Basketball isn't a contact sport—right? Maybe once upon a time that was true… but today, not so much. Just ask New York Knicks point guard Dennis Smith Jr. While scrambling for a loose ball in a recent game, Smith's mouth took a hit from an opposing player's elbow—and he came up missing a big part of his front tooth. It's a type of injury that has become common in this fast-paced game.
Research shows that when it comes to dental damage, basketball is a leader in the field. In fact, one study published in the Journal of the American Dental Association (JADA) found that intercollegiate athletes who play basketball suffered a rate of dental injuries several times higher than those who played baseball, volleyball or track—even football!
Part of the problem is the nature of the game: With ten fast-moving players competing for space on a small court, collisions are bound to occur. Yet football requires even closer and more aggressive contact. Why don't football players suffer as many orofacial (mouth and face) injuries?
The answer is protective gear. While football players are generally required to wear helmets and mouth guards, hoopsters are not. And, with a few notable exceptions (like Golden State Warriors player Stephen Curry), most don't—which is an unfortunate choice.
Yes, modern dentistry offers many different options for a great-looking, long lasting tooth restoration or replacement. Based on each individual's situation, it's certainly possible to restore a damaged tooth via cosmetic bonding, veneers, bridgework, crowns, or dental implants. But depending on what's needed, these treatments may involve considerable time and expense. It's better to prevent dental injuries before they happen—and the best way to do that is with a custom-made mouthguard.
Here at the dental office we can provide a high-quality mouthguard that's fabricated from an exact model of your mouth, so it fits perfectly. Custom-made mouthguards offer effective protection against injury and are the most comfortable to wear; that's vital, because if you don't wear a mouthguard, it's not helping. Those "off-the-rack" or "boil-and-bite" mouthguards just can't offer the same level of comfort and protection as one that's designed and made just for you.
Do mouthguards really work? The same JADA study mentioned above found that when basketball players were required to wear mouthguards, the injury rate was cut by more than half! So if you (or your children) love to play basketball—or baseball—or any sport where there's a danger of orofacial injury—a custom-made mouthguard is a good investment in your smile's future.
If you would like more information about custom-made athletic mouthguards, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Athletic Mouthguards” and “An Introduction to Sports Injuries & Dentistry.”
There’s been a growing awareness about the effects of gluten, a protein found in grains like wheat, rye and sometimes oats, on certain people. An estimated 1 in 133 Americans have Celiac Disease (CD), a gluten-related disorder that causes the body’s immune system to work against itself. And if you have CD, you could eventually face dental problems like enamel pitting and erosion.
When a person with CD consumes gluten, their immune system mistakenly identifies the protein as malicious and attacks it. The attack occurs in the membranes that line the digestive system, which in the process destroys cilia, tiny hair-like structures that aid in food absorption. This disrupts the body’s normal absorption of nutrients, which can lead to a number of systemic conditions including intestinal cancer.
Because of the lack of nutrients, your teeth’s enamel may develop defects. You may begin to see dull spots or pitting, or chalky grooves in its normally shiny surface: this is a sign you’ve lost surface enamel crystals (decalcification). You may also be more susceptible to outbreaks of aphthous ulcers (canker sores).
Because symptoms can be misdiagnosed or go unnoticed, it may be years before you know you have CD. You can, however, get a definitive diagnosis through a blood test for gluten antibodies, which is then confirmed with a biopsy of a tissue specimen from the intestine.
While there’s ongoing research for CD-related medication, there’s currently only one recognized treatment for it — remove gluten from your diet. This is much harder than it sounds, and requires knowing what you can and can’t eat, along with strict monitoring of food package labeling. Thankfully, the world is becoming better educated in this respect as more food manufacturers are clearly labeling products containing gluten and restaurants are providing gluten-free menu options.
Once you have dietary controls in place, your dental issues can be treated as any other person, with one exception: none of the products used in treatment like polishing paste or fluoride gels should contain gluten, and must be verified before using.
CD is a serious condition that could even become life-threatening. Knowing you or someone in your family has it will help you protect both your overall health and your teeth.
If you would like more information on the gluten’s effect on dental health, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Gluten & Dental Problems.”
It's National Nutrition Month! Good nutrition is key to overall health, but poor dental health can have a big impact on your ability to get the right nutrients. Your mouth is the first step in the digestive system, so if teeth and gums are in poor shape, food choices can be severely limited. Here are some nutritional guidelines that will benefit your oral health as well as your overall health.
