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Types of Emergencies a Dentist can Help Treat

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Dental emergencies are common, but often avoidable. Some of these can be prevented simply by brushing and flossing more thoroughly, as well as having your dental hygienist do a professional cleaning at least twice a year. 

But accidents do happen, so keep a note in your glove compartment, purse, or car with Pro Health Dental’s number just in case ((949) 916-6868). If it occurs during our office hours (Mon.-Fri. 9 am-5 pm) call us immediately so that we can have you see Dr. Gruita ASAP.

If a car, bike, boating, swimming, or sports accident occurs when we are closed and tooth is knocked out, hold it by the top (do not touch the root), wash it in warm water, and try to put it back into the socket or place it in milk on your way to an urgent care clinic. Ibuprofen or aspirin should be adequate to manage the pain and you can put a cold compress on the outside of the mouth in that area for 15 minutes, then take it off for 15 for a few hours, which will prevent swelling. If it takes a long time to be treated, it will probably need to be replaced with a dental implant.

Chipped Teeth

If the tooth has been slightly chipped (which could occur just from biting into hard candy or chewing on ice), take the same approach, but if the pain is manageable, wait until your appointment at Pro Health Dental. This will probably need to have a dental veneer attached to the front of the chipped tooth to protect it from further damage and sensitivity.

Tooth Fracture

A fractured tooth will require a dental crown to cover it and hold it together, if the tooth can be saved. After this happens, rinse the area with salt water and use a cold compress, then go to an urgent care before setting an appointment with us. 

Crown Falling Off

If a crown comes off, just make an appointment to come into our office, put it back on with some dental adhesive available at any drug store, and meantime avoid chewing on that area.

There are three types of toothaches. A cavity is not an emergency, so manage the pain with OTC remedies or put clove oil on it (a traditional way to reduce tooth pain).

However, if the pain is extreme, this may be a sign that the root of the tooth is infected and this will need a root canal procedure to clean it out (contrary to popular usage, a root canal operation is not painful, just the infected tooth). Another infection that can be very painful is an abscess, the symptom of which is that it exudes pus within or near a tooth that exudes poss. Both require emergency treatment.

When a Dental Restoration May be Recommended

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Pro Health Dental is well-known for its excellent “restorative” dental work. You may wonder what that term means and the answer is wide-ranging.

In childhood, we all learn that filling cavities (aka dental caries) is what dentists do and it remains the second most common disease in the U.S. for all ages, second only to the even more common cold. Removing the decay caused by not adequately brushing or flossing away the dental bacteria is a restorative task, making the teeth and mouth as healthy as they were before the cavity. Dr. Gruita uses only mercury-free, tooth-colored composite resin to cover the hole. If this is especially large, he can fill it with similar material in procedures known as inlays, onlays, or bonding.

This example illustrates that restorative measures usually also have cosmetic benefits for your smile, since you would not want to grin wide and have others see flashes of old silver fillings.

Dental Implants Restore Your Natural Smile

This is also true of dental implants, those artificial teeth that look exactly like the visible part of real teeth. If a tooth has been knocked out in an accident or fallen out because of poor dental hygiene, an implant restores your smile while keeping your bite the same (which has a tendency to start misaligning as neighboring teeth lean towards the gap, loosening even more teeth).

A dental bridge is a less expensive alternative, which involves attaching an artificial tooth (made out of dental porcelain) to the teeth on either side of the gap where the missing tooth was, also prevents misalignment. However, a bridge typically lasts 5-10 years, while an implant can be a permanent solution with proper care.

Dentures Replace Multiple Teeth

If you have lost quite a few teeth, dentures are a common option, but unlike implants, they sit on top of the gums and are not usually anchored into the jawbone, which would stop erosion of the jaw. That is why they need to be adjusted about every five years, but they do restore appearance, the ability to chew, and speak clearly.

