Signs You Are Brushing Your Teeth Too Hard from Our Dentist in Apex

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Many people believe that plaque is hard to remove, and brush their teeth as hard as they can. However, this can erode your enamel and damage your gum line over time. Here are some signs that you are being too rough on your teeth when you brush.

A Frayed Toothbrush

If your toothbrush looks flat and damaged, with bristles that are split or frayed out, you are probably brushing too vigorously. You can minimize the damage by purchasing an electric toothbrush with a pressure sensor that lights up or stops if you brush too hard. Some electric toothbrushes also come with a 2-minute timer so that you do not brush for too long.

Receding or Bleeding Gums

Bleeding gums are usually a sign of gingivitis, caused by a lack of brushing, but bleeding and receding gums can indicate you are damaging your gum tissue from over-brushing. Gum recession exposes your teeth to infection and decay, so it’s not just a cosmetic issue, but something that needs to be fixed to preserve your overall health. If you suspect your gums are receding, run a finger over your teeth. If you can feel notches or gaps where your gumline used to be, schedule an appointment with a dentist.

Sensitive Teeth

When you over-brush, you wear down the hard enamel protecting your teeth, exposing the sensitive dentin beneath. The more enamel you lose, the more sensitive your teeth will be to hot, cold, and carbonated items, as well as brushing. To preserve the health of your enamel, brush gently, remineralize with fluoride, and avoid toothpastes containing abrasive substances like activated charcoal.

Dull or Yellow Teeth

Yellow teeth can be a result of staining from coffee, wine, and other acidic beverages, but it can also be caused when the white enamel erodes, exposing the naturally yellow dentin beneath. If  your teeth are sensitive and seem to have a yellow sheen, you may be brushing too hard or too often.

Protect Your Teeth – Schedule an Appointment with a Dentist in Apex

If you think you are experiencing one or more of the symptoms listed above, make sure to schedule an appointment with a dentist in Apex. At Hansen Dentistry, we will do our best to make you feel relaxed and at home while receiving expert dental care. To schedule an appointment, click here.

What is Xylitol? Ask a General Dentist in Apex NC

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We all know about the negative health effects of sugar, especially when it comes to teeth. Fortunately, artificial sweeteners don’t have the same effect on teeth as sugar, and can help you have a much healthier smile. One artificial sweetener, xylitol, even has positive effects on teeth. Here’s everything you need to know about Xylitol from a dentist in Apex, NC.

What is Xylitol?

Xylitol is categorized as a sugar alcohol. That means that it combines traits of sugar molecules and alcohol molecules to create a structure very similar to that of sugar. However, Xylitol has much fewer calories, doesn’t raise blood sugar levels, and actually kills the harms the bacteria that live on your teeth and cause tooth decay.

Is Xylitol Natural?

Despite the pharmaceutical-sounding name, Xylitol is found in many fruits and vegetables, and is even produced in small amounts by the human metabolism. It can also be processed from trees like birch, or from a plant fiber called xylan. For these reasons, most health professionals consider it to be a safe, natural substance.

How Xylitol Helps Your Teeth

Xylitol functions a lot like a “mousetrap” for the bacteria that live on your teeth. Normally, these bacteria ingest sugar and carbohydrates and convert them into acid, which destroys the tooth enamel. After the bacteria ingest xylitol, however, they are no longer able to absorb glucose. With their energy-producing pathway clogged up, they end up starving to death. That’s why many dentists recommend using xylitol-sweetened chewing gum: it’s one of very few things that can actually kill harmful tooth bacteria.

Why Xylitol is Toxic to Dogs

If you buy gum or candy that contains Xylitol, it is very important to keep it away from any dogs in your house. When a dog eats xylitol, its body mistakes it for glucose and starts producing large amounts of insulin. Then, the dog’s cells start absorbing glucose from the bloodstream, which can lead to hypoglycemia, low blood sugar, and even death. Xylitol may also have detrimental effects on liver function in dogs, with high doses causing liver failure.

