Our Apex Dentist Explains why Xylitol is Good for Teeth, Bad for Dogs

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Now that Halloween’s in the rear-view mirror, you might be motivated to give your body a break from all that sugar by switching to low-calorie sweeteners. If so, xylitol is a great option, because it’s natural, tasty, and deadly to the bacteria on your teeth. In fact, xylitol is one of the few things that can truly kill cavity-causing bacteria, which is why dentists highly recommend it. However, it’s important to be aware that xylitol is also very dangerous to dogs, for reasons we will explain below.

What is Xylitol?

Xylitol is found naturally in fruit, vegetable fibers, hardwood trees, corncobs, and certain other plant species. It was first used as a sweetener in Finland during World War II, when sucrose was unavailable. Xylitol has become very popular in the last few decades due to the fact that it’s just as sweet as sucrose, but has far fewer calories. Additionally, xylitol causes very little insulin release in humans, making it an excellent alternative for people with diabetes, prediabetes, obesity, or other metabolic problems. However, this is unfortunately not the case when it comes to dogs and other animals.

Why Does Xylitol Harm Dogs?

In people, rats, horses, and rhesus monkeys, xylitol causes little to no increase in insulin release or blood sugar levels. However, in species like dogs, cats, cows, goats, rabbits, and baboons, xylitol causes a large insulin release and drop in blood sugar. For dogs, the insulin release from is so massive that it causes the blood sugar to drop dangerously low, resulting in weakness, trembling, seizures, collapse, and even death. At very high dosages, xylitol can cause massive liver necrosis in dogs, in which large numbers of liver cells die abruptly, killing the animal.

Xylitol is just as harmful to cats, but there is less cause for concern when it comes to them. This is because cats typically ignore xylitol-heavy foods like gum, cookies, cake, and peanut butter.

Foods Which Contain Xylitol

While we highly encourage patients to chew sugar-free gum that contains xylitol, we also don’t want any harm to come to family pets. Make sure that you check the following products carefully for xylitol:

  • Toothpaste
  • Mouthwash
  • Chewing gum
  • Peanut butter
  • Sugar-free candy
  • Sugar free breath mints
  • Fruit drinks
  • Jellies and jams
  • Cereals
  • Baked goods
  • Sugar-free puddings and Jello
  • Over-the-counter vitamin supplements

Be aware, too, that not all product labels clearly state whether or not they contain xylitol. If a label states only, “artificially sweetened,” presume that it contains xylitol to err on the safe side. Always keep xylitol-containing products high out of reach, and try to induce vomiting immediately if you think your dog has ingested any.

Need a Dentist in Apex NC?

If you want to keep your teeth healthy and safe, head over to Hansen Dentistry. Our Apex dentists can’t wait to make your teeth strong and beautiful as possible! To request an appointment, click here.

Causes & Treatments for Bad Breath, From Our Apex Family Dentist

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Almost everyone experiences bad breath once in a while. But for some people, bad breath is a chronic problem. Known in the medical field as “halitosis,” bad breath can be exacerbated by numerous factors, like inadequate oral hygiene, lack of saliva, or smoking. If you’re desperate to get rid of your bad breath for good, here are some factors that might be causing it.

Bacteria & Periodontal Disease

All bad breath is caused by bacteria which live on the teeth and tongue. Therefore, your first step at controlling bad breath is practicing good oral hygiene: Brushing the teeth and tongue, using mouthwash, and flossing. Flossing is one key step that many people skip because it can be a bit tedious. However, flossing is crucial to having a clean mouth and fresh breath. Don’t believe us? The next time you floss, smell the string before you throw it away, and we’ll bet you see (or smell) what we mean.

Tobacco and Alcohol

“Smoker’s breath” is a well-known consequence of smoking. This is because the chemicals in tobacco, such as nicotine, remain in the mouth and lungs long after a cigarette has been extinguished. Tobacco smoke can also dry out the mouth, leading to a proliferation of bad-smelling bacteria. Alcohol, too, can dry out the mouth and allow bacteria to thrive.

