Four Common Causes of Toothaches

If you have ever suffered from a toothache, you know how excruciating the pain can be. Tooth pain is usually caused by irritation to the nerves in the roots of the teeth, although there are other potential sources of the pain as well. Fortunately, there are ways to both prevent and resolve a toothache, regardless of its cause.

 

Causes of Tooth Pain

Some of the most common causes of tooth pain include:

1) Tooth Decay – Also known as cavities, tooth decay occurs when bacteria erodes the enamel of the tooth, which can eventually expose the nerve. This is the most common cause of tooth pain.

2) Gum Disease – Also known as periodontal disease, occurs when bacteria populate along and below the gum line.

3) Injury – An injury can include a small chip or a large break in the tooth.

4) Impaction – Teeth often become impacted beneath the surface of the gums. This condition is most common in molars, such as the wisdom teeth. An impacted tooth may cause no pain at all, or it could become extremely painful if it begins to affect the nerves and teeth around it.

 

Pain Resolution

Determining the source of your pain starts with a trip to the dentist. Usually, your dentist will conduct a thorough examination that may include X-rays. If your X-rays or examination reveal tooth decay, the solution may involve a simple filling, a root canal or even a tooth extraction. Your dentist will decide which option is best for you based on how advanced the tooth decay is, as well whether an infection is present within the tooth.

If, however, gum disease is causing your tooth pain, the solution may be as simple as a root planing and scaling, followed by administration of oral or topical antibiotics to kill the bacteria causing your symptoms. If you have a cracked, chipped or broken tooth, your dentist may resolve your pain by either filling the crack, or covering the tooth with a crown designed to prevent bacteria from entering the tooth.

If your dental X-rays reveal that you have an impacted tooth, you will most likely need to have it extracted to avoid causing damage or misalignment to the other teeth. Impacted teeth can also become infected, which is why it is important to remove impacted teeth before they begin to cause problems.

 

Prevention

Although there are ways of treating a toothache, the best way to treat it is by preventing it altogether. Some causes of tooth pain are not preventable, such as an impacted tooth or a predisposition to tooth sensitivity. However, tooth decay and gum disease are easily prevented by using good hygienic practices at home and visiting your dentist for regular examinations and cleanings. By brushing your teeth twice a day and flossing, as well as wearing protective mouthguards when participating in high impact activities, you can significantly decrease your chances of developing tooth pain in the future.

A Healthy Mouth Starts With What You Eat

Most people know that visiting the dentist is an essential part of caring for their teeth. Regular checkups and cleanings are, of course, very important. But what some people don't realize is that good dental hygiene starts long before you get to the dentist's office. You may be saying, "I know, it starts with my toothbrush and floss." But actually, oral health begins even before that. A healthy smile starts at your grocery store.

Dental checkups can detect problems early on and address them, but only good nutrition can give your teeth and gums the healthy foundation they need. If your diet is rich in tooth-friendly nutrients, you will be less prone to gum disease, tooth decay, and even jawbone loss.

So, which nutrients are the most important? Here are a few tooth-building superstars.

Calcium:
We all know that calcium builds strong bones and teeth. Most expectant mothers are even aware that the calcium-rich foods they eat during pregnancy will ensure that their babies develop strong, healthy teeth later on. But did you know that calcium is important to your teeth long into adulthood?

On its "Milk Matters" page, the National Institutes of Health tells us that calcium can protect teeth against decay. Furthermore, a 2001 study published by the US National Library of Medicine found that elderly people who had adequate amounts of calcium in their diets were more likely to retain their teeth as they aged.

Good sources of calcium include yogurt, cheeses, milk, and leafy green vegetables. If you can't get an enough calcium from your diet alone, talk to your doctor about adding a calcium supplement.

