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Bulimia, how it harms your teeth.

How Bulimia Harms your teeth

Bulimia teeth typically look worn in ways that healthy teeth do not. The back sides of the front teeth show significant wear and tear. This uncommon pattern is a major sign. It only takes 6 months to begin to see the negative effects of vomiting. Teeth can’t hold up under the damage of stomach acid forever, some may begin to yellow, become more brittle, or have a more porous texture. Chipping may also begin to occur at this stage.

This is because of your teeth’s regular exposure to stomach acids. These acids begin to corrode the protective enamel layer around your teeth. The more you purge, the more they come into contact with this delicate covering. The sugary foods that bingeing often involves can make tooth decay even worse. This can lead to tooth sensitivity to cold foods, warm foods, and sweets.

Not only does constant cycles of bingeing and purging harm your teeth, it also take a massive toll on the heart, digestive tract, and kidneys, to name a few.

Unexpected problems bulimia can cause

  • Bite problems – back teeth are especially susceptible to long-term erosion, and patients could even lose them over time. Once this happens, your bite could become painful. This stage presents about 3 years into frequent vomiting.
  • Gingivitis and periodontal disease – (almost inevitable) Stomach acid repeatedly washes against the gums, causing inflammation and damage. As the gums weaken, the teeth they hold can become loose or, in extreme cases, even fall out.
  • Sore oral tissues – the skin in your mouth and throat can experience this wear and tear as well. This is particularly hard on the roof of your mouth and your esophagus as acid moves through. Painful sores can emerge, swell, or become infected, resulting in a chronic sore throat and aching mouth.
  • Jaw pain – vomiting and binge eating put patients in a high risk category for chronic jaw pain, headaches, chewing issues, and snoring.
  • Lower saliva production – This slower flow leads to higher instances of dry mouth.Stomach acid can irritate your salivary glands, leading to difficulty swallowing. Furthermore, the presence of saliva defends your teeth from decay. Its absence can worsen cavities already caused by erosion.

Seek Help

Dental work can only repair eroding teeth and other issues. It cannot reverse or stop the effects of bulimia. Your mouth and body will continue to suffer as long as this habit continues, so opt for long-term solutions as well.

Your teeth are incredibly important, but so is your well-being. There are resources available to you that will improve your health and relationship with eating. As dentists, we play one part in the whole story of restoring you back to the healthiest version of yourself.

Dental Anxiety – How we can help

The Fear Stops Here: Techniques for Coping with Dental Anxiety

Every day, your dentist welcomes patients into their practice that are dealing with dental anxiety. While there are many degrees, the fear and anxiety associated with dental visits can sometimes prevent patients from seeking the dental care they need, resulting in more significant problems in the future.

As your partner in oral health, your dentist wants you to know that they’ll always do their best to put you at ease during visits. Here are a few ways that you can work to overcome dental anxiety and feel more comfortable during your time with your dentist.

Communication is key

One of the most effective ways to overcome dental anxiety is to communicate your fears and concerns with your dental office. They’ll help you understand the treatments you’ll undergo, the level of discomfort you can expect, and how they’ll help make the experience more comfortable for you.

Try relaxation techniques

Relaxation techniques such as deep breathing, meditation, and visuali[z]ation can help reduce anxiety and make dental visits less stressful. Before your appointment, take a few minutes to practice deep breathing exercises or visuali[z]ation techniques to help calm your nerves. During your appointment, try to focus on your breathing or visuali[z]e a calming scene to help reduce your anxiety.

Choose a distraction

Distraction techniques such as listening to music, watching TV, or reading a book can help take your mind off of the treatment.

Bring a friend or family member

Having a friend or family member with you during your visit can help provide comfort and support. Your companion can help distract you and provide reassurance throughout the visit.

Consider sedation

For patients with severe dental anxiety, sedation can be an effective option to help them relax during their dental procedure. There are different levels of sedation, from mild sedation (such as laughing gas) to deep sedation (such as general anesthesia). Your dentist is happy to offer sedation options in the practice–call them to learn more.

If you are experiencing dental anxiety, your dentist will work with you to develop a plan that allows you to feel more comfortable and confident during your time with them!

Dental Cleaning – What to expect

Have you every gotten your invoice after your dental cleaning and wonder what the heck it all means? What on earth is prophylaxis… or root planning? What am I paying for?!

