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Mamelons

May 19th, 2021

Quick trivia question: define “mamelon.” Some kind of warm blooded animal? No, not a member of the mammal clan, but good guess. A fruit of the gourd family? Nope! There are watermelons, and honeydew melons, and even canary melons, but no ma-melons. Those little rounded bumps you notice on the edge of your child’s permanent incisors when they first emerge? We have a winning answer!

  • Why Do We Have Mamelons?

We have eight incisors, or biting teeth, in the front of our mouths—four on top and four on bottom. Mamelons are actually a clue as to how these incisors were formed. Even before a baby is born, the permanent teeth begin to take shape. Three different groups of cells develop to form the incisal edge of these front teeth. As they fuse together, they create three lobes of enamel on the erupting edge of the tooth. It’s these lobes, or bumps, that give the teeth a serrated appearance.

Whether your child’s mamelons are quite prominent or barely noticeable, if you are worried about them, relax! They are almost always a temporary part of your child’s smile, and disappear over time with chewing and normal wear. But what if the mamelons overstay their welcome?

  • Cosmetic Concerns

Because mamelons are composed of enamel, without the underlying dentin layer found in the body of the tooth, they can appear translucent or a bit different in color. They might wear away unevenly, leaving the tooth edges looking misaligned. Or, they might not wear away at all if your child’s tooth eruption is delayed. Talk to Donald Burger if mamelons are a cosmetic concern for you or your child. You might discover that they are wearing away naturally, or we can discuss ways to polish or smooth them down if needed. This is a painless procedure that doesn’t require an anesthetic. Generally, however, this is a matter where time will resolve the issue for you.

  • Orthodontic Implications

Occasionally, mamelons might become a topic of discussion for orthodontic reasons. Sometimes, mamelons do not wear away over time because of a malocclusion (misaligned bite). Your orthodontist will let you know your child has a bite problem and can explain treatment options. Your orthodontist might also suggest smoothing away the mamelons to ensure that the edges of the incisors align correctly and symmetrically while the teeth are in the process of straightening. Again, this is not always considered a necessity, so weigh your options with your dental care provider.

So, if you notice that your child’s beautiful new teeth are bumpy or serrated as they erupt, don’t be concerned! If you have any questions about mamelons, talk to Donald Burger at your next visit to our New York City, New York office. This is a natural occurrence and most likely just a temporary “bump” in the road. Soon enough, mamelons will be a memory—and the answer to a pretty difficult trivia question.

The Purpose of a Dental Crown

May 12th, 2021

A dental crown, otherwise known as a cap, covers an infected tooth and can vary in function, depending on the position of the tooth. Crowns cover all the visible parts of a tooth and vary in size, appearance, and functionality.

A crown can be used to protect a weak tooth from breaking, hold together an already broken or worn tooth, cover the tooth with a large filling or dental implant, hold a dental bridge in place, or support a cosmetic modification.

Several types of crowns are available, depending on the tooth to be treated. Stainless-steel crowns are used on permanent teeth, usually as temporary measures in children because they’re more cost-effective for baby teeth that naturally come out over time.

Metal crowns are another option that includes gold alloys, or base-metal alloys. Metal crowns are notable for their ability to withstand biting forces, rarely break or chip, and therefore offer the best results in terms of normal wear and tear.

Porcelain fused to metal crowns most closely resemble a normal tooth and are a good choice for front or back teeth. Other, less common types include all-resin, all-ceramic, all-porcelain, and zirconia crowns.

If you’re getting a crown, you can expect a few things during your visit with Donald Burger. Crown placement usually requires two appointments. The first entails preparation to get an impression of the tooth, shape it, and place a temporary crown. The impression is sent to a lab where a technician makes the crown to be fitted.

During the second appointment, the high-quality porcelain crown is placed on the problematic tooth.  

If you notice any signs of discomfort in your mouth, always let Donald Burger know by calling our New York City, New York office. We will determine which type of crown is best for your tooth to give it the added strength it needs. Crowns can be very helpful for your oral health if you have any teeth that need extra support.

Avoid Brushing After Every Single Meal!

May 5th, 2021

Here is some surprising yet worthwhile advice you might be hearing for the first time: Brushing after a meal can be incredibly bad for your teeth if you do it after eating certain foods.

