Alexandria, VA
Helpful Dental Info
Helpful Dental Information
When searching for a new dentist, many patients are unsure of where to begin. Online resources can include puzzling dental terminology. If you are feeling confused or overwhelmed, help is available. The right dental information can make your search easier.
At Alexandria Old Town Dental in Alexandria and the surrounding area, we provide in-depth dental information. Our team offers guidance to new and existing patients. During the treatment process, we help you understand your options for care.
Oral Hygiene Basics
Understanding oral hygiene basics allow people to better care for their teeth. However, the basics extend beyond the teeth — they pertain to the entirety of the mouth, including the gums, cheeks, and tongue. Oral health is critical to the body's overall health.
The Importance of Good Oral Hygiene
The teeth are connected to the jaw bone in the face through the tooth's roots. These roots are deeply ingrained in the bone to provide structure and strength to the mouth, which is important for biting, chewing, and speaking. Without an oral hygiene routine, the teeth risk the buildup of bacteria, otherwise known as tartar and plaque. This appears as a yellowish buildup on the teeth around the gum line.
Over time, if someone does not brush, floss, and rinse at home regularly and maintain their regular dental checkups, this buildup can start to affect the smile. If left alone, the bacteria can get beneath the gums and create dental pockets. These pockets occur when the gum tissue starts to pull away from the teeth. This may also cause gum recession, which may eventually expose the tooth roots. If the bacteria have access to the roots beneath the gum line, they may gain access to the body's bloodstream.
Once the bacteria can enter the bloodstream, the entire body may be at risk. Starting and following an oral hygiene routine will help prevent the buildup of bacteria and plaque on the teeth and keep the body safe. To protect the health of the smile is to protect the overall health of the body.
How to Properly Brush Teeth
The American Dental Association (ADA) recommends that people brush their teeth for two minutes at least twice a day using a fluoride toothpaste. Brushing is crucial for removing plaque and bacteria buildup, which can both lead to gum disease and tooth decay.
Poor brushing is almost as bad as not brushing at all. In order to remove bacteria and plaque, teeth need to be brushed for at least two minutes. Take the time to move the toothbrush in gentle, circular motions, and make sure to clean all the surfaces of the teeth.
Proper flossing is also integral to a good oral hygiene routine. According to Healthline, patients should use 18 to 24 inches of dental floss, winding most of it around both middle fingers. Only about one to two inches of floss should be reserved for the teeth. Floss should be held taut between the thumbs and index fingers before being placed between the teeth. It should then be gently glided up and down. Patients should curve the floss at the base of the tooth, forming a C shape. A new, clean section of floss should be used for each tooth.
The mouth is full of bacteria. Proper brushing and flossing can keep these bacteria under control and keep them from causing any damage. But if hours or days pass between brushings, the bacteria can build up. When left in place too long, the bacteria start attacking the teeth.
Oral Hygiene for Kids
Children will need help brushing their teeth until they learn to do it on their own. Start cleaning their gums with a clean, wet cloth before they have teeth to get them used to the routine.
When a child's first teeth start to appear, brush them twice a day with a child-sized toothbrush with soft bristles. Start flossing as soon as the child has teeth in contact with each other. This usually occurs around the ages of two and three.
Once children can hold a toothbrush, encourage them to brush their teeth. Watch them to make sure their teeth are being cleaned properly. To make brushing more fun, let them pick out a toothbrush featuring their favorite cartoon character. Make it into a fun family activity by brushing with them and playing a song.
Continue to supervise the brushing until they have adopted good oral hygiene habits.
Oral Care for Older Adults
Older adults are more likely to have special oral hygiene needs. Many seniors are more likely to have untreated tooth decay or gum disease. According to the CDC, from 2015-2018, 1 in 8 adults age 65 and older experienced complete tooth loss.
Older adults are also likely to take multiple prescription and over-the-counter medications, increasing the likelihood of dry mouth. Dry mouth can increase the risk of tooth decay. Encourage older adults to brush their teeth regularly, drink plenty of water, and avoid alcohol, which can contribute to dehydration.
Older adults may also benefit from adding a fluoride rinse to their oral care routine to combat tooth decay. Adults with dentures may also need products designed specifically for denture care. For example, tartar can build up on dentures just as it does on teeth. Denture cleanser tablets are designed to keep dentures free of odor, stains, and bacteria, and many are safe for overnight soaking.
How to Select a Mouthwash
Mouthwash is optional and should not be used in place of brushing or flossing. But a good mouthwash can help improve oral health in several ways: It can reduce the amount of acid in the mouth, help kill bacteria that contribute to bad breath, and increase fluoridation — all of which help prevent tooth decay.
Make sure to choose an ADA-approved mouthwash. Approved brands include ACT Anticavity Fluoride Rinse, CloSYS Fluoride Rinse, Colgate Phos-Flur Ortho Defense, and Hello Kids Fluoride Rinse. The dentist may have additional recommendations for mouth rinses.
Patients should also be sure to look for the ADA stamp of approval when looking for toothpaste and denture products. Given the wide variety of options available, it can be more difficult to choose a toothbrush. Patients should choose a toothbrush with a head large enough to allow easy access to all surfaces of the teeth. Most patients should also choose a soft-bristled toothbrush for optimum comfort and safety.
Preventing Tooth Decay
In addition to regular brushing and flossing, other good habits that help prevent tooth decay include eating a healthy diet, drinking lots of water, and keeping toothbrushes clean.
