My Blog

By Philip Girgis DDS
June 16, 2019
Category: Oral Health
Tags: oral health  
4WaysDairyCanBoostOralHealth

Dairy foods have played a role in human diets for thousands of years. More than one kid—whether millennia ago on the Mesopotamian plains or today in an American suburb—has been told to drink their milk to grow strong. This is because milk and other dairy products contain vitamins and minerals that are essential for a healthy body, including healthy teeth and gums. In honor of National Dairy Month in June, here are four ways dairy boosts your oral health:

Dental-friendly vitamins, minerals and proteins. Dairy products are an excellent source of many vitamins and minerals that are important for good dental health. They are packed with calcium and phosphorus, two minerals that work together to strengthen tooth enamel. In addition to the vitamins they contain naturally, milk and yogurt are fortified with vitamin D, which aids in calcium and phosphorus absorption; cheese contains a small amount of vitamin D naturally. What's more, dairy proteins have been shown to prevent or reduce the erosion of tooth enamel and strengthen the connective tissues that hold teeth in place.

Lactose: a more tooth-friendly sugar. Sugars like sucrose or high fructose corn syrup, which are routinely added to processed foods, are a primary trigger for tooth decay. This is because certain oral bacteria consume sugar, producing acid as a by-product. The acid weakens tooth enamel, eventually resulting in cavities. Dairy products—at least those without added sugar—are naturally low in sugar, and the sugar they contain, lactose, results in less acid production than other common sugars.

The decay-busting power of cheese. We know that high acidity in the mouth is a major factor in decay development. But cheese is low in acidity, and a quick bite of it right after eating a sugary snack could help raise the mouth's pH out of the danger zone. Cheeses are also rich in calcium, which could help preserve that important mineral's balance in tooth enamel.

Dairy for gum health. A study published in the Journal of Periodontology found that people who regularly consumed dairy products had a lower incidence of gum disease than those who did not. And since gum health is related to the overall health, it's important to do all we can to prevent and manage gum disease.

For those who cannot or choose not to consume dairy products, there are other foods that supply calcium naturally, such as beans, nuts and leafy greens—and many other foods are fortified with calcium, vitamin D and other nutrients. It may be wise to take a multivitamin or calcium with vitamin D as a supplement as well.

If you would like more information about nutrition and oral health, please contact us or schedule an appointment for a consultation. To learn more, read the Dear Doctor magazine articles “Nutrition & Oral Health” and “How to Help Your Child Develop the Best Habits for Oral Health.”

NBCStarDeliversaMessageaboutthePerfectSmile

Sometimes it seems that appearances count for everything—especially in Hollywood. But just recently, Lonnie Chaviz, the 10-year-old actor who plays young Randall on the hit TV show This Is Us, delivered a powerful message about accepting differences in body image. And the whole issue was triggered by negative social media comments about his smile.

Lonnie has a noticeable diastema—that is, a gap between his two front teeth; this condition is commonly seen in children, but is less common in adults. There are plenty of celebrities who aren’t bothered by the excess space between their front teeth, such as Michael Strahan, Lauren Hutton and Vanessa Paradis. However, there are also many people who choose to close the gap for cosmetic or functional reasons.

Unfortunately, Lonnie had been on the receiving end of unkind comments about the appearance of his smile. But instead of getting angry, the young actor posted a thoughtful reply via Instagram video, in which he said: “I could get my gap fixed. Braces can fix this, but like, can you fix your heart, though?”

Lonnie is raising an important point: Making fun of how someone looks shows a terrible lack of compassion. Besides, each person’s smile is uniquely their own, and getting it “fixed” is a matter of personal choice. It’s true that in most circumstances, if the gap between the front teeth doesn’t shrink as you age and you decide you want to close it, orthodontic appliances like braces can do the job. Sometimes, a too-big gap can make it more difficult to eat and to pronounce some words. In other situations, it’s simply a question of aesthetics—some like it; others would prefer to live without it.

There’s a flip side to this issue as well. When teeth need to be replaced, many people opt to have their smile restored just the way it was, rather than in some “ideal” manner. That could mean that their dentures are specially fabricated with a space between the front teeth, or the crowns of their dental implants are spaced farther apart than they normally would be. For these folks, the “imperfection” is so much a part of their unique identity that changing it just seems wrong.

So if you’re satisfied with the way your smile looks, all you need to do is keep up with daily brushing and flossing, and come in for regular checkups and cleanings to keep it healthy and bright. If you’re unsatisfied, ask us how we could help make it better. And if you need tooth replacement, be sure to talk to us about all of your options—teeth that are regular and “Hollywood white;” teeth that are natural-looking, with minor variations in color and spacing; and teeth that look just like the smile you’ve always had.

Because when it comes to your smile, we couldn’t agree more with what Lonnie Chaviz said at the end of his video: “Be who you want to be. Do what you want to do. Do you. Be you. Believe in yourself.”

If you have questions about cosmetic dentistry, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Beautiful Smiles by Design” and “The Magic of Orthodontics.”

WillieWonkasChocolateFactoryWasNotSoSweettoCastsTeeth

The classic movie Willie Wonka & the Chocolate Factory, starring Gene Wilder, still brings back sweet memories of childhood to people everywhere. Recently, the news broke that a remake of the beloved 1971 film is in now development in Hollywood. But at a reunion of the original cast members a few years ago, child star Denise Nickerson revealed that her role as gum-chewing Violet Beauregard caused a problem: she ended up with 13 cavities as a result of having to chew gum constantly during the filming!

It should come as no surprise that indulging in sugary treats can lead to cavities: The sugar in your diet feeds harmful bacteria that can cause tooth decay and other dental problems. Yet lots of kids (not to mention the child inside many adults) still crave the satisfaction that gum, candy and other sweets can bring. Is there any way to enjoy sweet treats and minimize the consequences to your oral health?

