Headaches? Chipped Or Worn Teeth? Bite Alignment Is The Likely Culprit.

It’s amazing how even minor disparities can have a significant impact. For example, when sitting at a wobbly table in a restaurant, using just a sugar packet under one leg can solve the problem. Or, simple filing to the rough edge of a fingernail can put a halt to potentially snagging fabrics or hosiery.

Such small things – yet, they can cause problems that are pretty frustrating. But what happens when these things lead to problems that are anything but small?

When your teeth are misaligned, it’s not always obvious since it occurs at a gradual pace. As teeth move, they may shift and crowd neighboring teeth. This, in turn, can cause adjacent teeth to move, which creates a domino effect where teeth bunch up. This means that tight angles can form, which allows oral bacteria to easily accumulate.

Not only do these angles provide incubation sites for bacteria growth, the crowding can lead to disruption of bite alignment. When lower teeth, for example, are crowded and crooked, they fail to meet upper teeth harmoniously. This can lead to a number of problems, including chipped, worn, broken and fractured teeth. And, the problem can contribute to seemingly unrelated problems.

Misaligned teeth can place strain on the TMJ, or jaw joints. These joints are located in front of the ears and hold sockets that hinge the lower jaw to the skull. When these joints are moving properly, you can speak, laugh, yawn and eat without the joints experiencing stress or strain.

However, bite misalignment can lead to issues that undo the balance that is supposed to exist. TMJ disorder can lead to headaches, migraines, night-time clenching and grinding, dizziness and ear ringing. Additional problems can include sore facial, shoulder or neck muscles; difficulty opening the mouth fully; tender jaw joints; and jaw popping.

While misaligned teeth are at higher risk for cavities and gum disease, their potential to cause problems can also lead to tooth removal. For instance, when upper teeth and lower teeth do not meet correctly they can ‘hit’ incorrectly, often while eating. When a tooth breaks below the gum line, a crown can no longer save the tooth. Once a tooth is removed, it leads to decisions in replacement, treatment costs and time for repairs.

Treating bite misalignment may be as simple as the reshaping of selected teeth. Some cases may involve crowning certain teeth to restore proper height. Other cases may require orthodontic treatment to fully resolve alignment problems. This can be done through traditional orthodontics (braces) or, in our office, through Invisalign.Invisalign Mold

Invisalign is an ‘invisible’ alternative to braces that doesn’t need wires or brackets to perform realignment. Using clear molds, Invisalign is more comfortable than traditional braces and virtually undetectable in a smile. This means you’ll feel less awkward during treatment and can avoid tears to tender tissues in the mouth or lips.

Another bonus of Invisalign is the ease of eating and brushing. Invisalign molds are removable, so you can eat and brush your teeth without either being an ordeal. Invisalign also moves teeth at a pace that’s similar to traditional braces and, in some cases, even faster.

Misaligned teeth are never going to improve without correction. At the very least, they’ll increase your odds for developing cavities or gum disease. At the worst, they’ll create TMJ problems that lead to migraines, dizziness, broken teeth or ear ringing. Some people never associate certain symptoms with the TMJ and search for years for a solution, going from doctor to doctor and trying medication after medication.

Don’t let crowded, crooked teeth lead to other problems. Realigning your teeth will enhance the appearance of a smile, provide a healthier foundation for your teeth and gums, and help you avoid the many problems associated with the TMJ.

If you’re experiencing any of the problems mentioned above, call 910-254-4555 to arrange a free consultation. During this time, we’ll discuss ways to evaluate your bite and determine if it is the true source of your symptoms. If so, we can develop a treatment plan to help you overcome the problems in the most conservative way possible.


Posted in Beautiful Smiles, cavities, Cavity repair, clenching & grinding teeth, Cosmetic Dentistry, crooked teeth, crowded, Crowns, Dental Care in Wilmington, Gum Disease, headaches, Invisalign, migraines, mouth sore, New patients, Oral Bacteria, Oral Health & Wellness, Sore, TMJ & Bite Realignment, Tooth Loss, Tooth Repair, Tooth Replacement, Wilmington Dentist | Comments Off on Headaches? Chipped Or Worn Teeth? Bite Alignment Is The Likely Culprit.


When numbing is needed for a dental procedure, we love that most patients compliment our comfortable injections. Performed carefully and administered slowly to enhance comfort, our patients are often surprised that the numbing process can be nearly pain free.

Recovery from the numbness is another issue, however. The awkward feeling and inability to drink, speak and smile can be frustrating and embarrassing. Depending on the procedure, numbness may linger for up to four hours afterwards. Clock copy

When it comes to a “fat lip,” there’s been little we could do to help patients overcome post-procedure numbness. Until now.

OraVerse is designed to reverse lingering numbness after routine dental procedures. In clinical trials, patients were able to regain normal sensation twice as fast versus a control group. (oraverse.com/patients/)

Studies on OraVerse found that, on average, patients not only returned to normal sensation twice as fast, but were able to smile, speak, and drink normally sooner.

Although some dental offices who offer OraVerse charge a fee for regaining feeling in half the time, we have chosen to provide this benefit to our patients at no additional fee.

What does OraVerse do?
• It eliminates the tendency that patients have to bite their lips and inside of cheeks while anesthesia is wearing off.
• It eliminates the risk of damage to lips (to the point of bleeding) because patients don’t realize they are biting their lips.
• It eliminates embarrassment from being unable to speak clearly, smile or drink without drooling.
• It eliminates feeling uncomfortable and self-conscious.
• It eliminates the need to arrange for dental procedures when the lingering numbness won’t interfere with work or school schedules.

OraVerse patients can return to work or school and resume normally as the numbness wears off quickly. No more swollen or bitten lips. You can leave our office and be ready to take on the rest of your day without the hindrance of still being numb. You’ll be able to talk, drink and even laugh without worry. Those embarrassing side effects from post-appointment numbness are no longer a concern.

Ask about OraVerse at your next visit (even if you do not have a dental procedure scheduled that requires numbing). We want to make sure that patients are aware of this no-cost benefit, should the need for numbing be necessary in the future.

Learn more about OraVerse at: oraverse.com/patients/
or call 910-254-4555.

Posted in cavities, Cavity repair, Cosmetic Dentistry, Crowns, Dental Care in Wilmington, New patients, root canals, Tooth Repair, Tooth Replacement, Wilmington Dentist | Comments Off on RECOVER FROM NUMBNESS IN HALF THE TIME? NOW YOU CAN!

