Oral Cancer Screenings

Cavities (also called tooth decay or caries) are permanently damaged areas on the surface of your teeth that eventually turn into holes. They’re one of the most common dental health issues in the world, and anyone who has teeth can get them—even very young children and infants. If cavities get large enough that they’re affecting the deeper layers of your teeth, they can cause infections, severe toothaches, and even tooth loss.

Regular brushing, flossing, and trips to the dentist are the best ways to prevent cavities from forming—but how do they form in the first place?

The Three Stages of Cavities

Cavities don’t just develop overnight; there’s a process that happens, and it begins with plaque.

Have you ever noticed a stick film coating your teeth, especially after eating sugary or starchy foods? This is dental plaque. Every time you eat, the bacteria in your mouth feed on the leftover food particles. Then, they secrete acids that turn into plaque. As plaque accumulates in your mouth, it traps acid, sugars, and bacteria up against your teeth; in turn, these start to erode away at the enamel and demineralize it.

After a while, small holes will start to develop in the enamel. This is the first stage of a cavity. Once the enamel is worn away, it makes it easy for bacteria and acid to reach the dentin, which is the next layer in your teeth. Unfortunately, dentin is much softer than enamel, and it doesn’t resist acid as well. At this stage, you may notice some sensitivity. As the cavity gets worse, the bacteria and acid continue to travel down to the next layer: the pulp.

The pulp is the inner part of your tooth that houses the nerves and blood vessels. As the bacteria and acids start to attack the pulp, it becomes inflamed and irritated. Since the pulp is trapped inside the tooth, it has nowhere to expand as it swells; this causes it to compress the tooth’s nerves—which can be very painful. If left untreated, deep cavities can lead to severe infections or tooth loss.

Factors that Can Increase the Risk of Cavities

There are several factors that can make your teeth more prone to cavities:

• Location. Cavities are more likely to affect the molars and premolars. This is because these teeth are harder to reach, and they have a lot of nooks and crannies to trap plaque.
• Certain foods and beverages cling to your teeth for longer, like dairy products, honey, cookies, hard candy, chips, and soda.
• Eating or drinking frequently gives the bacteria in your mouth a steady supply of food.
• Waiting too long to brush and floss after eating allows plaque to form and start attacking your teeth.
• Dry mouth caused by medications, medical treatments, or certain health conditions can increase the risk of cavities.
• Chronic heartburn (GERD) can cause stomach acid to wear away at your enamel

The thing to keep in mind with cavities is that they aren’t static—they grow and get bigger over time. If you don’t have any cavities yet, that’s great news! Make sure to keep up with your oral hygiene and dentist visits. If you do have cavities, it’s best to take care of them as early as possible to prevent them from getting worse. Schedule an appointment with Enamel Dentistry, and we’ll help you nip those cavities in the bud!

Pain Management Protocol

Start with:

• Ibuprofen 600mg or 800mg (Advil, Motrin) unless otherwise directed by your doctor or dentist
• Take every 8 hours
  
  *Over-the-counter Ibuprofen typically comes in 200mg tablets, so you can take 3-4 tablets to reach the recommended 600-800mg dosage. Do not exceed 3200mg daily.

If necessary add:

• Acetaminophen 500mg (Tylenol)
• Take every 6 hours
• Recommended to be taken 3 hours after dose of Ibuprofen, but can be taken at same time as Ibuprofen
  
  *Over-the-counter Acetaminophen typically comes in 375mg or 500mg tablets, so you can take the 1-2 tablets to reach the recommended 500mg dosage. Do not exceed 2000mg daily.

If discomfort persists, discontinue Acetaminophen 500mg and replace with:

• Norco 5/325mg OR Tylenol #3 (depending on what was prescribed to you)
• >Both listed medications contain Tylenol so please be aware of your total daily consumption (do not exceed 2000mg Tylenol a day).
• >Take 1 tablet every 6 hours as needed for additional pain control
• >Recommended to take 3 hours after dose of Ibuprofen, but can be taken at same time as Ibuprofen
• >Do not drive or operate heavy machinery while taking these medications as they can cause drowsiness
• >If pain is more prominent at night, save these medications for use closer to bedtime as tolerance can build quickly

Stroll through any drug store, and you’ll find numerous over-the-counter (OTC) teeth whitening products. How do these differ from what’s used at the dentist’s office—and which is better? Isn’t it just easier to whiten your teeth at home?

The Main Difference Between OTC and Professional Teeth Whitening

There are many types of OTC teeth whitening products available, including strips, gels, toothpaste, and bleach kits. While some of these products are pretty good, they all have a much lower concentration of the whitening agent than what’s used at the dentist’s office. You’ll also be applying it to your teeth over a shorter period of time. Essentially, you’ll see less of a change in the appearance of your smile, and it will take much longer.

At Enamel Dentistry, we use a higher-concentrated bleaching gel, which allows us to whiten your teeth by 5-10 shades in a single office visit. It’s much more effective than OTC whiteners! OTC bleaching gels can cause sensitivity and discomfort; we use custom trays and monitor you the entire time to make sure you have a comfortable experience throughout the entire process.

In addition, some OTC whitening products contain charcoal or other substances that can damage your enamel!

What About Convenience?

OTC whiteners are certainly convenient—you just need to grab one off the shelf and use it at home. Believe it or not, professional teeth cleaning can be just as convenient! At Enamel Dentistry, you don’t have to sit in the dentist’s chair to get a whiter, brighter smile. Although that’s certainly an option, we also offer custom take-home whitening kits. While still more effective than OTC products, they’re designed to give you gentler, more gradual treatment than what you’d get with our in-office whitening. This is perfect for patients who’d like a more natural whitening process or don’t have the time for in-office appointments.

Want to learn more about our professional teeth whitening or schedule an appointment? Contact your closest Enamel Dentistry location today!