Uncategorized

So you might be wondering, just what are cavities? How do we get them? What do they do to our teeth? How can we prevent them? Let’s talk!

Our teeth need to be strong to bite and chew. That’s why they are protected by a coating called enamel, which is made up of very hard minerals. Enamel is the strongest part of our bodies—stronger even than our bones. But this doesn’t mean nothing can hurt it! And cavities, also called tooth decay, are one of the most common dangers facing our enamel.

So, what are cavities?

A cavity is a hole in your tooth enamel. If your tooth is not cleaned and repaired when a cavity is small, this hole can grow bigger until tooth decay reaches the inside of your tooth. Enamel doesn’t heal when it’s damaged, so you need to see a dentist to make your tooth healthy again.

How do we get cavities?

Bacteria are tiny little germs. Many kinds of bacteria live in our bodies, and some of them are quite helpful. The bacteria which cause cavities are not. These unhelpful bacteria join with our saliva and very small pieces of the food we’ve chewed to make a sticky film called plaque.

Like other living things, the bacteria in plaque need food. They get that food from the foods we eat, especially sugars and starches. As they eat, they change these sugars and starches into acids, and these acids attack the minerals which keep enamel hard and strong.

Because plaque sticks to our teeth, bacterial acids are able to make weak spots in enamel if the plaque isn’t brushed away. If you see a white spot on your tooth, that could mean that your enamel is losing minerals, and getting weaker.

What do cavities do to our teeth?

Over time, weak spots can grow bigger until there’s a hole in the enamel surface. If the cavity in your enamel is small, you might not notice it at first. But cavities can become wider and deeper, and even break through enamel to reach the inside of your tooth.

The inside of each tooth holds pulp, the part of your tooth which keeps it healthy. If tooth decay spreads to the pulp, it can cause more damage and infection, so it’s important to treat a cavity right away.

Dark spots on your enamel, a toothache, pain when you drink something hot or cold or when you bite down—these can be clues that you have a cavity, and you should visit us for an exam.

How can you prevent cavities?

Even better than treating a cavity is preventing one. Let’s make a list of some helpful do’s and don’ts for cavity prevention:

• Do: Feed yourself foods which are good for you.

Foods like milk and cheese and many dark green vegetables have lots of calcium and vitamin D to help keep your enamel strong.

• Don’t: Feed bacteria foods which are good for them.

Sugar and simple starches like potato chips are the kinds of foods bacteria like best, because they are easy to break down. This means more acids to attack your enamel.

This doesn’t mean you should never enjoy a treat! But eating lots of starchy snacks and drinking sugary sodas means more plaque, and more plaque can mean more cavities. If you’re eating something starchy or sweet, it’s a good idea to brush or rinse afterward.

• Do: Brush at least twice a day, for at least two minutes, with fluoride toothpaste.

This is the best way to get rid of plaque, which builds up every day. And fluoride toothpaste even helps make your enamel stronger.

• Don’t: Forget to floss.

Flossing takes a while to learn to do well, but it’s very important. Flossing helps prevent cavities between the teeth and near the gums.

• Do: Visit our Dallas dental office for exams and cleanings.

Not only will we look for cavities, we’ll let you know the best way to brush and floss so you can get your teeth their cleanest.

• Don’t: Feel bad if you get a cavity!

Some people are more likely to get cavities than others, even when they brush just right and eat healthy foods. If you have a cavity, we can remove decay and repair your tooth with a filling.

And one last thing to do: talk to Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani if you have any questions about the best ways to protect your teeth from cavities. We have lots of suggestions to help you take care of your healthy, beautiful smile!

Your baby’s first smiles are precious—and you want to make sure those precious smiles are as healthy as they are beautiful. One of the most important ways to protect your child’s dental health is by preventing early childhood caries, or cavities.

You might be thinking, “Tooth decay? Babies?” Yes, babies and toddlers can get cavities, too. Studies suggest that over a quarter of children between the ages of two and five already have some form of tooth decay.

The bacteria that cause tooth decay are passed from person to person. Cavity-causing bacteria use the sugar and starches in our diets to produce acids—acids which attack the tooth’s enamel, breaking down its hard mineral structure until cavities form. Because baby teeth have thinner enamel coatings than adult teeth, they are especially vulnerable to tooth decay.

You can start your child on the path to a lifetime of healthy smiles by being proactive about cavity prevention during your baby’s first 12 months.

• Don’t Share Bacteria

Because cavity-causing oral bacteria are transmitted from person to person, doctors and dentists suggest that you don’t share a spoon with your baby, or put a pacifier in your mouth to clean it. And it’s a good idea to rinse toys used by other children with clean water before giving them to your child.

• Keep Bottles Out of Bed

Babies generally need a feeding before bedtime to ensure that they get all the nutrition their growing bodies need. But when a young child sleeps with a bottle, liquids pool in the mouth, exposing tiny teeth to these liquids throughout the night and preventing the natural flow of saliva from washing food particles away.

Bring your child’s happy day to a close with a lullaby, a bedtime story, a good night kiss, or whatever makes your baby feel comforted and loved—and take the bottle with you when you tiptoe out of the room.

• Avoid Sugary Drinks

How do parents make sure their babies get the nutrition they need without giving cavity-causing bacteria the fuel they need? With a healthy diet. Breast milk and formula have healthy nutrients, carbs, and sugars which are necessary for baby’s growth and development. Sugar water, sweet juices, and sodas—don’t.

Added sugars provide a feast for cavity-causing bacteria, and the more your child is exposed to them throughout the day, the greater the risk of tooth decay. Talk to Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani for the healthiest drinks for your baby’s bottle or sippy cup.

• Clean Baby’s Teeth and Gums

Dentists recommend cleaning your baby’s gums even before teeth begin to arrive. After washing your hands, using a clean, damp, soft cloth or gauze pad to gently wipe the gum surfaces to remove bacteria and food.

As soon as the first tooth appears, it’s time to start gentle brushing. Use a baby-sized toothbrush to gently clean the erupting teeth once in the morning and once after the last feeding of the day. And as soon as two baby teeth touch, it’s time to talk about flossing.

Not sure about baby-friendly tooth care products, toothpastes, and techniques? Talk to Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani! Learn about cleaning little gums, baby-size brushes, when to begin using fluoride toothpaste and how much toothpaste to use, when to brush, and when to start flossing.

• Establish a Dental Home for Your Child

The ideal time for your child’s first visit to our Dallas office is sometime between the appearance of your child’s first tooth and your child’s first birthday. It’s a gentle way to introduce your baby to the dental team who will be caring for those little smiles for many years to come.

During that first visit, your child’s dentist will check tooth and jaw development. There will be a child-friendly examination to look for plaque buildup or any signs of early decay, such as white spots on tooth enamel. You can talk about any concerns you might have and learn the best ways to prevent tooth decay with proactive dental care for healthy teeth and gums.

Why are we so concerned about baby teeth? Decayed teeth can cause pain and self-consciousness. And more, those tiny teeth have big responsibilities. Baby teeth influence your child’s speech development. They promote healthy eating and chewing habits. Baby teeth serve as placeholders to make sure that your child’s adult teeth will be able to erupt just where they should.

Your baby’s first smiles are precious. And when you’re proactive with early dental care, you’re preparing your child for a lifetime of healthy smiles.

You’ve learned a lot from your dentist and your family about how to take care of your teeth. You brush and floss, you wear a mouthguard when you’re active, and you have regular checkups and cleanings at our Dallas office.

And everything you’re doing is wonderful! The smile you see each day in the mirror reflects your hard work.

But what about the part of your smile you can’t see? Let’s take a look beneath the surface, and talk about your roots.

While our teeth look solid from the outside, there’s really a lot going on inside each tooth.

• The outside of every tooth is covered with a hard protective surface.

Enamel is the hardest material in our bodies, and covers the crown. This is the part of the tooth we can see above our gums.

Our roots are hidden below our gums, and are covered with cementum instead of enamel. Cementum is hard, but it’s not nearly as strong as enamel.

• Just below a tooth’s enamel and cementum layers, we have dentin.

Dentin is a hard tissue, only a little softer than enamel. Most of our tooth is made of dentin. It surrounds and helps protect the center of the tooth and supports the enamel and cementum on the outside.

• Inside the center of each tooth, there’s an area called the pulp chamber.

The pulp holds tiny blood vessels and nerves. The blood vessels give the pulp nutrients, and the nerves are the reason that our teeth can feel sensitivity or pain.

Inside the roots, we also find pulp in the root canals. These canals are very small tunnels that run from the pulp chamber down through the root, ending in a tiny hole in the tip of the root. Blood vessels and nerves running through the canals connect the pulp tissue to our bodies’ blood and nervous systems.

Around your roots, there’s a lot going on, too. Smaller teeth like the incisors, our front teeth, usually have only one root. Bigger teeth, like molars, usually have two or three roots. And while you’re busy biting and chewing, what’s holding these roots in place?

• In your jaws, you have a spot where each tooth fits called a socket. But your tooth roots don’t just sit in the socket. That wouldn’t be very secure!
• Instead, you have a periodontal ligament surrounding the roots of each tooth. Think of the ligament as groups of tissue fibers that can attach to both the cementum on your root and the bone in your jaw. This double attachment holds your teeth firmly in place. The ligament also helps cushion your teeth from the heavy pressures of chewing.
• To make things even safer for your roots, your gums help cover them and protect them from bacteria and decay.

As you can see, your body is working hard to protect your roots. What’s the best thing you can do to keep your roots healthy? Do everything you’re already doing!

• Keep up with your brushing and flossing, and your visits to our office. These good habits protect the teeth and gums you can see, and also the roots that you can’t see.
• Avoid oral habits that put lots of pressure on your teeth and roots. Biting down on pencils, or ice, or nut shells, or anything not meant for regular eating means you’re risking a cracked tooth.
• Be safe! Wear your mouthguard when you’re active.
• Don’t wait to tell your adult if your tooth hurts. Remember, those nerves inside your teeth and roots are there to warn you if your tooth is damaged. Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani will be able to find out what’s wrong and have you feeling better in no time.

Even though you can’t see them, your roots are one important reason you have your beautiful smile. Taking good care of your teeth now is a way to make sure you have beautiful, healthy smiles for a lifetime!

Since gum disease is one of the most common adult diseases, it’s no wonder Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team stress the importance of prevention. Effective brushing and flossing, regular dental appointments for exams and cleanings, and a prompt visit to our Dallas dental office if you notice symptoms of gingivitis (early gum disease) are all important steps to prevent more serious periodontal disease from developing.

One more step you can add to keep your gums their healthiest? Add some gum-healthy foods to your shopping cart! To see how your diet can help prevent gum disease, let’s look at what can cause gum disease.

When plaque builds up between teeth and gums, the bacteria found in plaque cause our gum tissue to become inflamed, swollen, and painful. Left untreated, the gums pull away from the teeth, leaving pockets where bacteria collect and can cause infection.

Prolonged inflammation can lead to the destruction of gum tissue and the connective tissues which anchor our teeth to the alveolar bone in the jaw. Bone loss and even tooth loss can result from untreated gum disease.

Fortunately for us, there are foods that fight inflammation, help with healing, and strengthen and support gum tissue before problems develop. Let’s take a look at some of the valuable gum-healthy nutrients you can add to your diet with some tasty additions to your shopping list:

• Vitamin A

This vitamin is essential for the health and healing of mucous membranes, including both our gums and the soft membranes in our mouths. Vitamin A is found in animal products such as dairy foods, meat, and liver, or formed in the body from beta-carotenes, found in plant foods such as carrots, peppers, pumpkin, squash, and sweet potatoes.

• Vitamin C

Vitamin C is one of the so-called “essential nutrients.” These are nutrients that are necessary for our bodies to function properly, and which can only be supplied in our diets. Vitamin C is needed to help our bodies produce collagen, the substance that provides support and structure to our tissues. It also helps us repair tissue, and is a powerful antioxidant. One of the obvious signs that your diet doesn’t contain enough vitamin C is inflamed and bleeding gums.

When we think vitamin C, we instantly picture citrus fruits. Oranges, lemons, limes, grapefruit, and all their cousins are a wonderful source of vitamin C. Looking for a little more variety? You’re in luck! Fruit fans can load up on strawberries, kiwi fruit, mangos, and papayas. Love your veggies? Red peppers, kale, cauliflower, Brussels sprouts, and broccoli contain more vitamin C per serving than a medium orange.

• Vitamin D

Vitamin D, of course, is essential for dental health because it helps us absorb the calcium that keep teeth (and bones) strong. And there’s more! It helps the body fight infection and reduce inflammation, and studies have suggested a link between vitamin D and better gum health.

Sunlight exposure leads our bodies to produce vitamin D naturally, but it is available in foods as well. Fatty fish, such as salmon, tuna, and herring, are a rich source of the vitamin, as are cod liver oil and egg yolks. It’s also available in foods fortified with vitamin D, such as cow’s milk, soy milk, orange juice, and even many cereals. And while you’re getting the benefit of vitamin D from dairy, you’re also enjoying the proteins they contain, one of which helps neutralize acids in the mouth that can irritate gums. Bonus!

• Iron

Iron deficiency can lead to a common form of anemia, where your body isn’t creating enough red blood cells to deliver the oxygen your tissues need. (In fact, one of the most noticeable symptoms of anemia is pale gums.) This condition can cause a number of problems, including an immune system that doesn’t work as well as it should. A strong immune system helps us fight infection, including gum disease and other oral infections.

A diet rich in iron can help prevent anemia. We absorb the most iron from foods such as meat, eggs, and fish, but iron is also present in beans, lentils, leafy greens, whole grains, nuts, and prunes if you’re looking for flavorful vegetarian options.

• Omega-3s

Research has shown a possible relationship between getting the recommended dietary amounts of omega-3s and a lower occurrence of periodontitis. In other studies, omega-3s have shown promise in reducing the periodontal inflammation that can lead to severe gum disease.

Our bodies can’t produce omega-3 fatty acids on their own, but fatty fish such as salmon, tuna, herring, and sardines, a variety of high-fat seeds and nuts, and plant oils contain several different types of omega-3 fatty acids. Some foods are fortified with omega-3s, or your doctor might recommend fish oil (and algae oil for vegetarians) as a supplement.

Speaking of supplements, why not just add vitamin, mineral, and other nutritional supplements to our daily diet? Believe it or not, there can actually be too much of a good thing. Body chemistry requires balance, so talk to your doctor about whether or not supplements are necessary in your particular diet, and just what kinds and how much to take.

Whew! That’s a lot to think about for one shopping cart, but that’s just a small portion of the many foods—and the many vitamins and minerals—you can add to your menu to support oral health in a tasty, effective, and positive way.

After all, when we think about the “do’s and don’ts” of a dental-healthy diet, it’s all too often a collection of “don’ts.” Don’t eat a lot of sugar. Avoid acidic foods and beverages. Cut down on refined carbs. And all of those suggestions are important, because the early stages of gingivitis are often easy to miss.

But let’s not forget the things we can actually do to be proactive with our gum health. Besides good dental hygiene and regular checkups at our Dallas office, eating a well-balanced diet helps keep your gums their healthiest—and while we can do a lot to treat gum disease, the very best treatment of all is prevention!  

When it comes to dental hygiene, “going green” is not the first phrase that comes to mind. But if you are brushing properly, you are also replacing your toothbrush every three to four months as the bristles become frayed and wear down. Sure, that’s a tiny amount of plastic from each of us going to our landfills, yet it adds up to millions of brushes a year nationally. If you are concerned about reducing your carbon footprint while reducing your risk of cavities, there are several new toothbrushes designed to make brushing more eco-friendly.

Biodegradable Toothbrushes

Some brushes claim to be completely compostable. These models generally have heads fitted with boar bristles and handles manufactured from sustainable woods or bamboo. Boar bristles aren’t for everyone. Some users complain of the taste of the bristles, and boar bristles might be harsher than the soft bristles we recommend to protect both enamel and gums. There is also some concern about bacteria growth on organic bristles.

Earth-friendly Handles and Bristles

If you prefer the consistency and texture of regular synthetic bristles, you can still opt for a brush with a handle of sustainable wood or bamboo. You can also select PBA-free bristles, bristles made primarily of castor oil, or bristles that use natural ingredients in combination with synthetics.

Reduce, Reuse, Recycle

If these exotic brushes aren’t for you, there are more conventional choices that will save energy and cut down on waste.

• Reduce the amount of electricity you use for your electric toothbrush with a model that requires less charging time.
• Reuse your toothbrush by buying one with a handle made of metal, natural materials or plastic and replace the detachable head every three months.
• Recycled plastics can be found in the handles of some toothbrushes, and many brushes come in recyclable packaging. Every bit helps!

If you decide to use one of these green products, remember that your dental health is still the primary goal. Be sure the bristles of your brush are soft enough to protect your gums and enamel and can reach all the places you need to brush. The handle should be easy to grip and the head should be a comfortable fit for your mouth. It’s always best to choose products with a seal of acceptance from your local dental association, or talk to us about greener alternatives during your next visit to our Dallas office. Luckily, there are several workable options to protect the health of your family's teeth while still being mindful of the health of our planet.

“My dentist is better than yours!!! Dr. Allen and the Dallas Dental Arts team are top notch. Professional, responsive and caring. Dr. Allen always makes decisions based on what's best for the patient versus what's most profitable. Thanks guys!!”

Kanitra

As 2024 draws to a close, we reflect on the highlights and challenges our practice experienced.

One of our most exciting highlights that happened this year was welcoming Jiye, our new hygienist, to the team in June. She's been a wonderful addition and rounds out our hygiene team along with Ana.

We are also celebrating the arrival of Ana's beautiful baby girl in November. During her time off, we are fortunate to have Cynthia step in and take care of Ana's patients until she returns full time in May. Cynthia has been a wonderful addition to our team, and we are lucky to have her.

Another highlight of ours was sharing in the joyful moments of our patients, from weddings and graduations to engagements and anniversaries. We are grateful to be a part of your lives and to help maintain your beautiful smiles.

To better serve you, we expanded our hygiene days to accommodate more patients for routine cleanings and exams. Hopefully, you've noticed a more efficient scheduling system and more available appointments. For everyone with a milestone event coming up, feel free to give us a call so we can give you the perfect smile!

But this year wasn’t always full of exciting updates, we also faced a few challenges including the hallway renovations. The renovations are finally complete, and as we plan to begin further improvements inside our office, we promise to make the transition as smooth as possible. Thank you to everyone for their continued patience during these renovations!

Our goal for the year was to face any challenges with grace and laughter, and we are proud to say we achieved it.

As the year ends, we want to express our gratitude for choosing us as your dental home. We are honored to continue caring for you and your family. If you wish to schedule an appointment during this busy time, please let us know. While end of year appointments are difficult to come by with everyone attempting to schedule, this time of the year we tend to see the highest level of cancellations. So if you want an appointment but are concerned we don't currently have anything available, please ask to be called in the event that something opens up.

Thank you for your continued support and trust in us. We look forward to another year of providing you with exceptional care.

A solid oral health routine begins with daily brushing, flossing, and rinsing. Without a consistent oral health regimen, you may begin to experience tooth decay and bacterial infections. Few patients ask Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani about different mouthwash options, so we’ve put together a list of the conditions that mouthwashes can treat. This should help you decide which oral rinse would be best for you.