Recall/Recare exam

This exam is performed by your dentist – they will check any areas of concern noted by your hygienist, check your oral tissues, look at past x-rays as compared to your current ones, and check any other functional or aesthetic problems you wish to discuss.

Scaling

When using an ultrasonic scaler, a vibrating metal tip on the tool chips tartar off of your teeth above your gum line. Then, a water spray on the scaler washes away the tartar and flushes plaque from the gum pockets. Or, your hygienist will use a manual (not powered) hand scaler and scraping device to remove small remaining pieces of tartar.

Root Planning

Root planing is like tooth scaling except it takes place on the roots of your teeth that sit below your gum line.During root planing, your hygienist will use a tool to gently push aside your gum tissue and expose the surface of the roots. Then uses the same tooth scaling tools to chip tartar from the roots, making them smooth.

Prophy/Prophylaxis

This is what most people call “polishing”. A slow speed dental drill with a rubber cup attachment is dipped in a slightly abrasive polishing paste and used to clean and polish the teeth. It moves in a rotational pattern and feels similar to brushing your teeth.

Fluoride – Varnish/Trays/Rinse

Fluoride varnish: is a liquid form of fluoride that it brushed onto your teeth at the end of your cleaning appointment. It comes in many flavours and is the most effective form of fluoride application. Though you no longer leave the dentist with that squeaky clean feeling, you’re doing your tooth enamel a world of good!

Fluoride Trays: Your hygienist places a thin ribbon of the fluoride gel into each upper and lower fluoride tray. The trays are seated on the upper and lower teeth and remain in place for 5 minutes. Only a small amount of fluoride should come out of the base of the trays when they are placed, otherwise, there may be too much fluoride in the trays. After 5 minutes, they trays are removed and you spit out the remaining fluoride. It is very important not to rinse your mouth, drink or eat for at least 30 minutes after your cleaning.

Fluoride Rinse: While we do not use fluoride rinse as it is proven to be clinically ineffective, it is used much like a mouth wash (such as Lysterine) and swished in the mouth for 30 seconds and spit out.

Bite Wings/Periapical X-Rays

A bite wing x-ray shows the upper and lower back teeth in a single view and is taken to see how the upper and lower teeth line up, to check for decay, and discover bone loss due to infection and serious gum disease. A periapical x-ray shows your entire tooth, from the crown to the root tip. They are particularly useful when diagnosing abscesses and necessary root canal treatment. X-rays are not taken at every cleaning, but we recommend doing them annually or if you are having a particular problem that needs diagnosis.

Panographic X-Ray

A panoramic x-ray is a two-dimensional (2-D) dental x-ray hat captures the entire mouth in a single image, including the teeth, upper and lower jaws, surrounding structures and tissues. It is taken in a special machine that goes around the head and captures images of your entire mouth, face from the nose down, sinuses, and nerves.

Velscope

A velscope is a wireless handheld device that uses natural tissue fluorescence to enhance our ability to detect abnormalities in the mouth that are often invisible to the naked eye. Unlike regular oral cancer screening, which involves visual examination for red, white, or black spots in the mouth, Velscope uses a superior blue light to excite molecules deep within the layer of our oral mucosal tissues, i.e. the mucous membrane lining the inside of the mouth. These excited molecules then emit their own light in shades of green, yellow, and red. The Veloscope’s proprietary filter makes fluorescence visualisation possible through blocking the reflected blue light and enhancing the contrast between the normal and abnormal tissue. Basically, Velscope allows dentists to detect dysplastic cells or cells that are just beginning to make their transformation into pre-cancerous cells through abnormal fluorescence patterns.

As always, if you have any questions about you bill, please contact our front desk and we’d be happy to explain all charges.

Fluoride Benefits and Information

Fluoride is a mineral which is naturally found in Canada’s water, food, soil, and air.

We have used fluoride to prevent tooth decay since the 1940’s. In fact, it has been scientifically proven to:

  • strengthen tooth enamel
  • lower the amount of acid in your mouth
  • rebuild minerals that make teeth stronger

Sources of fluoride to prevent tooth decay

Toothpaste

Brushing your teeth with fluoridated toothpaste helps prevent tooth decay.

Water

Drinking water that contains an optimal level of fluoride helps prevent tooth decay.

Varnishes

Varnish prevents tooth decay in people who are at risk for the disease. Varnish should be painted on your teeth by someone who has been trained to do so.

