Dentist Marrickville | True Smiles Dental

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Best Oral Hygiene Tips

If you want to know more about your oral health, how to clean your teeth or what’s good for your teeth and gums, there are no better people to ask than your local Marrickville Dentist or Oral health therapist at True Smiles Dental.
Every day we get asked questions about product recommendations or technique advice. So, we’ve round up a few of the most commonly asked questions and compiled them into one place for your convenience.

1. Is an electric toothbrush or manual toothbrush better?

Unfortunately, there is no clear-cut answer to this. Studies show that there is no significant difference between using an electric or manual toothbrush. Therefore, the technique of how you brush and floss is more important that the type of toothbrush you use.

However, there can be many reasons as to why an electric toothbrush may be more beneficial for you.

Brushing too hard: Many patients believe that the harder they brush, the cleaner their teeth will be. Sadly, this can be incorrect on many levels as brushing too hard can actually have the opposite effect and cause varying degrees of damage to your teeth and gums. This can result in gingival recession, toothbrush abrasion and increased sensitivity. In these circumstances, switching to an electric toothbrush with a pressure sensor, can be helpful with pressure control. The team at True Smiles Dental recommend only switching to an electric toothbrush if it has a pressure on it and once you have learnt to use it correctly – you should aim to allow the electric toothbrush to do all the work for you and not use it like a manual toothbrush

Motivation: electric toothbrushes for children can be great for on-going motivation. We understand that children may get bored of brushing, so electric toothbrushes can make it fun and exciting. Some children’s electric toothbrushes come with timers, music and flashing lights to help make brushing more fun and interactive.

Limited dexterity: electric toothbrushes can be great for patients with limited mobility and arthritis as its power rotation does not require manual movements – it will do all the work for them. Ease of use is perfect for those with dexterity issues, thus improving oral hygiene.

2. Should I brush my teeth before or after breakfast?

Always brush before breakfast and rinse after. Brushing before breakfast allows you to protect your teeth before eating with the fluoride in your toothpaste. Brushing straight after breakfast or eating in general can lead to dental erosion. If you have the time in the morning, we recommend to normally wait at least 30 minutes after eating and drinking before brushing your teeth.

If you want to cleanse your mouth after eating, we recommend to rinse your mouth and then chew on some sugar free chewing gum. Chewing gum can help to stimulate saliva which in turn help with clearing food and debris from your teeth. In addition to this, sugar-free chewing gum with Xyitol specifically, is beneficial as it is good for decay prevention. Xylitol is a naturally occurring sweetener that tastes like sugar, but is actually good for your teeth! It can help to kill the bacteria responsible for dental decay by up to 90% and helps to neutralise plaque acids, making it harder for plaque to stick to your teeth in the future.

3. Should I use a mouthwash?

Mouthwashes can be great in certain circumstances but regular mouth rinses don’t provide a whole lot of benefit.

If you want to incorporate a mouth rinse into your regime, we recommend to use it prior to brushing and waiting at least 30 minutes before brushing. This is because using a mouth rinse after brushing can be counter-intuitive in that it will wash away the fluoride protection you’ve just applied when brushing. We also recommend to select a mouth rinse that is non-alcohol base, as alcohol ingredients can dry out your mouth. A dry mouth is known to increase your risk of tooth decay – something we are trying to prevent!

Occasionally, your Marrickville dental professional may recommend a specific mouth rinse to aid in decay prevention (for higher risk patients or patients undergoing orthodontic treatment) or gum disease.

For example: Mouth wash such as Colgate Neutrafluor 200 or 900 have additional fluoride whereas Savacol or Curasept contain a chlorhexidine ingredient which can be anti-inflammatory to aid in controlling gum infections and inflammation.

It is important to note that mouth washes with additional properties such as those listed above should only be used under the guidance of a dental professional. Long term use of certain mouthwashes can lead to issues in the future. Speak to the team at True Smiles Dental today to find out if incorporating a mouth wash is right for you.

4. What’s the best toothpaste to use?

We recommend using a fluoride toothpaste to help strengthen your teeth and prevent cavities. Fluoride is a natural mineral found in the earth’s core which is scientifically proven to prevent tooth decay or cavities.

If you suffer from sensitive teeth, opting for a sensitive formula toothpaste can definitely help minimize the symptoms of sensitivity. Dental sensitivity can however, be caused by a number of reasons, so it’s important to visit your dentist to assess the cause before investing in sensitive toothpaste. Check out our previous blog on dental sensitivity if you want to know more.

The use of toothpaste for children is completely safe provided we use an age-appropriate fluoride toothpaste for children aged 2-6 years old. Once your child has started to develop adult permanent teeth (usually after the age of 6), it is OK to switch to an adult-strength fluoride toothpaste. Children younger than 2 years old are OK to use non-fluoridated toothpaste if they are unable to spit after brushing.

No matter the brand, always ensure your toothpaste is approved by the TGA (Therapeutic goods administration) and ADA (Australian Dental Association). This is because they have been tested and proven medically to be safe and effective.

5. Is there any toothpaste we don’t recommend?

On the opposite spectrum, we do not recommend using a toothpaste without fluoride where possible. This is because it can increase your risk of dental decay and the need for further dental treatment.

In addition to this, we do not favour whitening toothpaste. This is because they do not work well and can be more abrasive to your enamel in the long term which can result in increased dental sensitivity and other problems. Similarly charcoal toothpastes have no scientific evidence on their effectiveness to whiten teeth or remove stains and are considered more abrasive than regular toothpaste.

6. Do I need to floss and what can I use? Are waterflossers better?

Yes! Brushing your teeth alone will only clean approximately 60% of all teeth surfaces. The remaining 40% of teeth surfaces in between your teeth cannot be fully reached with a toothbrush alone. That is why flossing or cleaning interdentally daily is just as important in the prevention of tooth decay and gum disease.

So what products are available to clean in between your teeth? There is an array of options when shopping for dental cleaning tools. Floss and interdental brushes are the gold standard in most cases as they manually ‘disrupt’ the plaque that can wedge themselves in between your teeth.

Water flossers can be a good alternative for those who have prosthetic dental work (including crowns, bridges and dental implants) however for individuals with natural teeth, we recommend regular conventional floss or interdental brushes! Ask us at True Smiles Dental which interdental cleaning tool might be right for you.

7. Is teeth whitening Safe and what is the best way to whiten my teeth?

Yes, teeth whitening is safe when done correctly. We recommend to speak to a dental professional about any teeth whitening concerns to see what may work best for you. As there are different reasons for why your teeth may be discoloured. It is important to identify if whitening will be enough. Unfortunately, over the counter products such as the above-mentioned whitening toothpaste or charcoal toothpaste can be more abrasive to the tooth enamel resulting in the underlying dentine shining through. Funnily enough, this secondary layer of your tooth is actually yellow in colour which results in the opposite effect of brightening your smile.

Professional whitening under the guidance of a dental professional will allow you to achieve better, more realistic results. See our blog on teeth whitening for more information.

8. How often should I visit the dentist?

It is important to have your teeth checked and clean at least twice a year. Regular dental visits allow us to screen for early signs of dental decay, gum disease or even oral cancers. Unfortunately brushing and flossing alone is not enough to completely avoid these problems. There are often areas that can be missed despite our brushing and flossing efforts. Regular check up and cleans allow us to clean these areas up for you.

Is it time for your next dental check-up? Visit the friendly team at True Smiles Dental at 235 Marrickville Road, Marrickville NSW 2204 or call us on (02) 7228 7272.

Why are my gums bleeding?

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If you suffer from bleeding gums, then you may not be alone. Bleeding gums is one of the most common concerns from our patients, so much that some think it’s normal as they have been experiencing it all their lives.

It might be easy to ignore and overlook bleeding gums and think it is harmless, when in reality – if we ignore this early warning sign, we could end up losing our teeth. Healthy gums are needed to support healthy teeth and so bleeding gums is often the first sign of an unhealthy oral environment and should be tended to.