Vitamin D:
Vitamin D is sometimes called the sunshine vitamin because your skin can synthesize it during exposure to sunlight. Vitamin D could also be called the healthy smile vitamin. It not only helps your teeth, but it also keeps your gums healthy. Another study published by the National Library of Medicine has shown a connection between low levels of dietary vitamin D and gingivitis. People in the study who had more of the vitamin in their diets had healthier gums.

While most of us get plenty of vitamin D from sun exposure, people who live farther from the equator may need to take a supplement during the winter months.

Vitamin C:
Long ago, British sailors were called "Limeys" because their superiors made them eat limes on long ocean voyages. Why? Because limes are rich in vitamin C and without it, the sailors got scurvy and often lost their teeth. While there's little danger of developing scurvy today, a study in the year 2000 of people who ranged in age from 20 to 90, showed that vitamin C is still necessary for healthy gums. People in the study who had the lowest dietary intake of this essential vitamin were at the highest risk of gum disease.

Vitamin C is perhaps the easiest of vitamins to get from your diet. Rich sources include strawberries, apricots, oranges, lemons and, of course, limes. Red and yellow peppers also have lots of vitamin C, as do tomatoes and brussel sprouts.
Never put off regular dental checkups and cleanings, but in between appointments, watch your diet. Making sure these essential nutrients are a part of your daily intake will ensure that your teeth and gums are as healthy as they can be.

Sensitive Teeth? Try Changing Your Toothpaste

If you have noticed that your teeth are starting to feel more sensitive than usual, you might initially avoid foods and drinks that seem to cause discomfort. For example, you feel some dental pain when you drink a hot cup of coffee in the morning or while chewing on a cold apple. While it’s a normal reaction to avoid foods or drinks that lead to pain or discomfort, it’s better to determine the cause of the problem and take steps to improve the health and quality of your teeth.

Causes of Tooth Sensitivity: 
- If only a single tooth is sensitive, it could be caused by a cavity. In other cases, the tooth might be cracked. These situations require care from a trained dental professional. You may need to get a filling, a new crown, or a root canal to reduce the tooth sensitivity.

- If many or all of your teeth are sensitive, you may have recently begun consuming increasingly larger amounts of foods or drinks that are high in acid. The acid dissolves the protective enamel of your teeth, exposing the dentin. The tooth’s dentin is sensitive to heat and cold as well as sticky or acidic foods that can trigger pain.

- Teeth whitening treatments can also cause tooth sensitivity.

- Increased stress in your life also can indirectly lead to tooth sensitivity. High stress can cause you to grind your teeth while you sleep. If you suffer from teeth grinding, also known as bruxism, one treatment option may be a special night guard appliance to wear while you sleep.

- Weather changes are another factor to consider. If it starts getting cold suddenly, the cool air you breathe in may trigger teeth pain, especially when enamel has been eroded from your teeth.


Reducing Tooth Sensitivity: 
- Avoid consuming foods and drinks that are high in acid. For example, citrus fruits and their juices can wear down your teeth’s enamel over time. Taper down your consumption to minimize teeth erosion. Try using a straw when drinking acidic juices in order to minimize their contact with your teeth. Rinse your mouth with water after consuming acidic foods and drinks.

- Start brushing your teeth with the softest available toothbrush. Use gentle motions to brush your teeth to minimize abrading their surfaces.

- You may be interested in switching to a new toothpaste to help you with the discomfort. Select a toothpaste formulated for sensitive teeth. You can find a variety of brands at your local pharmacy or supermarket. Follow the manufacturer’s instructions, particularly paying attention to how long you can use the product. If your teeth are still sensitive after using the special toothpaste, you should contact our office so we can rule out a more serious underlying problem.

What is Gingivitis?

Gingivitis is a type of periodontal disease in which only your gums are affected. Gingivitis, according to the American Dental Association (ADA), is a milder and often reversible type of periodontal disease. However, it can lead to periodontitis -- a more destructive and serious disease -- if proper professional treatment and home care aren't put into place. No tissue damage or irreversible bone damage is present in the gingivitis stage of periodontal disease.