Mouth rinses

Mouth rinses or mouthwashes prevent tooth decay in people who are at risk for the disease. Talk to your oral health professional before using them. Never give fluoridated mouth rinses or mouthwashes to children under 6 years of age. These rinses contain very high levels of fluoride, and young children are more likely to swallow them.

Gels and foams

Gels and foams are applied to the teeth to prevent tooth decay in people who are at risk for the disease. However, research shows that they do not work as well as varnish.

Supplements

Fluoride supplements are drops or tablets. Only take them if an oral health professional advises you to.

Effects on health

Fluoride is good for your teeth, but having too much can cause two potential effects on health:

  • dental fluorosis
  • skeletal fluorosis

Aligner Tray Cleaning – How to

How To Clean Aligner Trays: What TO DO

There are plenty of varying tips for cleaning your aligner trays, and advice will probably differ slightly even from dentist to dentist. That being said, the general guidelines are as follows:

When and How Many Times Do I Have to Clean Aligner Trays?

It would be best to clean your aligners at least twice daily, using a soft-bristled toothbrush and lukewarm water to gently remove stains, bacteria, and food particles. You can gently brush your aligners after every meal before putting them back in your mouth, but you should at least rinse them if you don’t brush them.

Once every few days or once per week, you should soak your aligners in a special cleansing solution.

How To Clean Aligner Trays: What NOT to DO

There are a surprising amount of rules and guidelines when it comes to cleaning your  aligners, but it’s imperative that you follow them lest you ruin your trays and have to order more, delaying your treatment time and potentially costing you more as well. So, before you go about cleaning your aligners, take a look at the list of don’ts when it comes to aligner cleaning:

Vaping and Cavities – What you need to know

A vaping habit could end up leading to a tarnished smile, and more frequent visits to the dentist.

Research from Tufts University School of Dental Medicine found patients who used vaping devices have a higher risk of developing cavities. With CDC surveys reporting that 9.1 million American adults — and 2 million teenagers — use tobacco-based vaping products, that means a lot of vulnerable teeth.

The association between vaping and risk of cavities serve as an alert that this once seemingly harmless habit may be very detrimental.

Over the last few years, public awareness has increased about the dangers of vaping to health, particularly after the use of vaping devices was tied to lung disease. Some dental research has shown ties between e-cigarette use and increased markers for gum disease, and, separately, damage to the tooth’s enamel. But relatively little emphasis has been placed on the intersection between e-cigarette use and oral health, even by dentists.

The recent findings of the research may be just a hint of the damage vaping causes to the mouth. “The extent of the effects on dental health, specifically on dental decay, are still relatively unknown,” lead researcher, Karina Irusa says.

This study, Irusa says, is the first known specifically to investigate the association of vaping and e-cigarettes with the increased risk for getting cavities. She and her colleagues analyzed data from more than 13,000 patients older than 16 who were treated at Tufts dental clinics from 2019-2022.

While the vast majority of the patients said they did not use vapes, there was a statistically significant difference in dental caries risk levels between the e-cigarette/vaping group and the control group. Some 79% of the vaping patients were categorized as having high-caries risk, compared to just about 60% of the control group.

One reason why e-cigarette use could contribute to a high risk of cavities is the sugary content and viscosity of vape liquid, which, when aerosolized and then inhaled through the mouth, sticks to the teeth. Vaping aerosols have been shown to change the oral microbiome making it an ideal host to decay-causing bacteria. It’s also been observed that vaping seems to encourage decay in areas where it usually doesn’t occur, such as the bottom edges of front teeth.

“It takes a lot of investment of time and money to manage dental caries, depending on how bad it gets,” Irusa says. “Once you’ve started the habit, even if you get fillings, as long as you continue, you’re still at risk of secondary caries. It’s a vicious cycle that will not stop.”

Restoration Care – Care for your restorations

HOW TO CARE FOR YOUR NEW RESTORATION.

Congratulations on your new veneer, crown, or bridge!

By following some simple guidelines you can extend the life of your crown, bridge, or veneer:

PREVENT FRACTURES
While our lab uses the highest quality materials, it doesn’t mean your veneers, crowns, or bridges are unbreakable. Stress can trigger clenching and teeth grinding which puts extreme pressure on your teeth and restorations. This can cause cracks and fractures to your teeth and veneers.
If you grind your teeth at night it is important to discuss this with Dr. Shahriary and have a night guard fabricated. Similarly, it is important to wear a sports guard when participating in contact sports.
Many people use their teeth to break tags from clothing, open packages, bite their nails, etc.

