Our Blog

What to do to prevent gum disease? If left untreated, gum disease can lead to discomfort, infection, and even tooth loss. Bacteria in our mouths form a film called plaque. Plaque sticks to our teeth and can lead to gum inflammation. This inflammation can cause our gums to pull away from the teeth creating “pockets” which are home to infection and result in tooth and bone loss. Since the early stages of gum disease are often invisible, what is the secret to keeping our gums healthy?

Luckily, there is no secret to it at all! Preventing most gum disease is a simply a matter of following well-known guidelines, at home and in our Charlotte office.

 Healthy Habits at Home

• Regular brushing and flossing

At least two minutes of careful brushing twice a day will help reduce bacteria and plaque. Use floss, picks, and other interdental tools to remove plaque from tight areas between the teeth that your brush might miss.

• If you smoke, now is the time to quit!

Smoking weakens your immune system, making it harder to fight infections and to heal. If you need another reason to quit, improving your oral health is a great one. Talk to us about ways to stop.

• Eating well

We all know sugar is no friend to dental health, and encourages bacterial growth. But eating apples, carrots and other crunchy vegetables can help remove food particles and stimulate the production of saliva, which fights bacteria production. Vitamins and minerals help strengthen bones and build healthy gum tissue. And a balanced diet supports not just your oral health, but the health and well-being of your entire body. Ask us for suggestions for a dental-healthy diet.

Regular Checkups and Cleanings

• We recommend a visit to our Charlotte office every six months for a checkup. Dr. Chad Vanourny can discover and treat gingivitis (early periodontal disease) and recommend a periodontal exam if there are signs of more severe gum disease. There are some individuals who develop gum disease even with great brushing and flossing habits, so it’s important to have a dentist’s evaluation.
• Having your teeth cleaned every six months will remove plaque that brushing alone can’t handle. If there are signs of more serious gum disease, a periodontal cleaning will remove plaque and tartar from both above and below the gumline.

Brushing, flossing, avoiding smoking, eating well, seeing Dr. Chad Vanourny regularly—there’s no secret here! Talk to us about what you can do and what we can do to keep your gums healthy for a lifetime of beautiful smiles.

The dental section of your local drugstore or favorite online site offers more dental tools for home care than ever before. Little angled mirrors. Tongue scrapers. Gum stimulators. Interproximal brushes. Why, there are even curettes and scalers to help you remove tartar at home.

But should you try do-it-yourself scaling (the technical term for scraping tartar off enamel) at home? Let’s weigh the facts.

• Tartar Buildup is Harmful

Plaque, a sticky biofilm composed of bacteria, food particles, saliva, and fluids, starts forming within hours after you brush. And within days, if it’s not brushed and flossed away, plaque starts to mineralize, becoming tartar, a hard, rough, yellow or brown deposit that you can’t simply brush away.

Tartar often develops in the places we where we don’t brush or floss effectively. If you run your tongue across the back of your front teeth and feel a rough surface, that might be tartar. If you check out the back of your mouth and discover yellow discoloration on your molars, that might be tartar. If you see brown staining between your teeth or at the gumline, that might be tartar.

Why worry about tartar, especially if it’s not visible? Several good reasons.

• Tartar provides a rough surface which makes it easier for plaque to stick to teeth, and more plaque leads to more cavities.
• Tartar irritates delicate gum tissue, which causes inflammation and gum disease. Not only can the gums themselves hurt, swell, or bleed, but they can begin to pull away from the teeth, creating pockets between tooth and gum. These deep pockets become home to harmful bacteria, making gums and the bone supporting your teeth more vulnerable to infection.
• When gum tissue recedes, the parts of your roots normally protected by that gum tissue are now exposed to bacteria and plaque. Because roots are coated with cementum, which is weaker than enamel, they are more vulnerable to cavities.

For all these reasons, cleaning tartar from your teeth is an essential part of every professional dental cleaning at our Charlotte office.

• Your Dental Professional Is an Expert in Tartar Removal

Your dental team has extensive academic and clinical training which enable them to discover and remove any plaque or tartar thoroughly and effectively. They are also experts in using specialized tools to remove plaque and tartar gently and safely, including:

• Ultrasonic scalers, which use ultrasonic sound waves to break up tartar deposits.
• These metal hand tools have small, curved hooks on one or both ends, with sharp side edges and a pointed tip to fit between the teeth. They’re used to scrape away tartar above the gumline, and come in several angled shapes to accommodate the shape of different tooth surfaces.
• These tools look a lot like scalers and also come in a variety of shapes. The curette, though, can remove plaque above and below the gumline because its rounded tip and back are gentler around delicate root surfaces and gum pockets.

The scalers available at your drugstore certainly look a lot like these professional tools. But,

• Should You Try This at Home?

There are many DIY home projects which are satisfying and well worth your time—but DIY dental scaling isn’t one of them. Let’s take a look at some of the dangers of home scaling.

• Ineffective cleaning. Without removing tartar completely from around and under the gums, you’re more likely to suffer gum disease and cavities below the gumline.
• Your enamel is hard, but it’s not indestructible! A bit too much force, and you can scratch and damage tooth surfaces. And, if you’ve ever flossed a little too vigorously, you know how delicate your gum tissue is. The sharp ends of scaling tools can cause gum injuries, mouth injuries, and tongue injuries. Which brings us to . . .
• There’s not only the danger of infection due to cuts and lacerations, but you can accidentally push plaque and tartar into and under gum tissue, leading to irritation and infection.
• Finally, imagine using a sharp tool to scrape tartar from the back of your teeth, around your delicate gum area, and in pockets below the gum surface, using a tiny backwards mirror image to guide you in the dark interior of your mouth. There’s no way to make this sound like a good idea!