- Eat Foods That Promote Good Oral Health: Some foods can help clean teeth and fight plaque buildup. For example, fiber-rich fruits and vegetables can help keep teeth and gums clean. They also help increase the flow of saliva, which is important for washing away bacteria. In addition, saliva helps reduce the effects of the acids that attack teeth. It also contains trace amounts of the minerals calcium and phosphate, which can help restore areas of the teeth that have been damaged by acid. Calcium-rich foods such as cheese and other dairy products can also help restore minerals into teeth. Also, drink black and green tea, as these contain compounds that inhibit the growth of bacteria in the mouth. Chewing sugarless gum can also help increase saliva production and help remove food particles from between teeth.
- Keep Toothbrushes Clean: When finished brushing, rinse any residue off of the toothbrush. Set the toothbrush upright and allow it to air-dry. Keeping the toothbrush in a cabinet or enclosed container can promote bacteria growth. Replace the toothbrush every three months. Replace it sooner if the bristles become bent or frayed. If the bristles are bent, it could mean that the brushing is too hard. Do not share a toothbrush with anyone. While sharing the toothbrush of a significant other might seem as harmless as kissing, health-wise, the two are very different. When kissing, it is mostly saliva that is shared. However, when sharing a toothbrush, bacteria and viruses from the other person are introduced into the bloodstream. This can be harmful
Dental Procedures
For many patients, dental procedures may help restore their quality of life. Issues with teeth and gums usually do not get better over time. Dental procedures are necessary to maintain your overall health. Dental procedures are available at Alexandria Old Town Dental and the surrounding area. Going without proper dental treatment may severely hamper your quality of life.
Tooth Fillings
The standard protocol to treat a cavity involves removing the decayed portion of the tooth and filling the space left behind. However, according to WebMD, dentists may also utilize fillings to repair teeth that are cracked, broken, or otherwise damaged. Typically, the dentist will inject a local anesthetic into the area around the tooth and begin removing the decayed area with a drill, air abrasion instrument, or laser. The dentist will then clean the cavity of any remaining bacteria or debris in preparation for the filling. There are many different types of fillings available. Our team will help you decide the right type for you.
Dental Crowns and Dental Bridges and Root Canals
Dental crowns are tooth-colored caps used as a tooth replacement option for patients with damaged or weak teeth. They are most common after a root canal treatment since removing a good amount of natural tooth structure during the procedure is necessary. Crowns can consist of various dental materials, including porcelain, ceramic, zirconia, metal, and composite resin. The type of material used depends on many factors, including:
- How much natural tooth is remaining
- How much of the tooth will show when smiling
- The color of the surrounding teeth
- The function of the tooth that needs the crown
- The location of the tooth
- The position of gum tissue
Root canal treatment involves removing inflamed or decayed tooth roots from an infected pulp. They are often a result of facial or dental trauma, severely decayed teeth, frequent dental treatment, faulty or dysfunctional crowns, and damaged (chipped, cracked, or broken) teeth. In most cases, we will restore the tooth with a filling or crown after a root canal procedure.
Tooth Replacement & Root Scaling and Planing
Replacing missing teeth is more than just an aesthetic matter. Over time, gaps in between teeth may negatively impact a patient's speech, eating, bite, and facial appearance. From trauma, decay, or genetic conditions, there are many different reasons a patient may be missing a tooth. Fortunately, effective replacement options are available. Some of the most common include dental implants, fixed dental bridges, and removable partial dentures. Our team works closely with our patients to determine which tooth replacement option is best for them.
Untreated gum disease often precipitates tooth loss. When it comes to treating this condition, early detection is key. As long as the disease has not yet reached the structures below the gum line, a root scaling and planing (also known as a deep tooth cleaning) may be able to reverse its effects. The procedure consists of the dentist removing all the plaque and tartar both above and below the gum line, then smoothing out the patient's teeth roots to assist the gums in reattaching to the teeth.
Tooth Extractions
Tooth extractions are a common dental procedure that may be performed for a variety of reasons. Teeth may need extraction due to severe tooth decay or periodontal disease, trauma, injury, an abscess, malocclusions, tooth impaction, or compromised wisdom teeth. In most cases, the patient is given a local or general anesthetic, depending on their condition and its severity.
There are simple and surgical extractions. A simple extraction involves the removal of a visible tooth that can be loosened and easily removed using a single instrument. A surgical extraction involves extracting a tooth that lies beneath the gums or is broken at the gumline and is much more difficult to remove. Wisdom teeth are the most common type of extraction, although they can be considered simple or surgical depending on their placement in the mouth.
We will discuss after-care tips with every patient undergoing an extraction procedure. It is important to rest before and after the procedure as teeth and gums will likely be sore and tender. We will make additional recommendations on a case-by-case basis.
Dental Health and Preexisting Conditions
Dental health and pre-existing conditions can impact each other, along with a person's overall health and well-being. People can benefit from an insurance plan that covers pre-existing conditions and a dentist who creates personalized and comprehensive health plans. Do not hesitate to seek dental treatment for dental health and pre-existing conditions.
Pre-existing conditions are conditions that a person has been diagnosed with before enrolling in a dental health insurance plan. The connection between oral and overall health means that a patient's dental health can affect certain pre-existing medical conditions. Dental issues, such as gum disease and infections in the gums and teeth, can adversely impact people's pre-existing health conditions.
Dental health has a connection to chronic diseases, including diabetes and heart disease. When a person has gum disease, the bacteria can cause their
blood sugar level to rise,
making diabetes more difficult to control. Poor dental health can also affect people with heart disease since a bacterial infection in the bloodstream can impact the heart valves.
Dental Health and Preexisting Conditions cont.