Dry Mouth

If you brush and floss daily, and don’t smoke or drink, yet still suffer from halitosis, you may be suffering from dry mouth, a condition wherein the salivary glands cannot produce enough saliva to keep the mouth moist. Since human saliva is slightly acidic, it is able to control the bacteria that cause bad breath. A decrease in saliva, therefore, allows bacteria to thrive. To increase your salivary flow, try chewing sugar-free gum after eating, which encourages increased salivary flow, and drink plenty of water. You can also use over-the-counter moisturizing agents, such as a dry mouth spray, rinses, or dry mouth moisturizing gel.

Other Conditions

If all these other causes have been ruled out, another underlying condition is likely to blame. Tonsillitis, respiratory infections such as sinusitis or bronchitis, certain gastrointestinal diseases, and uncontrolled diabetes can all cause bad breath. If you suspect that something else is at play regarding your halitosis, visit a primary care physician just to be on the safe side. 

Step 1: See Your Apex NC Dentist

With all this said, the vast majority of bad breath cases are caused by poor oral health. If you haven’t been to a dentist for a while, your first step should be scheduling a professional cleaning. Once it has been confirmed that there is no plaque or tartar built up on your teeth, your dentist can help you identify other factors that may be causing your halitosis.

If you are suffering from dry mouth, and over-the-counter solutions aren’t yielding any improvement, you may want to schedule a visit with an oral medicine doctor specializing in mucosal diseases and salivary gland disorders.

Hansen Dentistry is an Apex family dentist office specializing in cosmetic dentistry, restorative dentistry, preventative dentistry, and more. We provide Apex NC residents with Invisalign, same-day crowns, professional tooth whitening, and a wide range of other services. To schedule an appointment, click here.

How Many Bacteria Are in My Mouth? Ask Our Apex NC Dentist

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Our teeth might sometimes seem like rocks or seashells; things which are dead and nonliving. However, our mouths are actually a vibrant ecosystem, populated with living things that play a vital role in our health. Here are some interesting facts about the microscopic creatures that live behind your lips from your local Apex family dentist.

The Oral Microbiome

Scientists have a fancy name for your mouth’s ecosystem – they call it the “human oral microbiome.” A big part of this microbiome is bacteria. A single mouth can be home to more than 6 billion bacteria, an impressive number when you consider that the total human population of the earth is 7.3 billion.

Those billions of oral bacteria live in diverse communities, where they go about the same business as most other living creatures: working, feeding, breeding, and dying.  Most of theme are harmless, or helpful, microbes, which can support your overall health as well as oral wellness. If you’ve ever seen the word “probiotics”on a label, these are the types of microbes it was referring to. Other members of the 700 different strains of bacteria that potentially live in your mouth are neither helpful nor harmful – at least as far as we know.

Harmful Mouth Bacteria

Like most urban areas, your mouth has safe neighborhoods and scary ones. Some of the microbiome communities are comprised of pathogenic bacteria that cause tooth decay, gum inflammation, and tooth loss. The main culprit of these oral diseases is Streptococcus mutans, which feeds on sugar and starchy carbs, and convert it into acids that erode your tooth enamel. Porphyromonas gingivalis isn’t a regular resident of your mouth, but shows up when gums are diseased (Periodontitis). Left to run amok, it will destroy gum tissue and the alveolar bone that supports your teeth.

Keeping your mouth bacteria-free

Unfortunately, it just isn’t possible to get rid of all your mouth’s bacteria—and you shouldn’t want to, anyway! However, you can help keep your tooth enamel strong by cutting down on sweets and carbohydrates. Both of these are Streptococcus mutans’ favorite food which, once ingested, are converted into acid that destroys teeth. And, of course, regular brushing and flossing will help keep your levels low.

Need a dentist office in Apex NC?

If you want to keep your teeth healthy and safe, head over to see Dr. Hansen and the rest of our team at Hansen Dentistry in Apex. Our Apex dentists and hygienists can’t wait to make your teeth strong and beautiful as possible! To schedule an appointment, click here.

Learn the Parts of the Teeth from Our Apex NC Family Dentist!

