Posts for: November, 2014

By J. Marie Stidham, DMD, PA
November 26, 2014
Category: Oral Health
Tags: bad breath  
WhyHalitosisHappens

Bad breath, or halitosis, is bad news in any social situation — whether you're having an intimate conversation with a date or simply saying hello as you shake someone's hand. Halitosis, from the Latin halitus (exhalation) and the Greek osis (a condition or disease causing process), can also be a warning that something's amiss healthwise — usually in your mouth (85% to 90% of the time) but sometimes elsewhere in your body.

Most Common Causes of a Malodorous Mouth
Most unpleasant odors emanating from the mouth result from the processing of food remnants by certain strains of bacteria that typically populate the oral environment. As they feed on food particles, these microbes produce nasty-smelling byproducts — mostly volatile sulfur compounds, which have a distinctive “rotten egg” odor. That's why diligent dental care is front and center when it comes to banishing bad breath. Brushing, flossing and routine professional cleanings will help ensure that traces of last night's dinner or your midday candy bar don't stick around for bacteria to dine on.

Especially important, but often overlooked, during routine home oral care is the back of the tongue. This is actually the most common location for mouth-related bad breath to develop. Unlike the front of your tongue, which is bathed in saliva, the back of the tongue is relatively dry and poorly cleansed — an ideal setting in which microbe-laden plaque can form and flourish.

Even if you're industrious when it comes to brushing and flossing, food debris can get trapped and plaque can build up in hard-to-reach places such as between teeth (interdental), under the gums (subgingival) and around faulty dental work (e.g., ill-fitting crowns or veneers) contributing to overall oral odor. Other culprits include unclean dentures and oral disease such as tooth decay, gum disease, and abscesses.

Halitosis may accompany dry mouth, or xerostomia (xero – dry, stomia – mouth), a condition in which the normal flow of saliva, which cleanses the oral environment and keeps odor-producing bacteria in check, is interrupted. Most of us wake up with a temporary case of halitosis or “morning breath” because our salivary glands are less active while we sleep, but it usually disappears after a good brushing. If dry mouth is persistent, other possible triggers include: breathing through your mouth, a medication side effect, fasting or dehydration, or even stress.

Clearly, maintaining or restoring a healthy oral environment is your greatest defense against halitosis. Take care of your teeth and there's no reason your breath should be any less attractive than your smile!

If you would like more information about halitosis and ways to prevent or treat it, 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 “Bad Breath.”


By J. Marie Stidham, DMD, PA
November 11, 2014
Category: Dental Procedures
CosmeticDentistryandtheUrbanLegend

He once lived in Australia, wore his hair in a mullet, and played guitar in a band called The Ranch. Today, country music star Keith Urban looks different than he did when he started out — and it’s not just the mullet that’s changed. As before-and-after pictures show, he’s had a smile makeover. His teeth, which were dull yellow in color, and used to have a large gap in front, are now white and shiny. The gap is still there — though it has been reduced to a more modest size. How did he manage to upgrade his image, yet keep part of his signature “look” intact?

Cosmetic dentistry has a number of ways to improve the appearance of a smile like Keith’s. One is tooth whitening. It’s a simple procedure that can be done in our office or at your home; either way, it’s an effective treatment that offers great value. In-office whitening, using the most concentrated solutions under our direct supervision, will give you the fastest results. We can also prepare a take-home kit, with custom-made trays and safe bleaching gels you can use at home. You’ll get similar results, but it will take a bit longer.

Of course, whitening isn’t permanent (though it can be repeated when necessary); not all teeth can be lightened as much as you might like; and it doesn’t correct gaps or unevenness. There’s another treatment that does, however: dental veneers. These are wafer-thin coverings made of porcelain, which are bonded to the prepared surfaces of your teeth. They are available in a number of shades — from natural to “Hollywood white” — and can even hide minor chips or spacing problems. That’s why veneers are often the treatment of choice when you’re looking for a “red carpet” smile.

Perhaps the best thing about veneers is that they give you plenty of choices when it comes to designing your smile. You can choose how white you’d like your smile to be, and even fix some “flaws” — or not! So how much you choose to close that gap in your teeth is up to you… but if you’re asking our opinion, the mullet has to go.

If you would like more information on dental veneers, please contact us or schedule an appointment for a consultation. You can learn more about this topic in the Dear Doctor magazine articles “Beautiful Smiles by Design” and “Porcelain Veneers.”