Dental Express

Should You Pull Your Child’s Tooth?

Child’s Tooth

Should You Pull Your Child’s Tooth: To pull, or not to pull? For many parents of young children, that is the question. At first, a loose tooth may only have a slight wiggle. As your child pushes the tooth around with her tongue, it becomes even more flexible — sometimes you may wonder how it is hanging on. We’ve seen this scenario hundreds of times. In fact, we’ve been through it with our own children! We know how important it is to handle a loose tooth properly because these baby teeth provide a path for permanent teeth to come in correctly.

Should you pull your child’s tooth or take a trip to the dentist to have it removed?

In general, you should never attempt to pull loose tooth by yourself. Firstly, you have to search about how to pull a molar out painlessly. If you see a tooth is loose but still attached don’t do anything otherwise it can easily damage tissue or leave parts of the bone still within the socket. Even worse, this damage could lead to an infection. In fact, most loose teeth will eventually fall out naturally, without having to be forced. We believe the best thing to do is let Mother Nature take its course.

What happens when a baby tooth falls out?

By the time your child is three years old, she should have a full set of 20 primary teeth. When it’s time for the permanent tooth to arrive, the roots of the baby tooth dissolve. This allows it to become loose enough to fall out. The tooth should be able to fall out naturally – and painlessly. This clears a path for the permanent tooth to come in. The American Dental Association has some useful information on when your child’s teeth should erupt. These eruption charts are available on the ADA website.

Is there any time when it is okay to pull your child’s loose tooth?

video on the American Dental Association’s website outlines one way to gently remove a loose tooth. However, before you do so, please be sure that the tooth is very loose or dangling in the socket. Also, make sure that your child doesn’t feel any pain when you apply pressure to the tooth. If your child feels pain, that’s a sign that the roots may not have dissolved enough to safely remove the tooth. Gently take a tissue, wrap it around the tooth and squeeze. The tooth should gently fall away.

Some important points to consider before attempting to remove your child’s tooth

You should NOT pull your child’s tooth if:

  • It is only slightly loose. Teeth like this may still be firmly rooted in the socket.
  • Your child says it hurts every time the tooth is touched or pulled.
  • You haven’t spoken to your kids first pediatric dentistry. We want to give you the information you need to help you determine the best thing to do for your child’s teeth.
  • Pulling it may damage the other teeth beside it.

Not sure what to do about your child’s loose tooth? Speak to us first!

We specialize in treating children of all ages, and we are very familiar with the challenges faced when they lose their baby teeth. If you notice that a tooth is loose, contact us so we can give you information you need and answer any questions. Of course, you know better than to follow the old wives’ tail about tying some floss around the tooth and the other end around a doorknob. Ouch. That makes our mouths hurt just thinking about it! We’re not even go into all the things that are wrong with this scenario, but take it from us; this is one method you should never try. And in case you’re wondering, the going rate for the Tooth Fairy is somewhere between one and five dollars per tooth. __________ Dental Express offers dental care for the entire family, including SmileCorrect, implants, emergency dental care and maintenance services. Our practice features compassionate care coupled with state-of-the-art dentistry at four convenient locations in San Diego: DowntownPoint LomaClairemont and Santee. Contact us to schedule an appointment today. __________

Sources:

American Dental Association. Mouth Healthy. “Removing a Loose Tooth. Online at: http://www.mouthhealthy.org/en/ask-an-ada-dentist/removing-loose-tooth American Dental Association. Mouth Healthy. “Eruption Charts.” http://www.mouthhealthy.org/en/az-topics/e/eruption-charts Dental Health Resource Magazine. “How (and When) to Pull Your Child’s Loose Tooth.” http://yourdentalhealthresource.com/aboutyourdentalhealthresourcemagazine/

Why Does My Tooth Hurt? Four Reasons for a Severe Toothache

Four Reasons for a Severe Toothache
Four Reasons for a Severe Toothache

“Mommy, my tooth hurt!” No parent wants to hear those words. Severe tooth pain is enough to bring many adults to tears — and it’s even worse for children! There are several things that can cause minor toothaches. However, when the pain is severe, there’s a good chance that you have an infected tooth or a serious problem that requires immediate attention. We’ve outlined four of the most common causes of severe toothaches and a symptom checklist. If you’re experiencing any of these, be sure to see your local dentist as soon as possible.

1. A cracked tooth

If you or your child has a sports injury or a nasty fall, you may have a cracked or fractured tooth. But did you realize that you can crack a tooth from something as simple as grinding your teeth? Even a microscopic crack can cause extreme pain. Some teeth may be severely damaged and must be removed.

What causes a cracked tooth?

There are several ways you can crack a tooth. These include:

  • Biting on hard foods or chewing ice can cause your teeth to crack. Be very careful if your children have a fondness for hard candy. It’s one of the main culprits!
  • Uneven chewing pressure can also damage your teeth.
  • If you have undergone endodontic therapy or root canal treatment, your teeth may be somewhat brittle. As a result, they are more susceptible to fracturing or cracking.
  • Accidents or sports injuries that involve a blow to the mouth are the most obvious reasons your tooth could be damaged.
  • Weak tooth structure can also cause problems. If you have had a large cavity filled or other dental restorations, you are at greater risk for a cracked tooth.

