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Coffee: Good for Your Social Life, Bad for Your Teeth

Andrae Bergeron2023-05-22T21:33:30+00:00May 22nd, 2023|Adam Brown DDS, Dentist Office Monroe NC, Teeth Cleaning, Teeth Whitening|

For many, a life without coffee is a life difficult to imagine. Heck, a single morning without coffee is enough to induce stress, irritability, and a nasty little headache; but have you thought about what such a heavy, potent drink is doing to your teeth?

Here’s a hurtful hint: it ain’t good. The famous pick-me-up we’ve relied on for so many years is doing a number on our oral health, leading modern coffee drinkers worldwide to wonder, “Is there a way to maintain shiny, clean teeth AND still be able to sip on my morning/afternoon cup of joe?”

Remedies for Coffee Stain Teeth

It’s honestly not a shock that coffee is bad for the teeth, but the fact remains that it’s one of the most trendy drinks available. According to News Direct, a popular news and content distribution service, coffee is the second most popular drink for Americans — first place is bottled water. A survey of over 7,500 adults was taken and here are the results:

The number-one drink of choice, as mentioned, is bottled water with 63% of the vote. Number two is coffee.
Coming in next is soft drinks at 56%, juices at 50%, and tea at 48%.
Looking at alcohol, 25% of people surveyed prefer beer while 24% opt for wine.

But let’s get back to the coffee drinkers: News Direct reveals that 79% of Americans drink at least two cups of coffee every single day, while 44% of these drinkers are stopping for quick to-go coffees a few times a week.

The survey included questions about how Americans like their coffee made as well. Surprisingly, despite the plethora of ways to make and mix up a perfect coffee concoction, most Americans prefer a plain old cup of joe. Here’s the exact breakdown from the survey:

36% said they prefer drip coffee
11% are for cappuccino
10% prefer iced coffee
9% said they would rather have instant coffee (who in the world are these people?)

Coffee Drinkers by Age Group

Interestingly enough, Americans actually drink less coffee, as a whole, than we did in the 1960s when it was most culturally popular and significant. But overall, coffee is still one of America’s favorite drinks, which leads to the question of what age groups are drinking it the most?

According to The Food Institute, more younger people are drinking coffee than ever before: 65% percent of Millennials (ages 25 to 39) drink coffee daily. Coincidentally, 46% of Gen Zers (ages 18-24) said the same thing.

What has caused this spike in coffee drinking amongst youngsters? Well, multiple things. For one, gourmet coffee has had quite the boom lately, much like craft beer. Breweries and independent coffee shops are popping up all over the country!

Other contributing factors are innovative product placements in places frequented by younger crowds (social media sites, commercials on popular television stations, etc.). And we can’t forget about Covid (how could we?!) when people were kept indoors and consuming more in general — including coffee. There are also so many ways to make coffee. Iced, blended, straight-up; single-shot, double-shot, pourover, French press, Aeropress, siphon…and newer methods seem to be coming along more and more.

As mentioned above, social media has played a major role in coffee’s popularity with younger drinkers. Coffee shops — both independent and chain brands — have more of a welcoming atmosphere than the pop-in shops of old. Now coffee drinkers can sit outside, sit at the bar, or create their own little workspace and sit for hours. These shops are meant for people to hang out and relax or work, and people all over the country are taking advantage of this.

Coffee and Your Teeth: The Facts

Drinks like tea, wine, and coffee tend to stain the teeth because they have tannins. Tannins are rather difficult to deal with, as this sticky, brown substance can do serious damage to the teeth. Our teeth have a hard covering of enamel over them to protect against bacteria and other harmful substances, but because tannins are so small, they’re able to seep into the enamel and make way to the tooth. Hence the yellowish, brown color of the teeth after drinking coffee.

If you’re a regular coffee drinker, here are a few things to keep in mind:

It only takes one cup of coffee a day to stain your teeth.
Over time, your teeth can become severely discolored from the dark pigment.
The acid tannins in coffee can impact and erode your tooth enamel.
Consuming excess amounts will dry out your mouth and lower saliva production, which can negatively impact your oral health.

Remedies for Coffee-Stained Teeth

No matter the problems tannins cause to the teeth, coffee drinkers are most likely not going to give up the drink. Coffee wakes us up, it keeps us going; coffee is life!

Thankfully, there are ways to keep your teeth white — though not all of these methods work equally well, and some can damage your teeth. Here are some of the most common ways people keep their teeth from staining:

Swishing Water/Mouthwash

One of the safest and most preemptive ways of keeping your teeth from gaining stains is to immediately gargle with water or mouthwash after imbibing your favorite coffee mixture. This works because the tannins have not yet had a chance to fully adhere to the teeth yet, so the liquid being forced against and between your teeth does well to remove it. Now, this won’t necessarily whiten your teeth, but it will help reduce the addition of stains.

Whitening Trays and Gels

This whitening system has been around for a long time and the process involves heating a tray, filling it with whitening gel, and inserting it into the mouth to form a bond. The problem with this method is that it can take weeks for results to show. Additionally, most people who use the tray and gels report having teeth sensitivity afterward, which is a possible set of new problems for you to deal with.