Get plenty of fruits and vegetables. Plant foods provide many oral health benefits:
Go for dairy. Dairy products—for example, cheese, milk and unsweetened yogurt—neutralize acid as well as contribute tooth- and bone-strengthening minerals such as calcium and phosphorus.
Eat whole grains. An excess of refined carbohydrates can lead to chronic inflammation, which contributes to gum disease and many other ailments. However, the complex carbohydrates found in whole grains work against inflammation.
Incorporate all food groups. Strive to eat a balanced diet that includes healthy foods from all food groups. For example:
Limit sugary or acidic foods and beverages. Acid from certain foods and beverages can weaken tooth enamel, leading to cavities. The bacteria in your mouth feed on sugar and release acid that eats away at tooth enamel, causing cavities. How you eat and drink also affects dental health. For example, if you indulge in sugary treats, do so with a meal if possible so that other foods can help neutralize the acid. And if you drink lemonade or soda, don't brush your teeth immediately afterwards. Instead, wait at least 30 minutes before brushing to give your saliva a chance to neutralize the acid.
Getting the right nutrition for a healthy body requires good dental health, so it pays to take good care of your teeth. For a lifetime of good oral health, choose foods that keep your teeth and gums healthy, and don't forget to schedule regular dental checkups to make sure your teeth and gums are in great shape. If you have questions about diet and oral health, please contact us or schedule an appointment for a consultation.
The market for sugar alternatives has grown exponentially since saccharin was accidentally discovered in 1878. Today, saccharin has been joined by other FDA-approved zero-calorie artificial sweeteners, including aspartame (“Equal®” or “NutraSweet®”), sucralose (“Splenda®”) and rebaudioside A, derived from the stevia plant. You can also choose low-calorie alcohol sugars like erythritol or xylitol.
With rare exceptions, all these choices are widely considered safe substitutes for table sugar, high fructose corn syrup or other versions of this plentiful carbohydrate. Finding substitutes for sugar is a worthy health goal: besides its role in obesity, sugar is considered a contributing factor in cardiovascular disease and diabetes.
It's also a prime food for oral bacteria that cause dental disease. As bacteria consume sugar they produce acid as a byproduct. Acid softens and dissolves the mineral content in enamel, leading to erosion and the formation of cavities. While saliva normally neutralizes acid after we eat, constant snacking and higher quantities of sugar in our food make it difficult for it to control or neutralize acid in the oral environment.
Because most of us are hard-wired with a “sweet tooth,” it's difficult for many to cut back on sugar. Artificial sweeteners help reduce the amount of sugar in the diet with obvious benefits for general health. It can also make a big difference in your dental health by helping you prevent tooth decay.
One alcohol sugar may even go a step further. In addition to reducing the presence of sugar in the mouth, xylitol (found in chewing gums, candy and breath mints) also seems to reduce bacterial growth by interfering with their ability to ferment the sugar.
If you're considering using an artificial sweetener, get to know them first: some like aspartame aren't suitable for baked goods or cooking, while saccharine or sucralose are. People with a rare genetic condition called phenylketonuria also can't properly process aspartame in the body.
Be sure you also talk to us about artificial sweeteners' impact on oral health, especially the benefits of xylitol for dental care. Used in a wise and informed way, these sugar alternatives can improve both your oral and general health.
If you would like more information on artificial sweeteners impact on dental health, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Artificial Sweeteners: Satisfying and Protecting your Sweet Tooth.”
Want to disguise the stains in your smile?
Drs. Saul Frechtman and David Frechtman, your Edison, NJ, cosmetic dentist, can help improve this issue. They provide patients with dental veneers, a cosmetic procedure that rejuvenates and, in other cases, completes you smile.
A great smile has good tooth color, shape, and proper alignment. Veneers are strong wafer-thin coverings made of porcelain that go over other surfaces to repair large chips and cracks. They substitute natural tooth enamel when bonded to the front surface of your teeth.
The dental porcelain is a great substitute for natural enamel because it's translucent and tough; it doesn't stain like tooth enamel. Your Edison cosmetic dentist removes enamel from the surface of your teeth, which is an irreversible process, before bonding the veneers.
In recent years, advanced dental technology nullified removal of enamel, and veneers constructed to be thin enough to bond directly onto your existing tooth surface.
Caring for Your Veneers:
Limitations of Porcelain Veneers:
Veneers are not a good option if:
If you have any questions or concerns regarding veneers, just call and schedule an appointment with Drs. Saul Frechtman and David Frechtman. Your Edison, NJ, cosmetic dentist can determine whether or not veneers are the right dental procedure for you.
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