What are the symptoms of a cracked tooth?

If you have any of the following symptoms, give us a call:

  • Sensitivity to hot or cold foods
  • Pain that causes you to chew only on one side of your mouth
  • Sharp pain when you bite down on certain foods
  • Sensitivity to sweet or sour food

While these are the most common symptoms, sometimes there are no signs at all. In cases like that, a dental X-ray is necessary to pinpoint the exact location and extent of the crack.

2. An abscessed tooth

Some severe tooth pain may come and go, but pain associated with an abscessed tooth is constant and miserable. You can even feel the pain in your jawbone!

What causes an abscessed tooth?

An abscessed tooth occurs when bacteria infects the dental pulp. The pulp is the soft tissue inside your tooth. Think of it this way: if your tooth was an orange, the peel would be the white outer enamel. This is the part that you see. The pulp would be the soft part of the orange located underneath the peel. The pulp contains blood vessels and nerves, so any infection causes a lot of pain. Bacteria may enter the pulp through a crack or a large cavity.

What are the symptoms of an abscessed tooth?

Symptoms include:

  • Facial swelling
  • Swollen lymph nodes
  • Fever
  • Sensitivity to hot or cold
  • Pain when biting or chewing
  • A severe toothache with pain that may affect the neck, ear, or jaw

You cannot treat an abscessed tooth at home. Even if the pain goes away, you must be treated by a dentist. If not, the infection can spread to your neck or jaw. Without treatment, you may even develop a serious, life-threatening condition called sepsis. Sepsis means the infection is spreading throughout your body.

3. Impacted wisdom teeth

Wisdom teeth can cause a wide range of problems. Often, there is not enough room for these teeth to come in properly, and they become impacted. This means that the tooth is not coming in straight or it’s not in the correct position.

What causes impacted wisdom teeth?

If there’s not enough room in your mouth for your wisdom teeth to come in properly, they’ll become impacted. Impacted wisdom teeth can not only cause pain — they can also damage neighboring teeth. There’s a 75 percent chance that at least one of your wisdom teeth will be impacted. For these reasons, wisdom teeth are typically removed before the age of 24. For more information, you can check out these pictures of the different types of wisdom tooth impactions.

What are the symptoms of impacted wisdom teeth?

First, only a dental X-ray can determine if you have impacted wisdom teeth. Sometimes, there is no indication… until they become a problem. If that’s the case, you may experience:

  • Jaw pain
  • Bad breath or a terrible taste in your mouth
  • Tender gums
  • Swollen jaw
  • Bleeding gums
  • Difficulty opening your mouth

If your wisdom teeth are impacted, it’s important to schedule regular dental X-rays so your dentist can keep a close eye on them.

4. A deep cavity

First, let’s make one thing clear: any cavity can cause pain. However, when you have a very deep cavity, the pain reaches a whole new level.

What causes cavities?

It’s a recipe for dental disaster: sugars + bacteria = acids that attach your teeth. These acids wear away the outer part of your tooth (called the enamel). If they aren’t filled, the cavities may grow and become so deep that they damage the soft inside of your tooth (the pulp).

What are the signs that you may have a cavity?

Some of the symptoms of a deep cavity are:

  • Sharp tooth pain, particularly when eating something sweet, cold or hot
  • Toothache
  • Pain when biting or chewing
  • Sensitive teeth
  • Holes or pits in your teeth

Cavities are much more common in children, so it’s important to teach your children good habits such as brushing and flossing regularly. If you have any questions, let us know. We love working with children and we consider it a privilege to serve your entire family.

How to Soothe Your Tooth Pain Until You Get to Your Dentist

Sometimes, using a hot or cold compress can relieve pain. Often, over-the-counter medication can also help. However, before giving your child over-the-counter medication, be sure you carefully read the label to see if the medication is appropriate for children. Also, be wary of using herbal remedies. These may interact with any prescription or over-the-counter medications you are taking. Make sure your dentist is aware if you are taking these or other natural remedies. We don’t want you to suffer from tooth pain! If you have any of the symptoms described above, we encourage you to take advantage of our walk-in appointments. __________ Dental Express offers dental care for the entire family, including SmileCorrect, implants, emergency dental care and maintenance services. Our practice features compassionate care coupled with state-of-the-art dentistry at four convenient locations in San Diego: Downtown, Point Loma, Clairemont and Santee. Contact us to schedule an appointment today. __________

Sources:

American Association of Endodontists. “Tooth Pain.” Online. American Dental Association. “Do You Have a Cracked Tooth?” Animated Teeth.com. Online. The Mayo Clinic. “Toothache: First Aid.” Online. “Tooth Abscess: Symptoms and Causes.” Online. “Impacted Wisdom Tooth Pain-Symptoms.” Online. “Tooth Decay and Symptoms.”