Gum Health

Antiseptic mouthwashes reduce large amounts of bacteria on and near the gum line and generally help to decrease your chances of developing gingivitis. The key ingredients of antiseptic mouthwashes are antibacterial and antimicrobial items. Antiseptic mouthwash is a preferable option if you are concerned about the general gum health of your mouth.

Fluoride

Fluoride is a great tool for preventive tooth decay treatment. It prevents tooth decay and is great for oral health in general because it kills germs that can live in your mouth. Fluoride also builds stronger teeth. If you’re a bottled water drinker, Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani may recommend that you purchase a simple fluoride rinse to use after brushing.

Bad Breath

Fluoride mouthwash can be used to fight any bad breath issues you may be facing. It’s designed to combat any bacteria that might be building up in your mouth. Most mouthwashes will help eliminate bad breath, but some are specifically designed to address this difficult problem. If you feel as though this might be turning into a chronic problem, please contact Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani to discuss other options that would be effective for treating your symptoms.

American Dental Association (ADA Approval)

The ADA reviews all mouth rinses for safety measures and to prove effectiveness. Any mouthwash approved by the ADA has met strict guidelines according to whether the manufacturer’s claims are supported with scientific evidence. If you’re looking for a quality mouthwash, look for one that has the ADA seal of approval to ensure you have a great rinse for your mouth.

Considerations

When you’re trying to decide which mouthwash to pick, contact our Dallas or ask Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani during your next appointment. If you experience a burning sensation in the soft tissues of your mouth, be sure to discontinue use immediately. Avoid letting children under age six use a mouth rinse, and be sure to keep all mouthwashes out of the reach of children, because they contain alcohol and other substances that could be harmful.

We’ve all learned a lot about keeping healthy lately. Thorough hand washing, disinfecting cell phones and keyboards, wiping down shopping carts and door handles—all these low-maintenance cleaning habits can have a high impact on our health.

So, in that spirit, let’s talk about low maintenance cleaning routines for something you put in your mouth at least twice a day—your toothbrush.

Brushing Habits

Don’t let germs hitch a ride on your toothbrush before you even begin! Make sure your hands are clean before brushing, and rinse off your toothbrush before you put it in your mouth.

After brushing, be sure to rinse your brush carefully to get rid of leftover toothpaste, food particles, and other debris. And don’t forget to clean your toothbrush holder regularly. Talk to Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani or your hygienist when you visit our Dallas office for suggestions for deep cleaning brushes to eliminate bacteria if that’s a concern.

And while we’re talking about germs, how about…

• Flushing Habits

Most toothbrushes share their living space with another bathroom essential—the toilet. Every time we flush, microscopic particles are propelled through the air. And while no definitive relationship has been shown between flushing and disease transmission, closing the toilet lid before flushing is an easy way to reduce unpleasant particle transmission—and reduce the possible risk of toothbrush contamination.

• Airing? Yes!

Keeping a toothbrush in a dark, moist environment is the perfect setting for bacterial growth. Instead, let your toothbrush air dry after use in an upright position. Give it a shake first for a head start on the drying process.

• Sharing? No

We’re not talking about sharing a brush, which you would never do. We’re talking about sharing toothbrush holders. If your brush touches other brushes, you’re probably sharing germs as well as space, which can be especially problematic if someone in the house has immune concerns. Toothbrushes shouldn’t be too close to other toothbrushes, no matter how close you are to the other brush’s owner!

Finally, no matter how well you take care of your toothbrush, there comes a time when you must part with even the cleanest and best-maintained of brushes. After three or four months, bristles become frayed. This means you’re not getting the most effective plaque-removal from your brush. And to be on the safe side, consider retiring your toothbrush if you’ve been ill.

Dental self-care is a vital part of keeping yourself healthy, and a clean toothbrush is a simple way to support your oral health. High impact/low maintenance—win/win.

Imagine this scenario: you go to the dentist to have a cavity filled, and an hour after the procedure you have a runny nose, scratchy throat, and your arms are breaking out in blotchy, red hives. In other words, you’re in worse shape after the visit to the dentist than you were before you walked in to have the cavity fixed. If you experience any of these types of symptoms or side effects, chances are you have a latex allergy.

What is a latex allergy?

A latex allergy is a hypersensitivity to latex proteins. If you have this allergy, the Centers for Disease Control and Prevention recommend that you avoid direct contact with any materials that contain latex. While latex gloves are known to cause allergic reactions in people with a latex allergy, certain metals, plastics, and other materials used in dental care can also cause an adverse response.

A runny nose and itchy eyes are common allergic reactions to latex. However, Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team at Dallas Dental Arts want you to know it can also trigger more severe symptoms, including asthma, wheezing, and cardiovascular and gastrointestinal ailments.

A latex-safe dental environment

Many dental offices screen patients for a latex allergy. This is only beneficial, however, if you’re already aware you have a latex allergy. The best thing you can do to ease your allergies is to find a dentist who has a latex-safe environment. A latex-safe dental environment observes the following protocols:

• All patients are screened for a latex allergy.
• No personnel use latex gloves.
• All latex products are removed from the patient’s vicinity, including rubber dams and elastics.
• Work areas contaminated with latex powder are cleaned frequently.
• Signs are posted to communicate all latex allergy procedures in case of an emergency.

If a latex allergy is part of your medical history, then it’s in your best interest to find a latex-free dental environment. To learn more about latex-free dentistry, or to schedule an appointment with Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani, please give us a call at our convenient Dallas office!

Taking care of your gums is one of the best ways to protect your smile. But sometimes, we treat our gums like an afterthought when it comes to dental care. It might surprise you to learn just how common gum disease is—and how damaging it can be for your oral health.

Surprising Fact #1:

About half of all adults have suffered or are suffering from some form of gum disease. And about half of all children do, too. As we age, the percentages jump—in fact, some studies estimate that eventually 70% of older adults will be affected by gum disease.

Surprising Fact #2:

The major cause of tooth loss in adults isn’t tooth decay or accidents or aging—it’s gum disease.

Surprising Fact #3:

Gum disease is progressive. The gingivitis that begins with a bit of redness or some minor bleeding when you brush might seem like a temporary annoyance. But when ignored, this early form of gum disease can lead to periodontitis, a serious gum condition which causes receding gums, loose teeth, bone and tissue damage, infections, and tooth loss.

Gingivitis

Gum disease begins quietly and invisibly, and it usually starts with plaque. Plaque along the gum line irritates our gum tissue. The body’s immune system responds and triggers inflammation. Gum tissue becomes swollen and red. The gums might feel tender, or bleed easily when you brush or floss.

If you’ve experienced any of these symptoms, it’s time to call our Dallas office. Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani might recommend better brushing and flossing habits, a professional cleaning, and/or an anti-plaque treatment. At this stage, with proper care, gingivitis is reversible.

But left untreated, gingivitis can progress over time until it becomes periodontitis. Periodontitis affects not only gum tissue, but the bone and connective tissue which surround our teeth, supporting them and holding them firmly in place.

Mild Periodontitis

As plaque and tartar continue to irritate gum tissue above and below the gum line, inflammation increases, and the gums begin to pull away from the teeth. This is a problem, because the gums normally surround the tooth roots snugly, protecting them from plaque, bacteria, and other toxins.

When gum tissue pulls away, pockets are created between gums and teeth. These pockets become home to more bacteria, causing more irritation, inflammation, and infection. During this phase, the connective and bone tissue around the tooth’s roots might start to break down.

Moderate Periodontitis

As the disease progresses, pockets become deeper. The structures that hold the teeth in place continue to break down, and the teeth start to loosen. As the gums recede, tooth roots become more vulnerable to decay.

Advanced Periodontitis

When periodontitis has reached the advanced stage, there is significant loss of tissue and bone around the teeth. Teeth become looser and foul breath, pus, and pain when biting or chewing are common. Without prompt treatment, there’s a high risk of tooth loss.

Unlike gingivitis, periodontitis isn’t reversible, and requires professional care. Advanced treatments can do a lot to restore gum health:

• Topical, time-release, or oral medications treat infection.
• Scaling and root planing, which are non-surgical deep cleaning procedures, remove plaque and tartar above and below the gum line, and smooth tooth roots to remove bacteria and help the gum tissue reattach to the teeth.
• Flap surgery treats more advanced gum infection, reducing pocket depth and re-securing the gums snugly around the teeth.
• Bone grafts, gum grafts, and other regenerative procedures are available that help restore and repair tissue damaged by gum disease.

That’s good news, and there’s even better news: Because gum disease is typically triggered by plaque, it’s very preventable.

• Brush carefully at least twice each day for at least two minutes. Don’t forget to brush along the gum line!
• Use floss at least once each day or as directed by Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani. If you have trouble flossing, ask us for the flossing tools and techniques that will work best for you.
• See your dentist regularly to catch and treat early gum disease while it is still reversible.

While gum health is essential for dental health, healthy gums might mean more than just healthy teeth. Scientists are studying the potential links between gum disease and its effects on conditions such as heart disease, diabetes, and arthritis. Gum health should never be an afterthought. Taking care of your gums is one of the best things you can do to ensure a lifetime of healthy smiles.

October 31—Halloween. Fourth Thursday in November—Thanksgiving. And, in between these two favorite autumn holidays, we have November 1—National Brush Day!

Okay, okay. Maybe National Brush Day isn’t quite as well-known as Halloween or Thanksgiving, but we take any opportunity to celebrate your dental health. So, let’s celebrate brushing!

After all, brushing is vital for healthy teeth and gums.

• Brushing is your first line of defense against plaque. Plaque forms all day long. Plaque sticks to your teeth. Plaque is filled with bacteria which produce cavity-causing acids. Brushing regularly means plaque won’t stay on your teeth long enough to cause serious tooth decay.
• Brushing is also important for your gum health. Angling your brush to carefully clean plaque and bacteria away from your gum line helps prevent gum disease.
• Tooth decay is the most common chronic disease among children and young adults. The leading cause of tooth loss in adults is gum disease. Good brushing habits help prevent tooth decay and gum disease—a win/win when it comes to your oral health.

To make the most of the time you spend brushing, let’s take a moment to review some basics on National Brush Day.

Are You Brushing Correctly?

• Big, broad brushstrokes aren’t the answer. Instead, use small up-and-down or circular strokes over each tooth and each tooth surface—outside, inside, and on the flat surfaces of your molars.
• Because plaque forms all day, you need to keep on top of it. Brushing at least twice a day for two minutes each time is a good general rule. Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani will let you know the best brushing schedule for your individual needs.
• Brushes are meant to clean, not to scrub. You don’t need a heavy hand for cleaner teeth.
• Which also means, there’s almost never a good time to brush with a hard-bristled brush. Hard bristles, along with hard brushing, can actually damage your enamel and gum tissue. Stick to a soft-bristled brush for dental TLC.

Are You Taking Care of Your Brush?

• To clean away bacteria and viruses you might have picked up during the day, wash your hands before brushing and flossing.
• Shake your brush dry when you’re finished and then let it air dry upright with the handle pointing down. Only use a case for travel, and make sure it has air holes for ventilation. (Bacteria thrive in a wet environment.)
• If your toothbrush lives in the bathroom, close the toilet seat before flushing to avoid airborne particles.
• No matter how close you are to your family members or roommates, don’t share your toothbrush. Sharing doesn’t mean caring in this case—it means sharing germs. Your brush should keep a healthy distance from other brushes as well.
• And no matter how fond you are of your brush, be prepared to replace it often! Most brushes last three to four months at best, because bristles start to fray and can’t clean effectively after several months of use.

It’s no coincidence that National Brush Day comes right after Halloween, the most sugar-filled holiday of them all. So, how can we mark the occasion?

Treat yourself to a new toothbrush! Take a moment to review your brushing habits. If you have young children at home, spend two minutes brushing together to make sure they’re brushing effectively–they might even have some tips for you! Brushing your teeth properly is one of the easiest things you can do to protect your oral health. That’s something to celebrate!

Why does gum disease develop? Our mouths are home to bacteria, which form a film called plaque. Plaque sticks to the surfaces of our teeth, at the gumline, and can even grow below the gumline. And this bacterial growth leads to inflammation and gum disease.

When the disease progresses, the gums gradually pull away from the teeth leaving pockets which can be home to infection. Toxins can attack the bone structures and connective tissue, which support our teeth. Left untreated, periodontal disease can lead to serious infection and even tooth loss.

Because we are dealing with bacteria, it makes sense that antibiotics are one way to combat gum disease. Depending on the condition of your gums, we might suggest one of the following treatments:

• Mouthwashes—there are mouthwashes available with a prescription that are stronger than over-the-counter antibiotic formulas, and can be used after brushing and flossing.
• Topical Ointments—These ointments or gels are applied directly to the gums, most often used for mild forms of the disease.
• Time-release Treatments—If there is severe inflammation in a pocket, we might place a biodegradable powder, chip, or gel containing antibiotics directly in the affected area. These minute methods release antibiotics over a period of time as they dissolve.
• Pills and Capsules—For more serious periodontal disease, you could be prescribed an oral antibiotic. Take in pill or capsule form as recommended, and always finish the entire prescription.

Talk to Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani at our Dallas office before beginning a course of antibiotics. It’s important to know if you have any allergies to medications, what to look for if you might have an allergy you didn’t know about, if you are pregnant or breast-feeding, or if you have any health concerns that would prohibit antibiotic use. Talk to us about possible side effects and how to use the medication most successfully. With proper treatment, we can treat gum disease as quickly and effectively as possible, and provide advice on maintaining a periodontal routine that will keep your gums and teeth healthy for years to come.

We’re used to seeing athletes wearing mouthguards at practice or play, because dental trauma is one of the most common (and predictable) sports injuries. But it’s not just athletes who are at risk, and there are some events in our daily lives that we just can’t predict. Car accidents, falls, workplace injuries, even innocent playground structures can take their toll on our smiles.

A major chip or a crack in your tooth is upsetting enough, and should be seen by Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani as soon as possible. It’s even more unnerving when a tooth is knocked out completely. The technical term for a tooth which has been knocked out is an avulsed tooth, and it is a true dental emergency.

If you should suffer a partially or completely dislodged tooth, there is a possibility that your tooth can be reimplanted—if the damage isn’t too severe and if you get to our office immediately.

How can a lost tooth be saved? This is possible because of the complex biological engineering that anchors our teeth within the jaw. The root of a tooth is surrounded by the periodontal ligament. This connective tissue attaches the tooth to the alveolar bone of the jaw. When a tooth is knocked out, this ligament splits apart, leaving some tissue on the tooth root and some within the tooth’s socket.

To successfully reimplant a tooth, the connective tissue cells around the root of the tooth need to be vital, so that they can begin to reattach to the connective tissue left in the socket. Over time, this reattachment is complete, and the tooth becomes firmly anchored to the bone again.

It’s important to protect your tooth before you see Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani to make sure there will be enough healthy tissue for reattachment. First of all,

• Don’t panic! If you or a friend or family member lose a tooth, call your dentist or your emergency health care provider as soon as possible. You will get specific instructions for your specific situation.

If you are unable to reach a healthcare provider immediately, there are some general rules for taking care of an avulsed tooth:

• Find the lost tooth. Don’t touch the root—use the crown, or top part of the tooth, to pick it up. You are trying to preserve and protect the connective tissue on the root surface.

• If the tooth is dirty, gently rinse it in milk, saliva, or water. Don’t wipe it off, though. You could damage those connective tissue cells mentioned above.

• Place the tooth back in the socket, if possible. Gently hold it in place with your fingers or bite down (again, gently). You can also place the tooth in your mouth next to your cheek.

• If returning the tooth to the socket is not an option, or if you are worried about a child possibly swallowing the tooth, keep the tooth moist. Whole milk or solutions sold just for the purpose of preserving an avulsed tooth are better choices than water, which damage the tissue cells on the root. And never wrap the tooth tightly—this can also damage the connective tissue.

Above all,

• Don’t delay! The faster a tooth is reimplanted in its socket, the greater chance you have of keeping it. Really, every minute counts. Reimplantations are more successful if they take place within 30 minutes. After an hour out of the mouth, your tooth’s chances of successful reintegration are lower—but still worth pursuing!

What will Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani do?

• Evaluate the avulsed tooth.

There are variables which can affect whether or not a lost tooth is a good candidate for reimplantation. Trying to replace a baby tooth, for example, could interfere with the formation of the adult tooth. An adult tooth that is broken will probably require a different type of treatment.

• Prevent infection.

You might be given antibiotics and a referral to your medical doctor for a tetanus booster if needed.

• Clean the site.

The socket will be gently irrigated to clean the area and to remove any clots that may have formed which can interfere with the tooth’s placement.

• Recommend or perform a root canal.

Nerves and blood vessels within the tooth’s pulp generally don’t recover after a serious traumatic injury, so a root canal procedure could be necessary to preserve the health of your tooth. This procedure might be done immediately, or might be recommended for a later date.

• Stabilize your tooth.

The tooth must be stabilized after being reimplanted, so Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani will use a splint to anchor the tooth to the teeth next to it. The splint can be flexible or rigid, depending on the condition of the alveolar bone. Splinting generally takes from two to eight weeks, and you will be given detailed instructions for taking care of the area while you heal.

Losing a tooth is an alarming experience. But with prompt action, and a trip to our Dallas office, it might be possible to make that loss only a temporary one.

The short answer to this question? Yes. Because your child’s breath is a reflection of his or her oral health, you should talk to Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani if you notice any unpleasant changes. While better dental hygiene is usually the answer for young children, bad breath can also be a symptom of more serious problems.

Oral Hygiene

Most often, bad breath is simply a sign that your child needs a little help developing proper brushing and flossing habits.

• Show your child how to use a soft-bristled brush that fits in the mouth comfortably, be sure to brush all the surfaces of each tooth, and don’t forget to angle toward the gum line. And brush long enough. Once all the baby teeth have arrived, two minutes of brushing is usually recommended for children.
• It’s not too early to floss! Adults need to handle the flossing duties for children until they can manage on their own, so it’s a perfect time to teach technique. And, just like toothbrushes, floss should be flexible and soft.
• Don’t forget the tongue. Our tongues harbor the bacteria that cause bad breath, so finish off your child’s routine with a gentle brush of the tongue.

Better oral habits mean not only fresh breath, but give those baby teeth the best chance of staying healthy until they are naturally replaced by adult teeth. After all, baby teeth not only help your child learn to eat and speak properly, but they act as necessary placeholders so the permanent teeth are able to erupt in exactly the right spot.

Talk to a member of our Dallas office team at your child’s next appointment if you are concerned about oral hygiene–they have many great suggestions for making brushing and flossing more efficient, comfortable, and even fun for your child.

You never know when a dental problem may arise. Unfortunately, they don’t necessarily occur during office hours. Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani can provide you with the proper information and treatment options to prevent the problem from becoming worse.

Abscess

An abscess is a bacterial infection, and will normally cause pain and swelling around the affected tooth and gum area. Though antibiotics are not always necessary, you should be seen by Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani as soon as possible. If left untreated, the infection may grow and cause more serious issues.

Toothache

Toothaches can have many causes. Sometimes it’s as simple as food lodged between your tooth and gums. Rinse your mouth with warm water and try flossing the area to dislodge the particle. If your gums begin to bleed, stop flossing.

Fractures or cavities can also cause toothaches as well as sensitivity to heat or cold. Please schedule an appointment to ensure a minor problem doesn’t develop into a serious one. You may require acetaminophen or another pain reliever before your visit.

