Posts for: November, 2019

By John W. Cox DDS
November 23, 2019
Category: Dental Procedures
Tags: gum disease  
AdvancingGumDiseaseRequiresYourDentistsIntervention

Your gums’ primary role is to protect your teeth and keep them firmly in place. But periodontal (gum) disease can damage your gums to such an extent you could ultimately lose your teeth.

Gum disease is a progressive infection caused by bacterial plaque built up on tooth surfaces from poor oral hygiene. The initial infection triggers inflammation, a defensive response of the body characterized by swelling, redness and bleeding of the gums. An initial form of the disease known as gingivitis occurs in most people after just a few days without brushing or flossing.

Resuming hygienic activities to remove daily plaque, along with regular dental cleanings, may be enough to stop gingivitis and restore healthy gums. If the disease is allowed to advance, however, the infected gum tissues will begin to detach from the teeth, turning the slight normal gaps between teeth and gums into wider voids known as periodontal pockets that fill with bacteria leading to infection. Your hygiene efforts will not be enough to cope with this advanced form of periodontal disease.

At this point professional techniques are required to adequately remove plaque and calculus (hardened plaque deposits), depending on the depth and location of the periodontal pockets. The most basic of these is scaling using specialized hand instruments or ultrasonic equipment to remove plaque and calculus in pockets at or just below the gum line. If plaque and calculus have extended to the roots we may then need to employ root planing, in which we “shave” offending material from root surfaces. In some cases this may require accessing the area surgically beneath the gum tissue.

As plaque removal progresses, inflammation will begin to subside and the gum tissues heal. If, however, swelling, bleeding or pus formation persists, this may indicate bacterial levels remain too high. To decrease these levels we may need to administer antibiotics, or through mouthrinses containing chlorhexidine.

Once under control, it’s crucial from then on for you to maintain a strict daily regimen of brushing and flossing to keep plaque from building up on tooth surfaces. You'll also need to visit us regularly (two or more times a year) for professional cleaning and checkups. Keeping a close eye will help prevent a reoccurrence of this serious disease and prolong the life of your teeth.

If you would like more information on treating periodontal (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 “Treating Difficult Areas of Periodontal Disease.”


By John W. Cox DDS
November 13, 2019
Category: Dental Procedures
Tags: tooth decay  
DentalVisitsareKeytoDetectingEarlyDevelopingToothDecay

Tooth decay is as relentless as it is destructive, and it makes little distinction between age, gender, ethnicity or social status. Although risk levels vary from person to person, we’re all potentially in the crossfire for this harmful disease. Getting ahead of it early could save your teeth.

Tooth decay begins with oral bacteria. While feeding on dental plaque that accumulates on the teeth, bacteria multiply and produce acid as a by-product. Too much acid softens and erodes tooth enamel, which enables decay to advance deeper into the tooth.

If it isn’t stopped, decay can eventually infect and weaken the roots and bone, and ultimately lead to a lost tooth. By stopping it as early as possible before it reaches the inner pulp and root canals, we can greatly limit the damage.

Regular dental care is crucial for early detection. Here’s how we can stay ahead of developing decay during dental visits.

Visible inspection. There are visible signs a trained dentist may notice that point to tooth decay. Besides an already formed hole or cavity, we might also pick up on other unusual appearances like white spot lesions: these slight blemishes often occur in the areas of contact with other teeth, which we can treat with topical fluoride.

X-rays. This tried and true diagnostic tool has been a mainstay of dental care for nearly a century. The images they produce can indicate decay as darker spots or areas on or within the tooth that may not yet be visible to the eye. And with advances in digital processing and more streamlined equipment, we can effectively do this with a very low dosage of radiation exposure.

Advanced technology. We’ve developed other means for better disease detection that complement x-rays and visual inspections. Specialized microscopes and lasers are now important tools for analyzing suspected areas of early decay.

Even if decay gets a foothold we can effectively stop it and restore a tooth with a root canal treatment or a similar procedure. The best outcome, though, is to not allow this destructive disease to get that far. With dedicated oral hygiene and regular dental visits that uncover early decay, chances are good your teeth can remain healthy for a lifetime.

If you would like more information on fighting tooth decay, 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 “Tooth Decay: How to Assess Your Risk.”


By John W. Cox DDS
November 03, 2019
Category: Dental Procedures
LadyGagaWasntBornThisWay

Sometimes, looking at old pictures can really bring memories back to life. Just ask Stefani Germanotta—the pop diva better known as Lady Gaga. In one scene from the recent documentary Five Foot Two, as family members sort through headshots from her teen years, her father proclaims: "Here, this proves she had braces!"

"If I had kept that gap, then I would have even more problems with Madonna," Lady Gaga replies, referencing an ongoing feud between the two musical celebrities.

The photos of Gaga's teenage smile reveal that the singer of hits like "Born This Way" once had a noticeable gap (which dentists call a diastema) between her front teeth. This condition is common in children, but often becomes less conspicuous with age. It isn't necessarily a problem: Lots of well-known people have extra space in their smiles, including ex-football player and TV host Michael Strahan, actress Anna Paquin…and fellow pop superstar Madonna. It hasn't hurt any of their careers.

Yet others would prefer a smile without the gap. Fortunately, diastema in children is generally not difficult to fix. One of the easiest ways to do so is with traditional braces or clear aligners. These orthodontic appliances, usually worn for a period of months, can actually move the teeth into positions that look more pleasing in the smile and function better in the bite. For many people, orthodontic treatment is a part of their emergence from adolescence into adulthood.

Braces and aligners, along with other specialized orthodontic appliances, can also remedy many bite problems besides diastema. They can correct misaligned teeth and spacing irregularities, fix overbites and underbites, and take care of numerous other types of malocclusions (bite problems).

The American Association of Orthodontists recommends that kids get screened for orthodontic problems at age 7. Even if an issue is found, most won't get treatment at this age—but in some instances, it's possible that early intervention can save a great deal of time, money and effort later. For example, while the jaw is still developing, its growth can be guided with special appliances that can make future orthodontic treatment go quicker and easier.

Yet orthodontics isn't just for children—adults can wear braces too! As long as teeth and gums are healthy, there's no upper age limit on orthodontic treatment. Instead of traditional silver braces, many adults choose tooth-colored braces or clear aligners to complement their more professional appearance.

So if your child is at the age where screening is recommended—or if you're unhappy with your own smile—ask us whether orthodontics could help. But if you get into a rivalry with Madonna…you're on your own.

If you have questions about orthodontic treatment, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “The Magic of Orthodontics” and “Orthodontics For The Older Adult.”




420 Harper Ave
Lenoir, NC 28645

405 Main Street
Valdese, NC 28690

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