Dentist Livermore - Simple Things to Prevent Gum Disease - Smiles by Design Livermore

"The simple things you can do to completely prevent gum disease"

It's easier than you think!

While the consequences of gum disease are severe: bleeding gums, extremely bad breath, lost teeth, increased risk of premature births, heart attacks, and strokes, gum disease can be easily prevented.
Flossing and brushing correctly, however, are the cornerstones of gum disease prevention. Yet, almost everyone fails miserable at these tasks, making themselves susceptible to gum disease.

Brushing Your Teeth:
This may sound easy but most people do a horrible job brushing their teeth. It takes a full 2 minutes to brush all of your tooth surfaces, however, most people spend 30 seconds or less when brushing!

As a result, they miss the same spots in their mouth day after day. Here, bacteria build-up to dangerous levels, creating a great risk for gum disease. The next time you brush, take along a timer to make sure you brush for 2 minutes. You will be surprised at how long it seems. Make a conscious effort to brush ever single tooth.

Unfortunately, manual toothbrushes cannot reach bacteria in one of their favorite hiding places - right below the gumline. Electric toothbrushes (plaque removers) like the Braun OralB 3D electric toothbrush remove bacteria below the gumline where manual toothbrushes can not reach.

As a result, they represent a great advance in gum disease protection. Although these electric toothbrushes cost more, the extra protection and peace of mind are well worth the price.

source: www.saveyoursmile.com

 

Tracy Dentist - You Can Prevent Cavities - Smiles by Design in Livermore

Cavities: Many of us remember sweating through the poking and prodding of the dentist. We prayed that he or she would not find cavities which would require the use of the dreaded dental drill. Armed with the right knowledge and proper home dental care you can now rest at ease and fear cavities no more.

What Causes Cavities ?

When it comes to cavities, bacteria are public enemy number #1. Our mouths, teeth and toothbrushes are full of bacteria which settle on our teeth in plaque, a goo of proteins, saliva, and food debris. Violight can remove the bacteria from our toothbrushes but our teeth are a problem. Here bacteria devour food particles left on our teeth. Ungrateful guests, these bacteria produce acid as a by-product of their feasting. It is this acid which eats into the tooth enamel creating cavities.

The teeth have a moderate ability to repair tooth enamel by remineralizing the affected enamel with minerals from saliva. Unfortunately, the rate of destruction by acid exceeds this rate of repair.

Normally, acids eating into tooth enamel is not painful. Left untreated, however, acid eats a hole through the enamel into the underlying dentin and pulp layers of the tooth. This does cause pain and left untreated the cavity will eventually destroy dentin, pulp and tooth nerve.

What Can You Do To Reduce Your Chances of Getting Cavities?

Good oral hygiene significantly reduce your risk of getting cavities. Brushing and the use of a water pick can help reduce your chance of cavities. The Hydrabrush helps you do both at the same time! Brushing removes bacteria as well as the food debris bacteria feed on. When brushing it is crucial to brush all tooth surfaces which takes at least 2-3 minutes. Unfortunately, most people only brush for less than 45 missing a large percentage of their tooth surfaces.

Flossing everyday is crucial to preventing cavities. Flossing reaches the nearly 35 percent of your mouth that your toothbrush can not reach. In these areas, bacteria live happily pouring out cavity causing acid. Remember brushing without flossing is like taking a shower and only washing two thirds of your body. The remaining third still remains dirty !

In addition to practicing good oral hygiene, there are other things you can do to reduce your risk of getting cavities:

To Prevent Cavities, Watch What You Eat

Bacteria are particularly fond of foods containing sugars and carbohydrates. These foods provide bacteria with energy to grow, reproduce, and create enamel eating acid. A special favorite of bacteria are foods which tend to stick to teeth like peanut butter, caramel, and honey. When stuck to teeth these foods are not cleared by chewing and swallowing. Consequently they provide bacteria with a long lasting food source from which to make acid.

When you eat meals or snacks containing large amounts sugars, carbohydrates, or "sticky" foods which tend to get stuck to teeth, make sure to follow the meal with water to help wash off food particles remaining on teeth. If possible, brush your teeth immediately after the meal.

To Prevent Cavities, Watch the Timing of Snacks

The timing of your snacks is crucial to preventing cavities. The acid produced by bacteria is neutralized by saliva and cleared from the mouth. After the acid is cleared minerals in saliva crystallize on the enamel to begin to repair areas damaged by the acid.

Larger intervals between meals provide more opportunity for acid to be neutralized and more time for the acid damage to be repaired. Frequent snacks, however, provide for a constant acid attack and provide less time for tooth repair.

This explains why snacks eaten with a meal are better for teeth than snacks eaten between meals. A candy bar eaten with a meal, for example, is less likely to contribute to cavity formation than a candy bar eaten as a snack between meals.

This also explains why fewer larger sized meals are better for teeth than more frequent smaller sized meals. Likewise, sipping on sugar containing liquids through out the day is much more detrimental than drinking sugar containing liquids with a meal.

Use Fluoride to Prevent Cavities

Fluoride is a wonder of modern dentistry. Fluoride incorporates itself into tooth enamel strengthening the enamel and making it more resistant to acid attacks. Most adults receive adequate amounts of fluoride in their toothpastes. Children often receive adequate amounts in their drinking water. If your water is not fluoridated you may want to consult your pediatrician to see about providing fluoride supplements for your child.

Visit Your Dentist On a Regular Basis

Dental problems often remain silent creating pain only after significant damage has occurred. Dentists can identify many of these potentially devastating problems before they cause major damage.

Additionally, dentists can detect places in your mouth that you miss when brushing. These areas are prime targets for cavity formation. In areas where cavities are just beginning to form, dentists can use high concentration fluoride treatments to prevent the need for the dental drills and fillings.

With proper oral hygiene and attention to what we eat and when we eat, cavities can be virtually eliminated.

source: www.saveyoursmile.com

 

Dentist Livermore - Importance of Flossing - Smiles by Design in Livermore

FLOSSING: We often get asked questions such as how often should I floss, is flossing necessary, and what teeth should I floss ? Our response is the cliche used by dentists the world over. You should only floss the teeth you want to keep! You see next to brushing, flossing is the most important thing that you can do to ensure good oral health.
The purpose of both brushing and flossing is to reduce the number of bacteria which inhabit our mouths. Normally, millions of these microscopic monsters call your mouth home, feeding on food particles left on our teeth.

Ungrateful guests, these bacteria produce acid as a result of their feasting and it is this acid which eats into tooth enamel creating cavities. If this wasn't bad enough, the bacteria also pour out volatile sulfur compounds creating embarrassing bad breath.

Normally bacteria are found within a mesh of mucus and debris known as plaque. Regular brushing removes the plaque and the bacteria plaque contains. Unfortunately, many people only brush, forgetting that flossing is a key component to any good oral hygiene program.

Flossing removes the bacteria that escape the toothbrush by hiding in the tiny spaces in between teeth. Brushing without flossing is like washing only 65% of your body. The other 35% remains dirty! The American Dental Association recommends that you floss at least once a day.