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While the mouth is just a small part of our overall anatomy, it’s responsible for some of the most important things we do—eating, drinking, speaking, and making facial expressions! In today’s blog, our family dentist in Apex explains the different parts of the teeth, including the enamel, dentin, pulp, and miscellaneous tissues.

Enamel

The outer covering of the tooth, enamel is the strongest, hardest, and most highly-mineralized substance in your body. Enamel is also the most visible part of teeth, a semi-translucent material that ranges in color from light yellow to grayish-white. Enamel does not contain any living cells, and cannot regenerate itself, so it’s critical to preserve it. Proper oral hygiene – brushing, flossing, regular professional checkups and cleanings – help to keep your enamel from eroding away.

Dentin

Dentin is a layer of living cells that lies underneath the tooth enamel. Dentin is also what primarily gives your teeth their color. This is why people who scour their teeth with harsh, abrasive substances like charcoal or baking soda often wind up with yellower teeth than they started out with. Since the white enamel has been worn away, the yellow dentin shows through. That’s why it’s best to stick to safe, professional whitening treatments!

Dental Pulp

Pulp is the living center of your teeth, filled with blood vessels, connective tissue, and nerves. Pulp’s role is to keeps your teeth nourished and moist. Without pulp, our teeth would resemble dried, bleached bones, just like the turkey wishbone that you leave out for a few days after Thanksgiving.

Other Parts of the Tooth and Jaw

Teeth are held in place by the cementum, a layer of connective tissue that grips teeth to the gums and jawbone, and the Periodontal ligament, which helps hold the teeth to the jaw. You also (hopefully!) have gums, upper and lower jaws, a tongue, salivary glands, a uvula (the dangly ball bit at the back of your mouth), and a frenulum linguae (the tissue under your tongue). All of these structures, except your teeth, are covered by a protective lining called the oral mucosa, similar to the mucous membranes inside your nose and inner ears.

The health of all these structures are directly related to the health of your teeth. Your mouth is a holistic system, and if one part of it is not well, other parts will also suffer.

Take Care of Your Mouth with our Apex NC Dentists!

Thankfully, teeth can typically be kept healthy and happy with basic oral hygiene and twice-yearly dentist appointments. Regular exams and professional teeth cleanings help your dentist screen you for oral cancer, tooth decay, and gum disease. If you’re searching for dentists in Apex or Cary, contact Hansen Dentistry today!

What are Veneers? Ask Our Apex Cosmetic Dentist

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If your teeth are cracked, gapped, chipped, or stained, veneers are an excellent non-invasive dental procedure to consider. Veneers are simply a thin shield of synthetic material, either composite resin or porcelain, that are bonded to the front of the teeth, recreate the natural look of enamel. Below is some more information about veneers from our Apex general dentist office!

What Can Veneers Correct?

Veneers are able to correct discoloration, fractures, gaps, chips, and stains in teeth. They are also able to close small gaps and correct small misalignments. Veneers can accurately change the color, size, and strength of a tooth without requiring dental surgery.

Who Does Not Qualify for Veneers?

Unfortunately, dental veneers are not appropriate for all candidates. Situations which may exclude the possibility of veneers include:

  • Unhealthy teeth which have been eroded by gum disease and decay
  • Weakened teeth which lack the necessary amount of base enamel
  • Teeth that are severely misaligned

Only a qualified dentist can determine if veneers are an appropriate choice for your teeth, so be sure to consult a professional before purchasing cheap online alternatives!  

How are Veneers Made? 

If your veneers will be made of composite resin, your dentist will usually be able to sculpt and bond them on-site during your second appointment. However, the majority of veneers are made of porcelain, because it is more durable, long-lasting, and impervious to stains. For porcelain veneers, your dentist will take a mold of your teeth and send it to a laboratory for fabrication. If your teeth are extremely stained or damaged, your dentist will be able to place a temporary veneer for you to wear during the waiting period.

How are Veneers Applied?

Once your veneers are ready for application, your dentist will lightly buff your teeth so that they can adhere to them more easily. Usually, about one millimeter of the tooth surface will be removed. Then, your dentist will carefully place each veneer over your teeth to verify that the fit and color match those of the original teeth. When your dentist is satisfied with the veneer’s fit and appearance, he or she will apply a cement bond beneath them, and cure the cement with a light beam for about 60 seconds.

