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Many people assume that a baby’s teeth  are not important to care for because they will fall out eventually. This is simply not so. Not only can breakdown of these primary teeth cause severe discomfort and infection to your child, they can also have far reaching consequences into adulthood. As a matter of fact, in many ways, the primary teeth are just as important as the permanent teeth. Below are the top reasons why!

Caring For Your Child’s Teeth

Function. The primary function for any tooth whether it be primary or permanent is to chew and break down food for nutrition. Without teeth, it becomes extremely difficult to eat most hard, crunchy, healthy foods. No one wants their child to suffer the pain or embarrassment of tooth loss due to decay or infection. It may take years for the next tooth to emerge and allow him or her to eat properly again.

Development. Our teeth are essential in the development of a growing child. The growth of the jaws are triggered by the teeth. The teeth give the body a guide with which to grow from. Without this guide, there could be significant growth issues of the face, jaw, and bite. Also, without the primary teeth as space holders, the permanent teeth will have no room to enter into the mouth and cause crowding issues which can lead to periodontal disease, tooth decay, and occlusion issues. Some of these problems may be correctable with orthodontics (braces) and possibly a retainer, but some require further tooth loss, and possibly surgery. Most of these corrective measures are quite expensive. Taking the time to care for the baby teeth to prevent these problems is a far less costly and helps keep your child healthy.

Preventing Pain and Discomfort. Tooth decay is quite prevalent in today’s American child. This can be easily prevented with proper dental hygiene maintenance and a healthy diet. When tooth decay does occur, it is best to get it fixed right away,when it is small, and before the child even notices it. Tooth decay can progress quite quickly if left untreated, especially in primary(baby) teeth. If left untreated, tooth decay will cause pain, infection, and discomfort to your child as well as a more expensive option to repair (like tooth extraction, baby root canal or a stainless steel crown).

Infections in the baby teeth can lead to long term problems in the gums.  Infections can also  cause problems with the development of the permanent teeth.

Learning Tool. Baby teeth are the ultimate training ground for your children. It gives them a chance to learn good oral hygiene that will carry over into adulthood. Teaching them proper techniques and habits will be a lesson that will serve them well as they grow older into adulthood and beyond. These habits should include brushing, flossing, rinsing with an anti bacterial mouthwash, choosing healthy snack and meal options, and visiting the dentist at least twice a year.

Conclusion

Baby teeth are often misunderstood in their role of development. They are very important in a child’s development and should be treated with the utmost care. With proper care, a child will be proud of their smile, and have easy, fun, informative dental visits. If issues do arise, they should be treated early. The dentist and parents should be partners in a child’s dental care.



For many athletes, the difference between winning and losing can be tiny fractions of a second. Since the beginning of time and the advent of competitive sports, man has

Sports Mouthguard Marielaina Perrone DDS

Save Your Smile And Improve Performance With A Custom Mouthguard

looked to gain any edge they can! Whether it be at the earliest Olympic games, playing in a recreational league, or  major pro sports. What if your dentist can give you the jaw protection, extra edge you need, and allow your body to perform at its optimum? Recent advancements in understanding how the body works to achieve maximum performance has allowed the development of new high performance athletic mouthguards.

Custom Made Mouthguards Can Make A Difference

The days of boil and bite mouthguards are slowly fading away. Custom made mouthguards  give you a very comfortable fit along with added performance extras. A well made custom performance athletic mouthguard can give you the following advantages:

Decreased Tooth and Jaw Damage.  A well fitting mouthguard will give proper support and protection to your teeth and jaws, leading to less physical damage resulting from facial traumas.

Increased Strength. A performance athletic mouthguard relieves muscular tension in the jaw. This  frees up energy that can be used more efficiently by other parts of the body. More power on hand equals increased energy. The end result is increased strength and flexibility.

Increased Oxygen Intake. These specially designed athletic mouthguards relax and align your jaw to significantly improve airflow and breathing.  Studies by various researchers have shown an increase of almost 29%. Increased airflow is shown to improve Heart Rate efficiency, resulting in heightened training, performance, and recovery.

Increased Endurance. Studies have shown with increased oxygen intake there is also the ability by the body to remove lactic acid faster. When you decrease lactic acid, you increase your ability to perform well longer. These studies have shown a reduction of as much as 25% lactic acid when using a high performance athletic mouthguard.

Increased Reaction Time. Studies have shown an increase by up to 12% in some athletes. This equates to a significant edge during game time.

