When do I need a mouthguard for teeth grinding?

Linda Cosmetics Dentistry, Oral Health Education, Preventative Dentistry, Restorative Dentistry October 12, 2019October 13, 2019bruxism, children teeth grinding, custom night mouthguard, symptoms of bruxism, teeth grinding, teeth grinding mouthguard

You may need a mouthguard, known as a nightguard, if you have a chronic teeth grinding habit. If you don’t address the physical/psychological reasons for your teeth grinding habit (i.e. stress), nor use a night guard, you may experience further complications that may put your teeth at risk of permanent damage.

That said, everyone grinds, clenches or gnashes their teeth at one time or another. Most times we don’t even know we do it because teeth grinding, or bruxism, is usually subconscious behaviour, and symptoms aren’t always noticeable at first. It’s not until a partner or carer notices, or one experiences advanced symptoms that you may start to figure out what you’ve been doing with your teeth at night. But when does grinding become a problem that puts your oral health at risk?

The common symptoms of bruxism that indicate you may need to wear a “night guard” mouthguard from your dentist, include:

Dull headaches or ear pain – if you wake up with either of these symptoms, the reason could be teeth grinding at night.
Sore toothaches – a dull toothache may indicate excess pressure on your teeth from grinding.
Facial stiffness – this symptom may indicate that your facial muscles have tensed for a long period indicating extended teeth grinding.
Medication – some medications, such as anti-depressants, cause teeth grinding while you sleep.
Non-stop grinding – if you have temporary or chronic stress issues, your teeth may be grinding on them at night.
Intense jaw clenching – this may cause your teeth to clench also.
Chipped tooth – if you notice a chip on a tooth or wear on the cusps/edges of your teeth – that is not the result of “poor” food choices (e.g. ice cubes) – you may be grinding your teeth excessively.
Sore, inflamed jaw joints in the morning – this may be a sign of temporomandibular joint disorder (TMJD) which can occur from teeth grinding.

If you suspect that you have any of the signs and symptoms listed above and may be grinding your teeth, the next step is to see your dentist for a proper diagnosis and potential treatment options.

Teeth grinding may arise from a range of physical and/or psychological issues that will need to be dealt with – especially for children who are experiencing stress, anger and/or anxiety issues. In the meantime, if you (or a family member) are experiencing bruxism, your dentist can help prevent any further oral health complications – such as attrition – by fitting you with a custom “nightguard” mouthguard that you can wear comfortably at night.

Magnetic microbots to become dental assistants

Linda Oral Health Education, Preventative Dentistry September 27, 2019September 27, 2019dental micro-robots, dental plaque, Magnetic microbots, teeny-tiny micro-robots, teeth plaque

Above: Sequential images of a magnetic microbot ploughing through a petri dish containing a biofilm (Credit: University of Pennsylvania)

An American research and development team made up of engineers, biologists and dentists at the University of Pennsylvania have created the next generation of dental assistants – teeny-tiny micro-robots.

These micro-robots are capable of cleaning biofilms, such as oral plaque, with great control and precision via an external magnetic field.

What are bio-films?

Bio-films are thin, slimy, highly-resilient films containing bacterial colonies that can be home to several hundred bacterial species. Bio-films secret a glue-like substance and can stick extremely well to any non-shedding surface.

Examples of biofilms include oral, arterial and brain plaques, as well as biofilms in catheters or water lines.

How do dental micro-robots work?

Dental micro-robots are a type of CAR device which stands for Catalytic Antimicrobial Robots. They are able to completely and systematically breakdown and remove biofilms from a range of surfaces, including the curved surfaces of a tooth. At the same time, CARs kill embedded bacteria and all other residual material until there is nothing left of the biofilm but a completely clean surface.
How are dental micro-robots controlled?

Dental micro-robots, or CARs, are controlled and driven by external magnetic fields, in a similar way to how an aquarium magnet cleaner uses a magnetic handle to control a magnetic scrubber on the inside of aquarium glass. CARs, like aquarium scrubbers, are magnetic also, and follow the direction of an external magnetic field.

Pending further technological development, the motion and direction of the CARs will be actively informed by 3D image scans of the dental plaque sooner or later, which will make them more intelligent and effective at targeting dental plaque on a range of tooth surfaces.

Reference:

Geelsu Hwang, Amauri J. Paula, Elizabeth E. Hunter, Yuan Liu, Alaa Babeer, Bekir Karabucak, Kathleen Stebe, Vijay Kumar, Edward Steager, Hyun Koo. Catalytic antimicrobial robots for biofilm eradication. Science Robotics, 2019; 4 (29): eaaw2388 DOI: 10.1126/scirobotics.aaw2388

How much fluoride is just right for good oral health?

