Monday, June 23, 2014

Do You Experience Dry Mouth While Sleeping, During the Day, etc.?

Reduced saliva flow that results in a dry mouth is a common problem for many people, especially older adults. What causes it are certain medical conditions; it is also often a side effect of medications such as antihistamines, decongestants, pain killers, and diuretics. Hundreds of medications list dry mouth as a possible side effect. Since many patients take multiple medications, the potential for any particular patient on medication to develop dry mouth is significant. As a Park Ridge dentist, I have plenty of patients who have medications that can cause dry mouth, it's a very common issue.

Some of the common problems associated with dry mouth include a constant sore throat, burning sensation, problems speaking, difficulty swallowing, hoarseness or dry nasal passages. If left untreated, dry mouth can damage your teeth. Without adequate saliva to lubricate your mouth, wash away food, and neutralize the acids produced by plaque, extensive decay can occur. It is a significant contribution to dental erosion, which can be very damaging. Meticulous home care routines, using our recommended aids, is very crucial to controlling this potentially serious threat to your oral health.

We recommend Biotine over the counter products to our Park Ridge dental patients experiencing dry mouth. There are hygiene products you can use that cleanse the oral environment and remove bacterial. Soothing gels and liquids that clean and refresh plus intelligently formulated toothpastes with unique enzyme systems combine to protect dry mouth sufferers. There is also a spray that can be used anywhere.

For stimulation products to stimulate saliva glands, using chewing gum and mouth rinses that help manage bad breath while stimulating the mouth's own defenses is a huge help.

For moderate to severe cases, we here at Rubino Dentistry of Park Ridge may recommend the use of dry mouth gels, prescription fluoride toothpastes, and/or remineralization fluoride paste to aggressively fight the serious problem with rampant decay that often can be found in dry mouth patients. Our goal is to not only make your mouth feel better but to prevent dental disease from this growing problem.

If you have any questions, contact Rubino Dentistry and ask us. Or stop by our Chicagoland dental office.

Wednesday, June 18, 2014

Cracked Teeth? Tips from a Chicagoland Dentist

A very common and often difficult problem for patients is having cracked teeth. Teeth crash for a wide variety of reasons; the most common reasons are having back teeth with moderate to large silver fillings. Patients with parafunctional habits such as grinding or clenching teeth and having cracked teeth that were never fixed. teeth that have had root canals are also good candidates for cracking.

Many teeth have surface cracks which are not a problem; once a crack begins to discolor, we become suspicious of the crack as it progresses into the teeth. In a tooth that has a vital nerve, cracks can actually cause chronic inflammation and eventual irreversible nerve damage. Sometimes, this process is symptomless until the nerve damage is irreversible. We monitor any cracks that are visible every time you come in for exams. Unfortunately, often very since cracks exist which are undetectable at the beginning. Cracked teeth are one of the most unpredictable and difficult scenarios for doctor and patient. Diagnosis is sometimes a product of process of elimination.

Teeth with moderate to large silver fillings eventually will crack! Most of the time, the fillings to not brake but rather the enamel of the tooth does. Usually, these cracks will progress until a corner of the tooth breaks. These breaks will be to the deepest part of the filling and beyond. It is very common to remove an old silver filling and find a significant crack underneath the filling very close to the nerve chamber. Many of these cracks are symptomless but often a patient will begin to have symptoms and hypersensitivity to hot, cold, and sweets, discomfort while chewing or biting, and eventually escalating pain as the nerve becomes damaged. We try and stop this progression by removing the old filling, following and removing the crack and placing a protective lining in the deepest area. This is usually followed by a dental crown. Unfortunately, a significant percentage of teeth with moderate to deep cracks will eventually require root canal therapy in spite of our efforts to stop them. Therefore, the sooner we identify and treat active cracks, the lower the possibility of root canal therapy.

Worse case scenario with cracked teeth are cracks in the root system. It is one of the most common reasons for failure of root canals and usually results in extraction of the tooth. We have a variety of options to help reduce the risk of cracked teeth, which we will discuss with you if we find cracks in any teeth.

If you have any cracked teeth, come into our Park Ridge dental office. As a Chicagoland dentist, Dr. Rubino has seen it all, you can have confidence in his ability to treat your dental concerns, including cracked teeth.

Monday, June 2, 2014

What to Know About Cavities and Fillings

As a dentist near Chicagoland, I do see my fair share of patients come through my Park Ridge dental practice door with a cavity or two. It's not at all uncommon for people to have cavities, it doesn't make it okay, but it is common.

Dental cavities have been around since people have been around; the treatment of them has been been around for centuries at least, however, it was in the wonderful year of 1875 when the organization of the treatment came about. Dr. G. Black created a plan for how to successfully treat the cavities that his patients were regularly suffering from. Dr. Black created the idea of using a filling to treat the cavity as well as removing any decaying part of the tooth. His concepts were so good that they fostered the modern treatment of dental cavities

The treatment is comprised of two simple parts: remove the decayed part of the tooth and then fill that with some sort of filling material; today, we use silver (amalgam). For the procedure, the dentist will often give the patient a local anesthetic like Xylocaine or Novocain; if the patient does not want this, then they can get "laughing gas". Once that has taken effect, the dentist will remove the decayed part of the tooth with a high-speed drill; do not worry, since you have the anesthetic, you do not feel any pain.

Once the tooth has been drilled, the dentist will often use some sort of liner to help reduce any tooth sensitivity. Many dentists will use a liner that is comprised of gluma, copalite varnish, and then some dycal. This liner will help the dentin regenerate in your tooth and help heal it. If you have a deep cavity, then the dentist will likely use a bass as well as the liner. As a dentist in Park Ridge, I have used these both before.

Once the tooth is ready for the filling, the dentist, along with the patient, can choose a filling; most common one is amalgam, resin, silver, or even gold. This last layer will help rebuild the tooth to its original integrity and strength.

It is entirely common for your tooth to be a bit sensitive for a day or two; if you experience discomfort for an extended period of time after your filling, then contact a dentist immediately. If you are in Chicagoland, contact Rubino Dentistry and we can take care of it. It is possible that you can have an infected pulp, which is remedied by root canal therapy.