What happens if you don't floss?

If you do not floss and allow plaque to remain in between teeth it eventually hardens into a substance known as tartar. Unlike plaque which can be easily removed by brushing, tartar can only be removed by your dentist.

Over time, levels of more dangerous types of bacteria build up within tartar. Mean and vengeful, these bacteria produce toxins which irritate and inflame the gums. This condition is known as gingivitis. If gingivitis is left untreated it can progress to periodontal disease - a condition where bacteria and their toxins invade not only the gums but also the bones and the structures supporting the teeth. This can lead to bone loss, loose teeth, and teeth which fall out.

If you haven't flossed in a while, you may see a little red tinge of blood on the floss after you use it. This indicates that your gums are slightly inflamed and vastly in need of flossing to remove bacteria. With a regular regimen of flossing this red tinge should go away.

By brushing and flossing we help to eliminate the bacteria which can lead to bad breath, gingivitis, and periodontal disease thus creating smiles which last a lifetime.

source:  saveyoursmile.com

 

Dentist Livermore - False Claims on Mouthwast - Smiles by Design Livermore

The FDA has warned Walgreen Co., Johnson & Johnson, and CVS Corp. to stop making unproven claims that their mouth rinse products can reduce plaque above the gum line, promote gum health, and prevent gum disease.

The companies claim their mouthwashes are effective in preventing gum disease, but no such benefit has been demonstrated, the FDA says in a news release.

The FDA says it sent warning letters notifying the three companies of its objections to their claims and ordering them to comply with existing federal regulations.
The mouth rinse products contain the active ingredient sodium fluoride, but the agency says it has determined that the substance, while effective in preventing cavities, has not been shown to remove plaque or prevent gum disease.

Claims by Mouthwash Companies

The products contain misleading labeling statements, the FDA says. “It is important for the FDA to take appropriate enforcement action when companies make false or unproven product claims to ensure that consumers are not misinformed or misled,” Deborah Autor, director of the Office of Compliance in FDA’s Center for Drug Evaluation and Research, says in a news release.
The companies, under federal law, are not allowed to say products are effective in treating a disease unless those claims have been shown to be true and recognized by the FDA as being safe and effective over-the-counter products.

No Adverse Effects Reported

So far, the FDA says it is unaware of any injuries or adverse health effects related to use of the mouth rinse products, but says the companies’ claims their products are beneficial to gum health lack proof.
It says consumers who are using the rinses may continue to do so for cavity prevention without injury risk, but should know that the FDA has no data that show the products can prevent gum disease.

 

by Bill Hendrick
WebMD Health News

 

Tracy Dentist - Coffee, Tea, & Your Teeth - Smiles by Design in Livermore

Can't give up that double decaf cap after lunch? Here are some tips for minimizing the effects on your teeth.

Coffee and tea are especially tough on teeth, because tannic acid (the stuff that makes the dark color) etches into the pits and grooves of tooth enamel and can stain teeth brown. So, short of giving up your java or cuppa, what can you do?

Rinse with a glass of water after every cup, suggests the Academy of General Dentistry. If you prefer iced coffee or tea, he suggests sipping these beverages through a straw. That way, the tannins won't even touch your front upper and lower teeth.

The really white-obsessed can wipe off their front teeth with a tissue. Or ask your dentist about bleaching.

Bleaching is successful in about 90 percent of patients, but not everyone is a good candidate. Teeth that have hints of yellow, brown, or orange respond best. Teeth that are gray from years of smoking will see results, but they won't be as dramatic.

Even if you don't drink coffee, try to swish and swallow some plain water at the end of each meal. Water neutralizes acids left in your mouth after eating and reduces cavity-causing bacteria by about 30 percent.

by BHG.com

 

Pleasanton Dentist - Sweet Tooth - Smiles by Design in Livermore

 

Researchers at West Virginia University are discovering that a person's attraction to sweets may be genetic.

A seven-year study of more than 7,000 people shows that there is a gene that predisposes people to eat more candy or sweets.

If we dentists could check for the presence of this gene through a simple saliva test, then we can help alert parents.

Those children may need to brush their teeth and visit the dentist more often,
reports the State Journal in West Virginia.

To help take care of a sweet tooth you should use daily fluoride rinses and or acid neutralizing mouthwashes. Also you shoul even think about certain rinses and pastes that contain bioavailable Calcium and Phosphate ions to replenish the ones destroyed by the microscpoic acid attack of the sweets against the human enamel of the teeth.

 

Dentist Pleasanton - Dr. Richard D. Howes, D.D.S. - Smiles by Design Livermore

Dr. Howes has dedicated his life to high quality, technologically advanced dental services and treating his patients with respect and individual care. This dedication coupled with a commitment to his hometown of Livermore, where he has been a resident since 1985, prompted him to move his practice from Fremont where he had practiced for over 20 years to establish a unique type of dental practice. This practice has allowed Dr. Howes to provide his patients with a blend of services that no other practice offers.

Dr. Howes graduated from University of the Pacific Dental School in San Francisco in 1983 and since then has completed hundreds of hours of advanced education. These include completion of a mastership in Occlusion and Neuromuscular dentistry as well as the comprehensive aesthetic reconstruction courses from the world renowned , Las Vegas Institute for Advanced Dental Studies. Closer to home, he has completed courses with the Pacific Aesthetic Continuum in San Francisco, which dealt with posterior reconstruction and advanced courses in periodontal surgery completed at the University of the Pacific Dental School.

Dr. Howes has been an active member of both the Academy of Laser Dentistry and the American Academy of Cosmetic Dentistry. In addition Dr. Howes is one of only a handful of dentists certified in use of two different wavelengths of dental lasers. In 2001, he was invited by Biolase Corporation, an industry leader in dental laser technology, to travel to Melbourne, Australia,to educated dental professionals about the use of laser technology, when this technology was introduced to Australia in 2001..

Outreach and community service have been an important part of Dr. Howes life. He has been a Past President of Rotary International (Fremont Sunrise Rotary Club). He has been a member of the Livermore Chamber of Commerce and has served as a chair person for the St. Charles Catholic Church and has been involved with the Knights of Columbus. In addition Dr. Howes has supported a number of High School and community organizations as well as serving on the Anchor of Hope board of directors which provides funds and service to a number of local and international causes.

Dr. Howes and his wife Jo have three children all of whom graduated from Granada High School. The oldest son served in the United States Marine Corps and was sent on three tours of duty to Iraq. Dr. Howes is also an avid Boise State Bronco fan as he graduated from Boise State University in 1979.

“I have helped many men and women improve their dental health. The excitement and the reward is not only to create a beautiful smile and to improve someone's dental health but also to see the life changing transformation of their self-image.”

Richard Howes, D.D.S.

 

Dentist Livermore - More About Dental Floss - Smiles by Design in Livermore



Believe it or not, researchers have compared different types of dental floss to determine whether some are more effective than others to clean teeth. The bottom line is that they are not. Any type of floss will help promote clean teeth by removing food particles and bacteria.

