The history of braces

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history of bracesIf you think braces are a modern development, think again.  Archeologist discovered that braces date back to ancient man over 3000 years ago.  Although, a better choice then was not letting anyone know you had crooked teeth. You would end up with what is referred to as ‘mouth appliances.’  That wouldn’t get me excited for my next selfie…

Early history of braces

Archaeologists uncovered mummified remains with metal bands wrapped around individual teeth. They used cord from animal skin (catgut) to bind the metal bands together in attempts to straighten teeth.  Installing these devices along with new teeth (dental implants) were often done after death to ensure they looked good enough to enter into the afterlife. 

The first recorded attempts among the living were by the ancient Romans. Aulus Cornelius Celsus wrote about his use of hand pressure that involved applying finger pressure to the teeth at regular intervals.  Today, many Roman tombs opened up by archaeologists reveal that some teeth of the deceased had a small gold wire that was used to attach the arch wire to the bracket. The wire was bound to the teeth in an effort to force the teeth to move and close off noticeable gaps. 

The most important breakthroughs came between 1728 and 1757 with the publication of 2 books by French dentist, Pierre Fauchard and Ettienne Bourdet. The first book titled “The Surgeon Dentist”  talked about all facets of diagnosis and treatment of teeth, with an entire chapter on ways to straighten teeth.  Fauchard used a horseshoe-shaped device made of precious metal which helped expand the arch, called a “Bandeau”.   In 1757,  Ettienne Bourdet’s book, “The Dentist’s Art”, also had a chapter on straightening teeth and using mouth appliances. Bourdet was the dentist to the King of France and further perfected Fauchards’ Bandeau. He is the first dentist on record who recommended extraction and the first to scientifically prove jaw growth.

In 1771, John Hunter, a Scottish doctor wrote a book titled “The Natural History of the Human Teeth,” which described dental anatomy in accurate detail.  John Hunter was responsible for coining the terms still used today for teeth, such as bicuspids, cuspids, incisors and molars.

Almost 50 years later, in 1819, the first modern braces for teeth were created by Christophe-Francois Delabarre. Using a wire ‘crib’ to help straighten teeth, this marked the beginning of modern orthodontics. 

Braces during the 20th century 

It wasn’t until the early 1900’s that the term ‘braces’ was officially used. Dentists would individually wrap bands of materials varied around each tooth. They typically used gold, platinum, silver, steel, gum rubber and occasionally, wood, ivory, zinc, copper, and brass.  Wooden teeth were worn by many but made famous by George Washington (who actually didn’t wear wooden teeth).

Advancements in the 1970’s

In the 1970’s everything about braces changed. Orthodontists could now bond brackets right onto a tooth with a new dental adhesive and secure the wire to the bracket with colored ties. Wires got a new look as well: more flexible metals, like nickel, titanium and copper made things more comfortable.

Several attempts at hidden or ‘invisible’ braces happened but the techniques never really gave people what they wanted. It would be several decades before invisible braces became what they are today.  

Invisalign was created in 1997 by Zia Chishti.  Chishti was a Stanford University graduate with no dental background. She took the concept of the plastic retainer, the same one ancient Egyptians used 5000 years before, and figured out how to use it to straighten teeth, instead of maintaining already straight teeth. Along with Kelsey Wirth, they used 3D imaging software to map out a patient’s mouth and create custom aligners that would slowly transform the wearer’s smile. This eliminated the uncomfortable tightening of wires and more importantly no more ‘metal mouth.’

Invisalign was tested and perfected over 3 years before finally becoming available to the public in 2000. Since then it has grown in popularity over a decade and become the new standard for many patients seeking dental treatment.

So what’s next for braces?

Orthodontists think that the popularity of orthodontic treatment will only increase as both the cost and length of treatment time decreases. 

NASA discovered a special heat-activated, nickel-titanium metal discovered that might change the face of orthodontic treatment. It can be molded into a small wire and improve how teeth align in the mouth while cutting down on office time. 

There is also a futuristic possibility of 3-D printed braces. This was highlighted at a gadget trade show in Las Vegas.