Veneers are thin pieces of dental porcelain attached to the front of teeth that have been cracked or chipped. These can also be used to improve the look of teeth that are misshapen, too large or too small, and they can cover gaps between teeth. If even professional whitening does not remove severe discoloration, veneers can restore a gleaming smile.

If a tooth is fractured or the top has been ground down (often unconsciously while sleeping), a crown or cap can be used to restore the tooth to its normal function and prevent further damage.

Call Pro Health Dental today to set an appointment for a full examination and to discuss with Dr. Gruita your priorities for achieving your unique perfect smile.

How to Floss Like a Professional

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The dentists and hygienists at Pro Health Dental know just how important it is for you to floss like a professional.

No individual can duplicate the level of cleaning that a dental hygienist can provide, because she has the tools, techniques, and experience to be able to reach everywhere in the mouth and to even inject antibiotic pellets or a solution to stop periodontal infection. Be sure you have this done at least twice a year.

Good Cleaning Habits Improve Your Treatment Results

But ideally you make their work easier by brushing after breakfast for two minutes (in part to remove the bacteria that collects in the mouth while you sleep) and then after your last snack at night, when you also floss.

Late at night it is tempting to rush through flossing, which is not as easy to do as brushing. It is important to scrape the sides of both teeth and beneath the gums at least once, twice if needed, not just rush the string between the teeth. If your efforts cause bleeding, that is gingivitis, the initial stage of what can become periodontal disease or periodontitis. That can ultimately lead to the gums pulling away their support from the teeth, leading them to fall out or need to be extracted.

Another technique that is often not done is to move a fresh part of the string to each area you floss. Otherwise, you can simply be transferring the sticky bacterial plaque that has formed around food particles (because they were not cleaned off earlier) from one area to the other.

If your teeth are crowded and it is hard to fit the string between them, use one with a thinner string or that is waxed.

Cleaning Difficult-to-Reach Spaces

What if you still see particles in hard-to-clean spaces and around dental bridges? Use a small-bristle interdental brush, a water flosser, or pre-threaded floss that has a stiff point that can be inserted in a tight space.

Also, don’t neglect the rear of the back molars, which are very difficult to clean and it is easy for plaque to not only accumulate, but if not removed, where it will harden into tartar that only a hygienist can clean off.

And do not forget to brush and floss around your braces and dental restorations, like crowns, implants, and dentures.

How Sensitive Teeth Affects Your Smile

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Do your teeth hurt when drinking or eating a cold or hot beverage? Are you avoiding activities outdoors or smiling less because the cold air makes your teeth hurt? Then you probably have sensitive teeth.

Tooth sensitivity is a common dental condition. It affects one in eight adults, around 12% of the population in America.

So what causes tooth sensitivity? What are the symptoms? And how can you avoid and treat it?

What are the Symptoms of Sensitive Teeth?

There are various dental problems that you may mistake for sensitive teeth. For example, discomfort in your mouth can mean a lot of things. However, a few indications can tell you it is sensitive teeth.

If you feel discomfort, sensitivity, and mild pain when doing the following, you have sensitive teeth:

  • When eating and drinking hot, cold, sugary and acidic food and drinks
  • Using any product with alcohol
  • Brushing or flossing your teeth
  • Breathing in cold air

If the above causes sharp pain and you notice the gums have receded, you should check in with your dentist. You could be dealing with something more sinister.

What causes Sensitive Teeth?

The main cause of sensitive teeth is the exposure of nervous tissues (dentin) below your teeth. The exposure is usually caused by the erosion or cracking of the enamel and receding gums.

The enamel and gums prevent any food, drink or substance from reaching the dentin, which gets irritated when exposed.

The following are the causes of gum recession and enamel breakdown:

  • Gum recession due to old age
  • Recent dental procedures
  • aggressive teeth brushing
  • Smoking of tobacco
  • Bruxism or clenching/grinding of teeth
  • Crack in the teeth
  • Acidic foods and drinks
  • Some teeth whitening and cleaning products

How do you Avoid or Remedy Sensitive Teeth?

