Dentist - Kenosha
3600 80th Street
Kenosha, WI 53142
P:262-697-5444, F:262-694-1650
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Posts for category: Oral Health

By Josephine Chianello Berman, D.D.S.
April 16, 2019
Category: Oral Health
Tags: toothache  
YourToothacheMightnotbeCausedbyaTooth

A toothache means a tooth has a problem, right? Most of the time, yes: the pain comes from a decayed or fractured tooth, or possibly a gum infection causing tooth sensitivity.

Sometimes, though, the pain doesn't originate with your teeth and gums. They're fine and healthy—it's something outside of your tooth causing the pain. We call this referred pain—one part of your body is sending or referring pain to another part, in this instance around your mouth.

There are various conditions that can create referred pain in the mouth, and various ways to treat them. That's why you should first find out the cause, which will indicate what treatment course to take.

Here are a few common non-dental causes for tooth pain.

Trigeminal Neuralgia. The trigeminal nerves situated on either side of the face have three large branches that extend throughout the face; the branch to the jaw allows you to feel sensation as you chew. When one of the nerve branches becomes inflamed, usually from a blood vessel or muscle spasm pressing on it, it can refer the pain to the jaw and seem like a toothache.

Temporomandibular Joint Disorder (TMD). These two joints that connect the lower jaw to the skull can sometimes become dysfunctional for a variety of reasons. This can set up a cycle of spasms and pain that can radiate throughout the jaw and its associated muscles. The pain can mimic a toothache, when it actually originates in the jaw joints.

Teeth Grinding. This is an unconscious habit, often occurring at night, in which people clench or grind their teeth together. Although quite common in children who tend to grow out of it, teeth grinding can continue into adulthood. The abnormally high biting forces from this habit can cause chipped, broken or loosened teeth. But it can also cause jaw pain, headaches and tenderness in the mouth that might feel like a toothache.

These and other conditions unrelated to dental disease can seem like a tooth problem, when they're actually something else. By understanding exactly why you're feeling pain, we can then focus on the true problem to bring relief to your life.

If you would like more information on oral pain issues, please contact us or schedule an appointment for a consultation.

By Josephine Chianello Berman, D.D.S.
April 06, 2019
Category: Oral Health
Tags: oral hygiene  
SpringIntoBetterOralHealth

What does spring mean to you? The season officially starts on March 20th, but depending where you live you might start seeing the signs earlier or later. We often think of spring as a time of new beginnings—when the first green buds appear and the earth wakes up from its winter sleep. Spring is also a great time to break out of those old winter routines and make positive changes in your life; for example, learning to manage stress, improving sleep habits and getting more exercise. To those worthy aims, we'd like to add one more suggestion:┬áThis spring, make it a goal to improve your oral hygiene!

Maintaining good oral hygiene often results in fewer cavities, reduced gum disease and better checkups at the dental office. But for some people it can mean a lot more. A growing body of research points to a connection between oral health and overall health—especially when it comes to systemic (whole-body) diseases such as diabetes, cardiovascular disease, rheumatoid arthritis and others. In many instances, improving oral health can lead to better management of these diseases.

So how do you start improving your oral hygiene? Glad you asked! Here are a few tips to get you started:

  • Brush twice a day with fluoride toothpaste, AND floss once a day—every day! Use a soft-bristled toothbrush for gentle, effective cleaning.
  • Limit between-meal snacks to give your mouth a chance to neutralize the acids that can cause tooth decay.
  • Stay away from sweetened and acidic drinks like soda (even diet), so-called "sports" and "energy" drinks, and other foods and beverages with a high sugar content.
  • Drink plenty of water to increase production of healthful saliva and keep your whole body properly hydrated.
  • Visit the dental office regularly for checkups and professional cleanings. This is essential for good oral hygiene. A professional cleaning can remove hardened plaque deposits that can't be cleaned effectively at home. A thorough dental exam can find and resolve small problems before they become big headaches (or toothaches)—and even help prevent them from happening!

Practicing good oral hygiene is the best way to keep your smile healthy for your whole life. And having a bright, healthy smile is a great way to greet the new season!

If you have questions about oral hygiene, please contact us or schedule an appointment for a consultation. You can read more in the Dear Doctor magazine articles “Good Oral Health Leads to Better Health Overall,” and “10 Tips For Daily Oral Care at Home.”

By Josephine Chianello Berman, D.D.S.
March 27, 2019
Category: Oral Health
Tags: nutrition  
NutritionfortheBestOralHealth

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:

  • Crunchy fruits and vegetables scrub debris from your teeth during chewing and stimulate the production of saliva, which neutralizes acid and helps rebuild tooth enamel.
  • Dark, leafy greens are a good source of iron, calcium and many vitamins that are good for your teeth and gums.
  • Several fruits have vitamin C, an essential for healthy gums.
  • Bananas have magnesium, which builds tooth enamel.
  • Many yellow and orange fruits supply vitamin A, which keeps the soft membranes in your mouth healthy.

