The following are common issues associated with dental health. If you have any questions regarding this information, please contact us.
Caries, also known as tooth decay or cavities, is a preventable disease. While caries might not endanger your life, they may negatively impact your quality of life. When your teeth and gums are consistently exposed to large amounts of starches and sugars, acids may form that begin to eat away at tooth enamel. Carbohydrate-rich foods such as candy, cookies, soft drinks and even fruit juices leave deposits on your teeth. Those deposits bond with the bacteria that normally survive in your mouth and form plaque. The combination of deposits and plaque forms acids that can damage the mineral structure of teeth, with tooth decay resulting. If you suspect you have a cavity, contact our office for an evaluation. If caries is detected very early, it may be possible to reverse.
Your teeth expand and contract in reaction to changes in temperature. Hot and cold food and beverages can cause pain or irritation to people with sensitive teeth. Over time, tooth enamel can be worn down, gums may recede or teeth may develop microscopic cracks, exposing the interior of the tooth and irritating nerve endings. Just breathing cold air can be painful for those with extremely sensitive teeth. Contact our office for an evaluation if you suffer from sensitive teeth. There are various levels of treatment; Dr. Khani prefers to begin with the least invasive treatment possible.
Gum, or periodontal, disease can cause inflammation, tooth loss and bone damage. Gum disease begins with a sticky film of bacteria called plaque. Gums in the early stage of disease, or gingivitis, can bleed easily and become red and swollen. As the disease progresses to periodontitis, teeth may fall out or need to be removed by a dentist. Gum disease is highly preventable and can usually be avoided by daily brushing and flossing. One indicator of gum disease is consistent bad breath or a bad taste in the mouth. Early professional help can prevent gum disease from progressing.
Bad Breath (Halitosis)
Daily brushing and flossing helps to prevent the build-up of food particles, plaque and bacteria in your mouth. Food particles left in the mouth deteriorate and cause bad breath. While certain foods, such as garlic or anchovies, may create temporary bad breath, consistent bad breath may be a sign of gum disease or another dental problem. An alcohol-free mouth rinse may help minor cases. Contact our office if you have persistent halitosis.
Canker sores (aphthous ulcers) are small sores inside the mouth that often recur. The canker sore has a white or gray base surrounded by a red border. Generally lasting one or two weeks, the duration of canker sores can be reduced by the use of antimicrobial mouthwashes or topical agents. If your canker sore is in its early stages, contact our office for treatment.
A bite that does not meet properly (a malocclusion) can be inherited, or some types may be acquired. Some causes of malocclusion include missing or extra teeth, crowded teeth or misaligned jaws. Accidents or developmental issues, such as finger or thumb sucking over an extended period of time, may cause malocclusions. See our Orthodontics page for more information.
The “Temporomandibular Joint,” more commonly referred to as the “jaw joint,” assists in the basic opening and closing movements of the jaw. Unfortunately, this joint is a common area for recurring pain. Although conventional wisdom suggests that “popping” sounds in the jaw indicates a TMJ dysfunction, this is not always true. Many times, your jaw is functioning properly even if a “popping” sound is present when chewing or talking.
We offer a TMJ exam that evaluates the joint tissue in the “hinge” of the jaw. Possible problems include swelling, deterioration of the joint tissue or damaged joint tissue, which cushions the jaw bones during the opening and closing movement of the mouth. Common pain relievers and cold compresses can provide temporary relief for most cases of TMJ.
For more serious cases of TMJ, we will recommend alternate treatments. Often, we will suggest using a mouthguard to relieve teeth grinding. In some cases, we will instruct you to use orthodontic appliances or retainers to alleviate discomfort or redirect positioning of the TMJ joint. Other cases respond well to the sanding of interfering teeth surfaces to stability the bite position. For the most severe cases of TMJ, possibly requiring certain invasive procedures, Dr. Khani will refer you to a specialist.
Snoring affects millions of people of all ages, both male and female. Oral appliance therapy is the most common treatment for the most severe snoring problems. Treatment procedures range from changing your sleep patterns to utilizing orthodontic-related appliances that help open the airways during sleep. These appliances are often more tolerable that a CPAP (a breathing appliance prescribed by a doctor), and can offer a remedy for sleep apnea at a much lower cost.
Snoring is caused by the vibrations of the soft palate; these vibrations occur because of increasingly narrow air passages. When air passes through these passages, a “flapping” sound occurs because the tissue is soft in nature. Surgery (to alleviate the snoring) is not always successful, however, because the sound may not originate from the soft palate; the snoring sometimes originates from tissues in the upper airway.
Common contributors to snoring include:
- Health problems
- Obstructed nasal passages – deviated septum
- Poor muscle tone of the tongue
- Daytime fatigue
- Sleep apnea
Loud snorers may have a more serious case of blocked air passages, known as obstructive sleep apnea syndrome (OSAS). In these cases, the blockage of air is so great that no air can get through, causing repeated awakenings throughout the night. Obstructive sleep apnea can contribute or lead to many other conditions, such as high blood pressure, stroke, heart attack and depression, so it is important to be diagnosed by a medical professional if you experience any sleep-related symptoms.