Whitening Strips

Use caution with this method as well. The famous whitening strips have been around for twelve or so years, and they have had a lot of success. Results can show in about a week, and the process is simple: fold the strips over your top and bottom rows of teeth and keep them in your mouth for a short period of time.

It’s important to be cautious, however, not to overlap the strips onto your gums, as this can cause irritation. Also, if you use the strips too often, your teeth can become sensitive due to the erosion of enamel from the chemicals in the strips.

Paint-On Whitening

When you have the time to wait, use this method. The paint-on method solves the problem of the whitening agent interacting with and causing damage to interior soft tissues, such as the gums and inner cheek because there is no overlap or spillage of chemicals.

Simply brush the whitening gel on each tooth and let it sit for a short period of time. The only down side to this method is it can take months before results are noticeable, and you have to be diligent in getting the gel precisely on each tooth every day.

Whitening Devices

Though they may be a little more expensive than the others mentioned, whitening devices produce the best results. These devices use high-intensity lights to break down hydrogen peroxides to create more whitening oxygens on the teeth. The best part of using this method is your teeth will be much whiter in only a matter of two days!

Like almost anything else out there we enjoy, if you’re not careful it can do some damage to your health. So the next time you decide to enjoy a cup of coffee — iced, latte, with cream, or otherwise — make sure you have a pl

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Are You Prepared For A Dental 911 on Vacation?

Andrae Bergeron2023-04-19T16:20:21+00:00April 19th, 2023|Adam Brown DDS, Dental Crowns, Dentist Office Monroe NC, Tooth Infection|

What To Do if You Have a Dental Emergency While on Vacation

As unpredictable as life can be, it’s worth preparing for certain emergencies, especially when traveling away from home. Obviously, with the hope no emergency comes about. Keeping a first-aid kit in your car; setting a security alarm on your home; even bringing an extra set of clothes are examples of our preparedness, but there’s another situation that is often forgotten: a dental emergency. Do you know what to do if you or a loved one has a dental mishap while traveling or on vacation?

Dental Emergency on Vacation - What To Do

Picture yourself on a beach. You can hear the waves moving out and coming back in — that soft, loud rush of sound that works as a charging station for the mind, body, and soul. Now see yourself reaching to the side of your chair to grab your favorite beachy drink, and as you go for a sip…you clink the edge of the class to your tooth and your tooth chips! It can be that easy, and it can be that quick. And without a plan, this sort of emergency can only get worse.

No matter where you are or what you’re doing, an unexpected toothache, broken teeth, and general mouth pain can happen, but that doesn’t mean you have to suffer. Most likely, unless you are truly off the grid, you should be able to find care nearby.

Worst case, you end up in the emergency room and leave with a prescription for pain medication that can get you in the clear until you’re back home. But this can be expensive, and it doesn’t diagnose or solve the issue. It alleviates it and pushes it down the road for later. Adam Brown, DDS explains some of the most common dental emergencies and how to respond to them:

Common Types of Dental Emergencies

If you can imagine the emergency, it can most likely happen. With that in mind, the following are the most typical dental emergencies:

A tooth or multiple teeth fall out due to chewing something hard or taking a blow to the mouth.
You lose a crown or filling from chewing ice, hard candy, etc.
You injure your gums, palate, or mouth by taking some sort of impact to the face.
A tooth becomes loose.
You chip or fracture a tooth. (Maybe from misjudging the distance between your mouth and your favorite beachy drink.)
You feel sudden, unusual, excruciating pain inside the mouth. This could be the roots of the teeth, the gums themselves, etc.
Your gums or mouth starts to swell and change color (deep red or grey/white).

How does one respond to any of these tragedies? In a number of ways. It depends on your exact situation: how threatening the injury is, who is with you, where you are in proximity to getting help.

But one thing to keep in mind is that if you do lose a tooth: immediate action needs to be taken, as the amount of time a tooth is absent from the gums and root system determines the likelihood of a dentist being able to successfully replace it.

How to Respond When a Dental Emergency Happens

Whether or not the dental emergency is yours or not, it’s good to be prepared to handle what could be thrown your way. Here are a couple of those common emergencies along with some commentary on how to respond:

A Toothache and/or Mouth Pain

Such a severe, sharp pain as what’s experienced in this situation can constitute an emergency. What can be tricky about oral pain is that, a lot of times, it begins with a dull pain that seems insignificant. That is until it begins to throb.

Here is what to do: First, examine your mouth to make sure there is no visible source of the pain. If there isn’t, look for discoloration or swelling. If you see either, it’s a good idea to find a doctor or dentist to give it a look. Otherwise, if it’s only a dull pain, take over-the-counter pain medicine until you can reach a dentist.

A Broken, Cracked, or Dislodged Tooth

This can happen due to sport, play, or a freak accident. And, no matter the reason for a broken or chipped tooth, an immediate trip to an emergency dentist or the emergency room will be necessary.

It’s a good idea to research a local (to where you will be) dentist and find the contact information and hours of operation. If you know you’ll be active on your trip — and that a dental emergency is possible — consider contacting the dentist to see if she (or anyone she knows) can be of assistance in case of an emergency.

