My Blog

Posts for: December, 2018

By Drs. Heller & Meersand
December 21, 2018
Category: Oral Health
Tags: oral health  
KeepingYourSmileHealthyThroughtheHolidays

’Tis the season for holiday joy with sweet treats at every turn. Don’t let it be the season for dental woes as well. You've heard that sugar causes cavities. That’s because bacteria in your mouth feed on sugar and release acid as a by-product. The acid eats away at tooth enamel, resulting in tooth decay if not checked. To protect your smile during the December onslaught of cookies, candies and other goodies, follow these tips:

Seek balance. Foods that stick to your teeth like candy canes, chewy candies or potato chips provide more opportunity for cavities to develop. To help keep your smile sparkling for the New Year, mix it up with healthy options. Chances are you will come across tooth-healthy offerings like raw vegetables, a cheese plate or mixed nuts. Vegetables scrub your teeth while you chew and stimulate the production of saliva, which helps neutralize acid and rebuild tooth enamel. Cheese also neutralizes acid in the mouth and has minerals that strengthen teeth, while nuts stimulate saliva production and provide vitamins and minerals that keep teeth strong and healthy.

Consider your timing. There’s a higher risk of developing tooth decay when sweets are consumed as standalone snacks, so when you do eat sugary treats, try to have them at mealtime. Repeated snacking between meals exposes teeth to food particles throughout the day, and the acids produced can continue to act on your teeth for 20 minutes after a treat is consumed. During meals, however, other foods present help balance out the sugar and stimulate saliva production, which helps neutralize acid and wash away food particles, sugar and acid from your teeth.

Watch what you drink. Sipping sweet drinks over time can have ill effects on your teeth because of prolonged contact with sugar. If you consume sugary beverages, try to do so in moderation and preferably along with a meal. Sipping your drink through a straw can help keep the beverage away from direct contact with your teeth. Consider opting for water—there are plenty of other opportunities for extra sugar and calories! Besides, water washes away food bits and dilutes acidity. After eating the sweet stuff, it’s a good idea to drink water or at the very least swish a little water around in your mouth.

Keep up good oral hygiene. With all the holiday busyness—shopping, gatherings with friends and family, school functions—you may find yourself exhausted at the end of the day. Still, this is an especially important time to keep up your oral hygiene routine. Brushing your teeth with fluoride toothpaste morning and night and flossing every day are key to keeping your teeth for the long haul.

Finally, if you are due for a dental checkup or cleaning, give us a call to make sure you start the New Year with a healthy smile. If you have a flexible spending account that will expire with the calendar year, make it a priority to fit in an end-of-year dental appointment. Please contact us or schedule an appointment for a consultation if you would like more information about keeping in the best oral health. To learn more, read the Dear Doctor magazine articles “Nutrition & Oral Health” and “The Bitter Truth About Sugar.”


By Drs. Heller & Meersand
December 11, 2018
Category: Dental Procedures
Tags: gum surgery  
GumSurgeryCanImproveYourSmileandSaveYourTeeth

While the term “plastic surgery” might bring to mind face lifts or tummy tucks, not all procedures in this particular surgical field are strictly cosmetic. Some can make a big difference in a person’s health.

One example is periodontal plastic surgery, which corrects gum tissue loss around the teeth. Although these procedures can indeed improve appearance, they more importantly help save teeth.

Gum loss is most often a consequence of periodontal (gum) disease, a bacterial infection arising from a thin film of food particles on the teeth called dental plaque. As the disease weakens the gums’ attachment to teeth, they shrink back or recede, exposing the area around the roots. Without the protective cover the gums provide the roots, they become more susceptible to decay.

In milder cases of gum recession, treating the infection often results in the gums regaining their normal attachment to teeth. But with more advanced recession, natural gum healing may not be enough to reverse it. For such situations grafting donor tissue to the recessed area can help stimulate new tissue growth.

While gum tissue grafts can come from an animal or other human, the most likely source is from the person themselves. In one type of procedure, free gingival grafting, the surgeon locates and completely removes (or “frees”) a thin layer of skin resembling gum tissue, typically from the roof of the mouth, shapes it and then transplants it by suturing it to the recession site. Both donor and recipient sites heal at about the same rate in two to three weeks.

Another technique is known as connective tissue grafting. In this procedure the surgeon partially removes the donor tissue from its site while leaving a portion containing blood vessels intact. The palatal tissue is still used and transported to fit beneath the tissue that’s still attached to the blood supply. This connective tissue graft is then positioned and sutured to the recipient site while still maintaining its blood supply connection at the donor site. Maintaining this connection facilitates healing and increases the chances the graft will “take” and become firmly attached to the new site.

Grafting procedures require advanced techniques and skills. But with them we may be able to restore gum attachment to teeth with an impact on appearance and dental health that’s well worth the effort.

If you would like more information on treating gum disease, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Periodontal Plastic Surgery.”


By Drs. Heller & Meersand
December 01, 2018
Category: Dental Procedures
Tags: dental care  
4AreasWeMayCheckDuringYourOlderLovedOnesRegularDentalVisit

While some aspects of regular dental visits are much the same for everyone, they can be more involved for an older adult. That’s because people later in life face an increased risk of dental disease and other age-related issues.

If you’re a caregiver for an older adult, you’ll want to be aware of these heightened risks. Here are 4 areas of concern we may check during their next regular dental visit.

Oral cancer. While it can occur at any age, cancer is more prevalent among older adults. Although rarer than other cancers, oral cancer’s survival rate is a dismal 50% after five years. This is because the disease is difficult to detect early or is misidentified as other conditions. To increase the odds of early detection (and better survival chances) we may perform a cancer screening during the visit.

Dental disease. The risks for tooth decay and periodontal (gum) disease also increase with age. A primary risk factor for older people is a lack of adequate saliva (the mouth’s natural disease fighter) often caused by medications or systemic conditions. We’ll watch carefully for any signs of disease, as well as assess their individual risk factors (including medications) for decreased oral health.

Dentures. If they wear dentures, we’ll check the appliance’s fit. While dentures can wear with use, the fit may also grow loose due to continuing bone loss in the jaw, a downside of denture wearing. We’ll make sure they still fit comfortably and aren’t stressing the gums or supporting teeth. It may be necessary to reline them or consider replacing them with a new set.

Oral hygiene. Brushing and flossing are just as important for older adults as for younger people for preventing dental disease, but often more difficult due to mental or physical impairment. We can note areas of bacterial plaque buildup and recommend ways to improve their hygiene efforts.

Depending on how well your older adult can care for themselves, it may be advisable for you to come with them when they visit us. Our dental team can provide valuable information and advice to help you help them have a healthier mouth.

If you would like more information on dental care for older adults, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Aging & Dental Health.”