The Gift Of A Confident Smile

The holiday season has most of us anguishing over gifts. This time of year seems to trigger an annual quest of sorts to find that someone special in our lives just the right gift. present

Or, maybe it’s the challenge of a gift for yourself. As the year winds down, some people consider treating ourselves to something much desired or needed but certainly well-deserved! Working hard all year should be rewarded, after all!

Whether you’re pondering a gift for another or for yourself, I’d like you to think about the gift of a smile.

When it comes to a gift, it’s hard to top a smile. An attractive smile can light up a room. It can enhance one’s overall appearance and project a more positive, confident, happy individual.

Replacing missing teeth or replacing a denture or partial with dental implants can also improve one’s chewing ability as well as confidence in social settings. In addition to eating a healthy diet, feeling comfortable with friends and family is an important part of our overall health and well-being.

For people who have crowded or crooked teeth, Invisalign makes a terrific gift. Invisalign uses clear molds to gently move teeth into their proper positions. They are removable for eating and brushing and are virtually undetectable when worn. No prickly wires or brackets!

Dental implants are an ideal tooth replacement option. Because implants are held by the jaw bone, they provide the same dependable foundation as natural teeth once had. They restore stability in chewing and confidence when speaking or laughing.

For whitening teeth, we offer Opalescence GO. This take-home whitening kit is comfortable, easy to use, and provides a dentist-level whitening for a very affordable price. The results are long-lasting and the degree of whitening is outstanding compared to drug store whitening kits.

Smile enhancements in the form of porcelain veneers, bonding or gum recontouring are also wonderful gifts. Repairing a ‘gummy smile’ often opChristmas Reindeer Headens up a whole new world of smiling for an individual who has this trait. Porcelain veneers can reshape a smile for a fabulous look and feel. Bonding offers an affordable way to repair flaws such as chips or breaks or fill in gaps between teeth.

Rather than a new television or leather jacket, imagine the appreciation for a new smile! We offer free consultations to discuss your goals and can determine costs. We can also discuss payment arrangements that break payments into monthly amounts that fit most budgets.

Call 910-254-4555 to schedule a consult time. Hurry! Only 37 days until Christmas!

Posted in Beautiful Smiles, Bonding, Cosmetic Dentistry, crooked teeth, crowded, Dental Care in Wilmington, Dental Implants, Financial Plans, Full Dentures, Invisalign, New patients, Opalescence Go Whitening, Oral Health & Wellness, Partials, Payment Plans, Porcelain Veneers, Smile Makeovers, Tooth Loss, Tooth Repair, Tooth Replacement, Tooth Whitening, Wilmington Dentist | Comments Off on The Gift Of A Confident Smile

Why We ‘Probe’ Gum Tissues During Cleanings.

Most patients have a ‘cleaning’ during their 6-month dental check-ups, which are known as ‘prophys’ in the dental profession. Prophy is an abbreviated term for prophylaxis, which is the cleaning needed to remove plaque.

During the appointment, we begin by measuring the ‘pockets’ in gum tissues using a probe. This is gently inserted at the base of each tooth (at three spots on both the front and back sides) to gauge the depth it can move easily into gum tissues. This is when you’ll hear Karen, our hygienist, calling out numbers. Hopefully, you’re hearing mostly ones and twos.

The reason a probe is used for these measurements is its ability to reveal markers of gum disease. The higher the number, the greater your potential for gum disease. With high numbers (often 5 through 10), the severity of existing gum disease can be determined.

The pockets in gum tissues occur when plaque and tartar (also known as ‘calculus’) migrate down from the tooth to its gum base. When it reaches the area between the gum line and the tooth’s enamel, the gum tissue can become inflamed. This inflammation causes the seal of the gum tissues around the base of the tooth to loosen.

When gum tissues are inflamed, it can cause tenderness, redness, and swollen areas. Gums that do not have a tight grip around the base of each tooth also provide easy access for bacteria that can reach tissue fibers that surround tooth roots. The result can be damage to the structures that support teeth, which can lead to eventual tooth loss.

A dental probe has markings on its side that measure in millimeters. The numbers you hear are the millimeter depths of your pocket. During probing, the lower the number, the healthier your gums. For example, a one or two is ideal. Three indicates some inflammation, however, three without bleeding is generally accepted as healthy.

As the numbers get higher, the more inflammation is present. If the number is above a five, a process referred to as ‘scaling & root planing’ may be recommended. This is a non-surgical procedure designed to remove dental plaque and tartar followed by smoothing (or ‘planing’) the surfaces of the roots harboring toxins, micro-organisms and other agents that cause inflammation.

How do you achieve 3-or-under pocket depth — the ‘gold star’ of dental cleanings?

First, be committed to twice-daily brushing and daily flossing. This helps to remove plaque that forms tartar, which is the reason for higher pocket depths. Brush a minimum of two minutes each time. Follow this by using your toothbrush to brush yTreatmentChairour tongue. This can dislodge millions of bacteria embedded there.

Keeping oral bacteria to minimal levels can help you avoid cavities, gum disease and enjoy fresher breath. In addition to your at-home care, it is important to be committed to your 6-month check-ups and cleanings. Even diligent brushing and flossing can leave you with tartar buildup in hard to reach areas. Removing these hardened masses of bacteria from tooth surfaces can help you prevent cavities and gum disease.

As research continues to reveal, your oral health is intricately connected to your overall health. We want to support you in having a healthy mouth that supports a healthy body. If you’re behind on your dental check-ups and cleanings, call 910-254-4555 to schedule. Ask about our New Patient Offer – just $145 for an exam, digital imaging (x-rays) and cleaning.

Posted in Bad Breath, Bleeding Gums, cavities, Cavity repair, Dental Care in Wilmington, Dental Hygiene Cleanings & Check-Ups, Gum Disease, New patients, Oral Bacteria, Oral Health & Wellness, root canals, Sore, tooth ache, Tooth Loss, Tooth Repair, Wilmington Dentist | Comments Off on Why We ‘Probe’ Gum Tissues During Cleanings.

Experience & Advanced Skills Matter With Dental Implants

A growing number of American adults are opting for Dental Implants to replace missing teeth. As a dentist, I know what a wise investment they are since I can see the advantages that occur both above and below the gums.

Using the jaw bone as their foundation, Dental Implants restore the stability of natural teeth. They give back chewing strength and dependability and speaking confidence. And, because they recreate the presence of missing tooth roots, implants halt bone loss that occurs without this stimulation.

