[caption id="attachment_1390" align="aligncenter" width="500"]image via sciencetimes.com image via sciencetimes.com[/caption] We're never going to tell anyone they shouldn't enjoy a drink (especially around the holidays), but there are some dental dangers to over-imbibing. But are moderate drinkers at risk for serious tooth and mouth disease? There isn’t much conclusive medical evidence, but dentists say that they see the effects of moderate drinking regularly. The main threat to your teeth and gums comes from the sugar content in alcohol (including beer) which, when broken down in your mouth, creates an acidic breeding ground for bacteria and plaque. There is also a strong clinical link between the excessive consumption of alcohol and head and neck cancers. In fact, while it can increase the risk of getting these diseases if used together with tobacco, alcohol can pose a risk in its own right. People most often associate the health risks of excessive alcohol drinking with damage to the liver or stomach lining. But during Alcohol Awareness Month, Delta Dental warns that alcohol abuse can also prove harmful to oral health. It is estimated that each year in the United States there will be more than 30,000 new cases of oral cancer diagnosed and about one person every hour will die from this disease. 1. Heavy alcohol consumption is a risk factor for oral cancer.* According to the American Cancer Society, about 70 percent of oral cancer patients consume alcohol frequently. 2. Tobacco smoking (i.e., cigarette, pipe or cigar smoking), particularly when combined with heavy alcohol consumption, has been identified as the primary risk factor for approximately 75 percent of oral cancers in the U.S. 3. Using tobacco with alcohol poses a much greater risk than ingesting either substance alone. According to the National Institute on Alcohol Abuse and Alcoholism, there are approximately 17.6 million adults who are alcoholics or have alcohol problems.3 People with alcohol problems also tend to neglect other healthy habits like eating properly or taking care of daily hygiene. A small 2003 study conducted at an alcohol rehabilitation center found that residents had a higher incidence of periodontal (gum) disease and cavities.

Limiting the Damage

  • Most importantly, after a night out, you should brush and floss your teeth before going to bed. If you often forget to do this, leave your tooth brush on your pillow before you go out to remind you to spend a couple of minutes brushing.
  • While you’re drinking try to swish a mouthful of water around every so often to increase the saliva flow and rinse away sugars and acid in your mouth
  • On your way home, chew sugar-free gum to stimulate saliva flow and clear the mouth of harmful sugars and acid.
See more at: http://www.dentalhealthweek.com.au/Adults/Lifestyle-Risks/alcohol.html#sthash.1JLAL7pw.dpuf
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[caption id="attachment_1324" align="aligncenter" width="400"]via deathsplaining.wordpress.com image via deathsplaining.wordpress.com[/caption] How Does Coffee Stain Teeth? Although the enamel of your teeth is the hardest substance in the human body, it is not flat and smooth. On the contrary, your tooth enamel contains microscopic pits and ridges that can hold particles of food and drink. Pigments from dark-colored drinks such as coffee, tea, and soda can become embedded in those cracks and ridges and, if the proper steps are not taken, can cause permanent, yellowing stains on your teeth. Does Coffee Stain Teeth Less If You Add Cream? While it may seem that lighter-colored coffee would stain less, the same pigments and acids are present in coffee with cream as black coffee; thus, adding any sort of whitener to your coffee will not prevent your teeth from becoming stained, unless you put significantly less coffee in your cup to make room for the cream. How Can One Prevent "Coffee Smile"? Giving up coffee, tea, or other tooth-staining beverages is the best way to prevent the staining caused by those drinks, but for most people, this is not an acceptable solution. Rather than abstaining, try to consume your coffee at specific break times, rather than sipping constantly throughout the day. After finishing your coffee, you can then rinse your mouth out with water or brush your teeth to remove the potentially yellowing pigments from your teeth. Using a whitening toothpaste and brushing regularly is a good way to maintain whiter teeth at home. In addition, visiting your dentist's office for regular cleanings can remove many of the surface stains on your teeth, giving you a whiter smile, no matter how many cups of coffee you need to make it through the day. resource: Colgate
Are energy drinks bad for your teeth? Downtown Dental I Nashville, TNEnergy and sports drinks can damage tooth enamel, boosting the risk of cavities, according to an American Journal of Dentistry study. The big misconception is that energy drinks and sports drinks are healthier than soda for oral health, but studies disproves that, because they erode or thin out the enamel of the teeth, leaving them more susceptible to decay and sensitivity.

