Posts for: May, 2019

By James P. Watts, DMD
May 27, 2019
Category: Oral Health
NBAPlayersInjuryPointsOutNeedforMouthguards

Basketball isn't a contact sport—right? Maybe once upon a time that was true… but today, not so much. Just ask New York Knicks point guard Dennis Smith Jr. While scrambling for a loose ball in a recent game, Smith's mouth took a hit from an opposing player's elbow—and he came up missing a big part of his front tooth. It's a type of injury that has become common in this fast-paced game.

Research shows that when it comes to dental damage, basketball is a leader in the field. In fact, one study published in the Journal of the American Dental Association (JADA) found that intercollegiate athletes who play basketball suffered a rate of dental injuries several times higher than those who played baseball, volleyball or track—even football!

Part of the problem is the nature of the game: With ten fast-moving players competing for space on a small court, collisions are bound to occur. Yet football requires even closer and more aggressive contact. Why don't football players suffer as many orofacial (mouth and face) injuries?

The answer is protective gear. While football players are generally required to wear helmets and mouth guards, hoopsters are not. And, with a few notable exceptions (like Golden State Warriors player Stephen Curry), most don't—which is an unfortunate choice.

Yes, modern dentistry offers many different options for a great-looking, long lasting tooth restoration or replacement. Based on each individual's situation, it's certainly possible to restore a damaged tooth via cosmetic bonding, veneers, bridgework, crowns, or dental implants. But depending on what's needed, these treatments may involve considerable time and expense. It's better to prevent dental injuries before they happen—and the best way to do that is with a custom-made mouthguard.

Here at the dental office we can provide a high-quality mouthguard that's fabricated from an exact model of your mouth, so it fits perfectly. Custom-made mouthguards offer effective protection against injury and are the most comfortable to wear; that's vital, because if you don't wear a mouthguard, it's not helping. Those "off-the-rack" or "boil-and-bite" mouthguards just can't offer the same level of comfort and protection as one that's designed and made just for you.

Do mouthguards really work? The same JADA study mentioned above found that when basketball players were required to wear mouthguards, the injury rate was cut by more than half! So if you (or your children) love to play basketball—or baseball—or any sport where there's a danger of orofacial injury—a custom-made mouthguard is a good investment in your smile's future.

If you would like more information about custom-made athletic mouthguards, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Athletic Mouthguards” and “An Introduction to Sports Injuries & Dentistry.”


By James P. Watts, DMD
May 17, 2019
Category: Oral Health
Tags: local anesthesia  
GettheRealFactsAboutLocalAnesthesia

A lot of people don’t like dental work because they believe it will be painful or uncomfortable. There’s an anatomical reason to back up that concern — the mouth with its dense network of nerves in the teeth and gums is one of the most sensitive parts of the human body.

But modern dentistry has helped solve much of the problem of pain with advances in local anesthesia. Using substances that temporarily block electrical impulses within the nerves of a selected area of oral tissues, there’s a good chance you’ll feel little to no discomfort even during moderately invasive procedures.

Unfortunately, you might have heard some complaints from others about local anesthesia that might make you wary of it. Many of these complaints, however, aren’t fully based on all the facts. So, let’s set the record straight about local anesthesia and what you can expect.

No need to be afraid of needles. Nobody enjoys the painful prick from an injection needle, and some people are highly fearful of them. But although it’s necessary to use a needle to deliver anesthesia to deeper levels of tissue, it’s possible you won’t feel it. That’s because we’ll typically apply a topical numbing agent to the skin surface that deadens the top layers where we insert the needle.

That numb feeling afterward won’t last long. One of the chief complaints in the past about local anesthesia was the irritating numbness that could long linger after a procedure. Today, however, with more advanced anesthetics and formulae, we’re better able to gauge the duration of the medication’s effect.  This has greatly reduced the length of time afterward your mouth might have that awkward numbing sensation.

Anesthesia isn’t necessary for every procedure. Unless you have hypersensitive teeth, a lot of dental procedures don’t require anesthesia. Your enamel, for example, has no nerves and actually serves as a kind of “muffler” for sensations to lessen their effect. Cleaning your teeth or removing portions of the enamel can normally be performed without the need for numbing medication.

For procedures, though, where pain could be a factor, local anesthesia can make all the difference in the world. In these cases, anesthesia is your friend — it can help you receive the dental care you need without the discomfort.

If you would like more information on pain-free dentistry, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Local Anesthesia for Pain-Free Dentistry.”


By James P. Watts, DMD
May 07, 2019
Category: Dental Procedures
Tags: dental implant   bone loss  
AnImplantRestorationCouldPreventBoneLoss

Losing teeth continues to be an all too common experience for people, especially those in their senior years. Fortunately, there are several ways to replace them, ranging from partial or full dentures to implants.

Some, though, postpone or simply choose not to replace a lost tooth, often because of the cost. But putting off a dental restoration could have a long-term impact on your health, and not in a good way. Continuing bone deterioration is one of the top consequences of delayed restoration.

Like other bones in the body, the jawbone is living tissue with cells that form, grow and eventually wear out. At the end of their life, these older cells give way to new cells. Eating and chewing play an important role in maintaining this growth cycle: the forces we generate as we chew travel up through the tooth roots to stimulate bone growth in the jaw.

When a tooth goes missing, though, the stimulus ends. Over time the bone cell replacement rate can fall off and the bone slowly loses volume. To make matters worse, bone loss can continue beyond the immediate bone underlying the tooth and affect the rest of the jawbone. The jaw can shrink in height and width, and in time become weaker overall and more susceptible to fracture.

But dental implant restorations in particular could help stop or even reverse bone deterioration at the site of the missing teeth. The titanium post implanted in the jaw attracts bone cells, which grow and adhere to its surface. Over time the bone fills in and becomes stronger.

You don't want to wait too long, though, because implants depend on a minimum amount of bone present for secure placement. You should therefore undergo an implant restoration as soon as it's practical after tooth loss. Otherwise, although we may be able to restore some of the lost bone with bone grafting, you may need to consider another restorative option.

When it comes to replacing missing teeth, time isn't on your side. But the right kind of dental restoration undertaken promptly can make for a brighter, healthier future.

If you would like more information on restoring lost teeth, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “The Hidden Consequences of Losing Teeth.”