Additionally, Dental Implants are an excellent investment. With proper selection, placement and maintenance, Dental Implants are designed to last a lifetime. An implant will never experience decay, need a root canal, or crack or break.

It is cost, however, that deters some people from moving forward when it comes to this method of replacing teeth. Knowing that implants are the most desirable tooth replacement option, a higher cost (than dentures, partials and crown-&-bridge) is what occasionally motivates some to seek out the lowest price.

Yet, it is seeking out low price vs. high quality that can lead to the greatest number of problems. While Dental Implants have one of the highest of all implant-in-bone success rates, they can fail. Having an implant removed is unfortunate, especially since it is often preventable, starting with the choice of the dentist chosen for your care.

Like many professionals, implant dentists can have varying levels of experience and training. Because there are over 40 different implant types, it is important for your implant dentist to be familiar with all so he or she can select the type best suited for you. Dental Implants are definitely not a one-size-fits-all system.

For example, some implant systems are specifically designed to be positioned in bone that is of reduced depth while others require a specific level of depth. When a lower implant is placed in bone too shallow, it can work its way down to a nerve that runs horizontally through the jaw bone.

In upper implants, insufficient depth can lead to an implant that penetrates the sinus cavity. While this can be avoided by performing a sinus lift before implant placement, your implant dentist must be knowledgeable and trained in this area to help you avoid future problems.

Other issues that may interfere with implant success must also be evaluated prior to placement. An experienced implant dentist knows to look for signs of gum disease, tooth grinding, or interferes that can occur with gum tissue healing.

Selecting the proper number of implants is also important when it comes to a successful outcome. In some cases, several strategically-placed implants can support a full arch of teeth. Or, one or two implants may be used to support a bridge of several teeth. These decisions are best made by an implant dentist who can carefully assess the needs of the patient based upon all implant systems rather than one or two in which he or she has completed weekend courses.

We take great pride in our high success rate and work with each patient to help maximize comfort throughout treatment along with an optimal outcome. For each member of our team, it is important to know our patients have achieved smiling, chewing and laughing confidence.

In all my years of placing implants, I’ve heard each one share words like, “It’s the best investment I ever made.” This is the result of patients who realize they have Dental Implants with the enhanced potential to enjoy them, worry-free, for a lifetime.

If you’re considering Dental Implants, call to schedule a free consultation. I’m happy to discuss my experience, our track record, and which options may be best for your needs. Call 910-254-4555.


Posted in clenching & grinding teeth, Crown & Bridge, Dental Care in Wilmington, Dental Implants, Full Dentures, Gum Disease, New patients, Partials, Tooth Loss, Tooth Replacement, Wilmington Dentist | Comments Off on Experience & Advanced Skills Matter With Dental Implants

Adjust Oral Hygiene To Eating Patterns For Healthier Smiles

Most baby boomers grew up sitting down to a table to eat a meal. For many of us and the generations before us, there was a set time of day for breakfast, lunch and supper. Drinking a soft drink or having a candy bar as a snack between meals was rare. As a matter of fact, snacking at all was rare.

Today, however, snacking is common. As a matter of fact, it’s hard to go through any check-out line without being tempted to reach for a candy bar, pack of crackers or bag of chips as we’re being rung up. My dry cleaner even has a stand that offers gum and mints at the cash register.

While today’s population has grown accustomed to having easy access to snacks galore, the definition of mealtime has changed for many people. Rather than sit down to breakfast, many individuals grab a breakfast bar to eat on the way to work and get a flavored coffee drink mid-morning. Lunch may consist of eating fast food in the car while running errands or at one’s desk. A mid-afternoon snack is common and dinner may consist of take-out pizza or a frozen entree heated in the microwave oven. And, it’s so tempting to top off the day with a bowl of ice-cream in front of the television.

Yes, times have changed. Some people now prefer to ‘graze’ throughout the day rather than focus on eating three meals. This means they eat small meals 6 – 7 times a day rather than ‘three squares.’

While eating habits are one’s personal choice according to what works for their lifestyle, I thought it would be helpful to explain what happens in your mouth based upon how often you eat as well as what you consume.

Every time you eat or drink something, be aware that this triggers an acid attack in the mouth. This acid flows in with saliva and is a natural part of the digestive process, helping to break foods down in the mouth as you chew or drink (other than water).

Unfortunately, this acid is very tough on teeth, so much so that it can actually soften tooth enamel for 20 – 30 minutes after eating. So, imagine sipping a sugary soda over the course of an hour while sitting at your desk. This means that your mouth is enduring an onslaught of acid from the time you take that first sip to the time you take the last one and then 20 – 30 minutes after.

Added to the duration is WHAT you eat or drink, which is where things can get worse. Consider the soft drink again. The acidity in the soda combined with the sugar is a heavy load for the mouth. Sugar tends to be a super-food for oral bacteria, ramping up bacteria reproduction.

However, if you think chips or pretzels are a safer bet, they are only slightly better. Carbohydrates are a simple sugar that convert in the mouth, so these don’t put your smile in much better territory.  Although celery and carrot sticks are MUCH safer snacks, they still trigger an acid attack – just not one that is as potent as those mixing with sugars in the mouth.

Other food and beverages that can add to the problem are those that are caffeinated or acidic, including coffee, tea, citrus, tomatoes, chocolate and alcoholic drinks. Caffeine and alcohol are very drying to oral tissues. This provides oral bacteria an environment that supports their growth since saliva flow is depleted.

Now that you know the perils of frequent eating and what some foods and beverages do to make matters worse, here are some ways to avoid damage to your teeth and gums:

• Never miss your twice-daily brushing. These brief times at the sink are quick, cheap ways to decrease oral bacteria in the mouth. Brush for at least two minutes per time. Go the extra mile by brushing your tongue with your toothbrush at the end of each session. An enormous amount of bacteria is embedded in the tongue, especially in the back.

• Flossing removes food bits that are caught between teeth. These bits begin to rot rather quickly, which supports bacteria growth. If flossing is awkward for you, purchase a water flosser. These are proven to be as effective as flossing and are affordable and easy to use.

• Be conscious of sipping for extended periods of time. Having wine with friends after work is a pleasant way to wind down from a busy day. However, sipping a glass of wine over an hour or so is a double whammy to your smile. Not only does the time frame add to a lengthy acid attack, the acidity in wine AND its drying effects on oral tissues work against your oral health. Order a glass of water with your wine (or other alcoholic beverage) and take in swallows periodically that wash over teeth and gums. This helps to dilute the acidity in the mouth. If preferred, take a bathroom break once an hour to rinse your mouth in the sink.

