Dentists are always asked “How long can I delay getting a crown?”
Getting a crown is the most common restorative dental procedures. Of course, nobody wants to get a crown, but sometimes it is the best course of action to help restore your tooth to perfect working order.
You may ask “How long can I delay getting a crown?” The consequences of not getting a dental crown or “a tooth capped” hinge on why you need a crown.
If you are getting a crown for cosmetic purposes to make your tooth or teeth look better, then choosing not to get the crown means your teeth will still look the same.
If you have a large filling with new cavities, not getting a dental crown may lead to a dental emergency with pain and swelling; of course, dental emergencies usually only happen on weekends or when you decide to go on vacation.
Maybe your tooth “doesn’t hurt”, so why not wait to get a crown?
If your tooth has a crown on it now, and the crown has failed because the crown is “leaking” and got recurrent decay underneath, you will need a crown. Just because a tooth receives a crown does not mean it is less prone to decay.
If you have had a root canal on a molar done by your dentist or an endodontist (dentist that specializes in and only does root canals), you should not delay getting a crown. The risk of waiting to get a crown is fracturing the tooth.
Fracture is one example of why dental crowns need to be redone. Maybe you grind your teeth at night because of anxiety and have fractured the porcelain off a crown. A back tooth with lots of grinding pressure is more likely to fracture than a tooth without much pressure. Keep in mind if you are currently grinding your teeth, you can damage your crowns and teeth. You may want to consider a night guard.
If you have visible tooth cracks on a tooth, your tooth may be weakened and at risk to break. You may not know it, but your tooth may have a fracture in more than one place.
If your existing crown has new decay, often the crown starts “leaking” and allowing saliva and bacteria to seep underneath the cement sealing the crown. This is often “painless”, but the tooth structure underneath turns into the consistency of “wet cardboard”. We all know that wet cardboard will never be the same.
Crowns that have been on for long periods of time can become loose due to decay growing underneath the crown
This patient had a porcelain-metal crown on the lower molar that was leaking – the crown needed to be
replaced.
You sure do if you have an advanced cavity and a large existing filling. Cavities are like cancer, leaving a “little bit of decay” is like “leaving a little bit of cancer. Both may “not hurt” until it’s too late. Of course, a filling may work as a temporary, to allow you some time to save up money to do the crown. Ask your dentist why she or he thinks why you really need a crown.
Instead of kicking yourself later for not taking care of your dental issues, make an appointment! There are some things you can put off and other things you shouldn’t. Read 7 Things You Should Ask Before Getting a Crown.
Dental crowns are a wonderful way to restore teeth that have been damaged by decay or other problems. How long can you delay getting a crown? If a crown is done early enough, you can save money and from needing more dental work later on!
It’s no secret that medical marijuana is one of the most popular substances, especially among young people. If you live in Arizona, it doesn’t take much to get a medical prescription for the use of Medical Marijuana. It is well known that smoking is not just bad for your lungs but it can cause bad breath, discolored teeth, gum disease and oral cancer. As more states are legalizing marijuana for medical and recreation, some people have Googled what effect smoking marijuana has on teeth and what they can do at home to remedy the problems caused by marijuana.
As study found “persistent cannabis use from ages 18 to 38 years was not associated with physical health problems at age 38 years with one exception: persistent cannabis use was statistically significantly associated with poor periodontal health.” In other words, gum disease (periodontitis) may occur at an earlier age in marijuana users than the general population.
A study found that at least half of those who smoked regularly for the past 15 to 20 years developed gum disease while only one out of seven of those who had never smoked medical marijuana developed periodontal disease. Periodontal disease is best described as inflammation of the gums, the main reason for tooth loss.
Poor periodontal health is known as Periodontal disease. Your grandparents used to call it pyorrhea. It is pronounced “py·or·rhe·a” or “pīəˈrēə” and anything that ends in “rhea” or “rēə” is generally not a good thing… diarrhea, dysmenorrhea and gonorrhea come to mind.
The ADA (American Dental Association) indicates that the research does not clearly know if marijuana is the problem with increased periodontal health problems or if other factors like tobacco use, poor oral hygiene habits increased alcohol use are to blame for poor periodontal health among marijuana users.
