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You have probably counted a hundred reasons to stop smoking. It’s unhealthy. It’s expensive. It annoys the people around you. You have to schedule your day around the next cigarette. But here’s reason number 101: Did you know that one of the many side effects of smoking is the damage it does to your smile?

Your Appearance

One of the most obvious results of smoking is the constant yellowing and discoloration of your teeth. Tobacco stains can take longer to remove with home brushing and whitening. And, while a professional cleaning and whitening will make a world of difference, all that good work is undone once you start smoking again.

More important, no smile looks its best with periodontal disease and tooth loss. Smoking has been linked to the presence of more harmful oral bacteria and higher occurrences of cavities and gingivitis (early gum disease). Periodontitis, or severe gum disease, is much more common among smokers. Tooth loss is also much more likely.

Healing after Dental Surgery

Smoking slows the healing process. It has been linked to a weaker immune system, so it’s harder to fight off an infection or to heal from one.  And because of the harmful effect of smoking on bone tissue, there is a higher failure rate for dental implants among smokers. Bone density can be so compromised that an implant is not even an option.

Healing after Extractions

If you have a tooth extracted, the formation of a blood clot at the site of the removal is essential to avoid a condition called dry socket. Dry socket can lead to pain, serious infection, and other complications. Luckily, this clot is resilient and pretty hard to dislodge—unless you apply suction such as sipping through a straw or drawing smoke from a cigarette.

Oral Cancer

Research has shown that smoking is the single most serious risk factor for oral cancer. The good news is that this risk is cut dramatically if you quit!

Let Dr. DeCasperis help you maintain your smile. We can offer many more reasons to give up the smoking habit, and we are happy to offer suggestions for quitting during your next visit to our Lebanon, NJ office. We want to protect your smile and your health as well. It doesn’t really matter which number on the list finally leads you to quit—every number on that list is your lucky number!

Time to brush! So, you make sure you gently brush the plaque off the outside surfaces of your teeth. You want to present a gleaming smile to the world, after all. And you make sure to brush the inside surfaces as well, because who wants to feel a fuzzy patch of plaque every time their tongue hits their teeth? And, naturally, you remember to clean the tops of your molars, because those crevices make them more cavity-prone than any other surface.

Done? Not quite!

You might be surprised to learn that no matter how well you’ve brushed all the visible surfaces of your teeth, you’ve left quite a bit of enamel untouched—the adjoining, or touching, surfaces of the teeth which sit next to each other.

You’ve probably noticed that your bristles can’t . . . quite . . . reach all the enamel between your teeth (especially between your molars!) when you’re brushing. This means that food particles and plaque have an easier time sticking around. And when the bacteria in plaque are left undisturbed, especially with a banquet of food particles available, they produce acids which gradually eat away at the enamel covering our teeth, creating a cavity.

Here’s where we work in some specific dental vocabulary. “Interproximal” means between the adjoining, or touching, surfaces of the teeth. And an interproximal cavity is a cavity which develops on one of those side surfaces of your teeth.

• Discovering Interproximal Cavities

Clearly, a cavity between the teeth won’t be as obvious as other cavities. How will you know if a dental appointment is in order?

There are typical symptoms which can show up when you have a cavity. Chewing might be painful. You might feel pain or sensitivity when you eat or drink something which is hot, or cold, or sweet. But pain and/or sensitivity aren’t always present, especially when a cavity is just beginning to develop.

Regular exams are important so you can catch small cavities before they become more serious. That’s why, at your regular dental exams, Dr. DeCasperis will always check for any signs of decay on every surface of each tooth, including those places which aren’t easily visible. And that’s why X-rays can be an important tool for locating these tricky cavities.

• Treating Interproximal Cavities

If Dr. DeCasperis and our team finds a cavity between your teeth, there are different treatment options available depending on the size of the cavity:

• A typical cavity will require a filling. The decay will be removed, and then the area will be cleaned and filled. You’ll probably choose a filling material which can be matched to your enamel color if the restoration will be noticeable.
• If decay has spread to the pulp chamber inside the tooth, a root canal is often the best treatment option, with a crown applied afterward to protect the tooth.
• A tooth so decayed or infected that it cannot be saved might require extraction.

Dealing with any weakness in a tooth as quickly as possible is always better than waiting until a more complicated treatment option is needed. Of course, the best treatment is prevention, and, luckily for us, it’s not a complicated process at all.

• Preventing Interproximal Cavities

In fact, it’s about as basic as it can be—brush and floss effectively. We recommend brushing for two minutes at least twice a day and flossing once each day. While most of us are good about keeping up with brushing, sometimes that daily flossing is more a goal than a reality.