The best way to deal with sensitive teeth is by visiting your dentist. They’ll assess the damage and recommend the best solution that could include:

  • Tooth desensitizing Toothpaste and mouthwash
  • Mouth guard to deal with bruxism
  • Restoration replacement
  • Flouride treatments
  • Root canal if the situation is dire

You can also avoid sensitive teeth before having the problem or after treatment using the following ways.

  • Maintaining good oral hygiene
  • Using a soft-bristled toothbrush gently on your teeth
  • Reducing intake of sweet and acidic drinks and food
  • Avoiding or limiting the use of tobacco products
  • Spacing out your teeth whitening procedures

There are many ways of dealing with sensitive teeth. The most responsible thing is to talk to your dentist for more professional insight. 

You’ll never fear pulling that stunning smile with the right procedures and habits!

What Causes Sensitive Teeth and What You Can Do About It

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Are you experiencing tooth sensitivity? If this involves only one or two teeth, the local problem can be appropriately dealt with. If there is overall sensitivity in your mouth, the fundamental issue has to be treated. Common causes and remedies can include:

Brushing Incorrectly

It is common for people to use toothbrushes that are too hard and damage the enamel and gums. The enamel is the outside surface of a tooth and is the hardest bone in the body, but it can be scrubbed off or damaged this way. So can improper brushing technique, such as stroking across the teeth going back and forth, rather than carefully brushing from the gums towards the top of each tooth on both sides, using a soft-to-medium brush.

Cavities 

You may not feel much pain initially, but a cavity (aka dental caries) can eat a hole in the enamel and the next protective layer, the dentin, when it becomes painful and then it may penetrate that and reach the vulnerable soft tissue of the inner pulp, which could require extraction of the tooth.

Old or Damaged Fillings

Composite resin fillings may last 10 years and a metal one 15, but they can crack or be worn down much earlier and require a replacement.

Cracked or Chipped Teeth 

The sensitivity even from a tiny opening would be due to the dentin or pulp being exposed. These can be repaired with veneers or dental bonding..

Harsh Whitening Products

Over-the-counter whitening strips, gels, and mouthwashes might be too strong for your teeth. It is better to have whitening done in a dental chair with a trained member of our staff or by using an approved set of take-home trays with gels.

Grinding Your Teeth When You Sleep 

You may not even be aware that you do this, but a dental exam will reveal the damage that would make your teeth sensitive. We can repair them with dental crowns, if severe, and protect them from further damage by creating a personalized mouthguard to wear when you sleep.

Gum Recession

If your brush and flossing habits have been inadequate, the bacterial plaque that forms around bits of food that are not removed can cause your gums to recede, exposing the roots, which are not covered by enamel. We can protect them with a dental sealant or do a gum graft, if needed.

Acidic Foods and Beverages 

Carbonated sodas, beer, hot chocolate made from cocoa, citrus fruits and juices, tomatoes, pickles, sauerkraut, starchy foods, dairy products, fish, and processed meats should be limited if your teeth seem to be getting worn down by their high phosphoric acid content.

Acid Reflux

If you frequently suffer from acid reflux, the cause should be determined by a physician, but there are OTC remedies that should be used if you anticipate some type of food that keeps causing problems. The acid that comes up harms the enamel of your teeth. 

If any of your teeth have become sensitive, call us for an appointment for a full dental exam before sensitivity leads to a more serious condition.

Types of Cracked Teeth and Procedures to Treat Them

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If you have a cracked or broken tooth, there are plenty of options to treat the issue. Dental bonding can fill the cracks, porcelain veneers and dental crowns can cover the damage, root therapy can save a tooth from having to be removed, and dental implants can replace missing teeth. Visit the Pro Health Dental office for more information and to get treatments started.

Cavity Prevention Tips to Help Preserve Your Smile

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We’ve all had cavities, especially when we were kids, but most of us grew up without fully understanding what a challenge it was to prevent them. It’s not easy to learn how to brush and floss correctly and over time small problems can develop into not only cavities (aka dental caries), but periodontal (gum) disease, which can lead to the loss of teeth.

