetenersareByandLargeaSafeAlternativetoSugar

Refined sugar is a prime food source for disease-causing oral bacteria. As bacteria consume sugar they produce high levels of acid that over time can erode enamel and leave a tooth vulnerable for decay.

The solution to stopping this vicious process is simple: cut back on eating refined sugar. The reality, though, is a bit more complicated. Many of us seem genetically hard-wired with a “sweet tooth,” perhaps a remnant of our early ancestors' sense that sweet foods were a safe means to obtain energy.

Food manufacturers likewise don't help with making this dietary change — the number of items with added sugar has ballooned over the last several decades. We can trace a lot of this back to the unintended consequences of past government guidelines that called for removing fat from processed foods. But this also removed flavor, so manufacturers began adding sugar (under a myriad of names) to compensate.

Sugar consumption is now a hot health topic for its suspected connection with inflammatory diseases like diabetes and cardiovascular disease, as well as dental health. We now have a love-hate relationship with sugar — we want to show it the door but we can't quite bring ourselves to let it go.

The situation has created a market for artificial sweeteners. The amount and types of sugar alternatives has exploded since saccharine first emerged in the early 1960s. With these increased choices, though, there have also been increased concerns over their health impact, including in the mouth.

This concern has prompted numerous research studies. The conclusion: artificial sweeteners don't adversely affect the health of most people. And, from a dental perspective, artificial sweeteners can have a positive impact on teeth and gum health because unlike refined sugar they don't promote oral bacterial growth.

In fact, one particular sweetener may be even more beneficial to your teeth: xylitol. This sweetener, which comes from a sugar alcohol that oral bacteria can't digest, is often found in chewing gums, hard candies or mints.  In effect, xylitol “starves out” bacteria to help prevent tooth decay.

From a dental perspective, replacing sugar with an artificial sweetener (especially xylitol) can be advantageous. And less sugar could mean more good news after your next dental checkup.

If you would like more information on artificial sweeteners, 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 “Artificial Sweeteners.”


FifthHarmonysCamilaCabelloChipsaToothbutConcertStillWorthIt

Everyone loves a concert where there's plenty of audience participation… until it starts to get out of hand. Recently, the platinum-selling band Fifth Harmony was playing to a packed house in Atlanta when things went awry for vocalist Camila Cabello. Fans were batting around a big plastic ball, and one unfortunate swing sent the ball hurtling toward the stage — and directly into Cabello's face. Pushing the microphone into her mouth, it left the “Worth It” singer with a chipped front tooth.

Ouch! Cabello finished the show nevertheless, and didn't seem too upset. “Atlanta… u wild… love u,” she tweeted later that night. “Gotta get it fixed now tho lol.” Fortunately, dentistry offers a number of ways to make that chipped tooth look as good as new.

A small chip at the edge of the tooth can sometimes be polished with dental instruments to remove the sharp edges. If it's a little bigger, a procedure called dental bonding may be recommended. Here, the missing part is filled in with a mixture of plastic resin and glass fillers, which are then cured (hardened) with a special light. The tooth-colored bonding material provides a tough, lifelike restoration that's hard to tell apart from your natural teeth. While bonding can be performed in just one office visit, the material can stain over time and may eventually need to be replaced.

Porcelain veneers are a more long-lasting solution. These wafer-thin coverings go over the entire front surface of the tooth, and can resolve a number of defects — including chips, discoloration, and even minor size or spacing irregularities. You can get a single veneer or have your whole smile redone, in shades ranging from a pearly luster to an ultra-bright white; that's why veneers are a favorite of Hollywood stars. Getting veneers is a procedure that takes several office visits, but the beautiful results can last for many years.

If a chip or crack extends into the inner part of a tooth, you'll probably need a crown (or cap) to restore the tooth's function and appearance. As long as the roots are healthy, the entire part of the tooth above the gum line can be replaced with a natural-looking restoration. You may also need a root canal to remove the damaged pulp material and prevent infection if the fracture went too far. While small chips or cracks aren't usually an emergency (unless accompanied by pain), damage to the tooth's pulp requires prompt attention.

If you have questions about smile restoration, please contact us and schedule an appointment. You can read more in the Dear Doctor magazine articles “Porcelain Veneers: Strength & Beauty As Never Before” and “Porcelain Crowns & Veneers.”