But it’s flossing which really does the trick when it comes to interproximal cleaning. If you floss correctly, food particles and plaque are removed from between the teeth and around the gumline—places where bristles just can’t reach. The next time you get your teeth cleaned at our Lebanon, NJ office, ask for tips on how to perfect your technique. And, if you have difficulty flossing, ask about alternatives such as water flossers and interproximal brushes.

Preventing cavities on the exterior surfaces of your teeth is probably pretty much automatic by now, but don’t forget the potential for stealth decay! If Dr. DeCasperis and our team find signs of erosion on the sides of your teeth, or if your hygienist lets you know that you’ve got a lot of interproximal plaque buildup, work with us to make sure “interproximal cavity” doesn’t become a working part of your dental vocabulary.

Parents are usually expert at taking care of their children’s injuries. You know how to disinfect a cut, soothe a bump on the head, and apply a bandage faster than you can blink.

But what happens if your child suffers a dental injury? Teeth can get broken, knocked out, or displaced from a forceful impact, and parents ought to know what to do in those situations, too. Luckily, Dr. DeCasperis and our team are here to be a resource for such incidents!

Chipped front teeth are a common injury for young children. First, check to see if the teeth have been broken to the nerve. You can tell this is the case if you see layers and a pinkish center.

Then, wiggle each tooth to make sure it is not loose. If the teeth still feel firmly in place, that’s a good sign. Don’t worry if they are a little loose, because they will tighten again with time.

If your child develops a high temperature or bite sensitivity, treatment is necessary and could include a root canal.

A knocked-out tooth is an injury that requires more attention than just observation. Locate the tooth as soon as you can, and touch only the crown, not the root. Rinse any debris gently with milk or water and place the tooth back in its socket as soon as possible.

According to the American Association of Endodontists, a tooth has a high chance of survival and retention for life if it is returned to the socket within five minutes, and possibly up to 60 minutes, if soaked in milk or saline solution in the meantime.

Say your child is elbowed in the mouth and a tooth gets severely displaced but does not get knocked out. Attempt to shift it back into place by applying light pressure, but be careful not to use too much force. Give your child a cold pack for the swelling and contact our office as soon as possible.

Dental emergencies can be frightening for the child as well as the parent. The best advice we can offer is to stay calm and be assured that we are always here to help! Contact us at our Lebanon, NJ office as soon as you can, if your child encounters a dental emergency.

What do we know about osteoporosis? We may know that this disease makes the bones more brittle and vulnerable. We may know that osteoporosis is the cause of many a broken hip or curved spine as we age. We may even know that, for a number of reasons, women are far more likely to develop this disease. What we may not be aware of is the impact osteoporosis can have on our dental health.

“Osteoporosis” means “porous bones.” It is a disease that makes the bones more likely to fracture or break, as the body’s careful balance of absorbing old bone tissue and replacing it with new healthy bone tissue is disrupted. We lose bone tissue faster than we can create new, dense bone tissue. Why is this important for our dental health? Because the fitness of our teeth depends on the fitness of the bones surrounding and securing them in our jaws.

How does osteoporosis affect dental health?

• Osteoporosis reduces density in the bones and bone tissue that hold our teeth in place. Studies have shown that women with osteoporosis have significantly more tooth loss than women without the disease.
• Periodontitis, or gum disease, can also cause deterioration in the bone surrounding the teeth. This is a time to be proactive with gum health to avoid infections and further bone loss.
• Denture wearers may find that their dentures no longer fit properly due to changes in bone structure. Bone loss needs to be addressed promptly to avoid having to replace dentures.
• Rarely, bone-strengthening medications for osteoporosis can lead to serious jaw problems after dental procedures that involve the jawbone (such as extractions). Always tell us any medications you are taking before we schedule any dental treatment.

Unfortunately, osteoporosis often has no symptoms at all—until the first bone fracture. Checking our bone density is important as we age, and one way of discovering changes in bone density is through your regular dental checkups at our Lebanon, NJ office. We can pinpoint changes in your X-rays through the years and will recommend that you see your physician if there is any indication of bone loss. If you have already been diagnosed with the disease, we have ideas to help maintain the health of your teeth and bones.

Many factors can increase your chance of developing osteoporosis. Age, illness, personal habits, medications, diet, genetics—any number of conditions can affect our bone health. Talk to us about osteoporosis. Dr. DeCasperis would like to work with you to provide prevention and treatment to keep your teeth and bones strong and healthy for a lifetime of beautiful smiles. And that’s certainly good to know!