• Think again when reaching for a snack. For the good of your smile, choose cheese over chips, nuts over a candy bar, flavored and unsweetened water over cola, and an apple over a snack bar. WomanBitingApple

• Be committed to your 6-month check ups. When oral bacteria in the mouth accumulate, they form a sticky film called plaque. Plaque can harden into tartar within 48 hours if not removed. Tartar (also known as calculus) attaches to teeth and eats into tooth enamel and destroys gum tissues. Tartar can only be removed by dental professionals, which is what you feel being scraped off teeth during dental cleanings. Stay current with these visits so between-cleaning buildup can’t do extensive damage.

What you eat, when you eat and how much you eat is personal preference. We just want your smile to be its best and why we want to keep you in-the-know on ways to enjoy the best it can be! Simple measures can save you much in time and money by helping you avoid repairs that could have been prevented in the first place.

Begin with a no-charge consultation to discuss your smile. I’ll be happy to answer your questions and explain how we can support your goals for a healthy, confident smile. Call 910-254-4555 to schedule.

Posted in Bleeding Gums, cavities, Cavity repair, Dental Care in Wilmington, Dental Hygiene Cleanings & Check-Ups, dry mouth, Gum Disease, New patients, Oral Bacteria, Oral Health & Wellness, Tooth Repair, Wilmington Dentist | Comments Off on Adjust Oral Hygiene To Eating Patterns For Healthier Smiles

If You Smoke, Know Oral Health Repercussions

Consider that your mouth is the first part of your body to come in contact with cigarette or cigar smoke. Although many people think of the lungs when it comes to the intake of cigarette or cigar smoke, the soft, moist oral tissues in the mouth are even more involved in the entry process.

The moist makeup of oral tissues also means they are absorbent. Thus, the chemicals in tobacco smoke are easily absorbed in the mouth. This smoke, in addition to added flavor substances, include a potent mixture of thousands of chemicals. At least 70 of these are known to cause cancer.

The chemicals in tobacco smoke include:
•Nicotine (an addictive drug and one of tobacco smoke’s most harmful chemicals)
•Hydrogen cyanide
•Radioactive elements, including uranium
•Carbon monoxide

While most of these substances cause cancer, many can also cause heart disease, lung disease or other serious health conditions.  When it comes to dental implants, in particular, research published by the U.S. National Library of Medicine/National Institutes of Health (www.ncbi.nlm.nih.gov/pmc/articles/PMC3894084/) cites:

Smoking has its influence on general as well as oral health of an individual. Tobacco negatively affects the outcome of almost all therapeutic procedures performed in the oral cavity. The failure rate of implant osseointegration* is considerably higher among smokers, and maintenance of oral hygiene around the implants and the risk of peri-implantitis** are adversely affected by smoking.

*osseointegration is the process of bone growing around an implant to secure it in place.

**peri-implantitis is a destructive inflammatory process of gum tissues and bone structures surrounding dental implants.

Although e-cigs (vaping) are deemed ‘safe’ by their makers, the aerosols from these products can contain varying levels of nicotine, flavorings, and chemicals known to be toxic or to cause cancer. E-cigs deliver a less-potent level of chemicals, yet, the long-term effects are unknown. (www.cancer.org/cancer/cancer-causes/tobacco-and-cancer/carcinogens-found-in-tobacco-products.html)

Oral dryness is a particular challenge when it comes to one’s oral health. Smoking causes oral dryness, even moreso than age, many medications and certain foods and beverages (including caffeine and alcohol). Because of oral dryness, we caution patients who smoke that their healing times (for extractions, implant placement, gum grafting, etc.) will take longer.

In addition to slower healing, oral dryness creates a haven for oral bacteria to grow, thrive and accumulate. The longer it takes to heal, the higher your chances are for infection.

Saliva flow helps to keep bacteria-producing particles moving out of the  ‘oral cavity’ (mouth). When saliva is depleted through the chemicals in tobacco smoke, these bacteria are able to run rampant.

As bacteria amass, the immune system tries to fight off infection. Eventually, however, bacteria can reach a level that can no longer be managed by your immune response. This is when oral bacteria cause periodontal (gum) disease, an infection that compromises the health of the gums and bone structures that support teeth.

When the infectious bacteria of gum disease are able to enter the bloodstream (through tears in diseased gum tissues), they can cause inflammatory triggers elsewhere in the body. Systemic inflammation has been associated with a long list of diseases, including heart disease, arthritis, diabetes, and more.

Smoking and chewing tobacco causes an estimated 90 percent of oral cancers (mouth, lips, throat). Pregnant women who smoke have higher risks of first trimester spontaneous abortions, placenta abruption, preterm births, low birth weight babies and sudden infant death syndrome (SIDS).

In addition to a higher risk for periodontal (gum) disease, smokers can expect bad breath, stained teeth and higher levels of plaque.

Smokers should know the signs of gum disease, which include persistent bad breath, gum tenderness, gums that bleed easily when brushing, gums that darken in color, and pus pockets form at the base of some teeth. As gum disease bacteria attacks the gum and tissues and bone that support tooth roots, teeth may loosen and require removal. Gum disease is the nation’s leading cause of adult tooth loss. (www.nidcr.nih.gov/DataStatistics/FindDataByTopic/GumDisease/)

If the thoughts of losing your natural teeth and having to wear dentures or partials concern you, then we can help — even if you continue to smoke. Through a diligent oral hygiene regimen and regular dental check-ups, you can keep your mouth healthy and decrease your risk for gum disease, tooth decay and tooth loss.

Or, if you’ve already lost natural teeth and are concerned about having a successful outcome with dental implants, let’s discuss this during a no-charge consultation appointment (that doesn’t include a lecture!). Call 910-254-4555.

Posted in Arthritis, Bad Breath, Bleeding Gums, cavities, Cavity repair, Dental Care in Wilmington, Dental Implants, Diabetes, dry mouth, Full Dentures, Gum Disease, Heart Disease, New patients, Oral Bacteria, Oral Cancer, Oral Health & Wellness, Partials, Smoking Cessation, Systemic Inflammation, Tooth Loss, Tooth Repair, Tooth Replacement, Wilmington Dentist | Comments Off on If You Smoke, Know Oral Health Repercussions

Annual Conference Offers Futuristic Views Of Dental Implants

I recently attended the 66th Annual Conference of the American Academy of Implant Dentistry (AAID). Held October 11-14 in San Diego, this gathering included course offerings and a wealth of exhibitors who are committed to the advancements of implant dentistry.
Founded in 1951, the AAID is the first professional organization in the world dedicated to implant dentistry. Representing over 5,500 dentists worldwide, its membership includes general dentists, oral and maxillo-facial surgeons, periodontists, prosthodontists and others committed to the field of implant dentistry.