In one study conducted by periodontists at the University of Buffalo, 60 adults with mild gingivitis were divided into two groups. One group was instructed to use a nylon waxed dental floss and the other group was instructed to use a wide polytetrafluoroethylene (PTFE) floss. The study participants' teeth were evaluated at the start of the study and again after two weeks, five weeks and six weeks. At each visit, the participants' teeth were evaluated for plaque, gingivitis and gum bleeding. At the fifth week, the groups switched to using the other type of floss so the researchers could determine whether the participants had a preference for one type.

Overall, the researchers found that both types of floss were similarly effective in reducing plaque and improving gum health. But 75 percent of the participants preferred the PTFE floss and only 25 percent preferred the nylon floss.
If you are new to flossing, or if you have sensitive gums, you may want to start with PTFE floss, such as Crest's Glide floss, which is softer than a traditional nylon floss to slide more easily between the teeth and is less likely to break or shred than a nylon floss.

by Oralb

 

Pleasanton Dentist - Choosing the Right Toothbrush - Smiles by Design in Livermore

What Type of Toothbrush Should I Use?
With so many shapes, sizes and styles of toothbrushes on the market, deciding which kind to buy can be confusing. Here's what you should look for:

• Most dental professionals agree that a soft-bristled brush is best for removing plaque and debris from your teeth. Small-headed brushes are also preferable, since they can better reach all areas of the mouth, including hard-to-reach back teeth
• When it comes to the type of handle (such as non-slip grip or flexible neck), shape of the head (tapered or rectangular) and style of bristles (such as rippled, flat or trimmed to a dome shape), pick whatever is most comfortable for you. The best toothbrush is one that fits your mouth and allows you to reach all teeth easily
• For many, a powered toothbrush is a good alternative. It can do a better job of cleaning teeth, particularly for those who have difficulty brushing or who have limited manual dexterity

How Often Should I Replace My Toothbrush?
You should replace your toothbrush when it begins to show wear, or every three months, whichever comes first. It is also very important to change toothbrushes after you've had a cold, since the bristles can collect germs that can lead to reinfection.

by colgate.com

 

Pleasanton Dentist - Why Dental Implants - Smiles by Design in Livemrore

Why Dental Implants

Why should teeth be replaced

There are several possible unfavourable consequences from loss of teeth without replacement:

• Drifting of adjacent teeth: when there is a missing gap, opposing teeth may over-erupt adjacent teeth drif into the empty spaces resulting in food trapping and possible decay
• Difficulty of chewing : missing teeth causes issues in chewing that could possibly result in indigestion
• Poor appearance & bone loss: loss of youthful and facial structure appearance due to bone resorption
• Loss of lip support
• Poor speech : difficulty in speaking specially if front teeth is missing

Benefits of Dental Implants

• dental implants provide a longer-term solution
• dental implants slow down bone loss and preserve nearby healthy tooth tissue
• dental implants looks and feels smiliar to natural teeth
• dental implants will not decay, fracture or foster gum disease
• dental implants can replace one or a series of lost teeth
• teeth implants are strong and able to perform the same functions as a natural tooth
• teeth implants improve confidence and quality of life
• teeth implants greatly enhanced function, such as chewing and biting
• teeth implants improved appearance

Tracy Dentist - Dental Implants Post-Care - Smiles by Design Livemore

Dental implants post-care

• After an implant placement, a blood clot forms in the surgical area that is a normal part of the healing process.
• avoid activities that might disturb the surgical area.
• Do not rinse your mouth vigorously or probe the area with any objects or your fingers.
• Do not smoke or drink through a straw for 72 hours following your surgery as these activities create suction in the mouth, which could dislodge the clot and delay healing.
• drink some fluids or use a wet washcloth and wipe your tongue, but please stay away from the surgical area.
• Avoid strenuous activity for the first 24 hours after your procedure. This will reduce bleeding and help the blood clot to form
• apply Vaseline or lanolin to the lips for the first two days to prevent lips from drying or cracking.

livermore Dentist - Diet Dental Implant Post Care - Smiles by Design Livermore

Diet dental implant post care

• after surgery, eat nourishing semi-liquids food that can be eaten comfortably.
• avoid extremely hot foods and liquid.
• soft foods during the first 6 days is recommended in to avoiding food particles from contaminating the implant surgery site
• After each meal, rinsed thoroughly with warm saline solution, half a teaspoon of salt in a glass of warm water, or mouthwash containing chlorhexidine

Pleasanton Dentist - Dental Crowns, Foods to Avoid - Smiles by Design in Livermore

Dental crowns are tooth-shaped “caps” that are placed over a tooth. It covers the tooth, restores the shape and size, strength, and improves its appearance.

Dental crowns were cemented into place and fully cover the whole noticeable part of a tooth that lies at and above the gum line. A dental crown is place to prevent weak tooth from breaking or to hold the cracked tooth.
Although the purpose of dental crown is to protect the tooth, it may create problems. These can be minor or worst dental crown problems. If these things happen tell your dentist right away so that he or she can make proper recommendation/treatment. Here are some dental crown problems that usually occur:

1. Tooth is very sensitive to hot or cold dental crown problem
There are many instances that after the dental crown cemented into place, a problem of tooth sensitivity to both hot and cold beverage occurs. Normally the area of this problem is at the edge of the crown, by the gum line. This kind of problem is easy to treat .Simply use toothpaste that has an active ingredient of potassium nitrate. However, a dentist advice is crucial.

2. The dental crown’s bite seems off problem
Even though your dentist has checked if the dental crown touches against your other teeth when you bite before finally cemented your dental crown in place, but after everything was done and your numbness worn out, you found out that your crown’s shape is incorrect. Most probably, your crowned tooth makes contact first or when you slide your teeth side by side you can fell the crown remarkably. Consult your dentist at once for a possible remedy. Your dentist will simply buff your dental crown down so that its shape will more in harmony with your bite.

3. More dental crown problems
Unknowingly your tooth is asymptomatic and this problem rise up after the dental crown was place. There are cases that the tooth nerve becomes apparent then a root canal treatment is needed. It is also possible that the degree of crack of some teeth is tremendous that even the crown cannot hold.

4. Loosing dental crown problem
In case of loosing dental crown, report to your dentist right away so that he or she can make some recommendation. Most probably it will be cemented again.
To avoid more dental crown problems rise up a proper dental crowns care. Here are the following suggestions to avoid dental crowns problems:

• Avoid sticky, chewy foods (chewing gum, caramel), this foods has the possibility of grabbing and pulling off the crown.
• If possible refrain using the side of your mouth with dental crown but if it cannot be avoided try to reduce its function.
• Minimize chewing hard foods (such as raw vegetables), which could dislodge or break dental crown.
• Slip flossing material out-rather than lifting out-when cleaning your teeth.

Although there are dental crown problems that may possibly arise but generally dental crowns is very effective remedy to your tooth problems. Ask your dentist about best options for your dental health.

