Dentist Blog
By Mark Makela D.D.S., PC
July 29, 2020
Category: Oral Health
Tags: oral hygiene   orthodontics  
4WaystoAvoidDentalDiseaseWhileWearingBraces

Keeping your teeth and gums healthy isn't always easy—and it's even more of a challenge if you're wearing orthodontic appliances like braces. That's why a fair percentage of patients wearing braces also contend with tooth decay or periodontal (gum) disease.

The reason is simple: The orthodontic hardware makes it difficult to fully reach all parts of teeth surfaces with your toothbrush or floss. As a result, you can miss removing some of the accumulated plaque, the thin film of bacteria and food particles most responsible for dental disease. And it only takes a short amount of time (just days with gum disease) for a bacterial infection to begin.

But while avoiding dental disease is difficult while wearing braces, it's not impossible. Here are 4 ways you can minimize your dental disease risk while undergoing orthodontic treatment.

Be diligent with your daily hygiene. Even though it's more difficult, don't slack on daily brushing and flossing. It does require more time to work the brush around and between the wires and brackets, but taking the time will help you clear away more plaque you might otherwise miss. It may also help to switch to a multi-tufted, microfine bristled toothbrush if you're not already using one.

Use a water irrigator. If straight thread flossing is proving too difficult (and even with a floss threader), try using a water irrigator. This device emits a pulsating spray of pressurized water that loosens and flushes away plaque between teeth. Clinical studies consistently show water flossing is effective for reducing plaque in orthodontic patients.

Lower your sugar intake. Sugar left over in the mouth is a prime food source for bacteria that cause tooth decay or gum disease. Reducing sugary foods and snacks can help reduce bacterial populations and lower your disease risk. You can also fortify your oral health with healthier foods that contain calcium and other minerals.

Keep up regular dental visits. In addition to your orthodontic adjustments, don't neglect your regular visits with your family dentist. Semi-annual cleanings help remove any plaque and calculus (calcified plaque) you may have missed. Your dentist can also monitor your health and boost your disease prevention through topical fluoride treatments or prescribed antibacterial mouth rinses.

If you would like more information on dental care while wearing braces, 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 “Caring for Teeth During Orthodontic Treatment.”

By Mark Makela D.D.S., PC
July 19, 2020
Category: Oral Health
Tags: oral hygiene  
UseThisProducttoCheckYourBrushingandFlossingEffectiveness

So…you faithfully brush and floss your teeth every day. Kudos to you! Along with regular dental visits, daily hygiene is the best thing you can do to keep your teeth and gums disease-free.

Dental plaque, that thin film of bacteria and food particles that builds up on teeth, is the number one cause for tooth decay and periodontal (gum) disease. Thoroughly removing it daily through brushing and flossing drastically reduces your chances for disease.

But just the acts of brushing and flossing aren’t enough—both are skills requiring some level of mastery for truly effective plaque removal. Otherwise, any leftover plaque could be an invitation for infection.

So, how can you tell if you’re getting the job done? One way is a quick swipe of the tongue across your teeth after brushing: If they still feel gritty rather than smooth, chances are you left some plaque behind.

A more comprehensive method, though, is with a plaque disclosing agent, a product found in stores that sell dental care items. These kits contain liquids, tablets or swabs that when applied to the teeth right after brushing or flossing temporarily dye any leftover plaque a particular color. You’ll be able to see the results for yourself in the mirror.

A plaque disclosing agent can also reveal patterns of remaining plaque that indicate where you need to improve your hygiene efforts. For example, a scalloping effect along the gum line could mean you’re not adequately reaching high enough in these areas with your brush as well as your floss.

The dye effect is temporary, but it might take a few hours for the staining to fade away. You should also avoid swallowing any solution and avoid getting it on your clothes. And while disclosing agents can help improve your hygiene skills, your dentist or hygienist is still your best resource for dental care advice—so keep up those regular dental visits.

If you would like more information on best hygiene practices, 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 “Plaque Disclosing Agents.”

By Mark Makela D.D.S., PC
July 09, 2020
Category: Oral Health
Tags: oral health   gum disease  
TreatingGumDiseaseisGoodforYourWholeBodyNotJustYourMouth

Periodontal (gum) disease can do unpleasant things to your mouth, including losing teeth. Its effects, though, may not be isolated to the oral cavity: Gum disease could make other diseases in the body worse.

Gum disease is a bacterial infection most often caused by dental plaque, a thin bacterial film that builds up on teeth in the absence of effective oral hygiene. At the outset it may infect your gums causing them to swell, redden or bleed. Eventually, though, the infection can advance deeper toward the tooth roots and bone.

There are various methods to treat gum disease depending on the extensiveness of the infection. But these methods all share the same objective—to remove all uncovered plaque and tartar (hardened plaque). Plaque fuels the infection, so removing it starves out the disease and helps the body to heal.

The damage gum disease can do to the teeth and the surrounding gums is reason enough to seek treatment. But treating it can also benefit your overall health. That's because the weakened gum tissues often serve as an open portal for bacteria and other toxins to enter the bloodstream. From there they can travel to other parts of the body and cause disease.

Gum disease also shares another feature with some systemic conditions: inflammation. This is the body's response to disease or trauma that isolates damaged tissues from healthy ones. But with gum disease, this inflammation can become chronic and ironically do more harm than good.