Teeth are not pliers or tools; and using them as such puts you at high risk of breaking your restorations AND your natural teeth.

HYGIENE
You can still develop tooth decay even when you have veneers, crowns, or bridges. The margin where the restoration meets your natural teeth is a particularly susceptible area. Protect your investment by flossing everyday, brushing twice a day, cleaning under your bridge, and having regular cleaning and check ups. Healthy, pink gums are the clearest indicator of a healthy smile.
Always tell your new dentist or hygienist if you have veneers, crowns, or bridges. Lab work has become so detailed that it can be difficult to tell which teeth are restored and which are natural!

Call us today to book an appointment to discuss your dental needs. We want to help you achieve the smile you have always dreamed of!

Saba Sets Sail with Dr. Shahriary’s Office

Chances are, if you have had a crown or bridge done in our office in the last few years it was made by Nassar at Saba Dental Lab. This August, our office was fortunate enough to be invited out on Nassar’s sail boat for an evening of delicious food and gorgeous sights in Deep Cove.

Dr. Ross helped Nassar dock the boat and fuel while Morgan and Nada earned their “sea legs”. Beth and Dani soaked up the child-free sunshine. A great time was had by all.

While on a quick stop over at Arm’s Reach Bistro for appetizers and drinks, Dr. Ross and Nassar realized they had a connection back home in Iran. Nassar’s lab used to make crown and bridge work for the hospital that Ross’s father helped build!

We feel so fortunate to have beautiful  Saba work in our patient’s mouths. His crowns and bridges look natural, they’re durable, and are of exceptional quality.

 

Gifts Your Teeth will Love

Give the gifts of beautiful teeth this holiday season. Dental products can make a great gift whether your budget is big or small!

Tooth brushes and tooth paste make great stocking stuffers. Especially for kiddos who are still learning how to brush. Bristles can become chewed up and ineffective faster when toddlers are just learning to brush.

Bigger kids may find their brushing technique more effective with a disposable electric brush. These do a better job of cleaning the teeth, even when your child’s brushing style is less than ideal.

Fun flavours of toothpaste encourage good oral hygiene habits and get kids excited to brush every day.

If you have a bigger budget for gifts, electric tooth brushes can greatly improve oral hygiene. Oral B electric toothbrushes have a round head and behave like a dental tooth would in our office – though the can be a touch loud, the brushing technique is highly effective. If the noise of an Oral B brush is too much for you we also recommend Philips Sonicare toothbrushes. They are quieter than the Oral B, though often more expensive.

Do you have a big event coming up in 2022 or do you want your smile to be glamorously white for your New Years Kiss? Treat your self to the gift of tooth whitening. Our office offers Opalescence Go (a more concentrated version of a white strip), Custom Trays made for your teeth that come with take home bleach syringes, or in-office whitening for the fastest results.

Not sure which gifts to pick? Call our office to discuss your specific dental needs!

Costumes Inspired by your Dental Office!

Not sure which costume to buy this year? Need some last minute inspiration? We’ve got you! No one else at the party will be wearing these!

Darla from Finding Nemo

Costume

Who could forget Darla the “Fish Killer” from Finding Nemo? She’s the niece of Dr. P. Sherman (42 Wallaby Way, Sydney) and with a Dentist for an Uncle you know she’s getting a deep discount on that headgear!

Toothbrush, Toothpaste, and Tooth

The classic trio. If you’re looking for group costumes, this is a combo that’s sure to stand out. You might even remind your friends to brush after all of that sticky candy you’ll be eating Halloween night.

Gag Teeth

Costume

Now this is crazy – kudos to the parents who spent the time to make this get-up. No one else in their class will have this costume.

The Tooth Fairy

Of course, you could go with the traditional beautiful woman in a tutu with wings and a tooth wand – but there’s something hilarious about a grown man in a leotard.

Your Dentist, of course!

Costume

This year a costume that already incorporates a mask is PERFECT.

And finally the scariest costume of all…

The Patient

Costume

She tells you she flosses everyday, but her gums say otherwise. Nothing is scarier to a hygienist than this patient!

 

Whatever you go as this Halloween, be safe, have fun, and give us a call if all the sweets give you a tooth ache!

 

Happy Halloween from Dr. Shahriary and Staff!