Posts for: June, 2014
Everyone knows that football players and boxers wear mouthguards to protect their teeth from injury — in fact, it's thought that this essential piece of protective gear was first developed, around a century ago, for the latter sport. But did you know that many other athletic activities carry a high risk of dental injury?
How much do you know about dental injuries in sports? Take this quiz and find out!
True or False: Of all sports, baseball and basketball are associated with the largest number of dental injuries.
True. While these games aren't categorized as “collision” sports, the damage caused by a flying elbow or a foul ball may be quite traumatic. Tooth damage or loss can create not only esthetic problems, but also functional problems, like difficulty with the bite. Missing teeth can also be expensive to fix — running up a lifetime tab of some $10,000 - 20,000 if they canâ??t be properly preserved or replanted.
True or False: In general, oral-facial injuries from sports decline from the teen years onward.
True. Sports-related dental injuries, like other trials of adolescence, seem to peak around the teenage years. It's thought that the increased skill level of participants in the older age groups reduces the overall incidence of injury. But there's a catch: when dental injuries do occur in mature athletes, they tend to be more serious. So, protecting your teeth while playing sports is important at any age.
True or False: Over 80% of all dental injuries involve the upper front teeth.
True. For one thing, the front teeth areâ?¦ in front, where they can easily come in contact with stray objects. An individual's particular anatomy also plays a role: The more the front teeth “stick out” (referred to as “overjet” in dental parlance), the more potential for injury. In any case, theyâ??re the most likely to be damaged, and most in need of protection.
True or False: Your chance of receiving a dental injury in non-contact sports is very slim.
False. Even “non-contact” athletes moving at high rates of speed can be subject to serious accidents. Activities like bicycling, motocross, skateboarding, skiing and snowboarding all carry a risk. The accidents that result can be some of the most complicated and severe.
True or False: An athlete who doesn't wear a mouthguard is 60 times more likely to suffer harm to the teeth.
True. This figure comes straight from the American Dental Association. So if you want to reduce your chance of a sports-related dental injury, you know what to do: Wear a mouthguard!
What's the best kind of mouthguard? Like any piece of sports equipment, it's the one that's custom-fitted just for you. We can fabricate a mouthguard, based on a precise model of your teeth, that's tough, durable and offers the best level of protection. And, as many studies have shown, that's something you just can't get from an off-the-shelf model.
If you have concerns about sports-related dental injuries and their prevention, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Athletic Mouthguards” and “An Introduction to Sports Injuries & Dentistry.”
For years the main approach to treating tooth decay (or caries) could best be described as “drill and fill” — remove the decayed tooth material and fill the resulting cavity. But a new approach has come to prominence that addresses not only the results of decay, but seeks to identify and treat the underlying conditions that caused the decay in the first place, and may continue to infect other teeth.
This approach is known as Caries Management By Risk Assessment or CAMBRA. Rather than a “One Size Fits All” approach, CAMBRA individualizes treatment and prevention options by first assessing your own individual risk for tooth decay.
We base this assessment on what might be called the Caries Balance. On one side are factors that increase your risk of tooth decay, easily remembered by the acronym BAD: Bad bacteria that produces acid; Absence of healthy, functional saliva that neutralizes the effects of acid; and Dietary habits that are heavy with sugars, acids and between meal snacking. On the other side are protective factors that reduce your risk, known as SAFE — Saliva and sealants that protect the surfaces of teeth; Antimicrobials that help rid the mouth of bad bacteria; Fluoride, which strengthens teeth against de-mineralization caused by acid; and an Effective diet.
The assessment first involves a survey of questions about your hygiene habits, dental history and lifestyle: Do you brush twice and floss once daily? Do you live in a fluoridated area or use fluoride mouth rinse? Do you smoke? Have you had frequent cavities in the past? These and other questions, along with a complete dental exam and acid level testing, can give us a more accurate understanding of your risk and how best to incorporate treatment that reduces it even further.
Using CAMBRA, you and our dental team develop a true partnership that actually transforms your dental health from simply treating existing caries, to preventing future occurrences.
If you would like more information on the CAMBRA approach to caries prevention, 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 “Tooth Decay: How to assess your risk.”
Advancements in dentistry have created an abundant source of treatments for restoring health and vitality to diseased teeth and gums. Unfortunately, not all of these treatment options may be in your financial reach. Fortunately, there are some affordable restorative options, as well as cost-effective treatments that could buy you time until you can afford a more permanent solution.
Your first step is a dental examination to evaluate your current oral health and possible future treatment needs. If you’re not already showing symptoms of tooth decay or gum disease, we would evaluate your probable risk for future disease development. Risk assessment enables us to recommend a prevention strategy that is relatively inexpensive and may save you on more expensive dental procedures in the future.
If the examination reveals some current problems, it may be necessary to prioritize. Painful or abscessed teeth are a dental emergency and should be treated as soon as possible. Other conditions, like mild gum disease would be next in line; however, a word of warning: the longer you postpone treatment for many of these conditions, the greater the likelihood of subsequent bone and tooth loss, which will lead to more extensive — and expensive — treatment.
There are also new alternatives to traditional treatments that are less costly but still have many of the benefits. For example, less-costly glass — or resin-based fillers are becoming a popular option for restoring decayed or damaged teeth. Though not quite as durable as more expensive options, these new materials are life-like in appearance and work well on repair sites on non-biting surfaces.
You should also look to one other resource for managing the costs of dental care — us, your dental team. While we want your teeth and gums to be as healthy as possible, we also understand “wallet” issues. We can work with you on financial matters to ensure you’re getting the effective care you need, including payment plans for more expensive treatment processes, working with your dental insurance plan, and recommending affordable treatment options.
The key is to develop a long-term care plan targeted to your individual dental needs. Knowing where we need to go — and adapting treatment strategies that match your resources — will help you get the best dental care you can afford.
If you would like more information on dental care treatment options, 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 “Cost-Saving Treatment Alternatives.”