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Xerostomia, otherwise known as dry mouth, can be a side effect of many common medications. Drugs used for blood pressure, birth control, antidepressants, or cancer treatments may cause the dry mouth problems you’re experiencing. When you have dry mouth, you’re more likely to experience tooth decay and an increased risk of developing periodontal disease. Medication can sometimes be the cause of dry mouth in women, and lead to an increased amount of cavities.

You may not develop a cavity for years, but suddenly find more than one when you’re on medication for several months. This is due to there being less saliva in your mouth, which normally prevents bacteria from flourishing. When there is a lack of saliva flow, your mouth will be more likely to host tooth decay and be more prone to gum disease.

You may not notice it, but birth control can lead to inflammation of the gums and bleeding because of dry mouth. The condition can also emerge if you’ve undergone cancer treatments such as radiation, because your saliva glands may be damaged in the process.

Boosting saliva production is critical for treating xerostomia. Many over-the-counter saliva products are designed to help manage dry mouth. For women with severe cases of dry mouth and decay, we may recommend in-home fluoride treatments that offer extra enamel protection. This can come in the form of fluoride trays, prescription toothpaste, or a special fluoride rinse.

Other ways to relieve dry mouth include chewing sugar-free gum, limiting caffeine intake, avoiding mouthwashes that contain alcohol, sipping water regularly, using a humidifier at night, and stopping all tobacco use.

If you believe you may be experiencing symptoms of dry mouth, contact our Marysville, WA office to schedule an appointment with Dr. Kelly Peterson. It’s wise to take medications that have been prescribed by your doctor, but it’s also smart to watch for any side effects. If you think a medication is causing you to have dry mouth, let’s figure out how to manage your symptoms as a team!

Diastema is a medical term meaning “space between”—or what Dr. Kelly Peterson and our team less formally call a gap between the teeth. Such gaps are common for children as they make the transition from baby teeth to adult teeth, and usually close when all the permanent teeth arrive. But not always!

Sometimes a gap, usually between the upper front teeth, stays with you into adulthood, but doesn’t affect your perfectly heathy teeth. Sometimes a diastema develops due to medical conditions or trauma. Whether you would like to close a gap for cosmetic reasons, or need to address gaps that have developed because of dental problems, your treatment will depend on the causes of the diastema.

• The Relationship of Jaws and Teeth

Most of the time, we think of braces as straightening crooked teeth. For many braces wearers, the jaw can’t accommodate all of the adult teeth without crowding. But it’s also possible to have too much space for incoming teeth, and this can lead to a gap between two or more teeth. Orthodontic treatment is a common choice to close this kind of gap, using braces or clear aligners to move the teeth closer together.

• Prominent Labial Frenulum

The labial frenulum is a band of muscular tissue that connects the upper lip and the top of the gums. If it is too large, tissue can extend beyond the top of the front teeth. A gap develops when the front teeth simply can’t meet because of the tissue between them.  Oral surgery can reduce the size of the frenulum, if necessary, and often orthodontic treatment is the go-to option to close the diastema.

• Small Teeth or Small Gap

Occasionally, a few teeth are noticeably smaller than their neighbors. Bonding, veneers, and crowns can be used to enlarge these teeth, making them proportionate to the teeth around them. These treatments can also be successful in reducing a gap between the front teeth.

• Missing Teeth

Sometimes people are born missing a tooth. Sometimes people lose a tooth to injury or decay. And while the space left by a missing or lost tooth is a noticeable gap in itself, the remaining teeth can shift to fill the void, causing other gaps to develop as well. A dental implant or bridge can both replace a missing tooth and maintain the normal spacing of the teeth that surround it.

• Gum Disease

Left untreated, periodontitis (gum disease) can damage or even destroy the bone tissue which holds and supports the teeth. This, in turn, leads to “tooth mobility,” or loose teeth. Spaces between the teeth become more noticeable and larger over time. After the gum disease is treated, patient and dentist can explore options for reducing or eliminating spaces between the teeth.

• Harmful Oral Habits

Tongue thrusting and thumb sucking are two habits that can affect the alignment of the front teeth. Both behaviors pressure the teeth to move forward, which can cause separations between them. Learning how to change these behaviors will help prevent or stop the expansion of a diastema and potentially serious malocclusions (bad bites).

If you would like to discuss your diastema for aesthetic reasons, talk to Dr. Kelly Peterson for ways to reduce or eliminate the gap. If your diastema is the result of a medical condition, we will be able to recommend treatment options available at our Marysville, WA office. If you’re teeth and gums are healthy, and you enjoy the individuality of your diastema . . .

• Embrace the Space!

A diastema can be a signature look for you and your smile. Normal brushing, flossing, and regular dental care will keep your smile bright, healthy, and uniquely you. And if you’re happy, healthy, and confidant, why, there’s no reason to mind the gap at all!