During the Conference, I was able to attend several courses to gain greater insight into the future of dental implants. I was especially impressed with new digital technology. However, as a long-time Associate Fellow of the AAID, I know how valuable it is to provide patients with years of experience in diagnosis, treatment planning, placement and restoration (attachment of replacement teeth).

Certainly, advancements in implant dentistry help patients enjoy shorter treatment times with minimal discomfort. However, it is in the selection of the correct types of dental implant and the placement of each at a proper depth and angle that can mean the difference between a successful outcome and a failed implant.

Today, there are over forty types of implant systems, each designed to accommodate the unique needs of a patient. Some are designed to be placed in minimal bone depth. Others are designed to hold non-removable teeth. Several are best suited to support more than one tooth with others being ideal for securing a full arch of teeth.

In our office, we offer all phases of dental implants. This means we can select the one best suited to your needs and goals, place the implant, and attach your replacement teeth — all in one comfortable, convenient location. The staff members who assist me are specially trained in each stage of treatment. And, we are all committed to providing the highest level of patient comfort.

Some dentists offer bargain rates on dental implants. While it is possible to offer implants after taking a weekend course on a particular system, it is in the years of experience and ongoing commitment to successful outcomes that help our patients achieve the results they desire for an affordable fee.

I’m very proud of our history with the AAID and the commitment of our entire team. We find ourselves celebrating with our implant patients who choose to replace missing teeth with this dependable, lifetime solution.

If you’ve considered dental implants or are facing tooth removal, let’s discuss your options. Call 910-254-4555 to schedule a free, no-obligation consultation appointment. During this time, I’ll discuss options that may be best for you and answer your questions. If desired we can have our financial coordinator discuss payment plans, some that are interest-free with no down payment required.

Dental implants are the most superior tooth replacement choice today. They can restore your ability to eat, speak, laugh and even sneeze without worry! Learn how you can enjoy the lasting benefits.

Posted in Dental Care in Wilmington, Dental Implants, Financial Plans, New patients, Payment Plans, Tooth Loss, Tooth Replacement, Wilmington Dentist | Comments Off on Annual Conference Offers Futuristic Views Of Dental Implants

Have Arthritis? Take Excellent Care Of Your Gums.

While most people see only their top, front teeth while brushing or getting ready for the day, dental professionals have a more intricate view of an individual’s mouth. I have a close-up view of teeth and gum tissues and training to assess what is in good condition and what is not.

When nothing hurts, it’s easy to assume that what you can’t see is fine. However, the prevalence of periodontal (gum) disease in the U.S. is alarming, affecting over 47 percent of American adults.

Like most diseases that form in our bodies, gum disease begins without obvious signs. Once symptoms emerge, they often include gums that bleed easily when brushing, sore or swollen gums, gums that turn red color, receded gums that expose sensitive tooth root areas, persistent bad breath, pus pockets that form on gums, and loosening teeth.

Gum DiseaseWhile gum disease is the nation’s leading cause of adult tooth loss (which is bad enough), it can contribute to destruction far beyond the mouth. Infectious oral bacteria can enter the bloodstream and trigger inflammation that has been associated with many serious conditions, including heart disease, diabetes, preterm babies, stroke, some cancers, impotency and rheumatoid arthritis (RA).

RA is a debilitating, painful disease that attacks joints. Typically, it emerges gradually, often beginning with morning stiffness and weak, aching muscles. Stiff, sore joints emerge, most often affecting the ankles, toes, hips, knees, fingers, wrists, elbows, shoulder and neck.

As inflammation from RA increases, joints swell and disfigure hands and feet. Other symptoms include fever, numbness and tingling. There is no cure for RA and lifelong treatment is necessary, which may include medication, physical therapy or even surgery for certain cases.

How does RA tie in with periodontal disease?

For people who have arthritis, research shows that the clinical makeup of gum disease and RA are similar, primarily in pathogens. Pathogens are agents in the body that lead to the development of disease or illness. Studies show that the pathological process that occurs in gum disease is nearly identical to that of RA.

Both conditions also cause chronic inflammation in tissues that connect to bone. In addition, researchers have found that both diseases have a similar inflammatory trigger. It is also shown that the particular type of bacteria found in periodontally-diseased oral tissues is similar to that in tissues that surround RA affected joints.

One study showed that a particular pathogen associated with periodontal disease activated the same destructive process of rheumatoid arthritis. In the study, it was also shown that treating periodontal disease in RA patients often improved RA symptoms, likely due to the lighter burden of oral inflammation.

As research continues, we see just how intricately related our oral health is to our overall health. Hopefully, as more Americans gain awareness of how gum disease can contribute to the risk of serious health conditions, its prevalence will decline. With proper oral hygiene, including regular dental check-ups, gum disease rates will hopefully decline.

Be as committed to your oral health as you are your overall health. If you are experiencing signs of gum disease, call 910-254-4555 to schedule an appointment. Gum disease will only worsen without treatment.

If desired, begin with a no-charge consultation appointment. I’ll be happy to answer your questions and explain treatment options.

Posted in Arthritis, Bad Breath, Bleeding Gums, Dental Care in Wilmington, Dental Hygiene Cleanings & Check-Ups, Diabetes, Gum Disease, Heart Disease, mouth sore, New patients, Oral Bacteria, Oral Cancer, Oral Health & Wellness, Sore, Systemic Inflammation, Tooth Loss, Wilmington Dentist | Comments Off on Have Arthritis? Take Excellent Care Of Your Gums.

Cosmetic Dentistry Can Give You A Beautiful New YOU!

For those of us who remember the weekly television program, “Extreme Makeover” (on ABC network from 2003-2007), two individuals were taken through life-changing appearance makeovers. Their journies often included a combination of plastic surgery, cosmetic/restorative dentistry, fitness programs, hair styling, wardrobing, etc.

After following the individuals through their esthetic transformations, the results of each were presented to friends and family members in the final minutes of the program.