This might seem like a bit much. But due to the commonality of dental emergencies while traveling, and the fact that you like your teeth and would like to keep them intact, it’s smart to plan for the worst.

*Note: If you do lose a tooth, rinse your mouth with cold water and apply a cold compress to the area where the tooth is missing. This will help control inflammation until you can get proper aid.

Prepping for Your Trip

The following are a few quick tips for when you’re preparing for a trip:

Locate your dental and medical insurance documents and give them a thorough reading, as to see what sort of coverage you have while traveling.
For any and every place you plan to visit, locate their medical facilities so you know where to go if something were to happen — dental emergency or otherwise. Be sure to record the pertinent information so you have it readily available.
If you’re having any sort of pain or oral issues prior to leaving for your trip, schedule a thorough checkup before leaving. Also, mention your plans to your dentist to confirm he recommends travel while in your specific condition.
Always pack pain medicine and oral hygiene products so you can do as much as possible for your oral care yourself while out and about.
Be cognizant of your oral condition while traveling. Consider keeping from hard chewing that could potentially damage your teeth and/or gums (e.g., hard candies, ice, etc.).
If you’re going to play a sport, or you plan to become physically active while on vacation, bring a protective mouth guard to keep your teeth and gums safe.

Finding a Dentist While Traveling

Remember that you’re planning for something that hopefully won’t happen, so you don’t want to expend too much time and energy on this. But you do want to be thorough enough so you’re prepared if anything does happen.

Take 30 minutes to research a local dentist; then, send an email or give them a call. Even if they don’t offer services when you need them, they might be able to point you to someone who does. Worst case scenario, go to the emergency room.

No matter how things pan out while on your trip, if you do have an emergency and you receive emergency care, make it a priority to visit your home dentist as soon as you return. And most importantly, don’t forget to have fun!

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Electric Toothbrushes: Are They Worth the Hype?

Andrae Bergeron2020-06-11T13:22:25+00:00August 8th, 2019|Carolina's Dental Choice, Dentist Office Monroe NC, Teeth Cleaning|

At Carolina’s Dental Choice, we think the most important thing is to brush and floss regularly. Beyond that, we do believe there are some excellent advantages to owning an electric toothbrush.

Before you rush out to buy one, let’s review some of the details.

What the Studies Show

A review of studies done by the Cochrane Library in 2014 showed that “Powered toothbrushes reduce plaque and gingivitis more than manual toothbrushing in the short and long term.” Below you will find key results of the controlled studies where manual and electric toothbrushes were compared.

· At one to three months of use, there was an 11% reduction in plaque when using the electric brush.

· After using an electric toothbrush for over three months, there was a 21% reduction in plaque.

· At one to three months, there was a 6% reduction in gingivitis (with the electric).

· After three months, there was an 11% reduction (also with the electric).

Though the old-fashion toothbrush has done the job of keeping our teeth and gums clean for years, the electric toothbrush is the future of oral care. There is no denying an electric toothbrush is better at removing plaque and gingivitis. And, there are even more benefits to the electric toothbrush than these.

Under Pressure

When we brush, it’s natural to feel the need to apply extra pressure in order to scrub our teeth clean. Unfortunately, we tend to use too much force, which may result in pushing our gums back (in addition to scraping the enamel off our teeth). This little bit of extra pressure exposes the pink membrane that covers the roots of the teeth. Eventually, once the roots of the teeth become exposed due to heavy brushing, they become susceptible to decay and disease. Even worse, once the gums have receded, it is difficult to get them back, often requiring painful surgery with long recovery time. The better solution is to use a brush that knows when you are applying too much pressure so your gums can remain healthy and intact.

Recent studies show that when we use an electric toothbrush, we become more focused on the process of brushing, and therefore apply less pressure.

A side benefit of electric brushing is the unfamiliarity of the appliance requires more attention from our brain; therefore, we pay closer attention to the process of dental care.

Ease of Use May Be Better for Seniors, Impaired and Children

Should children use electric toothbrushes? Another benefit to using an electric toothbrush is that it works much better for those with limited mobility.

With over three million cases cited each year, carpal tunnel—a painful syndrome that restricts mobility in the wrist—can make brushing painful. But with an electric toothbrush, you use your wrists much less. Just turn it on and let the bristles do the work.

Seniors with arthritis in their hands or limited shoulder mobility find electric brushes more comfortable to use.

An electric brush is also beneficial for youngsters. Once they reach the age where they begin to brush themselves, parents often find themselves re-brushing to hit all the missed spots. Children that use electric toothbrushes tend to brush more teeth and do a better job cleaning them, which leaves less work for mom and dad.

It’s a great training tool for kids because most electric toothbrushes have a pressure sensor that lets you know when you are, indeed, pressing too hard. Beginners hear the beep and are better able to find the right level of pressure to apply.

The Cost

One of the biggest (if not the biggest) deterrents people offer for not switching to an electric toothbrush is the perceived high price they often carry. The truth is that issues with gums due to manual brushing and trips to the dentist are way more costly in the end. We definitely believe they are worth investment, but to be thorough, we have broken down the cost factors to that our clients may make an educated choice.