Heart Health and Oral Health
As stated by Mayo Clinic, periodontal disease increases a patient‘s risk of developing a heart condition. More specifically, clogged arteries, heart disease, and stroke are likely to be associated with any inflammation and infections caused by oral bacteria. This is especially true of patients with artificial heart valves.
Inflammation associated with oral bacteria may also cause endocarditis, an infection of the endocardium, the inner lining of the heart chambers or valves. Usually, this occurs due to bacteria or other germs spreading from other parts of the body. As the mouth acts as a natural entry point for bacteria, the oral-systemic link here should come as no surprise.
Gut Health, Immunodeficiencies, and Oral Health
Though research on oral microbiomes is still expanding, existing literature makes it clear that it can cause both oral and systemic conditions. When the oral microbiome‘s equilibrium is disturbed, disease-causing pathogens may manifest. These pathogens may make their way throughout the rest of the body in return.
This poses an especially big risk for those with immunodeficiencies or conditions that weaken the body‘s immune system. There are over 300 types of immunodeficiencies, many of which are associated with malnutrition and poor oral hygiene. According to one study, bacterial plaque-related periodontal diseases also seem to be especially sensitive to the innate system‘s primary deficiencies.
Effects During Pregnancy
Premature Birth:
As bacteria enter the body through the oral cavity, various tracts lead to the womb and affect the fetus. According to the Matern Child Health Journal, "Untreated dental disease can lead to infection and inflammation, which have been implicated as significant contributors to preterm birth." In essence, the fetus does attain an inflammatory response to maternal oral infection.
Low Birth Weight:
Women who have periodontal disease have also been linked to higher rates of premature birth and low birth weight. Good oral hygiene and care before and during pregnancy have shown a significantly lower number of low birth weight babies. In an article on preventative medicine, researchers found that pregnant women who brushed their teeth thoroughly thirteen or more times a week had normal birth weight outcomes and preterm birth (37 completed weeks of gestation).
Medications That Affect Oral Health
It is important to consider the oral-systemic link and understand how the medications you are taking can affect your oral health. When deciding whether or not to perform a procedure or prescribe medication, we take a couple of things into account. Though it is easy to think of the mouth as an isolated ecosystem, the medications you take to help regulate other body systems can play a role in your oral health. Our team is skilled in performing a complete assessment of patients' oral health, taking into account the role that prescription medications play in the symptoms they are experiencing.
Cancer Medications
Cancer and chemotherapy medications can affect the teeth, gums, and jawbone. The American Dental Association (ADA) found that chemotherapy medications cause soft tissue reactions such as the development of oral sores, inflammation, and discoloration of soft tissues in the mouth. These reactions can lead to dry mouth syndrome, a condition that reduces the amount of saliva the mouth produces and can result in tissues becoming irritated and inflamed.
Dry mouth irritation can eventually lead to tooth decay, tooth loss, and gum disease as there is not enough remaining tissue in the gums. Drinking plenty of water and chewing sugarless gum can enhance saliva production and relieve some of the symptoms associated with dry mouth. Saliva substitutes are also effective in combating dry mouth.
Behavior Or Mood-Altering Drugs
Patients who are taking behavior or mood-altering medication may notice an impact on their oral health in more than one way. For instance, many medications that enhance mood can cause dry mouth (xerostomia) due to decreased saliva production. When we are producing a smaller amount of saliva, we become more vulnerable to developing conditions such as tooth decay or gum inflammation.
Some mood-altering medications can also cause side effects such as bruxism (tooth-grinding), which can negatively affect oral health. Additionally, many mood-altering drugs can cause fatigue or forgetfulness, which can create lapses in a person's dental care routine, particularly around bedtime hours. Patients who struggle with their oral health while taking medication for a mood-related condition should ask about how to manage side effects.
Medication For Diabetes
Diabetes can affect any area of the body, including the mouth. In both types of diabetes, Type I and Type II, elevated blood sugar can cause mouth symptoms such as dry mouth, taste changes, delayed wound healing, and increased inflammation and bleeding.
However, once a patient begins taking medication for diabetes, such as metformin or insulin, they may notice a positive impact on their oral health. When blood sugar is well-controlled with diabetes medications and a patient receives regular dental care, they can reduce the risk of developing oral conditions such as periodontal disease.
Regulatory Medications
Many other prescription medications that regulate chronic medical conditions can also impact patients' oral health.Here are just a few examples:
- Cardiovascular medications: Medications such as calcium channel blockers can cause a condition known as gingival hyperplasia, or gingival enlargement, which can contribute to the development of gum disease.
- Seizure medications: One of the most notorious side effects of the seizure medication known as phenytoin (Dilantin) is also gingival hyperplasia.
- Thyroid medications: Because they can alter the production of thyroid hormones, thyroid medications can cause many changes to a patient’s oral health, including changes in saliva production, tongue size, and gum tissue.
- Osteoporosis medications: The bisphosphonate medication class, which treats osteoporosis, can cause a serious condition known as osteonecrosis of the jaw.
- Anticoagulant or antiplatelet medications: Medications that thin the blood, such as warfarin or clopidogrel, can cause bleeding of the gums, particularly when flossing.
Routine Dental Care
Routine dental care promotes good oral hygiene and benefits your overall health. Routine dental care refers to everything you do to take care of your teeth and gums, such as brushing and flossing at home and regular exams and cleanings at the dentist's office. Dental care is available at Alexandria Old Town Dental in Alexandria and the surrounding area. Do not neglect your oral health.
The Importance of Routine Dental Care
The lifelong practice of good oral hygiene can also reduce the chances of tooth loss. Periodontal disease, also called gum disease, is the most common cause of tooth loss in adults. Just a few minutes of routine oral care every day can help prevent gum disease and keep teeth healthy and strong.