Linda Oral Health Education, Preventative Dentistry July 12, 2019July 12, 2019fluoride, fluoride in water, fluoride intake, fluoride toothpastes, fluoride water

Fluoride is a natural occurring mineral that is found in the environment in water sources that have filtered through volcanic rocks and soil. There is no question that fluoride is an essential factor to develop and maintain strong healthy teeth. This reduces the risk of tooth decay and other oral health complications.

How is fluoride delivered?

Fluoride can be delivered to the body systemically or topically.

Topical fluorides include fluoride toothpastes, mouth rinses, gels and varnishes. These act by strengthening the teeth directly, and making them more resistant to tooth decay. However, the beneficial effects of topical fluorides, apart from varnishes, wear off easily. This is why you should wait at least 30 min after applying topical fluorides before eating or drinking again.

Systemic fluorides are ingested and integrated into developing tooth structures. Systemic fluoride can be found in tap water, fluoride supplements, and food and drinks such as shellfish, chicken, potatoes, grapes and rice. If these foods have been prepared with tap water, the concentration of fluoride is further increased. Once systemic fluoride enters the body, it can also make its way into your saliva, which provides a continual fluoride wash over your teeth.

How much fluoride is required by the body?

The amount of fluoride your body needs depends on your body weight. As a general rule, children need 0.5mg (500?g) of fluoride daily. This why kids should only use a small pea-sized amount of toothpaste on their toothbrushes, and be taught to spit not swallow. Adults need between 3 to 4mg (3000-4000?g) daily.

The upper limit of fluoride intake is 2.5 times the recommended intake. Beyond this level, fluoride may have negative health effects.

Too much fluoride can lead to fluorosis

While the right amount of fluoride intake is essential to strengthen tooth enamel and prevent oral health issues, too much can have adverse effects. If a child consumes too much fluoride as their teeth are developing, they can experience an oral condition called fluorosis.
Fluorosis leads to white or brown discolouration or spots on tooth enamel. However, it is only a cosmetic effect and affects the appearance of teeth, not their health or strength. If you are a parent and notice any of these signs, consult with your family dentist. They can determine if any discolouration is the result of fluorosis, and recommend ways to limit your child’s fluoride intake.

On the other hand, your dentist may identify signs of a fluoride deficiency, which should also be avoided as this leads to softer enamel and weaker teeth.

Cranberries to help in the fight against tooth decay

Linda Oral Health Education, Preventative Dentistry April 16, 2019April 16, 2019benefits of cranberry, cranberrie, cranberries and oral health, cranberry polyphenols

In March 2019, oral health researchers at the University of Queensland published the results of a study on the oral bacterial fighting properties of cranberries and other dark-coloured fruit berries.
Previous clinical research has shown cranberry polyphenols to have antimicrobial qualities. But the UQ team took another step, and further investigated the effects of cranberry extracts on oral bacteria samples derived from saliva.

What they found was that cranberries are excellent for your oral health!

Traditional benefits of cranberry

There has always been an awareness of the health benefits of cranberries in recorded human history. The American cranberry had been used by Native American Indians for centuries to treat scurvy, and to help heal stomach and liver problems.

Earlier still, the Ancient Romans were well aware of its medicinal value. And in England, cranberries were a go-to remedy for diarrhoea, scurvy, fevers, and skin, urinary and genital infections.

Nowadays, clinical studies have proven that cranberries are indeed medicinally beneficial for many of the same ailments that ancient people experienced. However, science has gone on to discover other health benefits including lowering the risk of heart and neurological disease, regulating inflammation and inhibiting cancer cell proliferation.

The UQ Cranberry test results.

The UQ researchers’ test results show that the polyphenols, or phytochemicals, abundantly present in cranberries had a significant inhibiting effect on the types of oral bacteria that cause tooth decay and cavities.

After a 12 hour period, oral bacterial bio-film samples treated with cranberry extracts showed a 38% drop in bio-mass, a 44% reduction in acid formation and a 51% reduction of bacterial colony forming units (CFUs).

The UQ researchers now plan to develop an oral care and hygiene product for daily use containing the medicinally beneficial Cranberry extract used in their study.