It only takes 0.1 grams per kg of body weight for a dog to be affected. To put that in perspective, a 6 pound Chihuahua could get sick or die from eating a single piece of xylitol chewing gum.

Need a General Dentist in Apex NC? Call Hansen Dentistry

If you are in need of a dental cleaning, oral surgery or other dental service, be sure to contact our general dentist in Apex NC. At Hansen Dentistry, we will do our best to make you feel relaxed and at home while receiving expert dental care. To schedule an appointment, click here.

What is Bottle Rot? Apex Dentist Explains How to Prevent Infant Tooth Decay

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Also known as baby bottle tooth decay, bottle rot occurs when a baby’s teeth are exposed to sugar for so long that they begin to develop cavities. Below is more information about bottle rot, and what you can do to prevent it.

Consequences of Cavities in Baby Teeth

Some people believe that it doesn’t matter if a baby or small child has cavities, because the baby teeth will eventually fall out, to be replaced by permanent adult teeth. However, cavities cause harm to children for several reasons. Firstly, the bacteria in the teeth can spread to the rest of the body, causing other health problems. And secondly, healthy baby teeth are necessary to ensure that the permanent teeth grow in correctly. That is why it’s important to keep up with your infant’s oral care.

How to Prevent Bottle Rot

Bottle rot mainly occurs when parents fill a baby bottle with a sweet beverage to keep their child calm and happy. Another mistake is putting the baby to bed with a bottle, which exposes the child’s delicate teeth to sugar for an extended period of time. When teeth are exposed to sugar for too long, bacteria that live in the mouth consume it and convert it into acid, which destroys the enamel. Therefore, it’s important to limit your child’s exposure to sugary drinks as much as possible.

Should I Brush My Baby’s Teeth?

Yes! You can “brush” a baby’s teeth by simply wiping the gums with a washcloth after each meal and before bed. Once the baby has grown teeth, you can use a baby toothbrush and a rice-sized amount of toothpaste to keep them clean. This not only removes bacteria and debris, but establishes a healthy habit early! You can also limit oral bacteria by regularly sterilizing your baby’s bottle with soap and hot water.

Limiting Sugar Intake

As we said above, you should never put your child to bed with a bottle of juice. It’s also a good idea to limit the juice during the day, as most juice brands tend to be high-sugar. Formula, breast milk, and water should be fine. If your toddler really likes juice and is old enough to be vocal about it, try diluting it with water. Most kids won’t be able to tell the difference. Finally, avoid dipping a pacifier into honey or sugar.

Yes, Your Baby Can See the Dentist!

Generally, you can start taking your baby to the dentist as soon as you notice the first tooth erupting. Dental checkups for infants are mainly a time to talk about the health of your baby’s teeth, as well as steps that you can take to avoid problems like bottle rot. Plus, you can discuss options like sealant coatings that are used as a preventative measure against tooth decay.

Take Care of Your Child’s Teeth at our Apex Dentist Office

Bottle rot doesn’t have to be a problem that you encounter while raising your baby. With some simple strategies, your child’s teeth will grow in perfectly and remain clean and strong. If you would like to bring your child in for a dental checkup, contact Hansen Dentistry today to schedule an appointment!

Tooth-Colored Fillings vs. Silver Fillings: Which Should I Choose? Ask an Apex Dentist

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So you have a tooth that has a cavity and needs a filling. Now what?

Most people know that the two most common options are tooth colored fillings (called composite fillings) and silver fillings (called amalgam fillings).  And most people would agree that the composite fillings are much more aesthetically pleasing than the amalgam fillings.  Some patients prefer not to have amalgam fillings because they contain mercery.  However, it is important to note that ongoing scientific studies conducted over the past 100 years continue to show that amalgam fillings are not harmful.  Sometimes the aesthetic outcome is reason enough to choose a tooth colored filling, especially when the tooth is one that is visible when the patient smiles.

But there are other important reasons that most Apex Dentists these days are choosing to use tooth colored composite fillings rather than amalgam.  And these reasons have to do with the major difference in the way they are placed in the mouth.