If you can’t be treated right away, keep these tips in mind:

• If you have fractured a tooth, rinse the area with warm water to keep the surfaces clean. Apply a cold compress to the outside of your facial area to reduce swelling.
• A tooth that has been knocked out should be kept moist, in a clean container, until you can receive treatment.
• Do not apply aspirin directly to a damaged tooth or gum area, because this can cause tissue irritation.
• If you suspect your jaw has been broken, go to an emergency room immediately.
• If you have bitten or damaged your lips or tongue, rinse your mouth well with warm water. If bleeding continues, seek other medical attention right away.

If you experience an emergency, please contact our Dallas office and provide us with as much information as possible. This way, we can offer recommendations that will assist you until you’re able to arrive for an appointment.

Remember: procrastinating about getting treatment can turn a minor problem into a major one!

It’s common knowledge that you should get your teeth cleaned every six months. But do you know why that timing is crucial? Studies have shown that your oral health connects directly to the rest of your body. Over time, an unhealthy mouth can cause trouble in other parts of your general system.

Undergoing a regular cleaning every six months at our Dallas office is vital. During your dental checkups, we remove plaque that collects on your teeth and around your gums. If the plaque gets left in place for an extended period, inflammation can develop and may lead to painful gum diseases such as gingivitis and periodontal disease.

According to the American Academy of Periodontology, periodontal disease has been linked to increased risk for health conditions such as heart disease, stroke, diabetes, inflammation, and osteoporosis. Bacteria from your mouth can spread throughout the rest of your body. So a healthy mouth leads to a healthy body.

Regular checkups can prevent issues from arising in your mouth if problems are caught early by Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani. If you have been avoiding the dentist, you could be making issues worse for yourself in the long haul. Generally, a dentist will go over a few routine matters during your checkup. They might include taking X-rays, checking for gum disease and tooth decay, examining your bite, inspecting your head and neck for swelling, and of course performing a thorough cleaning of your teeth and gums to remove built-up plaque and tartar. All of these routine practices are worthwhile when it comes to keeping your oral health in top shape.

Now that you know the importance of getting your teeth checked every six months, you should be sure to schedule your next appointment with Dallas Dental Arts at our Dallas location. Keeping your mouth healthy will prevent any form of bacteria from spreading to the rest of your body. If you have any questions or concerns regarding your oral health, don’t hesitate to call and our staff will be happy to assist you.

Congratulations! You’ve made the decision to replace a missing tooth with an implant. While an implant will restore the appearance of your smile, you also know that there are many reasons that an implant will improve your health, too.

A missing tooth causes structural problems as well as cosmetic ones. Remaining teeth can shift to fill the gap, leading to wear and bite problems. Without the stimulation of biting and chewing, bone tissue under the lost tooth gradually shrinks and is resorbed. The shapes of our jaws, cheeks and lips can be affected. Replacing a lost tooth with an implant can not only restore the appearance of your smile, but maintain it.

And implant procedures have a very high rate of success. Implants are made of materials compatible with the body, and surgically placed in the jaw to act as anchors for replacement teeth. The implant will actually integrate with the bone growing around it for strong, stable, and long-lasting support. After the time it takes for the implant to integrate and the area around it to heal, a crown, designed to match your own teeth perfectly, will be securely attached to the implant post.

What can you do to help the healing process? Follow our instructions carefully. Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani will give you suggestions for the time immediately following the procedure as well as instructions on the importance of keeping the area clean while healing takes place. And one very important favor you can do yourself? If you smoke, this is the time to stop.

Studies have shown that smokers have a significantly increased risk of dental problems and implant failures, and there are several theories as to why.

• Smoking slows the healing process. Some studies indicate that smoking impairs blood flow in the gums, so that less oxygen and fewer nutrients are delivered to healing tissue.
• Smokers tend to be more vulnerable to gum disease.
• Smoking has been linked to a weaker immune system, so it’s harder to fight off an infection or to heal from one.
• More marginal bone loss around implants is seen in smokers than in non-smokers.
• Peri-implantitis, an inflammation of the gum tissue around the implant that can lead to bone loss and implant failure, is also more common in smokers.

Now that you have decided on a dental implant at our Dallas office, make one more decision to ensure the success of the procedure. Talk to us about ways to quit smoking before your implant, and how to reduce the chance of smoking-related complications. We know that quitting can be difficult, but your improved smile—and your improved health—are worth it!

Time for some sweet talk! Many studies have been done to figure out why we enjoy sugar so much. Is it brain chemistry? Is it blood sugar getting a bit low? Is it our bodies craving a quick burst of energy?

It’s probably all of the above and more besides. After all, our biochemistry makes use of sugars on a cellular level. The carbohydrates in our diet break down into sugars, and these sugars are the body’s preferred source of energy.

Problems arise when we get too much of a good thing. There’s a difference between the carbs we need to fuel our bodies and the sugars we add to foods for flavor. Too many added sugars in the diet are linked to a number of medical conditions, including obesity, diabetes, heart disease, even prematurely aging skin.

And, of course, a sugar-heavy diet has a direct effect on your oral health.

There’s no way to sugar coat it. Plaque is mainly composed of bacteria, which feed on sugars. As they digest sugar, they produce acids. These acids attack our enamel, dissolving the calcium and phosphorus minerals which keep it strong. Weakened enamel leaves teeth vulnerable to decay, and decay creates cavities.

It’s natural to want a sweet treat every now and then, but without some attention, it’s easy to go overboard with added sugars and empty calories. If you’re searching for a middle way, balancing your love for sweet things with your love for cavity-free checkups, read on!

Be Choosy

• Check and compare labels for added sugars. You’ll be surprised how many foods have a high sugar content, even such health-oriented foods as flavored yogurts, sports drinks, fruit drinks, and protein bars.
• Consider the (sugar) source. White and brown table sugars and syrups break down easily as we’re eating them, adding empty calories which provide little nutrition, and increasing acidic conditions in the mouth.

Fruits, on the other hand, provide vitamins, minerals, antioxidants, and fiber along with their natural sugars. Switch out cookies, cakes, and pastries and their processed sugars for fruit when you crave something sweet.

• Chocolate lovers, don’t despair! It’s true, unless you’re eating 100% cocoa, you are probably getting added sugar in your candy bar. But dark chocolate is rich in antioxidants, iron, zinc, magnesium, and other essential minerals, too. When you indulge in chocolate, give dark chocolate a try.
• Not all candies are created equal! Soft candy bars and candies are healthier for your teeth than sticky or chewy confections, which tend to remain on your enamel for quite some time. Choose a treat that won’t stick with you.

Watch Your Timing

• If you must snack during the day, it’s better to choose foods without a high sugar content. Bacteria use sugars to produce acids right away. Saliva can neutralize acids in the mouth, but it takes at least 20 minutes for the process to start.

More meals mean more sugar, more acid production, and more time for these acids to cause their damage. That’s why we also suggest you . . .

• Eat your favorite dessert with a meal instead of waiting until later. You’ll be able to enjoy it even more knowing you’re limiting your exposure to harmful acids.
• Taking your time is not a good idea when it comes to sweets. We don’t mean you should gobble your food. We do mean that taking sips of sugary beverages throughout the day, or sucking on slowly dissolving candies, gives you a lot more exposure to sugar over a longer period of time.

Small Changes Can Make a Big Difference

• Drink water after enjoying something sweet to help wash away and dilute sugar.
• Straws protect your teeth from a sugar-bath if you are drinking sodas, sweetened energy drinks, or other sugary beverages.
• Sugar-free gum provides a burst of sweet flavor without added sugar. And even better? Chewing gum increases saliva, washing away food particles and acids and bathing teeth in enamel-strengthening minerals.

It’s natural to appreciate a sweet treat every now and then. If you’re not ready for a completely treat-free life, talk to Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani at our Dallas office about the best ways to have your cake and eat it—or even better, to recommend healthy substitutes to satisfy your sweet tooth.

As a parent, you know how important a happy, relaxed atmosphere is when it comes to making your child feel at home. We would like to make our Dallas practice your dental home, where you and your family enjoy the best of dental care in a warm and welcoming environment.

What makes a dental home?

• It’s Welcoming

From your child’s first visit, we strive to make you both feel at ease. Our office is designed to be a happy, entertaining, and relaxing place, and our staff is trained in making little ones feel calm and secure. We want to have a lasting relationship, and we want you and your child to feel welcomed back whenever you return.

• It’s Familiar

We recommend visiting our office for the first time by the time of your child’s first tooth or first birthday. Our early visits are designed to make your child familiar with what a dentist does and how a dentist helps keep children healthy. Regular preventative care will keep those little teeth in great shape, and, if your child has a cavity that needs filling or requires any other dental procedure, we will have a history together and a familiar place to experience an unfamiliar treatment.

• It’s Comfortable

We use state-of-the-art dentistry to make sure your child has the best and most comfortable treatment as a patient, and we also consider the psychological aspect of each visit for your particular child. We are experienced in dealing with children who might feel anxious and working with them to overcome their worries. Part of our job is to make each visit a happy one, so your child is always comfortable visiting us.

• It’s Ongoing

We want to establish a relationship that will last through the years. Continuity of care means that we are able to follow your child’s dental development during those active growing years and the transition from primary to permanent teeth. We provide not only dental health education, treatment, and preventive care, but can track any changes or potential problems before they become major issues. In case of a dental emergency, we will be familiar with your child personally, and with a dental history at hand.

Give Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani a call to talk about your child and how we can make the dental experience a positive one from the very beginning. When it comes to establishing a happy and healthy foundation for your child’s dental history, there’s no place like our dental home!

The “Back to School” ads are out already? Halloween candy’s showing up in stores? Just a minute—summer isn’t quite over yet! While the days are still warm, let’s look at a few cool ways to keep your smile bright with some healthy dental options:

• Healthy Drinks

Hot summer days mean it’s time to hydrate. But sodas, fruit drinks, and sports drinks can have a lot of added sugars, which can mean added cavities. They can also be quite acidic, and acids break down tooth enamel. So, what to reach for on a hot day? Water!

Water is a good choice whenever you’re thirsty. Water is essential for healthy bodies and for healthy teeth and gums, too. Water helps wash away food particles that feed the cavity-causing bacteria in plaque. Acids in our foods and drinks break down tooth enamel, and water helps balance out those acids. If you have fluoridated water, fluoride makes enamel stronger and even helps reverse early decay. And it’s easily available and very cost effective!

• Healthy Gear

Make sure that healthy smile you worked so hard for stays looking its best with protective gear:

• A mouthguard will help protect your teeth and mouth from contact with hard surfaces and hard bodies when you’re enjoying biking, baseball, hoops, and other activities.
• If you have a retainer, wear it as directed. Retainers keep your teeth from moving out of position while your jawbones rebuild strong bone tissue around them.
• If you suffer from bruxism, your nightguard protects your teeth and jaws from tooth-grinding damage, so don’t forget to use it nightly.

Your appliances protect you, so return the favor and make sure your appliances stay healthy by cleaning them after use and storing them in their protective cases.

And remember to replace another piece of protective equipment regularly—your toothbrush. If you haven’t replaced your toothbrush for several months, it’s time to go shopping. Toothbrushes wear down over time, and, after three months or so, can’t clean plaque as effectively. Which reminds us . . .

• Healthy Habits

Even as we take advantage of the end of summer with last minute camping, or travel, or action-filled weekends, one thing should stay on schedule—regular brushing and flossing.

You should be brushing twice a day, for two minutes each time. If it’s hard to time yourself, try playing a favorite two-minute song or using a timer or even a brushing app. And don’t forget to floss! Floss gets into spaces where bushes can’t to remove plaque. Floss once a day to keep your teeth their cleanest.

Finally, don’t forget to schedule regular dental appointments at our Dallas office for a cleaning and exam with Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani.

Summer’s almost over, but these healthy tips work in fall, winter, and spring, too—for a smile that’s sunny and bright all year long!

Your beaming smile makes a sunny day even brighter—and that sunny day can return the favor! How does the sun affect your dental health? Let’s shine some light on the subject.

You may have heard how important calcium is to your body. Over 99% of the calcium in our bodies is used to form teeth and bones, providing strength and structure to the hardest parts of the body. But that’s not the only task on the calcium to-do list. Calcium is also necessary for:

• muscles to work
• nerves to carry messages
• blood to deliver nutrients and oxygen
• the release of hormones

When we don’t get enough calcium in our diets, our bodies start to draw the calcium they need for these critical functions from our teeth and bones. Over time, a severe calcium deficiency can lead to teeth that are brittle, or more vulnerable to decay, or loose due to weakened bone density in the jaw.

We can get the calcium we need from a balanced diet. Dairy products are our most common source of calcium, and several servings of milk, cheese, or yogurt each day supply most of our needs. If dairy’s not on your menu, though, you can get calcium from other foods like broccoli, kale, collard greens, canned salmon, or sardines. Because calcium is so essential to our health, many foods are fortified with it, including fortified juices, bread, cereals—even tofu!

But there’s a snag here, and it’s a big one. We can’t really benefit from our careful consumption of calcium without the help of vitamin D. If calcium is the doorway to strong teeth and bones, vitamin D is the key that unlocks all of calcium’s benefits.

Without enough vitamin D, our bodies can’t absorb and make use of calcium. However, getting enough of this essential vitamin can be a problem. While we can get most of the vitamins we need from a balanced diet, there aren’t a lot of foods which are naturally rich in vitamin D.

So, how do we get this vital vitamin? The original option comes from nature.

• Sunlight

Vitamin D is called “the sunshine vitamin” because of the unique chemical reaction that creates it. When the ultraviolet B rays of the sun reach special cells in our skin, they convert cholesterol in these cells to a basic form of vitamin D. These vitamin molecules travel through the body, picking up hydrogen and oxygen molecules in the liver and kidneys to become active vitamin D.

Since sunlight exposure is easy, available, and free, it seems like a simple solution to getting the vitamin D we need.

But we’ve understandably moved away from the days of basking in the sun for hours at a time. Over-exposure to UV rays damages the skin, causing premature aging and, worse, a much greater risk of skin cancer. If you enjoy time in the sun, talk to your doctor about safe sun exposure, which can depend on the part of the country you live in, the time of year, and your individual skin type.

And, if you need to avoid sun exposure, there are other opportunities for getting the vitamin D you need.

• Diet

While there aren’t a lot of foods which are naturally rich in vitamin D, there are still a few options on the menu. Oily fish like salmon, tuna, and herring—and old-fashioned cod liver oil—are good sources of the vitamin. But most of us don’t live on a strict fish diet!

Instead, we can get the vitamin D we need from fortified foods. Vitamin D is commonly added to cow’s milk, soy milk, orange juice, and cereals to make sure the calcium in our diet is working effectively to keep our teeth and bones strong. Check out nutritional labels to discover whether your favorite grocery products contain vitamin D.

• Supplements

For hundreds of years, people who lived in climates and cities without a lot of sunshine suffered from the effects of vitamin D deficiency. Diseases like rickets, where the teeth and bones don’t form properly, were common in children. Adults who couldn’t absorb enough calcium suffered from weak teeth and bones.

Today, depending on age, allergies to sun or food products, dietary choices, and health conditions, some people are still at risk for vitamin D deficiency. If you’ve been diagnosed with this deficiency, your doctor might recommend a vitamin D supplement. (It’s important to take any supplement as directed, because taking too much vitamin D can be harmful, too.)

So, which form of vitamin D is best? Fortified foods? Supplements? Or is it that radiant original source—the sun? No need to worry. With any form of vitamin D, you’re getting the key you need to unlock the benefits of the calcium in your diet—benefits which make healthy teeth and bones possible.

If you have any concerns, talk to Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani at our Dallas office about whether you’re getting the vitamin D you need. Your sunny smile will thank you!

Many parents have concerns about their children’s teeth not falling out on time. Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team are here to answer any questions parents may have about when children lose their teeth.

Children have 20 primary teeth that come in around age three. By about age six, these teeth will loosen and begin to fall out on their own to make room for the permanent ones. It is common for girls to lose their baby teeth earlier than boys. Most children lose their final baby tooth by age 13.

Baby teeth normally fall out in the order in which they came in. The lower center incisors are usually the first to fall, around age six or seven, followed by the upper central incisors.

If a child loses a tooth to decay or an accident, the permanent tooth may come in too early and take a crooked position due to teeth crowding. If your child loses a tooth to decay or accident, call Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani to make an appointment.

Some kids can’t wait for their baby teeth to fall out, while others dread the thought of losing a tooth. When your child begins to lose teeth, you should emphasize the importance of proper dental care on a daily basis to promote a healthy mouth.

Remember to:

• Remind your child to brush his or her teeth at least twice a day and offer assistance if needed
• Help your child floss at bedtime
• Limit eating and drinking between meals and at bedtime, especially sugary treats and drinks
• Schedule regular dental visits for your child every six months.
• Ask about the use of fluoride treatments and dental sealants to help prevent tooth decay.

Call Dallas Dental Arts to learn more about caring for baby teeth or to schedule an appointment at our Dallas office!

Inflamed gums are a fairly common dental issue, but unfortunately, many people don't take the problem seriously enough. If you ignore inflamed gums and continue your usual routine, you could be encouraging a much more severe inflammation problem, and the pain that goes along with that. Fortunately, it is quite easy to relieve inflamed gums if you use the tips below.

Use Soft Bristles

A soft-bristle toothbrush - the softest you can buy - is a must for anyone with inflamed gums. Anything that makes contact with your gums can cause you pain, so fine and soft bristles are always the best choice.

Use Sensitive Formula Toothpaste

The toothpaste marketed as “Sensitive Teeth Formula” contain special ingredients to help relieve sensitivity. When your gums are inflamed, even light brushing can cause some pain. Using a special toothpaste will help reduce that pain and make it easier to brush your teeth effectively. The effect becomes stronger as you use the toothpaste more, so use it for each brushing.

Visit Our Office

If your gums remain swollen for more than a few days or a week, set up an appointment with Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani. There is a long list of conditions that could be causing your swollen gums, everything from gum disease to pregnancy, so you need to find out where your issue is coming from. Most of the time, Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani can easily treat the swollen gum issue at our Dallas office, or can give you an effective treatment to take home.

“I have been going here for almost a decade. One of the only times I go downtown anymore, but that is another element that makes it so fun. Parking and traffic are always no problem. The view is amazing and the staff is top notch. Dr. Allen and her team are skilled, kind and bubbly. And Dr. Allen served in the armed forces as a dentist so it is a wonderful feeling to support our troops as an added bonus.” - Heather

It’s Back to School Month! We are hurrying to get all our students in before school starts, especially our out-of-town college students! As a result, we are booking in advance.

To help us best accommodate you, please try to give us as much time as possible before school starts to find you an appointment. We work hard to plan at our office and will do our best to schedule your next dental cleaning before you leave your appointment. If you can give us a month’s notice for scheduling, that will allow us more time to help you.

Our office hours during the school year are from 8am to 4pm. We do have reserved dental cleaning appointments at 7am for students, teachers, and other professionals that need to start their day early! Regular visits to the dentist are important because your dental and overall health have a direct correlation. Patients with pre-existing systemic conditions linked to poor oral health should be seen regularly. These include diabetes, heart disease, cancer, and pregnancy.

For those feeling insecure about their smile leading up to back to school, freshening up your smile with a teeth-whitening procedure is the easiest and safest way to improve your smile. Several whitening options exist, including in-office. We would be happy to discuss options with you.