Problems in the mouth can affect the health of other areas in the body. The mouth is full of bacteria. Most of these bacteria are harmless, but some can cause disease. Good dental hygiene habits, such as brushing and flossing regularly, can keep these bacteria under control. Without proper dental care, however, these bacteria can cause infections, which allow them to enter the bloodstream and cause damage to other parts of the body.
Scheduling Dental Care
According to the American Dental Association (ADA), in 2014, only 15.4% of U.S. adults reported visiting the dentist every six months once per year — despite the overwhelming amount of evidence that dental health is integral to overall health. As such, it is essential that patients make room for dental care in their schedules whenever possible.
Before leaving the dentist's office, make sure to schedule another appointment in six months. Scheduling the next dental exam in advance will help ensure that exams and cleanings occur twice a year as recommended. If a patient needs more frequent appointments or additional treatments, the dental staff will help schedule them.
At-Home Dental CarE
Good oral care starts at home. Teeth should be brushed and flossed regularly, and cavity-causing sugar should be limited or avoided entirely.
Brush
Teeth should be brushed at least twice a day with a soft-bristled, American Dental Association-approved toothbrush and fluoride toothpaste. Approved products include, but are not limited to, Arm & Hammer™ Dental Care Toothpaste, Colgate® Cavity Protection Fluoride Toothpaste & Gel, and Crest™ Cavity Protection Cool Mint Gel & Paste.
Spend at least two minutes brushing. Do not rush. Spend 30 seconds on each quadrant of the mouth. Make sure to clean the surface of the teeth as well as the area where the teeth meet the gums.
Gently brush in circular motions. Do not brush too hard or use hard bristles, which can damage the gums.
Floss
A toothbrush cannot reach the tight spaces between the teeth and gums. Floss at least once a day to remove bacteria and food particles from these areas. A dental pick, pre-threaded flosser, or water flosser may be a better option for those who have difficulty using floss.
Dental Care for Unique Smile Needs
In some cases, additional care that goes beyond regular dental checkups and routine brushing and flossing may be necessary. Our dental team will discuss these needs and provide guidance.
Scaling and Root Planing
The dentist may recommend scaling and root planing to treat gingivitis and other forms of gum disease. While this procedure is similar to the scaling the hygienist performs on teeth during a regular checkup, the focus is not only on the surface of the teeth around the gums but also underneath the gums. Scaling and root planing goes beneath the gumline to remove buildup. In some cases, a patient may be referred to another dental professional for this procedure.
Smile Makeovers
If a patient has crooked teeth, gaps between the teeth, or other aesthetic concerns, these can be treated with cosmetic dentistry procedures. In some cases, smile imperfections that seem like only cosmetic issues have implications for oral health as well. Always speak with our dentist about any concerns. They will provide further guidance and, if necessary, help with a referral to another health professional.
Repairing a Chipped Tooth
There are various methods to repair a chipped tooth, depending on the state of the patient's tooth and the type of injury. In some cases, our dentist can reattach the broken piece of a tooth. If the damage is minimal, our dentist may only need to use cosmetic contouring to polish the tooth's surface or smooth a jagged edge. Other options include veneers to cover a chip or dental bonding to fill in missing tooth structure.
Chips that go below the tooth's surface may require more extensive repair, such as a root canal or extraction. A root canal is necessary when the damage enters the pulp and infects it. Extraction is the last resort when a root canal is not enough to save a tooth. Patients should contact us to find out what repair options are available.
Why does a cracked tooth hurt?
Inside the tooth is a soft connective tissue called the pulp. This pulp contains cells, blood vessels, and nerves. Pulp may become irritated when the outer hard tissues of the tooth are cracked and chewing causes movement of the broken pieces.
What should I do with the piece of the tooth that chipped off?
If you locate the chipped piece of tooth, you should save it to bring to your dental appointment. Try to keep the tooth chip moist by transporting it in cold milk. It may be possible for your dentist to reattach the chipped piece, but this is not always possible.
What are the qualities of a good bone graft specialist?
It is important that you choose a bone graft specialist with the training and experience for performing the procedure. Preferably, the dentist should have a certification from the American Academy of Implant Dentistry. The procedure is more likely to be successful if handled by an experienced dentist.
How do I know if the bone graft specialist has experience?
During your consultation with the dentist, you can ask for references and before and after pictures from previous procedures. You can also ask for an explanation about the With, including the risks, side effects, and medications. You can inquire about continuing education courses to be sure the dentist is up to date on new technologies, techniques, and medications.
Types of Dental Root Fractures
Each layer of the tooth plays an important role in keeping your mouth healthy and happy. Whether it be from injury or general wear and tear, a dental root fracture can cause discomfort and pain. The sooner your tooth receives treatment, the better the outcome will be. If you suspect that you have a fractured tooth, do not hesitate to protect your oral health. Our team at Alexandria Old Town Dental in Alexandria and the surrounding area can help.
Layers of the Teeth
The teeth consist of the enamel, dentin, and pulp. Enamel is the outer layer, which protects the inner layers of the tooth. The second layer is called the dentin, and it consists of tubules that act as a buffer between the enamel and the tooth's innermost layer. The pulp is the last layer of the tooth and contains nerves and blood vessels that keep each tooth alive.
Proper maintenance of teeth is essential for protecting the different teeth layers. Even minor untreated fractures can result in severe issues. A tooth fracture will damage the enamel and cause the other layers of the teeth to become increasingly susceptible to harm. Patients with a fractured tooth should contact us as quickly as possible to protect their oral health.