Composite fillings are resin-based and are chemically bonded to the tooth.  Amalgams are not.  They are held in place due to a physical retention.  This means that after the dentist removes the decay, he also has to remove additional healthy tooth structure in order to create the proper undercuts and retention grooves to hold the amalgam in place.  This process leaves less remaining tooth structure.

The good thing is that amalgams usually lasts for a really long time.  The bad news is that when they do wear out, they tend to cause larger problems because there is less tooth structure remaining to work with. That is why it is common for a very large amalgam to be replaced with a crown.

If a tooth has a composite filling, the dentist is able to be very conservative in how much tooth structure

he/she removes other than the decay.  This could mean that years later when the composite filling eventually wears out, hopefully another larger composite filling can be placed, rather than a crown.

Another common issue is that teeth with old amalgams tend to develop more cracks.  Because the amalgam filling is not bonded to the tooth, the enamel surrounding the filling is unsupported.  Over time, that unsupported tooth structure microscopically flexes when stress is placed on the tooth.  Years of this flexing can cause cracks to form. These cracks can lead to more extensive (and expensive) treatment, such as a crown,  a root canal, or even loss of the tooth depending on the severity of the fracture.

Whether you have composite or amalgam fillings it is important to maintain your regular cleaning and check-up appointments with your Apex dentist. He/she can keep you informed about the condition of your fillings. That way when one does wear out (and they will, because unfortunately no dental work lasts forever), you can be pro-active, which typically leads to a less expensive and more conservative outcome.

What’s the Difference Between Plaque and Tartar? Ask a Dentist in Apex

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WE OFTEN GET THIS QUESTION from our patients, “What’s the difference between plaque and tartar?” Many patients think they are the same thing. However, there is an important difference between the two.  Understanding how they are different can help explain why a daily oral hygiene routine is so crucial, as well as twice-yearly visits to your dentist.

plaque
What Is Plaque?

Dental plaque is the soft, sticky film that builds up on your teeth and under your gums. It starts forming soon after you finish brushing. In other words, plaque is constantly accumulating on your teeth. And guess what? It contains millions of bacteria! When you eat—especially carbohydrates or sugar—you’re not the only one getting a meal…so are the bacteria on your teeth. After these bacteria dine on sugar, they produce acids that erode your tooth enamel and cause cavities.

That’s why good daily oral hygiene is essential to preventing tooth decay and protecting your smile from the bacteria in plaque. To prevent plaque buildup, remember to brush at least twice a day and floss once a day. Drinking water and chewing sugar-free gum after meals and snacks can also help!

What Is Tartar?

So if that’s plaque, what’s tartar? Tartar is what accumulates on your teeth when plaque is not removed. If plaque is left on your teeth for too long, it will harden into tartar and is much more difficult to remove. In fact, tartar can only be removed by a dental professional–you can’t get rid of it with regular brushing and flossing. Tartar removal is one of the reasons that visiting your dentist every six months is so important!

Plaque buildup that hardens into tartar can cause more than just cavities. It can cause tooth discoloration and sensitivity as well as gum recession and periodontal disease. To reduce plaque buildup and tartar from forming, make sure you are brushing and flossing daily.

Come And See Us Every Six Months

No matter how great your oral hygiene is, plaque and tartar formation are inevitable. So come in to see us every six months! Our job is to help you maintain a beautiful, healthy smile that’s plaque- and tarter-free!

Tips for a Healthy Back to School Smile from a Family Dentist in Apex

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It’s that time of year!  Back to school!!!  The time of year that Moms and Dads are found scratching their heads at Target trying to figure out whether the 3 prong, plastic, 2 pocket folders comes in 5 different colors so they can check it off the school supply list (There is always one item that makes buying the whole list in one trip impossible).  We have been there!