By Dental Health Magazine staff

Tracy Dentist - Disease Management - Smiles by Design in Livermore

Disease Management

1. How can you help me if I have periodontal (gum) disease?
Periodontal, or gum, disease is a condition that affects your gums and bone, both of which anchor and support your teeth. This disease is very common in adults and affects approximately 75% of the adult US population. It is not painful and, therefore, those who have it may not be aware of their condition. It can be difficult to treat, particularly if it becomes advanced. You need a professional examination in order to ascertain whether or not you have gum disease. We will help you treat the causative agent, bacteria, which cause dental plaque and tartar. The build-up of plaque and tartar around the teeth adversely affects the gums. The later, and more destructive, stages of the disease process affect the bone and, therefore, the attachment to the tooth. When this is severe, the tooth will be lost. If the process is detected early enough, we can help to eliminate the problem – or at least slow it down. There is no cure for the advanced stages of the disease.
2. Aside from surgery, are there other options for treating gum disease?

Yes there are. You may have heard about some of the new and successful methods for treating gum disease with lasers. There are also new medications that include germ-killing agents. For example, there is a new antibiotic that, when placed between the gum and tooth, has the ability to kill bacteria for an extended period of time (up to 30 days). We are even seeing some success when dietary supplements are added to therapy with medication and good home care. Surgical treatment has advanced significantly with the use of laser technology. This is only needed in a limited number of cases. Lasers can be used for surgical, as well as non-surgical treatments. When lasers are used for surgery, vs. conventional surgical techniques, much less pain and more rapid healing is the result. Lasers also allow us to successfully treat cases that were considered hopeless just a few years ago. Whether you are concerned about the possibility of having gum disease or if you would like to discuss new surgical techniques that can help the disease you already know you have, we would be happy to schedule a consultation with you at no charge.

Livermore Dentist - Fillings FAQ - Smiles by Design in Livermore

Fillings
1. What is the difference between silver and tooth-colored fillings?
There are three important factors with regard to filling materials. First, there is a striking cosmetic difference. Tooth-colored fillings are actually bonded or glued to the surrounding tooth, which minimizes stress on the tooth and often results in less risk of fracture or decay. Second, traditional silver fillings conversely can place stress or tension on a tooth - and this can substantially weaken the tooth itself. Many times, with silver fillings, a weakened tooth will fracture. Undetectable tooth decay may be present, which is not apparent until after a fracture occurs. Extensive damage to the tooth can result. This damage, in many cases, may require root canal treatment and/or full crown placement. Third, there is significant controversy with regard to the mercury content in silver fillings and the impact the presence of this substance has in the body.

2. Do tooth-colored fillings last as long as silver fillings?
Several types of tooth-colored restorations are available today. It is our opinion that silver would not be an option for filling material in our own mouths; therefore, we do not use it in our practice. The primary reason, aside from the unknown effects of silver in the body, is that when properly designed and placed, a tooth-colored restoration is a longer-term restoration than a silver filling. We plan on our fillings and restorations lasting a lifetime; however, many different variables exist that could result in damage, or the need to replace a restoration. A good, preventative dental care regimen is essential for minimizing these variables. We have an excellent record with placing restorations that routinely last for decades.

3. What types of tooth-colored restorations are there?
Each of the four different types of restoration options that we use on a daily basis are used to accomplish a different objective. We always discuss the reasoning behind the restoration options we select for our patients prior to beginning treatment. Whenever our patients have questions about their treatment, we are always happy to answer them!

1. Direct bonded composite resin fillings are used for the repair of teeth that have small and less involved damage to the tooth. The key determinant in selecting this material is that the tooth being restored does not need additional reinforcement or strengthening in order to remain intact. This procedure takes less time, and is therefore less costly, than the other options.
2. Indirect bonded ceramic restorations (3/4 crowns) are placed when damage to a tooth is at a point when additional strength is needed for support. In addition, damaged areas of the remaining tooth may need to be covered. Preparing these restorations requires the services of a dental laboratory technician. He or she creates correctly shaped and colored ceramic material, matching it to the existing, damaged tooth. When this new restoration is bonded or glued onto the tooth, that tooth is returned to a condition that closely resembles, in appearance and strength, the original, undamaged tooth.
3. Bonded ceramic full crowns are placed when extensive damage or decay has resulted in large defects and/or when loss the original tooth structure has occurred. Frequently, root canal treatment has taken place prior to our restoration. Dental laboratory services are required in order to fabricate this type of restoration.
4. Veneers are another tooth-colored restoration option. Veneers are discussed in the third FAQ section

Tracy Dentist - Pain and Anxiety Management FAQ - Smiles by Design in Livermore

Pain and Anxiety Management
1. How can you help me with my tremendous amount of fear and anxiety about going to the dentist?
First, you should know that there are many people who share your same concerns. Second, please know that we have methods of helping you manage and deal with your fears and anxieties.
2. What methods do you use to deal with my anxieties?
There are several methods available, including safe and effective medications if your anxiety is extremely high. We want you to be sure to tell us if this is the case! We are used to helping many of our patients who have various degrees of fear and anxiety, so be assured that we can work with you, too. If you have specific concerns, or just questions with regard to how we manage anxiety, please call us or schedule a "no-charge" consultation appointment so that we can discuss this with you in-person.

3. Do you practice "pain-free" dentistry?

"Pain-free" is a condition we cannot promise, but it is what we strive for every day with each of our patients. We can substantially minimize your pain by discussing your threshold of discomfort before we start any procedures – and paying close attention to this while we work. Your comfort is always our concern. Every effort is made to ensure that each of our patients feels as relaxed and comfortable as possible while we are working.
4. How will your approach to "Neuromuscular Dentistry" help me?
We professionally evaluate head, neck, back, shoulder and jaw pain. This pain can be reduced, or even eliminated. We may recommend that we replace defective dental restorations. We may suggest that we realign your bite through the use of appliances to help you achieve a comfortable jaw position. In addition, by administering hands-on treatment, we minimize and relieve pain and prevent further damage to muscles, joints and teeth. We may prescribe an appliance or an orthotic device. We may also use computer-aided instruments to measure your jaw joint and muscle activity. This allows us to improve and correct your bite or jaw position, which may be the cause of your pain.

Pleasanton Dentist - Fillings FAQ - Smiles by Design in Livermore

Fillings
1. What is the difference between silver and tooth-colored fillings?
There are three important factors with regard to filling materials. First, there is a striking cosmetic difference. Tooth-colored fillings are actually bonded or glued to the surrounding tooth, which minimizes stress on the tooth and often results in less risk of fracture or decay. Second, traditional silver fillings conversely can place stress or tension on a tooth - and this can substantially weaken the tooth itself. Many times, with silver fillings, a weakened tooth will fracture. Undetectable tooth decay may be present, which is not apparent until after a fracture occurs. Extensive damage to the tooth can result. This damage, in many cases, may require root canal treatment and/or full crown placement. Third, there is significant controversy with regard to the mercury content in silver fillings and the impact the presence of this substance has in the body.