The drinks are especially popular among teens and young adults. Up to half of U.S. teens and young adults drink energy drinks, and more than half have at least one sports drink a day, according to the researchers.

Researcher Poonam Jain, BDS, MPH, associate professor and director of community dentistry at the Southern Illinois University School of Dental Medicine and her team tested 13 sports drinks and nine energy drinks for acidity. They tested six drinks for their effects on tooth enamel and found both types caused damage. Energy drinks, however, were twice as bad. Remember:damaged tooth enamel cannot be fixed.

Jain's team immersed enamel samples from extracted human teeth into three sports drinks and three energy drinks.

They tested the acidity levels of all 22 drinks. They found the levels of acidity in the drinks vary between brands and between flavors of the same brands.

Sports drinks, energy drinks, and teeth: study details

Up to half of U.S. teens and young adults drink energy drinks, and more than half have at least one sports drink a day, according to the researchers. Other study results included:

Gatorade Blue had the highest acidity among sports drinks. Next was Hydr8.

Among the energy drinks with the highest acidity:

  • Red Bull Sugar=free
  • Monster Assault
  • 5-hour Energy
  • Von Dutch
  • Rockstar

MDX had the lowest acidity of the energy drinks.

The sports drinks tested were:

  • Gatorade Rain
  • Powerade Option
  • Propel Grape

The energy drinks tested were:

  • Monster Assault
  • Red Bull
  • 5-hour Energy

The enamel samples were immersed in the drinks for 15 minutes. The researchers transferred the enamel to artificial saliva for two hours.

This cycle was repeated four times a day for five days. The beverages were replaced with fresh ones every day.

The cycle was meant to simulate real life, Jain says, as some teens and young adults drink the beverages every few hours.

Enamel loss was evident after five days of exposure, Jain says.

The average enamel lost with sports drinks was about 1.5%, while the average loss with energy drinks was more than 3%. Jain says she cannot pinpoint what percent of enamel loss would cause problems.

Advice for sports drink lovers

Even one drink a day is potentially harmful, Jain says.

"If the consumer is absolutely unable to give them up, the best advice is to minimize [their use] and rinse with water afterwards," she says.

"Dilute them," she says. Do not brush immediately after drinking them, she says, as this could spread around the acid. "The mouth takes about 30 minutes to bring the pH back to normal. Wait an hour after drinking the sports or energy drink, to be safe, then brush."

It is very important to read labels on any drink you choose to prevent the cavities and gum disease that these drinks can cause. Also, be aware that the cream and sugar you put in your in the morning has the same effect as other high sugar drinks.

The best drink of choice for the health of your teeth and gums is plain water. We're realistic though, and understand this can be difficult for anyone to regularly practice. If you’re going to have a soda or sweetened drink, be careful to drink them all in one sitting rather than sipping for a long time, and try to have a drink of water when you’re finished.