Along with school supply shopping, it is also time to start thinking about what to pack in your child’s lunch.  Among the seemingly endless options there are prepackaged lunches and individual serving sizes of chips and cookies. These foods are usually high in sugar, sodium, and fat and, while easy to grab at the last minute before you miss the bus, do not make the best choices for school lunches.  Sticky foods, such as fruit roll ups and fruit snacks, get stuck in the grooves of your child’s teeth and will likely stay there until they brush later that evening…giving bacteria an abundant supply of sugar.

The good news is that there are other choices that are convenient and far healthier for your child’s teeth and body.

Here are a few ideas the are both convenient and healthy (and please feel free to share your ideas in the comment section below…we believe in the “it takes a village” philosophy).

Cheese- Cheese is actually one of the best foods for your teeth because it neutralizes acids caused by bacteria and contains calcium, which can help the teeth remineralize. Cheese sticks are convenient because they offer single portion servings.

Hard boiled eggs-another healthy and convenient option that provides protein which is helpful for tissue development.

Nuts-especially raw nuts, the rough texture can help clean acid off the teeth and the provide protein.

Vegetable cups- vegetables are much lower in sugar than fruits and also tend to provide more fiber.  Carrots and cucumbers are popular, but try sugar snap peas or sweet bell peppers to keep kids from getting bored as this often makes them crave quick and often unhealthy alternatives.

Water-Opt out of sending juice boxes and sport drinks to school and just send water, which neutralizes the acids in the mouth and cleanses your teeth.

Another important part of helping keep your child’s smile healthy is by keeping them up to date with their dental exams, cleanings, and fluoride treatments. In 2015, the CDC reported that almost 20% of school age children have untreated dental decay.  Taking your child to visit their Apex Dentist helps keep their teeth healthy and helps them have positive dental experiences from a young age.

If your child is old enough to play sports requiring mouthguards, ask your Apex Dentist if they can provide you with a custom mouthguard.  It is important for your child to protect their teeth by wearing a mouthguard. One thing we know is that a better fitting mouthguard is one your child is more likely to actually wear.

Good luck to all our beautiful kids on their first day back at school, whether its the first day of kindergarten or their senior year of high school.  They grow up so fast, so remember to cherish every moment and every (healthy) smile!

Do Wisdom Teeth Need to be Extracted? Ask an Apex Oral Surgeon

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We have found that while many of our patients with wisdom teeth know that they should be extracted, very few of them understand why.

So here you go…A Little Wisdom about Wisdom Teeth.

There are several reasons your Apex Dentist might recommend having your third molars, also known as Wisdom teeth, extracted.   Very few people have adequate space in their dental arch for wisdom teeth.  If you are one of the lucky ones that does have enough room, be sure your toothbrush is reaching all the way back to those teeth, as they are often very difficult to keep clean.  If/when 3rd molars develop cavities (as they often do), it is usually better to put financial resources towards having these teeth extracted rather than filled as they usually only cause more problems down the road.

dental-arch

For patients who do not have enough room in their dental arch, the 3rd molars are often unable to properly erupt, making it difficult or even impossible to keep clean.  The improper eruption can cause a variety of problems including but not limited to, periodontal infections, dental decay, and dental abcesses.

The first radiograph was of a patient for whom Dr. Hansen had to perform an extraction not only the partially erupted  wisdom tooth but the 2nd (more important) molar as well due to the decay caused by the wisdom tooth.

radiograph

The second radiograph demonstrates another reason that 3rd molars often need to be extracted:  dental abcesses.  This particular abcess was so large that this patient was a risk of her lower jaw breaking. The radiograph also demonstrates the importance of routine dental check ups, as this patient did not have any pain associated with the dental abcess.   She literally would not have ever known that it was there except that she was consistent with her dental examinations, including dental radiographs.

Understanding dental problems that can arise from  wisdom teeth is important so patients are able to take necessary steps to seek treatment. Typically, your Apex dentist will recommend having wisdom extracted between ages 15 and 25 because healing and recovery is much easier for younger patients.

If only our wisdom teeth made us all-knowing and wise…that would make for a good case in keeping them!

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.  

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.