Posts for: July, 2015

By Wayne Cook, D.D.S.
July 16, 2015
Category: Oral Health
NoGleeinToothGrinding

Sure, it’s big news when celebs tweet selfies from the dental office… if you’re still living in the 20th century. But in Hollywood today, it’s harder to say who hasn’t posted snaps of themselves in the dentist’s chair than who has. Yet the pictures recently uploaded to Twitter by Mark Salling, the actor and singer who regularly appears as Noah “Puck” Puckerman on the popular TV series Glee, made us sit up and take notice.

“Getting my chipped tooth fixed. Also, apparently, I’m a big grinder,” read the caption. The photo showed a set of upper front teeth with visible chips on the biting surface. What’s so special about this seemingly mundane tweet? It’s a great way of bringing attention to a relatively common, but often overlooked problem: teeth clenching and grinding, also called bruxism.

Although bruxism is a habit that affects scores of people, many don’t even realize they have it. That’s because the condition may only become active at night. When the teeth are unconsciously ground together, the forces they produce can wear down the enamel, cause chipping or damage to teeth or dental work (such as veneers or fillings), or even loosen a tooth! While it’s common in children under 11 years old, in adults it can be a cause for concern.

Sometimes, mouth pain, soreness and visible damage alert individuals to their grinding habits; other times, a dental professional will notice the evidence of bruxism during an exam or cleaning: tooth sensitivity and telltale wear and tear on the chewing surfaces. Either way, it’s time to act.

Bruxism is most often caused by stress, which can negatively impact the body in many ways. It may also result from bite problems, the overuse of stimulating substances (caffeine, alcohol, tobacco, and illegal drugs), and as a side effect of certain medications. Sometimes, simply becoming aware of the habit can help a person get it under control. Common methods of stress reduction include exercise, meditation, a warm bath or a quiet period before bedtime; these can be tried while we monitor the situation to see if the problem is going away.

If stress reduction alone doesn’t do the trick, several other methods can be effective. When bruxism is caused by a minor bite problem, we can sometimes do a minor “bite adjustment” in the office. This involves removing a tiny bit of enamel from an individual tooth that is out of position, bringing it in line with the others. If it’s a more serious malocclusion, orthodontic appliances or other procedures may be recommended.

When grinding is severe enough to damage teeth or dental work, we may also recommend a custom-made night guard (occlusal guard), which you put in your mouth at bedtime. Comfortable and secure, this appliance prevents your teeth from being damaged by contacting each other, and protects your jaw joints from stresses due to excessive grinding forces.

Whether or not you have to smile for a living, teeth grinding can be a big problem. If you would like more information about this condition, call our office to schedule a consultation for a consultation.


By Wayne Cook, D.D.S.
July 01, 2015
Category: Dental Procedures
Tags: bonding   chipped tooth  
WhyBearaChippedTooth

Having a chipped tooth certainly can make life more difficult. It not only keeps you from wanting to smile, but it may also make it harder to eat your favorite foods. And that can be a major problem — especially if you need to eat up to 80 pounds of bamboo every day to stay healthy.

Just ask Bai Yun, the female giant panda at the San Diego Zoo. The 23-year-old animal recently chipped one of her lower canines, and her keepers were concerned that it might impair her ability to get good nutrition (pandas spend as many as 12 hours a day munching on the woody plants). So they decided it was time for a little dental work!

What followed was not unlike a regular visit to the dental office… except that, instead of sitting in a chair, the 227-pound panda reclined on a large table. After being anesthetized, the patient’s teeth were examined, and x-rays were taken. A composite resin was applied to the damaged tooth, and it was cured with a special light. After the repair work was done, her teeth were given a professional cleaning. When the anesthesia wore off, Bai Yun was released in good health — and ready to eat more bamboo.

Tooth bonding with composite resin is the restoration of choice in many situations. This method can be used to repair small chips or cracks in the teeth, and to clear up some spacing irregularities. The resin itself is a mixture of tough, translucent plastic and glass components that can be made in a number of different shades, which look remarkably like the tooth’s natural enamel coating. And the bonding material links up so well with the tooth structure that this treatment can be expected to last for years.

Another benefit of bonding is that it can be done right in the office — there’s no lab work involved (as there could be for veneers or crowns, for example). That makes it a relatively simple and economical treatment that can typically be completed in a single visit. It’s ideal for fixing minor flaws that don’t involve a great deal of tooth structure. It’s also a cost-effective solution for teenagers who need cosmetic dental work, but must wait until they have stopped growing to get more permanent restorations.

While it isn’t usually as long-lasting as restorations like crowns and veneers, cosmetic bonding is a minimally invasive, reversible treatment that can keep your smile healthy and bright for years to come. And that’s important — whether or not you spend most of your day eating bamboo and posing for snapshots at the zoo.

If you have questions about whether cosmetic bonding could help your smile look its best, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Repairing Chipped Teeth” and “Artistic Repair Of Front Teeth With Composite Resin.”




Marion, AR Family Dentist
Wayne Cook, D.D.S.
303 Bancario Rd.Suite 7
Marion, AR 72364
870-739-8799
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