Types of Dental Root Fractures
A tooth fracture occurs when there is a break in the hard shell of a tooth. Although the enamel acts as a shield against disease and bacteria, a fracture can compromise this protective layer. If a crack is deep enough, germs can penetrate the pulp cavity and cause an infection.
Subgingival Fractures
Oblique subgingival fractures extend below the gum line. The severity of the fracture depends on how far it has gone past the gum line. These fractures are usually painful as the fractured tooth usually remains in the gums after it breaks off. However, patients may have a subgingival fracture for years before feeling any pain.
Supragingival Fractures
This type of oblique fracture only affects the tooth's crown and does not extend below the gum line. Usually, a supragingival fracture results in the affected part of the tooth breaking off. Patients typically experience little pain as the nerves and blood vessels of the pulp remain intact and undamaged. Although this fracture may not cause immediate pain, it can lead to infection or pain in the future without treatment.
Root Fractures
Oblique root fractures do not usually affect the surface of the tooth at all. The damage occurs below the gum line, particularly under the bone. While this classification of fracture is not visible, it is very painful. Patients with oblique root fractures may require root canal treatment or extraction, depending on how close the fracture is to the tooth fracture.
Vertical Fractures
A vertical root fracture is when the tooth has a crack running from top to bottom. These fractures start at the root of the tooth and run toward the crown. Since this type of fracture does not typically exhibit any signs or symptoms, it can go unnoticed.
Furcation
A vertical furcation fracture involves a crack that extends to the tooth where it splits into two or more separate roots. The nerve is often involved in this type of crack. This is a painful type of fracture and will make the tooth virtually impossible to use.
Apical
A fracture that occurs directly down the middle of the tooth and root is called an apical fracture. This is a painful fracture that will require the patient to come in for a dental appointment. Sometimes a root canal can be used to save the tooth.
Vertical Root Fracture
A vertical root fracture is when part of the tooth root breaks off. This is often due to brittle roots from nerve death in the tooth. A previous root canal procedure can also cause this kind of fracture.
Vertical fractures often occur in weak teeth or teeth with previous dental treatment like a root canal or crown. However, healthy teeth can get vertical fractures from chewing on hard items such as ice. Along with a root canal, vertical fractures can sometimes be treated with a unique type of cement to bond the teeth and prevent the fracture from getting worse.
Root Fracture FAQs
How does a root fracture happen?
Root fractures can result from a traumatic injury or can happen in teeth with previous procedures like a root canal or crown. Healthy teeth can also be subject to cracks by chewing on hard materials and foods like popcorn kernels. Your treatment will depend on the complexity of the situation and the long-term prognosis of the tooth.
What are the different types of root fractures?
There are vertical and oblique or horizontal fractures. Oblique fractures run side to side along the tooth and only make up about 3% of dental injuries. Vertical fractures start at the root and progress up toward the crown.
What are some of the symptoms of root fracture?
Not all root fractures present symptoms, leaving them undetected if you do not see the dentist regularly. When there are symptoms, they can include discomfort or pain when biting or chewing food, sensitivity to hot and cold, and gum swelling. These symptoms may also come and go.
How are root fractures treated?
The severity of the crack will determine the treatment plan. Sometimes, you can stabilize the tooth, but you will need a root canal if the fracture reaches the pulp. In some cases, the root fracture may be so severe that you will need a tooth extraction.
What happens after treatment for a tooth fracture?
Following the treatment, the patient will need to be careful with what they eat. This way, the tooth can continue to heal properly. We will also go over the necessary care techniques the patient can take at home to further the recovery process.
I Think My Gums Are Receding
For many patients, solutions for gum recession can enhance both their appearance and overall dental health. Gum recession can happen even to people with good oral hygiene. There are many options available to treat receding gums. Solutions for gum recession are available at Alexandria Old Town Dental in Alexandria and the surrounding area.
Signs of Receding Gums
Receding gums are most evident when the tooth's roots are exposed. This happens when the gums have dissipated further and further back until there is no longer a secure gumline. Patients often go a long time before realizing that they have gum recession since physical signs may not appear during the initial stages.
Common symptoms of gum recession include a changing appearance (the tooth appears longer and the space between teeth increases), bad breath, bleeding gums, gum pain, red or swollen gums, loose teeth or tooth loss, and sensitivity to cold and heat due to exposed tooth roots. These symptoms are common in gum disease and periodontitis, while gum recession is often an early sign of gum disease. It is important to seek an examination and treatment as soon as any of these signs appear.
Causes of Gum Recession
Although gum recession is often a sign of poor oral hygiene, it can occur in people with good oral hygiene as well. Hereditary traits in a person's oral health can affect the way the teeth position themselves and the thickness of the gums. These traits cause an individual to be more prone to recession. Gum recession in healthy individuals can also be caused by excessive or over-brushing, piercings, and damage from previous dental treatments.
Poor oral health is more often the cause of receding gums. Individuals with thin gum tissue may be prone to inflammation and infection due to increased plaque buildup. Oral health conditions, such as gingivitis and periodontal disease, are also common causes of gum disease. Receding gums are an apparent physical symptom in many oral conditions.
Treating Gum Recession
Some cases of gum recession are mild enough that they do not need treatment. Still, several treatment options are available for those who need it. These include composite restoration; desensitizing agents, varnishes, and dentin bonding agents; orthodontics; pink porcelain or composite; removable gum veneers; and surgery. Composite restorations are natural-looking, tooth-colored composite resins that cover the surface of the tooth root. They may be used to close any black gaps between the teeth.