But what causes it? Bleeding gums can be due to a variety of reasons. Here are the 6 most common causes for why your gums may be bleeding:

 

  1. Gum disease or gingivitis

The number one cause for bleeding gums is gum disease, which is essentially an inflammation of your gums. This inflammation is commonly caused by the plaque and bacteria that sticks to your teeth. If we don’t brush adequately or floss for a while, plaque can build up on the uncleaned tooth structure and as the bacteria multiplies, it can cause irritation to your gums.

Gingivitis is the first stage of gum disease, and the most common symptoms can include bleeding gums, gum tenderness, or sensitivity, gum swelling or bad breath.

 

Fortunately, gingivitis is reversible. Improvements in oral hygiene and home care can help to resolve symptoms when they appear, but a professional clean to remove the harder deposits are often needed to fully revert the gums back to a healthier state.

If left untreated, gingivitis can progress into a more advanced form known as periodontal disease. At this stage, the bone surrounding the teeth can start to deteriorate. This bone loss is irreversible and can weaken the support of the teeth and eventual loss of the teeth. People with chronic periodontitis often require regular and ongoing professional dental treatment to prevent the disease from progressing.

 

Gum disease and periodontal disease both have systemic links to other health conditions including heart disease and diabetes.

 

At True Smiles Dental, your dentist or oral health therapist will always check the health of your gums by doing a periodontal screening as part of your check-up prior to your dental cleaning. This periodontal assessment is conducted using a periodontal probe which measures the pockets between your gum and your tooth as well any clinical signs of disease. This helps with determining your risk category for gum disease and is used to place you on a regular 3-, 4- or 6-month recall system accordingly. This is the time frame in which you should return for another dental cleaning to ensure your gum health is in tip-top condition.

 

  1. Medications

The most commonly prescribed medications that may result in bleeding gums can include blood thinners, anti-depressants or blood pressure medications. If you have started a new medication and have since noticed bleeding gums, talk to your dentist or doctor about the new medication to see if it could be causing your bleeding gums. This can be important as your dental professional can help to put together an oral health regime which can be gentler on your gums.

 

  1. Pregnancy

Your teeth and gums can also be affected by a pregnancy, just like other areas of your body. During pregnancy, the changing hormones can cause women to be more susceptible to developing gingivitis. As discussed above, gingivitis is the early stage of gum disease and commonly causes bleeding gums. If you’re pregnant and suffering from bleeding gums, it is important to talk to a dental professional about incorporating additional steps to your dental hygiene routine to protect yourself from gum disease.

 

  1. Just started flossing/change in oral hygiene products

Not flossing enough? Surprisingly, brushing your teeth only cleans approximately about 60% of tooth surfaces. This means that about 40% of your daily plaque accumulation remains in between the teeth – which increases by the day the more we forget to floss. This plaque results in gum inflammation, which when disturbed with the floss results in bleeding.

The use of a hard or medium bristle brush can also result in irritation to our gums and can cause more damage than good. Leave those hard/medium bristle brushes for cleaning the floors and stick to a soft bristle brush to protect your gums.

 

  1. Underlying health conditions

Bleeding gums are a common symptom of type 1 or type 2 diabetes. Patients with diabetes often have a harder time fighting off infections. This can include infections in the mouth like gum disease. Because of this, gum disease in diabetic patients can easily get out of control and progress much faster than in individuals without diabetes. If you have diabetes and bleeding gums, it’s important to notify your dental professional so they can evaluate your gum health and create an oral health plan for you.

Other medical conditions which can increase your risk of gum disease include osteoporosis and cardiovascular disease.

 

  1. Unhealthy diet or lifestyle

Individuals with a higher intake of sugar and carbohydrates can have an increased risk of gingivitis as sugar creates the perfect conditions to encourage increased plaque accumulation. Increased plaque scores result to readily irritated and inflamed soft tissues, which can result in bleeding gums.

Studies have also shown that a deficiency in vitamin C and other minerals may lead to bleeding gums.

 

What can you do to stop your gums from bleeding at home?

As previously mentioned, the number one cause for bleeding gums is inadequate oral hygiene and plaque being left behind on our teeth. So going back to basics to improve your oral hygiene regime can definitely help with improving the symptoms of gingivitis at home.

Tips for brushing and flossing

  • – Using a soft bristle brush, start in one quadrant of your mouth with the bristles aimed at a 45-degree angle towards the gum line.
  • – Treat brushing the gum line like a massage, working in a circular motion. Avoid scrubbing as much as possible as this can run the risk of damaging the gum, causing them to recede.
  • – Aim to brush for at least 2 minutes, twice daily – morning and night.
  • – The most common tool to clean in between the teeth is dental floss. If this doesn’t work well for you, try flossette picks or interdental brushes!

 

A big reminder is to not be afraid if you see bleeding when you brush or floss. This is often a sign that there are bacteria in the area and needs to be cleaned out thoroughly. Studies have shown that the use of an electric toothbrush has been found to be more effective than a manual brush at removing plaque. To find out which electric toothbrush might be right for you, speak to the friendly team at True Smiles Dental.

 

Will cleaning my teeth at home be enough? 

If your gums continue to bleed after brushing or flossing, it may be time to visit your dentist or oral health therapist for a thorough professional dental cleaning. Soft plaque can be controlled and removed at home, however, once it calcifies onto the tooth surface, it needs to be professionally and safely removed with our special dental instruments.

 

Is it normal for my gums to bleed during a dental clean appointment?

If your gums are exhibiting signs of inflammation or there is some notable plaque or tartar build up on your teeth, it can be normal to see some bleeding during your dental cleaning. Once your teeth have been professionally cleaned, your dentist or oral health therapist will run through how to clean your teeth properly at home to ensure that your gum health improves. This can include a mixture of brushing technique, interdental cleaning, specific toothpastes to use and perhaps mouthwash (as directed). Improvements in your gum health may take up to 1-2 weeks before the inflammation settles and the occasional bleeding stops.

 

How often should I have my teeth professionally cleaned?

For healthy, well-maintained teeth and gums, it is recommended that you visit your trusty Marrickville dentist every 6 months. If your gums need more attention, you may be told that you need to attend more frequently for professional dental cleanings. This can be every 3 or 4 months until your periodontal health is stable. During these visits the health of your gums (and teeth) will be assessed and any essential treatment or preventive options are recommended.

 

At True Smiles Dental, we have invested in the latest technology to ensure the most comfortable, pain-free dental cleaning services. Our EMS airflow uses a mixture of air, warm water (can be heated up to 40 degrees Celsius!) and fine powder which offers a quicker, gentler and effective teeth clean than ever before. Our ultrasonic scaler, which is used to remove hard tartar build up is also designed with a patented ‘no-pain’ technology for your comfort. To find out more, call our friendly team on (02) 7228 7272 or visit our dental clinic at 235 Marrickville Road, Marrickville NSW 2204.

Sensitive Teeth: Is this normal and how can I fix it?

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Imagine this, you’ve just finished dinner and decide to head over to the fridge to grab an ice-cream as a post dinner treat. As you bite down, you feel a zap-like jolt or pain coming from one or more teeth. The pain is momentary, but it keeps re-occurring with each bite.

You then go and brush your teeth before hopping into bed, again that same ache occurs from the cold running water and the motions of brushing. Once you’ve finished brushing your teeth the discomfort and pain goes away.

What is happening? Is this normal?

Tooth sensitivity – it is extremely common and can go untreated in many individuals.

What are sensitive teeth?

Tooth sensitivity is a common name for dentine hypersensitivity and can result in a pain like sensation when the tooth is exposed to cold, hot, sweets, acidic or sour food and beverages. This pain can be mild (like a tingle) or a short and sharp pain shooting through the inside of your tooth (‘nerve pain’). The pain then dissipates as soon as the stimulus is removed.

What are some different triggers?

  • – Cold air
  • – Cold/hot food and beverages
  • – Acidic foods and beverages
  • – Sour foods and beverages
  • – Brushing teeth: especially when using a medium/hard or electric toothbrush
  • – Mouth wash
Symptoms associated with tooth sensitivity can range from mild to intense and may come and go depending on the stimulus. The symptoms then usually dissipate once the stimuli are removed. In some severe cases, the teeth can feel sensitivity all the time, despite removing the trigger.