Sports Mouthguard Marielaina Perrone DDSReduction in Athletic Stress. It has been shown that proper usage of an athletic mouthguard can cause lower levels of the stress hormone cortisol to develop during athletic action.

Increased Control Of Your Body. When your jaw is aligned properly, you further stabilize the muscles in your head, neck and spine. Body sway is reduced, resulting in stronger core stability and balance. The closer you are to your ideal jaw position, the more your muscles are stabilized and relaxed. This makes breathing deeper and easier, which improves your balance and focus.

Are There Different Types Of Performance Athletic Mouthguards?

There are a few brands out there that claim to improve performance. The leading types are made by UnderArmour and PX3. These two companies have compiled extensive research to back their claims as well as having many high profile endorsers of their product. The main thing is, that these are custom made for each individual to maximize them for their particular sport.

Conclusion

Your jaw, teeth, and bite are as unique as each of our fingerprints, which is why standard mouthguards are not the solution. Will a performance athletic mouthguard turn an ordinary athlete into a Super Bowl winning football player? Probably not. What it can give to any athlete is a boost that could be the difference between winning and losing at their own skill level. Wouldn’t you want that increased protection from harm, and extra competitive edge for yourself or your children?

 


Periodontal Disease– is a group of diseases that affect the tissues that support and anchor the teeth. If untreated, periodontal disease results in the destruction of the gums, alveolar bone (the part of the jaws where the teeth arise), and the outer layer of the tooth root. The earliest form of periodontal disease is called gingivitis. Gingivitis is reversible with proper treatment.

Once a patient is diagnosed with advanced periodontal disease (also called periodontitis), their dentist will recommend procedures above and beyond that of a normal professional cleaning to properly treat and manage the periodontal disease. In the initial stages, most treatment revolves around non surgical intervention but as the periodontal disease progresses surgical treatment is often recommended and required.

Periodontal Disease Treatment

Non Surgical Procedures

Scaling and root planing. This procedure is a special type of cleaning that removes plaque and tartar from under the gum line and makes the root surfaces smooth. The smoother root surface is thought to promote reattachment of the gum tissue and promote healing. This type of cleaning is the only way to remove tartar from below the gum line. This is usually completed in multiple visits utilizing a numbing anesthetic to make the procedure more comfortable..

-Drug Therapy. In some cases, antibiotics or antimicrobials may be used to supplement the effects of scaling and root planing. In most cases of early periodontal disease, scaling and root planing in addition to continued daily cleaning at home (flossing, brushing , and rinsing) will achieve a satisfactory result of reversing periodontal disease.  A wide array of antibacterial rinses such as Peridex, antibiotics taken in pill form such as  Periostat, or localized placement directly into the affected pockets with an antibiotic such as Arestin, can aide in, and promote healing of the affected gum tissue.

-Periodontal maintenance or supportive periodontal therapy: Following a scaling and root planing, routine specialized  cleanings (every 3-4 months)  to target your periodontal problem area, can minimize the recurrence or progression of periodontal disease.

Surgical Procedures

-Pocket depth reduction procedures: Your dentist or periodontist will open up the affected gum tissue so that periodontal disease causing bacteria and calculus build up can be easily seen and removed. Some cases may require contouring and smoothing of the damaged bone and root surfaces to allow the gum tissue to reattach to healthy bone during the healing phase. The procedure also repositions the gum tissue so that it is easier to keep clean going forward.

Perioscope cleaning: A deep cleaning requiring a microscope to be placed below the gum line to remove tartar, cement, or other debris.

-Regeneration. Your dentist will treat the affected gum tissue in the same way as in pocket depth reduction procedures, with the additional procedure of using membranes, bone grafts or tissue-stimulating proteins to stimulate the body’s natural ability to regenerate healthy bone and gum tissue. A good example of this is a bone and tissue growth factor called Emdogain.

-Soft tissue grafts. Your dentist will take synthetic tissue such as Alloderm, or healthy gum tissue from the roof of the mouth (palate) or other areas of the mouth and use it to repair receding gums and cover exposed root surfaces.

-Hard Tissue Bone Grafts.  This procedure is needed when periodontal disease has destroyed the bone surrounding your tooth. The bone graft helps prevent tooth loss by holding your tooth in place. It also serves as a platform for the regrowth of natural bone. The dentist can use your bone, cadaver bone, cow bone, or a lab created calcium based bone matrix material.