So as companies develop more precise, high-tech materials and methods, your braces will be on for a shorter period of time, be smaller and less visible, result in less discomfort, and give great results. We’ve sure come a long way from the wrap-around “metal mouth” – and that’s something we can all smile about!

Contact Dr. Chauvin – Your Lafayette dentist if you have more questions!

Why sharks don’t get cavities – A lesson in fluoride

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Sharks have the healthiest teeth in the animal kingdom. That’s pretty impressive seeing as sharks average around 15 rows of teeth in each jaw. Some sharks end up growing and shedding up to 30,000 teeth in their lifetime. Great pearly White Shark, that’s a lot of teeth! How do sharks keep all their teeth looking so porcelain and clean? Well for one, they don’t drink a lot of sugary beverages or candies. It also turns out that sharks have a fluoride coating on their teeth. In fact, their teeth contain 100% fluoride.   Makes sense that they would have their own type of travel toothpaste since they always seem to be on the move.

Why is fluoride so important?

Fluoride is an active ingredient in most toothpastes and is even added to water throughout the country. It’s extremely important in fighting against tooth decay. It protects teeth by restoring the loss of minerals on the tooth enamel. When our teeth lose those minerals on the enamel, it opens the doors to cavities. Think of fluoride as a protective shield, keeping acids that eat through the tooth’s surface at bay. If plaque and tartar are allowed to accumulate on teeth for an extended period of time, it can allow for dangerous bacteria to grow next to the gums. By getting routine teeth cleanings harmful build is removed from your tooth and leaves the tooth surface smooth and clean in order to stop bacteria from developing.

 

How to make sure you are getting enough fluoride:

  • Fluoride is a naturally-occurring mineral and is found in various foods and water.
  • Mouthwashes and toothpastes often contain fluoride. Your dentist may even apply higher doses of fluoride in a gel or foam form when you have a checkup.
  • Sometimes a doctor may decide that you need a fluoride supplement. These are available in liquid or tablet form.
  • Fluoride is also important for adults – It’s important to continue to use fluoride toothpaste even after the ‘formative years’ for teeth
  • Too much fluoride can be a bad thing. Knowing how much your city puts in water is important.

 

It just doesn’t seem fair that a mammal with thousands of replaceable teeth also has the advantage of never getting cavities. Throw a dog a bone! Unfortunately, humans can’t regenerate teeth each time we get a new cavity, so remember to brush and floss daily because this is the only real set of teeth you’ll have!

If you have questions about whether you’re getting enough fluoride, contact us to make an appointment for a routine cleaning.

What to do if your tooth is knocked out

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Your first reaction if your tooth is knocked out might be to freak out, cry, flail your arms and tell yourself life is over (speaking from experience).

Do not do that – Unless you are a famous hockey player who wears this empty tooth slot like a badge of honor. Everything will be fine.

Modern dentistry has come along way and if you act quickly it will increase the likelihood of saving the tooth.

Dental implantThe upper front permanent teeth are the most common teeth to be completely knocked out. Baby teeth are usually not reimplanted in the mouth after an injury, since they are replaced naturally by permanent teeth later. When a tooth is knocked out, the nerves, blood vessels and supporting tissues are damaged, too. The nerves and blood vessels can’t be repaired. That is why all avulsed teeth will need a root canal. However, the bone can reattach to the root of the tooth once it’s put back into place.

It’s very important to get to the dentist as fast as possible, typically within one hour, to avoid the tooth being damaged any further.  There are several steps to take to assure safe and clean keeping.

Tips to follow to increase chances of saving the tooth:

  • Do not touch the root
  • If the tooth is dirty rinse it with milk. (Milk helps the roots survive) Water will do if you do not have milk.
  • Do not use fabric to clean the tooth
  • The most important thing is to keep the tooth moist.  Drop it in a glass of milk. If you can’t do this, place the tooth in your mouth, between the cheek and gum.
  • Try slipping the tooth back into its socket. If this does not happen easily revert back to the option above.

Teeth cannot always be saved, however.  At that point your dentist will discuss options of porcelain crowns and dental implants.

