Cracked Teeth

The prosthodontists at The Oyster Bay Family Dentists provide patients with lots of options for repairing damaged teeth. Sometimes a crack is merely a cosmetic issue, and sometimes it is painful and puts the tooth at risk for infection. Regardless, we’ll conduct a thorough assessment and implement a long-lasting, aesthetically pleasing solution.

The smallest cracks are known as “craze lines.” These can be bonded over or covered with veneers, which are also common solutions when a small portion of enamel has chipped off. They are not usually indicative of a major health concern. However, a large crack creates an avenue through which bacteria may enter the dental pulp. In these cases, a patient would require root canal therapy, which would conclude with the crown being sealed. If a crack goes deep into the tooth’s inner layers or is wide, it may necessitate the replacement of the crown. When a vertical crack reaches the root of a tooth, the tooth will have to be extracted and replaced.

If a person frequently develops cracks in their enamel, they may be grinding their jaws in their sleep. These patients can benefit from the use of custom-fitted night guards. Patients are also advised to never use their front teeth for chewing or as tools, and to refrain from chewing ice.

Drs. Denise VeyVoda and Robert G. West operate The Oyster Bay Family Dentists at 123 South Street, Oyster Bay, New York, 11771. To schedule an appointment, call 516-922-5730 or visit Oyster Bay Dentists and fill out a contact sheet.

 

Asthma and Oral Health

When people have chronic dry mouth, they are at greater risk for oral health problems. For this and other reasons, people with asthma need to be especially vigilant about maintaining their oral hygiene. We treat a lot of patients at the Oyster Bay Family Dentists whose oral health is compromised by limited saliva production (called xerostomia), so we wanted to provide asthma patients with some hygiene pointers.

Saliva is crucial to controlling oral microbes. It neutralizes acid, removes food debris, and contains enzymes that restrict the growth of bacteria and fungus. People with asthma commonly breathe through their mouths, particularly at night, causing them to be more vulnerable to microbial growth. This can cause them to have bad breath, tooth decay, and gum recession. Furthermore, asthma patients are often on medications that relax the sphincter separating the stomach from the esophagus, causing them to suffer from frequent acid reflux.

Asthma patients shouldn’t change medications without oversight from their doctor, but they should request changes when they are suffering recurrent dryness. We can assist them by prescribing stronger throat moisturizers, and they can stimulate additional saliva production by chewing sugar-free gum. Asthma patients should also brush their teeth at night after using inhalers, since inhaler medication often contains sugars which will be dispersed throughout the mouth.

Drs. Denise VeyVoda and Robert G. West operate The Oyster Bay Family Dentists at 123 South Street, Oyster Bay, New York, 11771. To schedule an appointment, call 516-922-5730 or visit Oyster Bay Dentists and fill out a contact sheet.

 

Incipient Lesions

If you see strange white spots lingering on your teeth, that’s not just a cosmetic issue. It’s the sign of an incipient lesion, meaning a developing cavity. We at The Oyster Bay Family Dentists specialize in replacing damaged teeth, but we want our patients to be able to exercise preventive care and see us early in the tooth decay process. To that end, we thought it would be a good idea to discuss the development of white spots.

When enamel is being chemically eroded, it takes on a glazed appearance. This can be observed on the upper back teeth of people with chronic acid reflux, but is more often seen in people experiencing the early stage of tooth decay. As bacteria consume sugar, they produce acid as a by-product of their metabolization process. The acid gets stuck in the biofilm covering teeth, causing breakdown of the nearby enamel’s mineral structure and recession in gum tissue. If the demineralization goes on for as few as thirty days, a cavity will develop.

Incipient lesions are likely to appear in places where patients have difficulty brushing, such as the sides of teeth and around orthodontic brackets. Doing a better job of brushing can usually kill the infection, although the demineralized tooth may still look chalky afterward. We can help patients by assessing whether the infection is still active and by covering up the scar with bonding or a veneer. Our hygienists can also demonstrate brushing techniques to patients during regular check-ups, so that lesions will be less likely to develop.

Drs. Denise VeyVoda and Robert G. West operate The Oyster Bay Family Dentists at 123 South Street, Oyster Bay, New York, 11771. To schedule an appointment, call 516-922-5730 or visit Oyster Bay Dentists and fill out a contact sheet.