Saturday, January 24, 2015

SODA AND YOUR TEETH

Philip Tornatore DDS News
January, 2015
Soda Drinkers More Prone to Cavities
Dentists can usually spot a soda drinker. These patients are often prone to dental cavities and white spots on their teeth known as decalcifications, which are actually the start of new cavities.
                
A cavity is an infection caused by a combination of carbohydrate-containing foods or beverages and bacteria that live in our mouths. Sweetened soda contains a high amount of sugar, a carbohydrate that can promote cavities. Soda may be even more damaging to the teeth than other sugar containing beverages because it is acidic as well.
 
Before we drink a sugar-sweetened soda, the pH in our mouth is about 7.0, which is slightly more acidic than water. When the bacteria in our mouths are exposed to sugar, they metabolize it and produce acid. The acid causes the pH on the tooth surface to drop. At a pH of 5.2 or below, the acid begins to dissolve the hard enamel that forms the outer coating of our teeth. Over time this leads to erosion that causes cavities and painful toothaches!
 
A study examined the effect of several types of sweetened soda and mineral water on the teeth. Teeth exposed to cola, orange and lime soda had significantly more decalcification than those exposed to mineral water. Of all of the sodas tested, cola caused the most decalcification. Sweetened soda seems to damage teeth in two ways. The soda has a low PH and makes the mouth acidic, and the sugar content promotes tooth decay when it comes into contact with bacteria in the mouth.
 
The easiest way to prevent cavities is by brushing your teeth at least three times a day, especially after eating or drinking and before bed. Reducing the amount and frequency of eating sugary foods and beverages can decrease the risk of forming cavities.
 
If you have to have sweetened soda, it is better to drink it at one sitting than sip it throughout the day. Better yet, drink it through a straw in one sitting, to bypass the teeth altogether.

Saturday, November 16, 2013

November 2013 Dr Phil Dental News

Philip Tornatore DDS News
November, 2013
Tips for Breaking Bad Oral Habits
Did you know that a lot of little things you do (or don't do) on a day-to-day basis affect your teeth's well-being and may fall under a list of bad oral habits? These include not brushing or flossing enough, eating too many sweets too often, or even using your teeth to open a bag of chips.
 
Bad oral habits die hard, but they can be stopped in their tracks by the following tips:
 
Floss at least once a day. It helps remove bits of food and dental plaque in places your toothbrush can't find, helping to keep your gums healthy.
 
Brush at least twice a day. If brushing is not an option, chew sugarless gum (make sure it's sugarless!) for 20 minutes after a meal or snack. This helps prevent tooth decay. 
 
Clean your tongue. Regularly cleaning your tongue with a toothbrush or a tongue scraper helps remove the bacteria that causes bad breath.
 
Replace your toothbrush regularly. Replacing your tooth brush ever 3-4 months is a good idea. Bristles in your toothbrush that are bent and broken don't do a good job cleaning your teeth.
 
Eat a balanced diet. Snacking on sweets without brushing increases the acid in your mouth… and the likelihood of tooth decay. Munch on vegetables and fruit instead.
 
Regular Dental Visits. Your dentist is trained to do damage control in your mouth before it's too late. You should visit the dentist regularly -- every six months.
 
Adding these to your list one at a time is a good start to kick those bad oral habits. By doing a little self-check on your daily dental care habits, you can be on your way to making sure your teeth, your mouth's health and your overall health are at their best.

Friday, March 9, 2012

The Impact of an Impacted Tooth

The Impact of an Impacted Tooth

A tooth is considered impacted when it only partially grows through the gums. This can happen because another tooth blocks it, or it grows in crookedly. The third molar typically erupts from age 17 to 21 and is the last tooth to appear, which is why it’s the most likely tooth to become impacted – there’s usually no room left for it.

Although an impacted tooth does not always lead to pain or discomfort, the impaction can cause other problems. A partially erupted tooth can create an opening in the gum where food and other particles can accumulate, leading to gum infection. Impacted teeth can also develop tooth decay, and they can also push on adjacent teeth, causing all your teeth to shift.

For these reasons, it’s usually recommended to have wisdom teeth extracted before the age of 21. The younger you are the better (and faster) the surrounding tissue and bone will heal. That doesn’t mean you should ignore the symptoms if you’re over 21, though.

No matter what age you are, if an impacted tooth is causing you pain, soreness, sensitivity or inflammation, come in for a visit. Better to get treatment than unnecessarily endure pain and discomfort!

Persistent pain or an infection usually means the tooth will need to be removed. Sometimes this can be done right in the office. Otherwise, we can give you a referral to a recommended oral surgeon.


