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“What is the strongest substance in the body?” If this question comes up on trivia night, be prepared to impress your team when you confidently answer, “Tooth enamel!”

Tooth enamel? The reason for this surprising answer lies in the biology of our teeth. Minerals make up well over 90% of our enamel, a much higher percentage than is found anywhere else in the body, including our bones. But unlike bone tissue, which can heal and regenerate, tooth enamel cannot. Even though it is extremely strong, enamel can be damaged by a process called demineralization.

Demineralization

Demineralization is a result of acids at work in our mouths. Acids actually break down the minerals in our enamel, making the enamel softer. Over time, bacteria attack deeper into the tooth, eventually leading to decay. Acidic foods like sodas, citrus, pickles, and coffee are obvious culprits in providing an acidic environment, but there are other problem foods as well. We all have bacteria in our mouths, which can be helpful or harmful. The bacteria in plaque use the sugars and starches we eat to produce even more acids.

This process is something that takes place very quickly. In fact, even brushing too soon after eating something acidic can damage the demineralized surface of a tooth. Waiting at least 20 to 30 minutes to brush gives our bodies a chance to restore the enamel surface in a process called remineralization.

Remineralization

Our bodies are actually designed to help protect our enamel, and the most important part of this process is saliva production. Saliva cleanses our teeth and reduces levels of acidity. And our saliva constantly washes important minerals over our teeth. Calcium and phosphate ions rebuild and strengthen molecules where demineralization has taken place. This process is called remineralization.

We have other ways to help the remineralization process along. Fluoride toothpastes and fluoridated water speed up the movement of mineral building blocks back to the surface of the tooth. Fluoride also strengthens our teeth so that they resist acids and demineralization better than teeth without fluoride, making them less vulnerable to cavities.

New products are available for home and professional use that are designed to increase remineralization—talk to Dr. Osuala at our Maplewood & West Orange office if you would like the latest recommendations. In fact, talk to us about tooth-friendly menus, the best toothpastes, brushing techniques, and all the ways to keep your enamel its healthiest. You’ll be answering all those trivia questions with a strong, confident smile!

Long days in the sun’s rays offer you lots of options for outdoor activities. Beach time? Vacation? Open-air concerts? Baseball, biking, board sports? No matter what plans you have for these sunny days in Maplewood & West Orange, we have some tips to keep your smile beaming.

Use Sunscreen

Sunscreen is good for all ages and skin tones, and it’s also designed to protect your smile. Lip tissue is thin and delicate, and can easily be damaged by the ultraviolet rays which cause skin cancer and premature aging. 

If your regular sunscreen isn’t suitable for your lips, there are many protective lip balms designed especially for your smile.

• Make sure you get the proper level of protection. Dermatologists recommend lip balms with a minimum SPF (Sun Protection Factor) of 30.
• Reapply at least every two hours, and sooner if your lips get wet or if you’re eating or drinking.

Protect Your Smile with a Mouthguard

Mouthguards help protect your teeth from damage caused by impact, whether from hard surfaces or hard elbows! Any time there’s a chance of a fall or a collision, a mouthguard is a good idea. Use your guard for:

• Biking, in-line skating, skateboarding, or any activity where an unexpected fall is possible 
• Contact or low-contact sports like baseball, basketball, and soccer, where bodies collide with equipment or other bodies

If you play organized sports, you might already own a mouthguard. If not, talk to Dr. Osuala about over-the-counter options or a custom-fitted model. And if you wear braces, no need to stay indoors! There are mouthguards designed to protect your teeth, cheeks, lips, and braces. Ask the team at Supreme Dental Associates for recommendations.

Hydrate

On hot days, our brains help regulate our body temperature. How? By sending the signal to start sweating! Some heat is transferred from our bodies to evaporate perspiration, which helps cool the skin. But that cooling perspiration comes at a cost—the water we lose through sweat can lead to dehydration. 

Water is essential for our health, and especially when it’s scorching outside. Drinking water throughout the day is healthier than drinking lots of water at one time, and your doctor can let you know the right amount of water for your body, since we’re not all built the same. A bottle of water doesn’t contain artificial ingredients, caffeine, or sugars, so it’s a great, healthy outdoor companion. 

More? Water is also great for your smile!

