General Dentistry

Professional teeth whitening

Professional Teeth Whitening – Is It a Viable Option?

Is professional teeth whitening a viable option?

According to the American Academy of Cosmetic Dentistry, American adults spend over $1.4 billion on teeth whitening products available over-the-counter or online. This figure represents the total amount spent in one year.

To further add to the prevalence of teeth whitening in the U.S., more than 38.29 million people in the United States used some form of DIY teeth whitener or had their teeth professionally whitened in 2019.

With so much emphasis on first impressions and smile being the first noticeable feature, people are concerned about the appearance of their teeth.

While professional teeth whitening is seemingly a very commonplace cosmetic dental procedure, you might not be a candidate (the eligibility criteria is not as strict as for a more intensive procedure – though it is still recommended that you consult with your dentist before starting any whitening treatments).

Professional Teeth Whitening

As the phrase implies, professional teeth whitening is a dental procedure that is carried out by a dental professional. Since this is a voluntary cosmetic procedure, people get it done regularly to address intrinsic and/or extrinsic stains.

  • Extrinsic teeth stains are usually caused by the food and drinks that come in contact with your teeth. Wine, tobacco (in cigarettes), tea, coffee etc. are common items that leave a stain behind.
  • Intrinsic teeth stains are those where the discoloration seeps beneath the enamel, creating more permanent stains. Intrinsic stains can also be caused by age-induced enamel thinning.

Typically, people with permanent teeth in generally good dental health are eligible for professional whitening. The gist is that if you haven’t had extensive dental work previously and have healthy gums, you are good to go.

The procedure is not recommended to those who have:

  • Receding gums
  • Mixed dentition – children that still have some of their deciduous or primary teeth
  • Dental work such as crowns, implants, caps and other restorative work
  • Gum bleeding issues
  • Sensitivity to any of the agents used in professional teeth whitening procedures

Do keep in mind that even professional whitening doesn’t work for all kinds of stains. Brown and grayish stains are harder to remove with simple bleach. However, there are other solutions for that such as veneers.

For minor extrinsic discoloration, your dentist may suggest whitening toothpaste and a professional cleaning session. For more stubborn stains, professional teeth whitening along with regular brushing, flossing and maintaining good dental hygiene is the suggestion.

While it might seem easy to determine whether you’re a candidate or not for teeth whitening, having a dentist’s professional opinion is crucial. Dr. Abiodun Adesanya, DDS, PC is based in Maryland and provides professional teeth whitening along with various other professional dental procedures and treatments. He will conduct a thorough physical assessment of your oral cavity, making sure there is nothing of concern. He will give his recommendation based on your current health status and whether the procedure will be effective in addressing your concerns regarding your teeth and smile.

Schedule an appointment with him today to have his expert opinion on how you can maintain dental and oral health and aesthetics.

teeth grinding and bruxism

Teeth Grinding and Bruxism

If you’re constantly waking up with a pounding headache and tense jaw muscles, there’s a possibility you may be suffering from teeth grinding aka bruxism.

Bruxism is a medical term for jaw clenching and teeth grinding. Aside from the headache and pain in your jaw muscles, the effects of bruxism aren’t apparent right away. In fact, you might not even realize you’re doing it.

However, over time, you might start noticing worn down or chipped teeth. That’s why it’s crucial that you book regular dental appointments so that your dentist can diagnose and start your treatment for bruxism right away.

Causes of Bruxism

Although the exact causes of bruxism remain unknown, several factors may be involved in causing bruxism.  For instance, jaw clenching and/or teeth grinding can occur when a person feels anxious or stressed. The mental strain can lead a person to grind their teeth and clench their jaw during the day. Stress increases adrenaline which mobilizes energy in the body and can ultimately manifest into teeth grinding or jaw clenching if you’re not moving your body.  This can also lead to sleep related disorders like bruxism or grinding of your teeth while asleep.  In such a case, the person himself may not realize it, but a partner or roommate might hear slight grinding noises from the person instead.

Certain medicines such as antidepressants can also cause teeth grinding as a side effect. A family history of teeth grinding, and bruxism can increase the risk as well.

In addition to stress and anxiety, bruxism can also be brought on by abnormal jaw posture and tooth positions. Sleep disorders such as snoring or sleep apnea (conditions in which you suffer from irregular breathing) may also prove the culprit in causing you to grind your teeth while you sleep.

Some other common causes of teeth grinding may also be indicative of an unhealthy lifestyle. An increased intake of alcohol, drugs, caffeinated drinks such as tea and coffee can also cause teeth grinding. Smoking cigarettes regularly can cause or worsen bruxism as well.

Bruxism in Children

Teeth grinding is also quite common amongst toddlers and babies. The ADA states that pain or discomfort from colds, ear infections, allergies and other ailments may cause your children to grind their teeth.  Teeth grinding can also occur while their teeth are emerging, but will soon pass once the teeth have set in.

Effects of Bruxism

As mentioned earlier, the effects of bruxism don’t always appear right away. Some symptoms may only become evident after your dentist has conducted an examination and he detects the condition during your checkup. Over time, if left untreated, bruxism can severely damage your teeth and affect your jaw as well.

