Facts of Dentin

Dentin is semi-reparable. It has reparative capabilities because the odontoblasts that create dentin remain viable after the teeth erupt. When excessive wear, cavities or other irritants start to degrade the dentin, reparative secondary dentin is laid down.

As helpful as this is, the enamel that covers dentin is NOT reparable, so again, your biyearly trip to the dentist is mandatory, as is daily brushing and flossing.

When you get dental cavities, you get them in dentin. Generally, if you get an infection, you get that in the pulp of the tooth. But enamel can wear away by chewing ice or other irritants, thereby making dentin more susceptible to dental cavities and tooth loss.

The most important thing you can do to protect your teeth’s dentin is to brush twice daily and floss every single night — not just when it occurs to you! And don’t forget to see your dentist at least twice a year to keep dentin in tip-top shape.

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Dentin

Dentin is the technical name for your teeth — well, the substance that makes up your teeth, rather. Dentin is almost bone-like and it makes up most of the structure of your teeth. Dentin is made from cells called odontoblasts and is found under the enamel of the crown and under the cementum in the root.

Dentin is yellow in appearance; it’s the tooth’s enamel that gives teeth their bright white finish. Since enamel is relatively translucent, if not properly cared for by regular brushing, regular flossing and regular dental visits — your teeth can dull and become yellow as enamel starts to wear off. At that point, only the yellowish dentin is left.

Structure

“Dentin consists of microscopic channels, called dentinal tubules, which radiate outward through the dentin from the pulp to the exterior cementum or enamel border.” This is all very technical for the biology of dentin, which is a very detailed and complicated process that occurs in the tiniest square footage — our individual teeth!

The highly specialized connective tissue of dentin makes up most of the structure of your teeth. If the inside (pulp chamber) gets infected and is removed by your dentist, dentin will become brittle and can fracture far more easily than normal. This is why, after a root canal, you are generally fitted with a cap or a dental crown.

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Cold Sores

Cold sores form outside the mouth, usually on the lips, but they may appear on the chin, outside of the cheek or the nostrils. They begin as a red blister, burst and crust over and last for 7-14 days.

Cold sores – caused by the herpes simplex virus (type 1) – are contagious; they transmit by skin-to-skin contact. The virus, carried by almost everyone, is dormant most of the time. Fever blisters occur most often in young adults and adolescents and decline in people over 35 years of age. Certain factors activate its outbreak, particularly stress, colds, fevers and/or sunburn.

To reduce occurrences, avoid kissing when the blisters are visible. Also, don’t squeeze or scrape the blister. Wash your hands thoroughly before touching someone else and use UV sunscreen on your lips before spending time in the sun.

Treatment of cold sores includes avoiding spicy and hot foods that will irritate them, application of phenol-containing over-the-counter ointments and administration of some anti-viral antibiotics that will shorten their duration (but not prevent their outbreak).

If you’re worried about canker or cold sores, call our office. We’re here to help you deal with these common afflictions and will offer additional treatment recommendations, as necessary.

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Fever Blisters and Cold Sores

What’s the difference between a fever blister and a cold sore?

Fever blisters and cold sores are two of the most common disorders in the mouth. They cause discomfort, annoyance, and sometimes, embarrassment. Both cause sores to develop in or around the mouth, and are often confused with each other.

The difference is that a cold sore occurs only on the inside of the mouth (tongue, linings of the cheeks, lips and throat) and fever blisters usually occur outside the mouth on the lips, chin, cheeks or nostrils.

If they do occur in the mouth, they are usually on the roof of the mouth or gums. They will appear smaller than cold sores and often begin as a blister.

Please contact our family dentist Dr Bagga at Caliber Dental, Randolph NJ


Oral Cancer

As your dental office, it is our responsibility to be more than just your tooth doctor — we also want to contribute to your total body health.

That’s why we do a full oral cancer screening at every checkup. This quick and easy exam can catch oral cancer before it starts! Early detection, as with any cancer, is crucial in a positive outcome.

Some warning signs to look for:

  • Bumps/sores in the mouth that bleed easily and don’t disappear on their own within 14 days
  • Pain or difficulty chewing, swallowing or speaking
  • Numbness in mouth/facial area

So don’t neglect your six-month checkup. Not only will we clean your teeth we’ll also make sure you’re cavity-free. We are committed to your overall health, because your health is our top priority.

Please contact our office Caliber Dental (973) 537-7500 or info@caliberdental.com to schedule appointment.


Soft Drinks Not Hard To Swallow – Just Too Sweet

During the past 20 years, American women increased their consumption of soft drinks by 61%, and during the same time, children and adolescents more than double theirs. Along with this, the incidence of diabetes in adults increased by 80%, and even more in children. This is understandable, since long-continued, almost daily consumption of sugar in excess causes obesity and stresses and exhausts the pancreas, the gland that produces insulin. Insufficient insulin production by the pancreas is the most common cause of diabetes. In the USA, soft drinks are now a major dietary source of sugar.

Researchers have discovered that about 71 million Americans (about a quarter of the population) are obese. A large number of these obese people will develop type-2 diabetes, with its associated high risks of atherosclerosis and premature death from heart attack and stoke. If you wish to reduce your risks of becoming obese and diabetic, take it easy with soft drinks.

Sources: Journal of the American Medical Association (292:927, ’04) and British Medical Journal (329:530, ’04)


Toothpaste and Orange Juice – Not a Good Match

Ever wonder why orange juice tastes so bad after you brush your teeth?

