Why do I have black lines under my crown?

We derive a great deal of confidence from our smiles, so it comes as no surprise that when something goes awry with our pearly whites, we feel a little insecure. The good news is that the year is 2017, and dental methods have advanced a great deal since the days of cow tooth dentures and tools that look like they belong in a 16th century torture chamber. We have a number of sophisticated and pain-free methods to craft beautiful smiles. Crowns are a great example.

Dental crowns are small, tooth shaped covers placed over individual teeth to strengthen and improve the appearance of teeth. They are cemented to the tooth’s surface end where the the tooth meets the gum line.

There are many reasons you could need a dental crown, but here are some of the most common ones:

  • To help a weak tooth from decaying or breaking
  • To fix a broken tooth
  • To cover and support a tooth that has so much filling inside that there is very little tooth left
  • To improve the appearance of tooth color and alignment
  • To hold a dental bridge in place

Typically, crowns are made from one of the following materials:

  • Stainless steel
  • Metals
  • Porcelain and metal
  • Resin
  • Ceramic

While crowns can make a vast improvement in the strength and appearance of your teeth, some of their varieties can cause teeth to appear to have a black line where the tooth meets the gum. This line is typically found in crowns based in metal and topped with porcelain for a natural look. The line is the metal of the crown beginning to show, and that’s never good. (The other possibility is that the tooth is naturally darker because of a procedure that permanently limited blood flow to the tooth – a like a root canal).

Porcelain-fused-to-metal crowns are often used for their ability to withstand the biting force of molars, but improvements in dental materials are making all porcelain crowns an equally strong but better looking alternative. If you feel that your dark gumlines are detracting from your ability to smile with confidence, schedule a time to come talk with our Chauvin team so we can get you back to grinning.

Teeth grinding causes and treatments

Have you ever woken up in the morning feeling pain in your jaw and the furthest thing from refreshed? These are signs that you could be suffering from bruxism, or chronic teeth grinding that can lead to serious dental issues if not addressed and treated correctly.

Teeth grinding is often thought to occur due to excessive stress levels, but that’s not the only trigger. Some common causes include:

  • Stress or anxiety
  • An abnormal bite
  • Missing or crooked teeth

But you’ve probably never heard that grinding your teeth is a survival method.

When you sleep, your body goes through light and heavy cycles of consciousness. During the deepest parts of sleep, your body engages in processes to repair damage that results in you feeling refreshed the following day, but it also can result in some breathing issues. When you reach the deepest point of sleep, the entire body relaxes, including the heavy jaw which falls back towards the neck. Second, the tongue expands to almost twice its size, further inhibiting the airway. This is called “obstructive sleep apnea,” and the brain responds to this blockage by engaging the jaw to open the airways and to allow you to continue breathing.

The upside is that you can breathe. The downside is that you sleep terribly.

Though teeth grinding is life-saving in some circumstances, it does have negative effects such as:

  • Dull headache after sleeping
  • Tooth damage from wear (fractures, loosening, loss)
  • TMD/TMJ complications
  • Facial changes
  • Severe pain
  • Exhaustion due to never reaching deep sleep

In order to address teeth grinding, it’s important to visit your dentist to see if your bite or missing teeth can be corrected to avoid further grinding. If you do not have missing teeth or an incorrect bite, your grinding might be a result of non-dental problems related to a blocked airway which can be treated with mild lifestyle changes like losing weight or quitting smoking. More aggressive treatment includes visiting a doctor to inquire about Continuous positive airway pressure (CPAP). No matter the cause, teeth grinding is a problem that can lead to serious dental problems and should be addressed as soon as the symptoms persist.

All about root canals

Root canals. You’ve heard the name, you’ve cringed for the poor souls going to the dentist for one, but do you know what a root canal procedure is? Or the reasons you might need one?

The inside of your tooth is filled with a soft material called “pulp” that help your teeth grow into maturity. When that pulp becomes infected or inflamed, it must be removed to relieve pain caused by swelling and minimize permanent damage to your teeth.

There are a few reasons you might need a root canal:

  • Internal tooth decay
  • Multiple dental procedures on the tooth
  • Cracked or chipped tooth

A few signs point to the need for a root canal:

  • Pain
  • Sensitivity to hot and cold
  • Sensitivity to touch
  • Discoloration
  • Swelling, drainage, tenderness in the lymph nodes and gum tissue

The root canal procedure follows these steps:

  1. X-rays taken and anesthetic administered
  2. Crown of the tooth (top of the tooth) opened and pulp removed from the inside of the tooth to make room for filling
  3. Space filled with a rubber-like material and an adhesive cement
  4. Crown placed on top of the tooth to restore it to full function

Root canals are often the subject of dental horror stories, but understanding the steps and going to a trusted and experienced dental provider can help put your mind at ease and relieve your pain. If you’re experiencing any of the symptoms above, consult our team to see how we can help.