We considered the cost of buying new heads and batteries in our research.

Let’s start by looking at the initial cost according to the level of toothbrush:

· A basic battery-operated, vibrating toothbrush costs between $5-$25. Now, this price might not seem very high, but to be honest, there’s not much of a difference between electric brushes at this base level and a standard toothbrush. These cheap electrics vibrate only, no oscillating. When it comes to electric toothbrushes, there is some truth to the notion, “you get what you pay for.”

· The next level up gets you a much more effective toothbrush, but it will cost you anywhere from $75 to $200. Yep, there’s that high price. But, at this level of brush, you will reap the benefits. Plus, depending on the brand of brush you buy, there are additional benefits, such as a timer included in the handle letting you know when to begin and stop brushing; pressure sensors that indicate when you are pressing too hard; a digital reminder letting you know when to replace the brush head; varying brushing modes, and more. This is the level most of us find ourselves shopping. Anything less seems pointless.

· The third level of brush may cost anywhere from $400-$1,000. These brushes include more capabilities, better construction, and materials used.

Now let’s have a look at the additional costs:

· Typically, an electric brush head needs to be replaced every 2-3 months. These heads can cost anywhere from $5-$25, depending on the brand and style you have. Most heads can be ordered (in bulk for a discount) or may be found at your local grocery store.

· If you have a brush that uses batteries, they will need to be replaced every 4 to 6 weeks. This, of course, adds up—but if you find yourself about to purchase a battery-operated toothbrush, chances are it falls into the first level of brush mentioned above, and therefore not any better than your old standard brush.

· Plug-in brushes don’t require batteries, but they do depend on the power running through your house. The overall cost to charge your toothbrush is small.

When it comes to cost, it’s best to find the brand and style you feel most comfortable with first. Then look into each aspect of the price.

Vibrating or Oscillating? Vibrating or oscillating, which works better?

Vibrating or Oscillating Toothbrush

In a study done by the US Library of Medicine, where a 12-week comparison was done between the two types of brushes, the oscillating brush came out on top. The study specifically states, “The oscillating-rotating power brush provided statistically significantly superior reductions compared to the sonic brush…” and goes on to show the oscillating brush causes less bleeding and does a better job at reducing gingivitis and plaque.

Best Electric Toothbrushes for the Cost

In June of this year, The Strategist came out with a list of the “Best Electric Toothbrushes, According to Dentists,” and here are a few of the ones we liked the best:

Oral-B White Pro 1000 Power Rechargeable Electric Toothbrush ($50)

One of the biggest benefits to this brush is its ability to oscillate and vibrate. It also comes with a timer and pressure sensor and does not require batteries. This is a great way to break into the world of electric toothbrushes.

Oral-B 7000 SmartSeries Rechargeable Power Electric Toothbrush ($128)

This brush has all the capabilities as the Pro 1000, but it has an additional six cleaning modes—including one for your tongue. There is even Bluetooth connectivity so you can monitor and track your brushing habits with your phone. Another benefit to this brush is it uses smaller heads. This can help those who have smaller mouths and/or a sensitive gag reflex.

Philips Sonicare ProtectiveClean 4100 Plaque Control ($50)

Even though this brush does not have the circular, oscillating components it does still oscillate—it just does so as one solid piece, rather than multiple cylinders. It comes with a timer, pressure sensor, and naturally soft bristles. Users of this brush note how good the vibration feels, and that the toothbrush does an excellent job at breaking up tartar and plaque.

Philips Sonicare Diamond Clean Classic Electric Toothbrush ($178)

Much like the Oral-B 7000 Series, this brush is the higher-end version of the Philips 4100 Plaque Control. This brush comes with everything the 4100 has, with the addition of five different brushing modes such as “sensitive” and “gum care.” Users say this brush lasts longer, as it is made of high-quality materials, and that it provides that just-back-from-the-dentist level of teeth cleaning.

Overall, we find electric toothbrushes worth the switch. The cost is a bit more, but if you shop around you can often find them on sale. And, after trying different brushes, doing some research on the best brand for you, we think you will find that the most significant expense is the initial cost.

If you are considering changing to an electric toothbrush, feel free to come to talk with us at Carolina’s Dental Choice so we can help you get the best product possible.

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The Hidden Dangers of Mouthwash: What You Need to Know

Julie Mastbrook2021-02-05T18:11:46+00:00June 5th, 2019|Carolina's Dental Choice, Dental Trends, Dentist Office Monroe NC, Oral Health, Teeth Cleaning, Teeth Whitening|

Mouthwash is often touted as a safe and effective method for curing bad breath and improving overall oral health. But recent studies show that not all mouthwashes are created equal. Before you add a mouthwash to your daily dental regimen, take a minute to understand some of the potential dangers that might be hiding in that morning and evening routine.

The Problems with Conventional Mouthwash

While advertising may state that conventional mouthwash kills 99.9% of all bacteria, that’s not always the full dental story. Many conventional types of mouthwash contain up to a 26% alcohol content in addition to other dangerous ingredients. When you swish mouthwash twice a day in your mouth for an extended period of time, a number of things occur.

