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Why should I get my cavities treated?

 

Cavities or holes in teeth are also known as tooth decay or caries. Plaque, a sticky film of bacteria, constantly forms on your teeth. When you eat or drink foods containing sugars, the bacteria in plaque produce acids that attack tooth enamel. The stickiness of the plaque keeps these acids in contact with your teeth and over time, enamel, the hard outer layer of your tooth, can break down exposing the sensitive dentine underneath. Left untreated, holes in teeth continue to grow bigger resulting in moderate or severe toothache and even the eventual loss of the tooth.

Can a cavity fix itself?

Cavities are a progressive condition, so without treatment, they will never get better.  Unlike the rest of your body, your teeth are not protected by your immune system, so they don’t have a natural ability to fight infection. Preventing your teeth from cavities occurring is always the best option.

When a cavity is in its early stages of formation, you might be not be aware that it’s occurring as the enamel outer layer of the tooth doesn’t contain any nerves to alert you to the problem.  Early cavities are usually picked up during regular dental examinations or dental x-rays and are best treated at this stage as treatment options are generally less complex and less expensive.

A cavity left to grow bigger will eventually reach the dentine, the inner sensitive part of the tooth and cause tooth ache which can range from mild to severe, especially in reaction to cold food and drinks. If left for a prolonged length of time, the tooth becomes increasingly fragile, risking fracture of the tooth, and allowing food to become trapped within, which will eventually lead to infection of the nerves at the centre of the tooth. Unfortunately, this can then result in the formation of an abscess causing constant pain or swelling of the face. When decay affects the nerves of the tooth, root canal therapy or tooth extraction become the only effective treatment.

It is important to make an appointment with your dentist if you have any pain from your teeth to avoid the problem escalating and potentially becoming more expensive. Book an appointment with your dentist today and ask them to check your teeth for cavities.

How can I tell if I have a cavity?

In the early stages of a cavity forming, you may not have any symptoms. Generally, toothache or pain when chewing and sensitivity to cold and hot foods and drinks are the early signs of a cavity. Some people experience gum swelling, bad breath or an unpleasant taste in their mouth.  In the early stages of a cavity developing, spots or discolouration can sometimes be seen on the surface of the tooth.

Factors that can increase the likelihood of cavities

Anyone with teeth is at risk of getting cavities. However, some factors can increase the likelihood of cavities forming.  Infrequent or ineffective tooth brushing, not flossing and insufficient fluoride can all increase the risk.  A diet high in sugary or acidic food and drinks is a major component of the risk factors in developing cavities. Hormonal changes such as during pregnancy or menopause which cause a dry mouth, gum recession or other mouth changes are also risk factors.

It’s not always possible to avoid cavities forming, though early detection prevents decay affecting the deeper layers of the teeth and reducing the risk of more complex dental problems. Regular dental check-ups are a perfect opportunity for early detection of cavities.

Children can have cavities

Children are prone to cavities, which left untreated, can affect their development and speech. Children benefit from regular dental check-ups, ideally starting before their second birthday.  Early detection and treatment of cavities can help to retain baby teeth in their correct position, helping their permanent teeth to be correctly aligned. Speak with your child’s dentist about fissure sealants – resin barriers which provide a barrier to the bacteria which cause plaque. Book an appointment today.

What’s involved in filling a cavity?

Filling a cavity is done in a number of steps. Your dentist will examine your mouth and take X-rays to determine the extent of the decay and the area they need to focus on.  You’ll be offered numbing options to help you feel as comfortable as possible. Your dentist will clean and remove the decay from the tooth. A filling material will be placed into the space and then shaped and polished, so it is smooth. The type of material used will depend on the location of the tooth and how much wear and tear it’s exposed to. Your dentist will talk with you about your options.  You’ll be asked to bite down gently to make sure the filling is not too high and to check the level is correct and is not affecting your bite.

What to do with a dental emergency this holiday season

 

How do I know what a dental emergency is?

Urgent dental care is required in a dental emergency. This is often due to the pain that a person is in or to prevent any worsening of the issue. Such things can include:

  • Severe toothache and pain
  • Cracked or chipped teeth
  • Dental trauma or accidents such as a tooth that has been knocked out
  • Dental infection of either the tooth or gum
  • Placement of a final crown restoration when the temporary crown is lost or causing issues
  • Denture repairs
  • Lost fillings

When should I see the dentist?