It doesn’t matter if you’re smoking tea leaves, tobacco or marijuana. Smoke dries out your mouth. Dry Mouth also known as xerostomia. Xerostomia is often described as having cotton-mouth can lead to higher amounts of tooth decay. While under the influence of marijuana, the nervous system responds by reducing the production of saliva. A reduction in saliva is the reason you may have bad breath and a higher risk of tooth decay.
REMEDY: Despite your cravings, avoid sugary foods and drinks like soft drinks, energy drinks and juices. Try to stay hydrated with water.
REMEDY: Professional teeth whitening use of an electric toothbrush, and porcelain veneers. Teeth whitening procedure help with stains much more than any other method.
REMEDY: When you smoke, try to reduce the high temperatures because heat causes sores in the mouth. Choose to vaporize or eat medical marijuana instead of smoking it. Try taking it in pill form, baking it into foods, or eating weed lollipops. Common sense says that smoking can be detrimental to your health.
REMEDY: Meticulous oral hygiene is the only way to prevent gum disease also known as periodontal disease. Brushing your teeth often especially right before bed time is important in maintaining your oral health. Cleaning between the teeth with floss or brushes that go in between the teeth are also helpful.
REMEDY: Maintain a balanced diet and drink the recommended amounts of water every day. Visit our Sedona dentist regularly, and make sure to remain active through daily exercise.
Habitual marijuana users concerned about the effects smoking pot has on their oral health should seek the advice a dentist. Sedona, AZ residents are invited to call Chris Marsh, DDS. He has a dental office in the beautiful red rock dental community of Sedona. Being open with your dentist is essential for your well-being. With honest communication and by making your dentist and dental hygienist aware of habits that affect your dental health, they will be more capable to provide the care you will need. With the legalization of both medical and recreational cannabis in many states, it is important to be transparent and be open to discussing your use of marijuana with your dentist and dental hygienist, much like tobacco and alcohol use.
If you have any doubt about your oral health, contact Sedona Dentist Chris Marsh at 928-282-3246.
I hope this post got you thinking. If you have any questions or comments, I’d love to hear from you. If you like what you see, please share it with your friends and follow me on Google or Facebook.
First off, it’s important to note that vaping and Juuling is the same thing. Juuls are a type of vaporizer or e-cigarette, designed so discreetly that most people don’t even recognize them as an e-cigarette. The Juul, is a trendy vape that is a small, sleek device that resembles a computer USB flash drive and can be charged in a laptop’s USB port. Juul and the newest class of devices are discreet. Its subtle design makes it so easy to hide that teenagers are using them in school bathrooms, hallways and even classrooms.
Vaping devices otherwise known as E-cigarettes are battery powered and deliver nicotine through a liquid (called e-juice), which turns into a vapor when using the devices. The e-juice liquid comes in enticing flavors, such as mint, fruit, and a bubble gum dose of nicotine, which appeal to kids. One pod or flavor cartridge can deliver nicotine in excess of a pack of cigarettes.
Juuling is so popular now that it is now a verb: Are you Juuling? Most teenagers have little if no interest in smoking cigarettes, but Juuling is different.
So why the dental concern?
Vape juice contains Propylene glycol (PG) a liquid alcohol is “generally recognized as safe” in ingested food, but long term effects of PG if inhaled are not fully known. PG was noted in the study to bond with saliva and tissue in the mouth, leading to dry mouth. Dry mouth is a known cause of cavities, gum disease, and other oral health issues. PG also breaks down into acetic acid, lactic acid and propionaldehyde — all of which are known to deteriorate tooth enamel and soft tissues.
Research also shows that when teeth are exposed to vaping aerosol that contains a mix of vegetable glycerin and flavorings, they carry four times more bacteria than teeth that haven’t been exposed.
Lastly, research done at the University of North Carolina School of Medicine shows that e-cigarettes lead to the same, and sometimes even broader, suppression of key immune genes in your respiratory system and nasal passages as traditional cigarette smoking. And just recently the CDC, U.S. Food and Drug Administration (FDA), state and local health departments, and other clinical and public health partners are investigating a multi-state outbreak of severe pulmonary disease associated with e-cigarette product (devices, liquids, refill pods, and/or cartridges) use.
I hope this post got you thinking. If you have any questions or comments, I’d love to hear from you. If you like what you see, please share it with your friends and follow me on Google or Facebook.