Could Your Smile Be Better? Answer These Four Questions

On Broadway, Little Orphan Annie proudly sang “you’re not completely dressed without a smile.” But what if your smile doesn’t give you a lot to sing about? A good smile is about much more than looking great—straight, white teeth often indicate good oral health. Of course, it’s also a huge boost to self-esteem. Studies show that those with white straight teeth tend to be seen not only as more attractive, but smarter as well.

how do i get a better smile and straighter teeth

Could your smile be better?

We’ve compiled this useful quiz, along with some practical tips to help you. Print this list, answer the questions, and then show it to one of our Dental Express professionals.

1) Look in the mirror. What color are your teeth?

  • Brown
  • Off white
  • Perfectly white

If your teeth are stained, the biggest offenders are coffee, tea, and tobacco. If you don’t stop using these products, you won’t be able to maintain a white smile—even if you’ve had treatment. Tobacco use is one of the worst things for your health: it not only damages your teeth, but it also increases your risk of oral cancer. There are several Smile Brighter Teeth Whitening options available. While over-the-counter whitening trays are easily accessible, the bottom line is that they aren’t as effective as treatment from your dentist. Even worse, some of these home treatments can cause sensitive teeth, gum irritation or less-than-stellar results. Dental Express offers options such as in-office tooth whitening and customized trays that are specifically designed to fit the shape of your mouth.

2) Are your teeth crooked or misaligned?

In the past, braces were primarily used by junior high and high school students. But now, adults have realized the value of having a straighter smile. Newer technology is making it easier and more affordable than ever. Dental Express offers SmileCorrect, an affordable way to get a straighter smile for only $200 a month. Why are straight teeth so important? Crooked or misaligned teeth make it difficult to floss and clean between teeth. As a result, bacteria accumulate and multiply, leading to plaque. Plaque build up in turn leads to cavities. If cavities are too deep, you may need a root canal.

3) Are any of your teeth chipped or discolored?

A crown is a good way to cover teeth that are discolored, chipped tooth, or cracked teeth. A crown can make your tooth stronger and improve its appearance. Crowns can also be used to attach bridges, protect a weak tooth from breaking or restore one that’s already broken.

4) Do you have missing teeth?

Missing teeth not only present cosmetic dentistry grants concerns: They can also damage healthy teeth. Constant chewing can eventually shift your bite over time, causing healthier teeth to move out of place to fill the gap. Dental implants are a popular and effective way to replace missing teeth. Surgically placed in the upper or lower jaw, they function as a sturdy anchor for replacement teeth. Made of titanium and other materials, implants are designed to hold restorations like Dental Crown and Bridges. Dental implants are a long-term option and also blend in with your other teeth, helping to restore your smile.

Can you afford cosmetic dentistry?

The cosmetic dental crowns may be more affordable than you think. Many dentists offer payment plans. Our SmileCorrect offers low monthly payments with no credit check. Depending on your individual dental insurance policy, some procedures, such as crowns, may even be partially covered. Contact us for more information or to schedule an appointment. Dental Express offers dental care for the entire family, including SmileCorrect, implants, emergency dental care and maintenance services. With two convenient locations in San Diego, our practice features compassionate care coupled with state-of-the-art technology. Contact us to schedule an appointment today.


Sources: Oral Cancer Foundation. “Risk Factors.” Online. American Dental Association. Mouth Healthy. “Ways to Improve Smiles.” Online. American Dental Association. Mouth Healthy. “Crowns.” Online.

4 Ways 3D Printers Give You the Best Smile Possible

4-Ways-3D-Printers-Give-You-the-Best-Smile-Possible4 Ways 3D Printers Give You the Best Smile Possible: Your smile is one of the first things people notice about you. What message is your smile sending? Crooked, misshapen or missing teeth are a blow to your self-esteem. Studies indicate that those with straight, white teeth are 38 percent more likely to be perceived as smart.

Dentistry and 3D Printing

It’s hard to believe that 3D printing was invented almost 30 years ago; yet it has only been in the last four or five years that the technology has been refined. Slowly and steadily, 3D printing innovations are transforming all industries, and dentistry is no exception. Digital 3D printers are becoming more affordable. Previously, medical 3D printers were so expensive, their use was restricted to large hospitals, major dental labs or university dental schools. Now that has changed. Think of it as similar to the way large, flat screen TVs and smart phones have steadily become more affordable. Over the years, the technology has improved and refined, making it easier to create more and more complicated objects. Today, they can reproduce everything from house keys to organ tissue. 3D printing works by taking a scan of what you want to reproduce, sending the scan to the printer, and then using specialized, biocompatible material to print it. While a regular printer produces an image by using a back-and-forth motion, 3D printers utilize a much wider range of motion—side-to-side, front-to-back, and up-and-down. The material is placed layer by layer, creating a product made to exact specifications.

Advantages of 3D Printing

What does this mean for you? It means you can take advantage of the several benefits 3D printing offers:

1. 3D printers enable dental work to be completed on-site without having to send a mold to a lab.

We’ll just come out and say it: Molds are yucky. Taking an impression is time-consuming and uncomfortable. Up until now, that was the best way that a dentist could get an accurate guide. Now, the mouth is simply scanned using a specialized “wand.” The information is fed directly into a computer, which creates a 3D image. This enables the dentist to carefully examine each minute detail, ensuring there are no gaps or inaccuracies.