Desensitizing agents, varnishes, and dentin bonding agents may help reduce the exposed tooth root's sensitivity. By lessening the nerve symptoms, desensitizing agents may ease the brushing of sensitive teeth and promote oral hygiene. Orthodontics (or braces) are more of a long-term treatment that moves a tooth slowly over time. This repositioning can help correct the margin of the gum.
Pink porcelain or composite that matches the color of the gums can be applied to the "gaps" to reduce the appearance of receded gums. Similarly, removable gum veneers, which usually consist of acrylic or silicone, can be applied in the "gaps." Finally, more severe cases of gum recession may necessitate surgery, usually a gum graft
Prevention
Following basic oral hygiene practices is usually enough to prevent gum recession. This includes brushing at least twice daily, flossing daily, rinsing after each meal, and visiting the dentist for routine dental checkups and cleanings twice yearly. However, individuals who are at higher risk for gum issues or notice early signs should exercise more precautions. We recommend avoiding plaque-building agents, such as acids and sugars, and visiting the dentist more frequently for deep cleanings to keep the gums clean and healthy.
Going Without Treatment
Receding gums cause thinning of gum tissue, a leading pathway for plaque buildup. Plaque is the single most common cause of infection or gum disease and, in advanced cases, periodontal disease. These diseases of the gums are responsible for edentulous, also known as tooth loss. Weakened gums also loosen the secure hold that gums have on the teeth, which can lead to jaw damage over time. It is crucial that patients seek treatment for gum recession immediately.
Gum Recession FAQs
What are Risk Factors for Gum Recession?
Certain populations may be more at risk for gum recession than others. For instance, age is a leading risk factor for receding gums, with almost 90% of people older than 65 reporting a receding gum in at least one tooth. Those who smoke or use other tobacco products also face an increased risk of receding gums, as they are more likely to develop sticky plaque.
Some genetic conditions, like thin or weak gums, may also increase one's chances of gum recession. Patients with diabetes may also be more likely to have their gums recede, as the disease might reduce the blood supply to the gums.
Can I improve gum recession at home?
Receded gums cannot grow back, so the condition is irreversible. However, practicing exceptional oral hygiene can prevent the progression of recession. Various treatment options are also available to alter the appearance of the gumline.
How long can gum recession go untreated?
It is best to treat gum recession as soon as early signs appear or a dentist makes an evaluation. Going without treatment can cause plaque buildup, infection, and gum disease. These conditions, when severe, will likely lead to tooth loss or jaw damage.
Are there natural remedies to keep the gums healthy?
All patients should exercise adequate oral hygiene habits, such as brushing, flossing, rinsing, and routinely visiting the dentist. Healthline suggests a variety of home remedies for caring for the gums at home. This should be done alongside the preventative measures listed above.
What kind of toothbrush is recommended to avoid harsh brushing?
We recommend using a soft-bristled toothbrush as medium or hard toothbrushes can wear and tear surface enamel and irritate the gums, causing recession to occur. The ADA recommends soft-bristle toothbrushes with angled or multi-layer bristles and electric toothbrushes.
Is gum recession linked to any other health conditions?
Gum recession is linked to oral health conditions such as gingivitis, gum disease, and periodontal disease. It is also linked to general health conditions such as cardiovascular disease and diabetes. There are certain health conditions that make one more prone to receding gums and vice versa. It is important to mention all health conditions to both your doctor and dentist.
Dental Health During Pregnancy
Maintaining dental health during pregnancy is a crucial part of proper prenatal care for women. Many changes happen to the body during pregnancy, including ones that can affect dental health. Fortunately, receiving the necessary care for teeth, gums, and mouth can help patients have a safe and healthy pregnancy.
Do not hesitate to take care of your oral health during pregnancy. Our team at Alexandria Old Town Dental provides prenatal dental care in Alexandria and the surrounding area to help patients maintain their dental health during pregnancy.
Common Dental Conditions During Pregnancy
It is vital for pregnant women to pay heightened attention to all aspects of their health, including dental health. For some women, pregnancy increases the production of plaque. This sudden increase may lead to gum disease and heighten the risk of tooth decay, among other dental problems. Such issues typically occur due to hormone changes, though other causes may include cravings for sugary foods, gum problems, retching while brushing teeth, and vomiting.
Pregnant women frequently experience cavities, gingivitis, loose teeth, periodontal disease, pregnancy tumors, and tooth erosion. Gingivitis is particularly common, affecting 60 to 75% of expectant mothers. Symptoms involve bleeding gums, redness and swelling, shiny gums, and tenderness in the gums. If left untreated, it can progress into a more severe form of gum disease known as periodontitis.
Choosing a Dentist During Pregnancy
Oral health is not something to neglect during pregnancy. Bad oral health during pregnancy can lead to premature delivery, low birth weight, pre-eclampsia, and a host of other health problems. Women should have a dental check-up during pregnancy and receive a non-toxic cleaning and examination.
This will reduce the risk of exposure to potentially unsafe toxins, chemicals, and allergens. We provide dental care to help women maintain their oral and overall health throughout their pregnancy through safe and minimally invasive treatments.
Taking Care of Dental Health During Pregnancy
Expectant mothers are prone to neglecting their dental health due to high levels of fatigue and frequent snacking. Additionally, morning sickness may wear away at the tooth enamel, while hormonal changes may lead to pregnancy gingivitis. Unfortunately, however, a pregnant woman's oral health can directly affect her unborn baby's health.
