Steer clear of that candy!

March 8th, 2016

At Sidney D. Kelly, DMD Family and Cosmetic Dentistry, we know how tempting candy can sometimes be on our sweet tooth, but it’s important to remember that every candy and sugary treat you consume elevates your risk of developing tooth decay, which can break down your teeth.

While not all bad in moderation, when eaten in excess, candy can lead to big problems, especially if good oral hygiene habits are not followed. We have a few helpful tips if you just can’t stay away from all those treats:

1. Consume candy and other sweets during meals when your saliva can help neutralize the acids that are found in some candies, especially the sour variety.

2. Avoid sticky or hard candies, which can stay in your mouth longer than you think, resulting in acids being constantly exposed to your teeth. That leads to cavities and tooth decay.

3. Make sure the water you drink is fluoridated. Water that is fluoridated has been shown to help prevent cavities.

4. Make sure to maintain your daily oral hygiene habits. This includes brushing twice a day, and flossing at least once.

5. Visit our office twice a year for regular dental checkups and cleanings with Drs. Sidney and Jacob Kelly. During your visit, we can help catch problems such as cavities early to reduce the effects they have on your teeth, as well as give you tips for improving your oral health.

We hope these tips have helped! To learn more about cavity prevention, or to schedule your next visit at our convenient Roseville, CA office, please give us a call!

Women’s Medications and Dry Mouth

March 8th, 2016

Women using medication to treat a variety of medical conditions are often unaware of the potential side effects. One common side effect of medications such as blood pressure medication, birth control pills, antidepressants, and cancer treatments is dry mouth. The technical term for dry mouth is xerostomia.

Xerostomia can lead to undesirable effects in the oral cavity including periodontal disease and a high rate of decay. Many women who have not had a cavity in years will return for their routine exam and suddenly be plagued with a multitude of cavities around crowns and at the gum line, or have active periodontal disease. The only thing that the patient may have changed in the past six months is starting a new medication.

Saliva washes away bacteria and cleans the oral cavity, and when saliva flow is diminished harmful bacteria can flourish in the mouth leading to decay and gum disease. Many medications can reduce the flow of saliva without the patient realizing the side effect. Birth control pills can also lead to a higher risk of inflammation and bleeding gums. Patients undergoing cancer treatments, especially radiation to the head and neck region, are at a greatly heightened risk of oral complications due to the possibility of damage to the saliva glands.

There are many over the counter saliva substitutes and products to temporarily increase saliva production and help manage xerostomia. One great option for a woman with severe dry mouth or high decay rate is home fluoride treatments. These work in a number of ways, including custom fluoride trays that are worn for a short period of time daily at home, a prescription strength fluoride toothpaste, or an over the counter fluoride rinse. If you have more questions on fluoride treatments, make sure to ask Drs. Sidney and Jacob Kelly at your next visit to our office.

The benefits of many of the medications on the market outweigh the risks associated with xerostomia, however, with regular exams you can manage the risk and prevent many oral consequences of medications.

What stinks?

March 8th, 2016

Spilling soda on someone’s white shirt, telling an off-color joke at an inappropriate time, or sneezing chewed food all over the dinner table all pale in comparison to the socially unacceptable, embarrassing blunder of having ... bad breath!

Five Possible Causes of Halitosis

  • Poor oral hygiene practices. Failing to brush your teeth encourages anaerobic bacteria growth, which involves a type of bacteria that emits volatile sulfur compounds (gases) responsible for smelly breath.
  • If you have tonsils, you may have tonsil stones embedded in the fissures of your tonsils. Tonsil stones are hard, tiny pieces of bacteria, dead oral tissue, and mucus that form inside tonsil crevices. When accidentally chewed, they release extremely foul odors that others can smell and you can actually taste.
  • You have a chronically dry mouth due to medications, allergies, or persistent sinus conditions that force you to breathe through your mouth. Anaerobic bacteria thrive in dry, stagnant environments where oxygen content is minimal. Consequently, a dry mouth tends to lead to smelly breath.
  • You have acid indigestion or GERD (gastroesophageal reflux disease). If you constantly belch stomach gases, this not only causes your breath to smell fetid but it can lead to enamel erosion and tooth decay.
  • You have one or more oral diseases: gingivitis, periodontitis, or infections in the gums known as abscesses.

Improving oral hygiene practices may eliminate bad breath, but if brushing, flossing, and rinsing with a fluoride mouthwash twice a day doesn’t stop people from backing away from you when you open your mouth, it’s time to visit Sidney D. Kelly, DMD Family and Cosmetic Dentistry.

What exactly is a root canal?

February 17th, 2016

Hearing that you need a root canal can be highly intimidating. What is a root canal? It is the removal of the nerve supply from the tooth. Here, Drs. Sidney and Jacob Kelly will describe the parts of a tooth and explain the reasons for a root canal and how it is done when you visit us in our Roseville, CA office.

Your tooth is made up of many layers. The outside layer is called enamel and is made of minerals. The middle layer is dentin, which is also a calcified tissue, but less dense. The center of the tooth is called the pulp, and that hosts the nerves and blood vessels. A root canal is the removal and replacement of this center with a sterile filling.

A root canal is needed when an infection spreads to the center of the tooth. This can be from trauma (recent or previous), a cavity, a severe crack, or other compromise that causes nerve damage. An X-ray and examination are required to see if a root canal is needed. Symptoms may include but are not limited to pain, swelling, change in tooth color, and over-reaction to temperature change or pressure.

When it is time to begin, you’ll receive local anesthesia (via injection) to make you most comfortable. A rubber dam is used to isolate the tooth, while other equipment determines the nerve location and maintains a sterile working environment. All of the infected area is removed including the nerve tissue and blood vessels. Then, medicines are used to sterilize and alleviate any pain. Next is the placement of a filling material in the spot where the nerve used to be.

When your nerve and blood supply are taken away, the tooth is non-vital, or dead, and can become weak and fragile. If your tooth is badly decayed, a large portion of it will have to be removed. It is recommended to place a crown on the tooth to keep the enamel from breaking or falling apart. If you do not get a crown, you could eventually lose the tooth to more decay or infection. The tooth could also break off completely and you would have to have an extraction. The crown fits over the top of the tooth and secures it from breaking down.

A root canal saves the life of a tooth that would otherwise succumb to further infection and eventually extraction. Infection is the cause of most-needed root canals. If you are ever unsure what is happening at your appointment, don’t be afraid to ask questions so you understand the procedure completely.

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