Our office is happy to offer sports guards for your school athletes of all ages. Make sure to book your appointments soon to ensure you’re ready for the new school year!

Here we are in the middle of the hottest time of the year. Yes, it’s the dog days of summer. But, wait—just what are “the dog days of summer,” anyway?

The ancient Greeks and Romans coined this term for the longest, warmest days near the end of summer when Sirius, the Dog Star, shone in the night sky. And it’s a Sirius (we couldn’t resist!) reminder that while we need to look after our own dental health during sizzling summer days, it’s essential to look out for our pets, too.

• Brushing Regularly

Sure, it’s summer, but relaxed, casual days shouldn’t mean relaxed, casual dental care.

The leading cause of tooth loss in dogs is gum disease. When plaque builds up around the gum line, it irritates gum tissue, causing inflammation. After a time, the gums pull away from the teeth, leaving pockets that become infected. Infection destroys bone tissue, leaving your poor pet with loose or missing teeth.

It’s a good idea to train your dog from puppyhood to let you brush or clean their teeth. Your vet can show you the best techniques.

Use special handled brushes or finger brushes to comfortably reach your dog’s teeth, and use pastes made just for dogs to protect your pet from swallowing the cleaners and abrasives we humans spit out after brushing. There are also single use dental wipes if your pup is no fan of the brush. If your pooch protests, talk to your vet for the best ways to keep your furry pal’s teeth and gums clean and healthy.

When it comes to preventive dental care, we humans have something in common with our best friends—gum disease is the most common cause of tooth loss in people, too!

Don’t let the lazy days of summer lead to lazy dental care. Brush at least twice a day for at least two minutes each time and floss once a day to keep bacteria and plaque from accumulating. A professional cleaning at our Dallas dental office will get the plaque you might have missed, remove tartar buildup, and let you know if there are areas you might be missing.

While you’re looking out for your best friend in these dog days, look out for yourself, too! Dental hygiene, proper hydration, a healthy diet—and regular professional checkups and cleanings for you both—will make sure you and your bestie will enjoy the dog days of summer with paws-itively beautiful smiles.

Our teeth are a lot more complicated than they look. Beneath that shiny white surface is an entire system of different cell tissues working together to keep each tooth vital and healthy.

• Enamel, the protective exterior of the crown (the visible part of the tooth), is the strongest substance in the body and the first line of defense against damage to our teeth.
• Dentin, the hard tissue under the enamel and cementum, has microscopic tubules that connect to the pulp.
• Pulp, the tissue at the center of the tooth, contains the nerves, blood vessels, and connective tissue that keep the tooth alive.
• Cementum, composed of connective tissue which forms the protective exterior of the root, also attaches to fibers in the periodontal ligaments which hold the teeth securely in the jaw.

Because cementum is below the gum line, it’s generally safe from the cavity-causing conditions that our enamel is exposed to every day. But there are still potential hazards that we should be aware of.

• Cementum Erosion

With a name like “cementum,” it’s logical to assume that this is the hardest tissue in the body. Actually, however, that distinction goes to our enamel. And if even our enamel can be damaged by bacteria and plaque, cementum doesn’t stand a chance!

How does cementum come in contact with cavity-causing bacteria? Gums often recede as a natural part of the aging process, leaving part of the root exposed. Gum disease, failure to brush and floss regularly, and heavy-handed brushing can lead to early gum recession. The newly exposed cementum is now exposed to the same conditions, which cause cavities in our enamel. But a root cavity can be trickier to treat and, because the cementum is not as strong as enamel, can progress more quickly. And if a cavity reaches the pulp, a root canal could be necessary.

But the erosion of cementum doesn’t have to result in a cavity to cause discomfort. When cementum is removed, the dentin beneath is exposed. Dentin, you’ll recall, contains tiny tubes that connect to the pulp of the tooth. The result? Conditions such as heat, cold, even an intake of air can cause tooth sensitivity as they stimulate the nerves in the pulp. If your hot coffee or ice cream cone is suddenly causing you pain, let us know. There are treatments, which can reduce tooth sensitivity.

• Gum Disease (Periodontitis)

In more severe cases of gum disease, the gums pull away from the teeth leaving pockets, which harbor plaque and bacteria. Left untreated, these pockets can become home to infections, which attack and destroy bone structure and connective tissue. Caught early, a treatment called tooth scaling and planing can help. In this type of deep cleaning, your dentist or endodontist will remove plaque and tartar and then smooth the root surface to make it harder for bacteria and plaque to stick. If the gums have receded too far, a gum graft might be necessary to protect the exposed roots.

• Trauma

The same traumas that can damage teeth above the gum line can result in injuries below it. Chewing on hard objects (ice, hard candies, wooden pencils), bruxism (tooth grinding), and sports injuries or accidents can cause cracks in the cementum. If your root is split or fractured, it might be possible to save your tooth, but sometimes extraction is the best option.

So how do you protect your cementum, hidden as it is under your gum line? The same way you protect the more visible parts of your teeth!

• Keep to a healthy daily routine of brushing and flossing. This will help prevent gum disease and keep gum recession at bay. Using a soft brush and brushing firmly but gently will remove plaque while protecting both enamel and cementum. If you notice tooth sensitivity, give us a call!
• Come in to our Dallas office for regular dental exams. The best treatment for gum disease is prevention. When you come in for regular checkups, we are able to discover early signs of gum disease before it becomes a serious problem. If you are suffering from more advanced periodontitis, there are treatments available.
• Safety first when it comes to your smile. If you chew on hard objects, talk to Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani about how to break the habit. If you grind your teeth, see us for solutions. If you play sports, let us know—often a mouthguard can help protect your teeth from injuries that could otherwise lead to more complex procedures or even tooth loss.

Maintaining your healthy dental habits is a lot like cementum—the foundation of a beautiful smile. Nothing complicated about that!

That’s a good question! But first, we’re going to do that roundabout thing where we consider other questions before circling back to our original topic. Trust us, we’ll get there!

• Why Get Your Teeth Cleaned Professionally?

Before you consider how often to have your teeth cleaned, you might be wondering why you need to have them cleaned professionally at all. After all, you’re doing all the right things. You brush twice a day for two minutes each time. You floss at least once a day. You even use a soft-bristled brush to protect your enamel. Shouldn’t this be good enough?

Conscientious dental hygiene at home is a very good thing, but, when it comes to plaque and tartar, it might not be good enough. Plaque, especially between the teeth and along the gum line, is easy to miss. In a matter of days, that overlooked plaque hardens and becomes tartar. While you can do a lot to remove food particles and plaque at home, once plaque hardens into tartar, a professional cleaning is necessary to remove it safely.

• Why Worry About Plaque and Tartar You May Have Missed?

Because you want to avoid cavities and gum disease. You know that the bacteria in plaque cause tooth decay, but did you know that plaque and tartar can be a real problem for your gum health as well? Plaque and tartar irritate delicate gum tissue, causing inflammation and gingivitis (mild gum disease). If you have chronic bad breath, if your gums are swollen, red, or painful, if your gums bleed easily when you’re brushing and flossing, you might have gingivitis.

Left untreated, mild gum disease can become periodontitis, a more serious condition. Irritation and inflammation cause gum tissue to pull away from the teeth, forming deep periodontal pockets where bacteria and infection spread. Infection and inflammation response damage the bone and tissue supporting the teeth, and teeth become loose or lost altogether. In fact, periodontal disease is the leading cause of tooth loss in adults.

A professional cleaning at our Dallas is one of the preventive steps you can take to reduce your risk of gum disease.

• What Happens During a Cleaning?

First, your teeth and gums will be checked carefully to see if there are any problems that we need to address before the procedure begins.

The first step in cleaning usually involves removing plaque and tartar. This may be done with an ultrasonic scaler, a hand scaler, or a combination of both. Plaque and tartar need to be scraped from tooth enamel above and below the gum line to prevent cavities and gum disease, so this is definitely a job for a dental professional. Gum attachment around the teeth will be checked, and shallow pockets will be cleaned. Your dentist will have suggestions if you have deeper periodontal pockets caused by gum disease.

After all the plaque and tartar have been removed, your teeth will be polished with a gentle abrasive to remove surface stains. There are two common methods of polishing: applying a special gritty toothpaste with a small rotating cup, or air polishing, which uses a stream of fine abrasive powder, water, and pressurized air. (If you have your teeth cleaned more than twice a year, your dentist will let you know if polishing is advisable during every visit.)

Next, flossing. A professional flossing will remove any remaining plaque from between the teeth. This is a good time to double check your own flossing technique and ask for any tips which will make your personal flossing more effective.

Finally, after rinsing, a fluoride treatment might be applied to strengthen your enamel, and you’re good to go. The entire process usually takes between 30-60 minutes.

• So, How Often Should You Have Your Teeth Cleaned?

That is a good question, and we did get there! But we don’t have just one answer for you. As with every aspect of your dental care, Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani will recommend cleaning treatments and procedures with your specific dental needs in mind.

• If your teeth and gums are healthy, and you don’t have periodontal disease or risk factors for periodontal disease (such as smoking, a family history of gum disease, or medical conditions such as diabetes), you might be able to get by with two cleanings each year.
• If you have a history of periodontal disease, or are at higher risk for periodontal disease because of one or more risk factors, Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani might recommend more than two cleanings each year.

Professional cleanings play an important role in your preventive dental care. Whether it’s done once a year, twice annually, or more often as needed, a cleaning performed by a dental professional takes only a short amount of your time and provides you with long-term benefits—not only a brighter smile, but healthier teeth and gums!

Over time, everyone’s teeth can naturally become dull, due to aging and consumption of staining foods such as chocolate and coffee. The good news is that teeth-whitening treatments can help you maintain white teeth that last a lifetime.

Get Regular Treatments

Regular treatments at Dallas Dental Arts are necessary to keep your teeth white for life, since whitening treatments are only temporary. Bleaching too frequently, however, can wear away your tooth enamel.

The effects of in-office bleaching are safe and can last for several months to a year. You may need to repeat your use of at-home bleaching kits every few months to maintain your white teeth. As far as day to day, whitening toothpastes are safe to use on a daily basis. The American Dental Association suggests you ask your dentist for advice on which treatment is best for you.

Have Realistic Expectations

Everyone’s teeth are different and, according to the American Dental Association, not all smiles can be turned bright white. Teeth can naturally be a light yellowish color that responds well to teeth-whitening procedures, but bleach is not likely to be effective for grayish teeth. Results for brownish teeth fall somewhere in between.

Practice Good Oral Hygiene

Good hygiene is imperative for teeth-whitening efforts. Visible fillings, implants, or bridges that are metallic can be visible against the white color you desire. These treatments can be prevented by maintaining a good oral hygiene routine.

In addition to brushing your teeth twice a day to remove dirt and potential staining agents, keep the following tips in mind:

• Floss every day
• Visit our Dallas office every six months
• Rinse your mouth with water after each meal and snack
• Limit sugary and starchy foods and beverages, especially between meals

We turn on the tap and it comes rushing out. We walk down the hall at work or school and stop at the fountain without even thinking about it. It’s the one item on the menu we most likely won’t have to pay for. Let’s face it—we’re probably taking water for granted. So let’s take a moment and look at the many wonderful things that drinking water does for our teeth and dental health!

• Cleaning Our Mouths

We can’t always brush right after eating to get rid of food particles. Bacteria feed on the sugars and starches left behind, and produce acids that lead to tooth decay and gum disease. Drinking water with our meals washes away lots of this food residue and dilutes the amount of acid our teeth are exposed to. 

• Protecting Our Teeth

Water helps with saliva production, and saliva distributes important minerals such as fluoride and calcium to our teeth. This process helps strengthen enamel that might have been eroded by acidic foods and bacteria and makes our enamel less vulnerable to cavities.

• Preventing Cavities and Dry Mouth

Fluoride is a mineral that strengthens the structure of our teeth. Because so much of our water is fluoridated, you can get this essential mineral with every glass. If you don’t have access to fluoridated water, or if you tend to drink only bottled water (which may or may not have fluoride), please talk to Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani about the best way to strengthen and your teeth and help prevent cavities.

Drinking the recommended amount of water per day also helps prevent dry mouth, a condition caused by decreased saliva production. Saliva not only helps remineralize our teeth, as mentioned above, but also works to wash away bacteria and acids that lead to cavities, gum disease, and bad breath. Luckily, we can help ourselves stay hydrated with most liquids, as well as fruits and vegetables that are rich in water content. But the easiest, most effective and often least expensive way to hydrate is with water.

Water just can’t be taken for granted. It’s a marvel of cleaning, protection, and prevention—and it’s calorie-free!

At Dallas Dental Arts, we know that as many as one in 88 children today have some form of autism, a complex brain disorder that affects a child's ability to communicate or form relationships, and makes a child appear distant, aloof, or detached from other people or surroundings. Autism varies widely in symptoms and severity, and some people have coexisting conditions such as intellectual disability or even epilepsy.

That is why Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team are specially trained to provide dental care to the entire special needs community, including autistic children. We know that a visit to the dentist with an autistic child can be difficult. In addition to the common fears associated with strangers, there are also unfamiliar sounds, sensations, bright lights, and tastes with which your child may not be comfortable. We work with parents to make sure visiting the dentist is not so traumatic for our autistic patients.

Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team also know that patients with autism may be more interested in equipment and instruments than in us. We show our patients every piece of equipment we are going to use in a way that they can understand. We also allow a patient to sit in a parent's lap in the open bay if he or she is not feeling at ease. We want your child to enjoy getting to know us and to be comfortable while under our care.

A pleasant, comfortable visit at our Dallas office builds trust and helps put your child at ease for future appointments. Before a visit, we ask parents or guardians to bring their child's favorite toy, comfort item, music, or other coping device their child requires. We have a caring and compassionate team and know how to help autistic children acclimate themselves to a dental environment. We may not get everything done at the first visit, but we are able to schedule several appointments so that your child can get used to our office, the dentist, instruments, and our staff.

Children, especially those afflicted with autism, are not born with a fear of the dentist, but they can fear the unknown. Our team at Dallas Dental Arts genuinely cares for our patients beyond their teeth, and are more than happy to discuss any concerns you may have, as well as answer questions about your child's ongoing dental treatment. Please give us a call to learn more or schedule an appointment with Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani.

You make sure your daughter wears her mouthguard to every soccer practice. Your son doesn’t step on the basketball court without his. Why not protect your smile as well?

Athletes of all ages in team or recreational sports can help prevent dental injuries with a protective mouthguard. If you bike or ski, play racquetball or squash, skate, or sky dive, a mouthguard will help keep your teeth and gums healthy as you keep fit.

Mouthguard Options

Our office will be happy to talk to you about whether a mouthguard is a practical addition to your workout gear. There are many options available to you, including:

Stock: Preformed appliances available at sporting goods stores and drugstores. These are the most affordable, but are a one-size-fits-all option and may not be a comfortable fit for you.

Boil-and-Bite: Also available at sports shops and drugstores. This guard is formed by placing it in hot water and then biting down to allow it to conform to the shape of your mouth.

Custom: Our Dallas office can create a personalized mouthguard just for you. Individual mouthguards are the most durable and comfortable option, in general, and provide the best fit for ease of talking and breathing while exercising. You may also have special dental conditions, such as the placement of crowns or braces, which could be a factor in your decision.

Whichever option you choose, remember to wear your mouthguard regularly while exercising. A proper mouthguard cannot only help prevent injuries to your teeth, but to your face and jaw as well. A healthy smile and a healthy body are a winning combination. The next time you visit Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani, let’s talk sports!

By now, everyone knows that smoking is bad for you. But the truth is its broad-reaching health effects are not all known by everyone. This is especially true of oral health. Smoking can have serious repercussions in this regard. To give you a better idea of how smoking can affect your oral health, Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team have listed some issues that can arise.

Oral Cancer

Oral cancer can have steep ramifications for anyone that gets it. Surgery can be required to eliminate the cancer before it spreads to more vital parts of your body. Any type of cancer is about the worst health effect you can get, and this especially holds true to the affects that smoking has on your mouth. The type of mouth surgery required with oral cancer can leave your face deconstructed in certain areas, and it is all due to smoking or use of other tobacco products.

Tooth Discoloration and Bad Breath

At the very least, it is fair to say that as a smoker you will often have bad breath, and while you may try to cover it up with gum or mints, tooth discoloration is a whole other story. The chemicals and substances in cigarettes stick to your teeth staining them brown and yellow colors that are increasingly difficult to disguise.

Gum Disease and Loss of Bone

Another effect of smoking is the increased risk of gum disease. Your gums may start to recede, which can eventually lead to the loss of teeth. Smoking can also increase bone loss and density in your jaw which is vital to the health of your mouth. Gum disease and bone loss are two signs that smoking is definitely bad for your mouth.

When it comes to the health of your mouth, the question is not whether smoking affects your health, it's how does it affect your health and to what degree. If for no other reason than because smoking involves your mouth as its entry point, it is safe to say that it can have long-lasting and detrimental consequences on your oral health.

To learn more about smoking and your oral health, contact our Dallas office to schedule an appointment with Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani.

Father’s Day is coming up, and, just in case your dad has enough ties, we have some gifting suggestions for you. Here’s a selection of gifts large and small tailored to your dad’s interests and his dental health.

• The Outdoor Dad

If your dad is happiest out camping, or his most relaxed at the lake fishing, or gets rid of stress with a 20-mile hike, help your dad stay happy, relaxed, and stress-free with an emergency dental kit for any unexpected problems which might crop up during his adventures.

You can find these lightweight kits in sporting stores and online. Supplies like cotton rolls, dental floss, oral pain relievers, a dental mirror, and even temporary fillings are included, because, as your dad no doubt told you, it’s always best to be prepared!

• The High-Tech Dad

For the dad who’s first with the latest in smart phones and tablets, a new smart toothbrush might tick all the boxes.

Modern electric toothbrushes have plenty of options for the tech-savvy. They come with different settings for brushing and massaging. They can let your dad know if he’s brushed long enough (two minutes, please!), if he’s brushing too hard, or when the brush head needs to be retired. Smart models even link to apps, which can, among other things, map out any missed spots in his brushing coverage or suggest more effective brushing angles.

• The Dad on the Go

With his active life, any gift which makes your dad’s busy schedule run more smoothly is a good thing—such as a portable kit filled with dental necessities.

A travel toothbrush, a small tube of his favorite toothpaste, a compact mirror, dental picks, dental floss, and a mini-bottle of mouthwash are great basics for a confident smile any time of day. Put everything in a sturdy lightweight travel bag. And don’t forget to include a pack of sugarless gum! Sugarless gum helps increase saliva flow (for better hydration) and decrease oral acidity (to help prevent enamel erosion).

• The Dad with Gourmet Taste

If your dad has foodie tastes, a thoughtfully curated gift basket is a great idea for pleasing his palate and supporting his dental health.

Include items like cheeses, which are full of calcium and phosphorus for strong teeth. Fresh fruits provide vitamins for healthy teeth and gums. Nuts offer plenty of tooth-healthy minerals and vitamins, as well as packing a protein punch. For your dad’s sweet tooth, dark chocolate (at least 70% cacao) is a great source of antioxidants, iron, zinc, magnesium and other valuable minerals. It’s lower in sugar content, and some studies suggest that dark chocolate has cavity-fighting properties and supports gum health.

• The Athletic Dad

He can deke the goalie, throw a perfect spiral, and hit those threes from downtown. Or, at the very least, he gives his favorite sport his best shot! If your dad has some of his happiest moments, win or lose, on the ice, the gridiron, the court, or any other sporty venue, consider a custom mouth guard to protect his winning smile.