However, an interesting thing occurred in the first season. The reality show’s producers noticed that the makeover volunteers who ‘transformed’ the most were those who had the greatest need for cosmetic dentistry. Thus, the choice of participants became those who had that change as a significant need, over the need for other changes such as weight loss or plastic surgery.

As a dentist, this is no surprise. Our smiles are front-&-center in our faces. The look of a smile can have a significant impact on not only our facial appearance, but how we feel about our appearance from the inside out. It makes sense that, since the appearance of a smile can send a message to others, it relays a message back to us every time we look in the mirror or see a photo of ourselves.

Cosmetic dentistry (in the right hands) can balance facial features, brighten up an entire face, and boost confidence and self-esteem. Too, having a beautiful smile inspires people to smile more often. This projects an impression to others of an upbeat, positive individual.

Research has shown that smiling often adds to an average lifespan. Smiling also activates endorphins — a ‘natural high’ brain chemical. This causes you to feel happier, even when you smile and don’t feel like smiling!

While very few of us were born with a beautiful smile, today’s cosmetic dentistry makes having one possible. There are a number of procedures that can repair flaws in a smile, including stained teeth, chipped or broken teeth, crooked teeth and uneven gum tissues.

Below are common ways that cosmetic dentistry can correct smile flaws:

• Mis-shapen or crooked teeth: For the most natural look, feel and longevity, porcelain veneers or porcelain crowns are the superior solution. Porcelain is durable, reflects light as a natural tooth and resists staining more than other materials used in cosmetic dentistry.

• Misaligned or crowded teeth: While porcelain crowns can adjust some misalignment, realigning teeth into their proper positions may be recommended for more severe situations. We can do this with Invisalign, which uses clear molds to gently straighten teeth without wires or brackets. Invisalign is virtually undetectable in a smile and the molds can be removed for eating and brushing.

• Chipped or broken teeth: In some instances, bonding may be an option to repair and reshape natural teeth. Although bonding does not resist staining as well as porcelain, it can be completed in just one visit and is a less-expensive choice. In the process, a material is ‘painted on’ the tooth and then shaped and polished.

• Gapped teeth: When front teeth most visible in a smile are gapped, we recommend either the application of bonding materials or porcelain veneers, depending on the location and severity of the gap.

• Gummy smile: The term ‘gummy smile’ is used when too much gum tissue is revealed above teeth in a full smile. This is a genetic trait and certainly does not pose an oral health problem. However, some people with gummy smiles tend to ‘hold back’ when smiling. The procedure to correct a gummy smile is a Gingivectomy. In this, the gum tissues are reshaped to a higher level over teeth. In many cases, porcelain crowns are placed afterwards to protect the teeth involved in treatment and enhance overall smiling appearance. This is why the procedure is also known as Crown Lengthening.

• Whitening teeth: Although there are a number of whiteners on the market, those available through a dentist are the most effective. And, for the longevity and degree of whitening achieved, they are a bargain compared to the frequency needed and minimal results of drug store whitening kits. Ask about our take-home Opalescence whitening system (only $60!).

For those who desire cosmetic dentistry and feel a new smile is our of reach budget-wise, I encourage you to call 910-254-4555 to discuss treatment recommendations and associated costs. Our office also offers payment plans to help you enjoy your new smile while making easy monthly payments.

Most smile enhancements can be completed in just two visits — far less time than the six-weeks of “Extreme Makeover” participants! Let’s give you a new look that FEELS fabulous with a smile that you’ll share often! Call for a no-charge consultation.

Posted in Beautiful Smiles, Bonding, Cosmetic Dentistry, crooked teeth, crowded, Crowns, Dental Care in Wilmington, Financial Plans, Invisalign, New patients, Opalescence Go Whitening, Payment Plans, Porcelain Veneers, Smile Makeovers, Tooth Whitening, Wilmington Dentist | Comments Off on Cosmetic Dentistry Can Give You A Beautiful New YOU!

To Remove Third Molars (Wisdom Teeth) Or Not?

By the average age of 13, a normal mouth has 32 teeth. Then, between ages 17 – 21, the third molars appear, which are also called wisdom teeth.

When wisdom teeth emerge correctly, they aid in chewing. If, however, the third molars are unable to erupt above the gum tissues or become trapped in the jaw, impacted wisdom teeth can occur.Numbered Teeth

When there isn’t enough space for the third molars to surface or emerge in the wrong position, problems can occur, including:
• Misaligned wisdom teeth can cause food to become trapped, increasing the potential for cavity-causing bacteria to accumulate.
    • Wisdom teeth that haven’t come in properly can make flossing more difficult.
    • Wisdom teeth that have partially emerged can give oral bacteria entry sites into gum tissue. This can increase your risk for infection and lead to pain, swelling and stiffness in the jaw.
    • When wisdom teeth don’t have enough room to come through, they can cause neighboring teeth to become misaligned.
    • An impacted wisdom tooth can develop a cyst that can damage the roots of adjacent teeth or destroy the bone that supports your teeth.

During the teen years, we carefully monitor the emerging presence of third molars. Once erupted, we continue to evaluate their positions through oral examinations and digital imaging (oral x-rays). We will also monitor the effect your wisdom teeth have on neighboring teeth.

The decision to have third molars removed is not an automatic one. In some instances, removal is not necessary. Regardless of the recommendation, we will thoroughly discuss the pros and cons with the patient and/or parent.

It may be best to have wisdom teeth removed when there is:
    • Gum disease
    • Pain
    • Infection
    • Cysts or tumors
    • Damage to neighboring teeth
    • Tooth decay that is difficult to treat

Removal of wisdom teeth may also be recommended as part of treatment for tooth realignment (such as Invisalign Teen clear straightening system) or other dental care. Before making any decisions, we will discuss the best course of treatment.HighSchGirl

When wisdom teeth are not removed, we continue to monitor them as the patient ages since problems can develop over time. For those who have their third molars as adults, the best way to keep wisdom teeth healthy is the same as keeping all your teeth healthy — twice daily brushing and daily flossing combined with regular dental check-ups.

Having a healthy smile above and below the gum line as well as properly-aligned teeth are the best way to enjoy good dental health. If you have experienced crowding, gum problems or any of the symptoms mentioned above, call 910-254-4555.

Posted in Beautiful Smiles, cavities, Cavity repair, crooked teeth, crowded, Dental Care in Wilmington, Gum Disease, Invisalign, New patients, Oral Bacteria, Oral Health & Wellness, root canals, Sore, tooth ache, Tooth Repair, Wilmington Dentist | Comments Off on To Remove Third Molars (Wisdom Teeth) Or Not?