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:

  • Lean proteins are essential for keeping your teeth and gums healthy.
  • Good fats such as those found in salmon and nuts work against inflammation. In addition, nuts stimulate the production of saliva and contain vitamins and minerals to keep teeth strong.
  • Legumes are a great source of many tooth-healthy vitamins and minerals.

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.

By Josephine Chianello Berman, D.D.S.
March 17, 2019
Category: Oral Health
DentalInjuryIsJustaTemporarySetbackforBasketballStarKevinLove

The March 27th game started off pretty well for NBA star Kevin Love. His team, the Cleveland Cavaliers, were coming off a 5-game winning streak as they faced the Miami Heat that night. Less than two minutes into the contest, Love charged in for a shot on Heat center Jordan Mickey—but instead of a basket, he got an elbow in the face that sent him to the floor (and out of the game) with an injury to his mouth.

In pictures from the aftermath, Love’s front tooth seemed clearly out of position. According to the Cavs’ official statement, “Love suffered a front tooth subluxation.” But what exactly does that mean, and how serious is his injury?

The dental term “subluxation” refers to one specific type of luxation injury—a situation where a tooth has become loosened or displaced from its proper location. A subluxation is an injury to tooth-supporting structures such as the periodontal ligament: a stretchy network of fibrous tissue that keeps the tooth in its socket. The affected tooth becomes abnormally loose, but as long as the nerves inside the tooth and the underlying bone have not been damaged, it generally has a favorable prognosis.

Treatment of a subluxation injury may involve correcting the tooth’s position immediately and/or stabilizing the tooth—often by temporarily splinting (joining) it to adjacent teeth—and maintaining a soft diet for a few weeks. This gives the injured tissues a chance to heal and helps the ligament regain proper attachment to the tooth. The condition of tooth’s pulp (soft inner tissue) must also be closely monitored; if it becomes infected, root canal treatment may be needed to preserve the tooth.

So while Kevin Love’s dental dilemma might have looked scary in the pictures, with proper care he has a good chance of keeping the tooth. Significantly, Love acknowledged on Twitter that the damage “…could have been so much worse if I wasn’t protected with [a] mouthguard.”

Love’s injury reminds us that whether they’re played at a big arena, a high school gym or an outdoor court, sports like basketball (as well as baseball, football and many others) have a high potential for facial injuries. That’s why all players should wear a mouthguard whenever they’re in the game. Custom-made mouthguards, available for a reasonable cost at the dental office, are the most comfortable to wear, and offer protection that’s superior to the kind available at big-box retailers.

If you have questions about dental injuries or custom-made mouthguards, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “The Field-Side Guide to Dental Injuries” and “Athletic Mouthguards.”

By Josephine Chianello Berman, D.D.S.
March 07, 2019
Category: Oral Health
SomeBloodPressureMedicationsMayAffectYourOralHealth

If you’re taking medication to regulate your blood pressure, you may be familiar with some of the general side effects, like nausea, drowsiness or dizziness. But some blood pressure drugs might also cause complications with your oral health.

This is true of one class of drugs in particular used for blood pressure regulation. Calcium channel blockers (CCBs) are used to regulate blood pressure by dilating (relaxing) blood vessels, making it easier for the heart to pump blood. They’re often prescribed to patients who can’t tolerate beta blockers, another common blood pressure drug.

Besides other general side effects, CCBs can also cause gingival hyperplasia (gum overgrowth) and mouth dryness. The former condition occurs when the gum tissues grow and extend beyond their normal size over the teeth. Besides pain and discomfort, hyperplasia creates an abnormal appearance which can be embarrassing. Research findings also indicate that hyperplasia development from CCB use is also linked to poor hygiene habits, which give rise to periodontal (gum) disease.

Mouth dryness is defined as less than normal saliva flow. Besides discomfort, the condition may increase your risk of dental disease: saliva is a key part in keeping bacterial levels low and maintaining the mineral content of enamel. Inadequate saliva flow can’t maintain this balance, which increases the bacterial population in the mouth and the risk of infection leading to gum disease or tooth decay.

To avoid both of these side effects, it’s important first to let us know if you’re taking blood pressure medication and what kind. You may also need more frequent dental visits, especially if you’re displaying symptoms of dental disease. Studies have found that frequent dental visits to remove bacterial plaque and calculus (hardened plaque deposits) may significantly reduce gum overgrowth in patients taking a CCB. You should also maintain a recommended daily regimen of oral hygiene (brushing and flossing).

Because of possible effects on your dental health from a number of drugs, it’s always important to let us know the medications you’re regularly taking. As with CCBs, we can incorporate that knowledge into your dental treatment to assure your safety and optimal oral health.

If you would like more information on managing your oral care while on medication, 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 “Blood Pressure Medications.”