Conclusion

If you have been diagnosed with periodontal disease please take the news very seriously. Periodontal disease is a progressive disease that will continue to get worse without treatment. Periodontal disease  leads to tooth loss and oral infections. Your dentist can help you with diagnosis, prevention, better oral hygiene methods and instruction, and proper treatment for your particular needs.  Studies have shown time and again that there is a link between oral health and your general health. Keeping your mouth healthy will lead to better overall health. As always visit your dentist regularly for dental examinations and regular professional cleanings to stave off the onset of periodontal disease.



Just about everyone will grind their teeth from time to time. Grinding of your teeth (bruxism is the medical term for this) on rare occasions generally does not cause any harm. But when teeth grinding and clenching occurs on a regular basis damage can occur to the teeth, surrounding tissues, and other oral health complications can present themselves.

What is Teeth Grinding?

teeth grinding

Bruxism is the term that refers to a constant grinding and clenching of the teeth and jaws, unintentionally, and at inappropriate times. Bruxers (people with bruxism) are often unaware that they have developed this terrible habit. They often do not know or realize that treatment is available until damage to the mouth and teeth has already been done. Bruxism damage can present itself in a variety of ways. Every individual may experience symptoms a little differently.

Stress and anxiety are often thought as the major culprits of grinding. But it often occurs during sleep and is just as likely to be caused by an abnormal bite alignment (occlusion) or missing or crooked teeth.

Bruxism is considered to be a habit rather than a normal reflexive chewing activity. Reflexive events are responses to various stimuli and always occur without you being able to stop them (like the little hammer on the knee which makes your leg kick). Chewing and clenching can be controlled either consciously or subconsciously by the brain. During sleep, and often during daytime awake hours when we are distracted, our subconscious can take over allowing teeth grinding to happen. Bruxism can be quite rhythmic in nature. Researchers have classified bruxism as a habitual behavior and a sleep disorder.

Signs and symptoms of bruxism or teeth grinding can include:

-Anxiety, stress, and/ or tension. This can include tense musculature of the face and jaws. Waking up with an ache in the jaws face or teeth, or a headache.

-Teeth appear worn down or loose. Wear occurs from the aggressive movement of the teeth against one another. Although all teeth may show this type wear, it is especially noticeable when a person has front teeth that appear having theteeth grinding same length, as if they were somehow filed down.

-Chipped or cracked teeth. As teeth become worn, the edges of front teeth and the cusps (or corners) of back teeth will begin to show tiny fractures or cracks. These cracks generally can not be visualized by x-rays. It takes magnified vision or use of a dental microscope to diagnose them. Teeth with these type of fractures may eventually require further extensive treatment to restore their function. This could include large fillings, crowns, or even root canal therapy. Root canal treatment would be needed if the nerve was so inflamed that it could no longer heal itself, or a fracture extended into the nerve or pulpal area of the tooth allowing bacteria to leak in.

Tooth sensitivity that is quite pronounced. Can be a constant ache, sensitive to touch or chewing,  hot, cold, or even sweet sensitivity.

Receding gums and/or teeth with notches in them at the gum line. Most people have been told or assume that receding gums occur because of age, aggressive brushing or the presence of periodontal disease. In the majority of cases this is wrong.Bruxism These are called abrasion areas. When teeth grind hard against each other over time, the teeth will flex at the gum line and the enamel (which becomes quite thin in this area) micro fractures away. You end up with an area at the gum line that you can catch your fingernail in and can get very sensitive to touch and/or cold due to exposure of the root and closeness to the nerve endings.

-Jaws falling out of normal position or locking.

-Wearing away of the tooth enamel, exposing the dentin under the enamel.

-A popping or clicking in the temporomandibular joint (TMJ).

-Damage to the inside of the cheek tissues and tongue. Sometimes a bruxer will actually bite themselves on inside of the cheeks and tongue, (especially in the back part of the molar area).

The symptoms of bruxism can resemble other conditions or medical problems.

How is Bruxism Diagnosed?Teeth grinding

During routine dental examinations, your dentist will examine the teeth for evidence of bruxism. This often noted by the damage to the teeth. If the signs are present, the dentist may ask you some follow up questions to see if you have any of the other symptoms, such as snoring.It has been found that patients who both snore and grind have a much higher chance of developing sleep apnea.

Treatment

The goals of treatment are to reduce or remove pain, prevent permanent damage to the teeth, and to decrease the actual clenching. Treatment generally includes a custom made nightguard. The night guard is made for you to hold your teeth in a better position and protect your teeth when you grind to absorb the force of biting. This guard may help to prevent future damage to the teeth and aid in changing the patient’s behavior over time.

As always maintain a regular schedule of visiting your dentist so that these issues can be diagnosed in a timely manner should they arise. Also, of note is that this can affect children as well.