The constant pressure on the teeth can cause the enamel to wear down, exposing the underlying layer of dentin.  This can then cause the tooth to become sensitive to certain foods, temperature changes, pressure and even brushing.

Teeth grinding can also change the shape of your teeth. They could become chipped, shorter, or start appearing flatter. You might start noticing gum recession as well as tenderness in your jaws.  In extreme cases, the pressure from clenching and grinding of teeth may cause the tooth (or teeth) to crack or fracture.

Moreover, teeth grinding can also lead to other dental problems such as Temporomandibular Joint (TMJ) syndrome. If you have any dental restorations, such as crowns or fillings, teeth grinding can damage that too.

Some other symptoms of bruxism include facial pain, headaches, earache, pain and stiffness in the jaw joint (TMJ), disrupted sleep and more.

Treatment of Bruxism

If you’re experiencing bruxism or suspect that you may be, you should schedule an appointment to speak with your dentist.  After a thorough examination, your dentist will be able to make an assessment of whether there’s been any damage to your teeth or gums as well as work with you determine a possible underlying cause and plan of action.

Some treatments of bruxism may include a referral to your doctor to be seen for stress and anxiety, the use of a mouth guard while sleeping, a prescription of muscle relaxers and more.  Mouth guards fit onto your teeth and keep the upper and lower separate to prevent damage from teeth grinding.

If your teeth grinding is a result of any medication you’re taking, you should speak with your doctor in the event they suggest a change in your medications.

Experienced Dentist in Bowie, Maryland

Timely treatment of bruxism helps in relieving short-term pain and discomfort and helps prevent long-term damage to the teeth and overall health of the jaw. If you have noticed any of the effects mentioned above, you should schedule an appointment with an experienced dentist in Bowie, Maryland right away.  Dr. Adesanya and his team are only a phone call away.  Give us a call today at 301-464-1800.  We look forward to welcoming you!

Keeping your teeth healthy during valentine's day - Dr. Adesanya My Bowie Dentist

Keeping Your Teeth Healthy During Valentine’s Day

 

It is possible to keep your teeth healthy and have a healthy smile while also giving in a bit to your sweet tooth, especially during Valentine’s Day. While avoiding sweets altogether is the best option for your teeth, Dr. Adesanya, a family dentist in Bowie, Maryland, knows Valentine’s Day is a sweet day to indulge (pun intended). Here are some recommendations from Dr. Adesanya to keep your smile healthy this Valentine’s Day.

Choose Chocolate

Choose dark chocolate in particular. Dark chocolate contains less sugar than regular milk chocolate. Chocolate, in general though, dissolves faster than gummy and hard candies meaning the sugar has less time to form cavities in your mouth. That does not mean that you can’t get cavities from chocolate, it simply means that it is less likely to cause cavities than gummy and hard candies.

Skip the Gummies and Hard Candies

Hard candies and gummies can be a staple for any holiday and Valentine’s Day is no different. Conversation hearts come readily to mind here. Miniature packs of gummy bears and skittles to send with Valentine’s for your kid’s school party are also quite common. If possible, resist! These gummy and hard candies can stick to your teeth for an extended period of time and get caught between your teeth. And the longer they sit there, the higher the risk of a cavity. You may think hard candies are more harmless than gummies, especially if you’re one to crunch through the hard candy and not let it sit in your mouth for long. Crunching those hard candies can chip or crack your teeth in addition to irritating the soft tissue of your teeth. If you do indulge in gummies and hard candies, make sure you brush and floss after consuming this treat. For some other tips on keeping your teeth healthy check out our blog on Oral Hygiene Demystified.

Sugar-Free Alternatives

Though not as glamorous sounding, there are sugar-free alternatives to everything – sugar-free chocolates, gummies and hard candies galore!! When possible, Dr. Adesanya recommends switching to sugar-free goodies.

Non-Food Alternatives For Valentine’s Day

Chocolate and candy may be a Valentine’s Day staple, but so are flowers, balloons and teddy bears. Looking for some ideas for your kids to hand out in school? Why not consider alternatives to sugary treats such as bubbles (you can get a bulk pack of mini ones at the dollar store), pencils, rings or other small toys. Many stores carry these non-food alternatives to make your Valentine’s Day just as sweet without the sweets.

Brush and Floss For Healthy Teeth

No matter the treat, having a good oral hygiene routine is important. The American Dental Association and Dr. Adesanya agree that you should brush your teeth once in the morning and once in the evening before bed. Don’t forget to brush your tongue as well! In addition to brushing, you should floss your teeth at least once a day to keep those teeth shining bright like a diamond. To schedule an appointment with a hygienist, give our office a call at 301-464-1800.

Family Dentist in Bowie, Maryland

With patients that call Dr. Adesanya the best dentist in Bowie, Maryland, he takes pride in his work and in the level of care he provides to every single patient. With a focus on general and cosmetic dentistry, Dr. Adesanya’s goal and mission is to provide you and your family with the highest quality dental care in a caring, safe and relaxed environment. To schedule an appointment with Dr. Adesanya, give us a call or click here.