Many of our dental centres remain open over the holiday season. Give your local nib Dental centre a call as soon as your dental emergency occurs and ask for an emergency appointment. All our centres ensure that they have emergency appointments available daily for just this reason. The team will also be able to guide you on some simple steps to take to keep you comfortable and prevent further damage until your appointment.

 

 

Steps to follow if a tooth has been knocked out

Follow these simple steps and be sure to get in touch with your local nib Dental team.

  1. Find the tooth, if it is clean, gently place it back in the socket ensuring you hold the tooth by the crown and not the root.

If the tooth is dirty, wash it in milk or in the mouth before placing it back in the socket.

  1. If you are unable to place the tooth back in the socket, store it in milk or in plastic wrap, never in water.
  2. Call your local nib Dental team for an emergency appointment as soon as possible.

 

What will the cost of an emergency dental appointment be?

The cost for your emergency dental appointment will vary depending upon the individual dental treatment you require. Your dentist will discuss any costs that are expected at the time of your appointment.

Tips to help your dental health this season.

 

While many people use an advent or 12-day calendar as a fun way to build anticipation in the lead up to Christmas, there are now many other alternatives to the traditional sugar-filled treats associated with these, including:

  1. Small toys- like crayons, craft supplies, hair clips, stickers or bouncy balls.
  2. Story a day- there are now ready-made advent calendars that have books in place of treats which can lead to some quality time spent each day.
  3. Puzzle creation- this can be as simple as a special message or picture that is broken into pieces. Place one puzzle piece in each day of your advent calendar. It could even be a cryptic clue to the present that is awaiting the child or adult on Christmas morning.
  4. Activity-based treats- these could be notes about a fun family activity that you will do each day, like making your own ornaments, putting up the tree, wrapping presents for others, taking a walk to a favourite location.
  5. Try a Christmas box instead- gift the box at the beginning of the month or even each week and fill with items such as seasonal movies, pyjamas, slippers and a mug for hot chocolate or eggnog.

 

Get through the holidays with your smile intact

  1. Carol while you clean: You should aim to brush your teeth for at least two minutes for an optimal clean. Pass the time by humming a carol or your favourite holiday song while you brush. If you’re feeling like some family fun (that may also involve a little mess) see who can brush their teeth while singing a carol the best. There may be some guessing involved to name the carol they’re singing if they’re brushing properly!
  2. Set a time limit: It can be tempting to graze the delicious food that we often have available throughout the holiday season, but eating all day puts our teeth at more risk of decay. This is due to the bacteria that is left in our mouth for longer periods of time, leading to tooth decay. Set yourself some specific times of the day to set out food to eat, your teeth will thank you for it.
  3. Focus on meaningful events, not food: We often base our holiday events on food, which can be bad for our teeth and other areas of our health. To take the focus off food, set up activities like board games and card games, craft projects or holiday movie sessions.
  4. Watch the wine: Remember that beverages such as red wine can stain your teeth. White wine poses less of a risk to your teeth. If red wine is your go-to choice over Christmas, drinking it with food can help to reduce the risk of it staining your teeth. And as always, brush your teeth well when you do drink red wine.
  5. Fill up on fruit: We’re lucky in Australia to have Christmas coincide with seasonally delicious fruit, so why not choose to fill up on fresh fruit rather than sugary desserts. If you are hosting the meal, try making only one sugary dessert and instead pair dessert with platters of fruit and a cheese plate to satisfy the sweet tooth.
  6. Protect your teeth: The traditional backyard footy or cricket game are a summer staple over the Christmas season. Be sure to protect your teeth from the wishful ‘professional’ players in your family with a mouthguard.
  7. Indulge in veggies: At meals, aim to fill your plate with vegetables to help you steer clear of the sweet treats available after.
  8. Be careful what you bite into: Some traditional Christmas food such as lollies, pork crackling or even nuts can be hard enough to crack your teeth. Test a small piece before biting down or try dissolving hard lollies in your mouth rather than chewing.

If dental emergencies do happen over the holidays, please give your local nib Dental centre a call. We have emergency dental appointments available throughout the holiday season.

Top dental tips for managing dental anxiety

 

It’s normal to hear people say they’re nervous to see their dentist. Although hesitancy around dental appointments is common, there are many ways to overcome anxiety so you can ensure your oral health is being looked after.