Schedule an Appointment with Hansen Dentistry in Apex NC

Veneers are one the most effective, least invasive ways to correct dental blemishes and enhance your smile. If you’re ready to begin the process of applying your veneers, contact Hansen Dentistry in Apex today!

How to Soothe a Teething Baby, from Hansen Dentistry in Apex

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Although some babies may experience very little or even no discomfort while teething, many do, resulting in excessive drooling, inconsolable crying, and a decreased appetite. If your child seems irritable or in pain, here are some parent-tested tips that will help him or her feel better.

Give Your Baby Chilled Fruit

Once you’ve introduced your baby to solid foods, you can help soothe those sore gums with a tasty snack of chilled mashed bananas. To help prevent choking, place the fruit in a mesh feeder, and give that to your baby to lick or suck on. You can also experiment with other types of cooked, cooled fruit in the mesh feeder, such as apples, strawberries, mangoes, or ripe pears.

Give Them a Cold Washcloth

Take a clean washcloth and submerge it in water, wring it out until it’s just damp, and then place it in the fridge. Once it’s cool, fold it and give to your baby to chew on to help relieve those teething baby gums. However, don’t leave your child unattended while she’s sucking or chewing on the washcloth, as this can be a choking hazard.

Cool a Metal Spoon

Cool metal can be soothing, so grab a regular teaspoon from your kitchen drawer and put it in the fridge. When the spoon is cool, gently rub the back of the spoon against your baby’s gums. A clean, chilled, non-gel-filled teething toy can also provide some relief.

Massage Your Baby’s Gums

You can help provide some baby teething relief by carefully massaging those sore little gums in gentle, circular motions. Remember to wash your hands first.

Wipe Away Drool

One of the main signs of teething is drooling, which, aside from being a little yucky, can irritate the skin. Keep your baby’s face clean and dry by wiping it periodically, and protect their clothing with soft cloth bibs.

Ask Your Child’s Dentist About Medication

If you’re concerned that your baby’s teething discomfort cannot be soothed by any of the above methods, consult your doctor and/or dentist for advice on using medication to help with baby teething symptoms. Make an appointment with a pediatric dentist after the first tooth erupts or by your infant’s first birthday, whichever comes first.

Hansen Dentistry is a general dentist serving children and grown-ups in Apex NC. To schedule an appointment with us, contact us here.  

Am I a Candidate for Invisalign? Ask Our Apex NC Cosmetic Dentist

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You may have already heard of Invisalign, a modern alternative to traditional orthodontic braces which uses a series of clear plastic aligners to move the teeth. Since Invisalign has many significant benefits over traditional braces, many of our patients are interested in the treatment. However, not every smile is a good fit for Invisalign, and certain circumstances might require the traditional method.

Only your dentist can determine whether Invisalign is right for you, but here are some signs we look for when assessing whether a patient is a good candidate.

Dental Issues Helped by Invisalign

Generally, Invisalign is best-suited for patients with mind dental and orthodontic issues, such as:

  • Mildly crooked teeth
  • Protruding teeth
  • Mild overbites
  • Mild underbites
  • Wide gaps in the teeth
  • Overcrowding of teeth
  • Mild open bites (teeth that do not touch when the mouth is closed)
  • Mild crossbites (when the upper and lower teeth are misaligned)

When Invisalign May Not the Best Choice

Invisalign is usually not recommended for harsher dental issues, especially issues that require the jaw alignment to be corrected, such as extreme overbites and underbites. .  Invisalign aligners can move crooked teeth, but they do not have the ability to actually shift a person’s jaw into a different position.

Invisalign is also generally not recommended for children. This is because juvenile teeth are still growing and have not reached their final stage of development. Children also generally do not have the dedication or self-control to successfully finish the Invisalign treatment. Since the Invisalign trays can be easily removed at any time, and since all tooth realignment will cause some soreness, it is usually very difficult for children to keep the trays in for the recommended 22 hours per day they should be worn.

