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Earlier this season, New England Patriots coach Bill Belichick got together with his longtime QB, Tom Brady. This time, however, they were on opposite sides of the field. And although Brady and his Tampa Bay Buccaneers won the game, Belichick—or specifically his teeth and a pencil—may have garnered most of the media attention.
After noticing something between his teeth during the game, Belichick used the point of his pencil to work it out. Many of us are also guilty of such a dubious teeth-cleaning method, but we're not likely to be coaching a professional football team on national television while doing it. As you can imagine, hilarity ensued on social media concerning the video clip of Belichick's dental faux pas.
Lesson #1: Before you start digging between your teeth, be sure you're not on camera. More importantly, Lesson #2: Be choosy with what you use to clean between your teeth.
While we don't want to heap any more razz on the good coach any more than he's already received, a pencil should definitely be on the "Do Not Use" list for teeth cleaning. But, it's not the worst item people have confessed to employing: According to a recent survey, 80% of approximately a thousand adults admitted to working the edge of a business card, a strand of hair, a twig or even a screwdriver between their teeth.
Where to begin….
For one, using most of the aforementioned items is simply unsanitary. As your mother might say, "Do you know where that toenail clipping has been?" For another, many of these objects can be downright dangerous, causing potential injury to your teeth and gums (how could a screwdriver not?). And, if the injurious object is laden with bacteria, you're opening the door to infection.
There are better ways to rid your teeth of a pesky food ort. If nothing else, a plastic or wooden toothpick will work in a pinch—so long as it's clean, so says the American Dental Association.
Dental floss is even better since its actual reason for existence is to clean between teeth. You can always keep a small amount rolled up and stashed in your wallet or purse. Even better, keep a floss pick handy—this small piece of plastic with an attached bit of floss is ultra-convenient to use while away from home.
To summarize, be sure to use an appropriate and safe tool to remove that pesky food bit from between your teeth. And, be prepared ahead of time—that way, you won't be caught (by millions) doing something embarrassing.
If you would like more information about proper oral hygiene, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Daily Oral Hygiene.”

February is all about hearts—and not just on Valentine's Day. It's also American Heart Month, when healthcare professionals focus attention on this life-essential organ. Dentists are among those providers, and for good reason—dental health is deeply intertwined with heart health.
The thread that often binds them together is inflammation, a key factor in both periodontal (gum) and cardiovascular diseases. In and of itself, inflammation is a vital part of the body's ability to heal. Diseased or injured tissues become inflamed to isolate them from healthier tissues. But too much inflammation for too long can be destructive rather than therapeutic.
This is especially true with gum disease, an infection triggered by bacteria in dental plaque, a thin film that forms on the surface of teeth. If it's not substantially removed through daily brushing and flossing, along with regular dental cleanings, bacteria can grow and increase the risk of gum disease.
The infected gum tissues soon become inflamed as the body responds. This defensive response, however, can quickly evolve into a stalemate as the infection advances and the inflammation becomes chronic.
Arteries associated with the heart can also develop their own form of plaque, which accumulates on the inner walls. The body likewise responds with inflammation, which further hardens and narrows these vessels, leading to restricted blood flow and an increased risk for heart attack or stroke.
While it may seem like these are two different disease mechanisms, the same inflammatory response occurs in both. In fact, recent research seems to indicate that inflammation occurring via gum disease increases the likelihood of inflammation within the cardiovascular system. So, the presence of gum disease could worsen a heart-related condition—and vice-versa.
But the research also contains a silver lining. Controlling inflammation related to your gums could help control it elsewhere in the body, including with the heart. And, you can achieve that control by avoiding or reducing gum disease, which in turn can ease inflammation in your gums.
To sum it up, then, taking care of your teeth by brushing and flossing daily and seeing your dentist regularly to prevent gum disease could benefit your heart health. And, effectively managing chronic heart disease could also help you avoid an infection involving your gums.
You should also be alert to any signs your gums may be infected, including swollen, reddened or sensitive gums that seem to bleed easily. If you notice anything like this, see your dentist ASAP—the sooner you receive treatment, the easier it will be to get the infection—and inflammation—under control. Your gums—and perhaps your heart—will thank you.
If you would like more information about the links between dental disease and the rest of your health, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “The Link Between Heart & Gum Diseases.”

According to Dr. Suess, "Today you are You, that is truer than true. There is no one alive who is Youer than You." Indeed, you are different from everyone else on the planet. Your fingerprints, your DNA, even the shape of your outer ear, are all unique to you. And, in a society that pressures all of us to be alike, it's good to be reminded from time to time that it's okay to be different—including how your smile looks.
In fact, the thought has such a nice ring to it that some folks designate January as "It's OK to be Different Month," a good time to celebrate all the many ways we're unique from one another—and even in ways that might be considered imperfections.
For example, in terms of smiles, some people have a slight gap between their front teeth. Technically, it's a dental defect, and we can usually correct it with veneers or orthodontics. But a lot of people, including celebrities like Michael Strahan and Madonna, want to keep their gap—they consider it part of their personality, something that makes them, them.
The same could be said for other smile "quirks" like moderate dental misalignments (crooked teeth) or color variations—even a chipped tooth. If you consider it a comfortable part of who you are, then you do you, boo.
On the other hand, if there's something about your smile that you feel detracts from your appearance, you shouldn't have to live with it. And, fortunately, you don't.
Chipped tooth? Composite bonding could make it whole again. Misaligned teeth? Braces or clear aligners can straighten your smile. Missing teeth? You have numerous tooth-replacement options, with durable and life-like dental implants far and away the reigning champ of restorations.
More importantly, we can ensure that any cosmetic improvements you undergo enhance your uniqueness rather than diminish it. For example, we can fine-tune teeth whitening of dull and dingy teeth to achieve the level of brightness with which you're most comfortable—be it subtly natural or Hollywood dazzling.
The bottom line is that you can certainly undergo a complete smile makeover that radically transforms your appearance. Or, you can simply receive a few light cosmetic touches to make the smile you already like even better.
It's your decision—and it all begins with an exam to assess your current dental situation, followed by a discussion of your options. From there, you can choose just how much you want to change about your "Youer than you" smile.
If you would like more information about creating your own unique smile, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Cosmetic Dentistry.”