A gum infection may also increase the body's overall inflammatory response, in turn aggravating other diseases like diabetes, heart disease or arthritis. Treating gum disease lowers inflammation, which in turn could ease inflammation in other conditions. Likewise, reducing your body's overall inflammatory response by properly managing these other conditions might make you less susceptible to gum disease.

It's important then to prevent and treat gum disease as if your overall health depended on it—because it does. You can prevent it by brushing and flossing daily and undergoing regular dental cleanings to remove plaque. And see your dentist promptly at the first signs of gum problems. Likewise, follow a physician-supervised program to manage any inflammatory conditions.

If you would like more information on preventing or treating gum disease, 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 “Good Oral Health Leads to Better Health Overall.”

By Mark Makela D.D.S., PC
July 08, 2020
Category: Dental Procedures
Tags: invisalign  

What stops you from getting your smile straightened? Is age your reason? Or, would you feel too embarrassed to wear metal braces? Here's a solution: Invisalign from Dr. Mark Makela in Petoskey, MI. Invisalign clear aligners correct a range of orthodontic problems for both teens and adults, and best of all, no one will know you're wearing them.

Amazing Invisalign

The pioneer in discreet orthodontic treatment, the Invisalign system uses SmartTrack acrylic to fashion a series of custom aligners that snap onto the top and bottom teeth. Arranged in a specific sequence, the 18 to 30 aligner pairs precisely move teeth into more attractive, more functional, and healthier positions.

Treatment times are quick--one year on the average. Plus, because the fully removable aligners are thin and crystal clear, they are absolutely discreet, smooth, and easy to maintain.

Qualifying for Invisalign

You'll see Dr. Mark Makela in his Petoskey office for a friendly Invisalign consultation. He'll examine your teeth and take special Invisalign scans to determine your candidacy for treatment.

Many people who have mild to moderate smile problems with bite, gaps, rotated or crowded teeth or other issues qualify. Even patients who haven't received all their adult teeth may use Invisalign as the aligners may be equipped with special space-maintaining tabs.

Also, Invisalign patients should be dedicated to a healthy diet, to disciplined oral hygiene habits, and to wearing their aligners 20 to 22 hours a day to keep care plans on track. You must check-in with Dr. Makela once a month so he assesses your progress and gives you the next pairs of aligners in your customized sequence.

In the end...

You'll have the beautiful smile you have always wanted, but without the obvious appearance and other inconveniences conventional braces pose. A retainer will keep your smile aligned for the long-term.

Find out more about Invisalign

Dr. Mark Makela and his team will be happy to give you the details you need to make an informed decision. Don't let your age or wariness about appearance prevent you from achieving the best smile of your life. Call our Petoskey, MI, office to arrange your Invisalign consultation: (231) 347-2511.

By Mark Makela D.D.S., PC
June 29, 2020
Category: Dental Procedures
HowAFVsAlfonsoRibeiroSavedHisTooth

Remembered fondly by fans as the wacky but loveable Carlton on The Fresh Prince of Bel-Air, Alfonso Ribeiro is currently in his fifth year hosting America's Funniest Videos. It's the perfect gig for the 48-year-old actor, who loves to laugh and make others laugh as well. This is quite the opposite experience from one he had a few years ago that he remembers all too well: a severely decayed tooth.

After seeing his dentist for an intense toothache, Ribeiro learned he had advanced tooth decay and would need root canal treatment. Ribeiro wasn't thrilled by the news. Like many of us, he thought the procedure would be unpleasant. But he found afterward that not only was the root canal painless, his toothache had vanished.

More importantly, the root canal treatment saved his tooth, as it has for millions of others over the last century. If you're facing a situation similar to Alfonso Ribeiro's, here's a quick look at the procedure that could rescue your endangered tooth.

Getting ready. In preparation for root canal therapy, the tooth and surrounding gums are numbed, often first with a swab of local anesthesia to deaden the surface area in preparation for the injection of the main anesthesia below the surface. A dental dam is then placed to isolate the infected tooth from its neighbors to prevent cross-contamination.

Accessing the interior. To get to the infection, a small access hole is drilled. The location depends on the tooth: in larger back teeth, a hole is drilled through the biting surface, and in front teeth, a hole is drilled on the backside. This access allows us to insert special tools to accomplish the next steps in the procedure.

Cleaning, shaping and filling. Small tools are used to remove the diseased tissue from the interior tooth pulp and root canals. Then the empty spaces are disinfected. This, in effect, stops the infection. Next, the root canals inside the tooth are shaped to allow them to better accept a special filling called gutta percha. The access hole is then sealed to further protect the tooth from future infection, and a temporary crown is placed.

A new crown to boot. Within a couple weeks, we'll cap the tooth with a long-lasting lifelike crown (or a filling on certain teeth). This adds further protection for the tooth against infection, helps strengthen the tooth's structure, and restores the tooth's appearance.

Without this procedure, the chances of a tooth surviving this level of advanced decay are very slim. But undergoing a root canal, as Alfonso Ribeiro did, can give your tooth a real fighting chance.

If you would like more information about root canal treatments, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “A Step-By-Step Guide to Root Canal Treatment” and “Root Canal Treatment: How Long Will It Last?





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