2. Do tooth-colored fillings last as long as silver fillings?
Several types of tooth-colored restorations are available today. It is our opinion that silver would not be an option for filling material in our own mouths; therefore, we do not use it in our practice. The primary reason, aside from the unknown effects of silver in the body, is that when properly designed and placed, a tooth-colored restoration is a longer-term restoration than a silver filling. We plan on our fillings and restorations lasting a lifetime; however, many different variables exist that could result in damage, or the need to replace a restoration. A good, preventative dental care regimen is essential for minimizing these variables. We have an excellent record with placing restorations that routinely last for decades.

3. What types of tooth-colored restorations are there?

Each of the four different types of restoration options that we use on a daily basis are used to accomplish a different objective. We always discuss the reasoning behind the restoration options we select for our patients prior to beginning treatment. Whenever our patients have questions about their treatment, we are always happy to answer them!

1. Direct bonded composite resin fillings are used for the repair of teeth that have small and less involved damage to the tooth. The key determinant in selecting this material is that the tooth being restored does not need additional reinforcement or strengthening in order to remain intact. This procedure takes less time, and is therefore less costly, than the other options.
2. Indirect bonded ceramic restorations (3/4 crowns) are placed when damage to a tooth is at a point when additional strength is needed for support. In addition, damaged areas of the remaining tooth may need to be covered. Preparing these restorations requires the services of a dental laboratory technician. He or she creates correctly shaped and colored ceramic material, matching it to the existing, damaged tooth. When this new restoration is bonded or glued onto the tooth, that tooth is returned to a condition that closely resembles, in appearance and strength, the original, undamaged tooth.
3. Bonded ceramic full crowns are placed when extensive damage or decay has resulted in large defects and/or when loss the original tooth structure has occurred. Frequently, root canal treatment has taken place prior to our restoration. Dental laboratory services are required in order to fabricate this type of restoration.
4. Veneers are another tooth-colored restoration option. Veneers are discussed in the third FAQ section.

Livermore Dentist - Lasers in Dentistry FAQ - Smiles by Design in Livermore

Lasers in Dentistry
1. What are lasers used for?
There are different types of lasers, all used for different purposes. We have three types of lasers in our office: one involves using laser technology to help diagnose tooth decay; another is used for surgical procedures such as the removal of tooth structure or to sculpt gum tissue; and a third type is used just to treat gum disease. This involves weekly treatments. Healing occurs between visits. The goal is to completely remove all disease from the gum tissue, which is so important to long-term dental health and retention of teeth. Our office is on the absolute leading edge of laser technology. We have created our own protocol for treating gum disease with advanced laser technology – and we achieve a degree of success in treating gum disease that was impossible prior to the advent of laser technology. The clinical members of our staff are all members of the Academy of Laser Dentistry, recognized and credentialed in the use of the most advanced laser instruments. To learn more about the use of lasers in dentistry, visit www.laserdentistry.org.

2. Why haven't I heard about the use of lasers in dentistry before?

Lasers have been used in medicine (especially for treating eye conditions) and dentistry for decades; however, advancements in laser instrument technology and techniques have improved significantly in only recent years. More importantly, only a few professionals have chosen to acquire the additional training and make the extra investment required to successfully integrate lasers into their practices. That is why most people are not aware of the benefits of being treated with lasers. As more practitioners become involved, you will hear more about this approach. Our philosophy is to provide only the very best care for our patients. We are, therefore, committed to learning about and integrating into our practice the latest and most advanced treatments and technologies available today.

Livermore Dentist - Veneers FAQ - Smiles by Design in Livermore

Veneers1. What is a veneer?
The term "veneer" refers to the type of restoration that covers the face of a tooth. Veneers can be made of three different materials: plastic; a specially-hardened ceramic; or porcelain. (These last two are more durable than plastic.) We discuss the risks and benefits of all three options with our patients. Veneers are used to sculpt and shape, and can be affixed to teeth of all different configurations. Veneer thickness can be adjusted and, of course, so can the color, depending on what is needed.

2. How are veneers put onto my teeth?
After a tooth has been prepared, veneers are "bonded" onto the tooth surface. "Bonding" is the process involved in affixing the veneer to a tooth using advanced materials that allow adhesive attachment directly onto the tooth. This process yields excellent long-term results.

3. Can veneers close the spaces between my teeth?
Absolutely. Veneer materials are flexible and provide more sculpting possibilities than having a full crown (or a "cap") put onto a tooth. When affixed by a skilled practitioner, veneers can be completely invisible. Veneers have come to be so effective that, in many cases, orthodontic treatment for tooth re-positioning is not needed. With veneers, the overall appearance of the teeth can be significantly improved – whiter color, smoother surface(s), better shape(s) and appropriate tooth size(s) – all of which are part of a fabulous new smile.

4. How long does it take to have veneers put on my teeth?
It varies, depending on how much of a change we decide to make to your smile. Most veneers can be placed in one or two visits. A skilled dental ceramic technician must fabricate each veneer individually, so that each tooth color and shape is matched to your new smile requirements. This process takes about two weeks. If plastic veneer material is used, then only one visit may be needed. Plastic veneers are made in our office.

5. How long will my veneers last?

This depends upon a number of variables, some of which are within your control, including how well you take care of your teeth. With the materials available today, your veneers may last up to ten years, or longer. Our goal is to achieve long-term restoration. That means we strive to make your restorations last for up to fifteen to twenty years. With excellent care, there is a chance that even this length of time may be exceeded!

Livermore Dentist - Creating My New Smile FAQ - Smiles by Design in Livermore

 Creating My New Smile
1. How do I find out about having you create my new, healthy smile?
 Since every person is an individual and every situation is different, creating your new smile begins only after a complete discussion of your goals and ideas. Using this as background, we proceed through a complete examination, which will include photographs and may include models. We manipulate the photographs we have taken using the latest in computer imaging technology. You can then actually see your new smile before we begin our work! If extensive changes are going to be made, models may also be required so that we have detailed impressions of your mouth structure, your teeth and your bite. Using one or both of these techniques allows us to make a comprehensive evaluation of what cosmetic and structural changes are needed in order to achieve the goals you have set for your new smile.

2. What are some of the options you will discuss with me?
Some of the options include teeth whitening, as well as procedures such as reshaping or tooth movement. We may use a combination of techniques to achieve your goals. Many people are unfamiliar with the latest techniques and are surprised to learn what can be done to improve their smile.

3. I am not aware that my dental health is deteriorating. Should I have you check, just to see exactly what my condition is?
Absolutely. If you have never had a thorough examination performed by a highly qualified aesthetic dentist, you may be surprised by what you learn. Many people are not even aware of damage or deterioration in their mouths. For example, by the age of 50, teeth may be worn down by approximately 25% to 50%. And this damage is often found in combination with worn out fillings or crowns and mild (painless) gum disease. If problems such as these are not addressed and treated quickly, by the age of 60 or 70, significant tooth loss and overall mouth health deterioration may occur.