Custom guards are more comfortable than store-bought options because they are molded to fit the user’s teeth and mouth precisely. This is especially helpful for those with dental work like braces or bridges. And, because the fit is custom, breathing and talking are easier.

• The Picture-Perfect Dad

Your dad’s smiles light up family photos! And if he’s ever expressed an interest in lightening and brightening that beautiful smile, a professional whitening treatment might be a perfect gift.

Professional whitening at our Dallas office is the most effective way to brighten teeth, with results which are generally faster and more long lasting than over-the-counter treatments. And it’s done with your dad’s dental health in mind, with a checkup to make sure his teeth are in perfect shape before whitening, and with protective measures in place for sensitive mouth and gum tissue.

Of course your dad will appreciate another tie, or any other traditional gift, because you give it to him. But just in case you’re looking for something a little different to celebrate Father’s Day, choose a dental-healthy gift designed with your dad in mind—so you can celebrate his smile for years to come!

In years past, it was often recommended that dental patients who had a history of heart problems or other conditions, such as joint implants, be given antibiotics before any dental work. This pre-treatment is called prophylaxis, based on the Greek words for “protecting beforehand.” Why would Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani suggest this protection? It has to do with possible effects of oral bacteria on the rest of the body.

Our bodies are home to bacteria which are common in our mouths, but which can be dangerous elsewhere. If these oral bacteria get into the bloodstream, they can collect around the heart valve, the heart lining, or blood vessels. A rare, but often extremely serious, infection called infective endocarditis can result.

It is no longer recommended that every patient with a heart condition take antibiotics before dental procedures. Doctors worry about adverse effects from antibiotics or, more generally, that an overuse of antibiotics in the general population will lead to more strains of antibiotic-resistant bacteria.

There are some patients, however, who are at a higher risk of developing infective endocarditis, and who should always use preventative antibiotics. Generally, premedication is advised if you have one of these risk factors:

• A history of infective endocarditis
• Certain congenital heart conditions (heart conditions present since birth)
• An artificial heart valve
• A heart transplant

Your cardiologist will know if prophylaxis is advisable, and if you are taking any drugs which could interact with antibiotics. Always talk to your doctor about any dental procedures you are planning, particularly if they are invasive procedures such as gum surgery or extractions.

If you believe you would benefit from antibiotics before dental treatment at our Dallas office, the most important first step is to talk with your doctors. We are trained to know which pre-existing health conditions call for prophylaxis, which dental procedures require them, which antibiotics to use, and when to take them. Tell us about any health conditions you have, especially cardiac or vascular issues, and any medication allergies. Working with you and your doctor to protect your health is our first priority, and having a complete picture of your medical health will let us know if antibiotic prophylaxis is right for you.

Learning to suck their thumbs is one of the first physical skills babies acquire. In fact, ultrasound images have revealed babies sucking their thumbs in the womb! Babies have a natural sucking reflex, and this activity is a normal way for your baby to soothe herself.

If your toddler still turns to her thumb for comfort, no need to worry. Most children give up this habit as they grow, and generally stop completely between the ages of two and four. But what of the child who doesn’t? Should you encourage your child to stop? And when?

When Thumb Sucking Becomes a Problem

After your child turns five, and certainly when her permanent teeth start to arrive, aggressive thumb sucking is something to watch for. This type of vigorous sucking, which puts pressure on the teeth and gums, can lead to a number of problems.

• Open Bite

Our bites are considered normal when the upper teeth slightly overlap the lower where they touch in the front of the mouth. But with aggressive thumb sucking, teeth are pushed out of alignment. Sometimes this results in a condition called “open bite,” where the upper and lower teeth don’t make contact at all. An open bite almost always requires orthodontic treatment.

• Jaw Problems

Your child’s palate and jaw are still growing. Aggressive thumb sucking can actually change the shape of the palate and jaw, and even affect facial structure. Again, orthodontic treatment can help, but prevention is always the better option!

• Speech Difficulties

Prolonged thumb sucking has been suggested as a risk factor for speech disorders such as lisping, the inability to pronounce certain letters, or tongue thrusting.

The consequences from aggressive thumb sucking can be prevented with early intervention. What to do if you are worried?

Talk to Us

First, let us reassure you that most children stop thumb sucking on their own, and with no negative dental effects at all. But if your child is still aggressively sucking her thumb once her permanent teeth have started erupting, or if we see changes in her baby teeth, let’s talk about solutions during an appointment at our Dallas office. We can offer suggestions to help your child break the habit at home. There are also dental appliances available that can discourage thumb sucking if your child finds it especially hard to stop.

Work with your Child

• Be Positive

Positive reinforcement is always best. Praise her when she remembers not to suck her thumb. Make a chart with stickers to reward every thumb-free day. Pick out a favorite book to read or activity you can share.

• Identify Triggers

Children associate thumb sucking with comfort and security.  If your child turns to her thumb when she’s anxious, try to discover what is bothering her and how to reassure her. If she automatically sucks her thumb when she is bored, find an activity that will engage her. If she’s hungry, offer a healthy snack.

• Talk about It!

Depending on her age, it might help your child to understand why stopping this habit is important. We are happy to explain, in a positive, age-appropriate way, just how breaking the thumb sucking habit will help her teeth and her smile.

Again, most children leave thumb sucking behind naturally and easily. But if what is a comfort for your child has become a concern for you, please give us a call. Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani will work with you and your child to prevent future orthodontic problems and begin her lifetime of beautiful smiles.

Congratulations! Your pregnancy is a time of joy and excitement—and a time to take special care of yourself. You’ve discovered that pregnancy brings many physical changes, but it may still come as a surprise to learn that pregnancy hormones can affect your oral health as well. What should you look out for?

Gingivitis

Beginning in the second or third month of pregnancy, your gum tissue may show signs of gingivitis. Pregnancy hormones can cause an increase in the blood supply to your gums and affect the way your gums respond to plaque. These changes may lead to gums that are swollen, red and more likely to bleed upon brushing. This early form of gum disease should be treated as quickly as possible to avoid a more serious condition called periodontitis.

Periodontitis

Without treatment, the inflammation caused by gingivitis can increase. Periodontitis can lead to gums pulling away from the teeth, creating “pockets” that can be home to infection. These infections can lead to bone and tooth loss, so professional treatment is a must.

Pregnancy Granulomas

If you find a dark red swelling along the gumline or between two teeth, it might be a pregnancy granuloma. These granulomas are thought to be triggered by pregnancy hormones and may be a reaction to plaque or some other irritant. They often disappear once your baby is born and usually don’t cause any bother, but if you develop discomfort eating or speaking, your dentist might suggest removal.

You are looking for every way possible to provide your baby with the best start in life, so it is important to know that some studies have suggested a link between periodontal disease in pregnancy and complications such as pre-term delivery and low birth weight. Here are some important ways to maintain your oral health during pregnancy:

• Call Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani when you find out you are pregnant. We have suggestions for your dental care that you can use immediately.
• Keep to your regular schedule of dental examinations and cleanings at our Dallas office. If you find your gums beginning to show signs of gingivitis, call our office for an appointment. You might need to have your teeth cleaned more often during your pregnancy to avoid plaque buildup.
• Maintain your daily dental hygiene. Be sure to carefully brush along the gumline to discourage plaque formation. If you have not switched to a soft bristle toothbrush, now is the time! Talk to us about possible rinses or other at-home treatments.
• See a periodontist if needed for more serious gum problems.

Your pregnancy is a time to treat yourself and your baby with care. Talk to our office as soon as you find out you are pregnant. Making your dental health a priority can bring rewards both now and in the future, and we welcome the opportunity to suggest the best possible ways to care for yourself and your baby!

One of the latest foods in dietary news is also one of the oldest—ancient grains. What makes these old-timers so appealing to modern tastes? Let’s run down the menu!

Why Are Some Grains Called “Ancient”?

Unlike grains such as modern wheat, which have been crossbred for hundreds of years to bring out certain qualities, ancient grains are generally considered to be grains which have been cultivated in the same way and in the same form for centuries.

Not All Grains Are the Same

Grains are harvested from the seeds, or kernels, which grow on top of cereal grasses. But because they have many of the same uses, and many of the same nutrients, ancient grains also include pseudocereals, which are seeds and fruits from non-grasses. These seeds can be ground just like grains or used whole. This is an important distinction for many diet-mindful people because grains derived from pseudocereals are gluten-free.

The Health Benefits of Ancient Grains

Ancient grains are whole grains. This means that the seeds of ancient grains have their bran, germ, and endosperm intact—which means that all their nutrients, proteins, and fiber also remain intact. Refined grains like white flour and white rice have removed many of these good-for-your-body elements by removing the bran and germ, leaving only the endosperm behind.

The Dental Benefits of Ancient Grains

Of course, any food that offers better nutrition is better for your teeth and gums. But there’s an added bonus in the more complex structure of intact grains—they take more time to digest.

With foods made with refined grains, digestion starts taking place quickly—in fact, saliva starts the digestive process right in our mouths while we eat. And as these carbs break down into sugars, they provide a feast for the oral bacteria which convert that sugar into acids.

These acids, in turn, attack tooth enamel, leaving weaker spots which can grow into cavities, and irritate delicate gum tissue. What’s more, refined carbs tend to be extra sticky, lingering in the mouth, between the teeth, and on the enamel instead of being washed away by saliva.

So, Have Any Suggestions for My Shopping List?

We do! Because all ancient grains are loaded with protein and fiber, they are all going to be a rich source of these healthy essentials. And they can offer additional minerals, vitamins, and antioxidants to your diet. If you’re inspired to add a bit of history and geography to your plate, here are some ancient grains to consider:

• Amaranth

Cultivated by the Aztecs, this gluten-free pseudocereal seed is high in manganese, magnesium, copper, phosphorus (which helps keep your enamel strong), and also provides vitamins B1 (thiamin), B6, and B9 (folic acid).

• Barley

Grown for thousands of years in Asia and Europe, barley is one of the first cultivated grains. In its whole grain form, barley offers us selenium, manganese, copper, vitamins B1 and B3 (niacin), and antioxidants. Whole barley has a very tough outer shell and takes quite a bit of cooking, so lightly pearled barley can be substituted with only a small loss of bran.

• Buckwheat

Originating in Asia, buckwheat quickly spread to Europe and eventually made its way to early American fields. Another pseudocereal, buckwheat seed is often ground for flour, and is a good source of copper, manganese, magnesium, phosphorus, vitamins B2 (riboflavin), and B3. Not to mention, gluten-free!

• Bulgur

Often used in Middle Eastern and Mediterranean cooking, bulgur is a cracked wheat cereal grain. Bulgur adds, among other nutrients, manganese, magnesium, copper, iron, and vitamins B3 and B6 to your diet.

• Farro

“Farro” comes from an Italian word which can refer to three different varieties of wheat, with different cooking times, textures, and flavors. These grains were first cultivated in the Middle East and the Mediterranean region thousands of years ago, and are still popular today thanks to their nutty flavor and chewy texture. Try farro for a tasty serving of magnesium, zinc, vitamin B3, and antioxidants.

• Freekeh

Common in Middle Eastern, North African, and Mediterranean cuisine, freekeh is another form of cracked wheat. It’s harvested when the plants are young, so it has extra protein and fiber, as well as being a good source of iron.

• Quinoa

Another pseudocereal, quinoa originated in South America. It’s gluten-free, and filled with minerals such as manganese, magnesium, phosphorus, and vitamin B9. It’s also a complete protein, which means it contains all nine of the amino acids our bodies can’t produce on their own.

• Spelt

One of the largest wheat crops in Europe, and grown around the world, spelt’s nutty taste is an added bonus to its stores of manganese, copper, phosphorus, and vitamin B3.

• Teff

The smallest of the ancient grains, teff is an African variety of millet, a pseudocereal full of nutrients such as manganese, copper, iron, and calcium (another mineral which is vital to dental health), as well as vitamins B1 and B6. Try brown teff for its naturally sweet flavor.

This is just a taste of the ancient grains available to you, with many others from around the world waiting to be harvested for your table. But you needn’t choose ancient grains to receive all the nutritional benefits of whole grains.

Brown rice, whole wheat products, corn, oats—all these common ingredients are easily available forms of whole grains. Check the grain aisle in your local market for some new ways to brighten your recipes, to increase your dietary protein and fiber, to add minerals and vitamins, and to provide some healthy alternatives to refined grains. Your body—and your teeth—might thank you!

Mother’s Day is around the corner, and if you’re looking for some different gifting ideas for one of the most important people in your life, we have some suggestions for you. Here are a variety of gifts large and small tailored to your mom’s interests and chosen to support her dental health. After all, that’s what we’re here for!

• The Techie Mom

If your mother hasn’t tried the latest in brushing technology, a new electric toothbrush might be the gift to warm her techie heart.

Modern electric toothbrushes have plenty of options for the tech-savvy. They come with different settings for brushing and massaging. They can let your mom know if she’s brushing long enough, or if she’s brushing too hard, or when the brush head needs to be replaced. Some models link to apps which show a map of just where she’s brushed, in case some spots tend to get overlooked and underbrushed.

• The Adventurous Mom

A week in the woods doesn’t faze her. Backpacking? Relaxing. Day hikes? No problem. So help your mom stay unfazed, unstressed, and problem-free with an emergency dental kit for peace of mind during those adventurous outings.

Lightweight kits are available in sporting stores and online. Supplies like cotton rolls, dental floss, oral pain relievers, a dental mirror, and even temporary fillings are included, because, as your mom no doubt told you, it’s always best to be prepared!

• The Gourmet Mom

For the mom who appreciates foods which both taste good and do good, consider a gourmet gift which can satisfy her palate and contribute to her health. While normally we wouldn’t recommend sugary chocolates as having any kind of health benefit, dark chocolates are the delicious exception to the rule.

Dark chocolate (at least 70% cacao) is a great source of antioxidants, iron, zinc, magnesium and other important minerals. It’s lower in sugar content, and some studies suggest that dark chocolate has cavity-fighting properties and supports gum health. For a personal touch, deliver homemade treats like dark chocolate-covered frozen bananas (low in acidity and filled with nutrients) or dark chocolate-dipped strawberries (a good source of vitamin C, which is great for her gums).

• The Athletic Mom

She can outski you, outrun you, and hit those threes with ease. If your mom finds her bliss on the slopes, the soccer pitch, the basketball court, or any other sporty venue, consider a custom mouthguard to protect that winning smile.

Custom guards are more comfortable than store-bought options because they are molded to fit the user’s teeth and mouth precisely. This is especially helpful for those with dental work like braces or bridges. And, because the fit is custom, your mom will enjoy easier breathing and talking while exercising.

• The Mom on the Go

With her active life, any gift which makes your mom’s busy schedule run more smoothly is a good thing—such as a portable kit filled with dental necessities.

A travel toothbrush, a small tube of her favorite toothpaste, a compact mirror, dental picks, dental floss, and a mini-bottle of mouthwash are great basics for a confident smile any time of day. Put everything in a stylish lightweight travel bag. And don’t forget to include a pack of sugarless gum! Sugarless gum helps increase saliva flow (for better hydration) and decrease oral acidity (to help prevent enamel erosion).

• The Media-Ready Mom

With those perfect selfie angles, your mom’s smiles light up social media! If she’s ever expressed an interest in lightening and brightening that beautiful smile, a professional whitening treatment might be the very gift for her.

Professional whitening at our Dallas office is the most effective way to brighten teeth, with results which are generally faster and more long lasting than over-the-counter treatments. And it’s done with your mom’s dental health in mind, with a checkup to make sure her teeth are in perfect shape before whitening, and with protective measures in place for sensitive mouth and gum tissue.

We hope this list is a helpful starting point for choosing a smile-healthy gift tailored to your mom’s interests. But we can’t close without adding one last gift perfect for every mother. Including a heartfelt letter or card telling her how much she means to you will put a smile on your mom’s face long after Mother’s Day has come and gone!

Just like that, it’s almost summertime. As the spring season ends, perhaps these lighter, brighter days are inspiring you to do a bit of last-minute spring cleaning. Or perhaps they’re not. No judgment here!

What we can recommend wholeheartedly is finishing the season with a clean, sparkling smile. And we have some bright ideas for you!

Refresh Your Cleaning Technique

Tooth brushing can become so automatic that we don’t think about the basics anymore. And suddenly, we’ve finished brushing in half the time we used to, and, hey, how long has that floss been sitting on the counter, anyway? We suggest some mindful cleaning for a healthier smile.

• Spend two minutes brushing, at least twice each day.
• Make sure you reach all the surfaces of your teeth, inside, outside, and on top of your molars.
• Use short, gentle brush strokes, covering a tooth or two at a time.
• Angle your brush to clean along the gum line. Plaque around the gums leads to irritation and inflammation, and is a common cause of gum disease.
• Use vertical strokes to clean the inside of your front teeth.
• Floss at least once each day.

Good Cleaning Requires Good Tools

Since we’re tidying up, let’s talk about some helpful cleaning tools. Is your toothbrush looking a bit—long in the tooth?  

After three to four months of brushing, your toothbrush bristles start to break down. Frayed and matted bristles can’t clean as effectively as a toothbrush in top shape. Each change of season is a good time to remind yourself to change brushes.

And, while you’re shopping, remember:

• Soft bristles are almost always all any brusher needs. Even medium bristles can be abrasive to tooth enamel. And brush gently—scrubbing is also abrasive.
• If you use an electric toothbrush, those toothbrush heads need to be replaced, too! In fact, because these brushes often have shorter bristles, heads might need to be replaced every two to three months.
• Use fluoride toothpaste to clean and protect your teeth.
• Don’t forget the floss!

If you’re not a fan of your current floss, take another look at the dental aisle in your local store. There are lots of new flossing options out there just waiting to be sampled. If manual flossing is difficult, consider a water flosser. Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani can help you find just the right floss for your one-of-a-kind smile.

And speaking of your dental team . . .

Some Cleaning Jobs Require Professional Help

Dentists typically recommend a professional cleaning at our Dallas office twice a year to make sure you’re free from built up plaque and tartar. How does your dental team go about getting your teeth cleaner than you can get them at home? With special training and special tools.

• Plaque and tartar need to be removed from tooth enamel above and below the gum line to prevent cavities and gum disease, and tartar can only be removed by a dental professional. Your hygienist might use an ultrasonic scaler, a hand scaler, or both to gently scrape away sticky plaque and hard tartar.
• Teeth are polished with a gentle abrasive to remove surface stains. This can be done with a special toothpaste applied with a small rotating cup, or with an air polisher, which removes stains with a stream of fine abrasive powder, water, and pressurized air.
• An expert flossing will remove any remaining plaque from between the teeth.

Bonus: Your hygienist can point out spots you’ve been missing to help make your home brushing and flossing more effective.

Clean and Bright

Increasing daylight can brighten your mood—and so can a whiter smile! Over time, smiles get dimmer without our even noticing, thanks to tooth-staining foods and drinks, medications, smoking, or thinning enamel as we age. If you’re feeling self-conscious because your smile isn’t its sparkling best, consider a whitening treatment.

• Whitening Toothpastes

Whitening toothpastes use chemicals and mild abrasives to remove surface stains caused by foods, beverages, and smoking. If you’d like to give a whitening toothpaste a try, ask Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani for suggestions.