Why are my teeth sensitive?

In order to understand the mechanics of tooth sensitivity, it is important to understand the anatomy of our teeth.

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Our teeth are made up of 3 predominant layers. This includes the:

  • – Enamel: This is the hard outer layer of the tooth and covers the top portion of the tooth. The enamel is very dense, composed of a crystalline structure that protects the dentine and pulpal layers. It serves primarily as an insulating barrier that protects the tooth from physical, chemical and thermal forces. The white shiny surface that we can see in the mirror is our enamel.

Fun fact: enamel is one of the hardest substances in our body

  • – Dentine: This is the second or inner layer of the tooth and makes up the majority of the tooth. The dentine is comprised of a multitude of tubules (dentine tubules) which connect from the outside of the tooth to the inside of the tooth (pulp). Dentine is generally a yellow/orange colour.
  • – Pulp/nerve tissue: This is the most inner layer of the tooth and consists of the nerve tissue and blood supply. Having a nerve and blood supply means that our teeth are essentially ‘alive’ and can be subject to different sensations such as pain.The other surrounding support structures for the tooth include the gums and the underlying bone. The roots (or ‘legs’) of our teeth sit in the bone and the gums cover the bone, the top portion of the roots and a portion of the tooth enamel (only marginally).Dentine hypersensitivity

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Over time, our gums can become damaged or recede as a result of age, gum disease or brushing too hard. This exposes the root surfaces of the tooth and the underlying dentinal tubules which can react when they come into contact with cold, hot, acidic, sour or physical stimuli (such as brushing or touching the tooth).It is important to note that not everyone experiences sensitivity to the same degree. Some individuals may experience a lot of sensitivity when a small amount of dentine is exposed, whereas others may not experience anything at all for the same amount.

What causes our teeth to be sensitive?

Of course, it’s not fair or expected you’d have to avoid all the good pleasures in life such as ice cream to escape sensitivity – so by understanding why our teeth are sensitive, we can work out ways to minimise the symptoms.

Tooth wear, is reasonable for the majority of tooth sensitive cases.

Here are a few reasons why your teeth might be sensitive:

  1. Worn tooth enamel from brushing too hard or using a hard/medium bristle brush

Although our enamel is one of the hardest substances in our body, it can still be worn away. Remember when brushing your teeth, it is important to use a soft bristle brush and apply gentle pressure. Don’t brush your teeth like how you would scrub our pots and pans. If you’re using a scrubbing motion – you’re doing it wrong.

Some of us are actually stronger than we think, so if you find it hard to control the pressure, it may be time to consider an electric toothbrush. Technology in certain electric toothbrushes now come with pressure sensors to indicate if you are applying too much pressure on your teeth.

  1. Dental erosion

Dental erosion is caused from exposure of our teeth to a highly acidic environment. This can be due to the acidic foods we consume or underlying health conditions such as reflux.

Drinking water after consuming acidic foods and beverages can help with increasing salivary flow and diluting the acidic levels in your mouth. If your dental professional has mentioned you may have dental erosion, considerations such as not brushing straight after a meal/beverage can be helpful in limiting further erosion.

  1. Tooth decay/ broken teeth/ worn down fillings

Tooth decay, broken teeth or worn-down fillings can cause exposure to the inside of the tooth, which can result in sensitivity. The tooth therefore may require fillings to replace the missing tooth structure and protect the exposed dentine.

  1. Gum recession

Gum recession can be a result of brushing too hard or a result of gum disease. Plaque and calculus that builds up near the gum line has the potential to push the gums down further. This exposes the underlying root surfaces which are not covered in enamel. Regular professional dental cleanings are important to remove the build-up in a timely manner before they cause damage to the gums.

  1. Grinding or clenching your teeth

Grinding your teeth can cause serious wear to your teeth. This can cause your enamel to be slowly worn down over time exposing the underlying dentine. Similarly, clenching forces are also cause areas of the enamel to break off (most predominantly near the gum line). This is known as ‘abfraction’.

Treatment for clenching and grinding include construction of a custom occlusal splint (night guard) to protect your teeth from further wear or muscle relaxants in the jaw muscle.

  1. Developmental Enamel defects

In some cases, some people are born with weaker enamel. Hypomineralised or hypoplastic teeth are defects in the quality and quantity of enamel respectively and one of the biggest side effects can be sensitive teeth. There are many ways to manage enamel defects, but it is always best to speak to your dental professional to determine which treatment is best.

  1. Post-dental treatment sensitivity

This can be a common reason for tooth sensitivity but is usually temporary. After procedures such as large fillings, crowns or even teeth whitening, our teeth can become a little sensitive. These symptoms normally subside within a few weeks post-treatment.

Managing sensitive teeth

Sensitive teeth can often be managed at home first with symptoms resolving within a week or two. The following suggestions may help, however, it is important to speak to your dental professional to see what may work best for you.

  1. Desensitising toothpaste: specific sensitive toothpaste such as Sensodyne or Colgate sensitive pro-relief have ingredients in them which can help to block and cover the exposed dentinal tubules, which can improve or in some cases eliminate teeth sensitivity.
  2. Soft bristle toothbrushes: Using a soft bristle brush (and even soaking it in warm water to soften it further before brushing) can help as this is much gentler on the gums and won’t irritate them as you brush.
  3. Specialised dental products: your dentist or oral health therapist may recommend specialised products such as Tooth Mousse Plus or a higher fluoride toothpaste depending on your circumstances. It is always best to speak to a dental professional before using specialised dental products to see if it is right for you
  4. Fillings: If tooth sensitivity cannot be managed with at-home products, in some cases, dental fillings may be required to cover up any exposed tooth or dentinal surface.
  5. Surgery: In more severe cases where the gums have dramatically receded and you are unhappy with the appearance of your smile, gum grafting may be a solution to bring back the gums.

If you are experiencing tooth sensitivity or are unsure if you are suffering from tooth sensitivity, contact the friendly team at True Smiles Dental in Marrickville to see if we can find a treatment or solution that works for you. Call us on (02) 7228 7272 or book online at www.truesmilesdental.com.au

 

Dental Veneers

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What are dental veneers?

Dental veneers are a type of restoration that can be applied to your teeth to improve their shape, colour, or position. They are thin, tooth-like coloured in nature that are bonded to your teeth. Veneers are commonly separated into 2 categories, composite resin veneers or porcelain veneers. The term ‘dental bonding’ has often been associated with composite resin veneers. All categories follow similar protocols in improving appearance of your teeth.

There are a number of reasons for why individuals may want veneers. Patients may be unhappy with their smile, the shape of their teeth, existing fillings that have discoloured, the odd positioning of their teeth, or the colour of their teeth. This can have effects on people’s confidence, as they choose not to smile or shy away from showing their teeth during conversation or laughing.

We’ve listed a few reasons for why you may be suitable for veneers, have a read and see if any of these are relevant to you:

  • Old fillings that have changed colour
    • – We’ve just come back from the dentist with our new filling, and the colour matches the tooth. But, over the years, coffee, tea, wine or smoking have started to stain the teeth and the fillings also. Now the filling no longer matches the tooth and has become quite noticeable when you smile
  • The colour of your teeth
    • – You see others around you, or even those in Hollywood with amazingly white teeth and you think to yourself, I wish my teeth were that white. In come whitening products, several products later to no effect. Your teeth just refuse to whiten, all hope must be lost? Not necessarily!
  • History of trauma or root canal treatment
    • – It is extremely common for patients to suffer trauma to their front teeth. This can happen at all ages and is unbelievably unfortunate. Often, treatment involves placement of a filling material or in some cases, the need for root canal treatment. In certain situations, the trauma can be so great that the tooth starts to change colour! This darkening effect of the tooth signifies a loss of vitality in the tooth, the nerve dies and causes the tooth to discolour.
  • History of tooth wear or chips
    • – Clenching and grinding can go unnoticed for many years until they become apparent that your teeth ‘feel’ flatter and ‘look’ flatter. As much as would like to think that our teeth are indestructible, they can most definitely be worn down.
    • – In some cases, our front teeth can be worn down to the point where they start to feel sensitive to anything cold
  • Misaligned teeth
    • – Some teeth are slightly misaligned, and braces just isn’t an option. Dental veneers can assist in correcting the position of your teeth by masking the misalignment. It is worth noting that this should be carefully discussed with your dentist first
  • Discoloured teeth from a young age
    • – Teeth can often be discoloured for a variety of reasons, one specific reason may be antibiotic use at a young age, or white lesions on your teeth due to fluorosis. The colour of your teeth have been affected internally, and conventional methods prove ineffective.