NL_0915_TopDentists_Clark You may see a familiar face in the September 2015 issue of Nashville Lifestyles Magazine! We're thrilled to have Dr. Clark listed among the TOP DENTISTS of Nashville. This ranking system is cool because it's ranking done by fellow colleagues: consider it a way for the dental community to comment on the top doctors in their industry.  It's like a clinical high five! Click on the photo to expand or pick up your own copy at the news stand!
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Implant Dentistry at Downtown Dental Nashville: Frequently Asked QuestionsWhether you are missing one, many, or all of your teeth, Downtown Dental's implant dentistry uses latest advanced materials and tissue management techniques to replace those missing teeth and help you regain the self-confidence, quality of life and smile you may have lost when you lost them.  Here are a few basic questions we often hear from patients interested in implant procedures: What are Dental Implants? Dental implants are single replacements for missing teeth.  They are usually made of titanium or other biocompatible materials so that bone will grow in and around them to lock them into place. Why is it important to replace a missing or extracted tooth with an implant? Your teeth work as a group to do many things like chew food, form phonetics for proper speech, and fill out your cheeks to maintain a youthful appearance.  Posterior teeth serve to support the force of your bite, while anterior teeth allow for proper chewing and beautiful aesthetics.  Losing a tooth means that the remaining teeth have to absorb more force than what they were designed for.  Because the number and distribution of teeth changes, but the force with which your muscles contract does not. We often see that when people have been missing a tooth or teeth for a few years, the remaining teeth break down much more quickly than they should.  Therefore, it is important to replace missing or extracted teeth, and implants are the very best way to do that. How do implants work? Implants are threaded, and shaped like the root of a tooth.  They are placed in the bone where a tooth is missing or was extracted.  After a period of healing (usually a few months)  in which your bone grows around the implant to make it strong, an anchor is placed inside the implant and a crown is made to fit your bite and match the shape and color of the rest of your teeth. How successful are implants? As a restorative procedure, implants are one of the most successful treatments in dentistry.  Although each one is different, generally accepted success rates are around 98% over the long term.  This makes the actual effective value of an implant far outpace the cost to the patient.  There are many factors that can decrease the chances of success, such as smoking, poor oral hygiene, and related health issues like diabetes or bruxism (tooth grinding) so it is important to discuss these factors with your doctor when considering implants as an option for teeth replacement. Does it hurt to have an implant placed? Rarely.  Most patients report little to no discomfort after an implant is placed.  Typically patients may use OTC pain medicine such as Advil or Tylenol with great success after surgery. How Do I Clean My Dental Implants at Home? 1. Use a soft or extra soft toothbrush and a low abrasive toothpaste (avoid pastes with gritty particles) and brush the entire mouth twice daily and especially thorough at night before bed. 2. Proxy brushes (non metal miniature pipe cleaners) can be used to brush the in-betweens of the teeth.  A prescription antimicrobial mouth rinse may be prescribed if your dentist feels it appropriate based on your level of inflammation. 3. Wrap floss around the implant at the base of crown of the tooth in a figure eight formation and pull back and forth.  It is completely safe to clean your implant at or below the gum line.  In fact, it is most important to remove the biofilm from the junction of the crown and gum line.  Do this every night after you have eaten your last meal. 4. A water pik is a wonderful adjunct to a home care regimen and is highly recommended for patients with implants.  Strong water pressure forces the food particles and bacteria from the trough of gum surrounded the implant.  This can be used morning and night. How Will I Care for My Dental Implants After Surgery? Pain and swelling are not expected following normal post surgical soreness, however rest will be important over the next 12 hours to help the body form a good blood clot at surgical site.  The clot formation aids in reducing pain, bleeding, and the risk of infection so limit exercise, talking, chewing, and avoid smoking. Smoking slows healing and increases the risk of surgical complications and failures. Abstain from food and drink for one hour and use a warm salt water rinse every 4-6 hours. Food intake should be limited to liquids for the first 12 hours and then very soft foods for the next couple of weeks.  Avoid seeds and nuts. Apply with chlorehexidine twice daily. Do not pull on sutures.  There should not be any bleeding after 24 hours. Bone particles are not unusual at the graft site. If you're interested in learning more about dental implants and replacing missing teeth, we would be happy to tell you more. Please call our office at 615-254-1393 for more information or to schedule a consultation with Dr. Clark.