Excess bacteria growth in the mouth can enter the bloodstream through the gums and make its way to the uterus, which may induce premature labor. Furthermore, once the baby arrives, the mother may potentially pass on the bacteria to the newborn through vertical transmission. As such, it is critical that pregnant women brush at least twice a day with a fluoridated toothpaste, floss nightly, and eat a well-balanced diet. Keeping regular appointments with the dentist is also crucial.
Other Aspects of Pregnancy To Discuss With a Dentist
Dentists can also help patients regarding other areas of health during pregnancy, including nutrition, heart health, and pain. Our team can provide patients with nutritional guidance to maintain a healthy diet throughout their pregnancy. What women eat during their pregnancy can affect their oral health and their baby's development. For this reason, it is important to limit sugary foods and beverages and eat a nutrient-rich diet with calcium, phosphorus, protein, and vitamins A, C, and D.
Dentists understand the connection between oral and overall health. We can educate patients on how increased plaque during pregnancy can adversely affect heart health. Plaque can lead to pregnancy gingivitis and gum disease, which have a connection to heart disease. Increased hormone levels during pregnancy can also lead to sore teeth and gums. Our team can provide patients with tips and advice to help manage sensitive teeth during pregnancy.
Can I receive local anesthetics for dental treatment while pregnant?
Yes. According to the American Dental Association, local anesthetics are safe for pregnant mothers. Consequently, pregnant patients do not have to worry about the safety of receiving numbing medication during dental treatment.
What happens if I get a pregnancy tumor?
A pregnancy tumor appears red and raw-looking. These lumps can bleed easily but will typically disappear after pregnancy. If the lumps remain after the patient's baby is born, our team can help remove them.
Is it safe to receive an X-ray during pregnancy?
Yes. It is safe for pregnant patients to have an X-ray during pregnancy. While the radiation from dental X-rays is extremely low, our team will take all the necessary precautions to keep patients safe. We will cover them with a leaded apron to shield the abdomen and a leaded collar to protect the thyroid.
How does smoking affect dental health during pregnancy?
Pregnant women should not smoke while pregnant. Smoking adversely affects oral health, especially gums. The numerous acids and chemicals in cigarettes directly affect the mother's oral and overall health and the baby's.
Going Without Treatment
Pregnancy gingivitis typically occurs during the second and eighth months of pregnancy. The symptoms of this condition will range depending on its severity. Early symptoms may appear as red and inflamed gums, while more advanced stages can result in severe swelling and bleeding.
Other Frequently Asked Questions
What is the difference between an inlay and onlay?
While inlays and onlays are both types of indirect dental restorations, they differ in size. An inlay is created to fill in a tooth cavity that occurs between tooth cusps. An onlay is created to fill in a tooth cavity that includes one or more tooth cusps, so by definition, it is more expansive than an inlay.
How should I take care of a temporary dental crown?
Avoid chewing on the side of the mouth with the crown, if possible. Likewise, avoid hard or sticky foods that could pull off the crown. Follow a regular oral hygiene routine but avoid flossing up and down around the crown, as that could displace it.
Why not have an implant for each tooth?
Although single-tooth implants are a good treatment, it is not necessary when replacing a row of teeth. It is more cost-effective and requires a less invasive procedure to get implant-supported dentures. It is an equally effective but simpler treatment.
How often should I see the dentist?
After the first visit, we advise each patient on how often they need check-ups depending on their case. Typically, every six months is the norm for all patients, including those with dentures. Regular visits help to maintain dentures and good oral health.
What material makes up a composite filling?
Composite fillings comprise resin material that contains no metal. Instead, it is a mixture of powdered glass, silica, or other ceramic particles and plastic compounds. That makes it a good option for people who have metal allergies or want to avoid metal fillings.
What makes dental sealants better than fillings?
Some parents balk at the upfront cost of dental sealants, deciding it would be a better choice to pay for their children's dental fillings as necessary. However, tooth decay comes with permanent damage that weakens the teeth. It also makes the teeth more susceptible to further damage. Dental sealants can help protect the teeth's natural coating.
What happens after a deep cleaning?
It is common for patients to feel some soreness in the gums and teeth after a deep cleaning as a result of the tools and pressure put on them. We recommend avoiding any food or drink for a few hours after the procedure and use a special rinse for the first few days. Tenderness should dissipate within the first few hours.
What can I expect from my first periodontal examination?
During your first periodontal examination, you will undergo a thorough physical examination of your mouth. Along with other things, Alexandria Old Town Dental will check the health of your gums, the status of your teeth, and the alignment of your bite. We may also perform certain imaging tests to make an accurate official diagnosis.
What else can periodontists do?
While most periodontists spend most of their time diagnosing and treating gum disease, they can also perform various other procedures. These include placing dental implants when natural teeth cannot be saved, monitoring implants, correcting gum recession, and coordinating comprehensive dental care along with your dentist.
What is plaque?
Plaque is a sticky film that constantly builds up on teeth. It consists of bacteria and can harden into tartar that is difficult to remove. Patients with too much plaque can have tooth damage, leading to decay and even tooth loss.
How can I treat gum disease at home?
There are many at-home treatments for gum disease today, including special tools and mouthwashes that help strengthen the gums and remove plaque. However, no at-home treatment trumps professional dental cleanings. We use medical-grade tools made especially for the teeth and gums and have the necessary training to combat oral disease and infection. Even a simple routine dental cleaning can reduce or eliminate gum disease by clearing the pockets and minimizing depths.
Can children see a sedation dentist?
Dental sedation is safe for children. Many kids are uncooperative or scared while in the dentist's chair, and sedation makes them feel at ease throughout the procedure. Most children only need mild sedation.
How much do dental treatments cost on average?