Philip Tornatore DDS
404 Jerusalem Ave
Hicksville, NY 11801
(516) 931-5483
philtorn@optonline.net
drphildds.com
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Thursday, December 2, 2010

Choosing a Toothpaste

Choosing A Toothpaste

While toothpaste [dentifrice] is a valuable adjunct to a toothbrush in oral hygiene, it is the correct brushing action that removes the plaque [sticky mixture of bacteria, food & debris] from your teeth.

• Fluoride Any brand toothpaste that contains fluoride and the ADA Seal of Approval, to attest that there is evidence of its safety, reliability and effectiveness through clinical trials, is acceptable. It makes no difference if the toothpaste is a gel, paste or powder or which flavoring agent is used. However, from an individual motivational standpoint, and assuring its use, these characteristics may be important. Other than fluoride, which strengthens the enamel and fights decay, toothpastes contain abrasives to remove stain and polish the teeth and ingredients to leave the mouth with a clean, fresh feeling.

• Sensitive Teeth If your teeth are sensitive to hot or cold, choose a desensitizing paste with either strontium chloride or potassium nitrate as an added ingredient. Expect about 4-6 weeks to see real improvement.

• Tartar Control There are brands of toothpaste that advertise "tartar control" and usually have the active ingredient pyrophosphate. While it will not remove tartar, studies have shown it will reduce tartar formation up to 36%. Tartar [calculus] can only be removed with a professional prophylaxis [cleaning].

• Abrasiveness Many toothpastes now contain baking soda, which is less abrasive. This is advantageous for reducing tooth sensitivity in people with gum recession or those who have eroded their teeth by rigorous brushing with an abrasive toothpaste.

• Whitening Bleaching teeth to make them lighter has become popular. If you desire a whitening toothpaste, look for the active whitening agents of carbamide peroxide or hydrogen peroxide. These toothpastes serve best to maintain the tooth shade after bleaching procedures. Call our office if you have bleaching questions.

• Dentures If you wear partial or full dentures, they will also stain and absorb odors. Ask your pharmacist to recommend an ADA Accepted denture cleaning paste and/or solution. When brushing, it is not necessary to overload your brush with toothpaste. Squeeze a "pea-sized" amount on the top of the bristles. Correct brushing techniques will cause the paste to foam and cover all of your teeth.

Philip Tornatore DDS
404 Jerusalem Ave
Hicksville, NY 11801
(516) 931-5483
philtorn@optonline.net
www.drphildds.com



Saturday, July 24, 2010

Green Tea

A Toast To Good Health With Green Tea

Civilizations around the world have used natural herbs and plants to treat sickness and pain. All tea comes from a plant, Camellia sinensis. Unlike black tea, green tea is not fermented, so its active ingredients remain unaltered. Green tea's protection comes from a powerful antioxidant, a polyphenol called EGCG. [Graham HN. Green tea consumption, and polyphenol chemistry. Prev Med 1992;21:334-50.]

There is evidence to show that green tea can be effective in the prevention and treatment of certain types of cancer, high cholesterol, cardiovascular disease, rheumatoid arthritis and impaired immune function.

Because our mouths are an oxygen-rich environment closely connected to our blood vessels, they provide an ideal habitat for the growth and rapid proliferation of cancer cells. Scientists have confirmed that green tea not only halts the growth of new oral cancer cells but it actually breaks down and kills existing oral cancer cells. A double-blind study of people with leukoplakia (a precancerous oral condition), showed that those in the green tea group compared to those in the placebo group had significant decreases in the pre-cancerous condition. [Li N, Sun Z, Han C, Chen J. The chemopreventive effects of tea on human oral precancerous mucosa lesions. Proc Soc Exp Biol Med 1999;220:218-24.]

This is why we examine your mouth closely on each visit to determine any changes in texture or color that might indicate the presence of oral cancers. This early screening is just one more reason to make sure you don't miss your regular checkup.

Ingredients in green tea may reduce the risk of getting dental cavities. One study compared two groups. The one that rinsed each night with an alcohol extract of oolong tea leaves had significantly less plaque formation than the group who did not. [Otake S, Makimura M, Kuroki t, et al. Anticaries effects of polyphenolic compounds from Japanese green tea. Caries Res 1991;25:438-43.]

Another benefit of green tea is that it stunts the growth of odor causing bacteria, thus helping you maintain a fresh breath.