Alcohol destroys the friendly bacteria your body needs to maintain normal blood pressure and positive oral health. Think of it like an antibiotic for your mouth. It doesn’t distinguish between good and bad oral bacteria, it simply kills it all.
Conventional mouthwash dries out your mouth and affects saliva production. This can actually result in worsened breath over time in addition to increased cavity production because saliva acts as a natural barrier for both of these dental conditions.
Recent studies have shown that using conventional mouthwash may potentially lead to high blood pressure issues because of disruption with the body’s production of NO (Nitric Oxide), a molecule inside the body that helps to regulate blood pressure.

A sample of ingredients that are the biggest culprits for these dental issues include alcohol (associated with drying your mouth and killing bacteria), Chlorine Dioxide (used as a bleaching agent to whiten teeth), Chlorhexidine (an antiseptic that is also an allergen), and formaldehyde (dangers include cancer risk and respiratory problems).

Discovering Natural Mouthwash Alternatives

There are several natural mouthwash alternatives available over the counter that provide a safer option for those that want to maintain their daily swishing regimen. A few choices are listed below.

The Natural Dentist
This mouthwash can be found at most major retailers and is tailored towards those with sensitive teeth and gums. The ingredients are all natural and contain 20% Aloe Vera which is a natural antiseptic that replaces conventional use of Chlorhexidine without the side effects.
Therabreath
This mouthwash is also available at most major retailers and helps increase saliva production instead of drying out your mouth. It also uses natural ingredients including aloe vera and tea tree oil which is another natural antiseptic used to aid in overall oral health.
Oral Essentials
Created by dentists and thoroughly tested, this mouthwash contains sea salt to help maintain the healthy mineral balance in your mouth. In addition, you’ll find such natural ingredients as aloe vera, coconut oil (a natural teeth whitener), and essential oils (aids in freshening breath). This mouthwash can be found on Amazon in addition to other online retailers.

Do-It-Yourself Mouthwash? Why not!

A quick search on the internet for do-it-yourself mouthwash will yield plenty of recipes for you to experiment with. When wading through the never-ending list of oral options, keep a few essential ingredients in mind.

Aloe Vera
As mentioned above, Aloe Vera is a top-notch replacement for the conventional mouthwash ingredient, Chlorhexidine. Studies have shown that it is equally as effective as an antiseptic but without all the harmful side effects.
Essential Oils
Essential Oils are a natural way to freshen breath without the drying effect of alcohol. They also contain antibacterial properties and oils such as lemon contain whitening properties to help keep your teeth shiny and bright.
Sea Salt and Baking Soda
Both these ingredients have strong benefits for oral health. Used as mouthwash ingredients, sea salt will help to restore the mineral balance of your mouth while baking soda will help to ease gingivitis and whiten teeth.

Final Thoughts on Mouthwash

Studies show that conventional mouthwashes are not as effective or as safe as typically advertised. They can contribute to dry mouth, mess with the balance of bacteria in your mouth and even cause increased gingivitis and cavity formation. The best way to keep your dental health in tip-top shape is to work on the problem from the inside out. Keep a balanced diet and stay away from processed foods and sugars. If you still want to make mouthwash a regular part of your dental routine, stick with all natural brands or create your own recipe so that you are in control of the ingredients going into your mouth and body. For more information, please contact Carolina’s Dental Choice.

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Is Sparkling Water Bad for Your Teeth?

Sam Nicolosi2020-07-16T16:55:40+00:00May 20th, 2019|Carolina's Dental Choice, Dentist Office Monroe NC, General, Oral Health|

There has been a lot of buzz lately about sparkling water, with many people touting it as an alternative to regular or diet sodas. Also, with the many flavorings out there now, sparkling and seltzer waters have become far more attractive as a choice for a soft drink. In fact, sales of sparkling water have doubled since 2011. That said, some have questioned whether sparkling water is bad for your teeth and, if so, how?

It is important to understand the impact of the trend in sparkling water consumption and its impact on your teeth. We want to delve into this controversy, clear up some misconceptions, and give you a few pointers so you can continue to take care of your oral health.

Firstly, it is important to understand that carbonated water has CO2 in it, which gives the bubbly effervescence to carbonated water. But when you drink the fizzy carbonated water, a chemical reaction transpires in your mouth, which turns the Co2 into carbonic acid. But know this: this is a relatively weak acid on its own, so unless you choose sparkling or seltzer waters flavored with citrus (and thus a more acidic sparkling water), the acidic levels are quite low.

In 2016 the Journal of the American Dental Association (JADA) released a study of the acidity of various beverages. As a baseline, spring water was used (it has a neutral acidity level of pH 7.4) to assess the acidity of sparkling waters. Sparkling water was found to have an average of pH 5 or 5.5 (for example, Perrier is 5.5), making them definitely acidic in nature. The ADA concluded that, on the whole, sparkling water exceeds the acidity of regular tap or spring water. Thus, our attitudes toward sparkling water need to be adjusted slightly, for sparkling water is not the same as any old, regular water.