Many people with gingivitis won't experience any discomfort, particularly in its early stage. However, as the bacteria in plaque builds up, it can cause your gums to become inflamed, which may make them red and swollen. You may also experience blood when brushing your teeth, indicates the American Academy of Periodontology.

Causes of Gingivitis

The most common cause of gingivitis occurs when plaque builds up due to inadequate oral hygiene.

Other less common causes of gingivitis include:
* diabetes
* aging
* smoking
* improper nutrition
* hormonal fluctuation
* stress
* pregnancy
* substance abuse
* certain medications
* genetic predisposition

Up to 30 percent of people in the United States may be susceptible genetically to gum disease or are six times more prone to developing gum disease, according to the American Academy of Periodontology. Therefore, if one of your family members has gum disease, it may indicate that you have a higher risk of developing the condition as well. If you are one of these people who are more susceptible to developing gum disease, your dentist may recommend more frequent cleanings, check-ups, cleanings, and treatments.


Implications of Gingivitis
If gingivitis is left untreated, it can progress to periodontitis. In periodontitis, the bone and inside layer of your gum pulls away from your teeth, allowing small pockets to form. These small pockets are danger zones because they allow bacteria to collect, and can they can then become infected. As periodontitis progresses, these pockets deepen, resulting in even more bone loss and gum tissue damage. Eventually, teeth that were once anchored in place become loose. Tooth loss often follows.


Treatment of Gingivitis
In practically all cases, gingivitis can be reversed, according to the Cleveland Clinic. Treatment includes proper control of plaque, which consists of having a professional teeth cleaning, at least two times a year. It also includes daily teeth brushing, which will eliminate plaque from the surfaces of your teeth. You should also floss daily to remove plaque and food particles from in between your teeth.

Lifestyle and health changes may help decrease the risk of developing gingivitis or reduce its severity or progression. These lifestyle changes include stopping smoking, decreasing your stress, eating a well-balanced diet, and avoiding grinding and clenching of your teeth.

Burning Invisalign questions, with Dr. Kitzmiller

Are you wondering what Invisalign treatment is really like, and what effect it will have on your day-to-day activities? Will it slur your speech? Will people know you're in treatment? You're not alone in your concerns!

Dr. Timothy Kitzmiller, and our team thought we’d share this list of questions and answers for anyone pondering Invisalign treatment at our office.


How exactly does Invisalign work?
Using 3-D computer imaging technology, Invisalign creates a series of custom-made, clear aligners exclusively for your teeth, based on the treatment plan that we specify for you. Each aligner moves teeth incrementally and is worn for about two weeks, then replaced by the next in the series until the final position is achieved.


Will I experience pain during treatment?
Most people experience temporary discomfort for a few days after a new aligner is placed. This feeling of pressure is normal and is a sign that Invisalign is working by sequentially moving your teeth to their final destination.


Can other people see that I'm in treatment?
One of the benefits of Invisalign is that the aligners are clear. You can straighten your teeth without anyone knowing.


Can I smoke during treatment?
We discourage smoking while wearing the aligners as they may become discolored.


Are there any foods I shouldn’t eat while in treatment?
You can eat normally during the entire course of treatment. One of the advantages of Invisalign is that the aligners are removable. Simply take the aligners out before each meal, brush when you're finished eating, then reinsert the aligners afterward.


What about chewing gum?
We recommend removing your aligners for all meals and snacks, as gum and other chewy substances can stick to the aligners.


How often must I wear my aligners?
Aligners should be worn all day, except when eating, brushing, and flossing.


Will my speech be affected by the aligners? 
As with any orthodontic treatment, aligners may temporarily affect your speech. If this does happen, your tongue will adjust within a day or two and your speech should return to normal.


How do I clean my aligners?
The best way to clean your aligners is by brushing and rinsing them in lukewarm water.


