Each year millions of people endure repeated episodes of congestion, coughing and headaches, all the miseries that come with a sinus infection. Although it seems like all the action is occurring around the nose and upper face, the actual cause could be emanating from somewhere else—your teeth.
It can all begin with decay forming a small cavity in one of the upper back teeth. If it isn't caught and treated early, the decay can spread into the tooth pulp and root canals, tiny passageways to the root and bone. This may or may not cause a severe toothache or sensitivity as the tooth's nerves respond to the infection. These nerves, though, most often eventually die and the pain, if present, will subside—but not the infection.
Left untreated, the infection may then advance into the bone around the root tip, breaking it down and giving bacteria an entryway into the floor of the maxillary sinus that rests just above the upper jaw. Here bacteria can take up residence, occasionally flaring into a sinus infection. This chronic infection could go on for years with allergies mistakenly taking the blame.
If you have frequent bouts of sinusitis, a possible dental connection may be worth investigating. And in the dental profession, there may be no better “detective” for this than an endodontist. Specializing in interior tooth problems and treatments, an endodontist has the diagnostic equipment like CT or 3-D cone beam scanning to accurately image the teeth and upper jaw. With their advanced diagnostics, they're in the best position to uncover hidden tooth decay contributing to sinus problems.
Endodontists are also skilled in treating advanced tooth decay. The main procedure is known as root canal treatment, in which the dentist drills into the tooth's interior to remove infected tissue from the pulp and root canals. They then fill these empty spaces, seal and then crown the tooth for added protection.
After treatment and following up with your physician, you may find your sinus infections are less frequent. And by promptly seeking treatment at the first sign of tooth pain or sensitivity, you might prevent chronic sinusitis from even developing.
If you would like more information on how dental disease can affect overall health, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Sinusitis and Tooth Infections.”
Infancy is perhaps the only time in a person's life where a smile with just a few tiny teeth is still endearing. More will come—and then each will gradually depart, succeeded by permanent replacements.
That short lifespan, though, doesn't diminish their importance. Primary teeth not only provide children the ability to eat solid food and develop speech, but they set the stage for future dental health.
The latter arises from primary teeth's role as placeholders for incoming permanent teeth. Because permanent teeth eruption occurs in stages, primary teeth prevent earlier erupted teeth from drifting into the space intended for a later tooth. If they're lost prematurely and other teeth crowd into the space, the intended tooth may not have enough room to erupt properly, cascading from there into a poor bite (malocclusion).
The most common reason for premature loss is an aggressive form of tooth decay in children under 6 called early childhood caries (ECC). About one in four U.S. children encounter ECC, with those in poverty at higher risk. Infection in one tooth can spread to others, including newly erupted permanent teeth.
The goal then is to prevent ECC as much as possible, and initiate prompt treatment should it still occur. A good prevention strategy has two prongs: the actions and habits of parents or caregivers; and the prevention and treatment measures taken by dental providers.
At home, it's important that you wipe your newborn's gums with a clean, damp cloth after each feeding to reduce bacterial growth. As teeth erupt, switch then to gentle brushing with a rice grain-sized amount of baby toothpaste. You should also limit their sugar consumption, including not allowing them to sleep with a bedtime bottle of any liquid other than water.
It's also important that you start your child's regular dental visits around their first birthday. This allows us to detect any developing cavities, as well as apply sealants and topical fluoride to help prevent decay. And should a cavity develop, regular visits help ensure prompt treatment to preserve the tooth.
Your child's set of primary teeth only last a few short years, but their contribution echoes for a lifetime. Taking these measures to protect them from tooth decay ensures they'll fully make that contribution.
If you would like more information on dental care for children, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Do Babies Get Tooth Decay?”
Most babies come into the world ready and able to nourish at their mother's breast—no training required! About one in ten children, though, may have a structural abnormality with their tongue or lip that makes it difficult for them to breastfeed.
The abnormality involves a small strip of tissue called a frenum or frenulum, which is found in the mouth connecting soft tissue to more rigid structures. You'll find a frenum attaching the upper lip to the gums, while another connects the underside of the tongue to the floor of the mouth.
Frenums are a normal part of oral anatomy and usually don't pose a problem. But if the frenum tissue is too short, thick or tight, it could restrict lip or tongue movement. If so, a baby may not be able to achieve a good seal on their mother's nipple, causing them to ineffectively chew rather than suck to access the mother's milk. Such a situation guarantees an unpleasant experience for both mother and baby.
The problem can be addressed with a minor surgical procedure performed in a dentist's office. During the procedure, the dentist first numbs the area with an anesthetic gel. The frenum is then snipped with scissors or a laser.
With very little if any post-procedure care, the baby can immediately begin nursing. But although the physical impediment may be removed, the child may need to “relearn” how to nurse. It may take time for the baby to readjust, and could require help from a professional.