 

Living with TMJ

“Tem-puh-roe-mun-DIB-u-lur”

Say that five times fast.

This tongue twister refers to the pair of joints on the sides of the face that hinge the jaw to the skull, but it’s typically known better by its more manageable acronym: TMJ.

When people talk about TMJ, they’re often referring to pain in the face and jaw caused by temporomandibular disorders (problems with the joint and the facial muscles which control it).

These joint issues have multiple possible sources:

  • Grinding of teeth at night
  • Clenching of jaw from stress
  • Arthritis in the joint
  • Injury to the jaw, the joint, or the neck

Any of these causes can lead to a host of symptoms, including:

  • Pain when opening mouth wide
  • “Stuck” or “locked” jaw in open or closed position
  • Clicking or popping noises during opening and closing
  • Swelling
  • Tired feeling in face

Though TMD can be incredibly uncomfortable for those experiencing it, treatment options are vast and non-invasive. Easing the pain can be as simple as treating the joint as a muscle injury giving the jaw a rest. Try eating softer foods, limiting opening the mouth widely, or wearing a mouthguard at night if you grind your teeth.

If you believe your case of TMD is severe enough to require further treatment, consider visiting Dr. Chauvin to explore your relief options.

 

Dental Bonding vs. Veneers: What’s the difference and which do I need?

No matter what, no one loves cracked, gapped, or stained teeth. That’s why many people turn to dental bonding and veneers to help fix these issues and gain confidence in their smiles.

But what are these procedures? And how do they help improve the look of damaged or imperfect teeth? And when should you choose one over the other?

Dental Bonding

Bonding is the process of applying a putty-like resin to the surface of the teeth to mask imperfections. This putty matches the color and texture of your natural teeth and is mainly used to fix minor issues like chips and stains.

Pros:

  • Less expensive option: $200-$700 per tooth
  • Fast procedure (one visit)
  • No tooth preparation necessary

Cons:

  • Can be stained by coffee, tea, and cigarettes
  • Meant for minor changes, not entire smile

Veneers

Veneers are porcelain shells custom made to fit the fronts of teeth. First, a thin layer of enamel is removed from your teeth to prepare for the veneer, and then an image of the teeth is used to create a custom shaped veneer. They’re applied to the teeth with adhesive. Veneers are used to cover up gaps, crooked, and stained teeth.

Pros:

  • Resist changes from coffee, tea, and cigarettes
  • Look more like natural teeth than molding

Cons:

  • More expensive than molding: $800-$2,000 per tooth
  • More time consuming and labor intensive (three visits)

 

When you require major changes that will last for long periods of time, veneers are a viable option. For minor cosmetic changes on a smaller budget, dental bonding is a solution. Chauvin Dental has extensive experience with both procedures. Contact us for a consultation, and we’ll decide together which is the right option for your smile.

 

How does activated charcoal whiten teeth

Activated charcoal is a most commonly used as a treatment for overdose or poisoning. It’s an oral treatment that binds to toxins and drugs that have been ingested. It will absorb many different things, and can be even used on dogs. Some people use it to treat hangovers, alleviate bloating and gas, filtering water, cleaning mold, and tooth whitening. But charcoal is black!

How does activated charcoal whiten teeth?

Activated charcoal whitens teeth the same way it treats toxins – it’s absorbent! When activated charcoal is applied to the teeth, it absorbs plaque and all of the microscopic stain causing bits. It even alters the pH balance of the mouth, which assists in preventing cavities, gum disease, and bad breath. If you have crowns, veneers, or caps that are porcelain, the charcoal can stain them, so use with caution.

Using activated charcoal to whiten teeth:

If you look anywhere online, you’ll read something like: It’s very easy to do, simply wet a toothbrush, dip it into powdered charcoal, and brush away! After 2-4 minutes, rinse your mouth thoroughly. It’s that easy! Charcoal doesn’t taste great, but to be fair, most tooth whitening options don’t. You don’t have to do it every day, 2 or 3 times a week is sufficient.