[caption id="" align="alignright" width="228"] Photo credit: Dreamstime.com[/caption] A lot of people believe that they have already fully comprehend what osteoporosis is all about and what they can do to either prevent or cure the condition. Osteoporosis refers to a disease characterized by extremely fragile and less dense bones. The main causes of the problem are aging, menopause, and lack of Vitamin D and calcium. Recent advancements in research have shed new light on the entire condition, showing clear reasons for its existence and what sufferers can do to treat it. Osteoporosis is a condition worth worrying about because there are predictions that state its ability to affect more than half of the people in America who will be older than age 50 by the year 2020. New research and studies show more relevant information from the process of diagnosing osteoporosis, to preventing and treating it. Bone health, osteoporosis, and calcium intake In the past few years, there are a few studies that report conflicting findings about the effectiveness of calcium supplements mainly utilized for prevention of fractures and improvement in bone health. The reason behind this is that there are also findings that show the ability of these supplements to increase a person's risk of suffering from heart diseases and attacks. According to Douglas C. Bauer, a professor of epidemiology, biostatistics, and medicine, osteoporosis is a result of the lack of calcium consumption, and it has become a common disease among people in the U.S. He further added that it greatly affects the elderly, especially if their intake of calcium is less than their required daily dosage. However, he also stated that it is necessary to follow a high-calcium diet instead of relying on supplements. The reason behind such a recommendation is that calcium supplements also carry a few adverse side effects. Among the common side effects are minor constipation, increased risk of developing kidney stones, and indigestion. Recent studies also show that calcium supplements increase one's chances of a heart attack. In fact, a nonrandomized study conducted by JAMA’s Internal Medicine just this year figured out that more than 11,000 deaths related to cardiovascular diseases are connected to the increased and continued intake of calcium supplements. This is the main reason why a lot of experts recommend increasing calcium intake through foods rich in calcium. Choose to eat dairy products with high calcium content, instead of instantly taking the supplement. Food products fortified with extra calcium such as broccoli and kale can also help. If the intake of calcium supplement cannot be prevented, then it is best to discuss the decision with your doctor. This can help in figuring out if there are any complications to this move. Osteoporosis and its effects on oral and dental health Osteoporosis is a health condition that greatly affects the bones, since the disease weakens them and makes them capable of breaking easily. Note that aside from negatively hampering overall health and well being, osteoporosis also has a direct relationship on oral and dental health. One should realize that the disease can hamper or damage jawbones. It also triggers dental and oral health issues, including gum or periodontal diseases and loss of teeth. The dental and oral effects of osteoporosis tend to affect more women than man. This holds true for women who are already on their menopausal phase, unless they regularly use a therapy designed to replace lost hormones and balance them. It should also be noted that even if someone has no teeth and does not wear dentures, the effects of osteoporosis can still affect dental and oral health. Bone weakness and loss may also affect the body ridges that hold dentures in the proper position, resulting in poor-fitting dentures. Studies also show that sufferers of the disease are at risk of requiring new dentures more often than those who have strong, healthy bones. Osteoporosis has a major impact on the part of the jawbone supporting the teeth. Studies show that a loss in this bone is most likely to cause tooth loss or mobility. Female sufferers of osteoporosis also have a higher likelihood of experiencing tooth loss or mobility than nonsufferers. Low bone density in the jaw triggered by osteoporosis can also lead to other dental issues. For instance, women suffering from osteoporosis are most likely to experience difficulties linked to ill-fitting or loose dentures. The results of various oral and dental surgical procedures are also less than desirable for these women. The best way to handle this problem is to avoid delaying or postponing dental treatments. Regular dental visits are essential in correcting problems in oral and dental health caused by weak bones. A healthy lifestyle is necessary in strengthening and maintaining good bone health. Effective tips in optimizing bone health include eating a well-balanced diet, containing high amounts of Vitamin D and calcium, and performing regular physical activities. The best exercises that are beneficial in strengthening bones are jogging, weight training, dancing, and walking. Another tip is to avoid excessive smoking and alcohol consumption. Remind your patients to immediately report problems to your dental office related to receding or detached gums, ill-fitting or loose dentures, and loose teeth. Osteoporosis and the life span of women Based on new reports and studies, especially the ones published and reported by the International Osteoporosis Foundation, women live longer life spans than male sufferers. However, the quality of living of these women will be seriously and adversely affected if they do not take necessary action to protect their bone health. Studies show the vulnerability of postmenopausal women to bone fractures and osteoporosis. Currently, about 200 million women suffer from osteoporosis. Estimates and studies prove that at least one in every three women who are older than 50 will deal with bone fractures due to osteoporosis. Solutions linked to preventing and managing fracture and