How often must I visit the office during treatment?
For most patients, visits every 4-6 weeks are frequent enough for us to determine that your treatment is progressing properly. We will provide you with a specific schedule that supports your individual treatment plan.


If you have additional questions about the Invisalign treatment, please give our office a call, or visit us on Facebook!

How does fluoride help prevent tooth decay?

Fluoride is a compound that contains fluorine, a natural element. Using small amounts of fluoride on a regular basis can help prevent tooth decay. Fluoride inhibits loss of minerals from tooth enamel and encourages remineralization (strengthening areas that are weakened and beginning to develop cavities). Fluoride also affects bacteria that cause cavities, discouraging acid attacks that break down the tooth. Risk for decay is reduced even more when fluoride is combined with a healthy diet and good oral hygiene. Using fluoride for the prevention and control of decay has been proven over the past 70 years to be both safe and effective.
Fluoride can be found in any toothpaste with the ADA Seal of Approval, as well as in drinking water across the United States. To ensure you’re getting the appropriate amount of fluoride, having a professionally applied fluoride treatment during your next checkup is possible if you are concerned you are not getting adequate amounts at home.

Connect with us on Facebook!

We will be rolling out our new Facebook Timeline page soon and would love for you to check it out! You’ll find all the useful information that was there before, but now in a fun, new layout. When you Like us on Facebook, you’ll be able to check out photos of our office, find out about new events and contests, or you can even leave a note about how much you enjoyed your visit at our office. We love hearing your feedback to make our practice serve you and your family even better. To make life even easier, if you “Like” us on Facebook, you’ll automatically receive updates from our office right on your own news feed!
See you on Facebook!

March is National Nutrition Month!

March has arrived, and that can only mean one thing: it’s National Nutrition Month. Every March, Dr. Timothy Kitzmiller and thousands of dentists and hygienists celebrate this occasion, and this year is no different. This March, Dr. Timothy Kitzmiller and our team want you to think diabetes, obesity and periodontal disease, and how healthful eating and physical activity may improve periodontal health.
Small changes really can make a big difference, and the American Dietetic Association (ADA) has some advice on ways to start improving your diet this March:

• Focus on fruits and vegetables: Add a serving each day to one meal and increase it every few weeks. Adding more of these foods into your diet is important whether you buy frozen, fresh or organic.

• Think fresh, think local: From farmer’s markets to community-supported agriculture, you have many options to find new, fresh foods in Milford.

• Make each and every calorie count: When you are choosing between options, focus instead on the one with more of the vitamins and nutrients that you need. Sometimes, foods with fewer calories aren’t always the healthiest options.
• It’s tempting, but…: If you have a sweet tooth, have fruit and yogurt for dessert. If you crave a snack in the afternoon, enjoy some trail mix or nuts.

• Expand your horizons: Try a fish you’ve never eaten before or find a new vegetable recipe. By testing yourself, you might find new healthy favorites to add to your regular grocery list.

If you have additional questions about periodontal disease or keeping yourself and your mouth healthy, please give us a call!
Link: http://www.eatright.org/nnm/

My teeth feel fine. Do I still need to see a dentist?

Simply put, yes! Visiting the dentist on a regular basis is essential to keeping your smile in tip-top shape. At our office, we offer a number of preventive services to ensure the health of your mouth and the beauty of your teeth. We’d like to think that your smile is just as important to us as it is to you!
Another good reason to visit us every six months is to check for “hidden” problems you may not even realize you have. Tiny cavities can form in the hard-to-reach areas of your teeth and may only be found through a professional exam. If left untreated, these cavities can get worse, needing more extensive treatment, and costing you even more time and money. During your routine exam, your hygienist will also check to make sure your fillings or other dental restorations are in good shape.
If it has been more than six months since your last visit to our office, please give us a call! We look forward to your next visit!

President’s Day Fun Facts!