Every dental procedure differs in the materials used, extent of decay, and length of time. As such, the cost of each procedure is discussed after an examination appointment in which we can properly determine what the treatment will entail. It is a good idea to also discuss your dental package with your insurance provider.
How often should I go to the dentist?
DSee your dentist every six months for routine exams and cleanings. If you need special treatment, such as fillings, you may need additional appointments.
What is covered under my dental insurance?
Most dental insurance plans cover routine exams and cleanings, as well as X-rays. Services like fillings and extractions may be covered at a certain percentage. However, you may have to first meet your deductible. Contact your insurance plan to find out the specifics about your coverage.
When does pain become abnormal after an extraction or root canal treatment?
Extensive procedures, such as extractions, root canals, and surgeries, often have the longest recovery time. However, anti-inflammatory and pain medications should help with swelling and healing. Patients should not experience pain for longer than two weeks. Give us a call if you are experiencing pain for longer than the ascribed time for your procedure type.
What are the steps involved in amalgam dental filling?
During an amalgam dental filling, your dentist will numb you first to make sure that you do not feel discomfort during the procedure. Then, your dentist will use an instrument such as a drill or laser to remove any decayed area. Your dentist will test to ensure that all of the decay has been removed and clean out the debris. Lastly, your dentist will apply the filling material and polish the tooth.
How common are crowns?
If you are considering getting a crown placed, or your dentist has recommended one, you are not alone. According to the American Academy of Dentistry Journal, about 40 million crowns are placed each year. Dentists of all types are generally familiar with the procedure.
What are mini-implants?
Mini-implants are smaller dental implants that comprise a one-piece screw less than 3mm in diameter. They are placed via less invasive methods than traditional dental implants, making them ideal for patients without adequate bone mass to hold conventional implants or without the ability to undergo surgery.
How often should I get routine dental procedures done?
Every routine dental procedure differs in its duration and dosage depending on the patient's age and case. For instance, routine cleanings are recommended for all patients every six months, while deep cleanings can be done every few years. During a patient's first visit, we curate a custom treatment plan that entails all of the patient's recommended and required treatments and their durations, which are subject to change.
What is a dental cavity?
Cavities, or dental decay, are permanent holes in the teeth. If left untreated, cavities can grow larger and become infected. They occur most often in the grooves of the back teeth.
How are fluoride treatments applied?
Fluoride treatments can happen with a brush, cotton swab, rinse, or mouth tray. It takes about 30 minutes for teeth to absorb the fluoride treatment and repair microscopic cavities. Patients will need to refrain from eating or drinking anything during this time.
Are there any consequences to missing teeth?
Yes, missing teeth are more than just an aesthetic issue. The teeth surrounding the gap may shift, and it may be more difficult for you to chew your food properly or even affect the way you speak. As such, it is crucial to address missing teeth as soon as possible.
How can I properly care for and maintain healthy teeth at home?
Basic brushing is not enough to maintain healthy teeth and gums, especially following any dental treatments. We recommend patients brush their teeth two to three times daily, rinse after each meal, and floss at least once a day. It is also important to avoid sticky, hard, sugary, and acidic foods and beverages that easily decay the teeth. Lastly, make sure to visit your dentist regularly for a biannual checkup and cleaning.
How are bleeding gums treated?
The dentist may begin with a thorough cleaning. First, they remove any plaque or tartar. Next, they provide an antiseptic rinse. The dentist may also provide take-home products to help the patient's gums heal. Sometimes, the patient may need a scaling and planing procedure or other in-office treatments. Our dental team can provide more information about these procedures.
What is tooth pulp?
The tooth pulp is the innermost layer of the tooth. It contains the nerves and blood vessels. When the pulp becomes damaged, we must remove it to prevent the infection from spreading.
How much does gum flap surgery cost?
Flap surgery, also called surgical pocket reduction, is considered a minor surgery. The surgery typically costs between $1,000 to $3,000 for patients paying out-of-pocket. Most insurance plans cover gum disease treatment as it is a severe condition that can put a patient's oral health at risk. We encourage patients to talk to their insurance provider to fully understand what their plan entails.
Do most dental procedures hurt?
We administer an anesthetic for most non-routine dental procedures to keep patients comfortable and pain-free during treatment. In many cases, patients may feel soreness, tenderness, and slight discomfort following a procedure due to the pressure put on the teeth and gums. However, this should dissipate within the first few hours or, at the most, a few days.
How long do dental crowns last?
Dental crowns have become quite durable with recent advancements in dental technology. Most crowns, depending on the material used, can last from five to 15 years with adequate care and maintenance. We will discuss a crown's possible longevity with the patient during their placement appointment and provide them with healthy hygiene habits to adopt.
How do I know if I have dental insurance?
Dental insurance is typically separate from regular health insurance. If you have insurance through your employer, check to see if dental insurance is included. If you are not sure, contact your HR department. If you have a health plan from the health insurance marketplace, it will not include dental insurance. You must pay for a separate dental plan.
Can I use FSA or HSA funds to pay for dental care?
Yes, funds in a flexible spending account (FSA) or health savings account (HSA) can often be used for dental care. Check your plan to make sure. Elective procedures, such as teeth whitening, may not be included.
What are some early signs of dental problems?
It can sometimes be difficult to determine what is or is not a dental problem. However, there are a few telltale signs of dental issues that require professional attention. These include:
- Bad breath or a bad taste in your mouth
- Bleeding gums
- Broken teeth
- Dry mouth
- Jaw pain
- Mouth sores
- Redness
- Swollen face or gums
- Tooth sensitivity
If you are experiencing one or more of these symptoms, get checked out right away to prevent more serious issues and infections.

