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While you make sure your family is getting the best care possible, with regular dental checkups and cleanings at our Wake Forrest, North Carolina office, there is one family member that might be hiding under the bed when it’s time for tooth care. Periodontal disease is the most common clinical condition affecting adult cats—and it is completely preventable!

Periodontal disease starts when the bacteria in your pet’s mouth form plaque. The plaque can harden into tartar, and, if plaque and tartar spread under the gum line, can be responsible for a number of serious problems. Tooth loss, tissue damage, bone loss, and infection can be the result of periodontal disease. Professional dental treatment is important if your cat is suffering from periodontal disease, and your vet can describe the options available to you.

But, like with humans, prevention is the best way to assure these problems never develop, and there are several methods for avoiding plaque and tartar build-up.

Brushing: Yes, there are toothbrushes and toothpastes specifically designed for your cat! If a toothbrush is not working for you or your pet, there are cat-sized finger brushes available as well. Daily brushing is most effective, but try for at least several times each week. The process of introducing brushing should be a slow and gentle one, and seafood and poultry flavored pastes make the process more palatable. (Human toothpaste is not good for your cat due to its abrasiveness, and swallowing the foam might pose a danger to your pet.)

Anti-plaque rinses and gels: If despite your gentle persistence your cat simply will not cooperate with brushing, there are other options! Rinses and gels containing Chlorhexidine are effective and do not usually pose a problem for pets—although they might not take to the flavor. Rinses can be squirted inside each cheek or gels can be applied to the teeth with a toothbrush or finger brush. Talk to your vet to find the safest and most effective products.

Diet: Whether they use a particular shape and texture to simulate brushing or an anti-tartar ingredient, several pet foods claim to reduce the accumulation of plaque and tartar. Your vet is the best resource for nutritional suggestions to make sure your cat’s dental and physical diet is as healthy as it can be.

Whether you try brushing, rinses, gels or a tooth-friendly diet, patience and a gentle touch are the best way to introduce dental hygiene. Talk to your vet at your cat’s next checkup, and find out what you can do to keep your feline friend healthy and happy. An ounce of prevention might be worth a pound of purr!

Winter and its snowball fights are behind us, true, but there might be another kind of snowball heading your way—the snowball effect you risk when small dental concerns are ignored and left to grow into much more serious dental problems.

Here are three early symptoms that might seem minor, but shouldn’t be overlooked:

Sensitivity

Ouch! A sip of something hot, a spoonful of something cold, and you find yourself wincing because your teeth are so sensitive. If this sensitivity continues, call Sandra Martin. Tooth sensitivity can be a sign of:

• Bad Brushing Technique

Heavy handed brushing and hard-bristled brushes can be so abrasive that they cause enamel erosion and gum recession, making teeth more vulnerable to tooth decay. Your dentist and hygienist can recommend proper brushing techniques for clean and healthy teeth and gums.

• Receding Gums

Without treatment, receding gums can pull further away from the teeth, creating pockets filled with bacteria. Serious infections can develop in these pockets, leading to loose teeth, bone loss, and, eventually, tooth loss.

• Cavities

When a cavity has gotten large enough that it’s reached below the enamel into the more sensitive dentin, you can experience unpleasant twinges when eating or drinking hot, cold, or sweet foods, or even when air hits your teeth. It’s essential to treat any cavity before it grows large enough to reach the tooth’s pulp.

Persistent Bad Breath

Sure, it could have been that garlic anchovy pizza, but if you’ve eliminated odor-causing foods from your diet, if you brush and floss regularly and still have bad breath, it could be a sign of:

• Gum Disease

The bacteria that cause gum infections have a distinct, unpleasant odor. If thorough brushing and flossing isn’t helping, it’s important to visit our Wake Forrest, North Carolina office to prevent more serious gum disease from developing.

• Oral Infections

Bad breath can be caused by infections in the tooth, gums, or other oral tissues. If you experience persistent bad breath, a foul smell or taste in your mouth, or see any other signs of infection, see Sandra Martin promptly for a diagnosis. Left untreated, oral infections can damage teeth, tissue, and bone and spread to other areas of the body.