Get Invisalign and More at our Apex NC Dentist Office

If you live in the Raleigh, Cary, or Apex NC area, and are interested in correcting your smile with Invisalign, stop by Hansen Dentistry for a consultation. Dr. Hansen will examine your teeth and determine whether Invisalign is a good treatment option for you. Remember that only an experienced dentist should make this decision—if you have already decided that you don’t qualify for Invisalign, you might be wrong!

To schedule a dentist appointment with us, click here.

Our Apex Dentist Explains Why Overbites are More Than a Cosmetic Issue

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More than a cosmetic issue: How malocclusions harm your teeth

If you have been to the dentist lately, you may have learned that you have a malocclusion—in layman’s terms, an overbite, underbite, crossbite, or other type of situation that prevents the upper and lower teeth from aligning correctly. While many people believe that their underbite or overbite is simply a cosmetic issue, malocclusions affect far more than your appearance. Below are some ways dental malocclusions harm your teeth.

Tooth decay

There are three categories of malocclusion. In Class I, the teeth may be rotated, crowded, or too spaced-out for the upper and lower jaw to meet properly. It’s that second issue, overcrowding, that can lead to tooth decay. Because crowded teeth are much more difficult to clean properly, patients may struggle with oral hygiene despite their best efforts. Flossing can be challenging if teeth are grouped too tightly, and brushing might not reach all the hiding places where bacteria live. Therefore, fixing crowded teeth isn’t just a matter of having a pretty smile; it’s actually a matter of preserving your long-term oral health.

Worn tooth enamel 

If your teeth are not properly aligned, or if some teeth jut out higher than the others, they will get worn down over time from normal talking and chewing. This is problematic because your enamel protects the sensitive dentin beneath it, and once it’s gone, your teeth will be more susceptible to cavities and bacteria (not to mention, a lot of pain and discomfort.) Re-aligning your teeth into their correct positions helps ensure long-term protection (and no painful, expensive procedures in the future!)

Jaw pain (TMJ)

The human jaw has evolved to operate based on one type of tooth arrangement. Uneven teeth can impact the muscles of the jaw, causing long-term problems usually referred to as TMJ, or Temporomandibular joint (TMJ) syndrome. This condition is characterized a pain in the jaw joint; head and neck pain; facial pain; ear pain; frequent headaches; a jaw that is locked in position or difficult to open; problems with biting; and jaw clicking or popping sounds when the patient bites. While you might not develop severe TMJ from a misaligned jaw, you are certainly at risk for it, and it is probable you will develop at least one of the symptoms, such as jaw clicking or headaches.

Speech impediments 

The shape of our mouths is critical when it comes to forming words and communicating. Malocclusion can lead to speech problems, especially for young children just getting a grasp on language. Speech problems can have a significant impact on an individuals self-esteem, social interactions, and job or school performance—so it’s not a minor thing! If your teeth are interfering with the way you communicate, it’s important to have them corrected.

Avoid these issues with our Apex Dentist today! 

As much as Dr. Hansen and the rest of the team at Hansen Dentistry want you to have a beautiful smile that looks great in pictures, we are much more concerned about preserving your long-term oral health! Correcting crooked, misaligned, or gapping teeth is primarily about keeping your teeth strong and cavity-free over the course of your lifetime. One of the easiest ways to do this is by using Invisalign trays to move the teeth into alignment. To learn more about how Invisalign can help you, call us now for a consultation!

Learn About the Most Popular Filling Materials from our Apex Restorative Dentist

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When a tooth is damaged by decay and acid, your dentist will use a filling to restore it to its normal shape and function. If you are going to get a filling in an upcoming dental appointment, or have already had one and are just curious about the procedure, here is everything you need to know about dental fillings from our Apex dentist office.

Popular Dental Filling Materials 

Fillings help close off spaces where bacteria can enter, and prevent further decay. Materials used for fillings include:

  • Gold
  • Porcelain
  • Composite resin (for tooth-colored fillings)
  • Amalgam fillings (an alloy of mercury, silver, copper, tin and sometimes zinc).