References

Interview: ‘We intend to ultimately develop a daily use oral care product with a natural substance? (2019, April 4). Retrieved from https://ap.dental-tribune.com/news/interview-we-intend-to-ultimately-develop-a-daily-use-oral-care-product-with-a-natural-substance/

Philip, N., Bandara, H., Leishman, S. J., & Walsh, L. J. (2019). Effect of polyphenol-rich cranberry extracts on cariogenic biofilm properties and microbial composition of polymicrobial biofilms. Archives of Oral Biology, 102, 1-6. doi:10.1016/j.archoralbio.2019.03.026

Philip, N., & Walsh, L. (2019). Cranberry Polyphenols: Natural Weapons against Dental Caries. Dentistry Journal, 7(1), 20. doi:10.3390/dj7010020

Have you experienced tooth erosion?

Linda Oral Health Education, Preventative Dentistry February 22, 2019February 26, 2019acid drink, enamel losing, prevent tooth erosion, teeth erosion

Most people are familiar with tooth decay but not tooth erosion. Tooth erosion should not be confused with tooth decay which is a type of tooth damage caused by bacterial acidic by-products – however they are similar.

What is tooth erosion and what causes it?

Tooth erosion occurs when you lose tooth structure, namely your tooth enamel, due to chemicals. The chemicals that cause erosion are found in acidic food and drinks, or acid refluxed from your stomach.

If you consume excessive amounts of acidic food and drinks daily, then you have probably already experienced tooth erosion without realising it. For example, soft drinks can contain high amounts of citric and phosphoric acid. Sipping on them as opposed to using a straw can bath your teeth in an acid bath that can wear away your teeth continually.

Other possible causes of tooth erosion include bulimia, GI problems, certain medications and genetics.

How does your dentist measure tooth erosion?

Your dentist measures tooth erosion by comparing the thickness of enamel on each tooth. There are also other signs of tooth erosion that your dentist looks out for, including:

darker or yellowish discolouration of your teeth indicating the dissolving of enamel,
sensitivity to hot, cold or sweet foods,
thin or transparent front teeth tips,
shape changes to your teeth that can give them a concave appearance,
a glassy appearance on your tooth surfaces,
flattened or pitted chewing surfaces of your molars, and
the impression that your natural tooth structure appears to be sinking around a filling.

How can tooth erosion be prevented and treated?

To prevent erosion, limit the amount of acidic foods and beverages that you consume. When you eat or drink them, do so promptly and try rinsing any residue left in your mouth with water.

As far as dental treatment goes, there’s only so much your dentist can do since enamel loss is irreversible. However, your dentist can restore an eroded tooth to protect the inner tooth structure or dentin. Try using a fluoride or desensitising toothpaste to strengthen your tooth enamel as well.

How a high-fibre diet can improve your oral health

Linda Oral Health Education, Preventative Dentistry January 31, 2019February 22, 2019high-fibre diet, high-fibre foods, improve your oral health

A new study* conducted by New Zealand researchers at the University of Otago aims to figure out why high fibre foods are good for your oral health. Previous clinical research has already established that a higher fibre and wholegrain intake is beneficial for oral health, but the Kiwi scientists now want to better understand the actual mechanism that makes it so.

How do high fibre foods benefit your oral health?

Although the links between a high fibre diet and better oral health have been recognised by a number of studies, the reasons why still need more confirmation. However, scientists have identified a few potentially beneficial mechanisms that occur when you consume foods high in fibre:

Cleansing action. The fibre in high fibre foods may gently scrap and buff your tooth surfaces, removing plaque build-up in the process.
Oral bacterial inhibition. Certain substances found in the bran layer of wholegrains may inhibit the growth of oral bacteria.
Chewing increases saliva production. Consuming high fibre foods involves a lot of healthy chewing. This increases your mouth’s production of cleansing, anti-bacterial saliva, as well as stimulating blood flow to your teeth & gums.

What are the best high-fibre foods?

High-fibre foods refer to foods that are high in dietary fibre. To get the fibre you need, there are a number of foods that are rich in fibre, including:

Vegetables – Vegetables that are rich in fibre are generally richer or darker in colour but there are exceptions. High fibre veges include carrots, celery, broccoli, beetroot, leafy greens (incl. spinach, silver beet, pak choi & kale) and potatoes (incl. sweet potato).
Fruit – High fibre fruits include apples, oranges, pears, bananas and berries.
Wholegrains – Wholegrain foods that are high in fibre include intact wholegrains and finely milled wholegrains such as whole grain breads (dark rye, pumpernickel & whole wheat), oats, brown rice, wild rice, bran and barley. Choose bread with at least 3 grams of fibre per slice.
Beans and legumes – Try adding more lentils, peas and beans to your casseroles, soups and salads.
Seeds & Nuts – Watch the calories but try loading up on chia seeds, quinoa, pumpkin seeds, sunflower seeds, pistachios and almonds.

How much fibre should you eat per day?