Enamel is an extremely hard mineral on the exterior of each of your teeth. It’s actually the hardest substance in the human body: It’s even stronger than your bones! Its only weakness is that acids in the food we eat can easily destroy enamel.

Healthy teeth thrive in an environment that has the proper pH balance. That ensures your mouth doesn’t start the process of demineralization. That’s what happens when alkaline turns into acid, which attacks and softens the enamel on the surface of your teeth. Pores and fissures form, and that’s when the harmful bacteria go to work.

Our mouth’s pH level fluctuates depending on what we eat throughout the day. Examples of the most common highly acidic foods include citrus fruits, soda, and sugary foods. Highly acidic foods tip the balance of pH in your mouth from a healthy alkaline to a dangerous acid.

Can brushing your teeth immediately after a meal lead to even more damage? The answer is yes!

Eating highly acidic foods causes your teeth to be more susceptible. If you brush your teeth when they have been weakened by acids, even more destruction can happen to your enamel. Your toothbrush’s bristles will actually wear away some of your enamel. So it’s healthier to wait at least an hour after eating or snacking to brush.

Good preventive measures to take instead of brushing after you eat include:

  • Rinsing or drinking water
  • Chewing sugarless gum
  • Consuming dairy or non-acidic foods to conclude your meal

These practices help produce saliva, which in turn restores a healthy pH level in your mouth and coats the teeth with minerals they need.

Once you’ve allowed time for your mouth to be restored to a healthy pH level, you may brush your teeth as you normally would. Keep in mind that acidic foods can weaken the enamel on your teeth and take the right measures to prevent spiking pH levels.

Most important, don’t forget to wait to brush at least one hour after you eat!

Still have questions? Call our New York City, New York office and schedule an appointment with Donald Burger.

Teeth Grinding

April 28th, 2021

If you are waking up with jaw pain, tension headaches, or facial pain, you may be suffering from a condition known as bruxism. This means you could be grinding or clenching your teeth while you sleep. Some people aren’t even aware they are grinding or clenching their teeth at night, until a visit to us reveals significant tooth enamel loss. Fortunately, there is a non-invasive and effective solution for teeth grinding, and the tooth enamel damage it can cause, in custom-fabricated nightguards.

Causes of teeth grinding

Tension, stress, and anxiety experienced during the daytime can carry over to an individual’s sleep, and lead the person to grind his or her teeth together or clench the teeth unknowingly. Sleep apnea is another condition that can result in bruxism. Regardless of the cause, however, frequent clenching and teeth grinding wears down the chewing surfaces of the teeth, reduces tooth enamel, and can result in a cracked or chipped tooth, crown, or filling.

Nightguards for teeth grinding

Custom nightguards are fabricated to fit like a glove and protect your teeth from the adverse effects of bruxism. Nightguards are created through a non-invasive process that simply takes an impression of the bottom and top rows of teeth. The result is a nightguard that is flexible, comfortable, and personalized to your mouth.

Benefits of nightguards

Nightguards are helpful to reduce or eliminate the symptoms of dental damage incurred as a result of teeth grinding. They can reduce the discomfort associated with a sore jaw, headaches, tooth sensitivity, ear pain, and facial pain that many patients experience as a result of clenching or grinding of their teeth. In severe cases of bruxism, patients can develop loss of hearing, jawbone misalignment, and TMJ. Therefore, customized nightguards can help prevent the progression of teeth grinding into these more serious conditions.

At-home tips to reduce or prevent teeth grinding

Although it’s important to wear your nightguard faithfully if you grind your teeth at night, you can follow a few self-care tips to help to prevent your teeth grinding from worsening.

  • Reduce tension and stress. Whether you take a warm bath before bed, listen to soothing music, or exercise, practice stress-relieving activities to wash away the tensions of the day.
  • Avoid alcohol. In some patients, alcohol increases teeth grinding tendencies.
  • Avoid caffeine. In some individuals, caffeine increases the likelihood of teeth grinding.
  • Focus on relaxing jaw muscles. Make a conscious effort to keep your jaw relaxed. A warm washcloth against your cheek, sticking your tongue between your teeth, and avoiding chewing pencils, pens, and gum are all ways to train the muscles of your jaw to stay relaxed.

If you suspect you may be grinding your teeth at night, visit Donald Burger and our team at Manhattan Dental for an evaluation at our convenient New York City, New York office.

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