O'Fallon Family & Cosmetic Dentist

         As the average lifespan of our nation’s population is increasing, so too is the need for maintaining proper oral health care.  The goal, of course, is to retain our teeth for all of these extended years.  Though aging can have some negative effects on our teeth, I am encouraged to report that many of my elderly clientele are even more diligent and knowledgeable in the area of oral hygiene than some of their younger cohorts.  While dentures are still available, their prevalence in the dental office is significantly reduced from years in the past.

            It is important for the aging population to pay attention to certain scenarios that may present in the oral environment with age.  The saying, “He’s a bit long in the tooth,” originates from the fact that gum recession over time tends to expose more and more of the root surfaces of one’s teeth.  Often associated with this root exposure is increased sensitivity to cold and hot liquids and air brought in through the mouth.  A simple solution to this problem is to have your dentist bond a desensitizing agent to the tooth or to place a filling on the exposed surface.  These treatments are incredibly effective at eliminating tooth sensitivity both painlessly and immediately.  Patients are thus free to enjoy ice cream, coffee and cold beverages that same day.

            Exposed roots are also more predisposed to cavities, or “root caries” as we call them.  This is because the tooth structure below the gum line consists of a softer mineral than the more resistant enamel on the outer portion of a tooth.  Routine cleanings and check-ups, sometimes with even greater regularity than the typical six-month recall, can serve to head off at the pass any cavities that may otherwise run amuck.

            Decreased salivary flow can result with age as well.  Our saliva contains a buffer against the acids that result when foods breakdown in our mouths.  The absence of this saliva leaves our teeth more susceptible to tooth decay.   Certain medications can interfere with normal salivary production as well.   A dentist may elect to counteract this decreased salivary flow with other medications.  The best defense against the harmful effects of low salivary flow is the same as that for most age-related dental challenges: immaculate oral hygiene and regular visits to the dentist!

     For millions of people, sensitive teeth can make life miserable.  The pain and discomfort make even favorite cold drinks and foods impossible to enjoy.  Pain is often felt more acutely in winter when cold air can cause problems in already sensitive spots.  Tooth sensitivity typically first presents as temporary discomfort when eating cold food or drinks or breathing cold air.  If decay is ruled out as the culprit of sensitive teeth, many people believe there are no good options for treating their pain.  However, in many cases tooth sensitivity can be treated quickly and successfully.

     When tooth decay is not leading to tooth sensitivity, gum recession is often the cause of the problem.  The gums cover the roots of teeth like a protective blanket, but when gums recede the underlying roots may be exposed.  The three most common causes of gum recession are brushing teeth too hard, poor dental hygiene and the aging process.  It has been estimated that over half of people brush their teeth with too much pressure which can remove significant gum tissue, thereby exposing the tooth roots.  We recommend using a soft bristled toothbrush and brushing gently at the gum line.

      If gum recession is due to brushing too hard, a small amount of the same material used in tooth colored fillings can be placed to fill in areas where the gum has receded.  These bonding agents close the pores of the tooth root.  This simple treatment effectively eliminates sensitivity to cold or hot liquids immediately, pain-free and without the need for anesthetic or the dental drill.  If you have been plagued by tooth sensitivity with no underlying decay issues, this simple bonding procedure may end your discomfort.

     Poor oral hygiene can lead to plaque build-up around teeth and gums.  Over time this plaque hardens into tartar.  Bacteria in this tartar is responsible for gingivitis and periodontal disease that causes gum recession.  The exposed roots contain small pores which lead directly to the nerve of the tooth.  Pain, pressure and cold stimuli can travel down the pores and trigger pain in the tooth nerve.  Often this pain makes it uncomfortable to brush or floss this area of the mouth which can exarcerbate the problem.  When oral hygiene is the cause of sensitivity, a person may need a more frequent schedule of thorough cleanings and periodontal health check-ups.  Often this can relieve pain and sensitivity that have caused problems for years.