The Heart Foundation’s recommended intake of fibre per day is 30 grams for men and 25 grams for women. Children aged between 4 and 8 years old should consume at least 18 grams. Girls aged between 9 and 18 years old should increase their intake gradually from 20 to 22 grams, while boys need to consume 24 to 28 grams. But it’s totally ok to eat more than these recommended amounts!

To simplify, this recommended fibre intake translates into:

approx. 4 serves of wholegrain or wholemeal foods daily,
approx. 5 serves of vegetables, beans or legumes daily, and
approx. 2 serves of fruit daily.

Reference:

* Dental Tribune International. (2019, January 24). Researchers investigate link between high fibre diets and oral health. Retrieved from https://ap.dental-tribune.com/news/researchers-investigate-link-between-high-fibre-diets-and-oral-health/

Clean your tongue for better oral & general health!

Linda Oral Health Education, Preventative Dentistry October 4, 2018October 5, 2018gum disease, lung infections, oral bacteria, periodontal disease, Tongue cleaning

Keeping your tongue clean is an important part of oral health care and hygiene. Why? Because oral bacteria can build up on your tongue, just like it does on your teeth.

If excess bacteria accumulate on your tongue, you may experience halitosis or bad breath. But that’s not all. You may also be at higher risk of more serious oral health complications, such as oral infections, periodontal disease and lung infections.

Daily tongue cleaning reduces your risk of gum disease (periodontal disease)

Cleaning your tongue is very important if you want to reduce pathogenic tongue bacteria. Take Fusobacterium Nucleatum for example. It is a highly invasive bacterium that causes periodontal (gum) disease.

F. Nucleatum feed off fermenting carbohydrates and cause dental plaque. These microorganisms live quite comfortably in the mucus on your tongue. They can proliferate into huge colonies within tongue mucus, which can contain 100s of millions of these nasty rod-shaped critters. Now imagine brushing your teeth, but not your tongue.

What happens next?

As soon as you put down your toothbrush and close your mouth, your bacterially coated tongue is going to redeposit millions of bacteria straight back onto the teeth you’ve just cleaned! F. Nucleatum can also infect the head, neck, chest, lungs, liver and abdomen if given the opportunity.

Tongue cleaning may help prevent lung infections

Tongue cleaning is a crucial part of a general health routine to help prevent pathogenic bacteria from spreading to the rest of your body. Many previous clinical studies have shown that you can inhale aspirated oral bacteria from your mouth straight into your lungs. This can lead to health complications if your immune system is under par.

According to a new study published by Japanese dental researchers in August 2018, a bacterial imbalance on your tongue can lead to pneumonia and other respiratory health problems – especially if you are an older adult with missing teeth, high plaque levels and more tooth decay than usual.

The Japanese researchers noted that equal attention should be given to maintaining proper oral care of the tongue, as well as the teeth and gums, for good oral health.

Graphic health labels on soft drinks give drinkers second thoughts

Linda Oral Health Education, Preventative Dentistry July 26, 2018July 26, 2018Health labels for soft drinks, side effects of soft drinks, soft drinks - tooth decay, soft drinks - type 2 diabetes

Sugar is the new tobacco. For years, the side effects of excess sugar consumption have stayed under the radar of the Department of Health. Now, it’s finally under scrutiny, since being identified as a contributing factor to rising rates of obesity, diabetes, cardiovascular disease and preventable tooth decay – in Australia and the rest of the world.

The front-of-pack label experiment

Taking their cue from tobacco “front-of-pack” health labelling, researchers from Deakin University wanted to find out if a similar approach could work with consumers of sugary drinks. In their recent study, the researchers asked 1000 participants, aged 18-35 years old, to select from a range of sugary and unsweetened beverages with or without health labels.

While the unsweetened beverages had no labels, the sugary ones had health labels that included front-of-pack graphic/text warnings, the number of teaspoons of added sugar and/or a Health Star Rating.

The results

The Australian researchers found that participants felt dissuaded to choose a sugary drink with a front-of-pack health label or a low Health Star Rating – for health reasons.

Front-of-pack graphic warning labels had the greatest impact – with 36% of participants saying they were less likely to a sugary drink with one. Health Star Ratings labels scored 20%, while “number of teaspoons of added sugar” labels scored 18%.

Time for action

The lead author of the study, Prof. Anna Peeters, stated that front-of-pack health labelling on sugary drink containers has the potential to: change consumer behaviour; reduce sugary drink sales; prevent excessive sugar consumption; and help people to be better informed and more health conscious about their drink choices.