Next to the common cold, cavities are the most common disease and more painful and expensive to address, especially if they actually kill a tooth, requiring it to be extracted and (ideally) replaced with a dental implant.

A cavity, as the name implies, is a hole in the enamel surface of a tooth, the hardest bone in the body, and it can penetrate the next layer, the softer dentin, until it reaches the vulnerable pulp of the tooth. It then might even kill the root of the tooth, which is very painful and the infection would have to be cleaned out.

Aside from a severe toothache, other symptoms that a cavity may be growing (they can be invisible at first) would be tooth sensitivity (especially if you drink or eat something hot or cold), pain when chewing, black, brown or white stains, and a dry mouth (saliva plays an important role in preventing cavities).

Cavities are the end result of bacteria in the mouth adhering to food particles, which becomes a sticky film called plaque that emits an acid that eats into teeth. Fortunately, there are many ways to prevent this:

  • You should use a soft-bristled brush and fluoride toothpaste, then brush the front, back, and chewing surface of each tooth, stroking from the gum line to the top of the tooth for two minutes twice a day. It’s best right after breakfast so you don’t go all day without cleaning, then after dinner, and finally floss before you go to sleep. It’s important to move the floss to a new section each time you clean between two teeth so that the bacteria are not being transferred from one area to another.
  • A dental hygienist has tools and techniques that can do a much better job that anyone for themselves in cleaning all the hard-to-reach areas, and she can even remove plaque when it has hardened into what is known as tartar. Be sure to have this professional cleaning at least twice a year.
  • Have a full dental exam twice a year and a digital x-ray of your mouth once a year so your dentist can assess whether the teeth and jawbone are healthy beyond what the eye can see.
  • Eat a diet rich in protein, healthy fats, and complex carbohydrates like vegetables, whole grains, seeds, beans, and legumes (like peas). Sugar and refined flour (including bread, pasta, and pizza) are simple carbs on which oral bacteria love to feast.
  • Drink plenty of water and chew sugarless gum, which will stimulate the production of saliva.

If you have not had a dental exam in quite a while, don’t wait to set an appointment by calling Pro Health Dental today.

Tips for Buying or Replacing a Toothbrush

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By now, everyone who sees a dentist regularly should know they need to brush their teeth on both sides for two minutes twice a day and floss at the end of the day.  Doing this right is not easy because there are hard to reach places of the mouth, which is why it’s important to have your dental hygienist, who has special tools, provide a professional cleaning twice a year. 

It is also vital to have a full preventative and oral health exam by your dentist twice a year and a digital x-ray once a year to prevent small problems from becoming big ones. Leaving any of these good habits out could ultimately result in the loss of teeth.

What is often not fully appreciated is the need to use the right type of toothbrush and replace it periodically. First, the brush needs to state that it has soft bristles and you need to use it correctly, scraping from the gum line to the tip of each tooth. It might seem that harder bristles would do a better job of cleaning off the food particles and bacteria, but these can damage your teeth and gums.

You should also ask your dentist if any ongoing oral health issues might improve if you used an electric toothbrush. As vigorously as they scrub, they will not cause any harm and you still need to brush for two minutes each time with the proper technique. In the case of both electric and manual toothbrushes, check for the recommendation seal of the American Dental Association (ADA), which will confirm that it has been tested for effectiveness and safety.

Another consideration in choosing a toothbrush is the size of the head. A large one can scrub a bigger area at one time, but a smaller head will allow you to reach places that are not easy to clean, such as your molars in the back of both upper and lower arches. If you have crowded teeth, you should also use the tiny brushes that are shaped like a big plastic toothpick with bristles at the end, enabling you to get into the crevices a regular toothbrush cannot easily clean out.