First, let’s point out that there are lots of healthy alternatives to sugary snacks. Fresh vegetables, fruits and cheeses are delicious options that are far healthier for you and your kids. Presenting a variety of appealing choices—like colorful cut-up carrots, bite-sized cheese bits and luscious-looking fruits and berries can make it easier (and more fun) to eat healthy foods. And getting kids off the sugar habit is a great way to help them avoid many health problems in the future.

For those who enjoy chewing gum, sugarless gum is a good option. In fact, chewing sugarless gum increases the flow of healthful saliva in the mouth, which can help neutralize the bacteria-produced acids that cause cavities. Gums that have the ADA (American Dental Association) Seal of Acceptance have passed clinical tests for safety and effectiveness.

But if you do allow sugary snacks, there are still a few ways to minimize the potential damage. Restrict the consumption of sweets to around mealtimes, so the mouth isn’t constantly inundated with sugar. Drink plenty of water to encourage saliva flow, and avoid sugary and acidic beverages like soda (even diet soda) and “sports” or “energy” drinks. Brush twice daily with fluoride toothpaste and floss once a day. And don’t forget to visit our office regularly for routine checkups and cleanings. It’s the best way to get a “golden ticket” to good oral health.

If you would like more information about sugar, cavities and oral health, please call our office to arrange a consultation. You can learn more in the Dear Doctor magazine articles “Nutrition & Oral Health” and “The Bitter Truth About Sugar.”

WhyYouShouldntWorryAbouttheMercuryinYourSilverFillings

Over the last century and a half millions of people have had a tooth cavity filled with “silver” amalgam. Perhaps you’re one of them. The use of this effective and durable filling has declined in recent years, but only because of the development of more attractive tooth-colored materials.

At the same time there’s another issue that’s been brewing in recent years about this otherwise dependable metal alloy: the inclusion of mercury in amalgam, about half of its starting mixture. Various studies have shown mercury exposure can have a cumulative toxic effect on humans. As a result, you may already be heeding warnings to limit certain seafood in your diet.

So, should you be equally concerned about amalgam fillings — even going so far as to have any existing ones removed?

Before taking such a drastic step, let’s look at the facts. To begin with, not all forms of mercury are equally toxic. The form causing the most concern is called methylmercury, a compound formed when mercury released in the environment combines with organic molecules. This is the form certain large fish like salmon and tuna ingest, which we then ingest when we eat them. Methylmercury can accumulate in the body’s tissues where at high levels it can damage various organ systems.

Dental amalgam, on the other hand, uses elemental mercury. Dentists take it in liquid form and mix it with a powder of other metals like silver, tin and copper to create a pliable paste. After it’s placed in a prepared cavity, the amalgam hardens into a compound in which the mercury interlaces with the other metals and becomes “trapped.”

Although over time the filling may emit trace amounts of mercury vapor, it’s well below harmful levels. You’re more likely to encounter “un-trapped” mercury in your diet than from a dental filling. And scores of studies over amalgam’s 150-year history have produced no demonstrable ill effects due to mercury.

Although it now competes with more attractive materials, amalgam still fills (no pun intended) a necessary role. Dentists frequently use amalgam in less visible back teeth, which encounter higher chewing pressures than front teeth. So, if you already have an amalgam filling or we recommend one to you, relax — you’re really in no danger of mercury poisoning.

If you would like more information on dental amalgam fillings, please contact us or schedule an appointment for a consultation.

By Philip Girgis DDS
May 07, 2019
Category: Dental Procedures
Tags: tooth loss  
ToothLossAHealthRiskforOlderAdults

Tooth loss is a problem that affects many seniors—and since May is Older Americans Month, this is a good time to talk about it. Did you know that more than a quarter of adults over age 75 have lost all of their natural teeth? This not only affects their quality of life but poses a significant health risk.

According to a study in The Journal of Prosthodontics, significant tooth loss is associated with increased risk for malnutrition—and also for obesity. If this seems like a contradiction, consider that when you have few or no teeth, it’s much easier to eat soft, starchy foods of little nutritional value than it is to eat nutritious fresh fruits and vegetables. If all of your teeth are missing, it’s especially critical to replace them as soon as possible.

There are several ways to replace a full set of missing teeth, including removable dentures, overdentures, and fixed dentures:

Removable dentures are the classic replacement teeth that you put in during the day and take out at night. (However, if you suffer from sleep apnea, research has found that keeping dentures in at night may help keep the airway open, so if you have this condition, be sure to mention it to your doctor and dentist it). Dentures have come a long way in terms of how convincing they look, but they still have some disadvantages: For one thing, they take some getting used to—particularly while eating. Also, wearing removable dentures can slowly wear away the bone that they rest on. ¬†As that bone gradually shrinks over time, the dentures cease to fit well and require periodic adjustment (re-lining) or a remake.

Overdentures are removable dentures that attach onto a few strategically placed dental implants, which are small titanium posts placed in the bone beneath your gums. Strong and secure, implants prevent the denture from slipping when you wear it. Implants also slow the rate of bone loss mentioned above, which should allow the denture to fit better over a longer period of time. The ability to maintain hygiene is easier because you can remove them for cleaning.

Fixed implant-supported dentures are designed to stay in your mouth all the time, and are the closest thing to having your natural teeth back. An entire row of fixed (non-removable) replacement teeth can usually be held in place by 4-6 dental implants. Dental implant surgery is an in-office procedure performed with the type of anesthesia that’s right for you. After implants have been placed and have integrated with your jaw bone—generally after a few months—you can enjoy all of your favorite foods again without worry or embarrassment.

If you would like more information about tooth-replacement options, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Overdentures & Fixed Dentures” and “Removable Full Dentures.”





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