Monday was Presidents’ Day, a day known for celebrating of both George Washington’s and Abraham Lincoln’s combined Birthdays. Presidents’ Day was created in 1971, when President Richard Nixon combined the birthdays of two of our most well-known presidents into one single federal holiday. Presidents' Day also marks a hard-earned day off from work and school for a lot of our patients.

Here are a few fun facts about our nation’s presidents:

*Abraham Lincoln, our 16th president, carried letters, bills and notes in his tall stovepipe hat.

*George Washington is the first president to be featured on a postage stamp.

*Ronald Reagan, our 40th president, broke the so-called "20-year curse," in which every president elected in a year ending in zero died in office.

*Abraham Lincoln was the tallest of the U.S. presidents, measuring 6’ 4” tall.

*Virginia is the birthplace of more United States presidents than any other state, followed by Ohio and Massachusetts.

*Harry S. Truman was the first president to have his Inauguration and speeches televised.

Valentine’s Day and your teeth, from Dr. Kitzmiller's office

With Valentine’s Day almost here, and all that candy making its rounds this week, it’s once again time to remind all our patients to be extra careful when choosing those candies and treats!

All those sweet, sour and sticky candies may taste great, but these treats are known to damage teeth, as well as braces if you’re wearing them! Did you know sour candies can be acidic to your teeth, and actually wear down the enamel that protects them? This can cause tooth decay and cavities! Sour and fruity candy, such as Starburst and Skittles, are the worst for your teeth since these candies have a low pH value, which is known to ruin enamel.

We recommend softer treats, such as soft chocolate or peanut butter cups, or melt-in-your-mouth foods. Those who indulge should make sure they brush and floss between teeth, as well as at the gum line.

Happy Valentine’s Day from all of us at Dr. Kitzmiller's office!

February is National Children’s Dental Health Month!

For the past 62 Februaries, the American Dental Association, or ADA, has sponsored National Children's Dental Health Month to raise awareness about the importance of oral health. National Children's Dental Health Month began as a one-day event in 1941 in a Cleveland clinic. In 1981, however, the program was extended to a month-long celebration known today as National Children’s Dental Health Month.

Each February, Dr. Timothy Kitzmillerand thousands of dental professionals focus on the preventive oral care of America's children. Dr. Timothy Kitzmiller and our staff want you to remember developing good habits at an early age and scheduling regular dental visits helps children get a good start on a lifetime of healthy teeth and gums. Has your child visited Dr. Kitzmiller's office the past six months? If not, it’s time to give us a call and schedule an appointment!

February is American Heart Month

Did you know February is American Heart Month? It’s a great time to take notice of the health of your heart, says Dr. Timothy Kitzmiller. Cardiovascular disease remains American's number one killer, according to the American Heart Association. Studies have shown a correlation between gum disease and heart disease, underscoring the importance of good oral health care.

Visiting our office on a regular basis can help prevent gum disease or at least catch it in its early stages. And because people with dental insurance are more likely to visit their dentist when they should, a healthy mouth begins with a visit to Dr. Kitzmiller's office. In observance of Heart Month, Dr. Timothy Kitzmiller says it’s also important to know your numbers: blood pressure (less than 120/80), cholesterol (less than 200) and BMI (less than 25). If you have any questions about heart health, or about your treatment at Dr. Kitzmiller's office , please give us a call today.

Do we have your current contact info?

As you probably know, you can always connect with Dr. Timothy Kitzmiller and our team on our Facebook page, but we also encourage you to call us and let us know if you have any new phone numbers or if your contact information has changed!

Please contact our office with any updates to phone numbers and addresses, so that we may be able to reach you. Thank you!
- The team at Dr. Kitzmiller's office

Dr. Timothy Kitzmiller, reminding you to protect your mouth this winter

With winter sports under way for a lot of our patients, Dr. Timothy Kitzmiller thought it would be a good time to remind our young athletes wearing braces to take care of both their mouth and appliances while participating in contact sports (and non-contact sports) this winter.

