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Many dentists and hygienists recommend fluoride treatments for their adult patients. You might ask yourself, “Do I really need a fluoride treatment? I thought those were just for my kids.” After all, most insurance plans cover fluoride treatments only up to the age of 18.

What you need to know as a dental consumer is that studies have shown topical fluoride applications performed by a dental professional create a significant benefit for adults who have moderate to high risk for cavities.

There are several circumstances that warrant extra fluoride protection among adults. Many prescription medications reduce saliva flow or otherwise create dry mouth. A reduction in saliva increases cavity risk.

Adults often experience gum recession, which exposes part of the root surface of teeth. These areas are softer than the hard enamel at the top of the tooth, which makes them more susceptible to decay.

In addition, adults often get restorative work such as crowns or bridges. Fluoride can help protect the margins of these restorations, ultimately protecting your investment.

Today many people opt for orthodontic treatment (braces) as adults. Braces make it more challenging for patients to maintain good oral hygiene. Just ask your kids! Fluoride can keep the teeth strong and cavity-free even with the obstacle of orthodontic appliances.

Have you had a restoration done within the last year due to new decay? If you have, that puts you at a higher risk for cavities. Fluoride treatments are a great way to prevent more cavities in patients who are already prone to them.

How is that flossing coming along? You know you should floss daily, but do you? If your oral hygiene is not ideal, fluoride could be just the thing to keep your neglect from leading to cavities between your teeth.

Fluoride can also help with the growing problem of sensitive teeth. Diets high in acidic foods and beverages, general gum recession, and increased use of whitening products all tend to produce sensitive teeth. Fluoride treatments re-mineralize tooth enamel and reduce that sensitivity.

Patients who undergo radiation treatment for cancer also benefit from topical fluoride applications. Radiation damages saliva glands, thus greatly reducing the flow of saliva. Saliva acts as a buffer against the foods we eat and beverages we drink. Once again, less saliva greatly increases the risk of cavities.

If one or more of these conditions applies to you, consider requesting a topical fluoride treatment. Be sure to ask Dr. Janna Spahr and Dr. Jeff Spahr at your next appointment whether you might benefit from a topical fluoride application.

Chewing gum can be a sticky problem. We’re not talking about etiquette, or nutrition, or how to get rid of the darned stuff when you don’t have a trash container handy. No, we’re talking about gum and its effects on dental health. So, let’s take a moment to chew over the benefits and drawbacks of chewing gum.

• First, the Good News about Gum

One of the important benefits of chewing gum is increased saliva production. This might not sound especially appealing, but here’s an important fact: saliva is one of oral health’s unsung heroes.

Saliva helps wash away food particles which feed the bacteria in plaque. It helps neutralize acids in the mouth which can damage tooth enamel. The minerals in saliva actually help rebuild weak spots in our enamel.

And, since sugar-free gum has revolutionized the gum-chewing world, we don’t bathe our teeth in sugar while we chew. This is a major advantage, and it’s why sugar-free gums are the only products which are ADA approved. A possible downside? Some people who chew certain sugar-free gums (especially people who chew a lot of them) can experience digestive problems.

• What about Dental Work?

Yes, gum can be tricky for dentures, crowns, braces, and other dental work, especially with very sticky and chewy products. There are gums out there that claim to be safe for dental work, but finding the right gum can involve some trial and error that you might prefer to avoid. This is a good subject to discuss with Dr. Janna Spahr and Dr. Jeff Spahr.

If you have a temporary crown protecting a tooth until your permanent crown is ready, avoid gum entirely until your restoration is complete. The pulling effect of sticky, chewy gum can make your temporary crown even more temporary than you were expecting! After your crown’s finished, talk to your dentist about chewing gum again.

• “Chews” Wisely

Chewing means jaw movement and pressure. Hours of chewing means hours of jaw movement and pressure. If your jaws ache after a gum marathon, maybe it’s time to cut back! But, if your jaws ache whenever you chew, that’s a sign that a visit to our Milford, NE office is in order.

The temporomandibular joint (TMJ) is a kind of hinge which allows your mouth to open and close and move from side to side—in other words, to talk, eat, drink, yawn, make faces—all those things we do all day long. Recurring jaw pain can be a sign of TMJ (temporomandibular joint) disorder.

Bruxism, or tooth grinding, is another reason to leave gum off your shopping list. When you grind your teeth, you’re putting stress on your teeth and jaws which can lead to cracked and chipped teeth, headaches, and tooth and jaw pain. If you’re working on getting your bruxism under control, you’ll want to avoid chewing gum and other habits which cause jaw clenching.

You and your dentist are the people who know your oral health best. If you suffer from dry mouth and think chewing gum might help with saliva flow, or if you’re worried about your dental work being damaged by gum, or if you have jaw pain when you chew, or if you have any concerns about your oral health, visit Milford Dental Clinic for all the answers to your sticky questions.

We know that the foods we eat and drink can have a definite impact on our smiles. Staining is an unhappy side effect of many of our menu favorites. That’s why we sip red wine through a straw, rinse with water after a slice of blueberry pie, and cut back on the coffee and tea after a single cup (or two—we’re not perfect!). And sugar is the fuel for cavity-causing bacteria, so we try to substitute water for soda, or replace the hot fudge sundae with grilled fruit. And we always brush carefully after indulging.

So far, so good. But while we’re saving our brilliant smiles from stains and decay, let’s not forget one other source of diet-related damage—acids. Acidic foods and beverages can actually erode the surface of our enamel, leaving our teeth more vulnerable to sensitivity and discoloration.

What Is Dental Erosion?

