My Blog

By Courtney Camp Highsmith, DMD
November 22, 2021
Category: Oral Health
Tags: tooth decay  
SeeYourDentistIfYouNoticeAnyofThese3ProblemSigns

Although there are several potential problems people could encounter involving their teeth, gums or mouth, most fall into three basic categories. That's the finding of a recent survey conducted by the American Dental Association of more than 15,000 U.S. adults.

These categories are a triad of symptoms, each of which could arise from a variety of causes. If you're encountering any one of these, you should see your dentist as soon as possible.

Tooth pain. A toothache—or any form of pain from the mouth—could be sign of a number of possible issues. It could mean you have a decayed tooth, especially if the pain is sharp and localized. It could also indicate a gum abscess (accompanied by red and puffy gums), a sinus or ear infection, or inflammation of the jaw joints. The intensity, duration and location of the pain are all clues to its actual cause and what treatments it might require.

Biting difficulties. Does it hurt when you bite down? Among other things, you could have a loose tooth or one that's deeply decayed. The former could be the sign of advanced gum disease, which itself must be treated and the tooth stabilized (splinted) to other teeth. If the problem is advanced decay, you may need a root canal to remove diseased tissue from within the interior of the tooth, which is then filled and crowned to prevent re-infection.

Dry mouth. We're not talking about that "cotton mouth" feeling we all get now and then. This is a chronic condition known as xerostomia in which the mouth feels dry all the time. Xerostomia has several causes including smoking or treatments for cancer or other serious diseases. It might also be a medication you're taking, which has reduced your mouth's saliva production. Because dry mouth could lead to dental disease, you should take steps to relieve it.

Even if you're not having symptoms like these, there may still be something going on in your mouth that needs attention. That's why you should see your dentist on a regular basis, besides when you notice a problem, to keep your oral health in tip-top shape.

If you would like more information on potential teeth and gum problems, please contact us or schedule an appointment for a consultation.

By Courtney Camp Highsmith, DMD
November 12, 2021
Category: Oral Health
Tags: oral hygiene  
4TipsForImprovingYourOralHygieneTechnique

Although we've advanced leaps and bounds over the years treating dental disease, our strategy for preventing them hasn't changed much. That's because these prevention basics are quite effective—and as the old saying goes, "If it ain't broke, don't fix it."

The core of an effective dental disease prevention strategy is mind-numbingly simple—brush and floss every day. These twin cleaning tasks remove accumulated dental plaque, a thin, bacterial film on tooth surfaces that's the primary oral disease driver.

True, there have been innovations concerning the "tools of the trade," i.e., toothbrushes, toothpastes and flossing devices. But what really makes this prevention strategy work is a consistent daily habit of oral hygiene.

In a way, simply "showing up" for daily oral hygiene goes a long way. But you can go even farther if you perform these tasks with greater proficiency—becoming a hygiene "ninja," of sorts.

Here, then, are 4 tips to improve your brushing and flossing prowess.

Be thorough when you brush. Try to cover all of your tooth surfaces when you brush, being sure to work the bristles into all the nooks and crannies and around the gum lines. A thorough brushing should take about 2 minutes.

Easy does it. Hard scrubbing may work on floors, but not your teeth—aggressive brushing can damage your enamel and gums. Brush gently and let the mild abrasives in your toothpaste do the heavy work of plaque removal.

Don't forget to floss. Although you may not like this "other hygiene task," flossing is necessary to remove plaque between teeth that your brush can't reach. Be sure, then, that you floss at least once a day.

Take the "tongue test." Wondering how well you're doing with your oral hygiene? A quick way to find out is by swiping your tongue across your teeth: If they feel gritty rather than smooth, you may have left some plaque behind.

Be sure to also ask your dentist for additional tips on better brushing and flossing. Improving your technique can help you put even more distance between you and dental disease.

If you would like more information on daily care for teeth and gums, 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 “Daily Oral Hygiene.”

By Courtney Camp Highsmith, DMD
November 02, 2021
Category: Oral Health
OlympiansPoleVaultingAccidentPutstheSpotlightonDentalInjuries

British pole vaulter Harry Coppell had an unpleasant mishap right before the Tokyo Olympic games. During a training vault, Coppell glanced the top bar to loosen it, which then fell on top of his face on the mat. The impact broke one of his front teeth nearly in two and severely damaged others.

Coppell posted the accident on Instagram, along with a photo of the aftermath. "I hope @tokyo2020 has a good dentist around," he quipped in the caption. Alas, after several hours with a dentist, one of the injured teeth couldn't be saved, although the chipped tooth remained. Needless to say, the Olympian's smile took a beating along with his teeth.

Fortunately, through the marvels of cosmetic dentistry, Coppell can eventually regain his attractive smile. Still, though, his experience is a blunt reminder that sports and other physical activities do carry some risk for dental injury, especially for active young adults and children.

A chipped tooth is the most common outcome of a traumatic dental injury, but not the only one: you might also suffer from a displaced, loosened or even knocked-out tooth. And, even if the teeth don't appear injured after face trauma, there could be underlying gum and bone damage that requires prompt emergency care from a dentist.

Of course, preventing a dental injury is far better than treating one that has occurred—and wearing an athletic mouthguard is your best bet for dodging such a bullet. A mouthguard's soft plastic helps absorb the force of a hard impact so that the teeth and gums don't. This important protective gear is a must for anyone who plays sports like football or basketball, or enjoys physical activities like trail biking.

