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Sherlock Holmes, that most famous of fictional detectives, observed clues, analyzed them, and used his powers of deduction to arrive at the solution to his cases.

Dr. Timm and our team are skilled in deduction as well! By examining your teeth and gums during your regular checkup, important clues can be discovered about your dental health—and perhaps your overall health as well. What might be deduced when you come in for an exam?

• You Haven’t Been Flossing

Even with some last-minute catchup flossing, it’s not hard to tell if you’ve been regularly skipping the flossing portion of your daily dental care. Plaque that your toothbrush just can’t reach on its own will be noticeable between your teeth and around the gum line. Your gums might be inflamed, swollen or bleeding—early signs of the gum disease plaque causes when it’s not removed with careful flossing.

These symptoms could arise because you’re neglecting to floss at least once a day, or it could be that your flossing skills could simply use some fine-tuning. A refresher in flossing technique takes no time at all. Or, you might discuss whether a water flosser would be a good investment for healthier teeth and gums if, for any reason, you have difficulty flossing effectively.

• You Haven’t Been Sleeping Well

Even if your roommate or partner hasn’t told you that your teeth and jaws have been grinding away while you were not-so-soundly asleep, your dentist might be able to. Shorter, flattened teeth are a common symptom of bruxism, or tooth grinding. Your exam might reveal cracked enamel or broken cusps caused by the force you’re placing on them at night. This condition can also lead to larger jaw muscles and jaw pain.

Since these symptoms are also caused by sleep apnea, it’s a very good idea to find out what’s causing this dental stress. Treatments are available to make your sleep safer for your teeth and jaws—and more restful and healthier for you!

• You Should Talk to Your Doctor

Conditions that seem to have nothing to do with your oral health can cause dental symptoms, alerting your dentist to a medical condition which you might not be aware of. Pale gums or a swollen tongue could be symptoms of anemia. Erosion on the inside of the teeth can be caused by GERD, or gastroesophageal reflux disease. Vitamin and mineral deficiencies can lead to ulcers, loose teeth, and gum disease.

 If Dr. Timm and our team suggest that you make an appointment with your doctor to find the medical cause of your dental symptoms, it’s essential to follow up.

• Are You Left-Handed?

So, getting back to our original question, can your dentist deduce that you’re left-handed?

Probably not! It’s been suggested that left-handed people brush their teeth more firmly on the left side, and right-handed people brush harder on the right. And it’s also been suggested that left-handers don’t brush the left side of the mouth as thoroughly, while right-handers neglect their dominant side.

But Dr. Timm can still tell you some important facts about your hand-brush coordination just by observing the state of your enamel. If you’re brushing too firmly, your tooth surfaces could show erosion and wear. A soft-bristled brush and a lighter hand will get your teeth just as clean without the abrasion.

If you’re having trouble reaching areas because of dexterity issues, Dr. Timm can point out the areas where plaque buildup reveals the spots you need to concentrate on. An electric toothbrush might be just the answer to making all the surfaces of your teeth equally accessible.

A dentist is an expert in observing, analyzing, and solving dental problems. When you keep to a regular schedule of exams and cleanings at our Michigan Center, MI dental office, you’ll benefit from that expertise to discover oral health issues before they become more serious. That’s an easy and elegant solution to maintaining your dental health. In fact, it’s elementary!

When we don’t keep up with our dental hygiene, plaque buildup can result in three kinds of cavities. Pit and fissure cavities are found on the tops of molars, where food particles get stuck in the irregular surfaces. Smooth surface cavities are located on the smooth sides of teeth.

Wait. Top, all around the sides—what’s left for plaque to attack?

Our roots. The roots of our teeth are generally protected by their concealed position in the jaw. Sitting securely in alveolar bone, held firmly in place by connective tissue, with gum tissue snugly surrounding them, roots are generally not cavity prone.

But these cozy conditions can change. Due to gum disease, abrasive habits, or simply the passage of time, gums can recede and expose root surfaces. And this exposure can lead to root cavities.

If you look at a complete tooth, it looks like enamel is covering the entire tooth surface. In fact, enamel, the strongest substance in the body, only covers the visible part of the tooth, called the crown. The roots are covered by a substance called cementum, which is softer than enamel. And if enamel can’t stop decay, cementum is even more vulnerable when it’s exposed to plaque, bacteria, and acidic foods.