Dental Implants Offer Many Advantages

Over the years, I’ve seen many dental advancements in the techniques and materials for replacing natural teeth. I’ve had a strong commitment to staying ahead of the curve, continually expanding my skills in all tooth replacement options. For this, we’ve helped patients experience exceptional results, whether for crown-&-bridge, dental implants, dentures or precision-fitted partials.

While our patients enjoy the benefits of an appealing, confident smile, it is what occurs beneath the gums that is so important. For those who are missing natural teeth, there are a number of reasons I typically recommend dental implants.Cosmetic Dentures Gal

To understand how dental implants are different, let’s first examine the structure of natural teeth. Consider that a tooth’s roots are held securely in place by the upper and lower jaw bones. These bones are nourished and stimulated by the presence of natural tooth roots. When a tooth root is missing, that area of bone begins a process known as resorption. As bone resorption continues, the loss of bone mass causes a number of repercussions.

When you lose a tooth that is situated between two other teeth, the bone resorption borders the neighboring tooth roots and weakens the positions of the adjacent natural teeth. It is a fact that when a natural tooth is lost, the next to be lost will most likely be a tooth next to it.

As bone loss continues, the risk for additional tooth loss increases as well. With each tooth lost, the absence of tooth roots sets a domino effect in motion. A shrinking jaw bone may actually be visible through changes in facial appearance, including deep wrinkles around the mouth, a collapsed mouth where the nose becomes closer to the chin, and jowls that form as facial muscles detach from declining bone mass.

Regardless of the tooth replacement option you select, we provide exceptional precision to provide you with the best results. However, we encourage patients to consider two particular advantages of dental implants — their lifespan and one-time expense. In addition to their design as a lifetime solution for replacing teeth, patients can avoid the repairs and/or replacements often needed by other options.

For example, crown-&-bridge combinations offer a natural look and feel for replacing one or several teeth. However, crowns and bridges do have a life and can require replacement. Too, crowning a natural tooth for the sole purpose of supporting a bridge compromises the integrity of an otherwise healthy tooth. Shaving down natural teeth to crown for supporting a bridge is not necessary with dental implants.

The upkeep of a denture or partial can require future costs as well. Dentures and partials are designed to conform to the unique contours of your gum ridge. This ‘ridge’ is the gum-covered arch of upper or lower jaws that once held natural tooth roots. As the bone declines in mass, the fit changes. Many people are also unaware that the pressure of dentures or partials actually accelerates the rate of bone loss.

When the ridge flattens, the once-secure fit of the denture or partial denture loosens. This causes difficulty in eating and can make for embarrassing moments when speaking or laughing. Relines can help on a temporary basis, however, they are unable to provide a stable bite or secure chewing ability.

Since dental implants are held by the jaw bone just as natural tooth roots, they do not need the support of neighboring teeth. Additionally, the implanted portion recreates the presence of a tooth root, halting the progress of bone resorption. And, because dental implants are designed to last a lifetime, they are an excellent investment.

For every patient and every procedure, our goal is to provide the best possible outcome, resulting in a confident smile that looks and feels natural with appearance and function. Regardless of the tooth replacement option you select, knowing the advantages and challenges of each will help you achieve the long term goals you want.

Begin with a private, no charge, no obligation consultation to discuss your dental needs. Call 910-254-4555  to schedule.

Posted in Beautiful Smiles, Cosmetic Dentures, Crown & Bridge, Crowns, Dental Care in Wilmington, Dental Implants, Financial Plans, Full Dentures, New patients, Partials, Tooth Loss, Tooth Replacement, Wilmington Dentist | Comments Off on Dental Implants Offer Many Advantages

With Your Dental Care, We Place A Priority On Comfort

No one wants to experience discomfort. That’s why most of us reach for an NSAID when we have a headache or use eye drops to lubricate itchy, dry eyes. However, when it comes to having dental procedures, many individuals find themselves dealing with another level of discomfort – that which is perceived.

For people who have developed high fear or anxiety associated with dentistry, perceived pain can be just as difficult to endure as real pain. This fear or anxiety is often the result of a traumatic experience in a dentist’s office in the past. Unfortunately, it embedFear Smiley Faces itself in one psyche and remains hidden in the shadows — until the individual finds themselves back in a similar setting that renews the sensations of fear.

The fact that the pain is real or imagined is, quite frankly, irrelevant to the patient. So these patients can have dental care that is not upsetting, using a sedative can help them relax.

Ideally, we want all our patients to be able to relax, and this often comes from building a relationship of trust. Over the years, I’ve developed quite a bond with people who have had unfortunate experiences in a dental office elsewhere. They know I pace each part of their procedure carefully and with a gentle hand so discomfort or anxiety aren’t concerns.

However, for those who are new to our office, I know that bond of trust has yet to be formed. To help them proceed with achieving their dental health goals as we develop this, I may suggest oral sedation.

In pill form, oral sedation helps a patient to relax throughout their procedure. All the while, the individual is being monitored by trained staff and safety equipment (since your safety is as important as your comfort, of course). Oral sedation has a quick recovery, yet erases most or all memory of the procedure afterwards.

With oral sedation, we administer numbing medications once the patient is fully relaxed. Rather than put the patient fully “to sleep,” oral sedation eases one into a sedated state where he or she can respond to questions or requests (such as “turn a little more towards me”) but typically have no memory of any interaction once recovered.

I’m always thrilled to hear a new patient who initially requested a sedative announce that it is no longer needed. That’s great for both of us! It means the patient trusts us to provide optimal comfort and understands that our goal is to create a pleasant experience for every visit.

If you (or someone you know) has avoided or delayed dental care because of fear or anxiety, let’s start with a no-charge consultation appointment. During this time, I’d like you to share your concerns and I’ll make suggestions for enhanced comfort.

Let’s get your smile in great shape! Call 910-254-4555 to schedule.


Posted in Beautiful Smiles, Dental Care in Wilmington, Dental Fear, New patients, Sedation Dentistry, Wilmington Dentist | Comments Off on With Your Dental Care, We Place A Priority On Comfort

Get Ready For October – National Dental Hygiene Month!

With October upon us, we’d like to remind our patients that October is National Dental Hygiene Month. As we celebrate our terrific team who help to keep your teeth and gums healthy (while making each visit a pleasure!), we would also like to take this opportunity to raise awareness on the importance of good oral health.