Since sugary drinks are the largest source of added sugar in our diets, Peeters noted that a front-of-pack health labelling strategy should be introduced as soon as possible, to help reduce the high rates of obesity, type-2 diabetes and preventable tooth decay in Australia.
Peeters also noted that front-of-pack health labels should be designed with children and adolescents in mind, since they represent the highest consumer group of sugary beverages in Australia.

Snack smart during World Cup 2018

Linda Oral Health Education, Preventative Dentistry June 26, 2018July 20, 2018eating snack, Smart snack choices, Snack, snacking behaviour, World Cup 2018

If you’ve been binge watching the FIFA World Cup on TV, your teeth won’t be at risk from a direct hit to the face from a soccer ball, unlike the actual players in the game. However, you may be putting your teeth at risk if you binge snack at the same time.

Binge watching and binge snacking often go hand in hand during World Cup time, not to mention other marathon sporting events and streaming services, such as Netflix.

The dangers of binge snacking

Sugary or starchy snacks eaten in moderation are okay, as long as you practice good oral care and hygiene afterwards. But when you watch a marathon TV event all through the night, those rules often fly out the window.

In fact, you may be susceptible to all sorts of abnormal snacking behaviour while you binge watch. If you happen to fall asleep on the sofa with a mouthful of sugary food residue at 2am, another World Cup party of a different kind will start up for the billions of oral bacteria in your mouth.

Within a short space of time, the acidic by-products from the oral bacteria will start to eat away at your tooth enamel, causing accelerated tooth decay and potential cavities.

Plan your snacks the smart way

Take control of your binge snacking by limiting the amount of snacks you consume. If you are watching a game, eat your fill of snacks during the first quarter of a game to get yourself going. At half-time, take an oral hygiene break by rinsing your mouth and/or brushing your teeth.

Once the 2nd half starts up, settle down for the rest of the match with a clean, fresh mouth. If you fall asleep towards the end of the game – no worries! If you watch another match and still feel hungry, repeat the process.

Smart snack choices

Not all snacks are harmful to your teeth – just the sugary, starchy ones. There are heaps of healthy snack choices, including: fresh fruits and vegetables; unsweetened whole grains; unsweetened dairy products; and meats, nuts & seeds.
The main SMART SNACK tips to keep in mind:

DON”T BINGE! – Limit your intake of sugary and/or starchy snacks while watching TV
Avoid sipping sweetened beverages for long periods of time
Include a variety of foods from different food groups
Quickly rinse your mouth out with water after snacking to wash away food residue
Brush your teeth just before you finally hit the sack

How fissure sealants prevent tooth decay and cavities in children

Linda Preventative Dentistry February 28, 2018February 28, 2018children fissure sealants, dental sealants, Fissure sealants, fissure sealants protection

TC Dental dentists can provide a range of dental treatments for your child, depending on what oral health issues they have. But we also offer treatment options that can prevent most of these issues from occurring in the first place. Fissure sealants are one such treatment. They can safeguard your child’s teeth, and help keep them strong and healthy.

What are fissure sealants?

Fissure sealants (or dental sealants) are an acrylic coating that is applied to the natural fissures and pits on the chewing surfaces of the back teeth.

How do fissure sealants work?

Fissures, grooves and pits are hot spots for the accumulation of food residue that may be hard to reach with a tooth brush – especially if they are deep and narrow. When food residue accumulates in these areas, plaque and bacteria can form and can cause tooth decay and cavities.

Fissure sealants fill in fissures, and form a hard, smooth protective shield over them. This prevents food and bacteria from penetrating into these areas.

Fissure sealant treatment

A fissure sealant treatment is a fairly straight forward dental procedure that requires minimal prep.

First, the tooth or teeth are thoroughly cleaned to remove any plaque and bacteria. They are then coated with a special gel solution that is allowed to dry, after which the acrylic sealant is applied, and cured with a UV light that activates and hardens the sealant. The whole process usually takes a few minutes per tooth.

Do fissure sealants last a long time?

Yes, they do – several years in fact. However, depending on what or how your child eats and chews, fissure sealants may wear out over time, in which case, your dentist may need to re-apply more and check for any signs of decay. When you take your child in for their regular dental visit, your dentist will check for any changes.

When is the right age for children to receive fissure sealants?

Fissure sealants are usually applied to children’s teeth when they are between the ages of 6 and 14 years old. But the rule of thumb, since all children develop differently, is to get your dentist to apply fissure sealants as soon as any of your child’s permanent back teeth emerge.

If you feel that your child would benefit from fissure sealants, consult with our dentists or hygienists during your child’s next visit. They will be able to identify which of your child’s teeth are suitable for treatment, as well as the right time to have them sealed.