Family Dentistry of Ocean City
Robert W. Yaskin, D.M.D. LLC
421 15th Street
Ocean City, NJ 08226
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Sports drinks have grown in popularity since University of Florida football trainers developed Gatorade® in the 1960s. They're widely viewed as a convenient fluid and nutrient replacement after strenuous workouts. Recently, another beverage has become wildly popular — the energy drink, whose high caffeine promises heightened concentration and physical ability.
While energy drinks have raised health concerns, sports drinks are widely regarded as safe. Both kinds of drinks, however, may be a cause for concern when it comes to your dental health.
While both are substantively different, they do have one thing in common — both beverages contain high levels of citric and other acids to improve taste and shelf life. This high acidity can have a detrimental effect on tooth enamel.
When the mouth becomes too acidic after eating or drinking (4 or lower on the pH scale), the tooth's outer protective enamel begins to erode, a process known as demineralization. Saliva with its neutral pH of 7 can neutralize this over-acidity in about thirty minutes to an hour after eating and the enamel will actually begin to remineralize. But when there's an overabundance of acid, as with these beverages, saliva's neutralizing ability becomes inhibited. The mouth remains too acidic for a longer period, resulting in greater erosion of the enamel.
Generally speaking, we don't recommend energy drinks at all. If, however, you occasionally take in a sports drink, add the following precautions, if possible: combine the drink with a mealtime and rinse your mouth with pH-neutral water to wash away residual acid from the sports drink; and wait an hour before brushing your teeth — since some demineralization occurs before saliva neutralizes the acid, you could brush away some of the softened enamel before it can remineralize.
Finally, consider this: pure, clean water is still the best hydrator in the world. Replenishing your fluids with it after exercise might also be the better choice for your dental health.
If you would like more information on the effects of sports and energy drinks on oral health, 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 “Think Before you Drink.”
In a healthy tooth, a coating of enamel protects the crown — the part above the gum line — and a layer of cementum protects the tooth root below the gum line. Enamel and cementum are inert (nonliving) substances that do not respond to stimuli such as heat or cold; however, dentin, the living tissue below them, does. Dentin contains numerous microscopic tubules that readily transmit stimuli toward the nerve-filled center of the tooth (pulp tissue). Loss of protective enamel or cementum leaves dentin exposed to all sorts of stimuli in the oral environment, which can trigger “dentinal hypersensitivity” — anything from a mild twinge to shooting pain.
Fortunately, there are many options for treating hypersensitivity. The key to selecting the most appropriate one(s) is determining the cause(s). Some of the more common reasons for sensitivity due to dentin exposure include:
Sensitivity can also occur following a procedure like treating a cavity. Normally it subsides within a couple of weeks or so but if it continues there may be another underlying cause.
Whatever the source(s) of your discomfort, our office can get to the bottom of it and recommend an effective course of treatment that meets your personal needs!
If you would like more information about tooth sensitivity, 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 “Sensitive Teeth.”
Electric-powered toothbrushes have been in use for decades, and continue to enjoy wide popularity. But since their inception in the 1950s, there’s been a continuous debate not only about the best choice among powered toothbrushes, but whether powered toothbrushes are as effective in removing plaque as manual toothbrushes.
These debates are fueled by a large body of research over many years on powered toothbrushes. For instance, an independent research firm known as the Cochrane Collaboration has evaluated over 300 hundred studies of powered toothbrushes (over a thirty-year span) using international standards to analyze the data.
Surprisingly, they found only one type of powered toothbrush (using a rotation-oscillation action) that statistically outperformed manual toothbrushes in the reduction of plaque and gingivitis. Although from a statistical point of view the difference was significant, in practical terms it was only a modest increase in efficiency.
In all actuality, the most important aspect about toothbrushes in effective oral hygiene isn’t the brush, but how it’s used — or as we might say, “it’s not the brush so much as the hand that holds it.” The fact remains, after first flossing, a manual toothbrush can be quite effective in removing plaque if you brush once or twice a day with a soft-bristle brush using a gentle brushing motion.
Although a powered toothbrush does much of the work for you, it still requires training to be effective, just as with a manual toothbrush. We would encourage you, then, to bring your toothbrush, powered or manual, on your next cleaning visit: we would be happy to demonstrate proper technique and give you some useful tips on making your brushing experience more effective.
Remember too: brushing your teeth and flossing isn’t the whole of your oral hygiene. Although a critical part, brushing and flossing should also be accompanied with semi-annual professional cleanings to ensure the removal of as much disease-causing plaque as possible.
If you would like more information on types of toothbrushes, 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 “Manual vs. Powered Toothbrushes.”
You have probably heard a lot of people talk about TMJ disorders, but do you know what it all means? How do you know if you are suffering from a TMJ disorder?
Below are answers to some common questions about TMJ disorders.
What is a TMJ disorder?
First, we should explain that TMJ actually refers to the Temporomandibular Joint, which is the formal name for your jaw joint(s). TMD stands for Temporomandibular Disorders, which is the correct name for the muscle and/or joint symptoms that commonly arise when there is TMJ pain and dysfunction. You may have heard people refer to the actual disorder as TMJ, but this name is incorrect.
When I experience TMJ pain, what exactly is happening?
Let's first understand all of the parts that play a role in your pain. The temporomandibular joints connect your mandible (lower jaw) to your skull on both the left and right sides, which makes the lower jaw the only bone in the body with completely symmetrical joints at both ends. There is a ball-and-socket relationship between your jaw and your skull on both sides, but the unique part is the presence of a cushioning disk between the two surfaces in each joint. Each TMJ has a disk between the ball (condyle) and socket (fossa), and this sometimes ends up being an especially important area when trouble arises.
So, how do I know if I have TMD?
You can never be absolutely sure, but here are some symptoms you should be sure to share with us during your examination:
If diagnosed, what can I expect from treatment?
We will first need to assess the damage to your TMJ, and from there we will recommend a course of treatment to relieve your pain. Treatment may range from hot or cold compresses and anti-inflammatory medications to physical therapy or a bite guard. We may also advise you to do jaw exercises at home. In general, we will do our best to treat your issue without orthodontic treatment or surgery.
If you would like more information about TMD, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “Seeking Relief from TMD.”