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.


The Aging Mouth: What is Normal, What is Not

The natural process of aging takes its toll on your teeth and mouth just as it does your body. Here are some common oral health changes you can anticipate as you age:

Enamel Wear — Chewing, cleaning and the normal aging process means your teeth will eventually wear down over time.

Darker Tooth Color — Aging dentin (the tooth’s middle layer) holds stains easier than younger dentin, making your teeth appear slightly darker.

Gum Changes — Aging gums naturally recede over time.

Cavities — Cavities around the root of the tooth are more common as you age. Any fillings you have are also aging and can weaken or crack.

Other changes to your teeth and gums aren’t normal and shouldn’t be overlooked. These symptoms could signal something more serious and are reason to see your dentist right away:

Tooth Loss — Dental cavities and gum disease are the leading culprits of tooth loss in seniors, but neither is a normal part of aging. If your teeth and gums are healthy, there’s no reason why your teeth should fall out.

Dry Mouth – As you age, you may notice a reduced flow of saliva, sometimes as a side effect of medical conditions, medications or medical treatment. Saliva is important because it lubricates the mouth and neutralizes the acids produced by plaque.

Bleeding Gums — Bleeding gums are a sign of periodontal (gum) disease, a leading cause of tooth loss in seniors. But gum disease is not an inevitable result of aging; it’s caused by the build up of plaque. Left untreated, gum disease is linked to other health concerns like arthritis and heart disease.


Regular Checkups Can Save You Thousands

If you have dental problems like tooth decay, gum disease or even oral cancer, regular dental visits give your dentist a chance to catch it early on. That’s key. Because the earlier your dentist diagnoses a problem the easier it is to treat. For example, if you have gum disease and let it go unchecked (and untreated) for too long, you may need extensive — and expensive — gum disease treatment.

Regular dental checkups allow you and your dentist to stay ahead of problems, which can translate into thousands saved.

A professional dental cleaning is also a must because it’s the only way to effectively remove tartar (hardened plaque). Even if you brush and floss regularly, that’s not enough. Besides looking unsightly (tartar is a “stain magnet” and often has a brown or yellowish tint), tartar also contains cavity-causing bacteria. Preventing the need for a mouthful of fillings every year easily adds up to thousands saved in the long run.

Perhaps one of the most important reasons to invest in regular dental exams and cleanings is that it has a positive impact on your overall health. Recent studies have shown that there’s a link between periodontal disease and heart disease; when the former is present, the latter is twice as likely.

According to the American Academy of Periodontology, gum disease can have a domino effect on your health. The bacteria caused by periodontal disease can enter your bloodstream and attach to your heart’s blood vessels, causing dangerous blood clots. Another scenario is that the plaque buildup caused by periodontal disease can cause the heart’s blood vessels to swell.

In this way, regular checkups and cleanings are not only money-saving but life-saving. And that’s priceless.


Extra Cavity Protection for Kids

You might think that cavities are inevitable for kids, but in truth, they’re not. A healthy diet mixed with good oral hygiene (brushing and flossing) plus regular dental visits can prevent tooth decay. Dental sealants can reduce the risk even more. In fact, studies show that dental sealants can reduce decay in school children by 70%.

Dental sealants are thin plastic coatings that are applied to the grooves of back teeth, where tooth decay is usually a problem for kids and teens. Sealants act as a barrier between the chewing surfaces by blocking pieces of food and germs.

Sealants work best on permanent molars, which usually erupt at age 12. It’s best to have sealants applied soon after the permanent molars erupt so that decay doesn’t have a chance to develop.

Because they’re so thin, dental sealants won’t have an effect on your child’s speech or make chewing difficult. Sealants can be clear or slightly tinted; either way, they’re virtually invisible to the naked eye.

Though they don’t take much time to apply, sealants can last 5-10 years. Dental sealants are some of the most comfortable, cost- and tooth-saving solutions around!


