Performing for an awards show is a quite a feather in an entertainer's cap. So, up-and-coming country music star Carly Pearce was obviously excited when she gained a slot on last November's Country Music Awards. But an accident a couple of weeks before the event almost derailed her opportunity when she fell and knocked out two of her front teeth.
Fortunately, Pearce took quick action and, thanks to a skilled dental and medical team, was able to put her mouth back together before the show. Those watching her perform her hit single, “I Hope You're Happy Now,” as she smiled broadly would never have known otherwise about her traumatic emergency if she hadn't spilled the beans.
Orofacial injuries can happen to anyone, not just entertainers. You or someone you love could face such an injury from a motor vehicle accident, hard sports contact or, like Pearce, a simple slip and fall. But if you also act quickly like Pearce, you may be able to minimize the injury's long-term impact on dental health and appearance.
Here are some guidelines if you suffer a dental injury:
Collect any tooth fragments. Dental injuries can result in parts of teeth—or even a whole tooth—coming out of the mouth. It may be possible, though, to use those fragments to repair the tooth. Try to retrieve and save what you can, and after rinsing off any debris with cold water, place the fragments in a container with milk.
Re-insert a knocked-out tooth. You can often save a knocked-out tooth by putting it back in its socket as soon as possible. After cleaning off any debris, hold the tooth by its crown (never the root) and place it back in the empty socket. Don't fret over getting it in perfectly—your dentist will assist its placement later. Place a piece of clean cloth or cotton over the tooth and have the injured person bite down gently but firmly to hold it in place.
See the dentist ASAP. You should immediately see a dentist if any tooth structure has been damaged, or if a tooth is loose or has been moved out of place. If you're not sure, call your dentist to see if you should come on in or if you can wait. If a dentist is not available, go immediately to an emergency room or clinic. With many dental injuries, the longer you wait, the more likely the teeth involved won't survive long-term.
A dental injury could happen in a flash, with consequences that last a lifetime. But if, like Carly Pearce, you take prompt action and obtain necessary dental care, you could save an injured tooth—and the smile that goes with it.
From a dentist's perspective, toothbrushes have a limited lifespan: Bristles can fray after months of use, rendering them less effective in removing harmful dental plaque. The American Dental Association therefore recommends a new brush at least every three to four months.
From a user's perspective, that's not that big a deal—toothbrushes are relatively inexpensive and plentiful in stores selling oral hygiene products. In fact, many dentists give their patients a new toothbrush after each dental cleaning.
But there's still another perspective: Mother Earth. Too many of those used toothbrushes end up in the trash. With potentially billions of disposed toothbrushes each year, this essential dental care tool could well be a significant contribution to our planet's overflowing waste problem.
Fortunately, you don't have to consign your used toothbrush to the landfill. After a sanitizing run through the dishwasher, there are dozens of ways to re-purpose your old brush. In recognition of Earth Day, April 22, here are a few of them.
Kitchen cleanup tool. Your kitchen is likely filled with various utensils and small appliances like toasters or blenders that contain lots of nooks and crannies. These spaces can quickly fill up with spills or food debris. With their narrow heads and long handles, old toothbrushes are ideal for tidying up your hard-to-clean kitchen equipment.
Tile grout cleaner. Those narrow bristles also make toothbrushes a great tool for cleaning bathroom tile grout. Simply apply your favorite cleaner, or a little baking soda added to water, and let your old toothbrush do the rest. A toothbrush is also handy for cleaning around other tight spaces around the sink, tub or toilet.
Personal hygiene aid. After retiring from teeth cleaning, your brush can still play a role in personal hygiene. Use if for cleaning under fingernails, removing hair from hair brushes or even getting your eyebrows in good order. They're also handy for applying hair dye if you can't lay your hands on the regular application brush.
Miscellaneous task helper. A used toothbrush can be useful for tasks in and out of the house. Inside, it can help you remove your child's crayon art from walls or tackle stubborn clothes stains. Outside, it's handy for cleaning different parts of your car, the soles of your shoes or grimy bicycle chains. When you need something small and narrow, a toothbrush might just fill the bill.
Have more than enough used toothbrushes? Then consider recycling the next one, if your local program allows it. In its separated components your toothbrush can thus continue to be useful—and not another piece of clutter on our beautiful planet.
Chronic joint pain (temporomandibular joint disorder or TMD) in and of itself can make life miserable. But TMD may not be the only debilitating condition you're contending with—it's quite common for TMD patients to also suffer from fibromyalgia.
Fibromyalgia is a condition with a variety of muscular and neurological symptoms like widespread pain, joint stiffness, headaches and tingling sensations. These symptoms can also give rise to sleep and mood disorder, as well as difficulties with memory. Fibromyalgia can occur in both males and females, but like TMD, it's predominant among women, particularly those in their child-bearing years.
In the past, physicians were mystified by these symptoms of body-wide pain that didn't seem to have an apparent cause such as localized nerve damage. But continuing research has produced a workable theory—that fibromyalgia is related to some defect within the brain or spinal cord (the central nervous system), perhaps even on the genetic level.