osteoporosis are now introduced to women, especially postmenopausal ones. The reason behind this is that women who are older than 50 and serve as breadwinners of their family or caregivers of society need to prioritize the improvement of their bone health. It would be impossible for these women to continue in their roles if their bones were not in good condition. Researchers also emphasize the need to do a few things that are valuable in preventing the disease as early as possible. It is crucial to take all the necessary actions designed to boost bone health upon reaching menopause. Note that menopause is a critical stage to perform preventive techniques and measures that fight muscle weakness and bone loss leading to falls, fracture, and osteoporosis. Menopause is also the stage when the resorption of bones exceeds their formation. This triggers the immediate decline in bone mass, further leading to increased bone loss and triggering osteoporosis. This disease can cause bones to become weak and porous. It also increases the vulnerability of bones to fractures. Encourage your patients to take action to strengthen their bones, increase their intake of calcium-rich foods, and regularly visit a specialist to have their bone structure checked to ensure that this will never be a threat to their health and quality of life. Resource: Dentistry IQ
conebeam digital xrayDental technology has improved the way dentists practice their craft. Thanks to science, modern techniques allow patients to receive dental treatments without the pain and time associated with old-fashioned dentistry. Dental technology is even being developed to make dental X-rays safer and more convenient. While dental X-rays emit low amounts of radiation and every precaution is taken to protect patients from exposure, some dental patients may still put off dental X-rays for safety reasons. Dental X-rays bring up other issues for patients, including the wait time for film to be developed and environmental concerns. Dentists are addressing these issues with digital radiography, a high-tech replacement for traditional dental X-rays. How Does Digital Imaging Work? The physical process for digital radiography is actually similar to traditional dental X-rays that use film: With digital radiography, your dentist inserts a sensor into your mouth to capture images of your teeth -- but that's where the similarities between conventional and digital dental X-rays end. Although it resembles the film used for bitewings and other X-rays, the digital sensor is electronic and connected to a computer. Once the X-ray is taken, the image is projected on a screen for your dentist to view. There are several benefits to using digital radiography over traditional film X-rays: Less Radiation: The equipment used in digital radiography exposes dental patients to much less radiation. In fact, digital X-rays use up to 90 percent less radiation than film X-rays. While conventional dental X-rays are relatively safe, digital radiography is an excellent option for those who take X-rays on a regular basis or for those who are concerned about radiation. Shorter Dental AppointmentsDigital radiography can also shorten your dental appointment! With traditional dental X-rays, you'll have to wait while your dentist develops the film. With digital radiography, the sensor develops the picture almost instantly and projects it onto a computer screen right before your eyes. Higher Quality Images: The standard size of traditional X-rays can make viewing difficult, but digital radiography has done away with the "one size fits all" mentality. Once on the screen, digital X-rays can be enlarged or magnified for a better visual of the tooth's structure. Brightness, contrast and color can also be adjusted, allowing your dentist to see small cavities easier. If you need a hard copy of your X-ray, digital images can also be printed out. Transferring Dental Records:  Digital images can be e-mailed to a digital specialist for immediate review. Digital X-rays are taking away the expense and time needed to copy files and mail them to another dentist, making it easier to transfer dental records or get a second opinion. As more offices are turning to electronic patient charts, computers may eliminate the need to mail dental records altogether. Environmentally Friendly:  Digital dental X-rays are better for the environment! With digital radiography, no chemicals are used to develop film. There's also no wasted space of a darkroom and no need to store film, which can pile up in a dentist's files. The Complete Picture While digital radiography is helping many dentists diagnose your dental problems, additional software programs are making their lives even easier! One such program is called subtraction radiography, wherein dentists compare current images to previous images of the same tooth, helping them find even the smallest changes in your tooth's structure. Digital radiography is slowly gaining steam in the professional dental community. With the expense of digital radiography equipment, digital X-rays are an investment that the majority of our dental practices have yet to make. No matter what type of X-rays you choose, dental X-rays are important part of your regular dental visits. Dental X-rays are necessary to help diagnose problems not visible to the naked eye. If you're concerned about radiation, talk to your dentist about your X-ray options.
IMG_4643With summer in full swing, you might start craving some of your favorite hot weather treats. What could be better than a fun family barbecue, a trip to the fair, or a refreshing popsicle by the pool? Read on to learn more about how your favorite summer treats can affect your dental health and what you can do to maintain your smile.

