Tuesday, March 17, 2015

Dry Mouth?

   A dry mouth can be miserable. Saliva also has several important functions.


  • Lubrication- it makes you feel better, makes it possible to swallow food, and speak.
  • Digestion- it actually has enzymes that start digestion.
  • Cleaning- it helps to wash away food debris. It chemically buffers acid attacks from plaque or from acidic food or drink (Diet Coke!) Decay rates can skyrocket without enough saliva.
  • It somehow helps keep the 1,000 different kinds of bacteria in your mouth in balance. Yeast infections and bad breath can result from imbalances.

Causes of dry mouth

  • The most common cause in younger people is a medication side effect. This is possible with many medications.
  • Sometimes the salivary glands just don't work like they used to.
  • Detergents in toothpaste are drying.
  • Diseases like Sjogren's.
  • Radiation and other medical treatments can harm salivary glands.
  • Lifestyle- smoking, mouth breathing due to tonsils, congestion etc.

Solutions (or at least aids)


  • Water, sips all day long, a sip with every bite at meals, carry a bottle (or a flask!)
  • Use a toothpaste without detergent. Detergents make the toothpaste foam. Americans like foaming cleaners, scrubbing bubbles! It's usually listed on the ingredients as a laureth sulfate. It's great for cleaning grease but not really helpful for toothpaste. Almost all of them have detergents. One that doesn't, and is widely available, is biotene. 
  • biotene has other products like sprays, mouthwash, rinses and gum. They all contain helpful lubricants and enzymes.
  • Mints and gum will stimulate saliva production. For heaven's sake, sugarless
  • Oramoist is a long lasing patch that sticks to gums. It gradually releases lubricants and stimulates salivation.
  • There are prescription medications, such as Salagen, that can stimulate salivary glands. Of course it won't work if the glands don't work at all.
  • If the cause is a medication, sometimes a different one can be tried, or the dose adjusted.
  • Use a vaporizer to humidify bedroom air. 
    Don't ignore a dry mouth. The dental consequences can be severe, and some of the treatments are pretty easy.

Tuesday, January 13, 2015

What is a crown?


   A crown is replacement for the enamel, the outer layer of the tooth. A crown is used when the enamel is broken, stained, misaligned or weak. The crown, or cap,  provides strength and protection for the underlying tooth.
   Crowns used to be made of metal alloy, porcelain, or a combination of both. Modern crowns are usually made from high strength, tooth colored ceramic. See  our video for a demonstration of their strength- search YouTube for "Doctor Adrian crown strength.”
   The procedure takes two appointments. First the tooth is shaped and an impression and temporary are made. In 3 weeks we place the final crown.
   How long a crown lasts depends on 3 factors:
          How good is the dentist
          How good is the lab

          How good does the patient take care of it

A case of a cracked tooth. Biting caused pain.

The light makes the cracks more apparent

The ceramic crown
 Inside
 A new tooth