If any of the above reasons relate to your teeth, then dental veneers may be an option for you. One should always consult with their dentist before considering dental veneers as there may be alternative solutions that are better suited. Although dental veneers are great, they may not be suitable for everyone.

Dental veneers are intricately crafted to your teeth to change, the shape, mask discolouration, and in some circumstances, improve the position. Most commonly, they are placed on front teeth as these are in the ‘smile zone’. They can be applied to both top and bottom front teeth. The number of veneers you may need is unique to each case.

Types of Veneers

As mentioned previously, veneers can be categorised into two types:

  1. Composite veneers
    • – Composite resin veneers are made from the same filling material we use for dental restorations. They are a less expensive option and can provide great results for those looking for a quick fix.
    • – Composite veneers are often placed over the tooth of your teeth, and are advantageous over porcelain veneers as they are less destructive to the natural tooth structure. However, this can often make the teeth feel bulkier, which can sometimes change the way we speak. Overtime, the mouth does adjust and your speech will improve.
    • – Composite veneers have the advantage of being able to be repaired. In the even they chip or fracture, your dentist might be able to restore these issues.
    • – The disadvantages of composite resin veneers are that they aren’t as strong as porcelain veneers, and are more prone to discolouration overtime. The margins of your veneers may become more apparent over time as they attract stains. Sometimes, a quick polish from your dentist and resolve this issue.
    • – Composite resin veneers are a great option for those looking for a safe, non-destructive, and inexpensive way of improving your smile.
  2. Porcelain veneers
    • – The most common type of veneer are porcelain veneers. They are considered the best type of material for replicating the natural shade of healthy teeth, and are highly resistant to staining.
    • – In most cases, in order to achieve the most desirable results, your tooth may require some preparation. Approximately 0.5mm of the top layer of the tooth is removed to may space for the porcelain veneer. This ensures strength in the veneer and that your veneers feel as natural as possible. In some cases, it is possible to perform a ‘no preparation’ veneer method, where no tooth structure is removed. Again, similar to composite resin veneers, thickness of your teeth and speech may be affected.
    • – Preparation of the tooth does mean that we have to remove a small layer of your tooth, this may not always be something patients want.
    • – Unlike composite resin veneers, porcelain veneers are stain-resistant and do not change colour with age. It is important to select the correct shade/colour with your dentist prior to starting any veneer work. Whitening your teeth prior to starting is always recommended, as whitening in the future will not change the colour of your porcelain veneers
    • – Although porcelain veneers are far stronger than composite veneers, they are not immune to chipping. Unfortunately, it is almost impossible to repair a chipped veneer. And so, repair would involve the removal of the veneer and replacement with a new veneer.
    • – Furthermore, if patients tend to grind in their sleep, then it is imperative that patients have a splint constructed to protect their veneers from chipping or fracture. This is applicable to both composite resin and porcelain veneers.

How long do veneers last?

The age-old question as to how long anything will last. We strive to have things last for a long as possible, but the reality is, if we take good care of our teeth or veneers, they should last up to 10 years or more. Everyone is different, and we each put our veneers under different stresses, so mileage will vary from individual to individual.

In general, porcelain veneers tend to last longer as they are stronger and are more compatible with the gums leading to less gum disease. Not to say that composite resin veneers aren’t as good, if they are done well, composite resin veneers can last just if porcelain veneers.

How do I take care of my veneers?

So, we’ve just completed our veneers and we wish to establish the best practices for longevity. Like our natural teeth, we should be flossing and brushing regularly. Treat your veneers like they are your own teeth. In some cases, it is recommended to wear a night guard, also known as an occlusal splint. Many people are shocked to hear when they are told that they clench and grind during their sleep. This can be disastrous to our lovely veneers and inadvertently cause chips or fractures. Your dentist will be able to recognise the signs of clenching and grinding prior to starting any veneer treatment. Occlusal splints are constructed shortly after insertion of dental veneers, they aid to protect your veneers from chipping and fractures during your sleep.

Lastly, we recommend patients avoid eating and biting on anything that would be deemed too hard. Often patients find themselves biting through shells, nuts, or even using their teeth as can openers. If there is an intended tool for such practices, it’s best to leave it up to the tools themselves and not through the convenience of your teeth.

At True Smiles Dental Marrickville, we understand everyone is different and their needs may vary depending on the circumstances. Through careful analysis, our experienced team at True Smiles Dental can help you decide what options are best and what would achieve the best results. Feel free to contact one of our lovely staff members to assist you should you have any further questions. We offer FREE cosmetic consultations at True Smiles Dental Marrickville. Call (02) 7228 7272 or book online at www.truesmilesdental.com.au

Are Metal Fillings Dangerous?

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Historically, tooth cavities causing people pain would normally be extracted. However without anaesthetic agents, the tooth extraction would be done without anaesthetic! Along came dental amalgams – a solution to fixing those nasty painful holes in people’s teeth and a way to reduce the need for extractions. Amalgams have been around for centuries and were one of the first materials used to fill people’s teeth. Dental amalgams are an alloy, meaning they are a mixture of metals consisting of various quantities of zinc, mercury, tin and copper, which when mixed together, form a very hard, stable and safe material that can withstand the test of the time.

Dental amalgams provide excellent strength, durability, self-sealing properties and antibacterial benefits. For these reasons, they were widely used for the restoration of decayed teeth, and can still be the preferred restorative material of choice in the 21st century. However, due to its metallic colour and ubiquitous concerns regarding health effects and environmental effects, its use in dentistry has vastly decreased.

Mercury and amalgams

Some people may be concerned about the mercury content in amalgams. But, did you know, that mercury is found everywhere in our day to day lives? The air we breathe often contains very small traces of mercury which can be due to environmental or human related activities. Volcanic activity and bushfires release mercury into the atmosphere where it can travel vast distances to settle around the general population. Human activities such as the burning of coal, oil, and wood can release mercury into the air. Power plants that use fossil fuels as energy account for some of the largest sources of mercury emissions. Mercury levels differ depending on which part of the world we reside.

The mercury that travels airborne can settle in bodies of water. Fish and shellfish build up mercury levels over their lifetime. The amount of mercury in a given fish or shellfish is dependent on what they eat (do they eat other fish that contain mercury?), or how long they live (if they live longer, then they are able to ingest more mercury over their lifetime). It is worth mentioning that the levels of mercury in fish have proven to be of low risk with no detrimental effects to the human body. Tuna, a commonly consumed fish in the world contains the largest traces of mercury. This is largely due to the fact that they can grow quite large, and feed off other fish. In fact, the exposure of mercury with dental treatment is less than a can of tuna!

Research has shown that dental amalgams are safe and that there has not been any evidence of impacts to health. Studies have suggested that the leaching of metals into the mouth is exceptionally low and within ranges that are considered safe. However, amalgams can be unsafe when it comes to removal as this can create vapours in small quantities. With the addition of high vacuum suction, found in the dental chair, these vapours can be vastly reduced to a level that is safe. The environmental concerns of amalgam during removal are also important, as to not let such metals enter our waterways. Luckily, dental chairs have amalgam traps which prevent the pollution of amalgam into the water.

In rare circumstances, some people may be allergic to mercury. This is an immune response to very low levels of mercury known as “mercury hypersensitivity”. Patients may experience symptoms to their gums or tissues in the oral cavity. Symptoms include skin rashes around the mouth, itching and swollen lips. Most reactions to amalgams require no treatment and will disappear with time, however in some cases, the amalgam restorations need to be removed and replaced with another restorative substitute. The majority of dental clinics no longer use amalgam as a choice of filling material so patients need not be concerned of such an occurrence happening even if the risk of having a reaction is extremely low.