• Whitening Strips and Gel Trays

Whitening gels can be applied at home with strips or tray kits. These peroxide-based gels are stronger than the formulas used in toothpaste, but can be irritating. Talk to Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani to learn how to achieve the best and safest outcome with these products.

• Office Treatment

Whitening treatments at our Dallas office are generally faster, more effective, and last longer because this process uses a more powerful whitening agent. That’s why it should only be applied by a dental professional, who will examine and prepare your teeth, protect the surrounding gum tissue, and monitor your treatment throughout.

Spring’s coming to an end, but taking care of your dental health is always in season! A clean smile isn’t just a more confident smile, it’s a healthier one. Talk to your dentist for more tips to create your best and brightest smile at any time of year.

A as in Ascorbic Acid

Ascorbic acid is just another name for vitamin C, which is one of the so-called “essential nutrients.” These are nutrients that are necessary for our bodies to function properly, and which must be supplied through our diets. Why is ascorbic acid essential?

First and foremost, because we have to have vitamin C for the formation of collagen.

We’ve probably all seen the ads promoting collagen as a fountain of youth for our skin. Whether or not a cream can turn back time is a matter for debate, but there’s no question as to the vital role collagen performs in our own bodies. That’s because collagen is the substance that provides both structure and support to our tissues, forming the basis of the connective tissue that holds us together. (The Greek root “kolla” means glue!) Organs, blood vessels, muscles, bones, skin, even the dentin in our teeth all rely on collagen to function.  

And if that weren’t enough for one vitamin, vitamin C also helps the body repair tissue, absorb iron, form teeth and bones, produce neuro-transmitters, and acts as an antioxidant. Whew! So, how often should we be eating foods rich in vitamin C? Maybe more often that you would think.

B as in Biology

The human body is an amazing thing! We can store many of the essential nutrients we need to keep ourselves healthy in our livers and fat tissue, even if fresh food sources aren’t immediately available. Unfortunately, Vitamin C is one of those vitamins that we can’t store in the body. This means that unless we get the vitamin C we need in our diet on a regular basis, we’ll experience vitamin C deficiency. How serious is that?

The importance of vitamin C to our health can’t be overstated. Vitamin C deficiency over a period of months actually causes a serious disease called scurvy. Without vitamin C, collagen formation breaks down. And when collagen breaks down, it leads to the breakdown of all those parts of the body that rely on collagen. In the short term, scurvy causes gum pain, fatigue, weakness, and body aches. Over longer periods, scurvy can lead to bruising, skin hemorrhages, anemia, tooth loss, severe gum disease, organ failure, and even death.

Luckily for us, scurvy is largely a disease of the past, thanks to the easy availability of fresh fruits and vegetables which provide us with vitamin C. So, which items should we add to the shopping list?

C as in Citrus—and So Much More!

When we think vitamin C, we instantly picture citrus fruits. Oranges, lemons, limes, grapefruit, and all their cousins are a wonderful source of vitamin C. Looking for a little more variety? You’re in luck! Fruit fans can load up on strawberries, kiwi fruit, mangos, and papayas. Love your veggies? Red peppers, kale, cauliflower, Brussels sprouts, and broccoli contain more vitamin C per serving than a medium orange. You can also take vitamin C supplements, but be sure to follow the recommended dosage. You can have too much of a good thing.

While we’re here, let’s add one last letter to the list:

• D as in Dental Health

So, why are we talking about vitamin C on a dental blog? Because vitamin C is essential to our dental health. Healthy gum tissue, strong connective tissues that hold our gums to our teeth and our teeth in our jaws, faster healing, antioxidants—all have been linked to a diet rich in vitamin C.

Careful brushing and flossing, regular checkups and cleanings at our Dallas office, a balanced diet—these are all ways you can be proactive when it comes to your dental health. Talk to Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani about the best vitamins and minerals for healthy teeth and gums. Vitamin C is a great beginning, but there’s still an alphabet from vitamin A to Zinc left to go!

They’re often mentioned together, and that’s understandable. After all, they’re the strongest parts of the body, they’re made of many of the same elements, they both require a diet rich in vitamins and minerals to stay healthy, a pirate flag wouldn’t be the same without them–so, what makes teeth and bones different? Glad you asked!

It’s Elementary

Teeth and bones are so strong because of their mineral composition. They have the highest concentration of calcium and phosphorus in the body, and these minerals combine to create sturdy structures which support our bodies, protect our organs, and help break down and digest our food. And they work well together—healthy teeth maintain jawbone density, and healthy jaws hold our teeth firmly in place.

But there are important differences in the anatomy of teeth and bones as well. Bones contain living cells, blood vessels, and nerves. They grow larger as we grow. As we age, old bone tissue breaks down and is constantly replaced with new bone tissue. This process enables our bones to stay strong throughout our lives. And bones heal.

When you break a bone, your body begins working right away to protect and heal the damaged area. Blood cells help with clotting around the break. After a few days, collagen proteins work to replace the clotted cells and form a soft callus. Within weeks, calcium phosphate deposits strengthen the collagen framework. Over time, the bone hardens and reshapes.

And while tooth enamel is the hardest substance in our bodies—harder even than bone—it is not indestructible. Our enamel is basically composed of minerals rather than living tissue, so it can’t regenerate. The enamel covering our teeth doesn’t replace cells as they age, and it can’t create new tooth cells if a tooth is injured through damage or decay. This means that a cracked or broken tooth can’t knit itself together, and enamel lost to decay won’t grow back.

Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani can restore your smile with fillings, or crowns, or even implants if necessary, but preventing injury to your teeth is always best.

Protecting Teeth and Bones

You can make sure your teeth and bones are their safest and strongest by being proactive.

External bone injuries can be avoided with the use of proper safety equipment. Helmets, padding, work boots—if your work or play recommends protective gear, use it! Fortunately, there’s also protective gear for teeth.

• Helmets

Helmets not only protect against brain injury and concussion, they are often designed to protect the face, mouth, and jaw as well.

• Mouthguards

Mouthguards protect the teeth, lips, tongue, and jaw from damages caused by physical contact and falls. They’re available over-the-counter, or ask Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani to fabricate a custom guard for the most comfortable and secure fit. A custom guard is an excellent option for people with braces, bridgework, or other dental appliances.

• Night Guards

Grinding and clenching the teeth at night can lead to loose and cracked teeth, headaches, jaw pain, and other unhappy consequences. Protect your teeth from the damage caused by bruxism (tooth grinding) by wearing a night guard.

Finally, one big difference between tooth and bone design: bones are safely hidden away inside the body, while our teeth are exposed to harmful plaque, bacteria, sugars, and acidic foods every day. Give your teeth the preventive care they deserve with twice-daily brushing, flossing, and regular visits to our Dallas office. After all, your beautiful, healthy smile was never designed to be hidden!

You’re biting into something delicious, and, Ouch! You bite into something you didn’t mean to—the inside of your tender cheek.

Painful moments like this happen every now and again. But if you find that more frequent cheek biting means that you’re extra-cautious when eating or speaking, if you wake up with sore cheeks in the morning, or if you catch yourself habitually chewing on your cheeks during the day, it’s time to visit our Dallas office.

Causes of Cheek Biting

Many of us experience the occasional cheek chomp when we’re eating or talking. No fun! Besides the pain, a bite can cause broken skin, inflammation, a canker sore, or a mucous cyst. Luckily, the discomfort from these accidental bites generally resolves after a few days.

Sometimes, though, biting becomes a more frequent annoyance. Regular bites can be caused by several conditions, including:

• Sleep Bruxism

Bruxism is the medical term for tooth grinding. When sleepers unconsciously clench or grind their teeth as they slumber, it’s known as sleep bruxism. Sleep bruxism not only causes tooth damage, jaw problems, and facial pain—that nightly gnashing can mean bites to delicate cheek tissue.

• Problems with Dental Restorations

The placement of a crown, bridge, or implant can cause biting to occur more often if the alignment of your restoration with your other teeth isn’t ideal or has shifted, or if the restoration needs replacement.

• Wisdom Teeth

Most of us don’t have the room to welcome four new—and large—teeth. When wisdom teeth come in, they can lead to cheek bites, especially if they erupt leaning outward toward your cheeks.

• Orthodontic Misalignment

If you notice that you seem to be biting your cheek a lot when eating or speaking, it could be an orthodontic problem.  When your teeth or jaws don’t align properly, if your mouth is small, or if your teeth have shifted over time, your cheeks might feel the consequences.

Treatment Options

Why see Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani? A one-time bite can be extremely uncomfortable, and might lead to inflammation or even a sore spot inside your mouth. Usually, both pain and sore spot fade in a short while, and saltwater rinses or oral gels can soothe your injured cheek tissue. Your dentist’s office can give you advice on treating minor bites.

But what about continuous biting? Regular biting injuries can lead to bigger problems. Tissue in the cheeks can thicken or erode. Scar tissue can build up inside the mouth. Ulcers and other sores can become larger and more painful.

If you’ve been biting your cheeks more often, Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani can diagnose the cause and offer you treatment options depending on the reason for this frequent biting:

• Sleep Bruxism?

Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani might suggest a nightguard to provide protection from the damaging effects of bruxism. Nightguards not only prevent further biting, they give your cheeks the chance to heal. We can custom fabricate a guard for the most comfortable and effective fit.

• Restoration Problems?

If regular cheek biting occurs after you’ve gotten a crown, a bridge, or an implant, visit our Dallas office. This might be a problem that can be resolved with a bit of reshaping, whether removing a bit of the restoration or building up a spot. If a crown or other restoration has shifted or is failing, replacement might be in order.

• No Room for Wisdom Teeth?

Most of us don’t have room in our mouth to accommodate wisdom teeth, and extracting them is a common dental procedure. Wisdom teeth can be the source of many dental problems, including impaction, shifting teeth, and even damage to surrounding teeth. If you see signs that your wisdom teeth are starting to come in, talk to your dentist about your options.

• Orthodontic Problems?

Orthodontic treatment can improve tooth and bite alignment—and can eliminate those painful cheek bites if misalignment is what’s causing them. Modern orthodontic treatment offers patients of all ages more options than ever before, including traditional and lingual braces, clear aligners, and functional appliances.

Whatever the reason for painful cheek biting, you deserve to eat and speak and enjoy your day without constant “Ouch!” moments affecting your comfort and health. If these moments are happening all too often, visit Dallas Dental Arts for the answers to your biting problems.

April is Oral Cancer Awareness Month, a time to shine a spotlight on a disease that has personally affected my life in numerous ways. My grandfather's battle with oral cancer ended tragically, and several other family members have faced pre-cancerous lesions.

During my time in the Army, I was exposed to many oral cancer cases. As a result, I am highly conservative and cautious in my practice. We've diagnosed and helped to treat many head and neck cancer cases during my tenure at Dallas Dental Arts. And while the trend for oral cancer is not decreasing, we are working hard to combat the illness by ensuring all our patients are regularly screened and know what to look for when it comes to signs and symptoms.

Oral cancer usually presents as a mouth sore that is persistent and won't go away. The sore often resembles an ulcer and can be both white and red in color. Patients may experience pain in their mouths or have difficulty swallowing. If the lesion has lasted more than 7 days, please call our office to be seen.

The journey to diagnose and treat oral cancer begins with your dentist, who is equipped to perform a thorough screening. If necessary, a referral to an oral surgeon or ENT may follow for further evaluation. Treatment varies based on the cancer's location and stage but may include surgery, chemotherapy, or radiation.

At Dallas Dental Arts, we emphasize the importance of prevention and early detection, conducting oral cancer screenings during all regular dental exams and for every new patient. This comprehensive approach includes a physical examination of the soft tissues and advanced dental radiographs.

To reduce the risk of oral cancer, we advocate for a healthy lifestyle free from tobacco and heavy alcohol use. Vaccination against the Human Papilloma Virus (HPV) is also crucial in preventing head and neck cancers linked to the virus. This Oral Cancer Awareness Month, we're highlighting our use of high-resolution photography during dental hygiene visits. This innovative technique aids in the early detection of intra oral changes, ensuring we provide the highest quality care for you and your loved ones.

Winter and its snowball fights are behind us, true, but there might be another kind of snowball heading your way—the snowball effect you risk when small dental concerns are ignored and left to grow into much more serious dental problems.

Here are three early symptoms that might seem minor, but shouldn’t be overlooked:

Sensitivity

Ouch! A sip of something hot, a spoonful of something cold, and you find yourself wincing because your teeth are so sensitive. If this sensitivity continues, call Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani. Tooth sensitivity can be a sign of:

• Bad Brushing Technique

Heavy handed brushing and hard-bristled brushes can be so abrasive that they cause enamel erosion and gum recession, making teeth more vulnerable to tooth decay. Your dentist and hygienist can recommend proper brushing techniques for clean and healthy teeth and gums.

• Receding Gums

Without treatment, receding gums can pull further away from the teeth, creating pockets filled with bacteria. Serious infections can develop in these pockets, leading to loose teeth, bone loss, and, eventually, tooth loss.

• Cavities

When a cavity has gotten large enough that it’s reached below the enamel into the more sensitive dentin, you can experience unpleasant twinges when eating or drinking hot, cold, or sweet foods, or even when air hits your teeth. It’s essential to treat any cavity before it grows large enough to reach the tooth’s pulp.

Persistent Bad Breath

Sure, it could have been that garlic anchovy pizza, but if you’ve eliminated odor-causing foods from your diet, if you brush and floss regularly and still have bad breath, it could be a sign of:

• Gum Disease

The bacteria that cause gum infections have a distinct, unpleasant odor. If thorough brushing and flossing isn’t helping, it’s important to visit our Dallas office to prevent more serious gum disease from developing.

• Oral Infections

Bad breath can be caused by infections in the tooth, gums, or other oral tissues. If you experience persistent bad breath, a foul smell or taste in your mouth, or see any other signs of infection, see Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani promptly for a diagnosis. Left untreated, oral infections can damage teeth, tissue, and bone and spread to other areas of the body.

• Medical Conditions

Bad breath can also be a symptom of medical conditions such as diabetes, sinus infections, and liver disease. If your dentist rules out dental issues as the cause of halitosis, it’s important to see your doctor for a checkup.

Intermittent Pain

When dental pain comes and goes, you might be tempted to postpone a checkup. But recurring pain can be a symptom of serious dental conditions, including:

• Infection and Abscess

If you feel pain when you bite down, or throbbing pain around a tooth, it could be the sign of pulp inflammation or infection. Pulp injuries should always be treated immediately to avoid an abscess, a pocket of pus caused by bacterial infection. An abscess isn’t just painful, it’s dangerous, because it can cause bone loss around the tooth and spread infection throughout the body if not treated promptly.

• Tooth Injury

Tooth trauma is a reason for an emergency call to your dentist. A cracked or broken tooth won’t get better on its own and should be treated at once to prevent infection and further damage.

• Bruxism  

It’s no wonder you wake up with tooth and jaw pain when you grind your teeth—your jaws are producing hundreds of pounds of pressure on your teeth all night long. Over time, constant grinding will damage enamel and can chip and even crack teeth. Check out options like custom nightguards for healthier teeth and a better night’s sleep.

• Malocclusion

Malocclusion is the medical term for a bad bite, a condition that is the result of your teeth and/or jaws not fitting together properly. As well as tooth and jaw pain and damaged teeth, misalignments cause many other difficulties in your daily life. Talk to your dentist about how orthodontic treatment can improve the health and appearance of your smile.

Don’t ignore “little” dental problems like these. For any persistent symptoms, Dallas Dental Arts is just a phone call away, to help you prevent those little problems from snowballing into major dental worries.

Nearly 40,000 people are diagnosed with oral cancer annually in the United States, with more than 8,000 dying every year from the disease. Oral cancer has a higher death rate than many other common cancers, including cervical cancer, testicular cancer, Hodgkin’s lymphoma, and thyroid or skin cancers. The high death rate results from the fact that most oral cancers go undiagnosed until the disease is well advanced and has spread to another part of the body, most often, the lymph nodes in the neck.

Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team want you to know that cancers of the mouth and throat, which account for about three percent of all cancers in the United States, are largely preventable. However, we want you to know about certain risk factors that affect the likelihood of developing the disease.

• Use of tobacco products including smoking cigarettes, cigars or a pipe, or chewing tobacco all elevate risk for developing oral cancer. Tobacco use especially, is a serious risk factor because it contains substances called carcinogens, which harm cells in your mouth.
• Consumption of alcohol in excess can also increase your risk. If you drink alcohol regularly, you have an elevated risk of getting oral cancer. Alcohol abuse (more than 21 drinks in one week) is the second largest risk factor for the development of oral cancer, according to the Oral Cancer Foundation.
• Excessive sun exposure. People who spend lots of time outdoors and do not use proper amounts of sunscreen or lip balm have a greater risk for developing lip cancer. Exposure to ultraviolet (UV) radiation from sunlight may also cause melanoma, the most serious type of skin cancer.

If you notice unusual lumps, bumps, or red or white patches in your mouth that don’t go away, sores that won’t seem to heal, persistent soreness, or pain or difficulty swallowing please consult Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team immediately.

Other factors that may influence your risk for developing oral cancer include:

• Age: Oral cancer is typically a disease that affects older people, usually because of their longer exposure to other risk factors. Most patients diagnosed with oral cancer are over the age of 40.
• Gender: Oral cancer strikes men twice as often as it does women.
• A history with viral infections, such as human papillomavirus (HPV)
• A diet low in fruits and vegetables

During your next visit, Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani will examine your mouth for signs of oral cancer. If you have been putting off a visit to our Dallas office for your regular checkup, now is an excellent time to schedule one. Regular visits can be the first line of defense against oral cancer because we can identify early warning signs of the disease. Give us a call today!

You’re busy getting ready for your day, and of course you’re starting your day off right by looking after your dental health. A two-minute brushing, some careful flossing, and—wait, is that a white spot on your tooth?

If your mirror reveals a patch of white on your enamel, it could be a symptom of early tooth decay.  Does this mean a cavity is necessarily in your future? Perhaps not, if you act promptly to reverse the damage!

Cavities, after all, don’t suddenly appear in our mouths. Tooth decay is a process, and it begins with a weak area in the enamel that often appears as a white spot on the tooth. These weak spots are known as “incipient cavities,” because they can easily become cavities if left untreated.

Why do these weak spots occur? And how can we repair them? Let’s look at some tooth science.

• Demineralization

Your tooth enamel is one of the marvels of the human body. Enamel is mostly made of calcium and phosphate ions, minerals which combine to form hydroxyapatite crystals. These crystals create a substance so strong that tooth enamel is the hardest part of the body—harder even than bones.

But it’s not indestructible! If you don’t care for your teeth with regular brushing and flossing, you’re leaving your enamel open to attack.

The bacteria in plaque convert the nutrients they get from the food we eat—especially sugars—into acids. These acids strip away the calcium and phosphate minerals which are the building blocks of our enamel, weakening the surface of the tooth.

Over time, these weak spots get bigger and deeper as bacteria and acids continue to attack the tooth surface. Eventually, cavities form, damaging the enamel surface, and, over time, even reaching into the dentin and the pulp inside the tooth. Once a cavity has formed, you need dental treatment to clean away the decay and repair the tooth structure.

The good news is that, when caught early, it’s possible to rebuild a weak spot in the tooth enamel before a cavity can fully develop.

• Remineralization

While acids strip minerals from your enamel, your body is also replacing those lost minerals all throughout the day. How does this balancing act take place? With the help of saliva.