Activated charcoal sounds great, but until we know more about it, best to use teeth whitening measures that have been rigorously tested, and approved by dentists. If you do choose to use activated charcoal to whiten your teeth, there are some things you should keep in mind:

  • Everyone’s teeth are different. What works for one person may not work for another due to genetics and overall dental health.
  • Charcoal may be abrasive. Medical professionals are not yet certain of the effect the charcoal has on teeth, but it could lead to deterioration of the enamel and tooth erosion – which opens the door to decay.
  • If use of activated charcoal hurts at all – stop immediately, you may be causing damage to your teeth.
  • Dentists don’t know how effective the charcoal is, so it may leave your teeth looking blotchy (especially if it’s not applied evenly).

Teeth are alive. They have soft tissue (called dentin) and roots, that are protected by enamel. And enamel does not grow back. If the enamel becomes too damaged, it can no longer safely protect the dentin inside, and the tooth will need to be covered up with restoration. If you are looking for a whiter smile, discuss safer options with your dentist.

How often should I have dental x-rays taken?

We’ve all had to bite that weird little piece of plastic and have a strange machine take pictures of our face. Although a bit unpleasant, dental x-rays are incredibly valuable, allowing the dentist to identify:

  • Root canal or bone changes caused by infection
  • Decayed areas of teeth that indicate cavities
  • Bone loss associated with gum disease
  • Abscesses
  • Tooth decay beneath pre-existing fillings
  • Developmental abnormalities
  • Incoming wisdom teeth

They’re also used to ensure that a child has enough room for incoming adult teeth, and to help the dentist prepare for things like braces, implants, dentures, and other procedures. Being that they’re so useful – you may wonder how often you should have dental x-rays taken. The answer is entirely up to you.

Dental x-rays may need to be done as often as every six months, or as little as once every few years. There are a few factors that will determine how often you have them done. Each dentist will have their own policy, but to give you an idea of what to expect:

New adult patients to a dentist’s office will most likely have x-rays done to establish a baseline if they have a history of tooth decay. The dentist will need to see what work, if any, has been previously performed, as well as establishing current overall dental health. After that, x-rays will be taken every 6-12 months. If the adult has healthy teeth, with little to no history of tooth decay, x-rays will only be taken every 2-3 years.

When it comes to children without any permanent teeth, x-rays will need to be taken if all surfaces of their teeth cannot be probed or visualized. If decay is present, x-rays will be taken every 6 months until the decay is gone. If there’s no decay, x-rays are only needed every 1-2 years.

As their permanent teeth begin to erupt, a full series of x-rays will be taken to ensure that the teeth are coming in correctly, that the mouth has enough room for the adult teeth, and to keep an eye on the wisdom teeth. If there is decay, they will have 1-2 dental x-rays a year. If there’s no decay, then x-rays are only needed every 18-36 months.

In a nutshell, the healthier your teeth, the less necessary x-rays are, especially as an adult. Practice good oral hygiene, and you won’t need as many. Have more questions about dental x-rays? Contact Dr. Chauvin’s office.

Will using a tongue scraper solve the problem with my breath?

Nobody likes bad breath. Halitosis (bad breath) is typically caused by a dry mouth. When your mouth doesn’t produce enough saliva, typically when you aren’t adequately hydrated, the cells on your tongue begin to die. As we all know, the human mouth is home to tons of bacteria. Those dead cells are then broken down by said bacteria, which produces a foul odor – giving us bad breath. It can also be caused by improper dental hygiene, or certain types of food. And while there are a number of things you can do for bad breath, such as drinking more water, brushing better, or using mouthwash, one method of alleviating bad breath is the use of a tongue scraper.

But do tongue scrapers actually work?

Since we know that the most common cause of bad breath is decomposing cells on the tongue, if this is in fact what is causing your bad breath, then yes! Tongue scrapers will help with bad breath. They remove the volatile sulfur compounds that are left behind on your tongue as cells are eaten away. As a matter of fact, this is the most effective method of eliminating bad breath… in the short term.

How to use a tongue scraper:

After you brush and floss, use your tongue scraper, in the morning and at night. If you notice a resurgence of symptoms in the middle of the day, scrape then too. Place it at the back of your tongue and drag it towards the tip. Do this a few times, rinsing the scraper in-between uses. If your tongue becomes irritated or you see cuts or sores developing, you’re scraping too hard, or too often. Allow the tongue to heal before you try again.

Are tongue scrapers a long-term solution?

Not really! While tongue scrapers do remove the offending bacteria, they do not address the underlying cause. They’ll take care of the bad breath as long as you continue to use them regularly, but for a permanent solution, you should try some other things in conjunction with the tongue scraper. Issues that cause bad breath include:

  • Dry mouth
  • Poor dental hygiene
  • Gum disease
  • Cavities
  • An undiagnosed medical condition

Try drinking more water and brushing better, while still using the tongue scraper. After a while, skip the tongue scraper. If you find you still have bad breath, you will need to pay a visit to your dentist to determine what the cause is.