4. How expensive will it be for you to create my new smile?
We understand that expense is always a concern for anyone who is considering initiating restorative or complete dental care. It is important to keep this in mind – investing in your dental health today will minimize future dental care expenses. There are helpful options so that you can afford to obtain your new smile – and achieve long-term dental health. Due to reimbursement limitations of many dental insurance plans, most people find it helpful to pursue a combination of financial strategies. We are committed to helping you find the right options in order to achieve the smile you deserve.

At no charge, we offer complimentary consultations. If you have questions, want further information, or are just interested in getting a second opinion, we would be happy to meet with you. After we discuss your individual situation, and if you decide that you would like to proceed with us, we will discuss a fee structure, financial options and your payment plan.

Livermore Dentist - Gum Disease - Smiles by Design in Livermore

Gum disease is very common and can take various forms. Some forms are painful, but many are not and can go undiscovered for years without detection if someone doesn't see a dental professional (dentist or hygienist) for help. The key to dealing with gum disease is to prevent it from developing into a form that is dangerous to the long-term use of teeth. This is relatively easy for most of us as it simply involves daily brushing and flossing as well as regular cleanings and exams with a dental professional.

There are a great number of different forms of gum disease and a few of the most common types include:

1. Gingivitis - this type of gum problem is so common that it could be considered normal and is not dangerous to the teeth and gums at this stage. This condition is relatively easy to improve and should be done to prevent development of additional gum disease.

2. Periodontitis - this type of gum disease takes different forms and can only be properly diagnosed by a dentist. All forms require treatment and the more severe form may not be treated successfully; in other words, it can, in late stages, cause loss of some or all the teeth.

• Mild periodontitis - will slowly and without pain get worse. At this stage, the disease is very treatable. This form afflicts almost all adults at some point during a lifetime.
  
• Moderate periodontitis - a more advanced form of gum disease than mild periodontitis. This form is also very treatable, but the treatment is considerably more involved as the bone underneath the gums has been affected.
  
• Advanced periodontitis - a very dangerous disease not only to the teeth but even the general health may be affected at this stage or even at earlier stages. All patients with cardiovascular disease and heart problems as well as diabetes should ensure that any form of gum disease is treated. This type of gum disease frequently results in tooth loss and is not hard to detect but can be very difficult or even impossible to treat without loss of the teeth.

The traditional methods of dealing with gum disease still apply and serve as the basic level of treatment. These include cleaning the teeth mechanically with a variety of instruments such as the usual metal scalers and the polishers, but also the ultrasonic cleaners which spray water and use high frequency sound waves to loosen the plaque and tartar that clings to the teeth and which provides the environment for bacteria and the associated infection so characteristic of gum disease.

There have been a number of new developments and improvements over the past 5-10 years including:

• Laser therapy - lasers can be used in a variety of ways to help either kill bacteria or remove diseased tissue.
• Neutraceuticals - dietary supplements which can help provide benefits to the immune system which can help with gum disease.

The most important aspect of any treatment program is the maintenance care following the active treatment phase. There have been a significant number of improvements to the methods of cleaning your teeth at home. When a good home care habit is combined with an active maintenance cleaning program provided by your dentist and hygienist, most cases require little, if any, further active treatment.

Livermore Dentist - FAQ's - Smiles by Design Livermore

Here is one of  the most frequently asked questions we receive from our patients. Feel free to send us yours. We reserve the right to add your question to this section of our website. (Your name will, of course, not be used.) To send us your question or questions, just e-mail us at: talktothedoc@masterpiecesmilesbydesign.com.
Teeth Whitening
1. What is the difference between having a procedure in your office vs. buying some of the kits or materials that are advertised on television and in magazines?
The procedure performed in our office (ZOOM) results in an almost instant whiter and brighter appearance. The is the same process that you have seen on the "makeover" shows and, having our specially-trained staff administer it, ensures your health and safety throughout the procedure. The products purchased at retail stores are made with a weaker solution than those used by professionals. Applying these solutions at home does not produce the dramatic changes and results that most people are looking for when they want a new, whiter smile.

2. Is it painful to have my teeth whitened?

The whitening process frequently results in increased cold sensitivity. We feel that properly managing the whitening process requires the help of a trained professional, so that minimal discomfort is experienced. If you have had problems or were unhappy with the results from previous whitening procedures, we can help you. We would be happy to discuss your situation with you – here in the office, on the telephone or via e-mail.

3. How long will it take?
Our "in-office" whitening procedure can be done in a little over an hour. If you choose to use a "take-home" whitening kit, we will supply you with a whitening agent that will provide maximum whitening capability and minimum side effects. Please be aware that if you do choose the "take-home" kit option, even with daily use, it will take several weeks (a month or more) to see real results.

4. How much will it cost?
The "in-office" procedure seen on the "makeover" shows can cost in excess of $500. We are, however, committed to helping as many people as possible achieve the smile of their dreams. For a limited time, we are offering this service for only $400. If you are not a candidate for "in-office" whitening, you may choose from two types of "take-home" procedures. The cost of these is $200 or $100. We will advise you on which option is best for you.
Look for more frequently asked questions.

Tracy Dentist - Cosmetic Dentistry without braces - Smiles by Design in Livermore

 

So often we get questions from people about the common misperception that braces are required in order to have a beautiful new smile. You probably don't need braces in order for us to help you achieve the smile of your dreams. Even if you do need braces, why not let us help you limit the amount of time you will be in braces and, at the same time, give you the whitest, most beautiful smile that is possible with modern cosmetic dental care. Some of these modern techniques include:

Veneers – Ultra-thin, special laminated veneers are used to cover the broken and discolored teeth and to close gaps and correct crowded teeth, usually without orthodontics.

Adhesive Bonding – Procedures which are used to “glue” the latest in space-age acrylics and ceramics directly to teeth in order to provide additional strength to fragile teeth as well as to create a smoother and more symmetrical appearance of an individual tooth.

Implants – “Artificial roots” that are surgically placed and integrate or join to the jaw bone, which can be used to replace missing teeth. Once the implant is placed and integrated to the bone, then a very lifelike artificial tooth can be attached to the “artificial root.”

At “Smiles by Design,” an individualized dental care plan is developed by Dr. Howes and a complete consultation is held, which ensures that your goals and desires are met and the process of smile enhancement is both explained to you and well organized for your convenience.

Livermore Dentist - Aesthetic Dentistry Care - Smiles by Design Livermore

 

“Aesthetic dentistry” is a form of cosmetic dentistry that utilizes a combination of advanced technology and the latest in comfort techniques to provide the health and beauty that our clients deserve. Aesthetic dental care is devoted to achieving a cosmetically pleasing smile (cosmetic dentistry) through a total health care approach. This means that we create beautiful smiles by helping our patients improve their overall dental health, which results in better health for the whole system. We approach cosmetic dental care from a total wellness perspective.