Once you are at the dentist he/she will rinse the tooth and asses the condition of the mouth and tooth. The dentist may perform a root canal right away, or may wait. It mostly depends on how long the tooth was out of the mouth.  The dentist will splint the avulsed tooth to the teeth on either side with a soft wire material. Usually splints the tooth to the surrounding teeth for 7 to 10 days. If the bone around the tooth also has been fractured, the tooth may have to be splinted for 6 to 10 weeks. Reimplanted teeth eventually need root canal treatment.  This will be used to hold the tooth in place for several days.  Your dentist will decide how long the splint should remain in.

Once the hard part is over your dentist will examine the tooth in three to six months. Unless there are signs of infection, the next visit will occur at your yearly checkup. The dentist will follow up for the next two to three years to ensure that the tooth re-implanted successfully.

Contact Lafayette Dentist Dr. Chauvin immediately if your tooth is broken or knocked and follow the steps above to assure your mouth health stays on track!

 

mouth guard

Custom night guard benefits

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A custom night guard protects people that have problems with bruxism. Bruxism is the compression and gritting of teeth. For some people, it is a mild annoyance. For others, this can become a serious issue that becomes difficult to control and treat at advanced stages.Typically, bruxism happens in your sleep.

The damage caused by bruxism can include:

  • Serrations in the teeth
  • Deterioration of the biting surface area
  • Tooth fractures or breaks
  • Tooth loss
  • Headache
  • Jaw pain
  • Neck pain

As a person grinds their teeth, the incisors and canines move against one another sideways. This causes the degradation of the enamel, which leads to dulled biting edges. Bruxism not only causes problems for the individual suffering for it, but also for those around them. Some people grind their molars loudly while they sleep. If they are sleeping with anyone, that person is going to have a hard time trying to stay asleep.

Teeth grinding leads to serious dental harm, if left untreated. Many people are usually either unaware they have a problem, or aren’t as severely affected as others. That is because only five to ten percent people develop severe symptoms.

Treatment for Bruxism:mouth guard

Unfortunately, there isn’t a direct treatment for bruxism itself. The best way to prevent additional damage is with a custom night guard. While this helps protect a person’s teeth, it doesn’t do much for the head and muscle pain caused by grinding. There are a few things someone can do to try to reduce the severity of their grinding:

  • Reduce caffeine consumption
  • Stay away from alcohol
  • Avoid chewing on things that aren’t food, especially chewing gum
  • Be more observant during the day. If you find yourself clenching, put the tip of your tongue in between your teeth. This forces your jaw to relax.
  • Before bed, place a warm washcloth on your jaw to relax the muscles.

While these won’t necessarily eliminate the problem, they can help reduce the severity of it. Over the counter night guards are available, but if they don’t fit well, they can actually make the problem worse. A custom night guard will be measured to fit your mouth exactly. A dentist will use putty to take a mold of your mouth, and then he’ll send the impression off to be turned into a night guard. The end result is a perfect mold of your mouth that will protect your teeth and help you manage your grinding. Questions? Give us a call!

What you need to know about Periodontal Disease

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Periodontal disease is a severe problem, in which the gums have actually pulled away from the teeth. Pockets then form at the base of the teeth. These pockets fill with debris, which creates a breeding ground for bacteria. Once they get infected, the body begins to fight the infection. The bone and connective tissue that hold teeth in place get caught in the crossfire, and begin to be destroyed. If left untreated, a person will begin to lose their teeth.

Luckily, this isn’t an overnight process. Periodontal disease is actually the second stage of gum disease, the first being gingivitis. No bone loss or irreversible damage happens until the late stages of periodontitis, so as long as it is caught and diagnosed early, it can be reversed.

Symptoms of periodontal disease:

  • Swollen, tender, reddened gums
  • Gums that bleed easily when teeth are brushed
  • Gums pulling away from the teeth
  • Loose teeth
  • If your bite feels different
  • Tooth sensitivity
  • Pain while chewing
  • Smelly breath that doesn’t go away after brushing

Can periodontal gums be corrected?

Yes they can. You have to discover it early and be diligent. Complex periodontal gum conditions can also be treated, but they need a special cleaning, which your dentist can provide.