Tooth Sensitivity

Tooth Sensitivity: The How, The Why and The Treatment

Tooth pain is no picnic. In fact, pain from pulpitis (inflammation of the tooth nerve) is classified as the second most severe pain that a human can feel, second only to passing kidney stones.

Pain from teeth sensitivity is nowhere as severe as pulpitis pain, but can still be quite annoying, taking the fun away from simple everyday activities such as having a cup of hot coffee, or a cold scoop of ice cream.

Dr. Adesanya, heralded as one of the best dentists in Bowie, Maryland, explains the cause of tooth sensitivity:

“ The human tooth is quite a fascinating structure. It is formed of multiple layers, the outermost of which (called the enamel) is almost entirely made of calcium, so is quite insensitive and responsible for the protection of the tooth. The layer under that is known as the dentin and forms the main mantle of the tooth. Unlike the enamel, dentin is very sensitive, therefore when the enamel gets broken or chipped away, exposing the underlying dentin, that’s when the pain and sensitivity start.”
 

What Causes Enamel Wear and Tear/Dentin Exposure?

  • Tooth decay:
    It is obvious that the first reason for tooth sensitivity is tooth decay, which eats away at the strong enamel. When the decay has been present for a while without intervention, the enamel dissolves from the surface of the tooth, leaving the dentin to deal with the oral environment, and the pain starts. A fact that is quite unknown to most people is that tooth decay doesn’t have to cause a cavity in the tooth, which means the tooth could be ravaged by decay and you may not even know it. This decay isn’t always visible to the human eye but is something that would be visible on an x-ray.  For tips on brushing and flossing, check out our blog on Demystifying Oral Hygiene or schedule an appointment with one of our hygienists.
  • Teeth grinding:
    Another very common reason for tooth sensitivity is teeth grinding. The continuous friction between the upper and lower teeth gradually wears away the protective enamel layer, and eventually all the enamel disappears leaving the exposed dentin. This means that any cold or hot food or drink would cause pain.
  • Cracked Tooth:
    This is the most difficult case, not because the pain is more severe, but because it is the most difficult to diagnose. A crack has no visible clinical symptoms (apart from some sensitivity of course), and it also doesn’t show up on an x-ray. So, the only way the dentist could accurately diagnose the condition is a process of exclusion of all other causes of pain and sensitivity. The treatment is also quite aggressive, as it can only be treated by covering the tooth with a crown or even an extraction might be necessary.
  • Pockets and gum recession:
    This cause is unrelated to enamel, but is also due to exposure of dentin, this time that of the root rather than the crown. The root of the tooth is also mainly formed of dentin but is covered by the gums rather than the enamel.  So, when the root gets exposed (as in cases of pockets or gum recession) it is only common sense to assume that sensitivity would ensue.
  • Charcoal Toothpaste:
    You read that right, charcoal toothpaste is a cause for enamel wear and tear leading to tooth sensitivity despite its claims otherwise. In fact, Dr. Adesanya, along with the American Dental Association, warns against the use of charcoal toothpaste. Charcoal is too abrasive and can cause enamel erosion leading to dentin exposure.

 

Treatment and Prevention of Tooth Sensitivity

As Dr. Adesanya always says, prevention is better than cure. It is so much easier to prevent sensitivity than deal with its ramifications and treatment options. Prevention mainly consists of removing the causes of sensitivity, that is achieved through:

  • Proper oral hygiene:
    Brushing and flossing, together with a fluoride containing toothpaste go a long way as to prevent decay, as well as gingivitis and pockets. The proper way of brushing is also important.  Vigorous or improper brushing could lead to gum recession and subsequently sensitivity.
  • Night guard:
    A plastic or rubber stent that is worn on top of teeth, especially at night, to prevent teeth grinding. This in turn prevents wear of enamel as well as tooth cracks which are two of the main reasons for sensitivity.

 
If the problem already occurred, here is how you could treat it:

  • Fluoride application:
    The first line of treatment of sensitivity is closing away the sensitive pores of the dentin with fluoride. Fluoride is applied either at home through toothpastes and mouthwashes, or professionally through varnishes and gels in the dentist’s office.  Dr. Adesanya recommends that if your tooth is a little sensitive, after brushing your teeth, place a small, pea sized amount of toothpaste on your finger and rub it into the gum area of your sensitive tooth.  This can help ease some of the discomfort.
  • Fillings:
    The remedy could be as simple as removing the decay and covering the exposed dentin layer with a small filling. This, of course, is for simple cases but doesn’t quite work with largely exposed dentin areas.
  • Crowns:
    A crown is a cap that is cemented on to your tooth to restore the tooth’s shape, size and strength.  There are a number of reasons you may need a crown; exposed dentin is one of them. Covering the entire tooth with a crown would surely shield the dentin from exposure to hot and cold foods and drinks, and therefore no sensitivity would be expected.

 

Family Dentist in Bowie, Maryland

With patients that call Dr. Adesanya the best dentist in Bowie, Maryland, he takes pride in his work and in the level of care he provides to every single patient.  With a focus on general and cosmetic dentistry, Dr. Adesanya’s goal and mission is to provide you and your family with the highest quality dental care in a caring, safe and relaxed environment.