2. They are much faster –no “goop required!

No one likes to fill their mouths with the sticky goop that typically accompanies creating dental molds. Dental Express uses intra-oral scanning to get a concise view of your mouth. That information is used to create the clear trays that will straighten your teeth. The bottom line is you spend less time in the dental chair and more time showing off your new smile.

3. Incredible detail—3D printers can create accurate replicas down to 6 microns.

How small is that? Well, for comparison, there are roughly 25,400 microns in an inch. A grain of sand from Coronado Beach is somewhere between 100 to 2,000 microns. Pretty amazing, isn’t it? Now imagine how this attention-to-detail can help your smile!

4. Precise retainers and invisible braces

If you have a teenager, chances are braces are in his or her future. The number of North American teens who need some type of orthodontic treatment has nearly doubled to 80 percent. Not only do 3D printers provide the needed trays in record time, but they are also easily replaced if they’re lost.

A new smile is now more affordable than ever!

Now, Dental Express makes it easier and more affordable than ever to get a straight, star-quality smile with SmileCorrect: a clear align therapy where our dentists print trays onsite, tailored to your specifications. This reduces what was once a $5,000 to $8,000 treatment to a total cost of $3,600—requiring only $200 a month for 18 months. Our SmileCorrect treatment has no credit check, charges no interest, and because all trays are 3D printed in house, it’s easier to replace missing or damaged trays. The dentists and health care professionals at Dental Express would love to start you on your journey to a straighter smile! Contact us today!

Sources: Lee, Dan P. “Metal Mouths.” New York Magazine. Online. National Association of Dental Laboratories. “Digital Dentistry: Is 3D Printing Revolutionizing Restorations? Online. Woo, Hee-Sun and Seok-Hun Kim. “A Study on Applying a 3D Printer to Healthcare; Dentistry Area.” Indian Journal of Science and Technology.

The 5 Riskiest Sports for Your Teeth

The 5 Riskiest Sports for Your Teeth: Every sports fan has seen a favorite athlete take a serious tumble, receive an elbow in the face or get smacked with a baseball. While it’s one thing to see these unfortunate incidents play out on ESPN, it’s a different matter when you, your son or your daughter is the one facing an injury. While mouthguards remain one of the best ways to reduce the risk of sport-related dental injuries, they are worthless if not used. In one survey conducted by the American Association of Orthodontists, a staggering 67 percent of parents admitted that their child didn’t always wear a mouthguard when playing sports. If that isn’t alarming enough, how about this: Out of the 7 million recreation-related injuries each year, more than half are sustained by children as young as five.

five-riskiest-sports-for-your-teeth

When should you wear a mouthguard?

Granted, each sport has its risks and rewards, and if you’re not wearing a mouthguard–or using one ineffectively–any activity can pose a greater risk to your teeth. You should always wear a mouthguard for the following sports:

  • Basketball
  • Boxing
  • Equestrian sports
  • Track and field events
  • Field hockey
  • Football
  • Gymnastics
  • Handball
  • Ice hockey
  • Inline skating
  • Lacrosse
  • Martial arts
  • Racquetball
  • Rugby
  • Soccer
  • Softball
  • Squash
  • Volleyball
  • Water polo
  • Wrestling
  • Any extreme sport

Sound like a lot? It is. But remember that the National Youth Sports Safety Foundation estimates that in any given year, 3 million teeth are knocked out during organized sporting events.

The 5 Most Dangerous Sports for Your Teeth

However, out of the list above, there are several “repeat offenders: — the sports most likely to result in a dental injury. We count down the top five, and number one may surprise you.

5. Skateboarding and Other “Thrill Seeking” Sports

This category includes snowboarding and skiing. While these do not involve any contact with opponents, a carelessly planned maneuver can result in contact with the pavement.

4. Boxing, Wrestling, and Marital Arts

It makes sense that if your opponent is throwing a punch at your face, he or she may take out a few incisors with it. Some studies show that more than 50 percent of wrestlers interviewed reported some type of dental injury. Because many of these sports, including martial arts, require the use of mouthguards, dental injuries are not as common as they could be.

3. “Ball and Stick” Games

These include baseball, hockey, lacrosse, and any game involving striking a ball with a stick or bat. While these games may actually account for a larger number of injuries, these injuries are generally not as severe because many of them, such as hockey and lacrosse, require players to wear mouthguards and other protective gear.

2. Football

You’re surprised it isn’t number one, aren’t you? At some point, it probably was. In the 1950s, prior to widespread mouthguard use, 54 percent of football injuries involved teeth. Fast forward 60 years, and the dental injury rate is around 2.8 percent.

1. Basketball

If you’ve ever played a pickup game at Ward Canyon Park or watched the San Diego State Aztecs face an opponent, you understand that basketball is a “no-contact sport” in name only. In one study, men’s basketball counted for roughly 10.6 injuries per 100 athletes—more than three times the amount by football. Women’s basketball also had an exponentially higher rate of injury at 5 incidents per 100 athletes. Next time you watch a professional or college game, take a look at how many athletes are wearing mouthguards. They aren’t used as often as they are in football. In fact, an alarming number of collegiate basketball players have unprotected teeth!