Chemotherapy drugs can cause cavities, changes in taste, sores in the mouth and throat, as well as a dry mouth, irritation or bleeding.
See your dentist preferably before you start chemotherapy. Have a thorough examination and get any existing problems such as cavities and decayed teeth repaired.
Mouth sores caused by chemotherapy (mucositis) can become infected and interfere with your cancer treatment, so practice good oral hygiene and tell your care team about any symptoms. Our office would be happy to assist you with prescribing medications to prevent sores and reduce pain from the sore. We offer coaching the oral cancer patient on ways to help keep the mouth cleaner and healthier. We are willing to help the chemotherapy patient to serve as their emergency dentist in Sedona, AZ.
Many chemotherapy medications can cause a very dry mouth.
Limit the effects of dry mouth by
Taste changes (dysguesia) can occur if you have radiation to the head and neck area. You may find a decrease in taste and an altered taste sensation. These changes may result in a decrease in appetite. Foods may taste differently than before, especially bitter, sweet, and/or salty foods.
Spices and herbs are a great way to add flavor to foods if you are experiencing loss of taste. Using ice chips (not chewing the ice!) can help also. Here’s a helpful article on getting your food to taste better during chemotherapy.
Chris Marsh, DDS has been practicing Sedona dentistry and serving the red rock dental community since 1984.
Sore corner of mouth won’t heal
Angular Cheilitis Is the Gross Mouth Infection You Didn’t Know You’ve Had
I have noticed cracking at the corners of my mouth, they won’t go away. What is it and what should I do?
Do you have a painful, red sore at the corners of your mouth? Have you tried rubbing on chapstick and it doesn’t do the trick? The culprit may not be chapped lips. You could have a skin condition known as angular cheilitis. Angular cheilitis is often mistaken for a cold sore or chapped lips, but it’s usually caused by a fungus. Licking your licks excessively can contribute to angular cheilitis. Cracking of the corners of the mouth is a common condition that is frequently seen in both the offices of dermatologists and dentists.
Angular cheilitis is a skin condition that can cause one or both corners of the mouth to become painful, inflamed and sore. Often mistaken for “a cold sore in the corner of my mouth” these cracked corners may extend onto the lips or skin of the face slightly, but it is primarily confined to the corners of the mouth.
The Risk Factors associated with this condition include:
Sore in Corner of Mouth Treatment
Dr. Marsh practice serves patients in Sedona, Cottonwood, Clarkdale, the Village of Oak Creek, Bell Rock dental and the Verde Valley area.
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Your stinky morning breath, which is really common—and extremely annoying. If you’ve ever wondered why you wake up with breath that smells like a dumpster, here are six of the most common explanations for waking with stinky morning breath. Bad breath, also referred to as halitosis, typically originates in the mouth, according to the American Dental Association (ADA).
This is the root of the matter—and it explains why no amount of brushing or flossing is guaranteed to prevent morning breath. When we go to bed, our bodies slow down saliva production, which creates an atmosphere in which stink-inducing bacteria can thrive.
During the day, our mouths create plenty of saliva to help wash away the naturally occurring bacteria in our mouths. These bacteria essentially get free roam of your mouth until you wake up and get them in check with dental hygiene.
If during the day you’re already prone to dry mouth (from the side effect of your medications or you have other physical issues), then your mouth is probably going to be extra dry while you sleep. That’s because your body is already producing less saliva while you are awake, and that amount of saliva goes down even further at night. This creates an even more generous situation for odor-causing bacteria and may increase the gagging odor of your morning breath.
Perhaps you have airway issues at night and you snore or mouth breathe. This can seriously dry out your mouth at night. This produces the same conditions of dry mouth described above: Because your mouth is producing less saliva, bacteria stick around in your mouth unimpeded, where they get to work creating stenches.
Smoking tobacco can contribute to morning breath in a number of ways. For starters, it causes your saliva to dry up, which leads to all of the consequences of dry mouth described above. Secondly, it can increase the temperature in your mouth, which makes an even more fertile environment for stinky bacteria. Finally, smoking cigarettes increases the risk of gum disease, which is another big contributor to bad breath. Giving up tobacco for good provides a lot of health benefits besides keeping your mouth from smelling like an ash tray in the morning.