No one type of filling is “best” for everyone. What’s best for you will depend on the extent of the decay; whether or not you are allergic to certain materials; where the cavity is located; and cost. Below is more information about each cavity filling material.

Gold Fillings

Historically the only filling material that was used, gold fillings are now made to order in dental labs. Gold inlays are well-tolerated by gum tissue, and may last for more than 20 years. For these reasons, many dentists consider gold to be the best filling material. However, it is often the most expensive choice, and is not the most resilient.

Porcelain Fillings

Porcelain fillings usually have a similar cost to gold. If you have ever heard the dental term “inlay” or “onlay”, it was referring to a porcelain filling. Porcelain restorations are a popular choice because they can be matched to the color of the tooth, resist staining, and are very durable. A porcelain restoration generally covers most of the tooth.

Composite Resin Fillings

Composite fillings are essentially a type of plastic. These can also be matched to the same color of your teeth, and are therefore another popular choice when the cavity is in a visible area. The ingredients are mixed and placed directly into the cavity, where they harden. Composites may not be the ideal material for large fillings, as they may chip or wear over time. They can also become stained from coffee, tea, or tobacco, and do not last as long as other types of fillings (generally from three to 10 years).

Amalgam Fillings

Amalgam fillings are often known as “silver fillings”, but a dental amalgam is actually a mixture of mercury, silver, tin, copper, and zinc. Mercury, which makes up about 50% of the compound, is used to bind the metals together. Generally, the amount of mercury in a filling is considered too small to be harmful, as studies have shown that the amount of mercury in a filling is less than the amount most people consume in the food they eat.

Amalgam fillings are resistant to wear and relatively inexpensive. However, due to their dark color, they are more noticeable than porcelain or composite restorations, and are not usually used in very visible areas, such as the front teeth.

What Happens When You get a Dental Filling?

During a checkup, your dentist will use a small mirror to examine the surfaces of each tooth. If your dentist detects a cavity that needs to be filled, he or she will first remove the decay and clean the affected area. The cleaned-out cavity will then be filled with one of the materials described above.

Schedule an Appointment with Hansen Dentistry

If you would like to have your teeth cleaned and inspected for cavities, stop on by Hansen Dentistry! Our friendly Apex dentist, Dr. Hansen, will help you achieve your perfect smile. To schedule an appointment, click here.

Should I Get an Electric Toothbrush? Ask an Apex Cosmetic Dentistry

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In a word—yes! An electric toothbrush does the hard work for you, removing much more plaque than a traditional, manual toothbrush. And with so many different types and features available, it’s easy to find an electric toothbrush that suits your specific oral health needs. In today’s blog, our Apex dentist explains some reasons why you should consider buying an electric toothbrush.

Easier to Use

To use an electric toothbrush, you only need only guide it along the surfaces of your teeth. This is much easier than scrubbing back and forth, and many people with arthritis or similar conditions find using a power toothbrush less painful to use. Electric toothbrushes may also help children brush their teeth more effectively.

Better Plaque Removal

Multiple independent studies have shown that electric toothbrushes remove more plaque and reduce gingivitis more effectively than manual brushes, in both the short and long term. Results are especially positive with brushes that have a rotating, oscillating action.

Superior Technology and Features

Some electric toothbrushes are even able to help you improve your brushing habits. Hi-tech toothbrush features may include:

  • Various brushing modes designed for sensitive teeth, whitening, or gum-massaging
  • Pressure sensors which gently signal when you’re brushing too hard
  • Timers which help you keep track of how long you’re brushing each quadrant of your mouth
  • Digital reminders that it’s time to replace your brush head
  • Multiple brush head compatibility, so you can choose which kind of bristle design you prefer

We encourage all our clients to consider switching to an electric toothbrush, because we almost always see a remarkable improvement in the oral hygiene of patients who do. If you would like a recommendation for a particular style or brand, just ask us during your next dental cleaning, and we will be happy to help!

Get the Best Dental Care in Apex at Hansen Dentistry

Hansen Dentistry is a welcoming, family-friendly, judgement-free zone where we only care about one thing: helping you have the healthiest smile possible. To schedule an appointment, fill out our appointment form here.