Be prepared for dental emergencies.

It’s also important to know exactly what to do in case of an injured tooth or dental emergency. Of course, before you or your child begins any sport, talk to your dentist about the importance of mouthguards. While they are easily available, the most effective ones will be customized to fit the exact shape of your mouth. Whether you’re a point guard on the varsity team or you’re a weekend warrior, speak to your family dentist about what type of mouthguard would be right for you. Dental Express offers dental care for the entire family, including SmileCorrect, teeth implants san diego, emergency dental care and maintenance services. Our practice features compassionate care coupled with state-of-the-art dentistry at four convenient locations in San Diego: Downtown, Point Loma, Clairemont and Santee. Contact us to schedule an appointment today.


Sources: American Dental Association. “Mouthguards.” Online. American Dental Association. “Play It Safe: Prevent Facial Injuries with Simple Sports Safety Precautions.” Online. American Dental Association. “Do You Need a Mouthguard?” Online. Incident Journal of the American Dental Association. Online. Knowlton, Rick, DMD, MAGD, et. al. “Sports-Related Dental Injuries and Sports Dentistry.” Online. Petruska, Susan, DMD, AACD and Jesisca Forestier. “Dental Injfuires from Sports Trauma: Review and Case Study.” Journal of Cosmetic Dentistry.” Schonbrun, Zach. “N.C.A.A. Players Ignore Advice on Mouth Guards, Often at Their Own Peril.” New York Times. Online.

Dental Insurance: Use It or Lose It

You’ve had a rough week and want to order take-out. You call the restaurant and clearly ask for a side order of steamed dumplings. The order arrives and you pay the delivery man (or you may have already paid on line through a credit card). You sit down to enjoy your meal after a crazy week at work. What? No dumplings. You’re not only disappointed, but you’re miffed because you’ve PAID for those dumplings. You call the restaurant to be sure they make this right. If you’re that upset over paying for food you didn’t receive, why aren’t you worried over using dental benefits you’ve paid for but not used? Not using your dental insurance is throwing your money away. While there is a lot of deviation among plans, most will pay for two cleanings per year. These cleanings are vital because your dental hygienist can clean your teeth in hard- reach places that your toothbrush and floss can’t go. It’s understandable that it can be difficult to navigate the maze of dental insurance. You may wish to take a look at some of the more common terms used in insurance. We also like to let our patients know that their benefits for the calendar year are about to expire. Remember, if you haven’t used your two cleanings by Dec. 31, you lose them for that year.

dental-insurance-use-it-or-lose-it

Americans with Dental Benefits

Most Americans –roughly 92 percent– get their dental benefits through an employer or groups such as AARP. Many others get dental insurance through other programs such as Medicaid. While more Americans have dental coverage than they did in the past, many do not take advantage of it. Studies reveal that Americans with dental insurance are more likely to go to the dentist, and to take their children to the dentist. The result is not only good dental health, but freedom from a variety of other health problems that are related to poor oral hygiene. But despite these obvious benefits, Americans are still skipping annual dental appointments. And children have a better track record of have regular checkups than adults.

According to the Centers for Disease Control:

  • 83 percent of children aged 2-17 have received a dental visit in the last year.
  • Of those age 18-34, just a little more than half (62 percent) have seen the dentist in the last year.
  • Of those over 65, 62.4 percent have seen a dentist in the last year.

Clearly, there is some room for improvement.

Remember: Dental health impacts regular health.

You may be surprised to learn that unhealthy teeth can contribute to disease such as heart disease, diabetes, osteoporosis and infection of the heart lining. Sleep apnea, a condition where you stop breathing repeatedly during the night, increases your risk of stroke, high blood pressure and heart disease. One of the most confusing aspects of dental benefit plans is the vocabulary. If you don’t understand the language, you can’t understand your benefits.

Here are some commonly used terms:

Contract term: The length of time for your insurance–usually 12 months. Deductible: The amount you have to pay before your insurance will pay for services. For example, if you have a $50 deductible, it means you will have to pay $50 out-of-pocket before your insurance will pay their part. Coinsurance: This is what you have to pay after you reach your deductible. For example, suppose Cindy has a $50 deductible and 20% coinsurance. This means that after she pays $50 for dental services, her insurance policy will pay 80% for services. After she reaches her deductible, she is responsible for paying 20% of her bill. Yearly maximum: Unlike most health insurance plans, a dental insurance yearly maximum refers to the maximum amount of money the dental insurance policy will pay during the benefit year, not the maximum out of pocket to be paid by the patient. Exclusions: Services that are not covered. Still confused? Don’t worry. Our professionals are happy to help you navigate through the sometimes confusing maze of dental insurance. Schedule an appointment today.