• Medical Conditions

Bad breath can also be a symptom of medical conditions such as diabetes, sinus infections, and liver disease. If your dentist rules out dental issues as the cause of halitosis, it’s important to see your doctor for a checkup.

Intermittent Pain

When dental pain comes and goes, you might be tempted to postpone a checkup. But recurring pain can be a symptom of serious dental conditions, including:

• Infection and Abscess

If you feel pain when you bite down, or throbbing pain around a tooth, it could be the sign of pulp inflammation or infection. Pulp injuries should always be treated immediately to avoid an abscess, a pocket of pus caused by bacterial infection. An abscess isn’t just painful, it’s dangerous, because it can cause bone loss around the tooth and spread infection throughout the body if not treated promptly.

• Tooth Injury

Tooth trauma is a reason for an emergency call to your dentist. A cracked or broken tooth won’t get better on its own and should be treated at once to prevent infection and further damage.

• Bruxism  

It’s no wonder you wake up with tooth and jaw pain when you grind your teeth—your jaws are producing hundreds of pounds of pressure on your teeth all night long. Over time, constant grinding will damage enamel and can chip and even crack teeth. Check out options like custom nightguards for healthier teeth and a better night’s sleep.

• Malocclusion

Malocclusion is the medical term for a bad bite, a condition that is the result of your teeth and/or jaws not fitting together properly. As well as tooth and jaw pain and damaged teeth, misalignments cause many other difficulties in your daily life. Talk to your dentist about how orthodontic treatment can improve the health and appearance of your smile.

Don’t ignore “little” dental problems like these. For any persistent symptoms, Sandra Martin Family Dentistry is just a phone call away, to help you prevent those little problems from snowballing into major dental worries.

It seems like yesterday. There you were, comforting your baby through sleepless nights, soothing her with a dentist-approved teether, celebrating as that first tiny tooth poked through her gums. And now here she is running to show you that same tooth, wiggly, loose, and almost ready for the Tooth Fairy. Now what?

Be Prepared

Children normally lose that first tooth somewhere around the age of six, but a year or two earlier or later is not uncommon. If you ever took a business class, you might have heard of the inventory method called “First In, First Out.” Baby teeth operate much the same way! The two bottom front teeth, followed by the two upper front teeth, will probably be the first teeth your child loses. Once you notice some wiggling, let your child know what is going on and reassure her that it is a normal part of growing up.

What to Expect with that First Loose Tooth

Normally, baby teeth become loose when the pressure from the permanent tooth below gradually breaks down the roots of the primary tooth. If your child has a loose tooth, encourage him to wiggle, not pull. Typically, gentle wiggling is all that is needed to free a tooth that has lost most of its root and is ready to be replaced. Avoid pulling or forcing the tooth, because that can cause injury to the root area if the baby tooth isn’t ready to come out. Call our Wake Forrest, North Carolina office if you have any questions about loose teeth. Sandra Martin and our team also have suggestions if the baby teeth don’t become loose on schedule, or if they stubbornly remain in place even after the adult teeth have started to show up. One important note—if your child ever loses a tooth through accident or injury, call us at once. We might need to provide a spacer to give your child’s permanent teeth the proper time and space to come in.

Celebrate this Milestone with Your Child

The arrival of the Tooth Fairy is a familiar way to mark the occasion, and she can leave your child a note, a small gift, even a brand new toothbrush. Or explore other options!

If your child is fascinated by stories and traditions, learn about El Ratón Pérez (Perez the Mouse), a familiar tooth-collector in many Spanish speaking countries, or his French cousin, La Petite Souris (the Little Mouse). In other parts of Europe, Asia and Africa, children throw teeth on the roof, drop them in a glass of water, or hide them in a slipper. This is a great opportunity for you and your child to explore the world!

If your child likes science, look into books that explain the biology of baby and adult teeth in an age-appropriate way. You could print a chart of the primary teeth and take notes on each lost tooth as it makes way for the permanent tooth below. Or track her progress with photos showing the baby tooth, the gap left by the tooth, and the adult tooth as it comes in.

Losing that first tooth is an important moment for your child—and for you. Be prepared to celebrate another milestone together, and always feel free to talk to Sandra Martin if you have any questions about this new stage in your child’s life.