The very minerals which acids strip from your enamel are found in saliva. Saliva bathes your teeth with calcium and phosphate ions which, in turn, bond with your enamel to rebuild and restore enamel strength. When missing minerals are replaced like this, it’s called remineralization.

But this careful balance of demineralization/remineralization can become upset. If you neglect brushing and flossing, for example, plaque buildup will increase the amount of acids your teeth are exposed to. This means that your body won’t be able to replace the minerals as quickly as they are stripped away, and the result is a white patch on your tooth where the enamel has lost mineral strength.

If you’re surprised by the appearance of a white spot on your tooth, it’s a good idea to visit our Dallas office for a diagnosis. If the spot is caused by an incipient cavity, Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani can provide you with some options to restore your enamel’s strength.

Fluoride toothpastes and fluoride treatments are some of the most efficient ways to remineralize your teeth. Fluoride is attracted to the minerals in your enamel. It bonds with the tooth surface, and, once there, it helps attract the calcium and phosphate ions in your saliva to restore lost minerals and repair weak spots.

But fluoride does more than just restore your tooth’s strength—it improves it! Fluoride ions join with the calcium and phosphate minerals in your teeth to form fluorapatite crystals, which are even larger and stronger than hydroxyapatite crystals.

Early treatment is your best opportunity to reverse the early stages of tooth decay. Keeping up with your brushing and flossing, eating a dental-healthy diet, seeing Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani regularly, and treating incipient cavities promptly will help ensure there are no unwelcome surprises in the mirror—just beautiful, healthy smiles!

The best type of whitening for your smile depends on what you are hoping to accomplish.

Whitening Toothpastes

This is certainly the easiest method of whitening, but will brushing alone produce your whitest smile? Probably not. Whitening toothpastes use chemicals and abrasives to remove some surface stains caused by foods, beverages and smoking. They can also be used to maintain the appearance of your teeth after a professional whitening. However, toothpaste alone cannot change the natural color of your teeth or penetrate the surface of the tooth to remove deeper stains. A whitening toothpaste usually takes several weeks to produce results. Be sure to choose a product with a seal of approval from a reputable dental association and carefully follow the instructions for use.

Whitening Strips and Gel Trays

Whitening gels can be applied at home with strips or tray kits. These peroxide-based gels are stronger than the formulas used in toothpaste.

Strips come coated with the whitening gel and work when pressed to your teeth for a specified amount of time. One difficulty here is making sure each tooth is completely covered by the strip so that even whitening takes place. Tray and gel whitening systems provide a mouthguard-like appliance that is filled with whitening gel and applied to your teeth, again for a specific period of time. Because one size does not fit all, stock trays can be ill fitting and lead to problems with gums and soft tissue. You can talk to our team about a custom-fitted appliance and whether gel whitening is your best option.

Some users find gel products cause tooth and gum sensitivity and even enamel damage. These over-the-counter gel products will not work on caps, veneers, crowns, or bridges, and there might be underlying conditions in your natural teeth that will make the use of these products ineffective. Please talk to us at your next visit to our Dallas office if you are interested in whitening at home, so we can advise you on how to achieve the best and safest outcome.

Office Treatment

Professional whitening makes use of a gel with a higher concentration of peroxide and should only be provided by Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani or a member of our team at our Dallas office. This process is generally faster, more effective and longer lasting. We take care first to examine your teeth for pre-existing conditions such as cavities and gum disease that could cause problems. We protect your gums when the gel is applied in office and monitor the procedure. We can assess the progress of the whitening and suggest further treatment if needed. Custom mouthpieces can also be an option if you would like to use a whitening gel at home. A personally molded tray will fit your teeth perfectly and allow a more precise application of the peroxide gel.

Some teeth are not good candidates for normal whitening procedures at home or in office. If you have dark stains caused by trauma, drugs such as tetracycline, discoloration due to root canals, or darker dental bonding, crowns, or other prosthetics, please talk to us about other possible solutions. We want to help you achieve your brightest possible smile.

Sometimes food that’s good for your body isn’t necessarily the best for your teeth. Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team want you to know which healthy foods can harm your teeth and gums, and what steps you can take to continue enjoying these foods, even when you’re dieting.

When you begin to substitute empty calories with whole foods, make sure you also remember to focus on your dental health. The majority of people tend to switch out sugary foods in favor of fruits and vegetables when they diet.

It’s worth knowing that most fruits are highly acidic and composed of natural sugars. Some of the highly acidic fruits to watch out for include apples, grapes, strawberries, pineapples, blueberries, oranges, and grapefruit. Moderation is key here, as with all other things. Fruits can be a great source of energy to help you through your day, but try not to overdo them.

Often, people also incorporate more leafy greens into their diets, which mean plenty of salads. Salad dressing is another item you’ll want to watch out for. Many dressings are filled with vinegars and sweeteners that include harmful acids, which change the pH of your mouth. When your mouth shifts from alkaline to acidic, your smile also turns to a higher risk for erosion and decay.

Rather than get rid of these foods altogether, simply change what you do after you eat them. Rinse your mouth out with water, brush your teeth, or eat alkalizing foods after consuming these acidic foods. Healthy alkalizing foods include dairy products such as eggs and yogurt, or any type of vegetable.

If you have questions regarding your current diet and its effect on your oral health, please contact our Dallas office and speak with a member of our staff. If you’ve begun to make changes in your diet toward a healthier lifestyle, we hope these tips can help your make positive changes to your oral health. Our team at Dallas Dental Arts wants a healthy lifestyle to be a top priority in your life.

Periodontal disease is an infection of the tissues that surround and support your teeth. Our team at Dallas Dental Arts wants you to know that this common ailment can be fixed with little worry if treated properly.

Periodontal disease is usually identified through dental X-rays, probe depths, and visual exams. If left untreated, it can lead to tooth sensitivity, premature tooth loss, or discomfort and pain in your mouth. Some common symptoms to watch for include bleeding or swollen gums, bad breath, teeth movement, or jaw displacement.

Factors that may increase your risk of developing periodontal disease may include poor oral hygiene, smoking/chewing tobacco, genetics, stress, inadequate nutrition, pregnancy, diabetes, and some medications. Some of these causes are avoidable, but others are not.

If you have diabetes, you may be more prone to periodontal disease due to the greater difficulty in controlling blood glucose levels. Studies have shown that once periodontal disease is treated, glucose levels become more responsive to control as well. If your risk for periodontal disease is heightened by one of these factors, make sure to watch for the signs and keep up with your daily oral hygiene routine.

How can you treat this common disease that affects almost half of the population? Depending on the severity, treatment can include a medicated mouth rinse, antibiotic treatment, laser therapy, or scaling and root planing. It’s useful to recall that this condition can vary from mild to severe, which is why you should make an appointment at our Dallas office if you notice any of the above symptoms.

Have you ever noticed your attention being instantly drawn to peoples’ teeth when they smile at you? Some people have dull and yellowing teeth, while others have teeth that appear bright white. Everyone’s teeth naturally dull over time because of aging and the contact your teeth have with staining foods, such as chocolate and coffee. However, teeth-whitening treatments can help you keep your teeth white for life.

Get Regular Treatments

The effects of teeth whitening or bleaching treatments are only temporary, so regular treatments at Dallas Dental Arts are necessary to keep your teeth white for life. Bleaching too frequently, though, can wear away your tooth enamel. The effects of in-office bleaching can last for several months to a year, while you may need to repeat your use of at-home bleaching kits every few months to maintain your white teeth. Whitening toothpastes do not contain bleach, so you can use them daily. The American Dental Association suggests asking your dentist for advice on which treatment is best for you.

Have Realistic Expectations

Not everyone’s teeth can be turned bright white, according to the American Dental Association. Your teeth may naturally be a light yellowish color that lends itself well to teeth-whitening procedures, but bleach is not likely to be effective for grayish teeth. Brownish teeth fall somewhere in between.

Practice Good Oral Hygiene

Your teeth whitening efforts will not be as effective if your teeth are in poor health. Visible fillings, implants, or bridges that are metallic stand out against the white color you want to achieve. You can help prevent tooth decay and reduce your risk of needing these unsightly treatments by maintaining a good oral hygiene routine. In addition to brushing your teeth twice a day to remove dirt and potential staining agents, the actions below can promote a healthy mouth.

• Floss every day
• Visit Dallas Dental Arts regularly
• Rinse your mouth with water after each meal and snack
• Limit sugary and starchy foods and beverages, especially between meals

A vital step in your oral health routine is flossing. We hope our patients at Dallas Dental Arts maintain good oral hygiene, including daily flossing between each visit to our Dallas office. A toothbrush is not always enough to get to the hard-to-reach areas of your mouth. When food remains between your teeth, bacteria starts to grow and will break down your enamel. This is where flossing comes in!

Should you floss before or after brushing?

Whatever your personal preference, you may floss before or after you brush your teeth. When you floss first, you can brush away any leftover dislodged food debris from your teeth. On the other hand, when you brush first, you will loosen the plaque between your teeth, which makes flossing more effective.

The essential aspect is that you floss thoroughly by using a fresh strand of floss and make sure to get between every tooth. Even if your teeth look and feel clean, don’t skip flossing or plaque will begin to build up on your teeth.

When is the best time to floss?

Although you should brush your teeth at least twice a day, Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team recommend flossing your teeth thoroughly once a day. Many people prefer to floss before bed, so that plaque doesn’t sit between their teeth all night.

What kind of floss should I use?

You may choose between interdental cleaning picks or flexible floss strands to perform your daily flossing routine. If you have permanent oral appliances or restorations, be sure to follow the flossing instructions provided to you.

Do you need help flossing?

If you’re having trouble flossing or have questions about which floss is best for your teeth, contact our Dallas office and we can provide you with support. Be sure to keep up with your daily flossing routine, and we will see you at your next appointment!

You have a lot going on. School. Sports. Activities. Family. Friends. Teens lead busy lives and have busy schedules, so you need to budget your time and energy. One thing you don’t want to spend any of your time and energy on? Dealing with gum disease.

Gum disease most often begins as a reaction to plaque and tartar. The bacteria in plaque produce acids which irritate gum tissue, causing inflammation, swelling, and bleeding. This is gingivitis, the early stage of gum disease.

Left untreated, early gum disease can become periodontitis. Periodontitis is a serious gum infection which can cause receding gums, loose teeth, and even tooth and bone loss.

We usually think about gum disease as something that only older adults worry about. But the unfortunate fact is that children and teens are also at risk for gum disease—and the teen years bring special risks. Why?

• Braces

The teen years are the most common years for orthodontic treatment. Wearing traditional or lingual braces can make removing plaque from around brackets and wires, between the teeth, and near the gum line more challenging, and gum disease can be the result. When you’ve been working so hard to create a healthy attractive smile, you don’t want to delay your orthodontic progress to treat gum disease.

• Less-than-Nutritious Snacking

When you have after school commitments like sports practices, play rehearsals, or work, you probably carry a snack to give you the energy you need until dinner. Popular snacks like energy drinks, chips, or candy bars are common go-to choices, but they contain acids, simple carbs, and sugars which are bad for both gums and tooth enamel.

• Hormones

Increased hormone levels during puberty can make the gums more sensitive and more easily irritated.

• Your Busy Life

Maybe you’re not getting enough sleep. Or eating as well as you could. Or you’re feeling anxious. Lack of sleep, poor nutrition, and stress can affect your body’s immune system and your ability to fight off infection. And if you’re also not brushing and flossing regularly, your gum health can really suffer.

How do you know if you have gum disease? Good question! Sometimes the early stages of gum disease aren’t obvious. Perhaps you’ve noticed changes in your gums, such as:

• Redness
• Swelling
• Soreness
• Bleeding
• Bad breath even after brushing

Any of these changes can be symptoms of gum disease and are a good reason to give our Dallas office a call, since time is important when treating gum disease.

Caught early, gingivitis is usually very treatable—in fact, you can often reverse early gingivitis by paying more attention to your daily dental hygiene. If gingivitis is more advanced, or if periodontitis develops, you need professional dental care to prevent serious damage to your gums, teeth, and bone.

Preventing gum disease from ever developing is always best, though, so let’s look at what you can do to keep gum disease from becoming a problem.

• Keep Up with Healthy Dental Habits

Even though you’re leading a busy life, take time for your dental care. Brushing twice a day for at least two minutes per session and flossing once a day take just a bit of your time and are the best way to keep your gums healthy. If you wear braces or have a tendency toward cavities and gum disease, Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani might recommend brushing or flossing more often.

• Use the Right Tools

Using the right tools makes a big difference. You should always choose a toothbrush with soft bristles to protect your delicate gum tissue—especially if it’s extra sensitive. Too-harsh brushing can damage even your super-hard tooth enamel, so you can imagine what it can do to your gums! Change out your brush every three to four months when it starts to get frayed and worn.

If you wear braces, ask Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani to recommend the best kind of floss to clean between your teeth and around your brackets and wires. The right tools will make flossing a lot easier, and will help you keep your gums healthy and your orthodontic treatment on track.

• No Matter How Busy You Are, Treat Yourself Well

Watch your diet. Drinking water to hydrate is a healthy (and inexpensive) alternative to sugary and acidic drinks. When you know you have after-school commitments, pack yourself a healthy snack. After snacking, it’s a good idea to rinse with water when you can’t brush to remove any food particles sticking around your teeth and gums.

And even though your schedule is demanding, caring for your mind and body should be a priority. If you have difficulties with sleep or stress, or questions about a nutritious diet, talk to your doctor for some valuable tips to make your daily life healthier and more enjoyable.

With so much going on in your active life, gum problems are problems you really don’t need. Make room in your schedule now for careful daily brushing and flossing, a healthy lifestyle, and regular visits to Dallas Dental Arts, and you’ll be living that active life with a beautiful, healthy smile!

There are lots of ads out there for toothpastes that claim to repair damaged tooth enamel.

Can you treat cavities and tooth decay at home? Well, mostly, no, you can’t.

Can you strengthen your enamel at home? Very possibly—in some circumstances. Let us explain!

Cavities and tooth decay start forming when the enamel on the tooth’s surface breaks down. To discover what causes this breakdown, we need to see how chemistry works with our biology.

Tooth enamel is mainly made from calcium and phosphate ions. These minerals combine to form hydroxyapatite, crystals which make up around 95% of our enamel. Hydroxyapatite crystals are so strong that tooth enamel is the hardest part of our bodies. What can weaken a substance this strong?

Acids. Acidic foods and drinks, as well as acids created by the bacteria in plaque, strip away calcium and phosphate ions in enamel, weakening the surface of the tooth. This is a process called demineralization, and it’s the first stage of tooth decay. Left alone, weak spots will become bigger and deeper until they form cavities.

And tooth enamel, unlike the rest of your body, isn’t living tissue. It can’t regenerate. Once bacteria and acids have created a deep enough cavity, only Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani can repair it by removing decay and filling the tooth.

Wait, this sounds a lot more like “No, you can’t repair your enamel” and much less like “It’s possible to strengthen your enamel.” But we’re not through!

Demineralization doesn’t equal cavities—yet. Careful attention to your habits and your diet can make a difference in whether your enamel continues to weaken or becomes stronger.

Our body’s first defense against demineralization is saliva. Calcium and phosphate ions in saliva bathe the teeth throughout the day, restoring the minerals which have been lost. This is called remineralization. Saliva also helps neutralize acids from the foods we eat. But with a diet heavy in acids, or a lot of plaque buildup, saliva just can’t keep up with the damage.

That’s where “enamel-repair” toothpastes come in. Toothpastes are available that contain hydroxyapatite to restore calcium and phosphates to weakened enamel. But for many of the most common enamel-repair toothpastes, the not-so-secret secret to their effectiveness is fluoride.

Dentists recommend fluoride toothpastes for several very good reasons. Fluoride is attracted to the minerals in tooth enamel and bonds with them. Once bonded, fluoride attracts the calcium and phosphate ions in saliva, helping restore lost minerals to the enamel. Even better, when fluoride bonds with the calcium and phosphate in our enamel, fluorapatite is created. This is a crystal even stronger and more acid-resistant than hydroxyapatite.

If you’re concerned about the strength of your enamel, and especially if you notice any signs of acidic erosion, talk to our Dallas dental team right away. Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani can:

• Recommend over-the-counter toothpastes or professional fluoride applications to help reverse early demineralization
• Provide dental bonding, a crown, or a veneer to protect a tooth with serious erosion
• Treat a cavity caused by more advanced tooth decay.

Keeping your enamel healthy at home can take many forms. By careful brushing and flossing to remove plaque, by watching the acids in your diet, by making sure you’re properly hydrated, and by using fluoride toothpaste, you can both reduce the risk of demineralization and help restore weak spots in your tooth enamel.

So, can enamel-repair toothpastes effectively repair your teeth? Yes, they can be effective—if demineralization is in its early stages and if you make them a regular part of your daily dental routine.

In the eyes of most parents, nothing is cuter than their baby’s smile. Did you know your little one’s smile (that is, his or her oral health) actually plays a huge role in determining the child’s overall well-being? In order to keep your youngster healthy and smiling, you need to know when and how to take care of those tiny teeth.

Baby teeth aren’t just temporaries that will fall out eventually. They help your baby chew and talk, and they reserve space in the jaw for permanent teeth later on. Since they’re so important, the right time to start dental care is only a few days after your infant is born.

Take a soft, wet washcloth or piece of gauze and gently wipe your baby’s gums. The earlier you begin, the more accustomed your child will become to a daily dental hygiene routine.

Babies that are put to bed with a bottle may be at greater risk for developing cavities. Milk, juice, and any other drinks that contain sugar instigate tooth decay while the child sleeps.

If your baby must go to bed with something, a bottle of water is the healthiest option. Remember to wipe your little one’s gums after each feeding, whether it’s formula from a bottle or breast milk.

As soon as your infant’s first tooth comes in, it’s time to start brushing! Twice a day, take a small amount of toothpaste (about the size of a grain of rice) and brush your son or daughter’s teeth gently in circular motions. As soon as your toddler has multiple teeth that touch one another, floss up and down the sides of the teeth to remove any plaque between them or below the gumline.

Babies’ teeth are prone to cavities and gingivitis, so you’ll want to be on the lookout for telltale signs. Check regularly for red, swollen gums, because this may be an indication of developing gum disease. Discoloration, white spots, or small pits in the teeth can signal a forming cavity.

As long as you follow these simple guidelines and schedule regular dental checkups with Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani at our Dallas office, you can help to ensure your baby has a healthy mouth. There is nothing more rewarding than seeing your happy baby’s healthy smile.

So much of parenting is a balancing act. Making sure your child has enough play time and enough nap time. Crafting meals that are both healthy and appealing. Making sure every dental product you use is both effective and safe.

While Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team can’t recommend the perfect bedtime story, or tell you why your child just won’t go for that delicious steamed broccoli, we are more than happy to discuss the very best ways to promote healthy, strong teeth. Should fluoride toothpaste be part of your child’s dental routine? For many good reasons, the answer is yes.

Why Fluoride is Important

Our enamel is the strongest substance in our bodies, with the highest concentration of minerals, but it is not indestructible. The bacteria that live in our mouths create acids which attack our enamel. Weakened enamel leads to cavities. Fluoride is a mineral that makes the enamel surface more resistant to these acids, and can actually help our enamel repair itself in a process called “remineralization.” Fluoride helps prevent cavities and makes teeth stronger, and those are benefits that will last your child a lifetime.