We all want our best and brightest smiles, and today there are many options we can explore at home to make those beautiful smiles a reality. Whether it’s healthy habits, a healthy diet, whitening toothpaste, or do-it-yourself home products, we have golden opportunities to achieve whiter teeth.

• Healthy Habits

Proper brushing is the first step in keeping your teeth stain-free. You should devote at least two minutes twice a day to brushing, being careful to cover the areas between and at the base of teeth, where plaque you miss can form visible tartar. Ask us about the most effective brushing techniques. And please, don’t smoke. Smoking is one of the worst offenders when it comes to discoloring teeth. If you are a smoker, quitting at any point in your life will make a big difference in the whiteness of your smile—and your lasting health!

• Healthy Eating

We all know red wine, coffee, and tea cause some of our worst enamel stains. Acidic drinks such as sodas and citrus beverages can cause even more problems by eroding tooth enamel, exposing the yellowish dentin underneath. Moderation and rinsing with water can help prevent damage. But we have some dietary allies as well! Crunchy foods like apples, carrots, and celery provide a mild scrubbing effect. Dairy products such as milk, cheese, and yogurt strengthen enamel. Fruits such as strawberries and pineapples, studies suggest, contain enzymes that are natural stain removers. While no one food takes the place of brushing or cleaning, a healthy diet and a healthy body enhance any smile.

• Brushing with a Whitening Toothpaste

Toothpastes are available which can remove some surface stains, and which can keep teeth their whitest after a professional whitening. They won’t penetrate the enamel surface or change the natural color of your teeth. If these toothpastes are going to work on discolored tooth surfaces, you will usually see results within a few weeks.

• Over-the-counter (OTC) Whitening Kits

These products provide a peroxide-based gel that can be applied in a tray or with strips. If you choose a tray application, make sure trays fit properly so sensitive mouth and gum tissue is not irritated. If you decide on strips, always make sure all of the tooth surface is covered to avoid uneven whitening. These kits have more powerful whiteners than toothpastes, and so you might see better results, but tooth and gum sensitivity can be a problem.

While all these whitening methods can be helpful, there are some circumstances when a professional whitening is best. Professional gel whiteners are more powerful, and can help eliminate darker stains that OTC products can’t remove. We can make sure sensitive gum and mouth tissue is protected from bleaching agents. And, if you are on a deadline, we can provide a much faster result. Some conditions, such as deep stains caused by trauma or medication, or darker-colored caps, veneers, and crowns, require more than whitening, and we are happy to present options for those situations.

If you have any questions or concerns about whitening your teeth, please give our Marysville, WA office a call. Whether it’s advice on how to brush or how to quit smoking, discussing the effects of foods and drinks on our teeth, suggesting OTC whitening products, or providing a professional whitening, Dr. Kelly Peterson and our team are happy to help you achieve your best and brightest smile!

From the clinical perspective, dentistry is similar around the world. Dentists, like Dr. Kelly Peterson, go to school, obtain a license, and work hard to prevent and treat tooth decay, gum disease, oral infections, throat or oral cancer, tooth loss, and other conditions that might limit a person’s ability to smile, bite, chew, or speak. The quality of dental care, however, and the payment method for dental services varies between nations.

Dentistry throughout the World

Developed countries have more dentists per capita than do developing nations, according to the World Health Organization. There is one dentist for every 150,000 people in Africa, for example, as compared to about one dentist for every 2,000 citizens of an industrialized nation. The lack of dentists in developing nations means that dental care is restricted to pain management and emergency care.

Dentistry often reflects the cultural views of a nation. Some cultures acknowledge only the functional aspect of teeth, so dentists focus on preventing tooth decay, gum disease, and tooth loss. Other cultures emphasize aesthetic appearances, so dentists there provide cosmetic procedures in addition to essential oral care.

Each nation imposes its own education and licensure requirements for dentists but most require some college before four years of dental school. The graduate must then pass local or national exams to practice in that region. European schools and standards are similar to the United States.

From the business perspective, dentistry varies between nations. In the United States, a dentist presents to the patient one bill that includes all of the treatment costs, such as the dentist, his assistant, tools, and labs. This allows the dentist to charge a single, easy-to-pay fee for individual procedures, and gives him an opportunity to mark up items and make a profit.

Across much of Europe, a dentist presents two bills to her patient – one for the dentist and another for the lab. This approach may stem from a cultural belief that profiting from healthcare is unethical and that healthcare should be available to consumers at actual cost; public dental clinics and subsidies ensures all citizens have access to dental care, regardless of ability to pay. In most cases, the government is both overseer and provider of dental care.

While the role of the dentist is nearly the same in every country – to ensure the oral health of the citizens – dental care is different in each nation. Regardless, you can rest assured that the care you receive at our Marysville, WA office is held to the highest standard.