Millions of Americans live with osteoporosis, a degenerative bone disease that can turn a minor fall into a potential bone fracture. Literally meaning "porous bone," osteoporosis causes the natural marrow spaces in bone tissue to progressively grow larger and weaken the remaining bone.
Many osteoporosis patients take medication to slow the disease's process. But due to the dynamic nature of bone, some of these drugs can have unintended consequences—consequences that could affect dental care.
As living tissue, bone is literally "coming and going." Certain cells called osteoblasts continuously produce new bone, while others called osteoclasts remove older tissue to make way for the new. Drugs like bisphosphonates and RANKL inhibitors interrupt this process by destroying some of the osteoclasts.
As a result, more of the older bone remains past its normal lifespan, helping the bone overall to retain strength. But ongoing research is beginning to hint that this may only be a short-term gain. The older, longer lasting bone is more fragile than newer bone, and tends to become more brittle and prone to fracture the longer a patient takes the drug. This tissue can also die but still remain intact, a condition known as osteonecrosis.
The femur (the large upper leg bone) and the jawbone are the bones of the body most susceptible to osteonecrosis. Dentists are most concerned when this happens in the latter: Its occurrence could lead to complications during invasive procedures like oral surgery or implant placement.
Because of this possibility, you should keep your dentist informed regarding any treatments you're undergoing for osteoporosis, especially when planning upcoming dental procedures like oral surgery or implant placement. You might be able to lower your risk by taking a "drug holiday," coming off of certain medications for about three months before your dental work.
As always, you shouldn't stop medication without your doctor's guidance. But research has shown drug holidays of short duration won't worsen your osteoporosis. If you're already showing signs of osteonecrosis in the jaw, a short absence from your prescription along with antiseptic mouthrinses and heightened oral hygiene could help reverse it.
Fortunately, the risk for dental complications related to osteoporosis medication remains low. And, by working closely with both your dentist and your physician, you can ensure it stays that way.
If you would like more information on osteoporosis and your dental care, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Osteoporosis Drugs & Dental Treatment.”

Since his breakout role as Dr. Doug Ross in the 90's TV drama ER, George Clooney has enjoyed a blockbuster career as an award-winning actor, director and producer. He's still going strong, as seen in the recent film The Midnight Sky, which Clooney directed and starred in. This sci-fi drama set a record as the most-watched movie on Netflix for the first five days after its late December release. And although now well into middle age, Clooney still possesses a winsome charm epitomized by his devil-may-care smile.
But he didn't always have his enigmatic grin. Early on, his struggles pursuing his burgeoning acting career triggered a stressful habit of grinding his teeth. This took a toll, as his teeth began to look worn and yellowed, giving his smile—and him—a prematurely aged appearance.
Clooney's not alone. For many of us, our fast-paced lives have created undue stress that we struggle to manage. This pent-up stress has to go somewhere, and for a number of individuals it's expressed through involuntary grinding or gritting of the teeth. This may not only lead to serious dental problems, but it can also diminish an otherwise attractive smile.
There are ways to minimize teeth grinding, the most important of which is to address the underlying stress fueling the habit. It's possible to get a handle on stress through professional counseling, biofeedback therapy, meditation or other relaxation techniques. You can also reduce the habit's effects with a custom-made oral device that prevents the teeth from making solid contact during a grinding episode.
But what if teeth grinding has already taken a toll on your teeth making them look worn down? Do what Clooney did—put a new “face” on your teeth with dental veneers. These thin layers of porcelain are bonded to teeth to mask all sorts of blemishes, including chips, heavy staining and, yes, teeth that appear shortened due to accelerated wearing. And they're custom-designed and fashioned to blend seamlessly with other teeth to transform your smile. Although they're not indestructible, they're quite durable and can last for years.
Veneers can correct many mild to moderate dental defects, but if your teeth are in worse shape, porcelain crowns may be the answer. A crown, which bonds to a prepared tooth to completely cover it, allows you the advantage of keeping your natural tooth while still enhancing its appearance.
Although different in degree, both veneers and crowns require permanently altering the teeth, such that they will require a dental restoration from then on. But if you're looking for an effective way to transform your worn or otherwise distressed teeth into a beautiful smile, it's a sound investment.
Just like George Clooney, your smile is an important part of who you are. We can help you make it as appealing as possible with veneers or other dental enhancements. Call us today to get started on the path to a more attractive smile.
If you would like more information about dental veneers and other smile enhancements, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Porcelain Veneers.”
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