More than half of the seven million sports and recreation-related injuries that occur each year are sustained by youth between ages 5 and 24. Sixty-seven percent of parents say their child does not wear a mouth guard, yet, 70 percent say their biggest fear when their child plays is that they will get hurt. Despite the risks, many kids are still not wearing mouth guards and facial protection during games and practices.

Many people think a mouth guard is effective just to protect your teeth. But research has shown mouth guards can also reduce lower jaw impact that causes concussions and other dental injuries. Our staff at Dr. Kitzmiller's office encourage you to head over to the American Association of Orthodontists’ website for a quick primer on the importance of mouth guards and facial protection.

We hope this helps you remember to always wear a mouth guard and other forms of protective gear when participating in fall sports! We encourage you to give us a call if you have any questions or ask us on Facebook!

Have you had a check-up lately?

Even if you brush and floss daily, it is still important to see us at Dr. Kitzmiller's office every 6 months, or as recommended.

Why?

• We can detect and treat tooth and gum problems that you may have never felt or noticed.
• Even thorough daily oral care may not be enough to prevent cavities and oral decay.
• Frequent visits can allow us to treat a problem early to prevent future complications.

If you are overdue for an appointment with us, please give us a call today!

-- Dr. Kitzmiller's office

What do you love about the holidays?

In this season given to tidings of comfort and joy, and as our team at Dr. Kitzmiller's office reflects on the year that was, we’d like to ask you, our wonderful patients: What do you love about the holidays this year? Being with your loved ones? A clean slate for 2012? Opening presents by the fireplace? All the delicious food? Also, what gift are you most looking forward to getting this year?

We’d love if you shared with us all the things you love about the holidays. Stay warm, and don’t forget to stay away from those sweets!

Share your winter break plans with us!

Dr. Timothy Kitzmiller and our team at Timothy Kitzmiller, DDS want to know: what do your winter plans look like? Do you have any plans for an exciting family vacation? Are you hanging out around town? Catching up on sleep? Spending time with friends? Let us know!

Please feel free to share your exciting winter plans and experiences with us here or on our Facebook page! We would like to wish all of our patients and their families a safe and fun holiday season!

November is National Diabetes Awareness Month!

At Timothy Kitzmiller, DDS, our team knows the way you care for your teeth at home doesn’t just affect your oral health – it can impact your overall health as well. In recent years, researchers have found clear links between the mouth and other parts of the body, and the evidence is especially impactful for people with diabetes.

November marks Diabetes Awareness Month, and a great time to learn about how keeping your mouth healthy is vital to your overall health, too. If you are one of the nearly 26 million Americans currently living with diabetes, there is some good news: you can protect your gums and teeth from the effects of diabetes by visiting our Milford dental office for regular check-ups and cleanings. Most people should have at least two dental appointments per year, but those folks living with diabetes may require additional visits to make sure their dental health remains in top shape. Many insurance plans provide expanded benefits for diabetic patients. Dr. Timothy Kitzmiller and our experts can tell you how often you need to come in for your dental visits.
For more information on how we can help, please give us a call or ask us on Facebook!

Are you wearing your mouthguard?

With fall sports close to wrapping up and winter sports right around the corner, many patients here at the office of Timothy Kitzmiller, DDS will once again pick up the ball, bring the cleats out of seasonal retirement and hit the fields for the return of sports action! During this time, however, Dr. Timothy Kitzmiller and our team urge our young athletes to play it safe when out on the field. Here are a few ways to ensure your mouth’s safety this fall and winter,

1. Wear mouth guards for contact sports such as basketball, wrestling and hockey.
2. Wear a helmet
3. Wear protective eyewear
4. Wear a face shield to avoid scratched or bruised skin
5. Be alert, even as a spectator

We hope that helps. Dr. Kitzmiller and team will tell you protective gear is vital for anyone engaging in tooth or mouth-threatening activities. If you have any further questions about any of these tips, please contact our office or ask us on Facebook.
Stay safe!