For the majority of patients that already have amalgam fillings in their teeth, there is very little to no risk to their health. So, the need to rush to the dentist and have all of your amalgam fillings replaced is not necessary for the purpose to reducing mercury levels in the body. Amalgam fillings have been used for over 100 years and have been widely studied in relation to its effect on the human body and their great quality is why they have been the mainstay of dental fillings for the past 100 years.

One of amalgams unique properties is that it has ‘self-sealing’ properties. Through expansion of the amalgam after placement, and corrosion, amalgam fillings can improve their contact with your cavity. Fillings may contain small microleakages when placed in your teeth which acts as a breeding ground for microorganisms causing dental decay. The amalgam’s self-sealing property act to seal this microleakage, thus preventing the recurrence of dental decay. This is one of the best reasons for why amalgam fillings last for a very long time.

Amalgam fillings are extremely durable and can withstand years of wear and tear with the appropriate care. Their strength ensures that you can chew on foods without worrying of pieces of ‘filling’ breaking off. Such durability is evident in many patients that still have their amalgam fillings in their teeth that were placed when they were young.

Why should we replace amalgam fillings?

As much as we would like to think that everything will last forever, amalgam fillings are still susceptible to wear. Because they last for such a long time, wear may not be easily detected. Amalgams do not stick to the tooth so once their margins start to open, they allow for food and bacteria to colonise in the cracks. Over time, the recurrence of decay can eventuate and is often quite difficult to detect, even with X-rays. Careful examinations with your dentist on a regular basis help to monitor the status of your amalgam fillings. Regular X-rays are useful for detecting signs of decay underneath your amalgam. As mentioned previously, it can be quite tricky to determine if there is decay underneath your amalgam filling. The amount of decay detectable underneath amalgam fillings may be quite substantial when it finally appears in the dental X-ray, so it is recommended to attend regularly, not only for your bi-annual cleans, but for thorough assessment of all existing fillings. We also recommend X-rays for patients regularly for the best assessment. The duration of when to take X-rays is dependent on your risk of decay. Those will a higher risk may require more regular X-rays. We recommend bitewing X-rays once every 2 years for the majority of our patients to ensure we are kept up to date with your teeth. If we notice any signs of failure or early signs of decay, we can properly prepare for the replacement of your amalgam whilst conserving as much tooth structure as possible.

Amalgams require bulk to stay in your tooth, and so the cavity designed in your tooth for your amalgam filling to fit in your tooth may often be undermining some of your much needed enamel and dentine. Larger amalgams in teeth, in particular the molar teeth are more prone to fracture. This is an area of concern when conducting a dental examination, and your dentist would generally raise these issues with you and discuss options for ensuring your teeth don’t fail you on the next bite.

Another disadvantage of amalgam fillings is that they can stain the surrounding tooth structure overtime. This may not be aesthetically pleasing for some patients and thus the request for replacement of amalgam fillings. However, replacement of any filling generally leads to a larger filling size and loss of very important tooth structure. One must consider the benefits and risks involved when replacing amalgam fillings. We must also remember that the highest levels of mercury exposure are during amalgam removal. With the appropriate protocols in place at your dentist, removal can still be very safe. Thus, we suggest you discuss with your dentist first whether it is worthwhile to replace your amalgam fillings.

As time and technology advanced, dental amalgams were no longer the preferred choice of material for restoring teeth. Composite fillings and ceramic restorations have become increasingly popular as restorative substitutes due to their aesthetic properties and are now the material of choice for dental restorations. They provide strength, biocompatibility, safety and aesthetics.

So the question is, should I replace my dental amalgams? All fillings have a lifespan and you would be very surprised at how long dental amalgams can last. In some cases, they can outlive the tooth itself! Replacement of dental amalgams should always be assessed carefully and your dentist can help you to determine if it is safe to do so. Because the removal of amalgams may sometimes weaken the tooth and subsequently reduce the lifespan of your tooth, it is best to discuss with your dentist the best options when considering the replacement of amalgam fillings. The team at True Smiles Dental can assist you with these concerns. Contact us at (02) 7228 7272 or book online at https://truesmilesdental.com.au

Teeth Whitening 101 – Here’s what you need to know and what to definitely avoid

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In today’s society, you don’t need to look far to find teeth whitening products or services that promise to deliver brighter and whiter smiles. But how do you know if these products are safe for your teeth and is the person administering these services a qualified and registered dental professional?
Do-it-yourself whitening or whitening services provided by an unregistered dental professional can in some cases, lead to irreversible damage to not just your teeth but also your gums. Not every individual is suitable for teeth whitening and so that is why it is important to depend on a registered dental professional for this type of treatment.

How does whitening work?

Imagine your enamel prisms have a mesh-like framework. Overtime this mesh can get discoloured and stained from the foods and beverages we consume. Most whitening agents contain an active ingredient of hydrogen peroxide or carbamide peroxide. When the hydrogen peroxide or carbamide peroxide comes into contact with the molecules which causes the stains, it breaks them up. This oxygenated response results in the tooth surface appearing lighter.

Over time, our daily habits or diet can result in the tooth surface becoming discoloured or stained again. Therefore – it is important to note that teeth whitening is not a permanent treatment and may need to be topped-up again in the future.

What types of teeth whitening are there?

Over the counter products

Now we’ve all seen the many whitening products that can be purchased over the counter at the supermarket, pharmacy or even online. They usually contain a weaker whitening agent (lower level of hydrogen peroxide or carbamide peroxide) than products obtainable from the dentist. This can result in a longer treatment process and sometimes undesirable results.

The whitening product can either be applied as a gel using a universal tray or as a strip that sticks to your teeth. Unfortunately, these types of products have a higher risk of chemical burns to your gums as they are usually ‘one size fits all’.

Whitening toothpastes are also readily available on the market. But the biggest question is Do they work? Not so much. Whitening toothpaste often contain a very low percentage of whitening agent and abrasives which can help with extrinsic stain removal. However, because we all aim to brush our teeth at least twice a day and given that a tube of toothpaste can last an adult individual up to 3 months – using a whitening toothpaste long term can result in an increased risk of teeth sensitivity and unfortunately be abrasive to the enamel.

Take home whitening trays

At True Smiles Dental, we offer two different forms of whitening treatments. The first is ‘take-home’ whitening where we construct custom fitted trays specifically to your teeth and your teeth only. The reason we make custom fitted trays are because we want the whitening gel to be contained to the teeth only and not spread to other unwanted areas like the gums. Dental grade strength whitening gels are prescribed depending on your needs and instructions are provided on how to use the trays and for how long. Your dental professional will often monitor your progress and can give you advice on how long the whitening treatment should be completed. One of the best advantages of choosing take home custom whitening trays is that the trays can be kept away in storage for use at a later date. Therefore, touch-ups are super easy! All you need is some gels and you’re good to go.

In-office whitening

Our other alternative is in-office whitening treatment. Here, your dental professional will isolate your gums, cheeks and lips away from the teeth using retractors, gauze and cotton rolls. This minimises the risk of the gels leaking onto the soft tissues which can cause those nasty burns! A gel is applied directly onto the tooth surface which is then activated by an LED light for a period of time (our Phillips zoom machine works in 15 minute intervals). After a few sessions, we hope your teeth have responded accordingly and you’re as happy with the result as we are!

How long do the results last?

Now, as we’ve previously mentioned – the results from any teeth whitening procedures are never permanent so it is important to have the right after care regime to maintain your new pearly whites! Results from over-the-counter or online products will often relapse much faster than professional whitening. So whilst there are cheaper alternatives outside the dental office, you may be spending more in the long term to achieve the same result as dental grade professional whitening.

What should I do if I want to have my teeth whitened?

The first and most important thing to remember is that if you’re looking at getting your teeth whitened, is to always consult a registered dental professional for advice and treatment.

A registered dental professional is someone who has been deemed qualified and properly trained according to the Australian Health Practitioners Regulatory Agency and The Australian Dental Council.