When you skipped brushing and cleaning in-between your teeth last night, you allowed the food debris and bacteria to stick around in your mouth. This means that when your saliva production slows down, there will be still more bacteria just waiting to create all kinds of filthy odors in your mouth. Those who do not brush, floss, and visit the dentist regularly are more likely to have halitosis than people with good oral hygiene habits.
When your head is full of mucus—whether because of allergies or sickness—that mucus will find its way into the back of your throat while you sleep. This mucus delivers a food source for the bacteria in your mouth and throat (yuk!). The rich surroundings for these bacteria produce stinky odors while gobbling on said mucus. (Gross!)
Because there’s nothing you can do about your body’s reduced saliva production during the night, it may not be possible completely eliminate morning breath. The key to fresh breath starts with focusing on the healthiness of your mouth. But with any luck you can take some comfort in knowing that you’re not alone in suffering from morning breath. This morning, you’re in the good, stinky-breathed company of people waking up all over the world.
You stay up late and the last thing you feel like doing is to stop and brush your teeth. It won’t take too much time, but the bed and pillows look awfully inviting.
Some of the most missed dental care habits include:
• Seeing your dentist regularly
• Flossing or cleaning in-between your teeth each day
• Brushing your teeth after meals and at bedtime
But is it a “big deal” if you miss these occasionally? We’d like to think that a time or two won’t make a difference, but there is a reason good dental habits are important.
Life gets busy, and it’s not uncommon that you have to reschedule your dental visit throughout the year (or maybe a few years!) It seems harmless; it can actually cause more harm than you’d suspect.
Everyone wants a bright smile, pain-free teeth and gums and fresh breath. Most people don’t consider the direct link between oral health and their overall health. If you have neglected your dental health, your overall health may show signs of that.
Studies show that there’s a very close connection between dental and overall health.
Chris Marsh, a dentist in Sedona, states,” There’s a link between your mouth and mind, also. Poor oral health can affect your self-image and your self-esteem.” Disorders like chronic pain, cold sores and oral yeast infections can get in the way of daily life, causing depression, misery and lost work days.
“our mouth is the entry point of many bacteria, to keep these bacteria from going into your body, cleaning your mouth on a regular basis is very important.
The fact is that flossing or cleaning in-between the teeth can dislodge food and plaque that tooth brushing can’t reach. Our Sedona dental team can also show you dental care alternatives:
If you go to bed without brushing your teeth, the bacteria that lives in your mouth will have a chance to produce acid which attacks your tooth enamel, making your crowns fail and give you root cavities.
If you don’t brush or floss regularly, plaque can also harden into tartar – which is extremely hard to get off your teeth. Tarter doesn’t need much time to form. Tartar can develop in just a day if you forget to brush. Tartar can also lead to gum disease, a chronic condition that can cause tooth loss, as well as inflammation in your body. If you’re worried about plaque or tartar building up on your teeth, seeing a dentist on a regular basis is crucial.
If you really struggle to brush your teeth before bed, here are a couple of helpful tips from Sedona AZ dentist Chris Marsh:
1. Keep a toothbrush near your easy chair! Brush while you finish that book, or are watching TV. No toothpaste is needed. Simply get the toothbrush out and get to clean your teeth.
2. Keep your floss nearby; consider putting the floss within easy reach of your “favorite chair”. No need to get up and grab a piece of floss!
Which dental habit do you miss the most?
Daily dental care and biannual checkups are the keys to healthy Sedona smiles. Whether you need a routine exam or a root canal, our Sedona Dentistry team can help. If you live in West Sedona, the Village of Oak Creek, Cottonwood, Clarkdale or any of the surrounding communities we’d love to see you twice a year!
Regular preventive dentistry can help you avoid cavities and gum disease. You can schedule a preventive appointment, today, by calling My Family Dentist, a dentist in Sedona, AZ at 928-282-3246.
Dental implants to retain or support ill-fitting dentures are becoming increasingly popular. People today have an increasingly high expectation about dentistry. They demand natural looking rehabilitations that can be delivered quickly. They expect to make no compromises on activities such as eating, talking and laughing. Denture wearers want an attractive appearance with natural looking teeth. But what are some of the options for denture wearers as far as the restorations that fit the dental implants? The answer is in how much MOVEMENT a patient can put up with.