If you have been using the same toothbrush for 3-4 months, it is probably time to replace it because the bristles wear down and fray, so you will not get the same protection from decay and gum disease when you brush. You should also change brushes after illness, since brushes can convey bacteria and viruses. Even if you have not been sick, you can buy special toothbrush head covers that will keep them clean and even antiseptic. Keep track when you start using a new brush.

Ask your dentist or hygienist for their recommendations.

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Managing a Chipped Tooth Emergency

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A chipped tooth is a very common occurrence. It can happen from playing sports, a car or bike accident, a fall, a blow to the face, chewing on a pen, pulling off clothes with teeth, munching on ice, eating hard nuts or candy, chewing on bones or hard bread, eating corn on the cob or unpopped popcorn kernels, or fruits and vegetables with pits.

If it happens during our office hours (Mon.-Fri. 9 am-6 pm), call for an emergency appointment, otherwise evaluate how urgent it is and, if necessary, go to the nearest urgent care clinic for help.

But not all experiences with chipped or cracked teeth should be treated the same. A hairline crack or minor chipping that does not appear to split the enamel can wait for the dentist to examine it, while a fracture would need a dental crown to hold it together. Sometimes these can occur from wear and tear, grinding teeth at night, or a misaligned bite. You may be able to tell the extent of the injury if you bite down gently and feel more pain or have more sensitivity to cold or hot liquids or foods.

If the chipping is significant and there is bleeding, put a cold pack on and off the outside of the face near the injury every 15 minutes for a couple of hours to prevent swelling. Rinse your mouth with salt water to reduce the risk of infection. Most drug stores carry Dentemp or a similar product to treat a chipped tooth temporarily. You can manage the pain with ibuprofen or aspirin (or even the traditional numbing agent clove oil). Avoid biting down on that tooth until treatment. 

When you are able to come in, we will determine the depth of the chip or crack by close examination, but also through a digital x-ray (which involves minimal radiation). In cases of minor chipping, the remedy will probably be to simply put a dental veneer on the front to cover the damage, both to keep it protected and restore your smile to normal.

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Common Factors that Result in Bad Breath

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Most people who have bad breath don’t even realize it because friends and family might be too embarrassed to say something. It’s difficult to smell your own breath, but if you suspect the odor is a problem there are a number of things you can do to prevent and treat it. Not surprisingly, Pro Health Dental can provide a number of solutions and plenty of advice.

It starts with making sure you brush for two minutes after breakfast (rather than letting food particles attract bacteria all day) and the same after dinner. Change your toothbrush every few months and keep it covered and clean and ask us about the best toothpaste for your case. Then floss when you know you won’t be having a later snack or glass of wine. Doing it thoroughly and consistently eliminates a major cause of stinky breath.  

It will also help to use a dentist-grade mouthwash that kills bacteria, not a mere breath freshener. In some cases, you may need to add a water pick or use an additional soft-bristled small brush to clean out crevices.

Equally important is to be sure you have your teeth professionally cleaned by your dental hygienist who has the tools, techniques, and antibacterial solutions that not only can remove tartar, but kill any bacterial infections in the gums before they create problems more serious than halitosis (the technical name for bad breath).

Perhaps surprisingly, the famed Mayo Clinic reports that a white-coated tongue, especially in the morning, is the result of sulfur compounds accumulating in the mouth that will cause smelly breath and contribute to potential gum disease. It needs to be scraped off ASAP.

A dry mouth enables bacteria to accumulate because saliva normally cleans it off. If you suffer from this, drink more water and less alcohol and coffee, while reducing or quitting smoking, since these dry the mouth. Chewing on sugar-free hard candy or sugarless gum can stimulate saliva. If that doesn’t help, ask us about a medication that may be needed.

If you wear Invisalign aligners, a retainer for post-orthodontic treatment, a mouthguard at night, or dentures, be sure you clean them at least once a day with an appropriate cleaning solution (such as one designated for dentures, but be sure to watch for any discoloration that occurs that occurs on the oral device). 

Set an appointment for a full dental exam to be sure your oral health is where you want it to be.

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