My Blog

Posts for: March, 2015

By Rudolph E. Roman, DMD
March 26, 2015
Category: Oral Health
Tags: oral health  
PreservingorRestoringTeeth-BothPathsLeadtoBetterOralHealth

A wise man once said, “No man is an island.” Something similar could be said about our teeth — their health and vitality are intricately linked with a person’s general health. Missing teeth in particular can set off a chain reaction that leads to bone loss, an issue for both your health and appearance.

Bone is composed of living cells that go through normal cycles of growth and resorption (the dissolving of mineral composition in the bone). In our early years, there’s more growth than resorption as our skeletal structure develops; in adulthood the cycle tends to equalize between the two phases. In our later years, the cycle tends more toward resorption.

The action of biting and chewing actually helps keep the cycle on track as the generated forces stimulate bone growth. When teeth are missing, though, the bone no longer receives this stimulation and will resorb at a higher rate. This is especially a concern for people who’ve suffered a complete loss of their teeth.

This bone loss may in turn trigger a number of related problems. The jaws may no longer close properly, leading to painful stress in the joints. Nutrition suffers as food choices become limited due to the lack of teeth and bite problems. And, a person’s appearance may change as well — the bone loss shortens the look of the face and causes the person to appear much older than they are.

Because of these potential problems, we should do everything we can to preserve and prolong natural teeth. But if preservation isn’t an option, then some form of restoration should be pursued. Dental implants in particular may actually prevent and even reverse bone loss. Bone has an affinity with titanium (which is what the implant is made from) and will attach and grow around it over time. This not only anchors the implant, it also increases bone mass where it may have been prematurely lost.

Caring for and preserving your natural teeth is one of the best things you can do for the health of your jawbone. If you lose your teeth, though, there are ways to restore them and protect bone health — and your smile — at the same time.

If you would like more information on the effects of tooth loss, 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 “New Teeth in One Day.”


By Rudolph E. Roman, DMD
March 11, 2015
Category: Dental Procedures
EdenSherandtheLostRetainer

Fans of the primetime TV show The Middle were delighted to see that high school senior Sue, played by Eden Sher, finally got her braces off at the start of Season 6. But since this popular sitcom wouldn’t be complete without some slapstick comedy, this happy event is not without its trials and tribulations: The episode ends with Sue’s whole family diving into a dumpster in search of the teen’s lost retainer. Sue finds it in the garbage and immediately pops it in her mouth. But wait — it doesn’t fit, it’s not even hers!

If you think this scenario is far-fetched, guess again. OK, maybe the part about Sue not washing the retainer upon reclaiming it was just a gag (literally and figuratively), but lost retainers are all too common. Unfortunately, they’re also expensive to replace — so they need to be handled with care. What’s the best way to do that? Retainers should be brushed daily with a soft toothbrush and liquid soap (dish soap works well), and then placed immediately back in your mouth or into the case that came with the retainer. When you are eating a meal at a restaurant, do not wrap your retainer in a napkin and leave it on the table — this is a great way to lose it! Instead, take the case with you, and keep the retainer in it while you’re eating. When you get home, brush your teeth and then put the retainer back in your mouth.

If you do lose your retainer though, let us know right away. Retention is the last step of your orthodontic treatment, and it’s extremely important. You’ve worked hard to get a beautiful smile, and no one wants to see that effort wasted. Yet if you neglect to wear your retainer as instructed, your teeth are likely to shift out of position. Why does this happen?

As you’ve seen firsthand, teeth aren’t rigidly fixed in the jaw — they can be moved in response to light and continuous force. That’s what orthodontic appliances do: apply the right amount of force in a carefully controlled manner. But there are other forces at work on your teeth that can move them in less predictable ways. For example, normal biting and chewing can, over time, cause your teeth to shift position. To get teeth to stay where they’ve been moved orthodontically, new bone needs to form around them and anchor them where they are. That will happen over time, but only if they are held in place with a retainer. That’s why it is so important to wear yours as directed — and notify us immediately if it gets lost.

And if ever you do have to dig your retainer out of a dumpster… be sure to wash it before putting in in your mouth!

If you would like more information on retainers, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “The Importance of Orthodontic Retainers” and “Why Orthodontic Retainers?