What age should kids start seeing the dentist

It’s a question all parents have, when should you take your kids to the dentist for the first time? And the answer is something a lot of people get wrong. Most children don’t see the dentist for the first time until they’re about two and a half. In reality, they should be seeing one far earlier. How much earlier?

Children should see the dentist within six months of their first tooth erupting, or by age one.

You may be wondering why they need to see a dentist so early. Especially since they’re just going to lose the primary teeth anyway. However, proper dental health is crucial, even in young children. They need to learn how to eat, speak properly, and learn good dental hygiene. If they lose teeth too early due to decay or other factors, that can have a serious impact on their development. That’s why it’s so important that children have all of their teeth until they fall out naturally.

Dental visits can be scary.

If you take your child to the dentist around age one, they most likely won’t be very scared. And if they do get scared, regular dental checkups will make the dentist’s office seem like a regular occurrence. A child that’s over two years of age may be substantially more anxious if the dentist is a new thing. There are some things you can do to prepare your child for the dentist:

  • Take them with you the next time you visit so they can see what it’s like
  • Teach them about the importance of healthy teeth
  • Play dentist with your kids – take turns examining each other’s teeth so they get used to the experience

Make sure you take them to a pediatric dentist. While some normal dentists treat children, pediatric offices are much more suited to children. They’ve been trained on how to deal with kids, and there are often toys and games to keep the children entertained.

Their future dental health can be greatly impacted by proactive dental checkups.

Pediatric dental visits, in addition to caring for your child’s current teeth, will make sure your child’s permanent teeth are developing correctly. Their permanent teeth are visible on x-rays, and their dentist will make sure that all of their teeth are forming correctly, and in the right place. And if there’s going to be a problem, the dentist can take steps to prevent it. For example, stubborn primary teeth may need to be extracted to ensure that the underlying permanent teeth come in the right way.

Pediatric dental health is very important, so make sure you take your kids to the dentist when they’re supposed to go. If you are afraid of or dislike the dentist, try to keep that to yourself so you don’t frighten your kids. Oral health is very important, and linked with heart disease, so make sure they take proper care of their teeth! If you’re having trouble finding a pediatric dentist, call our office and we can recommend a good one.

Why is nitrous oxide not offered for all procedures?

Have you ever been laying in the dentist’s chair, maybe nervous or bored, and wondered why you aren’t being given nitrous oxide (also known as laughing gas)? Short answer, it depends on the patient! Nitrous oxide is a form of sedation called “inhalation sedation.” Although it’s considered an ideal clinical sedative, there are some things to consider.

Who needs nitrous oxide?

Nitrous oxide is an odorless, colorless gas that eliminates pain and induces euphoria after breathing it in for about five minutes. There may be visual or auditory effects, as well as lightheadedness or “the giggles.” Once the gas is no longer being inhaled, it wears off in three to five minutes. It is often administered in the following cases:

  • For long dental procedures to reduce stress, fatigue, and awareness of time
  • To calm frightened children
  • To ease the nerves of patients
  • To control gagging

In these cases, the use of nitrous oxide makes the patient more at ease, which allows their jaw to relax. Know how your jaw tightens when you’re stressed? Imagine feeling that way at the dentist, and having to force your mouth to stay open for an extended period of time. It’s difficult for the patient and the dentist. Some dentists allow laughing gas on request, but keep in mind, if it’s not absolutely necessary, your insurance may not cover it. The cost of sedation will come directly from your own pocket.

Certain factors don’t allow for the use of nitrous oxide.

While nitrous oxide is a relatively safe and effective method of sedation, there are some cases where it should not be used. The gas is administered via a mask that fits over the nose, and the tubes that pump the gas into the nose hang down the sides of the head. If you can’t breathe through your nose (perhaps due to a cold, or you typically breathe through your mouth) then nitrous oxide cannot be administered. Claustrophobia can also prevent the use of nitrous oxide. A claustrophobic person may not be able to have something sitting on their face for an extended period of time. Patients that have obstructive pulmonary disease are also not good candidates for nitrous oxide, as they have a reduced ability to move gases in and out of the lungs. People with emphysema cannot use it either. Other conditions that prevent the use of nitrous oxide include multiple sclerosis, pregnancy, or psychiatric patients.

As with any other dental procedure, ask your dentist if you would like to use nitrous oxide. They can go over the benefits and risks with you, and determine whether you’re a good candidate. Call Dr. Chauvin’s office to set up an appointment today!