You can thank sodium laureth sulfate, also known as sodium lauryl ether sulfate (SLES), or sodium lauryl sulfate (SLS) for ruining your drink, depending on which toothpaste you use. Both of these chemicals are surfactants — wetting agents that lower the surface tension of a liquid — that are added to toothpastes to create foam and make the paste easier to spread around your mouth. They’re also important ingredients in detergents, fabric softeners, paints, laxatives, surfboard waxes and insecticides.
While surfactants make brushing our teeth a lot easier, they do more than make foam. Both SLES and SLS mess with our taste buds in two ways. One, they suppress the receptors on our taste buds that perceive sweetness, inhibiting our ability to pick up the sweet notes of food and drink. And, as if that wasn’t enough, they break up the phospholipids on our tongue. These fatty molecules inhibit our receptors for bitterness and keep bitter tastes from overwhelming us, but when they’re broken down by the surfactants in toothpaste, bitter tastes get enhanced.
So, anything you eat or drink after you brush is going to have less sweetness and more bitterness than it normally would. Is there any end to this torture? Yes. You don’t need foam for good toothpaste, and there are plenty out there that are SLES/SLS-free. You won’t get that rabid dog look that makes oral hygiene so much fun, but your breakfast won’t be ruined.


Sippy Cup: Friend Or Foe?

The sippy cup is a spill proof, lid-covered drinking cup designed to help parents teach their toddlers how to drink without spilling. Children can toss it, drop it and turn it upside down, but they can’t spill its contents. That’s thanks to a valve in the top that releases liquid only when a child puts his lips around the tip and sucks. Day after day countless parents reach for that sippy cup their toddlers love so well, proud that the bottle is a thing of the past, and thrilled that their car seats and living room carpets will be spared! These parents though, should think twice before resorting to extended use of the sippy cup.

Many parents operate under the mistaken impression that the sippy cup is better than allowing the child to sleep with a bottle. The damage done by the bedtime bottle is fueled by the fact that no saliva flows during sleep to clear liquids from the mouth or dilute them. Liquids bathe the teeth all night. The sippy cup filled with sweetened liquids can cause the same damaging effects. The child’s teeth are immersed in the liquid during drinking and many parents allow unlimited access to the sippy cup.

The American Academy of Pediatric Dentistry recommends that children be weaned from the bottle by 12-14 months of age and be encouraged to drink from a cup. Parents are cautioned however that the repetitive consumption of liquids that contain fermentable carbohydrates (milk, juice, soft drinks etc.) from a bottle or sippy cup should be avoided.

• Be very selective about the liquids that you give your child from the sippy cup. Avoid milk, juice, and soft drinks. Try water or sugar free beverages instead.

• Use the sippy cup only as a transition to a regular cup or adult drinking glass with no lid.

• Consider cup design carefully. A pop-up straw reduces the amount of time the liquid is in contact with the teeth.

• Some speech pathologists have expressed concern about over use of the sippy cup and liken its use to a thumb-sucking habit, the effects of which are well documented.


Preventive Dentistry: Toothbrushing

Toothbrushing is an effective way of removing plaque [sticky mixture of bacteria, food & debris] from your teeth. Daily removal of plaque can prevent tooth decay and periodontal [gum] disease. Select a toothbrush that will provide easy access to all areas of your mouth; this includes one with a small head [1 inch by ½ inch] and a flexible head or handle. The brush should have soft nylon bristles with round heads and a wide handle for a firm grip. There are also a variety of electric or sonic brushes that work well. Call our office for a recommendation. Establishing a daily pattern and a consistent approach to your brushing technique is important to ensure that you have accomplished adequate cleaning. One easy technique involves placing the toothbrush at a 45° angle to your teeth and gently brushing in an elliptical motion. Start on the same quadrant [same side, lower or upper] each time. Brush the outside of the teeth, the inside and the biting surface. Repeat this action with the other three quadrants. When you are finished, brush you tongue. Adequate brushing should take 3-4 minutes.

There are other effective brushing methods that may be appropriate for you, depending on the condition of your teeth and gums. Bring your brush to your next check-up visit and have our hygienist review your technique.

Toothbrushing is most effective if done right after eating. It would be a wise idea to keep an extra brush at work for after lunch or snacks. Toothpaste is not necessary if you are using fluoride toothpaste at home 1-2 times a day. Just rinse with water when you are finished.

Effective toothbrushing starts with habit and routine and ends with time, diligence and good technique. Please contact our Caliber Dental office at (973) 537-7500.


Insurance Benefit

Time flies! The end of the year will arrive in a flash and, with it, the end of your annual dental insurance benefits.

Speaking of which, are you aware that insurance companies make millions of unearned dollars each year, free income derived from patients who forgo necessary and preventive dental care? It’s a little known insurance industry secret.

Unfortunately, many individuals paying for dental insurance don’t realize their plans provide coverage up to a certain dollar amount annually. Consequently, some patients fail to schedule the dental treatment they need, deserve, and already have covered.

Since the allocated dollars cannot be rolled over year-to-year, insurance companies pocket the unclaimed revenue. In short: what patients don’t use they lose.

So, before the year ends, we want to ensure you take full advantage of any remaining benefits you or your family might still enjoy. In fact, you might even save money if, by completing your treatment before year’s end, you avoid a new deductible next year.

We want to help you secure all insurance coverage available to you on every dental procedure you schedule. If you have any questions about how much coverage remains within your insurance benefit plan, please call our office we’ll research that for you. In parallel, we can schedule you for the earliest available appointment to ensure you maximize your insurance benefits.

We look forward to seeing you again and sharing some of the many innovative methods we now offer. We aim to remain at the forefront of modern dental healthcare to ensure you always benefit from the latest technologies, professional care and superior service.

Again, please call or email us to make an appointment before the end of the year. We are scheduling November and December appointments right now.

Don’t wait until the last minute! Our end-of-year schedule usually fills up quickly.