However, the ADA has not found conclusive evidence of any kind that suggests drinking sparkling water is harmful to your tooth enamel. In fact, the acidity level of coffee is far higher, and thus worse, for your teeth than is sparkling water. Compare coffee’s pH level of up to 6 (depending on the coffee), in contrast to sparkling water’s pH 5 level, and you can see that coffee is a bigger culprit in tooth enamel’s loss.

Helpful Strategies

Don’t sip sparkling waters throughout the day, like you would spring or tap water. Rather, drink them in one sitting (in a short span of time), in order to decrease the length of exposure of your tooth enamel to the acidity levels.
If you have dry mouth, which is decreased salivation production due to other illnesses like diabetes, it is best to avoid acidic drinks of any kind.
Brush your teeth after consuming these drinks (and coffee, too, for that matter!). So many of us tend to think we should only brush after eating, forgetting that sugary or acidic elements in drinks we imbibe can be just as harmful to our oral health. So, carry a small toothbrush and toothpaste tube with you to take on the go, and brush after both eating and drinking anything (other than plain water).
Use a mouthwash twice a day, morning and evening. If you are a real enthusiast, you can certainly take a swish-and-spit moment after lunch, following a good tooth brushing. Mouthwash can clear away bacteria and harmful sugars from your teeth. Remember, acidity breaks down tooth enamel and then it is the bacteria, feeding on sugar in your mouth, that creates the problem. Mouthwash can eliminate the bacteria and wash away the sugar—this will preserve your tooth enamel as well.

On the whole, choosing seltzers and sparkling waters is a far better choice for your teeth than drinking regular or diet sodas. The pH levels of most seltzers and sparkling waters are better for your teeth than the average soda. However, from a basic health standpoint (which will always be the best choice for your teeth), drink eight glasses of tap or spring water a day. Plain, pH neutral water is the best choice for your health at every level. And, if you are apt to drink seltzers or sparkling waters, a single swig of plain water after you finish the can, with a bit of a swish of that plain water about your mouth, can help to wash away some of the acidic build-up.

Have more questions? Talk to your oral hygienist or one of our dentists at Carolinas Dental Choice.

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Alternative Pain Therapies: Dentist Respond to the Opioid Crisis

Sam Nicolosi2020-07-16T16:55:54+00:00May 14th, 2019|Carolina's Dental Choice, Dentist Office Monroe NC|

It’s been all over the news the past few years and, if you haven’t seen it yet, there are several state attorneys general who are bringing class action lawsuits against the makers of opioid medications for their negligence to disclose how addictive certain kinds of pain medications are. And because surgeries provide the pretext for the prescription of such heavy-duty painkillers, the American Medical Association and the American Dental Association have begun to reconsider the kinds of pain medications they prescribe.

Most people usually think about surgeries at hospitals, but quite a few forget that dentists also perform surgeries, and can also prescribe painkillers to their patients. So, we want to highlight the ethical responsibility we feel, here at Carolinas Dental Choice, for handling painkiller medications. We also want to highlight some of the good things happening across America in a concerted effort to deal with the opioid crisis (as it relates to the dental industry), and lastly, we want to point you in the direction of some pain management alternatives that do not involve taking heavy-duty painkillers. We want you, our patients, both to be well-informed and to know you have choices when it comes to how we administer your oral health care.

The ADA and the Opioid Crisis

The American Dental Association has begun to acknowledge the role it has in diminishing the impact of opioid drugs on Americans. It has begun to address the issue by training dentists, and issuing advisements, about the dangers of opioid addiction, as well as, ways to recognize signs of such addiction in our patients. In 2018, the ADA resolved and enacted a policy regarding the prescribing of opioid painkillers. They committed the organization to three initiatives around the issue of calling for mandatory education on opioid prescription practices: provision for continuing education credits for dentists, developing coursework for dentists on issuing these painkillers, and enacting a phase-in period so that dentists can reach compliance with Congressional concerns.

In other words, the ADA is making strides in seeing how it can, as an organization, ensure that its dentists to not contribute to the opioid crisis and are, therefore, well-educated in how to prevent the spread of addiction to such classes of painkillers like OxyContin, Vicodin, or similar drugs. The ADA has also resolved issuing guidelines for dentists, advising them to prescribe a maximum seven-day dosage of opioid-classed painkillers, bringing the ADA into compliance with the CDC’s guidelines.

These resolutions by the ADA mean a safer, better America for us all. They also mean that dentists are better informed about the risks and responsibilities associated with prescribing opioid painkillers to their patients. That means they can better instruct their patients on how to take a painkiller and how to avoid developing an addiction to an opioid. Dentists and patients alike can take responsibility, together, for growing their knowledge of opioid use and thus help put an end to the crisis. A recent webinar, led by Dr. Cathy Carlson and Dr. Aaron Gilson at the ADA, addressed these concerns. Simply know this: the ADA is taking steps to help curb the opioid addiction in this country, and we too are following in their footsteps by adhering to ADA’s guidelines for prescribing opioids. We at Carolinas Dental Choice want you as safe and as healthy as you can be. We know about the crisis our doctors, Dr. Brown and Dr. Kashyap along with the whole team, and are committed to seeing this crisis abate.