Enamel is the strongest substance in our bodies—stronger than bone—but it is not indestructible. And acids are one of the major causes of enamel damage. (In fact, it’s the acids produced by bacteria that lead to cavities.) Luckily, our bodies are designed to protect our enamel. Saliva helps clean the teeth by washing away food particles and it neutralizes acidity as well. But a diet that’s too heavy in acidic foods can undo all this good work and upset the healthy pH balance in our mouths.

Why is this a problem? Because acidic environments actually cause the minerals in our enamel to break down, a process known as “demineralization.” This weakening of the enamel leaves teeth more sensitive to heat and cold. It can even lead to discolored teeth, as thinner enamel allows the brownish-yellow dentin underneath the enamel surface to become visible.

Are You Aware of Acids?

We can immediately guess at some of the most acidic foods. Citrus fruits and juices, tomatoes in their many culinary forms, anything pickled in vinegar, coffee, tea, wine—these foods are certainly acidic, but also a regular part of many a healthy diet. You don’t need to avoid these foods altogether, but it’s best to enjoy them as part of a meal or enjoy them sparingly. And balance out some of these high-acidity foods at mealtime with low-acidity choices like bananas, bread, and dairy products.

Other sources of damaging acids might surprise you. Studies have linked sodas, energy drinks, and sports drinks to higher levels of tooth erosion. The combination of citric acid, phosphoric acid and/or carbonation raises acidity levels in the mouth. And because we tend to sip them all day long, it’s like a continuing acid bath for our enamel. Water is always a healthy alternative for hydration, but if you do indulge in a soda or sports drink, rinse with water after drinking. And don’t swish—just swallow.

Won’t Brushing Help?

Yes, but watch your timing. Because the acids in foods weaken enamel, brushing right after a big glass of orange juice or a soda can actually be even more abrasive for tooth surfaces. We recommend waiting anywhere from 20-60 minutes to brush. This gives your saliva the chance to not only wash away acids, but to “remineralize” your teeth, bathing them in the phosphate and calcium ions that strengthen enamel.

If you notice any of the symptoms of dental erosion, including pain, sensitivity when you eat or drink something hot, cold or sweet, or yellow discoloration, talk to Dr. Janna Spahr and Dr. Jeff Spahr during your visit to our Milford, NE office about what you can do to help protect and strengthen your teeth. Unfortunately, our bodies can’t produce new enamel. By avoiding foods that stain, by reducing sugars that lead to decay, and by limiting the acidic foods that erode our enamel, we give ourselves the best opportunity for a lifetime of beautiful, healthy smiles.

Our gums cover and protect the sensitive roots of our teeth and the bone around them. While we often think of gum tissue as a rosy shade of pink, that’s not a hard and fast rule. Just as skin tones vary, gum color can vary from person to person.

Healthy gums can range from light pink to darker pink to hues of brown or black. Because your gums are a good indicator of your oral health, what’s important isn’t your normal gum color, it’s noticing any changes in your normal gum color. These changes could be symptomatic of several different dental and medical conditions.

Pale Gums

• Anemia

If the overall appearance of your gums is paler than usual, anemia is a prime suspect. Anemia is a common condition caused by a low red blood cell count. Hemoglobin in red blood cells delivers the oxygen our tissues need to function properly, and without enough, we suffer symptoms like fatigue, weakness, pallor, faintness, and rapid heartbeat.

Anemia can be caused by an underlying medical condition, or can develop because of other issues, such as iron or vitamin deficiencies, pregnancy, ulcers, certain medications, or heavy menstrual periods. If you have any of the symptoms of anemia, seeing your doctor for a blood test is a good idea.

• Teeth Whitening

Occasionally, gums can also lighten up after a tooth whitening procedure. This is due to tissue irritation caused by the bleaching chemicals. Usually this condition is very temporary.

Ask Dr. Janna Spahr and Dr. Jeff Spahr for advice if you experience irritation after home treatments. Having your teeth whitened by a dental professional is one way to make sure your gums get the best protection possible during the process.

Red Gums

• Inflammation

Red gums are a common symptom of gingivitis (early gum disease). Plaque and tartar irritate your gums, and gum tissue reacts to this irritation by becoming inflamed. Left untreated, gingivitis becomes periodontitis (serious gum disease), which can destroy the bone around the tooth and lead to tooth loss.

If you notice signs of gingivitis—redness, swelling, bleeding, bad breath—talk to Dr. Janna Spahr and Dr. Jeff Spahr. Often, gingivitis is easily remedied in the early stages by better attention to dental hygiene. Brushing for two minutes at least twice each day and flossing at least once a day are a good base line for keeping gum disease at bay.

• Infection

Redness can also be caused by infection. If you’re experiencing redness, pain, loose teeth, swelling, pus, or fever, it’s important to see Dr. Janna Spahr and Dr. Jeff Spahr as soon as possible in case you have an abscess or infected dental cyst. Without treatment, infection can seriously damage gum tissue, teeth, and underlying bone.

• Over-Vigorous Brushing

Brushing too hard or using the wrong brush can cause gum irritation. Do your gums (and teeth!) a favor by using proper brushing technique—massage, don’t scrub—and always use a soft-bristled brush.

Spots of Discoloration

Sometimes you notice a patch of lighter or darker tissue that you haven’t seen before. A spot that is different from the gum tissue around it can be harmless or need further attention.

Contact our Milford, NE office if you have any recent discoloration, sores, pain, lumps, or any differences in appearance or sensation in your mouth. There are several types of oral cancer and prompt diagnosis and treatment is important to prevent the spread of cancerous cells.

You know your smile better than anyone. Any time you see a change in the usual appearance of your gums, it’s important to see Dr. Janna Spahr and Dr. Jeff Spahr. Treating gum problems before they become serious is one of the best ways to keep yourself—and your smile—in the pink of health!