Aesthetic dental care includes…

Tooth Whitening

• Advanced whitening system called “Zoom,” which you may have seen on the “Extreme Makeover” show.
• “Zoom” is less expensive and just as effective as the more heavily advertised brand.

Tooth Contouring and Reshaping

• Used to create subtle improvements in a smile.
• Addresses problems with chips, cracks and overlapping teeth.
• Corrects minor bite problems.

Fillings – Replacements and New Cavities

• Space-age acrylics and ceramics are used to create a truly lifelike appearance.
• Lasers and electric turbine handpieces are used to replace broken down metal fillings and crowns.
• Superior techniques and training allow the most efficient use of time and provide the most durable restorations, which can mean decades of trouble-free use.

Aesthetic Gum Tissue Care

• Lasers are used to sculpt gum line and eliminate imperfections.
• Laser therapy is also used to enhance the healing process for treatment of gum disease while minimizing discomfort, unlike conventional gum surgery.

Protective and Preventive Procedures to Restore Damage Due to Age, Trauma, Decay, Cracked and Dark Teeth

• Ultra-thin, special laminated veneers are used to cover the broken and discolored teeth and to close gaps and correct crowded teeth, usually without orthodontics.
• Adhesive bonding procedures are provided in order to sculpt and smooth tooth surfaces and achieve the flawless, symmetrical perfection of a naturally beautiful smile.
• Replacement of natural teeth with the most advanced surgically placed artificial roots called “implants.”

Special Care for Those with a High Level of Anxiety

• Safe and effective medications are available for those with a high degree of anxiety and down right fear when faced with dental treatment.
• The latest in “comfort” techniques, which decreases anxiety and leads to improved and more complete treatment.

At “Smiles by Design,” an individualized dental care plan is developed by Dr. Howes and a complete consultation is held, which ensures that your goals and desires are met and the process of smile enhancement is both explained to you and well organized for your convenience.

Livermore Dentist - A Beautiful Smile is Priceless - Smiles by Design

Our practice provides the new techniques that enable us to deliver the exceptional results you deserve. We help a range of people, usually adults with a multitude of different problems and conditions.

If you are embarrassed by your smile due to…

• Faded, chipped or cracked teeth?
• Crooked or crowded teeth?
• Stained or dark teeth?
• Uneven spaces between teeth?
• Worn down and old looking teeth?

You don't have to be ashamed of your smile anymore!

We can provide the results you are looking for at a level that is affordable. We will work to understand your needs and concerns so that we can complete your treatment in the most comfortable and efficient manner possible. You will experience the innovative changes and technological advances that permit the excellent care we provide our patients every day.

Don't hold back that beautiful smile.

Don't just wish for a smile to be proud of.

A BEAUTIFUL SMILE IS PRICELESS

• Show the world your smile with confidence!
• Show the world who you are!
• Show the world how proud you are!
• Show the world your confidence!

Don't just smile in your dreams…make it a reality!

You only need to call us at 925-443-4182 for a smile analysis and evaluation. We are happy to offer ideas and information about how we can design the smile of your dreams.

Tracy Dentist - Temporomandibular Joint, which is a common area of recurring pain - Smiles by Design in Livermore

The TMJ refers to the jaw joint or the Temporomandibular Joint, which is a common area of recurring pain. Most adults will suffer from jaw or muscle pain or problem related to jaw joint or jaw muscles. These types of problems are more properly called TMD or Temporomandibular Joint Disorders. Now or in the future, you are likely to benefit from neuromuscular treatment , which is a holistic and total health care method of treatment with a multidisciplined approach to improve the pain and problems related to the jaw joints and jaw muscles.

You may benefit from the latest techniques used to both evaluate and treat a range of problems and conditions that are causing pain, such as:

Headaches – tension headaches, migraines and sinus headaches

• Understand how jaw alignment issues and poorly designed and defective dental restorations can be changed to reduce or even eliminate your pain.
• Benefit from a multidisciplined approach from a group of professionals all trained in a particular aspect of this complex and multifaceted disorder.

Neck, Back and Shoulder Pain

• Receive help from a number of different providers to develop a regimen of different therapies and treatments.
• Obtain the hands-on treatment you need to minimize and relieve pain and prevent further damage to muscles and joints.

Jaw Joint Pain

• Get the help you need to correct and improve your bite and jaw position that may be causing your joint pain.
• You may elect to have an appliance or what is called on “orthotic” device made, which is designed to reduce your jaw pain.
• Benefit from the use of the latest devices such as computer-aided instruments to measure and help evaluate your jaw muscle activity, joint noises (clicking, popping and grinding), jaw movements and a myriad of other facets of the complicated jaw joint and jaw muscle activity.

You can learn about cutting-edge information and technology from a group of elite practitioners each from a different discipline and all focused on helping you achieve a superior level of health and wellness.

Simply call today to speak with our expert staff and to schedule your first consultation.

Livermore Dentist - How Often Should I see a Dentist - Smiles by Design Livermore

Most children and adults should see their dentist for a regular cleaning and check up every six months. People at a greater risk for oral diseases should have dental check ups more than twice a year. Tobacco and alcohol use, diabetes, pregnancy, periodontal and gum disease, poor oral hygiene and certain medical conditions are some of the many factors that your dentist takes into consideration when deciding how often you need your dental cleaning and check up.

Going to your regular check ups will help to keep your gums and teeth healthy as well as detect any early problems such as gum disease, oral cancer and cavities.

 The best way to maintain good oral health is to visit your dentist on a regular basis.

by Tammy Davenport About.com

Dentist Pleasanton - Treating Dental Emergencies - Smiles by Design Livermore

Treating Dental Emergencies

If a dental accident occurs, the first thing to remember is to remain cool, calm and collected. Review and memorize these following steps now, and then you'll know what to do in case of an emergency. Remember that the advice of a dental professional should be gotten at any time when there is an injury to your teeth or mouth.
Dental Emergencies
Unlike a chipped or cracked tooth, some dental hygiene injuries are not obvious. Damage to the mouth can cause trouble that may not be seen, but could result for you in the loss of one or more teeth. So check with your dentist as soon as possible if an injury occurs to the teeth or mouth.

If a tooth is knocked out during an accident:
    * Do not scrub or clean the tooth.
    * Place the tooth in a small container of milk, saline solution if available, or a special tooth-preserving solution available at your pharmacy.
    * See your dentist as soon as possible, preferably within 30 minutes. Don't forget to take the tooth with you.

With prompt attention, a permanent tooth may be re-implanted into the tooth socket and remain normal and healthy.

Tracy Dentist - Choosing a Tooth Brush - Smiles by Design in Livermore

There are so many toothbrushes on the market, what is the right choice?  Now days with all the different designs, colors, materials and attachments one never knows what to choose for their toothbrush. Guess what, the most important thing about your toothbrush is to use it at least 2-3 times a day.  Also, as equally important is how long you spend brushing your teeth. The design is secondary.

