Diabetes Awareness Month

November marks National Diabetes Awareness Month. As a dental practice that specializes in implants and periodontal disease, diabetes education is especially important to us at the Massachusetts practices of Dr. Martin Urban. Diabetes is closely linked to gum inflammation, and people who have it need to understand that they are at greater risk in order to protect themselves.

People with high blood sugar are especially prone to developing inflammation. This means that their gum tissue will have a more extreme response to the acid normally produced by oral bacteria as they metabolize sugar. In people with uncontrolled blood sugar, it is also more common for gingivitis to develop into periodontal disease, which means that their gums recede and they will eventually lose jaw bone tissue. While this would be a serious problem for anybody, research also indicates that diabetes and periodontal disease exist in a vicious circle, with the toxins resulting from periodontal disease making it harder for the body to regulate blood sugar.

Regular brushing and flossing are essential for controlling the population of oral bacteria. People with diabetes should especially be on the look-out for gingivitis symptoms such as swelling and bleeding gums. Regular dental cleanings, which break up plaque and remove infected material from below the gum line, will help people with difficulty controlling their blood sugar to avoid the more advanced stage of gum disease. We can also provide prosthetic teeth to people who have already suffered from periodontitis.

To schedule an appointment with Dr. Martin Urban, call 508-425-9640 or visit us at Martin Urban DDS.

 

Lip Care in Cold Weather

As the weather cools and we head into the winter, many people are struggling with chapping on their lips. This isn’t just painful or inconvenient, although that would be bad enough. Lip damage can lead to dry mouth and create problems for oral health. People who have recently undergone procedures such as implant placement and are drooling more than normal can be especially impacted. So to help our patients maintain good oral health, we at Dr. Martin Urban’s Massachusetts dental practice wanted to provide guidance on lip care.

Our lips become chapped because of the low moisture content in cold air. But if we add moisture to them by licking or chewing on them, that moisture will evaporate, leaving them even more chapped. Instead, we should use balm to lock moisture in. When picking a balm, it is important to avoid spice, eucalyptus, menthol, or salicyclic acid, as these often cause inflammation and can further burn pre-existing fissures. By contrast, chemicals like titanium oxide and zinc oxide will provide protection against sun damage. Other good options include balm derived from mineral oils.

Balm has to be applied throughout the day and before a person goes to bed. Other lip care strategies include staying hydrated and using a humidifier in the bedroom, at a desk, and anywhere else we spend a lot of time. It is also tempting to take long showers this time of year, but this will likely increase chapping on the lips and the rest of the body.

To schedule an appointment with Dr. Martin Urban, call 508-425-9640 or visit us at Martin Urban DDS.

 

Retained Baby Teeth

As a dental office that specializes in implants and periodontology, we at the practice of Dr. Martin Urban have seen some unusual conditions. Among those are patients who have retained their baby teeth past puberty. This often results in a need for replacement teeth, so we wanted people to know what options are available for their assistance.

Deciduous teeth, or baby teeth, usually fall out when the incoming adult tooth causes the baby tooth’s root to dissolve. This may not happen if the adult tooth never developed or if it is coming in at an unusual angle. Usually, if a patient has both the adult and deciduous versions of the same teeth, it is the lower central incisors or upper canines that are affected. The upper lateral incisors are the teeth that are likeliest to be missing. Either way, a patient’s teeth are will be jumbled, and they may also be overcrowded or misaligned enough to cause bite problems.

Usually, extracting retained baby teeth is a simple process. Once they are out, a patient may be referred for orthodontic therapy to correct their adult teeth’s alignment. If they need prosthetic adult teeth, the orthodontist will make space for them, and we can place implants in the newly opened gaps.

To schedule an appointment with Dr. Martin Urban, call 508-425-9640 or visit us at Martin Urban DDS.

Missing Incisors

Implants are one of our specialties at the dental office of Dr. Martin Urban. Although they are often marketed as replacement teeth, they also work for people whose teeth never came in at all.  This condition is rare, but we still wanted to discuss what kinds of treatments are available.

It is relatively common for the wisdom teeth and upper canines to have trouble erupting, but in about 2% of adults, the upper lateral incisors never come in. (Lateral incisors are the flat teeth on either side of the central ones.) When they are unable to erupt, we can cut away the gum tissue covering them, allowing an orthodontist to attach brackets to them and guide them down with wires. But if the teeth simply never developed, the orthodontist would have to make room for them by opening gaps between the existing teeth.

The circumstances of a patient’s condition will determine whether implants or a partial denture should be used to provide them with incisors. Implants require a bit of jaw bone tissue to work with, but they won’t have to be adjusted as the patient ages. Many people also find them easier to clean. If a patient does get a partial denture, they may still benefit from miniature implants to snap it onto, ensuring that it will remain in place and their jaw tissue will have additional support.

To schedule an appointment with Dr. Martin Urban, call 508-425-9640 or visit us at Martin Urban DDS.