Would You Let a Barber Pull Your Teeth? A Brief History of Dentistry

Hesy-Re would be amazed, to say the least. If his name doesn’t ring a bell, it’s because he lived around 2600 BC, and is commonly considered the first dentist. Hesy-Re was an Egyptian scribe. The inscription on his tombstone sang his praises as “the greatest of those who deal with teeth, and of physicians.” Don’t forget the ancient Sumerians–they made contributions to the dental field by documenting some of the first cases of tooth decay … although we have to deduct points because they thought cavities were caused by creatures called “tooth worms.” Could you imagine Hesy-Re or the ancient Sumerians walking into a modern dental office? Even in the last ten years, scientific advancements have taken dentistry to a whole new level. Intraoral scanning allows dentists to configure the exact shape of your teeth and make accurate impressions without the need for “goop.” Three-dimensional printing allows dental trays to be created on site, without the need to send them out to a lab. To truly appreciate what we have, it’s helpful to look at where we’ve been:brief-history-of-dentistry

Another reason it’s called the “Dark Ages”

Dentists weren’t called dentists in 13th century France. If you wanted to practice your profession, you’d need to head to the Guild of Barbers. There were two types of barbers: surgeons who performed complex operations, and lay barbers who practiced bleeding and painless tooth extractions… and could also give you a shave and a haircut. Toothache pain was relieved by herbal plant products, beer and wine. Monasteries and private gardens were full of various plants that served as remedies, gleaned from knowledge exported from Eastern and Arabic cultures.

“The bridges are coming!”

“Listen my children, and you shall hear of the midnight ride of Paul Revere…” Longfellow’s poem celebrating this American patriot leaves out some information you may find interesting. In addition to being an excellent silversmith, Revere also offered services as a dentist, as evidenced in a Boston newspaper around 1768. Silversmiths like Revere frequently created bridges and other dental appliances. In addition, you could say Revere was one of the first American “CSI’s.” He identified the body of a friend who died in battle by recognizing the dental bridge he created for him. It’s the first known case of dental forensics.

Other landmark achievements

Pain-free dentistry had its infancy thanks to William Morton, who first successfully used ether anesthesia for surgery in 1846. (We’d have to wait another 59 years for Novocain, invented by German chemist Alfred Einhorn.) The drills used in dental practice were created by James Morrison in 1871. This meant diseased enamel could be easily removed and then filled. The 20th century ushered dentistry into the modern era, including techniques for the osseointegration of dental implants. This is a process by which bone attaches itself to the implant.

That was then, this is now

Perhaps it’s not so much the technological innovations that have made such a difference—after all, our lives are filled with better and faster technology every day—but the speed at which these technologies are utilized by local dentists. In 1950, it may have taken 10 or 20 years for a new technology to take hold and find its roots in your neighborhood dental office. Now, it doesn’t take long for innovations to quickly arrive in the modern dental office. One of the latest milestones is the use of computer-aided manufacturing and design (CAM/CAD). As speed and precision in this technology has advanced over the last two decades, we now have substantial improvements to the point where dentists can make precise, high-quality restorations faster and more accurately. In many instances, this means producing them in-house without needing to send them to the lab. Three – dimensional printing has enabled dentist to offer services for a much lower cost. It’s wonderful that technology has made so much dental advancement possible. Where are we headed next? We can’t wait to find out.


Sources American Dental Association. “History of Dentistry Timeline: Ancient Origins.” Online. Koenigsberg, DDS and Mason Kostinsky. “Tech Revolution in Dentistry – Are You Ready?” Dental Economics. Online. Potincy, Daniel J. et. al. “CAD/CAM In-office Technology.” The Journal of the American Dental Association, Volume 141, 5S – 9S. Wisby, Gary. “Pain and Suffering of Toothache in the Dark Ages of Dentistry.” UIC News Center: University of Illinois. Online.

Did George Washington Have Wooden Teeth? A Brief History of Dentures

A Brief History of Dentures

Did George Washington Have Wooden Teeth: We cannot tell a lie— there are a lot of myths and legends celebrating our country’s first president. Even the lovely anecdote about chopping down the cherry tree is of questionable accuracy. One thing is true—18th century dentistry left a lot to be desired. When Washington was president, he had only one natural tooth left and had a set of dentures. These dentures were made of several materials, but wood was not one of them. By taking a look at the fascinating history of dentures, we can appreciate the marvel of modern dental technology.

What were Washington’s teeth made from?

Despite the lack of sophisticated general dentistry, neither Washington nor any others at the time had wooden teeth. Wood was not a practical building material. Dentures at the time were made using a combination of ivory, bone, lead, cow teeth and even human teeth. That may sound bizarre, but it was not unusual at the time for people to buy and sell human teeth. Washington’s teeth were primarily made of ivory. Some historians believe Washington’s fondness for dark wine caused the ivory to heavily stain, giving the impression that the teeth were made of wood. You can even view a picture of them at the Smithsonian website.