This has also led researchers to consider that a simultaneous occurrence of TMD and fibromyalgia may not be coincidental—that the same defect causing fibromyalgia may also be responsible for TMD. If this is true, then the development of new treatments based on this understanding could benefit both conditions.
For example, it's been suggested that drugs which relieve neurotransmitter imbalances in the brain may be effective in relieving fibromyalgia pain. If so, they might also have a similar effect on TMD symptoms.
As the study of conditions like fibromyalgia and TMD continues, researchers are hopeful new therapies will arise that benefit treatment for both. In the meantime, there are effective ways to cope with the symptoms of TMD, among them cold and hot therapy for inflamed jaw joints, physical exercises and stress reduction techniques.
The key is to experiment with these and other proven therapies to find the right combination for an individual patient to find noticeable relief. And perhaps one day in the not too distant future, even better treatments may arise.
If you would like more information on the connection between TMD and other chronic pain conditions, 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 “Fibromyalgia and Temporomandibular Disorders.”
Teenagers can have the same smile-disrupting tooth flaws as adults. But not all cosmetic treatments available to adults are appropriate for teenagers—at least not until they get a little older. Dental veneers fall into that category.
A veneer is a thin porcelain shell custom-made by a dental lab, and bonded by a dentist to the face of a tooth to mask chips, stains, gaps or other imperfections. Because they're less invasive than other measures, veneers are highly popular as a cosmetic dental solution. They do, however, usually require some enamel removal so that they'll appear more natural.
This enamel removal typically won't impact an adult tooth other than it permanently requires it to have veneers or other restorations after alteration. But there is a risk of damage to a teenager's tooth, which hasn't fully developed.
Adolescent teeth usually have a larger pulp chamber (filled with an intricate network of nerves and blood vessels) than adult teeth. And because the enamel and dentin layers may not yet be fully developed, the pulp is much nearer to the tooth's surface.
We must be very careful then in removing enamel and dentin for veneers or we may penetrate the pulp and risk damaging it. Alternatively, there is the possibility of no-prep veneers which are very conservative but often are unable to be done because of the need to often remove tooth structure to make the veneers look natural.
Another cosmetic problem can occur if we place veneers on a patient's teeth whose jaws and mouth structures are still growing. Eventually, the gums could recede and an unsightly gap form between the veneer and the adjacent natural tooth.
Fortunately, there are other techniques we can use to improve a tooth's appearance. Mild chipping can be repaired by bonding composite resin material to the tooth. Some forms of staining may be overcome with teeth whitening. These and other methods can address a teenager's smile appearance until their teeth are mature enough for veneers.
Whether or not a tooth is ready for veneers will depend on its level of development, something that can often be ascertained with x-rays or other diagnostic methods. And if a tooth has already undergone a root canal treatment, there isn't as much concern. In the meantime, though, it may be better for your teen to wait on veneers and try other techniques to enhance their smile.
If you would like more information on dental restoration for teenagers, 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 “Veneers for Teenagers.”
Self-care may lead you to do something about your smile. Invisalign can help.
Since the pandemic, you may have found yourself focusing on creating a self-care routine. You may read more, do yoga, go for your daily run, and spend time giving your feet a nice pedicure. Of course, this may also be the time that you start considering ways to improve your smile. Even if you’ve had braces in the past you may notice teeth shift back into their original spot. If so, don’t worry. Our Milford, MA, family dentists Dr. Peyman Beigi and Dr. Nina Raeisian offer an invisible way to straighten your smile.
Eat What You Choose
Most people know that their diets have to change when they are wearing braces to protect brackets and wires from damage. This means avoiding crunchy, hard, chewy, and sticky foods. That sure is a lot of delicious foods that may be wiped from your diet with braces. Luckily, this isn’t the case with Invisalign. Since aligners are removable, you simply take them out before meals and snacks, which means that you can eat what you want throughout the Invisalign treatment process.
Invisibility Makes Your Plans Easier
Since the average length of treatment for adults with Invisalign is about one year, we know that a lot can happen in a year. You may have weddings to go to and pictures to be taken. Our Milford, MA, dentists understand that when it comes to correcting a crooked smile, discreet treatment is the most important for our teen and adult patients. Since Invisalign is completely clear and also easily removable, it’s easier to go about your routine, attend weddings and get your photos taken without worrying about your clear aligners. They won’t even show up in your pictures!
Caring for Your Smile is Easy
Nothing is worse than stressing out about having to clean around your braces to remove any trapped food. With Invisalign, this isn’t something you have to worry about. Again, these aligners are removable, so you just have to pop them out before brushing and flossing your teeth. While good oral care is imperative, especially with braces, Invisalign makes it easy to maintain good oral hygiene throughout your orthodontic treatment.
Many people are finding the pandemic to be the perfect time to get their smiles straighter. So, if you’ve been wondering when the best time is to get Invisalign, it could be now! To take the next steps to a straighter smile, call Dr. Beigi and Dr. Raeisian at Milford Dental Group at (508) 482-0028 to get started.
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