So, on balance, should you do your own scaling? We think the answer is clear. Keep your teeth healthy and plaque-free at home with regular brushing and flossing, and see Dr. Chad Vanourny when it’s time for a cleaning. When you need tartar removal that’s safe, precise, and thorough, the experience and skill of your dental team outweigh any potential DIY satisfaction!

As the field of dentistry advances and the use of technology in the field increases, the concept of minimally invasive dentistry has emerged. Preservation of a healthy set of natural teeth for each patient should be the objective of every dentist. Minimally invasive dentistry is characterized by the following core beliefs:

• Regard original tissue as more valuable than its artificial counterpart.
• Preserve, rather than replace, original tissue.
• Focus on the prevention of disease above its treatment.
• When treatment is necessary, use invasive means as little as possible.

Prevention

• Prevention begins with good oral hygiene.
• Dental caries are considered an infectious disease.
• Early detection of caries and other diseases can prevent the spread of infection and, consequently, further damage to healthy tissue.
• Infection control can reduce the incidence of restoration practices by as much as 50 percent.
• Focus on remineralization of enamel and dentin as a preventive effort in treating caries.

Preservation

Our team at Catawba Valley Dental Care will tell you the goal of minimally invasive dentistry is to preserve as much original tissue as possible. The preservation of original tissue leaves a tooth stronger in structure than one which has been modified through invasive measures.

When a restoration, such as a filling, must be made to a tooth, a greater amount of healthy tooth tissue than actual decayed tissue is often removed. An estimated 50 to 71 percent of the work a dentist completes involves repair or replacement of previous restorations. The use of durable restoration materials decreases the need for later repair or restoration work.

Treatments

Tooth tissue can be preserved at a greater percentage through the use of innovative adhesive materials. Glass ionomer cements release minerals into the surrounding tooth tissue and help prevent future cavities. Resin-based composite and dentin bonding agents are designed to bond to the enamel and preserve it.

New technology and the invention of small, hand-held tools allow for a less-invasive form of restoration. One such form is air abrasion, a technique that involves using powerful air pressure to direct aluminum oxide particles toward the tooth, which results in a gentler, less-damaging cut to the tooth.

For more information about minimally-invasive surgeries, or to schedule an appointment with Dr. Chad Vanourny, please give us a call at our convenient Charlotte office!

You may have heard this term the first time you or a friend got your wisdom teeth. That makes sense, as wisdom teeth are the teeth most often impacted in teenagers and young adults. But other permanent teeth can be impacted as well. What exactly do we mean by “impacted teeth,” and what can we do to treat them?

The term “impacted” means that somehow a tooth has been blocked from erupting properly. A tooth may be completely blocked by another tooth, erupt in the wrong space, or even come in from the wrong direction. Depending on the teeth involved, there are several different options for treatment.

From Baby Teeth to Permanent Teeth

Normally, when children lose a baby tooth, a permanent tooth is right there, ready to take its place. But teeth don’t always behave according to plan. Occasionally, that baby tooth just won’t budge, and the permanent tooth starts to erupt behind it. When this happens, a simple baby tooth extraction will often let the permanent tooth move into its proper position on schedule.

A more complicated situation develops when upper teeth are impacted because there isn’t enough space in the mouth for them. In this case, a device called a palatal expander might be used to gradually widen the upper jaw to allow the permanent teeth to erupt without crowding.

In other rare cases, a tooth (often the canine) fails to erupt and may require oral surgery to uncover it, followed by orthodontic treatment to guide it into position.

Impacted teeth can result from other causes as well, and every impacted tooth should be treated as quickly as possible. Left untreated, the teeth can fail to erupt at all or erupt in the wrong place, crowd other permanent teeth, damage the roots of the teeth near them, and lead to difficulties eating and dental pain.

Wisdom teeth

Wisdom teeth are often a problem because there is simply not enough room in the jaw for them.

Wisdom teeth that are completely impacted (still in the jawbone) can sometimes be left alone if they aren’t causing other problems. But if impacted wisdom teeth develop cysts, affect the teeth around them, or lead to other dental complications, they should be extracted.

Partially erupted teeth, those that have begun to emerge through the gums but don’t erupt fully, can be the source of different gum and tooth problems. Because the gum tissue overlaps the tooth, food particles and bacteria can become trapped, leading to rapid tooth decay and even infection. In this case, extraction is probably the best option.

Be Proactive

The term “impacted” actually comes from the Latin root meaning “pushed against.” But teeth that don’t erupt at the right time, in the right place, can have a different kind of impact on dental health and appearance. And the earlier we can catch these problems, the easier it is to treat them.

Regular exams and X-rays with Dr. Chad Vanourny at our Charlotte office will show the progress of the teeth even before they erupt, and if there will be the space for them to fit in the mouth properly. We may recommend a visit to the orthodontist by the age of seven to see if there are any signs of potential orthodontic problems.

Intervention at an early stage can prevent potential problems from becoming major ones. That is why it’s so important to be proactive when teeth are erupting in children and young adults. After all, a healthy, confident smile makes a real impact!