When it comes to mouthguards, you have two general categories from which to choose. The first is called a "boil and bite," often found online or in sporting goods stores. These usually come in general sizes that can be customized further by softening in hot water and then having the wearer bite down while it's soft (hence the name). This personalizes the guard to fit the individual wearer.

The other category is a custom mouthguard created by a dentist from an impression of the wearer's mouth. Because of this specialized fit, custom mouthguards aren't usually as bulky as boil and bites, and are typically more comfortable to wear.

The key point, though, is that a mouthguard can help you avoid a serious dental injury, regardless of which category you choose. It could mean the difference between a forgettable incident or dental damage that could impact your life for years to come.

If you would like more information about preventing and treating dental injuries, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Athletic Mouthguards.”

By Courtney Camp Highsmith, DMD
October 23, 2021
Category: Dental Procedures
Tags: tooth decay  
WereImprovingOurEffectivenessinTreatingToothDecay

For several decades, dentists have been saving teeth from tooth decay following a few basic guidelines: 1) Identify decay as soon as possible; 2) Thoroughly remove decayed tooth structure; and 3) Fill any cavities. With millions of diseased teeth rescued, observing these simple steps have proven a rousing success.

But as with most things, even this successful protocol isn't perfect. For one, some healthy tissue gets removed along with the diseased portions. The average percentage of "collateral damage" has dropped over the years, but it still happens—and a reduction in healthy tissue can make a tooth less structurally sound.

Another drawback, at least from the patient's perspective, is the dental drill used for removing decay and preparing cavities for filling. Many people find drilling unpleasant, whether from its vibrations in the mouth or its high-pitched whine. The drill's burr head design also contributes to greater healthy tissue loss.

But those weaknesses have lessened over the last few years, thanks to innovations on a number of fronts.

Better risk management. Tooth decay doesn't occur out of thin air—it arises out of risk factors unique to an individual patient like personal hygiene, bacterial load, saliva production or even genetics. Taking the time to identify a patient's "tooth decay risk score" can lead to customized treatments and practices that can minimize the occurrence of decay.

Earlier detection. Like other aspects of dental health, the sooner we detect decay, the less damage it causes and the more successful our treatment. X-rays remain the workhorse for detecting decay, but now with improvements like digital film and better equipment. We're also using newer technologies like laser fluorescence and infrared technology that can "see" decay that might otherwise go undetected.

Less invasive treatment. The dental drill is now being used less with the advent of air abrasion technology. Air abrasion utilizes a concentrated spray of particles to remove diseased tooth structure more precisely than drilling. That means less healthy tissue loss—and a more pleasant (and quieter!) experience for the patient.

In effect, "less is more" could describe these improvements to traditional decay treatment. They and other methods promise healthier teeth and happier patients.

If you would like more information on current treatments for tooth decay, 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 “Minimally Invasive Dentistry: When Less Care is More.”

By Courtney Camp Highsmith, DMD
October 13, 2021
Category: Dental Procedures
Tags: oral hygiene   dentures  
DoThese2ThingsForYourHealthsSakeIfYouWearDentures

Today's dentures are more comfortable, more functional and more life-like than ever before—so much so that you might forget you have them in. Even so, dentures do have some downsides, and constant wear only amplifies those.

Our biggest concern is the effect dentures can have on bone health. Older bone is constantly replaced by newer bone, and the forces generated while chewing help stimulate this new growth. When a tooth is lost, however, this growth stimulus vanishes with it for that area of the bone. This may result in a slower growth rate, which can eventually lead to lost bone volume and density.

Dentures can't restore this lost stimulus, and may even make the situation worse. That's because traditional dentures rest on the bony ridges of the gums where the teeth once were. This can put pressure on the underlying bone, which can accelerate bone loss—and even more so when wearers leave their dentures in continuously.

Dentures can also contribute to disease if they're not regularly removed and cleaned. Besides oral yeast infections, bacteria-laden dentures can contribute to the production of a protein called interleukin-6 produced by the white blood cells. If a significant amount of this protein passes into the blood stream, it can increase body-wide inflammation and foster a systemic environment conducive to serious diseases like pneumonia.

If you wear dentures, then, it's good for your health (oral and otherwise) to incorporate two practices into your daily life. The first is to remove your dentures at night while you sleep. Not only will this help slow the progression of bone loss, it will also give your gums a chance to rest and recover from denture wear.

It's also important to regularly clean your dentures, either with an antibacterial soap or a special denture cleanser. During storage, keep your dentures in clean water or a peroxide-based solution designed for dentures. This will reduce the accumulation of bacteria on your dentures that can cause disease.

Dentures restore the dental function and smile appearance that a person loses with their teeth. Taking care of your dentures (and giving your mouth a daily rest from them) will help promote good oral and general health for you and a longer life for your dentures.

If you would like more information on denture care, 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 “Sleeping in Dentures.”





This website includes materials that are protected by copyright, or other proprietary rights. Transmission or reproduction of protected items beyond that allowed by fair use, as defined in the copyright laws, requires the written permission of the copyright owners.

Office Hours
Monday:8:00 AM - 5:00 PM
Tuesday:8:00 AM - 5:00 PM
Wednesday:8:00 AM - 5:00 PM
Thursday:8:00 AM - 5:00 PM
Friday:9:00 AM - 5:00 PM
Saturday:Closed
Sunday:Closed

Contact Us