Smile Safety for Active Kids

Active kids call for active safety. And while helmets, goggles and knee pads protect your kids’ bodies, it’s also important to protect their teeth. A mouthguard is an easy, reliable way to safeguard your child’s teeth during sports and play.
Mouthguards are especially crucial during contact sports such as football, hockey or boxing, where blows to the body and face are regular occurrences. But even non-contact sports, such as gymnastics, and recreational pastimes, such as skating or biking, pose a risk to the teeth.
In addition to cushioning your child’s teeth, using a mouthguard can prevent injury to the tongue, lips, face and jaw. Kids who wear dental braces should be especially careful to protect their mouths during physical activity.
A trip to the dentist can help you choose a mouthguard that’s right for your child. In general, there are three types of mouthguards to choose from:
– Stock Mouthguards. These pre-made protectors can usually be bought wherever sporting equipment is sold. Most dentists do not recommend their use because they cannot be adjusted to your mouth and provide only limited protection.
– Boil-and-Bite Mouthguards. Boil-and-Bite guards are softened with hot water and then molded over your child’s teeth. This somewhat custom fit leads to better protection and greater ease in talking and breathing. These are also available at most sporting goods stores.
– Custom Mouthguards. Your dentist can create a custom mouthguard designed specifically for your child’s teeth. These offer the best fit, comfort and protection, but may be more costly than store-bought varieties.

Sinusitis Got You Down?

During the winter months – in fact, any time when the air is very dry – it’s important to keep your nasal passages moist. A simple home remedy is to sniff salt solution into both nostrils 2-4 times a day.

To prepare an effective homemade solution, add ½ teaspoon of table salt and ½ a teaspoon if baking soda into one cup of distillated water. If using tap water, make sure to sterilize it through boiling and then allow it to cool. Stir the cool water until the salt and baking soda dissolves completely.

To apply, fill a squeeze bottle with the saline solution. Direct the saline solution stream toward the back of your head (not toward the top). The saline wash should go through the nose and out the mouth or other nostril. Repeat the process several times a day for best results.

Alternatively, you can buy ready-prepared nasal saline products – such as Ocean®, Simply Saline® or generic equivalents – from a drug store. As with the home solution, these products wash away mucus from the membranous lining of nasal passages.

They also help by shrinking any swollen parts of the nasal passage. If this is not done, mucus and the swollen membranes may block openings of the sinuses into the nasal passages. Sinusitis often ensues when nasal bacteria infect the mucus, which can no longer drain from the blocked sinus. Treatment of sinusitis (rather than prevention) often requires the use of antibiotics.

Some doctors are not enthusiastic about nasal saline irrigation since researchers found it does not significantly reduce the incidence of colds. However, do not confuse the common cold with sinusitis. Viruses cause colds, while sinusitis is a bacterial-induced complication of some colds.

Irrigation of the nasal passages with saline cannot kill viruses or bacteria. However, it does help to reduce the incidence of sinusitis in people with a tendency to develop this common complication.


Food For Serious Thought

Many different types of food can cause tooth decay in children, not just candy. Foods high in carbohydrates – as well as some fruits, juices and sodas, peanut butter, crackers and potato chips – also attack children’s teeth. It’s important to understand not only what foods children eat but also the frequency particular foods are eaten and how long they remain as particles in the mouth.

What About Soda?

In addition to serious ailments later in life (e.g. diabetes, osteoporosis, etc.), dentists believe kids who consume too much soda and not enough nutritional beverages are more prone to tooth decay. Even if children drink soda occasionally, any prolonged exposure to soda can cause damage. Sipping a soft drink all afternoon is more harmful to teeth than drinking a large soda with a meal and then not drinking any soda for the rest of the day.

Drinking carbonated soft drinks regularly – or over a long period of time – contributes to the erosion of tooth enamel and enamel breakdown leads to cavities. If erosion spreads beneath the enamel, pain and sensitivity may eventually result. This can cause nerve infection, in which case a root canal might even be necessary.

Prevent Damage

Children at school should rinse their mouths with water after meals, leaving their teeth free of sugar and acid. Children should also seek sources of fluoridation. One good source of fluoride is from fluoridated bottled water. Or, if the local water supply is fluoridated, encourage children to drink tap or fountain water.

Children should use a straw when drinking soda to keep sugar away from teeth. In fact, even bottled juices should be consumed with a straw, due to the high sugar content. Furthermore, consider sugary drinks from a can or box rather than a bottle with a replaceable cap to discourage prolonged exposure.

Preventive Care

Children should also be supervised as they brush. Generally, when children can dress themselves and tie their own shoes (4-5 years of age), then they are ready to brush unsupervised. However, children should be supervised in proper flossing techniques at least until the age of 10.
If you have any concerns about your child’s dental health, or want some additional tips on preventing tooth decay, give our office a call.