What can lead to dental anxiety?

Dental anxiety or ‘dentophobia’ often stems from a bad or negative dental experience, usually in childhood. Some people feel very uncomfortable in the close physical presence of others, especially when lying back in a dental chair. Fear of pain, or experiencing more pain is another reason for avoiding dental treatment. Others may feel embarrassed about the condition of their teeth. Dental anxiety can also be triggered by the thought of dental equipment; sounds, needles and even the smell of a dental clinic.

Tips to overcoming dental avoidance

  • Sometimes the first step of making an appointment can the hardest. When making your appointment, speak with the receptionist about your anxiety, as they can help ensure your appointment goes smoothly. The first appointment with your dentist may just be a conversation to help build trust, or they could recommend sedation options or strategies to help you relax.
  • Deep breathing, progressive muscular relaxation and mindfulness can all be very helpful. Listen to your favourite music or a calming app through earphones during your appointment.
  • Take your partner or a trusted friend with you for support.
  • If a loss of control heightens your anxiety, ask the dentist to explain what they are doing. Some people like to have a mirror to watch what’s being done. Plan a signal you can give to stop the procedure, or if you need a break.

 

 

Can sleep dentistry help?

If you are a nervous or anxious patient, sleep dentistry could be your answer. Sleep Dentistry, also known as IV Sedation dentistry is a great way for patients to have their dental procedures performed whilst under IV Sedation. Patients are placed into an unaware state by an Anaesthetist, who is assisted by a registered nurse. Sleep Dentistry creates a drowsy and dream-like state of deep, calming relaxation for the entire duration of your dental procedure. Find out more about sleep dentistry today.

Remember

A large part of your dentist’s role is to educate and support you to make your own informed decisions about what’s right for you and your oral health. Overcoming dental anxiety is a partnership, between you and your dentist. Book an appointment today.

References

Strategies to manage patients with dental anxiety and dental phobia: literature review (nih.gov)

Protecting your teeth from being extracted

 

Reasons why you may need your teeth removed

Unfortunately, sometimes tooth damage can be too extensive for a tooth to be saved.  Having a tooth removed is rarely the first treatment option, but there is only so much a filling or crown can do to restore and retain an existing tooth.  When there is extensive decay, trauma or oral disease, the only solution may be to have the tooth extracted. Sometimes a tooth extraction is done for preventative reasons like overcrowding or to prevent future decline in oral or physical health.

How to protect your teeth from needing extraction

The single most important factor in retaining your teeth is to care well for them. Tooth enamel is the hardest substance in the human body, but is not immune to being weakened by decay or damage.  Once a tooth is decayed and filled, it’s never as strong as it once was, which is why maintaining the integrity of a ‘whole’ tooth is so important.

What are you biting on?

Extensive fractures, cracks or dental trauma can also result in a tooth needing to be extracted. Sometimes it’s impossible to prevent accidents from happening, though a few things can help to lower the risk. Always wear a mouthguard when playing sports, even during practice sessions. Never use your teeth as ‘tools’ to open containers or packets, only use your teeth to smile and chew. If you become aware of clenching or grinding, it is important to visit your dentist to prevent cracks from forming, especially in teeth with existing fillings.

 

6 top tips to avoid tooth extraction

  1. Prioritise your teeth and oral health. Your mouth is the gateway to the rest of your body and has a major influence on overall health. Look after your teeth and gums and they’ll look after you!
  2. See your dentist regularly for check-ups, professional cleaning and fluoride treatments. Book regular six-monthly visits.
  3. Brush your teeth at least twice each day with fluoridated toothpaste. Replace your toothbrush every 3-4 months. Floss your teeth and gums daily.
  4. Brush your tongue daily – this will help to reduce the number and type of bacteria on your tongue.
  5. Eat a healthy diet and limit sweet foods and drinks. Avoid snacking between meals.
  6. Stop smoking cigarettes. Ask your GP and dentist for guidance.

Remember

Prevention is the key to reducing the likelihood of needing a tooth extraction. Book an appointment with your dentist to talk about ways to reduce your individual risk.

 

 References

15.Toothbrushesinbathroom.20151129055222.pdf (jamdsr.com)

ColPro Search Result (colgateprofessional.com.au)

Periodontal (Gum) Disease | National Institute of Dental and Craniofacial Research (nih.gov)