The Smiles by Design team recommends that you spend 2-3 minutes brushing 2-3 times a day. This ensures complete plaque removal especially in those hard to reach areas
.
Electric and manual toothbrushes

Our dental team highly recommends an electric toothbrush. The pulsations break up plaque efficiently. Many models now have timers to remind you to brush longer.

It is always nice to have a backup manual toothbrush. When choosing a manual toothbrush, look for a compact head with very soft, rounded bristles.

Tracy Dentist - Stress does effect your Oral Health - Smiles by Design in Livermore

All of us experience stress in our lives.  But too much stress in your life can also effect your gums,  teeth and your overall oral health.

Stress and anxiety can cause the following

Mouth canker and cold sores

Clenching of your teeth and teeth grinding

Poor care of your teeth  and unhealthy eating routines

Gum disease

So how can you prevent these health problems in your mouth?

Just being aware of the importance of hygiene and healthy eating may help. Making sure you are on a good exercise routine can help you relieve stress and give you the energy to tend to your oral hygiene and cook healthier meals. Exercise will also boost your immune system -- and that, too, is good for your oral health.

Tracy Dentist - Interesting Fluoride Facts - Smiles by Design in Livermore

Fluoride Facts

Fluorine, from which fluoride is derived, is the 13th most abundant element and is released into the environment naturally in both water and air.

Fluoride is naturally present in all water. Community water fluoridation is the addition of fluoride to adjust the natural fluoride concentration of a community’s water supply to the level recommended for optimal dental health, approximately 1.0 ppm (parts per million). One ppm is the equivalent of 1 mg/L, or 1 inch in 16 miles.

Community water fluoridation is an effective, safe, and inexpensive way to prevent tooth decay. Fluoridation benefits Americans of all ages and socioeconomic status.

Children and adults who are at low risk of dental decay can stay cavity-free through frequent exposure to small amounts of fluoride. This is best gained by drinking fluoridated water and using a fluoride toothpaste twice daily.
Children and adults at high risk of dental decay may benefit from using additional fluoride products, including dietary supplements (for children who do not have adequate levels of fluoride in their drinking water), mouthrinses, and professionally applied gels and varnishes.

Good scientific evidence supports the use of community water fluoridation and the use of fluoride dental products for preventing tooth decay for both children and adults.

Adjusting the level of fluoride in drinking water first used fluoride as a preventative for tooth decay in Grand Rapids, Michigan. Fluoridation of drinking water has been used successfully in the United States for more than 50 years.
Fluoridation of community water has been credited with reducing tooth decay by 50% – 60% in the United States since World War II. More recent estimates of this effect show decay reduction at 18% – 40%, which reflects that even in communities that are not optimally fluoridated, people are receiving some benefits from other sources (e.g., bottled beverages, toothpaste).

Fluoride’s main effect occurs after the tooth has erupted above the gum. This topical effect happens when small amounts of fluoride are maintained in the mouth in saliva and dental plaque.

Fluoride works by stopping or even reversing the tooth decay process. It keeps the tooth enamel strong and solid by preventing the loss of (and enhancing the re-attachment of) important minerals from the tooth enamel.
Of the 50 largest cities in the United States, 43 have community water fluoridation. Fluoridation reaches 62% of the population through public water supplies, more than 144 million people.

Water fluoridation costs, on average, 72 cents per person per year in U.S. communities (1999 dollars).
Consumption of fluids–water, soft drinks, and juice–accounts for approximately 75 percent of fluoride intake in the United States.

Children under age six years may develop enamel fluorosis if they ingest more fluoride than needed. Enamel fluorosis is a chalk-like discoloration (white spots) of tooth enamel. A common source of extra fluoride is unsupervised use of toothpaste in very young children.

Fluoride also benefits adults, decreasing the risk of cavities at the root surface as well as the enamel crown. Use of fluoridated water and fluoride dental products will help people maintain oral health and keep more permanent teeth.

Courtesy of adha.org

Dentist Pleasanton - Alcohol Free Mouthwash - Smiles by Design Livermore

Using Alcohol-Free Mouthwash

Most people are using a mouthwash as part of their daily routine in carrying for their teeth, but are quickly discouraged by the alcohol content found in mouthwash today. People who rinse for the recommended length of time with an alcohol-containing mouthwash which might contain as much as 20 percent alcohol are quite unhappy. Others are concerned that the high percentage of alcohol is enough to cause illness in children or teens who experiment by drinking mouthwash for the alcohol content. Also, some recovering alcoholics avoid mouthwash because the alcohol content has been shown to trigger a relapse.

But alternatives are available-you can find alcohol-free mouthwash that provides similar oral health benefits to a typical alcohol-containing product. Consider a mouthwash with CPC (cetylpyridinium chloride). This ingredient is found in many health care products and is used in Crest’s Pro-Health Rinse. CPC has been shown to be safe and effective. In a mouth rinse, it binds to the surface of germs and causes them to burst, which helps reduce their buildup on the teeth.

Livermore Dentist - Tooth Decay - How to Avoid It - Smiles by Design Livermore

Preventing Tooth Decay

What Is Tooth Decay?

Tooth decay is the formation of dental cavities and  involves three major factors:
* Food or beverages consumed (your diet)
* Bacteria in plaque
* Your current state of oral health

Unfortunately bacteria interacts with the food you eat and waste products are produced in the form of acids. These acids will cause a breakdown and deteriation of areas below the surface of the tooth which results in tooth decay.

Think of it this way: Each time you eat, your teeth are being attacked. Your body does provide a counterattack by rinsing the food or acid away with the mouth's saliva.  The saliva acts as a buffer and helps to neutralize the acid. This series of attacking and rebuilding is like a constant battle raging in your mouth. It’s your body’s defence in protecting your teeth from everyday problems.

There are three factors to look at in help preventing tooth decay.

Food And Beverages
Foods and beverages that are eaten between meals don't help in preventing the decay process. Sticky foods, such as caramels and raisins, should be avoided as between-meal snacks, because the acid attack becomes too much for the saliva to prevent and repair. Eating these same foods during a meal, however, allows for the tug-of-war to be a winning situation for a person and their teeth.

If children are allowed to fall asleep with a baby bottle, or if they’re given the bottle to carry around with them, and the liquid, whether it be milk, fruit juices or other drinks, can be used by the bacteria to produce acids, and tooth decay can rapidly occur. To help prevent tooth decay, limit your intake of sugary, sticky foods and sweetened beverages between meals.
Bacteria In Plaque
The plaque on your teeth should be removed by brushing at least twice a day and flossing once a day. Usually, a clean tooth can stay healthy. Certain bacteria are more likely to cause decay because they can use the sugars and starches you eat better than others.

Your Current State Of Oral Health
The third primary part of the tooth decay situation is your teeth and mouth. This includes everything from the way the teeth are shaped, formed and positioned, to your saliva, dental treatment and oral health habits. Your saliva is very important in many ways, including slowing the loss of mineral from the teeth and replacing it in the remineralization process. But sometimes, certain conditions or medication change the amount and type of saliva in your mouth, allowing the tooth decay process to progress all the way to cavities.