Nursing isn't the only reason for dealing with an abnormally shortened frenum. Abnormal frenums can interfere with speech development and may even widen gaps between the front teeth, contributing to poor bite development. It's often worthwhile to clip a frenum early before it creates other problems.
It isn't absolutely necessary to deal with a “tongue” or “lip tie” in this manner—a baby can be nourished by bottle. But to gain the physical and emotional benefits of breastfeeding, taking care of this particular problem early may be a good option.
If you would like more information on the problem of tongue or lip ties in infants, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Tongue Ties, Lip Ties and Breastfeeding.”
"The Dog Days of summer" once referred to the rise of Sirius (the "Dog Star") with the morning sun during the month of August. Today, however, the term has more of a meteorological than astronomical meaning: It's the muggy point of summer best suited for sipping a cold beverage and doing as little as possible by the pool. A little lethargy can be forgiven during these humid days, but don't let it keep you from the daily necessities—like cleaning your teeth.
Brushing and flossing might seem an unwelcome interruption to your “dog day” pursuits (or lack thereof), but they're still necessary regardless of the season. Together, these twin tasks remove dental plaque, a bacterial buildup of food particles and the primary cause of tooth decay and gum disease.
Daily oral hygiene is one of the most important ways you can ensure your present and future dental health. It also reduces stain buildup to keep your teeth looking their shiny best and helps freshen your breath.
If that's not enough to overcome your summer doldrums, here are a few more reasons why performing these two vital teeth-cleaning tasks is less toilsome than you think.
Just 5 minutes a day. Brushing and flossing take only a fraction of your time each day. You can perform either task thoroughly in two to three minutes. Before you know it, you'll be back poolside.
No “elbow grease” required. Oral hygiene doesn't require a lot of physical exertion, especially brushing. In fact, aggressive brushing could damage your gums. All you really need is a gentle, circular motion, and the mild abrasives in your toothpaste will do the rest.
Flossing help is available. A lot of people find flossing difficult compared to brushing and may skip it altogether. But flossing is necessary to remove plaque between teeth that brushing can't reach. Usually, it's a matter of getting over the initial awkwardness of maneuvering the floss. The major mistake is that people tend to tighten their cheek muscles when trying to get their hands in their mouth. Relax your facial muscles and you can easily get the floss positioned in the mouth for proper technique. But if you don't have the manual dexterity to hold floss between your fingers, you can try pre-loaded floss threaders or a water flosser.
Relax—we have your back. Achieving the lofty goal of great dental health isn't all on your shoulders—we support your personal efforts through regular dental visits. Every six months, we remove hard-to-reach plaque and tartar (hardened plaque) and check for any emerging problems to keep your dental health on track.
A small investment of time and effort each day can help keep your mouth healthy and avoid costly dental treatment down the road. Don't worry: The pool will still be there waiting, so go brush and floss those teeth!
The final quarter of the 2019-2020 academic year was like no other in modern history. Because of COVID-19, U.S. schools and colleges lay dormant as millions of students carried on their studies via distance learning. Whether the upcoming school year will be online or in-person, the end of summer is still a great time to make sure your family's dental health is on track.
Normally, dental care is one of several items that families focus on right before school begins anew. But even if school won't be resuming in the traditional sense, you can still put the spotlight on your family's teeth and gums.
Here are 4 dental care areas that deserve your attention before the new school year begins.
Re-energize daily hygiene. The break in routine caused by sheltering in place may have had a stilting effect on regular habits like brushing and flossing. If so, now's the time to kick-start your family's daily hygiene. Brushing and flossing remove disease-causing plaque and are essential to long-term prevention of tooth decay and gum disease.
Schedule a dental cleaning. Regular professional cleanings, generally every six months, are necessary to remove hard-to-reach plaque and tartar. Scheduling may have been difficult this past spring, but as life starts to get back to normal, be sure to return to regular dental visits as soon as possible. During appointments, we can spot small issues that if left undetected could cause bigger problems later on.
Reassess your family's diet. If the last few months have impacted your normal food choices, you may want to take a closer look at your family's diet and what effect it may have on dental health. Processed foods with added sugar contribute to the risk of dental disease. But a diet rich in fresh fruits, vegetables and low-fat dairy contains abundant nutrients for strengthening teeth and gums.
Seek special evaluations as needed. It's a good idea to have your child undergo an orthodontic evaluation around age 6: If they have a poor bite developing, early intervention could prevent or minimize it. And you should have your teenagers' wisdom teeth monitored regularly in case they're impacted or causing other dental problems—they may require removal in early adulthood or before.
Hopefully, this unusual interruption in education will soon become a distant memory. But even with the school routine being upended as it has, you can still take advantage of the end of summer to give your family's dental health a boost.
If you would like more information about back-to-school dental care, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Top 10 Oral Health Tips for Children.”
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