Some dentures attach to dental implants and use a REMOVABLE denture that the implants ASSIST in the retention of the denture. These type of implants connected to dentures are SUPPORTED BY THE GUMS and ASSISTED to be held in place by the dental implants. This means there is SOME movement when eating and that the gums take more of the biting forces. But the denture wont “fall out of your mouth” or “float around” the mouth. The biggest advantage of removable overdenture is the cost. With dental implant assisted dentures, sometimes less implants are required, so they are more cost-effective for the patient’s budget. Sometimes mini implants can be used eliminating the need for more expensive bone grafting. For the denture wearer, dental implant assisted dentures may help your ability to talk confidently and eat comfortably; they do not replicate a natural bite and must be removed for cleaning.
Implant Assisted Overdenture on 4 dental implants
Some people prefer to have LESS MOVEMENT and choose to have the dentures or teeth SUPPORTED BY THE IMPLANTS. There is LESS MOVEMENT because the implants take the forces of the biting pressures and is more of a rigid system
Implant supported dentures are designed for the implants to take the total force of the bite, absorbing it through the implants and into the jawbone, providing the most natural and normal bite. However, treatment is usually more expensive since a greater number of implants are needed and the attachments between the dental implants and the dentures are more labor intensive and costly Implant supported dentures also need good quality bone which is not always available. Some people are unwilling to undergo additional procedures, such as bone and soft tissue regeneration, that may be necessary to ensure the treatment is successful and will provide a good esthetic outcome.
Implant Supported Denture- Removable by the Patient for cleaning
Some patients want the maximum stability with the LEAST MOVEMNNT and do not want their teeth to be REMOVABLE. Below is an example of an all on 4 dental implants (all-on-four dental implant).
Implant Supported Hybrid Denture – Removable by a dentist but not the patient
New crown doesn’t fit right
While crowns are done routinely in almost every dental office every day, they still require a very high precision to give a great long-lasting result.
A great fitting dental crown starts with your dentist. When your dentist first starts to shape your tooth for a crown, the area of where the tooth joins the crown (dentist call this the margin) must be placed so that the biology of the gum tissue is not compromised. If the dentist goes too deep, then the gum tissue will always be inflamed. The crown should fit perfectly over the tooth so that the edges of the crown fit the edges of the tooth perfectly.
A great fitting dental crown can only be made from an accurate and detailed impression or scan of the tooth. Many dentists are careless and cut corners when making an impression, just ask any dental laboratory technician. The next requirement is to have a good dental lab make the crown, not some cut-rate outfit.
When installing the new crown in your mouth, the crown has to fit perfectly over the tooth so that its margins meet the margins of the tooth preparation. Once the crown is “down” on the tooth, the contacts between the adjacent teeth should be adequate: floss should snap on either side without breaking. If there is no resistance to floss, it is likely that food will jam in-between your teeth. A quick snap is indicative of good contacts.
If your crown is not fitting properly then it should be removed and you should be fitted for a new one.
Well done dental crowns should settle in and last for years with no more than minor issues. The single most useful test to verify the fit is to take an x-ray. We always check the fit of any new crown we fit with an X-ray.
Here are some x-rays of crowns that don’t fit right.
If you have an experience with a new crown that is not resolving, seek out a second opinion. We offer unparalleled service and a considerable range of procedures to meet all of your dental and cosmetic needs. If you’re a resident of the Sedona or Cottonwood, Arizona areas and you’re looking for exactly the right cosmetic dentist, please call Chris Marsh, DDS today at 928-282-3246 for a consultation.
The patient’s previous dentist wanted to replace the front missing tooth with a treatment estimate of nine thousand dollars. This Cottonwood, AZ patient came to our office seeking a second opinion for a more economical solution to his failing front bridge, an alternative to an implant or bridge on the lower front teeth. Dr. Chris Marsh, a Sedona, AZ dentist was able to replace a missing front tooth for a fraction of the patient’s estimate from a dentist in Cottonwood, AZ. By utilizing a composite front bridge this non implant tooth replacement option fit this patient’s budget and looked better than when he walked in. If you are missing a front tooth or have a loose front tooth, call us today to discuss your treatment options.
This is a before and after photo of a low cost bonded bridge. This patient has a front missing tooth.