Online Dental Education Library

At Knierim Dental we strive to improve the overall health of our patients by focusing on preventing, diagnosing and treating conditions associated with your teeth and gums. Please use our dental library to learn more about dental problems and treatments available. If you have questions or need to schedule an appointment, contact us.

Add Years to Your Life in 60 Seconds per Day

    If you hate flossing your teeth, you have lots of company.  According to one market research study about 87% of people floss infrequently or not at all.   I hear all sorts of excuses:  "I don't have time," "I am too tired," (my favorite) and "It seems gross."  These excuses pale next to the benefits of flossing.  Brushing your teeth cleans only about 2/3 of the tooth surface.  The bacterial film that builds up between the teeth not only promotes bad breath but increases the risk of cavities, periodontal (gum) disease and tooth loss.  Contrary to what people believe, tooth loss is not an inevitable consequence of aging.  One of our famous sayings is, " You don't have to floss all your teeth, just the ones that you want to keep."  Recently it has been found that there is increasing scientific evidence linking periodontal disease to these five serious health problems.

1. Coronary Artery Disease and Stroke

Studies have shown that patients who suffer from coronary artery disease and stroke have a higher incidence of periodontal disease than the general public.  According to a recent Finnish study, patients with periodontal disease are 1.6 times more likely to experience a stroke.  Inflammation is believed to be the link.  Gum infections cause bacterial by-products to enter the bloodstream.  These trigger a cascade of events that inflame the arteries and promote the formation of blood clots.  Researchers are continuing to study this link.

2. Diabetes

In diabetic patients, untreated periodontal disease affects the control of sugar, thus putting them at an increased risk for complications.

3. Lung Disease

Bacteria that grow in the mouth can be breathed into the lungs, causing respiratory diseases, such as pneumonia.

4. Premature Birth

The American Academy of periodontology notes that pregnant women with periodontal disease are up to 7 times more likely than other women to give birth prematurely.

 

To prevent periodontal disease, flossing daily after brushing is highly recommended.  Make sure that the floss is in constant contact with the tooth surface as you go under the gum.  Your gums may bleed for the first two weeks until the plaque layer is broken up, bacteria are removed, and your gums heal.

60 seconds a night seems like a simple solution that could asdd years to your life.

 Attention Moms:

Do not use Anbesol or Orajel on your childrens gums when they are teething. The Food and Drug Administration has issued a warning against giving to children under age 2. These products contain benzocaine and are sold over the counter to relieve pain from teething or canker sores.  They can lead to methemoglobinemia- a potentially fatal condition in which the amount of oxygen in the bloodstream is reduced- even after a single use.  Symptoms, which include pale, gray or blue-colored skin, lips, and nail beds...headaches...light-headedness...and shortness of breath, usually appear within hours of application.  If affected, seek medical attention immediately.

THERE IS A NEW VILLAIN ON THE LOOSE

 

Oral cancer is on the rise in young adolescents between the ages of 15-24.  The reason is not the the usual:  smoking, chewing tobacco or alcohol.  The culprit is HPV (Human Papilloma Virus) type 16, a virus transmitted through oral sex.

            This year more than 30,000 Americans will be diagnosed with oral cancer.  7,500 will be mouth cancers and 10,500 will be throat cancers all caused by HPV.

            We have now extended our oral cancer exam to include this age group.  In our exam we look for any lesions on the back of the throat, inside the cheek and gums and on the tongue.

            We are looking into new devices that will enable us to see lesions before they are visible to the naked eye.  At this stage, they are more responsive to less invasive procedures.  By the time the lesion is visible to the naked eye, it is likely to require more invasive surgical procedures.

            Parents, I can’t emphasize enough how important it is to talk about HPV with your children.  It just isn’t a genital concern anymore.  For more information, Google: HPV ORAL CANCERS. 



Teeth that are badly stained, shaped or crooked may be improved by a veneer placed on the surface of the affected teeth.

Veneers are thin pieces of porcelain or plastic cemented over the front of your teeth to change their color or shape. Veneers are used on teeth with uneven surfaces or are chipped, discolored, oddly shaped, unevenly spaced or crooked. Little or no anesthesia is needed. Veneers have a longer life expectancy and color stability than bonding, and highly resist permanent staining from coffee, tea, or even cigarette smoking.

Veneers are usually made by a dental lab technician working from a model provided by your dentist. Veneers are usually irreversible because it`s necessary to remove a small amount of enamel from your teeth to accommodate the shell.

Porcelain veneers can mask undesirable defects, such as teeth stained by tetracycline, by an injury, or as a result of a root-canal procedure, and are ideal for masking discolored fillings in front teeth. Patients with gaps between their front teeth or teeth that are chipped or worn may consider porcelain veneers.

Typically, veneers entail at least three appointments: diagnosis and treatment planning, preparation, and bonding.

During the tooth preparation visit, usually lasting one to two hours, the teeth are lightly buffed to allow for the small added thickness of the veneer. Usually, about a half a millimeter of the tooth is removed, which may require a local anesthetic. During the same visit, a mold is taken of the teeth, and sent to the laboratory for the fabrication of the veneers.

During the final "bonding" visit, also about one or two hours, the veneers are placed on the tooth surface with water or glycerin on the teeth to check their fit and get a sense of the shade or color. While the veneers are resting on your teeth, they can be adjusted with various shades of cement to match the color of your teeth. To apply the veneer, the tooth is cleansed with specific chemicals to achieve a bond. Once a special cement is sandwiched between the veneer and tooth, a visible light beam, or laser, causes a catalyst to be released, hardening the cement.

During a two-week period of adjustment that follows, you may notice the change of size and shape in your teeth. It is important to brush and floss daily. After one or two weeks, you`ll return for a follow-up appointment. Porcelain veneers are reasonable facsimiles of natural teeth, not perfect replacements. It`s not uncommon to see slight variations in the color of porcelain veneers upon close inspection, as this occurs even in natural teeth.

For certain patients no preparation of the teeth may be necessary. Please see our specialties page for more information.