Individuals who are looking to whiten their teeth, should apply caution to any business that offers teeth whitening services without having the professional training or accreditation required to do so. Many businesses claim that their staff have been ‘certified’ or ‘trained’ to conduct teeth whitening – but did you know, according to the Australian Dental Council this is not enough.

The Dental board of Australia restricts any individual that is not a registered dental or medical practitioner from performing a restricted dental act and the provision of teeth whitening substances is classed as one of those acts.

Just as you wouldn’t go to your dentist for a manicure or cut and blow-dry, the same concept should be said about going to your hairdresser, beautician or local nail salon for your teeth whitening.

Find yourself a trusted, qualified and most importantly registered dental practitioner to complete a check of your teeth and gums to see if you’re a suitable candidate for teeth whitening.

What are the risks of teeth whitening?

Now we’ve all seen the numerous pictures and videos on social media about all the great results that can come from teeth whitening but I bet, nobody likes to post pictures of when things go south.

Teeth whitening can have many benefits when done correctly but also comes with some risks – and when administered incorrectly or by someone who has been improperly trained, the following issues can include:

– Chemical burns to the surrounding soft tissues (gums, lips, cheeks)
– Facial or intra-oral swelling from leaking whitening agent (bleach)
– Irreversible damage to the enamel

Last year the Australian dental council issued a warning to the public about the use of DIY teeth whitening as there was a surge in consumer gingival burns and mouth ulcerations from inadequately applied teeth whitening gel. This followed an increase in the number of celebrities and influencers sponsoring whitening products online and on their social media.

Charcoal tooth products/pastes have become increasingly popular over the last few years and often have claims to promote teeth whitening. Unfortunately, Charcoal toothpastes are very abrasive and can result in your enamel eroding away – revealing the inner layer of your teeth called the dentine, which is yellow in colour (the opposite effect of what we want!).

Enamel is one of the hardest substances in our body and once that has been damaged, it cannot be reversed.

Unfortunately, not everything we see online is a true representation of how reality is, so it is important to not follow the hype! If it’s too good to be true – it probably is!

Are you a suitable candidate for teeth whitening?

Teeth whitening, as good as the procedure sounds, teeth whitening is not suitable for everyone. That is why it’s important for your dental professional to check your teeth prior to starting. What often doesn’t get discussed is that not everyone’s teeth will respond well to whitening and there are certain cases where whitening may not be suitable at all. For example – if you have had fillings placed on your front teeth, the whitening agent will not work on these areas and you may need to have these fillings replaced once your whitening treatment is completed to match the new shade. Similarly, if you have had crowns, bridges or implants – whitening treatment will not work on these teeth.

Furthermore, patients who have mottled enamel or enamel defects may find that their teeth become very sensitive during any whitening procedure or that it may not work at all – in which case alternative cosmetic solutions may be a better option.

At True Smiles Dental, our clinicians are all Australian University qualified, fully trained and registered dental practitioners. So, rest assured you’ll be in the safest hands.

If you’ve ever wondered about whether your teeth are suitable for teeth whitening or want to know more about our whitening packages, give our friendly team a call on (02) 7228 7272 or visit us at 235 Marrickville Road, Marrickville NSW 2204.

What are the best foods and drinks for our teeth?

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What are the best foods and drinks for our teeth?

The human body is inhabited by millions of microbes that can be found on your skin, eyes, nose and mouth. These bacteria are known as microbiota and are important in keeping us safe. They provide a layer of protection against harmful bacteria and aid in digestion. It is important to know that although microbiota are there to protect us, things can change if we change the environment they live in. This is most important for the bacteria that commonly live in our mouths.

Dental plaque is a very thin layer of bacteria, among other things that adhere to our teeth, and is formed constantly. When we eat, we are not only feeding ourselves but are also feeding the bacteria that live in our mouths. The bacteria ingest the starchy foods or sugars found in our food and release acids as a by-product. Overtime, if left to their own accord and without proper oral hygiene, these bacteria can cause tooth decay or gum disease.

It all starts with what we eat. Foods that are high in sugar or starch are generally going to result in more acid by-products from the bacteria that live in plaque. Studies have assessed the pH changes in our mouths during and after eating over the course of a day. The results showed that the bacteria in dental plaque will start to metabolise your sugars and starch within 20 minutes of eating, leaving a more acidic environment in the mouth. Long term exposure to acid can lead to the destruction of your hard enamel causing tooth decay and even gum inflammation.

The acid levels in our mouths after consuming foods that are high in sugars can reach a maximum within only 20 minutes. Your saliva serves as a protective mechanism in the mouth to help neutralise the acid, this usually takes about 30 to 60 minutes for this to occur. It is important to note that everyone is different, and this may not happen as quickly for some. Most commonly, individuals taking medications tend to have a lower saliva flow, hence it may take longer for their mouths to be restored to a neutral ‘normal’ value.

There are many foods that invite this acidic process to cause tooth decay, while there are others that help prevent plaque build-up. We’ve compiled a list of foods that we recommend, and foods that should only be consumed as a special treat!

The good foods:

Fruit and vegetables

Fruit and vegetables are great as they are natural teeth cleaners. This is because they are crunchy and contain lots of water to help remove the plaque on your teeth. They also contain good minerals and vitamins that are great for your teeth and your gums. Other crunchy vegetables such as celery and carrots are also good because their texture allows for the removal of plaque on your teeth – a natural toothbrush for your mouth! Couple this with the stimulation of saliva when chewing, the plaque and bacteria are more readily washed away – your very own natural mouthwash!

Cheese, milk, low sugar yogurt, and other dairy products

Our teeth are made up of a variety of minerals that keep them strong and healthy. Calcium and phosphate minerals are found in our teeth and bones and are responsible for strengthening them. These minerals are also found in many dairy products. When we eat and drink, the drop in pH level in our mouths can cause acid-attacks onto our teeth and often these good minerals are lost. By eating plenty of dairy products, we are able to replace some of the lost minerals.

Nuts

Peanuts contain high amounts of vitamin D, calcium and phosphates. Nuts are packed full of vitamins and minerals that are great for both the teeth and your body. They also stimulate saliva flow which helps to wash away harmful bacteria.

Tea and Coffee

Polyphenols, antioxidant rich nutrients that are found naturally in tea. Polyphenols are effective against fighting off harmful bacteria and also reducing inflammation in our gums. By killing off the harmful bacteria in our mouth, they are unable to release acid or cause irritation to the gums that result in inflammation.

Meats and fatty fish

Chewing meats stimulate saliva flow, and an increased saliva flow in our mouth is a good thing. More saliva in our mouths means the harmful bacteria in our mouths are washed away.

Salmon, like dairy products mentioned above, contain loads of phosphate which are important for our enamel.

Water

It goes without saying that we should aim to consume 2 litres of water a day. Water is important for hydration of the body but great for cleansing our mouth. It acts to wash away any harmful bacteria but is important to maintaining our pH. After a sugary meal, the mouth’s pH starts to decrease, becoming more acidic. By consuming water, we can help to neutralise this acid and restore it to a more acceptable level. Thus, reducing the time our teeth are in contact with acid which can cause tooth decay.

The added benefit of water is the added fluoride that it contains. Fluoride is shown to aid in the reduction of tooth decay by remineralising and strengthening the tooth.

Sugarfree chewing gum

We’ve been talking a lot about chewing and increased saliva and how it helps to wash away the harmful bacteria. Your salivary glands will start to secrete saliva as soon as you start to chew. This helps to aid in lubricating the mouth and moistening your food to allow you to swallow. The act of chewing promotes saliva production, and so having sugar free chewing gum which stimulates saliva flow can be very beneficial after a meal. As long as it doesn’t contain any sugar of course!

Sugarfree chewing gum is great for those that are suffering from low saliva flow or dry mouth syndrome.

It’s not easy to maintain a healthy diet, so it is always important to try and be balanced with what we consume. Of course, it is vital that we know which foods we should stay away from where possible. Everything in moderation is great, but when we give in to our temptations, our teeth may suffer as a result.The sometimes foods:

Chocolate and lollies

Sweet treats such as chocolates and lollies tend to be very sticky and love to live in the nooks and crannies between our teeth or in the grooves. Unfortunately, they can be quite difficult to remove and can often overstay their welcome. Sweets are also are high in sugar and are easily ingested by the harmful bacteria in your mouth, increasing your risk of tooth decay!

