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Grinding of the teeth, also known as bruxism, is a serious condition from which nearly ten percent of Americans suffer. It’s a mechanical reflex that often happens during slumber. Unfortunately, most people don’t recall grinding their teeth when they awaken.

This makes it difficult to catch the condition before serious damage occurs. Some people notice soreness in their jaw, shoulder and neck pain, or even headaches. Others aren’t so lucky and don’t feel any pain until a professional notices they have developed cracked teeth, receding gums, and jaw problems.

Dr. Kerry Olszewski and our team hope to prevent teeth grinding before serious health concerns arise. Let’s go over the reasons for grinding as well as preventive tips to help you feel better fast.

Why do you grind your teeth?

The most common reasons for teeth grinding include:

• Stress
• Anxiety
• Aggression
• Poor muscle control
• Acid reflux
• Sleep apnea
• Complications from certain disorders

It’s worthwhile to understand the reason you’re grinding your teeth, but it’s even more vital to treat the issue quickly. You can take measures to alleviate the pain you may be experiencing, such as applying a warm wash cloth to your jaw, taking muscle relaxants, massaging the jaw muscles, visiting a chiropractor, or doing physical therapy.

Prevention

To protect your oral health and jaw bones, try these preventive measures:

• Reduce the amount of stress in your life
• Drink plenty of water every day
• Avoid chewing gum or chewy foods
• Get plenty of sleep each night
• Reduce or stop alcohol and caffeine consumption
• Get a custom mouthguard from Mill Creek General Dentistry

Dr. Kerry Olszewski and our team want to make sure you’re properly treating your teeth grinding issues. Feel free to call our Mill Creek office if you think you may be suffering from this condition, or have questions regarding a treatment plan.

Teeth grinding can lead to far more serious health issues, and should be ended before it becomes a major concern.

It’s time. You’ve decided. You’re going to get veneers. Whether it’s to repair a cracked or chipped tooth, to cover discoloration brought on by a root canal or medical condition, to fill in gaps between teeth, or for any other cosmetic reason, veneers can give you back your natural, confident smile.

And now you have just one more decision to make: should you whiten your teeth beforehand?

Many dental professionals find that, for most of us, the best results occur with professional whitening before veneer placement. Why?

• Your veneers will be carefully matched to the teeth surrounding them.

You don’t want your veneers to look anything but natural, and so Dr. Kerry Olszewski will make sure that their color is indistinguishable from your other teeth. But there is one important difference between tooth enamel and veneers:

• Teeth are porous.

As hard as it is, enamel is still porous. And the fact that teeth are porous means that teeth can discolor over time. Coffee, tea, red wine, sodas, darkly hued fruits, and fruit juices—teeth readily absorb pigments from foods. And smoking?  Not only one of the worst habits for your health, it’s one of the major causes of tooth discoloration. This is the downside of having porous enamel.

The upside? The fact that enamel is porous also means that you can brighten your smile with a whitening procedure.

• Veneers aren’t as porous.

Veneers are generally made of porcelain or a composite resin, with some key differences between them.

Porcelain has a translucent quality that looks like natural enamel, and it is very durable. Porcelain veneers are recommended when teeth have significant chips or gaps. They are also especially stain-resistant.

Composite veneers aren’t as expensive, and usually don’t need as much tooth structure removed to bond them to the tooth. They might not last as long as porcelain, and they aren’t quite as resistant to staining.

When you visit our Mill Creek office, we can discuss the pros and cons to find the perfect veneers for your needs. Just remember,

• Once created, veneers can’t change color.

Veneer color should be considered permanent. If your porcelain veneers seem to have dimmed a bit, often a gentle professional polishing will bring them back to their original shine. Composite veneers, as well, can respond to polishing and cleaning. This is the upside of permanent veneer color.

The downside? Veneers can’t be whitened to match your newly whitened tooth enamel. If you decide to whiten your teeth at a later date, your veneers might appear darker than your surrounding teeth. If you want to change veneer color, you will need to replace your veneers. So . . .

Now that you’ve decided to transform your smile with veneers, take a little extra time to talk to your dentist. Find out if whitening makes sense for you for a perfect, uniform match between your other teeth and your veneers.  And then be ready to enjoy your matchless smile!

Oral health is an important and often overlooked component of an older person’s general health and well-being. Dr. Kerry Olszewski and our team know that for many of our older patients, oral health can become an issue when arthritis or other neurological problems render them unable to brush or floss their teeth as effectively as they once did. Today, we thought we would discuss four common oral health issues our older patients face and how they can avoid them:

Cavities: It’s not just children who get tooth decay—oral decay is a common disease in people 65 and older. Ninety-two percent of seniors 65 and older have had dental caries in their permanent teeth, according to the National Institute of Dental and Craniofacial Research. The risk for tooth decay increases because many older adults don’t go to the dentist as often as they used to, thus cavities go undetected and untreated for longer than they should. Keeping regular appointments with Dr. Kerry Olszewski is the key to getting cavities treated in a timely manner.