And just how much green tea should we be drinking? To fully obtain the benefits, we should have at least four to six cups a day. And if you don't want to drink it down, simply use it as a mouthwash. Decaffeinated tea is recommended to reduce the side effects associated with caffeine, including anxiety and insomnia. Supplements, in the form of tablets are also available.


Philip Tornatore DDS404 Jerusalem AveHicksville, NY 11801(516) 931-5483philtorn@optonline.nethttp://www.drphildds.com

Saturday, November 7, 2009

Cracked tooth syndrome

It's Not What it's Cracked Up To Be - Hicksville, Ny


While the enamel [outside covering of the crown of a tooth] is the hardest substance in the human body, undue stress on your teeth may cause them to crack. Causes include chewing hard foods [such as a popcorn kernel], biting on ice cubes, biting on a hard object such as a pen or pipe and/or clenching or grinding your teeth [bruxism].


Cracked Tooth Syndrome is very common in teeth with large fillings in them and most often is seen in your back teeth. If the crack goes untreated, it may deepen or expand like a crack in a glass window, causing part of the tooth to break off. If this occurs, the tooth may have to be extracted or might need root canal treatment in an attempt to save the tooth.


Some of the symptoms of this occurrence are: pain on chewing, unsolicited pain, pain from cold air, no x-ray evidence of the problem and no dental decay present. Often it is difficult for the patient to determine which tooth is causing the pain. However, the absence of pain does not rule out the presence of a crack.


To determine if a tooth has developed a crack that is not visible to the naked eye, the dentist will take a through dental history including history of trauma to your teeth and history of any bite adjustments that were performed. The teeth in the problem area will be examined with a dental explorer. Hot and cold sensitivity of the teeth will be tested. If a severe pain is elicited with temperature, and the pain rapidly subsides with removal of the stimulus, it is usually indicative of a fracture. Sometimes, transillumination [light source] with magnification is used to help visualize the suspected crack. The diagnosis can be further confirmed when the dentist uses a plastic or wooden instrument or cotton roll that rests on one part of a tooth while you are asked to bite down. Pain in a specific areas helps isolate the position of the crack. In certain instances, removal of a restoration [filling] may be necessary to visualize the crack and assess its potential to harm the pulp [nerve].


Can cracks be treated so that the tooth can be saved? Yes. Unfortunately, cracked teeth don't heal themselves like your bones. Early diagnosis leads to a better chance of success. The best solution is to have a full crown [cap] placed over the tooth to strengthen and hold the tooth together. In about 10% of cracked teeth, the nerve dies and root canal [endodontic treatment] will be required, along with the cementation of a post into the nerve canal before the crown and be completed and the tooth restored.


Call our office for questions or to set up an appointment if you are experiencing any of the cracked tooth symptoms.


Philip Tornatore , DDS

404 Jerusalem Ave

Hicksville, NY 11801

(516) 931-5483


http://www.drphildds.com

Monday, October 26, 2009

Maximizing Dental Insurance

Hicksville, NY – Maximizing Dental Insurance

As the calendar turns to November, many people are throwing money away and unfortunately they don’t even know it!! Many people have invested hard earned income to obtain dental coverage through insurance and do not utilize this benefit. Unlike medical insurance, dental insurance has yearly maximums and these benefits are lost if not used within that year. They do not roll over or accumulate in the following year.

Although yearly maximums don’t reflect the true value of present day dollars and has not been increased due to inflationary rises and general dental cost increases, there is still significant benefit that is being wasted. Yearly maximums range from $1000 to $2000 and a deductible of $50 to $100 is applied to non preventive procedures.

In order to maximize your use of dental insurance, you really need to know what your dental coverage is. You need to know the coverage percentages for the different types of dental procedures. You need to know if there is any waiting period for having treatment done. You need to know how frequently procedures can be done. All of this information should be in the booklet provided by your employer or you can ask our Hicksville dental office if you have any questions about your coverage.

The good news is, IT’S NOT TOO LATE!!

By scheduling an appointment in our modern Hicksville office, we can evaluate your oral health with a thorough oral evaluation, x-rays and prophylaxis. We can help you maximize your benefits by determining what procedures need to be done and how we can get the most benefit from your insurance before the end of the year. If you need extensive work, we can plan your treatment so that work can be completed in the beginning of 2010 thus utilizing 2 years of benefits. Also, you can coordinate your contribution to your 2010 flexible spending account to cover deductibles and out of pocket expenses. These contributions when used are pretax deductions.

Time is running out! Be proactive, make an appointment and maximize your dental benefits. Remember small problems usually are taken care of with small solutions, and larger problems require bigger and more costly solutions. If you have any questions, please contact us at www.drphildds.com.