Brief history of dentures

As far back as 166 AD, the Etruscans— an ancient civilization in Corsica, Italy–were creating dental gold crowns and bridges as a primitive precursor to dentures. Wooden dentures did exist—they just weren’t worn in Washington’s time. In the 16th century, Japanese craftsmen created wooden dentures that were meticulously carved to match a beeswax impression taken of the patient’s teeth. The first evidence of general dentistry and dentures arose from Frenchman Pierre Fauchard, who wrote a comprehensive book on dental treatment in 1723. It included the first instructions on creating and placing dentures. In 1789, Nicolas Dubois de Chemant of France received the first patent for porcelain teeth. A breakthrough in denture creation arose in 1864 by Charles Goodyear (does that name ring a bell?) Goodyear invented vulcanization, a process that hardens rubber. The resulting material was called vulcanite and could easily be molded into the mouth, creating a more comfortable base for dentures. Vulcanite was affordable and paved the way for future denture development. Today, modern dentures have an acrylic or metal base complemented with acrylic teeth and gum tissue—a far cry from wood, ivory and animal teeth!

Who needs dentures?

Dentures are a good solution for those who have lost several teeth. They do much more than help with eating—they help speech, improve appearance, and support the lips and facial muscles. They also help with speech, appearance and digestive health. Dentures are also a great help for tooth injuries if the emergency has caused several teeth to be knocked out or there was extensive damage.

Common causes of tooth loss include:

There are two main types of dentures.

  • A complete denture is a customized, molded mouthpiece that fits the upper and/or lower jaw. These teeth are created to specifically fit comfortably against the gum tissue. They replace all of the teeth.
  • A partial denture is used to replace several missing teeth, but not all teeth. They are ideal for patients who may be missing only one type of teeth—such as all the back teeth or all the front teeth.

Your family dentist has the answer

George Washington may not have had much to smile about –at least, when it came to his Perfect Smile Dentures—but today’s dental patient has more options than ever to create comfortable dentures. They can even be adjusted to create the exact shape and shade of the teeth you desire. Your dentist can answer any questions you have and help you evaluate options and even work out a payment plan.


Sources: Academy of Osseointegration. “Common Causes of Tooth Loss.” Online. American Dental Association. “History of Dentistry Timeline.” Online. Moriyama, N., & Hasegawa, M. (1987). “The history of the characteristic Japanese wooden denture”. Bulletin of the History of Dentistry 35 (1): 9–16. Schultz, Colin. Smithsonian Magazine. “George Washington Didn’t Have Wooden Teeth—They were Ivory.” Online.

The 5 Most Common Problems Created by Impacted Wisdom Teeth

the-5-most-common-problems-created-by-impacted-wisdom-teeth

In the time before modern dentistry, wisdom teeth were essential. Lack of good dental hygiene led to extensive tooth loss. So when it came time for these third molars to emerge in the back of the mouth, there was plenty of room to welcome them. Today, dental technology is more advanced than ever, and adults are able to repair and keep more teeth than they were even only 50 years ago. The wisdom teeth, however, are now problematic. Often, removal is necessary to prevent problems, especially if they are impacted.

What has impacted wisdom teeth?

Wisdom teeth typically emerge between the late teens and early 20s. While some people are born without wisdom teeth, the majority have four— two on the top and two on the bottom. When they grow in at an awkward angle or if there is not enough room for them, they become impacted. Roughly 60 to 70 percent of all wisdom teeth will be impacted. Your family dentist can monitor your growing wisdom teeth and track their growth through regular dental X-rays. If there is a problem, the teeth may need to be removed.

What are the impacts of wisdom teeth symptoms?

Sometimes, impacted wisdom teeth don’t cause any symptoms, and the only way your dentist knows they are impacted is by examining your regular dental X-rays. However, as they progress, they can cause problems such as:

  • Jaw pain
  • Swelling, particularly around the gums or around the jaw
  • Bleeding gums (though be aware that bleeding gums is also a symptom of periodontal disease)
  • Bad breath
  • Difficulty opening your mouth
  • An unpleasant taste in your mouth

There are four different ways wisdom teeth may be impacted.

You may hear your dentist use these terms when describing them:

  • Mesial impaction The tooth is angled too far toward the front of the mouth. This is the most common type of impaction.
  • Vertical impaction These teeth are coming in fairly straight, but there isn’t enough room in the mouth to accommodate them.
  • Horizontal impaction Teeth that are horizontally impacted are lying on their side.
  • Distal impaction Distally impacted teeth are tilted toward the back of the mouth.
  • Soft tissue impaction This occurs when the tooth has erupted through the gum.
  • Bony impaction When the tooth is still within the bone but has emerged through the gum, it’s a bony impaction.

What are the 5 most common problems caused by impacted wisdom teeth?

Often, you may not realize the issues your wisdom teeth have created until it’s too late. These problems include:

  1. Damage to other teeth Crooked wisdom teeth can “crash” into the roots of neighboring teeth, causing structural problems.
  2. Damage to other teeth Crooked wisdom teeth can “crash” into the roots of neighboring teeth, causing structural problems.
  3. Pain Pain, swelling and a stiff jaw are symptoms of an impacted wisdom tooth.
  4. Gum infections If the wisdom tooth has started to break through the gum line, bacteria can easily seep through this opening, setting the stage for a gum infection.
  5. Extensive tooth decay Impacted wisdom teeth crowd teeth around them, trapping food particles in these hard-to-reach areas. The result is extensive tooth decay in areas where it’s difficult to floss or brush.
  6. Cyst Impacted wisdom teeth can create a cyst that damages the bone supporting teeth and the roots of neighboring teeth.
  7. Bad smelling breathe 
  8. Having complications while opening mouth 
  9. Pain in jaws 
  10. Swollen and red gums 
  11. Experiencing a bad taste in the mouth that will not vanish even after thorough brushing or flossing 
  12. Tender or bleeding gums

Benefits of Wisdom Teeth 

There are numerous benefits of keeping wisdom teeth, but the most common is how it prevents dental problems. The empty socket from the removed wisdom tooth often causes bone loss over time.