• Water washes food particles and bacteria away from teeth and gums for fresher breath and a healthier mouth.
• Most communities add fluoride to their water, and fluoride strengthens tooth enamel to help you fight cavities. If your local water supply isn’t fluoridated, talk to your dentist about other treatments which can provide fluoride’s cavity protection.
• Hydrating helps prevent dry mouth. Normal saliva production doesn’t just keep the mouth moist for eating and speaking—it also protects our teeth and gums as it washes away food particles and helps counteract excess acidity in the mouth.

It’s easy to get distracted with summer activities and vacations—after all, they’re designed to be distracting! But don’t let your well-deserved fun in the sun distract you from your regular dental care. 

Regular dental exams catch small problems before they become larger ones, and cleanings make sure your smile is bright all summer long. If you’re overdue for a visit to Supreme Dental Associates, make room in your schedule for a checkup.

Summer can be a time to relax, renew, and recharge. While you’re enjoying those extra hours of sun, take care of your oral health for a beaming smile which will look great on you any time of year!

Many parents have concerns about their children’s teeth not falling out on time. Dr. Osuala and our team are here to answer any questions parents may have about when children lose their teeth.

Children have 20 primary teeth that come in around age three. By about age six, these teeth will loosen and begin to fall out on their own to make room for the permanent ones. It is common for girls to lose their baby teeth earlier than boys. Most children lose their final baby tooth by age 13.

Baby teeth normally fall out in the order in which they came in. The lower center incisors are usually the first to fall, around age six or seven, followed by the upper central incisors.

If a child loses a tooth to decay or an accident, the permanent tooth may come in too early and take a crooked position due to teeth crowding. If your child loses a tooth to decay or accident, call Dr. Osuala to make an appointment.

Some kids can’t wait for their baby teeth to fall out, while others dread the thought of losing a tooth. When your child begins to lose teeth, you should emphasize the importance of proper dental care on a daily basis to promote a healthy mouth.

Remember to:

• Remind your child to brush his or her teeth at least twice a day and offer assistance if needed
• Help your child floss at bedtime
• Limit eating and drinking between meals and at bedtime, especially sugary treats and drinks
• Schedule regular dental visits for your child every six months.
• Ask about the use of fluoride treatments and dental sealants to help prevent tooth decay.

Call Supreme Dental Associates to learn more about caring for baby teeth or to schedule an appointment at our Maplewood & West Orange office!

There is no substitution for a natural healthy tooth. Dental fillings are intended to replace tooth structure and restore a tooth damaged by decay (a cavity) back to its normal function and shape. Silver (amalgam) and tooth-colored (composite) fillings last a long time, though they can develop decay when the integrity is compromised by open margins, fracture, or recurrent decay. In this blog, we discuss the signs and symptoms that indicate your filling may need to be replaced in order to prevent further complications.

Amalgam fillings are made of an alloy (mixed metals) that expands and contracts. They have no bonding properties, and so to place an amalgam filling, the hole in the tooth may need to be larger. Because of these two factors, fractures frequently occur. There are three types of cracks that are commonly associated. Craze lines are superficial with no treatment needed. Fractures extend along other parts of the tooth and may require a filling replacement or crown. Cracks extend toward the root and can require a root canal and crown or, if too severe, extraction.

A filing needs to be sealed to the tooth. If the seal between the tooth and the filling breaks down, food debris and bacteria can seep down under the filling and cause recurrent decay. If the decay is treated early, replacing the filling is adequate. If not, a crown and even a root canal may be needed. The biggest mistake you can make is waiting to do something about a broken or unsealed filling until it is painful. Doing this will only make the treatment more involved and often times more expensive.

Regular dental exams and X-rays are used to evaluate dental fillings. You will not be able to tell on your own when your fillings start to fail. Just as a car mechanic will change the oil, correct your alignment, or change your tires, a dental checkup will help you identify small concerns to fix as you go in order to avoid a critical emergency.

Pay attention to any bite or temperature sensitivity in teeth that have fillings. This can be an indicator for some of the problems listed above. You know your teeth better than anyone. Your observations are most valuable when evaluating a filling for replacement. If replacement is needed, know you are doing what is best to prevent future dental calamities and make an appointment to see Dr. Osuala.