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Posts for: May, 2019

HowShawnMendesandMileyCyrusGotTheirStellarSmiles

The 2019 Grammy Awards was a star-studded night packed with memorable performances. One standout came from the young Canadian singer Shawn Mendes, who sang a powerful duet of his hit song "In My Blood" with pop diva Miley Cyrus. But that duo's stellar smiles weren't always quite as camera-ready as they looked that night.

"I had braces for four and a half years," Mendes told an interviewer not long ago. "There's lots and lots and lots of photo evidence, I'm sure you can pull up a few." (In fact, finding one is as easy as searching "Sean Mendes braces.")

Wearing braces puts Mendes in good company: It's estimated that over 4 million people in the U.S. alone wear braces in a typical year—and about a quarter of them are adults! (And by the way: When she was a teenager, Miley Cyrus had braces, too!)

Today, there are a number of alternatives to traditional metal braces, such as tooth-colored braces, clear plastic aligners, and invisible lingual braces (the kind Cyrus wore). However, regular metal braces remain the most common choice for orthodontic treatment. They are often the most economical option, and can be used to treat a wide variety of bite problems (which dentists call malocclusions).

Having straighter teeth can boost your self-confidence—along with helping you bite, breathe, chew, and even speak more effectively. Plus, teeth that are in good alignment and have adequate space in between are easier to clean; this can help you keep your mouth free of gum disease and tooth decay for years to come.

Many people think getting braces is something that happens in adolescence—but as long as your mouth is otherwise healthy, there's no upper age limit for orthodontic treatment. In fact, many celebrities—like Lauren Hutton, Tom Cruise and Faith Hill—got braces as adults. But if traditional braces aren't a good fit with your self-image, it's possible that one of the less noticeable options, such as lingual braces or clear aligners, could work for you.

What's the first step to getting straighter teeth? Come in to the office for an evaluation! We will give you a complete oral examination to find out if there are any problems (like gum disease or tooth decay) that could interfere with orthodontic treatment. Then we will determine exactly how your teeth should be re-positioned to achieve a better smile, and recommend one or more options to get you there.

If you have questions about orthodontic treatment, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “The Magic of Orthodontics” and “Lingual Braces: A Truly Invisible Way to Straighten Teeth.”


By Dewitt Family Dentistry
May 19, 2019
Category: Dental Procedures
RootCanalTherapyMightJustSaveYourTooth

May is National Save Your Tooth Month, and tooth decay is a leading cause of lost teeth. It all begins with oral bacteria growing rapidly in built-up deposits of dental plaque, and in turn producing high levels of acid. At these levels, acid can erode the minerals in tooth enamel to create holes (“cavities”) that allow bacteria to enter the tooth and infect it.

If at all possible, we need to try to stop tooth decay early by disinfecting and filling these cavities. If not, decay can spread through the teeth to the underlying nerve (pulp) tissue, following passageways known as root canals. If this happens, the chances for saving the tooth are extremely low.

But if the decay does reach the tooth’s innermost layer—the pulp—filling the cavities won’t be enough. Decay this advanced requires a procedure known as root canal therapy, or a root canal for short.

If you winced a little, it’s understandable: Root canals have gained an unfair reputation as an unpleasant experience. In reality, a root canal performed by a skilled dentist or endodontist (a specialist in root canals) isn’t painful. In fact, if you come in with a painful tooth, you’re very likely to leave after the procedure without any pain.

Root canal procedures can vary depending on the type of tooth and the intricacy of its root canal network. Essentially, though, we remove the diseased pulp tissue, and then clean and fill the empty pulp chamber and root canals. This stops the infection and, along with sealing and crowning the tooth, helps prevent a future re-infection.

How do you know if you need a root canal? You may find out from us if we discover advanced decay during a checkup or cleaning appointment. But you may encounter signs yourself like a throbbing toothache, pain during and after eating and drinking, or gum tenderness around a tooth. These are all possible indications of tooth decay.

If you experience any of these signs, you should see us as soon as possible for an examination. And don’t cancel your appointment if the pain goes away—this could simply mean the nerves in the pulp have died and are no longer transmitting pain signals. The infection, though, could still be there and continuing its rampage beyond the tooth and into the surrounding bone tissue.

Root canal therapy may not seem glamorous, but it’s an excellent option for a diseased tooth that would otherwise have to be removed. A root canal could get rid of your pain and give your troubled tooth a new lease on life!

If you would like more information about treating advanced tooth decay, please contact us or schedule an appointment for a consultation. To learn more, read the Dear Doctor magazine articles “Common Concerns About Root Canal Treatment” and “Root Canal Treatment: What You Need to Know.”


By Dewitt Family Dentistry
May 09, 2019
Category: Oral Health
Tags: jaw pain   tmj disorders  
JawJointDisordersandFibromyalgiaIsThereaConnection

Every May, the National Fibromyalgia & Chronic Pain Association asks people around the world to spread awareness of fibromyalgia and other chronic pain conditions. Anyone with fibromyalgia and its associated joint and muscle pain knows all too well how chronic pain can disrupt everyday life. And as we see frequently in the dental office, people contending with the jaw pain and dysfunction associated with a temporomandibular joint disorder (TMD) can equally relate.

But here’s the kicker—if you’ve been diagnosed with either TMD or fibromyalgia, there’s a good chance you’re also dealing with both conditions. For example, in one recent survey of over a thousand TMD patients, two-thirds reported also having fibromyalgia or similar kinds of health issues. Researchers are looking intently at possible connections between TMD and fibromyalgia since understanding any potential link between the two might open the door to new ways of treatment.

Fibromyalgia patients experience frequent muscle spasms and fatigue throughout their bodies, coupled with other problems like sleeplessness and memory difficulties. Most researchers today believe it’s caused by a malfunction within the central nervous system (CNS) to process pain. Those working with TMD research are also considering whether the same type of malfunction contributes to jaw joint pain and dysfunction.

TMD is an umbrella term for various disorders involving the jaw joints and associated muscles. When you come to the dental office, it is important that we know about any TMD pain you may be experiencing because this can affect your dental visits. For example, people with TMD may have trouble holding their mouth open for an extended period of time, so we can adjust dental exams and treatments accordingly. Also, we will want to look for underlying dental conditions that may have contributed to your TMD.

If you’re experiencing both TMD and fibromyalgia symptoms, be sure you let us as well as your rheumatologist know the various symptoms you’re experiencing with each condition, the treatments you’re undergoing and the medications you’re taking.

For TMD in particular, here are a few things you can do to reduce its impact on your daily life:

  • Avoid foods that require heavy chewing or jaw widening;
  • Use thermal therapies like warm compresses or ice packs to ease jaw stiffness and pain;
  • Practice relaxation techniques to reduce stress in your life;
  • Ask about muscle relaxants or other medications that might help.

You may find that some of these practices, particularly stress reduction, are also helpful in managing fibromyalgia. And if there is a deeper connection between TMD and fibromyalgia, unraveling the mystery could hopefully lead to even greater relief for both.

If you would like more information about managing your symptoms, please contact us or schedule an appointment for a consultation. To learn more, read the Dear Doctor magazine articles “Chronic Jaw Pain and Associated Conditions” and “Fibromyalgia and Temporomandibular Disorders.”