Archive for September, 2009

How to fix cavities on my gumline

Monday, September 21st, 2009

I have small and medium size holes on the top of my teeth near my gums and I just want to know what treatment can I use or do I have to replace my teeth with the holes altogether? PS. I was a heavy ‘Soda Pop’ drinker, have stopped and only drink juice, milk, and water now.
- Shonda from Minnesota

Shonda,
Sipping soda all day long is a great way to grow cavities.

Sipping juice and milk can also be a problem. Water and diet soda won’t cause that problem.

The issue is the sugar that is in constant contact with your teeth. Juice and milk also contain sugars. And the sipping is vastly more harmful than just drinking it. If you just sit down and drink twelve ounces of soda or juice in a minute or two, it has very little effect on your teeth. But any kind of food with sugar or carbohydrate that is in your mouth constantly is murder on your teeth and can cause rampant tooth decay. The soda, juice, and milk pool at the gumline, and tend to attack all the teeth at the gumline, but especially the insides of the lower back teeth. The same thing happens with crackers, raisins, potato chips, and many other foods. And the attack is so severe, there is no way to brush your teeth enough to fight it. You would literally have to brush your teeth immediately every time you take a single sip.

If the holes are small, just fillings will take care of them. They have to be large and deep before you would need crowns on the teeth. And when people can’t seem to control their sipping or snacking urges, we like to place fillings that release fluoride to try to combat in some way the constant acid attack going on in your mouth. But composite fillings are more durable.

You also might want to get a prescription from your dentist for some home fluoride treatments or fluoride rinses, which will strengthen your teeth against this acid attack a little bit. The only good prevention is not to snack or sip, but fluoride helps a little.

Links to pages you may want to read:
Read our page on dental disease prevention techniques.
Dental sealants can be used to prevent pit and fissure cavities.

Should I have root canal retreatment or root canal surgery?

Wednesday, September 16th, 2009

Should I have a root canal re-done by a root canal specialist, or have apex surgery? I am not in any pain however the x ray shows an area of infection in my gum, this has been there for about 12 months now.
- Rachel

Rachel,
Something doesn’t seem right about what you’re telling me. I’m not sure why a dentist would give you a choice between root canal re-treatment and apical surgery on your tooth.

You apparently have a long-standing infection around the root apex of a tooth that has had a root canal treatment. This happens sometimes, and it should be fixed, even if it isn’t causing any pain. Left for long enough, these infections will sometimes just spread, or sometimes they will eat away at the root of your tooth which will eventually come loose if there is nothing done.

But if re-treatment is possible, in my opinion, that should be attempted first. Usually when apical surgery is recommended it is because re-treatment isn’t practical, isn’t expected to succeed for some reason, or it has been attempted and failed.

Other links:
Dr. Kagan is a mercury-free dentist. He can also be considered a holistic dentist.