How do we protect our roots from decay? Protecting our gums is the first line of defense.

• Gum Disease

Receding gums caused by periodontitis can be treated by Dr. Timm. Deep cleaning procedures such as scaling and root planing can remove accumulated plaque and tartar, and help gum tissue reattach to teeth. For serious recession, gum grafts can replace lost tissue.

Early treatment can prevent recession. If you notice any signs of early gum disease, including bleeding, swelling, tenderness, or persistent bad breath, it’s time for a visit to our Michigan Center, MI office.

• Gum Abrasion

It’s not just gum disease that can lead to gum recession. Some personal habits are hard on gums and teeth, and can leave roots exposed. If you bite your nails, grind your teeth, irritate your gums with oral piercings, you are at risk for gum recession. Talk to Dr. Timm about preventing abrasive damage.

A surprising cause of receding gums? Over-vigorous brushing. Use a soft-bristled brush—and don’t use a heavy hand when brushing—to protect your delicate gum tissue.

• Aging

As we age, our gums recede. So it’s no wonder that older adults are especially at risk for root cavities. That’s why it’s very important to keep up with brushing (at least two minutes twice a day) and flossing (once a day, or more often if needed) to prevent the buildup of plaque and tartar.

And it’s more important than ever to schedule regular dental exams and cleanings. Dr. Timm can help stop small problems from becoming major ones, and suggest brushing and flossing techniques, fluoride treatments, or other procedures to encourage gum and dental health.

If a cavity develops, no matter what kind, it should be treated as soon as possible. And time is especially important for a root cavity.

Because cementum is weaker than enamel, cavities can progress more quickly in roots. A cavity which has reached pulp tissue might require a root canal and a crown to restore tooth function. Serious decay could lead to extraction.

Don’t let root cavities undermine your dental health. If you notice any sign of gum disease or recession, it’s time for a visit to our Michigan Center, MI office. After all, even though they go unnoticed, strong roots are the foundation of a healthy, attractive, life-long smile.

Fluoride has been one of the great game-changers in children’s dental health. Drinking fluoridated water. Using fluoride toothpaste. Scheduling fluoride treatments. All of these child-friendly dental habits help prevent cavities and strengthen tooth enamel.

And we adults enjoy the benefits of fluoride as well. Drinking fluoridated water. Using fluoride toothpaste. If only we hadn’t outgrown fluoride treatments… or have we? Time to have an adult conversation about fluoride treatments!

• To Start, Some Dental Chemistry

The enamel in our teeth is largely made of calcium and phosphate ions. These elements combine to form hydroxyapatite, the mineral crystals that make teeth and bones so hard and strong. But enamel isn’t indestructible. The oral bacteria in plaque create acids that cause demineralization, stripping away calcium and phosphate ions. This leaves the tooth surface weakened and vulnerable to decay.

Our bodies have a way of compensating for demineralization. Saliva is filled with calcium and phosphate ions that restore lost minerals. This balancing act goes on every day. When conditions in the mouth are too acidic, however, remineralization can’t take place as effectively. Here’s where fluoride is so beneficial.

• Why Fluoride?

First, because fluoride helps remineralize. Fluoride works on the surface of the tooth to attract the calcium and phosphate ions in our saliva, restoring them to our teeth. Even better, it joins with these ions to create fluorapatite. Fluorapatite crystals are larger, stronger, and more resistant to acids than hydroxyapatite. This means your teeth are not only remineralized, but stronger than they were originally!

• Why Adult Fluoride Treatments?

While fluoridated water and fluoride toothpaste might be all you need for strong enamel, there are several conditions that make fluoride treatments a good addition to your preventive care at our Michigan Center, MI office.

• Problems with dental hygiene. Consider fluoride treatment if you have trouble brushing and flossing, if you wear braces, or if there’s any other reason that makes daily cleaning more difficult.
• Exposed roots. Gums often recede as we age, and can pull away from the teeth even further with added factors like gum disease, harsh brushing habits, teeth grinding, or smoking. As gums recede, parts of the tooth roots are exposed. Because roots are covered with cementum instead of the much harder enamel, they are more vulnerable to decay.
• Dry mouth. Medical conditions, medications, and aging can cause a decrease in saliva production. Because saliva helps wash away food particles and bacteria, bathes the teeth with minerals that strengthen enamel, and neutralizes acids, less saliva can equal more cavities.
• Our individual biology. Some of us are born with weaker tooth enamel, and so are more at risk for cavities—even with great brushing and flossing habits.