It is because of a lack of chewing stimulation that leads to structural changes in the face and mouth. So, retaining or maintaining wisdom teeth helps you keep your facial aesthetics and prevent severe dental problems.

Do you know where your wisdom teeth are?

If you’ve not had a regular dental visit or routine X-ray, you may be unaware that your wisdom teeth are impacted, particularly if you’re not showing any symptoms.  Your local dentist can keep a close eye on your wisdom teeth pain relief and help you determine if removing them would be the best course of action. If you’ve not had a regular dental visit in a while, you should schedule one, particularly if you have dental insurance. Most dental coverage will pay for biannual checkups. Dental Express offers dental care for the entire family, including SmileCorrect, implants, emergency dental care and maintenance services. Our practice features compassionate care coupled with state-of-the-art dentistry at four convenient locations in San Diego: Downtown, Point Loma, Clairemont and Santee. Contact us to schedule an appointment today.


Sources: American Dental Association. “Wisdom Teeth.” Online. The Mayo Clinic. “Wisdom Teeth” Online. Animated teeth. “Wisdom Teeth.” Online.

Tooth Trivia: Test Your Knowledge with This Quiz

Tooth Trivia - Test Your Knowledge with This Quiz

Tooth Trivia: Test Your Knowledge with This Quiz: Do you know which teeth are used for tearing food or how often you should brush? When it comes to your teeth, there are several fascinating facts. The more you understand about them, the more you learn about how to take care of them. Take this quiz to see if your knowledge deserves a “crown.” Answers are at the end of this post.

1. How many teeth do adults have?

2. True or False: The best way to clean your teeth is to use an up-and-down or side-to-side motion.

3. To brush your teeth effectively, you should hold your brush at this angle (select one)

a. 90 degrees b. 45 degrees c. 100 degrees

4. True or False: Brushing too much can harm your gums.

5. Can chewing gum help prevent cavities?

6. These are the largest teeth:

a. Incisors b. Molars c. Wisdom teeth

7. True or False: While regular sodas damage teeth, diet sodas do not.

8. How long should you brush your teeth?

a. Five minutes b. One minute c. Two minutes

9. The first toothbrush with bristles was made in what country?

a. United States b. Egypt c. China d. Denmark

10. True or false: Dental enamel is the hardest substance in the human body.

11. If your tooth trivia is accidentally knocked out, you should put it in this and get to the dentist immediately:

a. Milk b. Orange juice c. A damp paper towel d. Pudding

12. Germans in the Middle Ages thought kissing this would cure a toothache:

a. A statue b. A tree c. Your true love d. A donkey

13. Just for fun: How many teeth do chicken have?

Answers: 1. 32 2. False, it’s best to brush in a circle. 3. You should hold your brush at a 45-degree angle. 4. False, although brushing the wrong way can cause problems, including receding gums. 5. Yes, if the gum is sugar-free. Chewing gum increases the flow of saliva, which in turn, helps fight cavities. 6. B- Molars. Molars are used for grinding food. 7. False. The acidic nature of soda causes extensive tooth damage. 8. C-Teeth should be brushed for two minutes. However, on average, Americans only brush their teeth for 45 seconds! 9. C. The first bristled tooth brush was made in China around 1498. 10. True, although that doesn’t mean you shouldn’t take care of it. Although enamel is hard, it can chip or crack easily. 11. A- Milk. If your tooth is knocked out and you can’t place it back in its socket, put the tooth trivia in milk and get to your dentist as soon as possible. 12. D- A donkey. No worries, your dentist will never ask you to do this. 13. Chickens, like several other birds, don’t have teeth. Of course, these are only a few of the fascinating facts about your teeth. Here’s another tidbit of information: if you have dental insurance and don’t take advantage of it, not only are you losing money, but you’re placing your teeth at risk. Remember to see a dentist twice a year. He or she can monitor your oral health and create a treatment plan to address any problems or concerns. Dental Express offers dental care for the entire family, including SmileCorrect, implants, emergency dental care and maintenance services. Our practice features compassionate care coupled with state-of-the-art dentistry at four convenient locations in San Diego: Downtown, Point Loma, Clairemont and Santee. Contact us to schedule an appointment today.


Sources: University of Rochester Medical Center. “Brushing Up on Healthy Teeth.” Online. American Dental Association. “Quiz Time.” Online. American Dental Association. “Test Your Knowledge.” Online. The Library of Congress. “Everyday Mysteries.” Online. Wisconsin Dental Association. “Sip All Day, Get Tooth Decay.” Online.