It is important to note, when we do have a small indulgence, it’s best to go for something that won’t be too sticky and clear your mouth as quickly as possible.

Starchy foods

Bread, rice, pasta, oats and potatoes are high in carbohydrates. The bacteria in your mouth love to feed on these carbohydrates and cause damage to your teeth through their acidic by-products.

Starchy foods can get stuck in between the crevices of your teeth. It’s best to try and rinse your mouth out with water shortly after a meal to help flush out any food debris that is left behind.

Where possible, try to aim for whole wheat breads which contain less sugars.

Soft drink

It goes without saying that carbonated drinks don’t play nicely with your teeth. Carbonated drinks contain added sugar along with acids that wear your tooth enamel away.

Try to drink through a straw when consuming soft drinks, this reduces the contact time on the teeth and reduces your risk of tooth decay. Furthermore, try not to swish your favourite soft drink in your mouth.

Some people will sip on drinks throughout the day, this is not recommended because the intake of sugar and acid into the mouth is more damaging to the teeth than consuming your drink in one sitting. This is because your mouth stays more acidic for longer as you are replenishing the sugar and acid with each sip.

Alcohol

Did you know that alcohol causes dehydration? A dehydrated mouth lacks saliva, which is important in flushing away food debris stuck on our teeth. Saliva is also important for repairing our enamel and thus preventing tooth decay.

Wine is tannin rich which is responsible for that red-purple stain on our teeth. It’s important to try and rinse this off with water after a glass of wine. Try not to run to the bathroom and start brushing your teeth. The acid present on your teeth after consuming food/drinks lasts for up to 30mins, the effect of brushing your teeth immediately can further damage and wear away your much needed enamel. A glass of water or two is more than enough to help your teeth

At True Smile Dental Marrickville, we can identify early signs of acid wear on your teeth upon examination. Regular x-rays help us to detect early signs of tooth decay in-between your teeth. Book a check up today by giving our friendly team a call on (02) 7228 7272 or visit us at 235 Marrickville Road, Marrickville NSW 2204.

Everyday Habits that can stain your teeth

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Our teeth are exposed to so many elements everyday, it’s no wonder it can feel like they become dull and discoloured with time. Stains or discolouration on our teeth come in two different forms: intrinsic staining and extrinsic staining. It is important to understand which type of staining or discolouration your teeth have so that it can be best managed.

Intrinsic stains are those that are found internally and are often caused through developmental factors, a history of trauma or antibiotic use. It is always best to speak to your dental professional about the ways to improve the aesthetics of any intrinsic staining if this is the case.

Extrinsic staining can be caused by external factors as a result of our daily habits.

Here are some habits that can cause extrinsic stains to your teeth and some tips to reduce the amount of staining that can develop:

Coffee/tea/wine and other dark coloured beverages

Coffee – the elixir of life! I know I can’t function without my cup of coffee in the morning, but as comforting as they are, beverages such as coffee, tea and wines contain tannins which can cause their colour compounds to stick to your teeth. Adding milk to your daily cup of coffee or choosing a coffee with less caffeine can help to reduce the amount of staining.

Tea – What’s crazy is that tea is more likely to stain your teeth than coffee. This is because there is a higher tannin content found in black and green tea. Try drinking a cup of water or rinsing in between your cups of tea to reduce the amount of tannins left in your mouth.

Wine – acidic beverages such as red wine can lead to the surface of our enamel becoming etched. This causes the dark red particles found in wine to readily stick to the tooth surface. Avid wine drinkers, also tend to enjoy the taste of wine by holding it in their mouth to savour the flavours however this can lead to increased exposure time resulting in more staining and an increased risk for dental erosion. Therefore, it is important to not hold beverages such as wine in our mouth for too long and to rinse after where possible.

Of course, the best way to reduce staining from these types of beverages is drink through a straw or to reduce consumption altogether. If this is not possible, it may be best to schedule frequent professional cleaning appointments with your dental professional to keep your pearly whites in tip-top shape. The team at True Smiles Dental can definitely help you with this.

Coloured foods

Dark coloured foods such as berries (blueberries, raspberries, mulberries), beetroot or rich sauces such as curries or soy sauce can also result in increased discolouration or staining. Our rule of thumb is if it can stain your clothes, most likely it can also stain your teeth. Therefore, it is important to try and reduce contact time where possible and not hold dark coloured foods or beverages in the mouth for longer than necessary.

Eating crunchy fruits and vegetables such as apples and carrots can also help provide a ‘natural scrubbing’ motion which can act as a natural stain remover. Crunchy foods promote increased saliva production which in turn allows for dilution of the mouth. Not only does this reduce staining, it allows helps to reduce your risk of decay.

Smoking

Smoking is the second most common reason why we may develop stains on our teeth, whether the tobacco is being smoked or chewed. Additionally, smoking has also been found to be linked with oral cancers and advanced gum disease. Staining cause from smoking is generally more difficult (but not impossible!) to remove, so if there weren’t enough reasons already to quit smoking, perhaps maintaining your pearly whites could be one of them.

Over-exposure to Chlorine

Something that is not well known is that swimming is a hobby that can result in dental staining. That’s right! Studies have found that constant exposure to chlorine can result in a residue adhering to your teeth, causing them to pick up more stains. Swimming pools are often treated with an antimicrobial agent such as chlorine to help kill bacteria and keep the water clean. This gives the pool water a higher pH level than the saliva in your mouth and can cause the salivary proteins to break down quicker than usual, resulting in higher levels of build-up known as ‘calculus’ which is more prone to picking up stains.
Dental stains and enamel erosion from constant exposure to chlorine can often be found in individuals who swim regularly in chlorinated pools. Luckily, staining that comes from swimming in chlorinated pools can be removed through professional dental cleans.

Not drinking enough water

Drinking lots of water every day is important not just for hydrating our body but also our mouths. We recommend drinking at least 2 litres of water per day to help with hydrating our bodies and mouths!

Drinking lots of water has the ability to not only wash away all the tannins and debris in our mouth after a meal or beverage, but also helps to increase salivary flow. Saliva also has wonderful anti-microbial properties which help to prevent tooth decay.

Not brushing and flossing daily

Dental plaque and biofilm tend to pick up more colour and stains from the food and beverages we consume. It goes without saying that good oral hygiene through brushing and flossing can minimise the amount of plaque and bacteria left on our teeth. But did you know that the when you should brush plays an important role too? For example, if you know you will be having a cheeky glass of wine at dinner, brushing about 30 minutes before dinner can help to remove the sticky plaque on your teeth so that the dark wine pigments are not able to stick as readily. Similarly, it is important to not brush until at least 30 minutes after drinking wine as the acid from the wine can lead to a softening of your enamel resulting in dental erosion.

Switching to an electric toothbrush can also help to effectively remove more plaque and bacteria when brushing. Need to know which electric toothbrush is right for you? Speak to one of our dental professionals at True Smiles Dental today.

Using oral products with Chlorhexidine

Chlorhexidine can be found in some mouthwashes and is best known for having anti-bacterial and anti-inflammatory properties. Chlorhexidine mouth rinses can be very helpful under the guidance of a dental professional to help treat acute dental infections but should only be used for short periods of time. Prolonged use of chlorhexidine mouth rinses can result in a brown residue or stain adhering to the teeth. Always consult your dental professional regarding the use of chlorhexidine mouth rinses.

Avoiding dental visits

Over a period of time, plaque and bacteria adhere to your teeth, even if we are diligent with our brushing and flossing. This build up can attract more stains and tends to make our teeth appear more yellow or brown. Thus, it is important to visit your dentist or hygienist for a professional clean routinely. Speak to the team at True Smiles Dental about booking in for your next check-up and clean.