Green mouthwashAdopting an intense oral hygiene routine can go a long way to improve periodontal gums. Brush thoroughly once you get up each morning and prior to going to bed every night. Brushing, or at the very least, rinsing with drinking water after meals and snacks may also help remove germs trapped between teeth, assisting in slowing down periodontitis. Rinse the mouth with an excellent antibacterial mouthwash for a complete thirty second cycle, twice every day. This can help reach germs trapped in pockets below your gum collection, aiding in reversing periodontal gum illness. Floss each day, and pay special focus on flossing just underneath the gum line for reversing periodontal gum illness.

While a diligent dental hygiene program can go quite the distance in assisting the treatment of periodontal gum disease, sometimes that’s not enough, and it’s time for professional help.

Your dentist can perform periodontal cleaning, if x-rays show heavy pockets of germs surrounding all of your teeth below the gums. There are several treatment options, but they are all focused on removing bacteria from below the gum line. You may be prescribed a special antibacterial mouthwash, or have to have a very in depth cleaning.

If necessary, he might perform actual periodontal medical procedures. These involve lifting the flaps of the gum, making it possible for heavy cleaning, and then suturing them back in place. Following the procedure, you should have several appointments to be sure of the achievement of the cleaning. This type of treatment is very successful, and most regain normal use of their teeth when everything has healed.

The important thing is to seek help once you notice any signs of trouble with your gums. Periodontal gum illness can be absolutely corrected when it’s found early. If you need to get your gums checked out, give us a call!

ancient dental tools

The History of Dentistry

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Dentistry is not a new profession. In fact, it’s probably much older than you think it is. It wasn’t a Renaissance idea, or even a Roman idea. Dentistry can trace its roots all the way back to 5000 BC! There is a Sumerian text that says that dental decay is caused by “tooth worms”. Gross! Fortunately they were wrong.

Flash forward about 2400 years, to 2600 BC, to the death of the first dentist. An Egyptian scribe named Hesy-Re had the following inscribed on his tomb: “the greatest of those who deal with teeth, and of physicians.” This is the first recorded instance of a person identifying as a dentist. Also in Egypt, between 1700 and 1550 BC, a text was found that refers to toothache remedies and tooth disease. This document was called the Ebers Papyrus.

A thousand years later, two of the most famous philosophers ever documented, Hippocrates and Aristotle, wrote about dentistry. They got into great detail! Discussing how teeth erupt, how to remove teeth, how to treat gum disease and tooth decay, and how to stabilize damaged teeth and jaws with wire.

The next thousand years see three major dental developments:

  • 100 BC: A medical writer from Rome, named Celsus, wrote about oral hygiene, how to treat toothaches, jaw fractures, teething pain, and how to stabilize loose teeth.
  • 166-201 AD: Dental prosthetics, including fixed bridges and gold crowns, are developed and used by the Etruscans.
  • 700 AD: Silver paste, an amalgam used for fillings, is mentioned in a Chinese medical text.

ancient dental toolsThe Guild of Barbers is created in 1210 in France. These were not all the “shave and a haircut” barbers we know today. There were two groups that emerged. The traditional barber, or “lay barber”, who performed haircuts, but some of their duties also included teeth extraction and bleeding! The second group were called surgeons, and were trained to perform complex surgery. Could you imagine going to get a haircut and a tooth pulled all by the same person?

The Guild of Barbers ran into trouble in 1400. Royals in France decreed that lay barbers must cease all surgical procedures, except for extracting teeth, leeching, bleeding, and cupping.

Between 1500 and 1600, two books are published. They both contain information on oral hygiene, the drilling of teeth, how to perform fillings and tooth extractions, and how to treat tooth decay.

By the 1700s, dentistry had become a well known profession.  In 1723, Pierre Fauchard, a French surgeon referred to as the Father of Modern Dentistry, published his influential book, The Surgeon Dentist, a Treatise on Teeth, defining a comprehensive system for oral hygiene and treatment of teeth.  He also presented the idea of dental fillings and the use of dental prosthesis, and identified that acids from sugar led to tooth decay.

In 1840, the first dental college (Baltimore College of Dental Surgery) opened.  In the United States, Alabama led the way by enacting the first dental practice act in 1841 to regulate dentistry in the U.S. Nearly 20 years later, the American Dental Association (ADA) was formed. The first university-affiliated dental institution, the Harvard University Dental School, was founded in 1867.