 

Types of Teeth

Implants and periodontal therapy are our specialties at the dental office of Dr. Martin Urban. But to understand the full range of their treatment options, patients must first understand the basic function of their teeth. Adults normally grow thirty-two in total, and each type can have different issues.

The four teeth in the front of the mouth are called incisors. Their flat shape makes them useful for forming speech and they are the focus of most cosmetic care. In a small number of people, the upper lateral incisors may be missing, or the baby versions of the bottom central incisors may fail to fall out as their adult replacements come in. Framing the incisors are the cuspids, or canine teeth, which are sharp and used for piercing. They occupy the part of the jaw arch with the greatest change in rate of curvature and help to maintain facial stability.

The molars and premolars have multiple cusps and are used for grinding food. The premolars only have a single tooth root, but the lower molars have two and the upper ones have three. Wisdom teeth, the molars furthest in back, are often removed in teenagers because of their difficulty erupting and are generally not replaced. Molars are anchored by strong ligaments and are the only teeth capable of withstanding the pressure of chewing. But even they can crack if subjected to grinding during the patient’s sleep.

To schedule an appointment with Dr. Martin Urban, call 508-425-9640 or visit us at Martin Urban DDS.

Denture Stomatitis

We’ve placed a lot of prosthetic teeth at the dental office of Dr. Martin Urban. Many of them were dentures, which may have been attached to implants or allowed to rest on the gum ridges. In either case, we always encourage our patients to maintain their oral hygiene, because if they don’t, they will be at risk of developing denture stomatitis.

Candida species of yeast are always in the mouth, but they are not usually able to cause harm. Saliva contains enzymes that combat them, and people are usually able to keep their teeth clear of debris. But when someone has an upper denture adhered to the roof of their mouth, saliva may not be able to reach the top of the denture. This would allow a yeast infection to develop, creating the red sores we call stomatitis.

A patient isn’t always able to feel when sores have developed, so they need to do frequent examinations of their mouth. An infection is likelier to occur when the dentures are the wrong size, which can also lead to saliva pooling at the corners of the mouth and causing chapping. People with diabetes or who use inhalers are also at increased risk for stomatitis. Patients with dentures should remember to brush the inside of their mouth before putting their dentures in each morning and to make sure that they’re clearing debris away from implant abutments. They should also stay hydrated and might want to consider mouthwash.

To schedule an appointment with Dr. Martin Urban, call 508-425-9640 or visit us at Martin Urban DDS.

 

Repairing Cracked Teeth

A cracked tooth is an emergency that demands immediate treatment. At the dental office of Dr. Martin Urban, one of our specialties is removing and replacing teeth with durable, attractive prosthetics. Different kinds of implants, crowns, and smaller prosthetics exist for a wide variety of situations relating to the extent of the injury and the patient’s overall condition.

Small cracks are known to dentists as “craze lines” and are considered a cosmetic issue. They, as well as chipping, may be covered with bonding. Like the fillings for cavities, these prosthetics are shaped as they are applied. Larger restorations, such as a crown or partial crown, will have to be shaped based on a physical or digital impression of the patient’s teeth. If a crack went into the pulp, a patient might be referred for a root canal prior to having their crown replaced in order to protect them from infection.

Cracked crowns can be replaced, but if a crack went into the tooth’s root, the entire tooth will have to be removed. Options for replacing it include implants, removable dentures, and fixed bridges in cases when more than one tooth is damaged. Implants that have become unstable also need to be replaced. To avoid cracking their teeth, patients are advised to wear mouthguards during sports and night guards if they clench their jaws in their sleep. They should also avoid using their front teeth for chewing or as tools.

To schedule an appointment with Dr. Martin Urban, call 508-425-9640 or visit us at Martin Urban DDS.

 

Mouthguard Usage

Mouthguards are essential for good dental health. At the office of Dr. Martin Urban, we specialize in restorations and often assist people who chipped or lost teeth in sports-related accidents. It’s a shame whenever restored teeth are further damaged by preventable emergencies, so we want our patients to understand the basics of their mouthguard options and how to maintain these crucial oral appliances.

Athletic stores sell one-size-fits-all mouthguards that offer basic protection. People are better off using these than nothing at all, but some people find that their bulkiness obstructs their breathing. Better-fitted mouthguards avoid this problem. Although there are options for having a mouthguard custom-fitted, people whose teeth are still shifting rapidly, such as teenagers and people undergoing orthodontic therapy, might prefer a boil-and-bite model. These models can be adjusted each month at orthodontic examinations and may be shaped to slide over braces.

Formal athletic associations require athletes to wear mouthguards as appropriate, with people who wear braces sometimes being required to wear both upper and lower mouthguards. Dentists also recommend that people wear mouthguards whenever they go jogging, cycling, or skating. Mouthguards and their containers should be cleaned with antibacterial soap and patted dry after each use. Like dentures, they need to be kept out of extreme temperatures to avoid cracking or warping.

To schedule an appointment with Dr. Martin Urban, call 508-425-9640 or visit us at Martin Urban DDS.