Difficulty eating: Oral health problems, whether from missing teeth, cavities, dentures that don’t fit, gum disease, or infection, can cause difficulty eating and can force people to adjust the quality, consistency, and balance of their diet.

Dry mouth: Also called xerostomia, dry mouth is a common issue for a lot of seniors. Our friends at the Oral Cancer Foundation estimate that 20 percent of elderly people suffer from dry mouth, which means the reduced flow of saliva (saliva plays a crucial role in preventing tooth decay). Many seniors are on multiple medications for a variety of chronic illnesses or conditions. Common medications taken that may cause dry mouth are decongestants, antihistamines, blood pressure medications, pain pills, incontinence medications, antidepressants, diuretics, muscle relaxers, and Parkinson’s disease medications. To help counter this, we suggest drinking lots of fluids and limiting your intake of caffeine and alcohol. We also encourage you to check with Dr. Kerry Olszewski during your next visit if you think your medications are causing your mouth to feel dry.

Gum Disease: Gum (periodontal) disease is an infection of the gums and surrounding tissues that hold teeth in place. While gum disease affects people of all ages, it typically becomes worse as people age. In its early stages, gum disease is painless, and most people have no idea that they have it. In more advanced cases, however, gum disease can cause sore gums and pain when chewing.

Gum disease, which can range from simple gum inflammation to serious disease, is usually caused by poor brushing and flossing habits that allow dental plaque to build up on the teeth. Plaque that is not removed can harden and form tartar that brushing simply does not clean. Only a professional cleaning at our office can remove tartar. The two forms of gum disease are gingivitis and periodontitis. In gingivitis, the gums become red, swollen, and can bleed easily; in periodontitis, gums pull away from the teeth and form spaces that become infected.

Proper brushing, flossing, and visiting our office regularly can prevent gum disease. Seniors with limited dexterity who have trouble gripping a toothbrush should ask Dr. Kerry Olszewski about modifying a handle for easier use or switching to a battery-powered toothbrush.

Let’s face it, by now, brushing our teeth is something we pretty much do on auto-pilot. A quick brush after breakfast, a minute or so at night, floss when we think of it. Done. But take a few minutes to review these cleaning tips, and see if a few small adjustments to your routine could make all the difference at your next checkup at our Mill Creek office.

• Tools

Some of us prefer brushing with a manual brush. Some like the electric brush for ease and comfort. Whichever form of brush you choose, be sure that it fits comfortably in your mouth, reaches everywhere it needs to, and has a handle that is easy to grip. There are many bristle options available, so if you are an energetic brusher, or if you have sensitive gums, try a soft bristled brush for gentler brushing.

If you haven’t been exploring the floss aisle lately, there are now many varieties available to suit your particular needs. Besides the traditional floss, there are coated flosses for easy gliding between teeth that fit closely together, dental tape-style flosses to fit teeth with wider spacing, and even flosses designed just for braces that thread between the wires and brackets. Talk to Dr. Kerry Olszewski at your next cleaning for product suggestions if you think there’s an easier, more comfortable option out there for you.

• Technique

With proper technique, any toothbrush and floss you choose will do a fine job of removing plaque.

Brushing? There’s a tried and true method for success. Place the toothbrush at a 45° angle at the gum line. Be sure to brush the outside, inside, and chewing surface of each tooth thoroughly. Remember the expression, “Massage, don’t scrub.” Over-vigorous brushing can actually irritate gum tissue and damage enamel. An electric toothbrush should provide a continuous brushing motion without needing any pressure from the brusher. This might be the model for you if you have a too-vigorous approach to brushing, or sensitive teeth and gums. If you like your manual brush, again, give a soft-bristled brush a try!

As for flossing? That harmless-looking little string can cause gum damage if used too forcefully. You can accomplish the placement and cleaning power you need by easing the floss down to the gumline and flossing with gentle pressure against the tooth surface. If you have any questions about technique, remember—we are always happy to let you know the best cleaning methods for your specific needs.

• Timing

Of course, the best tools and the best technique in the world won’t be effective unless you put the right amount of time into brushing and flossing.

The standard rule is two minutes of brushing in the morning and two minutes at night. If you wear braces or have other special circumstances, we might recommend brushing after every meal. And if you brush after breakfast, give your teeth half an hour or so to remineralize. This natural process uses the calcium and phosphate ions in your saliva to strengthen tooth enamel after it’s been exposed to any acidic foods in your breakfast.

Thorough flossing can be accomplished in a few minutes, and might be needed only once a day. But again, depending on your individual needs, we might have other recommendations. Let’s review what works for you at your next visit—we can tailor suggestions for a brushing routine to your unique needs.

It’s a great idea to review your brushing habits periodically to make sure you are getting the most out of those minutes you spend cleaning your teeth. There won’t be a test at the end of this review, and you won’t get a gratifying grade or a gold star. What you will get is much more important—better checkups, fewer cavities, and healthy teeth and gums. Happy cleaning!