Although the ‘gold standards’ of good oral hygiene at home may seem rather basic, they ARE effective and DO make a difference. Twice daily brushing, daily flossing, thorough rinsing and keeping your mouth moist are easy ways to prevent problems from occurring (and avoiding or minimizing the associated time and expense for repairs).

Karen Thurston, Registered Dental Hygienist

Karen Thurston, Registered Dental Hygienist

Karen, your Dental Hygienist, remind you…

• When brushing, move your toothbrush gently in circular motions over all sides of the tooth. When finished, brush your tongue to remove embedded oral bacteria, which also helps to freshen your breath.

• If flossing is difficult for you, consider a water flosser. These have been shown to be just as effective as traditional flossing and are easier for those who have manual dexterity issues.

• Keeping oral bacteria levels to a minimum help you to avoid the accumulation of plaque. Bacterial plaque and can build up on your teeth and eventually harden into calculus or tartar. Plaque and tartar, if left untreated, may eventually lead to infection that can damage to your jawbone and support structures. This can also lead to tooth loss.

• Because teeth alone account for less than half of the mouth, thorough rinsing can help eliminate biofilm and bacteria that brushing and flossing cannot. Rinsing often, along with brushing and flossing, can lower your risk for dental decay and oral infection.

• To aid saliva flow, chew sugarless gum for 20 minutes following meals to help prevent tooth decay. Chewing sugarless gum increases saliva flow, which washes away food and other debris, neutralizes acids produced by bacteria in the mouth and provides disease-fighting substances throughout the mouth.

In addition to helping you keep oral bacteria levels to a manageable level, your check-ups and cleanings are opportunities to screen for Oral Cancer. This year, approximately 43,000 people will be diagnosed with cancer of the mouth, tongue or throat area. Most oral cancers are first diagnosed by the dentist during a routine checkup. The American Cancer Society estimates that nearly 7,000 people will die from these cancers. The use of tobacco products and alcohol increases the risk of oral cancer.

If you have aging fillings, we can also check for break down since fillings have a life expectancy of 8 -20 years. When the fillings in teeth start to break down, food and bacteria can get into the tooth beneath the fillings. This can cause decay to form deep in the tooth. Your regular exams provide opportunities to screen for this.

Celebrate October with us by renewing your commitment for a healthy smile! If you’ve delayed your 6-month cleaning and exam, call 910-254-4555 to schedule as soon as possible. It is far easier to prevent a problem than to repair it!

Posted in Bad Breath, Beautiful Smiles, cavities, Cavity repair, Dental Care in Wilmington, Dental Hygiene Cleanings & Check-Ups, dry mouth, Gum Disease, New patients, Oral Bacteria, Oral Cancer, Oral Health & Wellness, Tooth Repair, Wilmington Dentist | Comments Off on Get Ready For October – National Dental Hygiene Month!

Get The Most From Tooth Brushing

Twice daily tooth brushing and daily flossing has long set the standard for maintaining good oral hygiene. While American adults are gaining greater understanding of the importance of good oral health, many still place a low priority on their oral care at home. Only 57% of women brush their teeth twice a day and only 49% of men do so.

The oral health-whole health connection is getting better (and more deserved) press these days. For decades, research has revealed significant connections between the oral bacteria of periodontal disease and serious health problems. This infectious bacteria have shown links to heart disease, arthritis, some cancers and even preterm babies.

When it comes to our oral health, there are a number of misconceptions. One is that losing teeth is a normal part of the aging process. Yet, the leading cause of adult tooth loss in the U.S. is periodontal disease, which is not only preventable, it is one of the easiest of all diseases to prevent. It takes only minutes per day.

What much of the general public has yet to learn has to do with the damage of gum disease that extends far beyond the confines of the mouth. Through tears in weakened gum tissues, oral bacteria can enter the bloodstream and trigger chronic inflammatory reactions.

As you keep your teeth healthy, having healthy gums can help lower your risk for systemic inflammation. So, while you enjoy a healthy smile, your whole body benefits with lowered risks for inflammation.

In addition to 6-month check-ups and cleanings, brushing your teeth twice a day and flossing daily are quick, easy and cheap ways to prevent cavities, gum disease and tooth loss.

Yet, like most of the actions we take, there is a right way to brush your teeth. Just wetting a tooth brush and running it over your teeth fails to get much accomplished. So, let’s review the steps that will give you the most from your time at the sink:

Brush twice a day, in the morning and before bedtime with a medium or soft bristle toothbrush using a fluoridated toothpaste. Brush in a swirling motion on all sides of teeth, spending at least 2 minutes per brushing. Avoid pressing down so the bristles do not splay out. This makes brushing less effective and can wear down tender gum tissues around teeth. toothbrush

• For those who have manual dexterity problems, such as arthritis sufferers, an electronic toothbrush can make it easier to reach awkward angles. Some models have a built-in signal that indicates when you’ve spend sufficient time on each ‘quadrant.’ This is each one-fourth section of your teeth — divided into two upper halves and two lower halves.

• Use several back-to-front swipes of a tongue scraper or use your toothbrush to go over your tongue thoroughly after brushing. Swish with water several times. Performed daily, this removes millions of bacteria embedded in the tongue.

Floss your teeth daily. Don’t hesitate to ask us for a flossing lesson. Or, you may wish to try a water flosser. These are effective and easy to use. Once you are in the habit of daily flossing, the process, start to finish, will only require a minute or so of your time.

• Throughout the day, take measures to keep your mouth moist. Saliva is a natural rinsing agent. Insufficient amounts due to age or drying medications make you more susceptible to bacterial accumulation. If you take medications that have oral dryness as a side effect, drink lots of water, limit caffeine and alcohol, and use an oral rinse to supplement the moisture needed (available over-the-counter).

The minutes you spend each day to minimize oral bacteria levels in the mouth can help you save time and money by preventing problems from occurring in the first place. Too, you’ll be supporting your whole health!

Call 910-254-4555 if you’re due for a dental check-up. Once your mouth is healthy, it will be easy to maintain between visits.

Posted in Arthritis, cavities, Cavity repair, Dental Care in Wilmington, Dental Hygiene Cleanings & Check-Ups, Diabetes, dry mouth, Gum Disease, Heart Disease, New patients, Oral Bacteria, Oral Health & Wellness, Systemic Inflammation, Tooth Loss, Tooth Repair, Wilmington Dentist | Comments Off on Get The Most From Tooth Brushing