At True Smiles Dental, we know it’s hard to give up on that much needed coffee or glass of wine. That is why we have invested in making the process of stain removal as pain-free and seamless as possible! Our state-of-the-art EMS airflow machine allows for such a feat to be achieved! The combination of air pressure and micro particles are super effective against stains. As a result, the much-dreaded instruments like the ultrasonic scaler (the one that sounds like fingernails on a chalkboard) aren’t needed for stain removal. The experience becomes much more pleasant and far more comfortable. Did we mention that it uses warm water also? Therefore, increasing your comfort and reducing any cold-water sensitivity when you come in for your clean.

Other alternatives to brighten your smile?

The use of ‘whitening’ toothpaste can also aid in removing extrinsic stains. This is because whitening toothpaste often contain abrasive particles which can help to ‘scrub’ off the stains. As whitening toothpaste is often considered more abrasive, it should be used with caution and for only short periods of time. Whitening toothpaste commonly result in increased tooth sensitivity which may go unnoticed for quite some time.

A regular polish and clean will remove surface staining, but a professional whitening treatment may help to bring your smile to a whole new level.
The team at True Smiles Dental are proud to be offering the Phillips ZOOM in-chair whitening system which can achieve up to 8 shades whiter in one 45-60 minute session.

To find out if professional whitening is suitable for you, contact our practice to keep your smile stain-free, bright and white.

The team at True Smiles Dental are always happy to help with any questions you may have in regards to staining, or teeth whitening. Call us now on (02) 7228 7272 or visit www.truesmilesdental.com.au to book online!

 

Your child’s first dental visit – When is the right time and how to prepare

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There are many milestones in a child’s life, particularly in the early stages. The first time they can crawl or walk, their first laugh or word, their first tooth or what about the first time they lose a tooth?

What happens when that first tooth comes through? With this first tooth (and the many, many more teeth that follow) comes the responsibility for you and your child to look after it both at home and with the help of a dental professional.

The Australian Dental Association have outlined that children’s tooth decay is the most common chronic disease and that it is also responsible for the most hospital admissions for any preventable disease, in children aged 5-9 years old. Yes! That’s right, preventable.

The development of good oral health habits and healthy eating practices during childhood is fundamental to the prevention of common oral diseases that can affect quality of life.

Without being too dramatic – poor oral health can lead to disturbances in eating, sleeping, socialising and overall growth and development.

When should my child visit the dentist?

One of the many questions that we get asked everyday whilst working with parents and children is “when is the right time or age for my child to see the dentist?” and the answer is – by the time they get their first tooth or at 12 months (whichever comes first!). We understand that for some people this may seem way too early – but there are so many great reasons why we think children should visit a dentist at 12 months old.

Here are 5 awesome ones!

1. Early experiences help form great long-term habits

By introducing the concept of what to expect in a dental appointment early, any pre-conceived ideas about the dentist can be addressed to ensure a positive dental experience from a young age. This helps to build a healthy relationship between your child and the dental setting.

For children that have not been to a dental clinic, and especially those that have misconceived beliefs or frightening experiences at the dentist, introducing them to a new concept and understanding of the dental setting in a safe and nurturing environment allows them to use their critical thinking and form positive connections of belonging with the people around them and its setting. They can become familiar with the surgery, the bright lights, the reclining dental chair and most of all, familiarise themselves with our amazing dental team.

2. Prevention

Decay or early childhood caries affects approximately 40% of children under the age of 6. Decay is a multi-factorial disease meaning it is a result of multiple factors. It is important to identify which factors may put your child at risk of dental decay and understand ways to prevent them. An appointment at 12 months allows our team to identify these risk factors and recommend any needed strategies early on to help minimise these risks.

3. Avoiding pain and the need for emergency visits

We don’t want your child’s first dental visit to be an emergency appointment (if it is, that’s ok!) however pain from decayed teeth or a knock to the tooth during weekend sports or those unforeseen falls is unfortunately very common and happens all too often. Having a familiar place to call upon when this happens always makes the unpleasant experience of pain or trauma an easier one when your child needs to visit the dentist. Your child is more likely to feel safe with someone they’ve seen before.

4. Toothbrushing habits

As soon as that first little tooth pops up, it is important to start cleaning it twice daily. Now, as easy as this sounds – some children don’t appreciate having things prodding around in their mouth. Seeing a dental professional can help to alleviate some of the minor stresses that may come from toothbrushing. If the toothbrush doesn’t work for your little one, then wiping the tooth with a a soft cloth works just as well.

5. A review of their developing dentition

Are their teeth coming through in the right order? An important point to remember is that we are usually more concerned about the sequence of eruption of teeth rather than timing. Similarly, to how some kids grow faster than others, the teeth are no different, they may just take a little longer to come through.

If your child is over 12 months and still has not had their first trip the dentist, fear not as we are happy to see your child at any age because as the saying goes ‘Better late than never’.

What to expect at your child’s first dental visit?

Depending on their age, your child’s first dental visit at True Smiles Dental will primarily be to help with acclimatising to the dental environment to ensure they are as comfortable as possible. Each child’s first appointment can be different and we strive to tailor the appointment based off how your child responds to the new experience.

After taking a full medical history for your child, your dental professional may want to discuss topics such as:
– Brushing habits and technique along with ways to help motivate brushing
– Toothbrushes and toothpastes recommended for your child
– A check of the gums to make sure they are healthy
– Decay risk and ways to prevent it
– Dental habits including use of a dummy or thumb sucking
– Sleep habits: does your child grind, snore or breathe through their mouth during sleep?
– Nutritional advice to ensure healthy teeth
– Their developing bite and what to expect with their dental development

If your child is comfortable, we may also include a full mouth polishing/cleaning as well to aid in familiarisation of dental instruments.

How to prepare your child for their first dental visit

Reading books about going to the dentist can be helpful or even ‘playing’ dentist at home. You can prepare your child by letting them know that the dentist is there to help look after their teeth and count how many there are. It is not necessary to go into too much detail as the team at True Smiles Dental are well-trained to be able to speak with children in a calming and friendly nature. We will always explain who we are and what we are trying to do at the same level that your child can relate to and understand.

There are some great resources out there which can help familiarise your child with the world of dentistry. Here are a few resources that we recommend:

– We’re going to the dentist: Going for a Check up by Marion Cocklico
– Peppa Pig: Dentist Trip
– Max goes to the Dentist by Adria Klein
– ‘’Toothsavers brushing game’’ app (available on iOS and android)

Playing dentist at home can also help prepare your child for their first visit. Parents can have young children lay in their laps and use a toothbrush to count their teeth. This can help children familiarise themselves with what to expect during their visit.

What not to do before your child’s dental visit

We understand that there may be some level of anxiety for parents when bringing their child in for their first dental visit. Sometimes it’s hard to predict how something new can unfold – no matter how hard we prepare for something. Rest assured – your child is in the best hands with the experienced team at True Smiles Dental.

It’s important to maintain a positive attitude and vibe so that your child understands that visiting the dentist is not a scary feat.

Here are a few tips, words and lines to avoid if possible:

1. Telling your child ‘’if you don’t brush your teeth the dentist will have to use the drill or pull them all out’’ is unlikely to change long term daily habits and will most likely reinforce more retaliation and anxiety.

2. Discussing any personal bad experiences with your child is also not recommended as this can also further increase anxiety. Words such as ‘’needles’’, ‘’drill’’, ‘’pull’’ are not pleasant words for anyone whether we are old or young

3. Saying things like ‘’it won’t hurt’’ or ‘’the dentist won’t hurt you’’. Again, words like ‘hurt’ are associated with pain and fear.

4. Telling your child, they are ‘brave’. Bravery can occasionally be associated with doing something uncomfortable or scary.

5. Don’t be anxious yourself! Children often have very strong intuitions and senses about their surrounding environment. Stress is contagious so we don’t want to transpire that into your child before their first appointment.

At True Smiles Dental, we believe that forming a good experience at the dentist early on is important and a lifetime investment in their overall health. Our aim is to always make sure your little one has the best positive experience at the dentist. Who said visiting the dentist can’t be fun? Start your child off in the best way possible and get them onto a lifetime of good dental habits – book with us now on (02) 7228 7272 or visit www.truesmilesdental.com.au to book online!