In all of these cases, fluoride treatments can provide the extra protection you might need for stronger tooth enamel and improved dental health.

• Treatments Are an Easy Addition to Your Dental Appointment

Regular fluoride treatments are neither complicated nor time-consuming. Fluoride can be administered as a varnish, a gel, a rinse, or a foam. It can be applied with a brush, a swab, as a mouthwash, or in a tray. After application, Dr. Timm will let you know if any follow up instructions, such as avoiding food and drink for 30 minutes after treatment, are necessary. That’s all there is to it. Protection lasts for months, and your dentist can let you know when a re-application is needed.

You’re doing the right thing by using a fluoride toothpaste and keeping up with your dental exams and cleanings. Ask Dr. Timm if a fluoride treatment is something that could strengthen your teeth and help prevent decay—it could be a game-changer for your dental health!

Winter Is Coming.

Okay, that sounded a lot more dramatic in a popular fantasy series. But here in the real world, winter is coming as well, so let’s look at some easy steps you can take to keep your teeth and gums healthy during this icy season.

Remember to Hydrate

Dehydration is dangerous for your health in general, and it’s also bad for your dental health. A dry mouth is more vulnerable to gum disease and tooth decay because there’s less saliva to help maintain a healthy oral environment. Saliva helps wash away food particles and bacteria, works to neutralize the cavity-causing acids they produce, and strengthens tooth enamel with its mineral content.

Summer means heat and perspiration—two obvious causes of dehydration. Winter, though, has its own more subtle ways to dry you out.

• Just as you lose moisture through summer perspiration, you lose moisture with a winter workout as well. That foggy cloud you see when you exhale outdoors? That’s water vapor leaving your body.
• Cold weather means it’s time to kick up the heating system a few degrees. But unlike heated summer outdoor air, heated winter indoor air is not as humid, so it’s more drying.
• Some of us just aren’t as thirsty during winter months, and so we don’t hydrate as regularly as we do in the summer. And while summer menus tend to offer foods like salad, fruits, and iced drinks which automatically provide us with a lot of water content, winter menus? Not so much. Keep up with your daily recommended amount of water throughout the year for a healthier body and healthier teeth and gums.

Wear Your Mouthguard

Whether it’s skiing, hockey, snowboarding, or skating, those winter sports can be hard on your teeth. That’s why it’s important to wear your mouthguard when you’re getting the most out of the snow and ice. Mouthguards help prevent injuries to your teeth and provide protection for your jaw and mouth, too.

And a sport doesn’t have to involve snow and ice to be a winter hazard for your teeth. The combination of hard courts, flying elbows, and body contact make basketball a leader in the dental injuries competition. In fact, any sport which involves potential falls or personal contact is a good candidate for a mouthguard.

Mouthguards are available in several forms:

• One-size-fits-all, pre-formed mouthguards can be found in drugstores and sporting goods stores.
• “Boil-and-bite” models are warmed in hot water and then shaped when you bite down. The fit is somewhat more comfortable than a stock guard.
• Custom-made guards from your dentist are precisely molded to your teeth and mouth, letting you speak and breathe more comfortably.

If you haven’t gotten a mouthguard yet, or your old high school guard was retired years ago, talk to Dr. Timm about a custom guard.  While the over-the-counter options are better than going unprotected, a custom mouthguard fits your teeth perfectly—and comfortably!

Get to the Bottom of Winter Sensitivity

That first breath of frosty air might be more alarming than invigorating when tooth pain and sensitivity makes being out in the cold an unpleasant experience. Sensitivity to cold air or warm winter drinks can be an important symptom, caused by a number of dental conditions such as:

• Cracked teeth
• Cavities
• Exposed dentin (the layer of the tooth underneath your enamel)
• Receding gums
• Over-vigorous brushing

If the cold weather is keeping you indoors because of oral sensitivity, give us a call.

Even though this can be a very busy time of year, if you’re due for a checkup and cleaning at our Michigan Center, MI office, or if you have any concerns about your teeth and gums, make time for your dental health. We want to make sure you’re ready to enjoy every frosty moment of the season!