We’re all trying to find a healthy balance in our lives. Balancing work and home life. Eating a well-balanced diet. Balancing our budgets. Maintaining the right pH balance in our mouths for better dental health. Wait, what was that last one?

You probably don’t spend a lot of time thinking about your pH levels, but if your oral pH is out of balance it can affect the health of your teeth.

What do we mean by pH levels? In biology and chemistry, the pH scale is a tool used to measure the concentration of hydrogen (H⁺) ions and hydroxide (OH⁻) ions in a solution.  

The higher the concentration of hydrogen atoms, the more acidic a solution. The higher the concentration of hydroxide ions, the more alkaline. The pH scale goes from 0 to 14, with the most acidic reading possible rating a 0, and the most alkaline, a 14.

You don’t have to be a biochemist to use the information provided by pH samples. We use pH readings to discover the ideal acid/alkaline conditions in many everyday applications. Azaleas grow best in very acidic soil. Swimming pools should be just a bit alkaline. Brewers test pH throughout the beer-making process for optimal fermentation—and taste.

When it comes to saliva, a neutral pH range of around 6.2 to 7.6 is generally considered normal. High alkalinity in saliva is rare. High acidity levels? Unfortunately, much more common. And an acidic environment has real-world consequences for teeth.

Plaque contains bacteria, which produce acids. Calcium and phosphate, the minerals that help make enamel the strongest substance in the body, are leached out by these acids. The weak spots left behind make enamel vulnerable to further erosion and, eventually, decay. When saliva has a normal, neutral pH, it helps neutralize plaque acids to reduce the risk of cavities.

But it’s not just bacteria that expose our teeth to acidic conditions—we do it ourselves with our choice of food and drink.

Acidic foods can directly lower the pH level in saliva. Lemon juice, for example, has a pH between 2 and 3. Red wine has a pH between 3 and 4. Blueberries? Around a 3.2. When the pH level in saliva becomes 5.5 or lower, the minerals in our teeth start to “demineralize,” or lose the minerals which keep enamel strong and intact—just the way enamel is demineralized by acids from plaque. This process is known as acid erosion.

Many of our favorite foods are acidic to some degree. Citrus and other fruits, pickled foods, vinegar, wine, coffee, tea—all of them can lower the optimal pH level of saliva. And sports drinks, energy drinks, and sodas? Check the labels and you’ll often find citric acid, phosphoric acid, and/or carbonation, all of which combine to create extremely erosive conditions.

So, no more soda? Or fruit? No. You don’t have to give up acidic foods altogether for healthy teeth. True, you won’t give up much eliminating soda from your diet. But fruits, vegetables, dairy foods, and meats are the source of essential vitamins, minerals, and proteins, and many of these healthy food choices have an acidic pH. How to eat nutritiously while protecting your enamel? Again, it’s a balancing act.

• Enjoy acidic foods sparingly, or as part of a meal. Saliva can neutralize acids more effectively when they aren’t washing over your teeth all through the day.
• Use a straw when you drink something with a low pH to reduce your enamel’s exposure to acids.
• Balance high-acid foods with low-acid choices to help neutralize the acids in your diet. Add a banana to your blueberry smoothie. Pair your wine with some cheese.
• Rinse with water after eating or drinking. When it comes to balanced pH, pure water is a 7.0 on the scale, a perfect neutral.
• Chew sugarless gum to increase saliva production.
• Use fluoride toothpaste—it not only helps prevent cavities, it helps remineralize teeth.

Even with your best efforts, acid erosion can be a problem. You might be experiencing enamel damage if you notice any of these symptoms:

• Tooth pain or sensitivity.
• Teeth that appear discolored. This happens as the whiter enamel thins, revealing the yellowish dentin underneath.
• Changes in the shape of your enamel—your teeth become rounded or have little dents or pits, known as cupping.
• White spots on your teeth, which could be a sign of demineralization.

If you think you could be suffering from enamel erosion, it’s a good idea to talk to Sandra Martin when you visit our Wake Forrest, North Carolina office. We can diagnose conditions causing acid erosion, treat you if enamel damage has occurred, and offer suggestions for diet and eating habits to make sure your oral pH—and your dental health—is always in balance.