By 1873, Colgate had mass produced the first toothpaste, and mass-produced toothbrushes followed a few years later.

What may come as a surprise is that the first African American to earn a dental degree dates all the way back to 1869, and the first female dental assistant, Malvina Cueria,  was employed in New Orleans in 1885. What might be most surprising of all is that most Americans did not adopt good brushing habits until after World War II, when soldiers stationed abroad brought the concept of good oral health back to the United States!

If you want to learn more about the history of dentistry, click here. If you have questions about your dental care, give us a call! We’ll be happy to answer your questions!

Q and A with Dr. Chauvin

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14944-org-RSKnowing the basics of oral hygiene can keep you healthy, and save you money in the long run. It’s very important to take good care of your teeth. Need a refresher course? Take our quiz!

How often should I brush my teeth?

The correct answer is at least twice a day, according to the American Dental Association. It is important not to brush too often, as you can damage your teeth and gums. And if you have eaten an acidic food or drink, wait 30 minutes before brushing, as the combination of the acid and the brushing can damage your enamel.

How long should I brush my teeth?

Most dentists agree that two minutes is the recommended length of time. The important thing to ensure is that all surfaces are clean. Make sure that you clean all tooth surfaces, including hard to reach areas. Use short, up and down motions, and hold your brush at a 45 degree angle. Broad side to side strokes can scrape your gumline.

How often should I floss?

It is very important to floss daily, as bacteria and plaque will accumulate in-between your teeth every time you eat. These surfaces are impossible to reach with a toothbrush, and if left unattended, can be a hotbed for cavities.

Should I use mouthwash?

While mouthwash can be helpful, it’s generally not required. As long as you’re brushing and flossing properly, you’re doing what you should be for healthy teeth. If your goal is to have fresher breath, remember that you should be brushing your tongue as well as your teeth. There is an area at the back of your tongue where most of the “bad breath bacteria” live, and brushing here is more effective at removing them than mouthwash. Some mouthwashes have fluoride added, and some are recommended by the ADA. The best thing to do in this case is ask your dentist what they prefer you use.

How do I know if I have a cavity?

Cavities are difficult to detect at first, as they haven’t really done much damage yet. If left untreated, you can experience:

  • Tooth pain
  • Sensitivity to cold, heat, or sweets
  • Discoloration of the tooth (darkened or black spots)
  • Visible damage to the tooth (a hole or crack)

The best way to prevent a cavity is to make sure you’re brushing and flossing properly.

What kind of foods can I eat to improve my oral hygiene?

There are some foods that will improve your mouth health. They may surprise you, as dark chocolate and strawberries make the list! You can read more about that here. ((NOTE: Double check this link – it may have been changed for SEO purposes.))

Avoid Halloween Cavities with Sugar Free Gum

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October is approaching, and with it comes a slew of Halloween candies! Trick-or-treating is a time-honored tradition and is enjoyed by children and adults alike. In Lafayette, the official trick-or-treat hours are from 6 to 8 pm on October 31st.

All of that candy can have negative side effects on your dental health. Lafayette, Louisiana Dentist Dr. Timothy Chauvin can tell you, candy consumed in large amounts can contribute to cavities. Luckily, research has found a candy that will not contribute to cavities. In fact, this candy can prevent cavities!

Dr. Chauvin states that Xylitol, a chemical used as a sugar substitute in sugar-free gums and candies, can inhibit the growth of bacteria in the mouth. The chemical is incredibly effective at preventing the bacteria that causes cavities, Streptococcus mutans.  Best consumed after a meal or drink, the candy will stimulate saliva production, dislodge food particles still in the mouth, neutralize any remaining acids, and remineralize teeth. While all of that is going on, the xylitol prevents bacteria from spreading further. Regular use of sugar-free candies containing xylitol can actually provide long-term protection against cavities as well.

The difference between sugar-free and regular gum is, while producing extra saliva and dislodging food particles, the sugar provides a food source for bacteria, and should be avoided.

It is important to note that not all of these gums and candies have xylitol in them, so make sure to check the ingredients. Sugar-free gums produced by Trident, Orbit and Ice Breakers contain xylitol.