Healthy Snack Options

Summer offers a bounty of food options that can improve your overall well-being and enhance your dental health. These include:
  • Corn: This plant is at its prime sweetness during the hottest months of the year. It can be delicious when grilled, barbequed, or steamed, either on the cob or off of it. Corn is rich in important compounds that benefit dental health, including phosphorous, magnesium, thiamin, fiber, and vitamin C. Just make sure to floss after enjoying your corn so that it doesn’t remain stuck between your teeth for the rest of the day.
  • Salads: crisp lettuce, ripe tomatoes, fresh cucumbers, and vibrant carrots make up a healthy summer salad. In addition to providing important nutrients and fiber, raw vegetables can naturally scrub debris from your teeth to keep them shiny and clean.
  • Fish: Many people enjoy lighter meals during the summer, and fish is an excellent protein option for this purpose. The omega 3 fatty acids in fish can help fight gum disease and benefit your general health.
  • Berries: One of the best parts of summer is enjoying sweet, luscious, delectable berries. 1-800-Dentist points out that “ripe, juicy, red strawberries are the perfect snack for self proclaimed ‘sugar addicts’ as the perfect berry will taste better than any candy out there, minus the risks and with vitamins and minerals essential for fueling the human body.” Berries often contain vitamin C, calcium, folate, magnesium, potassium, and even cancer-fighting antioxidants.

Less Than Ideal Summertime Treats

Unfortunately, while they’re tasty, some of our favorite summer foods aren’t the best for our teeth. The barbeque sauce that gives a special zing to your ribs and steaks on the grill can be spicy or acidic, wearing down your enamel. Many people also enjoy sipping on sweet cocktails on vacation or out by the pool, but these sugary beverages can feed decay-causing bacteria. Cold treats like frozen popsicles and ice creams can also coat your mouth in sticky syrup, contributing to dental plaque on your teeth and even beneath your gums. Munching on potato chips or other starchy snacks can also contribute to plaque formation. While they are delectable, we recommend limiting your consumption of these types of summertime treats and remaining especially conscientious about your oral hygiene if you do.

Summer Smile Suggestions

In addition to enjoying healthy summer foods and limiting your consumption of potentially damaging treats, you can take simple, proactive steps to improve your oral hygiene this summer. These include:
  • Drinking plenty of water. Especially in summer heat, staying hydrated is very important. Dr. Flanagan and our team recommend swishing your mouth with water after eating to wash away debris and improve your saliva flow.
  • Chewing xylitol gum. This artificial sweetener tastes great and can help fight cavity-causing bacteria.
  • Setting aside specific snacking times. Munching on sugary, starchy treats throughout the day constantly exposes your teeth to them, raising your risk for decay and other dental issues. Limiting your summer food fun to specific times can help you relish your treats while preserving your smile.
  • Brushing and flossing your teeth. You should brush at least twice per day and floss at least once.
  • Coming in to our practice for regular cleanings and examinations. Dr. Clark recommends that patients come in at least twice a year for a check-up. Attending these routine visits allows us to catch and treat any oral health conditions before they worsen.

Enjoy Summer Refreshments and a Dazzling Grin

By taking advantage of wholesome summer treats, avoiding certain snacks, and keeping up your oral hygiene regimen, you can appreciate everything the season has to offer while maintaining your smile.