The Benefits and Risks of Using Prescription Painkillers

When you have any kind of oral surgery—and the most common or familiar surgery is the removal of wisdom teeth—it means you will have to manage post-surgical pain. So, we want to highlight the pros and cons of using any opioid painkillers, so that you are as informed as possible. Our recommendations draw on the ADA’s advice to patients, found here. We will highlight a few key pieces of information and make a few suggestions, below:

Know what kinds of opioids there are: Vicodin, OxyContin, Percocet, morphine, and codeine are all drugs that call into the opioid class of painkillers. They can be made from natural substances occurring in the poppy, for example, morphine, or synthetic drugs that mimic the substances of the poppy (fentanyl-based drugs like OxyContin are synthetics).
Understand how they work: opioids work by making you feel that pain is lessened and they also increase the “feel-good” hormone in your brain, called dopamine. (Dopamine is one of several hormones that give you a “feel-good” rush after exercise, for example.)
Pain management choices: over-the-counter painkillers, like acetaminophen or ibuprofen, can be highly effective painkillers for post-oral surgeries. That said, prescription drugs are available but it is extremely important that you: a) update your medical history to us; b) disclose to us any previous drug addictions or use you (or others in your family) had or have now; and c) keep an open, honest dialogue with us, including asking questions.
If you prescribed an opioid, in consultation with your dentist, then seek to understand: the goal of the prescription; dosage and usage instructions; length of prescription; risks involved in taking the painkiller; how to dispose of extra, unused medication (you can return the remainder to a pharmacist for disposal).
Talk to your family! It is important that they stay informed about your prescriptions and the risks they could pose (not just opioid prescriptions but all of them). They can help monitor your progress, after surgery and while taking painkillers.
It is importation that you, the prescribed patient, are the only one who takes the medication. You should never turn over your medication to others, or give it to another person to use. If you feel at risk of developing an addiction, talk to your dentist as well as your general practitioner/family doctor.
Know those groups at higher risks of developing addictions: adolescents (tooth extractions) and those with a history of past or current drug abuse struggles.

This is how we can, together, stop the opioid crisis. It’s up to us, so staying informed about how to handle our responsibilities together means we empower ourselves and each other to make healthy, proactive decisions about prescription painkillers. If you feel at risk, it’s important to convey that to us so that we can help you find alternative ways of planning for pain management, after oral surgery. We want to help you make the best, most informed and healthiest choices for post-surgical care. We are here for you.

Pain Management Alternatives

Because dental providers are among some of the leading prescribers of prescription painkillers, especially for tooth extractions, it is important to know what other choices you have available to you for pain management, besides prescription-strength opioids.

Firstly, be aware that we can prescribe both prescription-strength ibuprofen and prescription-strength acetaminophen, which means they have to be picked up from a pharmacy. These are stronger versions of the over-the-counter (OTC) painkillers you’re used to seeing on the shelf. Many times, regular OTC ibuprofen or acetaminophen can be enough of a painkiller; depending on the kind of oral surgery you have, prescription-strength versions of these can also be highly useful.

If you know yourself to have a relatively high pain tolerance, then consider either OTC or prescription-strength ibuprofen or acetaminophen. There isn’t much use in filling a prescription for a stronger class of painkiller if you don’t really need it. You know your body well, so make an informed decision. And, when it comes to caring for your children, you know their pain tolerances well, also, so bear those facts in mind.

Secondly, consider homeopathic remedies for pain management and pain relief. Some practitioners of homeopathic medicine have made the following suggestions:

Consider taking pre-surgery immunity-boosters. Bulking up on Vitamin C, Vitamin B complex, and Vitamin A can help boost your body’s immune system in preparation for fighting off any potential for infections.
See food as medicine: post-surgery nutrition can be part of the solution for easing the healing process. Consider eating foods that have anti-inflammatory properties (like olive oil, avocados, and other foods). Pineapple contains “bromelain,” an enzyme that is meant to help with pain relief; you could make a smoothie that features pineapple.
Make use of supplements: you can use Calendula (marigold) leaves to make a tea or mouth rinse. Calendula contains antiseptic and anti-inflammatory properties. Or you can use myrrh oil, which also contains antiseptic and anti-inflammatory properties, in a homemade mouthwash. Licorice root has numerous properties, which can promote healing and restoration, as well as, reduce pain or inflammation.
Consider ingesting or using (depending on the substance) some natural antimicrobials, like honey, coneflower (Echinacea), or myrrh. A cloth soaked in witch hazel tea, and applied to site of extractions, was a common practice among Native Americans. Slavic peoples of Russia and the Balkans have, for centuries, made use of nettle root to deal with inflammation and pain. Blueberries have also been found to contain anti-inflammatory properties (you can make a paste out of them and apply to inflamed gums.)

If you are interested in exploring, more in-depth, these alterative homeopathic remedies or treatments, look at this site as well as this one. (We highlighted some of the points these websites made in the numbered list above.) Though we as Carolinas Dental Choice cannot endorse or support all of the claims made by homeopathic sites, we do respect your right to explore all of the options available to you for pain management and relief. Just talk to us about what strategy you want to take, if you decide to go the homeopathic route so we can help you to monitor your pain relief and post-surgical recovery.

Final Thoughts

Pain management and relief is a responsibility, and we all need to see it as such. Carolinas Dental Choice sees the need to curb and end the opioid crisis, and we want to assure you that we are committed to making responsible, informed decisions together with you, about your own oral hygiene and care.

We want you to talk to us about any health issues you have, as well as any previous exposure to illicit or prescription drugs. You don’t need to be afraid or ashamed about previous drug use or abuse, but we do need to know so we can make an informed decision. Also, if you feel at risk for developing a dependency on a painkiller, alert us right away. It’s best we know beforehand, during the initial consultation, of any risks you might face for dependency, but we also want to help intervene if you are post-surgery and find yourself growing dependent. We are here to ensure you stay safe and healthy, so keep the lines of communication open with us at all stages of your oral health care.

Let’s sit down and talk about ways to manage pain and find relief after your oral surgery. Our doctors and staff at Carolinas Dental Choice are committed to your total well-being. Let’s make responsible choices, together.

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Our Commitment to Ethics at Carolina’s Dental Choice

Andrae Bergeron2020-07-16T16:57:05+00:00March 25th, 2019|Dental Insurance, Dental Trends, Dentist Office Monroe NC, testimonial|

At Carolina’s Dental Choice we are strongly committed to the ethical treatment of both our staff and patients. These ethics we work and live by are the cornerstone of our business—and they are much more than a mantra to us. Our commitment to ethics can be seen each day you are in our office, and it is our hope that you are encouraged and comforted by our desire to maintain an honest and professional experience.

The American Dental Association outlines a few desired tenets to ethics for all dental offices in the U.S., and we here at Carolina’s Dental Choice follow five important principles when it comes to caring for our employees and patients:

Patient Autonomy (self-governance)
Nonmaleficence (do no harm)
Beneficence (do good)
Justice (fairness)
Veracity (truthfulness)

Of course these sound wonderful, but exactly how we use them to interact with you on a daily basis is a little more detailed. Let’s take a closer look at each principle to see just how we use it.

Patient Autonomy

According to the ADA’s Principles of Ethics and Code of Professional Conduct document, every dentist has a duty to be truthful with patients. The document states,

“This principle expresses the concept that professionals have a duty to be honest and trustworthy in their dealings with people. Under this principle, the dentist’s primary obligations include respecting the position of trust inherent in the dentist-patient relationship, communicating truthfully and without deception, and maintaining intellectual integrity.”

To us, this doesn’t just mean we are to keep your dental records private. This also means we will keep you in the know when it comes to what is happening with your oral health. It also means you can trust us not to try and manipulate you into having procedures done that are not actually needed. Patient autonomy is the first step in building a trusting relationship.

Nonmaleficence

The ADA’s code of ethics also discusses the importance of nonmaleficence:

“This principle expresses the concept that professionals have a duty to protect the patient from harm. Under this principle, the dentist’s primary obligations include keeping knowledge and skills current, knowing one’s own limitations and when to refer to a specialist or other professional, and knowing when and under what circumstances delegation of patient care to auxiliaries is appropriate.”

You never have to worry about receiving anything but top-of-the-line, professional care at Carolina’s Dental Choice. We continually work according to the notion that if we are not completely sold on an idea, we will discuss with a fellow professional to gain clarity. This means that if we are not 100% confident of a particular procedure with a particular patient, we will not proceed. We want to best for you, and sometimes that means taking the extra time to have a conversation.

Beneficence

The American Dental Association sees benefice as

“…the concept that professionals have a duty to act for the benefit of others. Under this principle, the dentist’s primary obligation is service to the patient and the public-at-large. The most important aspect of this obligation is the competent and timely delivery of dental care within the bounds of clinical circumstances presented by the patient, with due consideration being given to the needs, desires and values of the patient. The same ethical considerations apply whether the dentist engages in fee-for-service, managed care or some other practice arrangement…”

Just ask any of our current patients and they will tell you Carolina’s Dental Choice is always working on behalf of the customer. Since our very first day in office, one of our primary goals has been to always operate for the benefit of others. This is continually our commitment you.

Justice

Though life may not be fair, Carolina’s Dental Choice is determined to treat everyone equally, as stated by the ADA’s fourth principle:

“This principle expresses the concept that professionals have a duty to be fair in their dealings with patients, colleagues and society. Under this principle, the dentist’s primary obligations include dealing with people justly and delivering dental care without prejudice. In its broadest sense, this principle expresses the concept that the dental profession should actively seek allies throughout society on specific activities that will help improve access to care for all.”

We do not discriminate or judge at CDC. We see each patient as unique and deserving of the same professional treatment we give everyone.

Veracity

Lastly, the ADA sees veracity as this:

We will never share your information with others or every give you reason not to trust us. We aim to create relationships with our customers, and a relationship built on honesty is always the best policy.

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