Can There Be Too Much of a Good Thing?

Fluorosis is a condition that can sometimes develop when a child has been exposed to too much fluoride while the adult teeth are developing below the gum line. (Around the age of eight, children’s teeth have finished forming and are not at risk.) Fluorosis is not a disease, and doesn’t harm teeth, but can lead to faint streaks in the enamel. While this streaking is usually white and subtle, it can sometimes be darker and more noticeable. Teeth discolored by fluorosis can be treated cosmetically, but prevention is always the best option.

Finding the Perfect Balance

Talk to us about using fluoride toothpaste when your baby’s first teeth start arriving. If a very young child is at risk for tooth decay, we might recommend early use of fluoride toothpaste. And for these small children, younger than the age of three, a small smear of paste (about the size of a grain of rice) is sufficient if needed. Swallowing fluoride products increases the risk of fluorosis, so make sure to use a very small amount of paste.

Because young children can’t understand the concept of rinsing and spitting, you always want to make sure the amount of toothpaste you use is age-appropriate even as they get older.  From ages three to six, a pea-sized dab of toothpaste is enough. Children should not use fluoride rinses or supplements unless recommended, and should be monitored to make sure they spit out fluoride toothpaste or rinses after brushing.

Most drinking water already has natural levels of fluoride, which normally aren’t a problem. If you are concerned about high fluoride levels in your local water, talk to us. If your water has higher levels of fluoride than normal, you can minimize consumption when your baby is young by breastfeeding, using non-fluoridated water for mixing with formula powder or concentrate, or buying prepared formula. If your child is a toddler, don’t add fluoride rinses or supplements unless they are recommended by a dental or medical professional.

Talk to us during your visit to our Dallas office about protecting your child’s teeth. We are happy to help you find just the right amount of fluoride to keep young smiles stronger and more resistant to tooth decay. Healthy teeth in a beautiful smile—that’s a perfect balance!

Fluoride has been one of the great game-changers in children’s dental health. Drinking fluoridated water. Using fluoride toothpaste. Scheduling fluoride treatments. All of these child-friendly dental habits help prevent cavities and strengthen tooth enamel.

And we adults enjoy the benefits of fluoride as well. Drinking fluoridated water. Using fluoride toothpaste. If only we hadn’t outgrown fluoride treatments… or have we? Time to have an adult conversation about fluoride treatments!

• To Start, Some Dental Chemistry

The enamel in our teeth is largely made of calcium and phosphate ions. These elements combine to form hydroxyapatite, the mineral crystals that make teeth and bones so hard and strong. But enamel isn’t indestructible. The oral bacteria in plaque create acids that cause demineralization, stripping away calcium and phosphate ions. This leaves the tooth surface weakened and vulnerable to decay.

Our bodies have a way of compensating for demineralization. Saliva is filled with calcium and phosphate ions that restore lost minerals. This balancing act goes on every day. When conditions in the mouth are too acidic, however, remineralization can’t take place as effectively. Here’s where fluoride is so beneficial.

• Why Fluoride?

First, because fluoride helps remineralize. Fluoride works on the surface of the tooth to attract the calcium and phosphate ions in our saliva, restoring them to our teeth. Even better, it joins with these ions to create fluorapatite. Fluorapatite crystals are larger, stronger, and more resistant to acids than hydroxyapatite. This means your teeth are not only remineralized, but stronger than they were originally!

• Why Adult Fluoride Treatments?

While fluoridated water and fluoride toothpaste might be all you need for strong enamel, there are several conditions that make fluoride treatments a good addition to your preventive care at our Dallas office.

• Problems with dental hygiene. Consider fluoride treatment if you have trouble brushing and flossing, if you wear braces, or if there’s any other reason that makes daily cleaning more difficult.
• Exposed roots. Gums often recede as we age, and can pull away from the teeth even further with added factors like gum disease, harsh brushing habits, teeth grinding, or smoking. As gums recede, parts of the tooth roots are exposed. Because roots are covered with cementum instead of the much harder enamel, they are more vulnerable to decay.
• Dry mouth. Medical conditions, medications, and aging can cause a decrease in saliva production. Because saliva helps wash away food particles and bacteria, bathes the teeth with minerals that strengthen enamel, and neutralizes acids, less saliva can equal more cavities.
• Our individual biology. Some of us are born with weaker tooth enamel, and so are more at risk for cavities—even with great brushing and flossing habits.

In all of these cases, fluoride treatments can provide the extra protection you might need for stronger tooth enamel and improved dental health.

• Treatments Are an Easy Addition to Your Dental Appointment

Regular fluoride treatments are neither complicated nor time-consuming. Fluoride can be administered as a varnish, a gel, a rinse, or a foam. It can be applied with a brush, a swab, as a mouthwash, or in a tray. After application, Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani will let you know if any follow up instructions, such as avoiding food and drink for 30 minutes after treatment, are necessary. That’s all there is to it. Protection lasts for months, and your dentist can let you know when a re-application is needed.

You’re doing the right thing by using a fluoride toothpaste and keeping up with your dental exams and cleanings. Ask Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani if a fluoride treatment is something that could strengthen your teeth and help prevent decay—it could be a game-changer for your dental health!

“Had the best dentist visit I’ve ever had at Dallas Dental Arts! Which means a lot after experiencing dental care elsewhere in Texas that led to me having a panic attack and anxiety about trips to the dentist. A friend recommended I visit them after explaining my previous dental anxiety, and I’m really glad they were able to see me. Dr. Sheena Allen was so kind and really addressed all my concerns, and even geeked out with me about teeth (which I find fascinating). All of the staff were kind and professional and the office was incredibly clean (and had a great view!). I was even able to get an orthodontist referral and talk about a basic game plan for my teeth with Dr. Allen. I also really appreciate how transparent they are about their prices, and how helpful they were in mentioning a payment option that would help make visits more affordable since I don’t have dental insurance. I will absolutely be recommending this office to everyone I know in the DFW and NE Texas area!” – Patient

At Dallas Dental Arts, we kicked off the New Year with a bang by reopening on January 2nd. Our normal business hours are Monday through Friday, 8 am to 4 pm. Although we don't necessarily believe in New Year Resolutions, we do have a goal for this year. Our goal is to "thrive" instead of simply surviving. After a tough 2023, we want to make 2024 all about living our best life, doing outstanding dentistry, while providing exceptional customer service.

As for changes to our practice this year, we hope to grow our team while continuing to provide the best care possible. Be on the lookout for our updated 9th floor as well as new team attire and logos! If you're looking to schedule a visit with our hygiene team, please plan in advance. Our hygienists are the best and tend to book out several months in advance. However, if you're looking to be placed on our cancellation list, always give us a call.

We also understand the importance of emergency appointments. Dental pain and broken teeth are no fun, which is why we will do our best to accommodate same or next day emergency calls. Just give us a call directly for these types of visits due to their urgency. If you need to cancel an appointment, please call our office. While we understand that emergencies happen, we do have a 48-hour cancellation policy to help prevent unnecessary rescheduling. We would be happy to offer your cancelled appointment to another patient, but we just need enough time to do so.

Although we are not offering any New Year specials this month, we have always been known for cosmetic dentistry. This year will be no different, and we are starting off the year right with January fully booked. If you've considered veneers or are thinking about this option, now is a great time to get a consultation scheduled so that 2024 can be the year your smile is transformed.

It’s a new year! A blank calendar! A traditional time to make a few changes that could change your life for the better. And while we applaud big goals like learning a new language or finally getting those closets reorganized, we’d like to start small with a few simple, proactive dental resolutions suitable for anyone’s list.

1. Floss Every Day

Yes, we know we talk a lot about flossing. That’s because flossing can be a game-changer when it comes to healthy teeth and gums.

Proper flossing removes the plaque from spots your brush often misses—between the teeth and near the gum line. When you floss, you accomplish two goals: you help prevent cavities and you help prevent gum disease. And once each day is all it takes—as long as you take your time and floss properly.

If you’re having trouble flossing properly (a very common problem!), don’t hesitate to talk with Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani to discover the best techniques and products to make your personal flossing experience as relaxed and effective as possible.

2. Retire Your Brush

Brushes work hard—that’s why they should be replaced after a few months of use. Bristles start to fray over weeks of brushing, which means you aren’t getting the full benefit of your great brushing technique.

Switch out your brush every three to four months, or earlier if you notice any bristle damage, and you’ll enjoy cleaner teeth without changing your normal brushing habits.

3. Protect Your Smile

Take some simple, everyday precautions to protect your teeth and your smile.

• If you haven’t already, be sure to buy a soft-bristled brush when you replace your old one. Soft bristles are strong enough to brush away plaque while protecting your tooth enamel and gum tissue from abrasion.
• Use a mouthguard when you enjoy any sports or activities where you might make contact with an object or person or the ground.
• Ask Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani about a custom night guard if you grind your teeth. If you have a night guard, don’t forget to wear it.
• Protect and strengthen your tooth enamel with fluoride, a proven cavity-fighter. Fluoride toothpaste? Yes, please! And if your community doesn’t have fluoridated water, talk to Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani about whether fluoride treatments are a good idea.

4. Pay Attention to Your Body’s Signals

Don’t ignore symptoms which might indicate problems with your oral health.

• Tooth and Jaw Pain

Pain can be caused by many conditions, including a cavity, an abscess, a pulp infection, a cracked tooth, or problems with your bite. Visit our Dallas office to discover why you’re suffering and to treat any dental problem before it becomes more serious.

• Signs of Gum Disease

Gum disease can cause symptoms like swelling, redness, pain, receding or bleeding gums, and chronic bad breath. Sometimes, more careful attention to brushing and flossing is all you need to reverse early gum disease. But when your symptoms linger, Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani can help you avoid more serious gum disease with periodontal treatment.

5. Visit Dallas Dental Arts Regularly

Don’t wait for pain or other worrisome symptoms before you give us a call. Proactive care can catch potential problems early, reducing your risk of more serious conditions.

Start the new year off right. These five small adjustments to your daily routine can have a big impact on your oral health. Be proactive now, and you’ll enjoy a new year filled with healthy smiles.

The food you feed your child can have a lasting effect on his or her oral health. In fact, diet plays a major role in whether a child develops cavities and decay, which can lead to many dental visits and potential tooth loss. So what should you feed your child to ensure he or she has a healthy smile for life?

Foods to Avoid

It is normal for your child to take interest in many foods -- especially those filled with sugar and carbohydrates. But as tasty as these foods are, they can cause rapid decay when eaten in excess. That’s not to say your child can never have sugar again. Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our staff suggest limiting starchy and sugary foods such as candy and potato chips as much as possible.

Remember that some seemingly healthy foods can present the threat of decay too. Some of the most common culprits are sticky foods like peanut butter, raisins, and granola bars, which can stick to the teeth after eating. If you serve these foods to your child, be sure to have him or her brush immediately after eating to remove any lingering sugary residue.

Beverages

Many beverages marketed toward children contain sugar servings that far exceed the daily recommendations from national health organizations. They suggest no more than three to four teaspoons of added sugar per day for young children.

Make an effort to serve only water to your child any time other than meal times. During meals, allow your child to have milk or juice, but in limited serving sizes. Most importantly, never allow your young child to sleep with a bottle or “sippie cup” full of juice or milk. Doing so can cause rapid tooth decay: a condition known as “baby bottle caries.”

A Healthy and Balance Diet

So long as your child is brushing regularly and eating a healthy, balanced diet full of fruits, vegetables, lean proteins and whole grains, you should have little or no problem with tooth decay. For more questions about how your child’s diet affects his or her oral health, contact our Dallas office to schedule a consultation.

Keeping your smile its brightest can be a challenge! The foods you eat, healthy habits, unhealthy habits, and time itself can affect the color of your enamel. Luckily, there are some everyday actions you can take to minimize staining and discoloration.

• Limit “Food Coloring”

Some of our favorite foods and beverages cause some of the most noticeable staining. Even though enamel is the strongest substance in our bodies, it’s still porous. This means that enamel can absorb elements from our foods, including tannins and natural food colors, which darken teeth over time.

That’s why a daily cup of coffee or tea, or a glass of red wine with dinner, or frequent helpings of dark berries, can lead to a less than brilliant smile in a matter of months. What’s more, acidic foods like citrus fruits, pickled foods, and sodas erode the enamel surface, which makes it easier for food stains to penetrate.

When you eat those smile-dimming foods, it’s a good idea to rinse with water right away. (When tasty treats are acidic, it’s best to wait to brush for about half an hour to avoid enamel damage.)  And here’s a simple work-around—use a straw when you enjoy discoloring drinks.

You can also reduce staining by adding food allies to your diet. Besides bringing you the nutritional benefits of a healthy, well-balanced diet, crunchy foods such as apples, carrots, and celery can have a mild scrubbing effect on the tooth surface, and dairy foods strengthen enamel and might help prevent staining when added to coffee or tea.

If you’re mindful of your eating habits, you’ll help your smile stay its brightest. And speaking of habits . . .

• Keep Up with Healthy Habits

Plaque is a sticky biofilm which contains oral bacteria, food particles, saliva, and fluids. This film starts forming within hours after brushing, and a buildup of plaque leaves teeth looking yellowish. If plaque is left undisturbed, it hardens into tartar within days. And the yellow and brown colors of tartar aren’t a flattering look for any of us.

Regular brushing and flossing is the best way to keep your teeth plaque-free. For a brighter smile, a whitening toothpaste can help remove superficial surface stains. But what a whitening toothpaste can’t do is to remove deep staining or tartar.

A professional cleaning every time you have a checkup at our Dallas office is the best way to keep your teeth their cleanest, especially because tartar must be removed by a dental professional. And please feel free to ask for brushing and flossing tips to help maintain your sparkling smile.

• Give Up Unhealthy Habits

Cigarettes, cigars, and other forms of tobacco are terrible for your health and terrible for your smile. While cosmetic concerns are the least of our worries when it comes to tobacco, it’s well known that smoking and chewing tobacco cause unattractive yellow and brown staining.

Quitting tobacco in any form benefits not just your appearance, but your oral health—and your overall health. When you’re ready, talk to Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani about some of the methods you can use to give up the habit permanently.

• Beat the Clock

Over the years, erosion and wear cause the enamel layer on the outside of the tooth to thin or crack. This allows the dentin underneath to show through. Because dentin is darker than enamel to begin with, and gets darker over time, teeth can take on a yellow or grey hue as we age.

Keep your smile looking its best through the years with regular checkups and cleanings. Avoid excessive erosion and abrasion by being mindful of the acidic foods in your diet, using a soft-bristled brush for cleaning your teeth, and getting treatment for harmful conditions like bruxism (tooth grinding). If you notice any changes in your smile, it’s a good idea to talk to Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani.

While preventing staining naturally with diet and healthy habits is great, sometimes nature needs a nudge. If you have an important event coming up, or if you would simply like to feel more confident about your smile, talk to us about professional whitening. A professional treatment uses a stronger whitening formula, and often works more quickly, is more effective at removing yellowing and stains, and lasts longer than home treatments.

Finally, while you can do a lot to keep your teeth their brightest by preventing and treating external staining, other types of discoloration can also affect your teeth. For staining caused by medication, root canal work, or trauma, ask us about all the options available to you.

Yes, keeping your teeth their brightest can be a challenge, but doing your part—and working with your dental team at Dallas Dental Arts—will make sure you greet the world with a sparkling, confident smile.

“Great Experience. Dr. Allen is amazing! Super knowledgeable and patient. They provide laughing gas which is great for those of us who get nervous about dentist visits. Her team is amazing too!! Best Dentist in Dallas by far!” – Kevin

We have had such an eventful year, overcame obstacles, and made positive changes. Despite staff changes, supply issues, and major renovations to the office and building, our team has adjusted nicely. We’ve even welcomed new team members and even some former ones have returned.

One memory that sticks out from this year was that we had a hard time saying goodbye to our hygienist Kristin after 33 years of practice. We will miss Kristin, but she will always be a part of the Dallas Dental Arts family.

Our practice has achieved several successes this year, including finding great hygienists. While hiring team members has been challenging, we took our time, searched far and wide, and found a great hygienist to join our team.

We also did take a break this year, shutting down the office for one week to allow our team some much-deserved rest and relaxation - something we haven’t done in almost 7 years.

This coming year, we are looking to settle into our new team, enjoy our updated office, and move forward from this year's struggles. We know we will have an amazing year and can’t wait to see what we accomplish!

It’s the holiday season! With so much to do and so much going on, you want to be at your best. We have some ideas to help make your season bright with a few easy tips for a healthy smile.

• Keep Your Smile Merry and Bright

There’s a lot going on during the holidays. Visiting friends. Traveling to see family. Parties and get togethers. With all the enjoyable festivities on your holiday schedule, you might be tempted to overlook brushing or flossing. But, please don’t!

Many of our favorite holiday traditions and activities are centered around sharing good company, good cheer—and good food.

Indulging in more treats throughout the day, especially sugars and simple carbs, provides more fuel for the bacteria in plaque. These bacteria produce acids that weaken tooth enamel—the first stage of tooth decay. Plaque buildup also irritates the gums, causing swelling, redness, pain, bleeding, and chronic bad breath.

How to avoid these not-so-jolly consequences? Make time in your holiday schedule for dental care! Brushing twice a day for two minutes and flossing once each day removes plaque buildup and helps prevent cavities and gum disease.

• Holiday Snacks—Naughty or Nice?

We’re no Scrooges—enjoying holiday treats is one of the ways we celebrate. But since we’re trying to prevent a plaque buffet of sugar and simple carbs, it’s a good idea to add some healthier foods to the mix.

Whether it’s platters of snacks around the game table or a stylish hors d’oeuvre array, don’t forget to add nutritional, dental-friendly items to your plate. Options such as fresh fruits and vegetables, cheeses, nuts, and whole grain breads and crackers are great partners for more indulgent selections because they’re lower in added sugars and provide vitamins and minerals to strengthen teeth and gums.

And from the candy bar? Hard candies and candy canes make our naughty list because they take a long time to dissolve while bathing your teeth in sugar. So do caramels, toffees, and gumdrops, which stick between teeth and gums. Soft chocolates? A much nicer choice, because they are more easily rinsed away by saliva or a drink of water. Which leads us to . . .

• A Toast to Your (Dental) Health!

The holidays offer some of our favorite seasonal beverages. But spiced lattes, mochas, and hot chocolate can be full of sugar.

The answer? Enjoy in moderation, and enjoy with a glass of water. Water washes away sugars, neutralizes acids, helps increase saliva flow for tooth and gum health, hydrates, and, when it’s fluoridated, protects and repairs your enamel. That’s a lot of gifts in one convenient package!

• Dashing through the Snow?

If you’re taking to the slopes, or the hills, or the rink for a little holiday exercise, don’t forget to protect your teeth and mouth. It’s not just sports like football and hockey that cause dental injuries—it’s any sport where you can fall or make contact with someone or something.

If you don’t have a mouthguard, they’re available at sporting goods stores in stock sizes or models that can be molded to your teeth. A custom mouthguard from our Dallas office is more comfortable, fits better, and protects you better. This is a perfect gift to give yourself so you can take advantage of all those cold weather sports with confidence.

We all look forward to holiday surprises—but not when they take the form of cavities, gum disease, or dental injuries! In the flurry of holiday activities, keep up with your regular dental care, and you’ll be looking forward to a new year filled with happy and healthy smiles.

Kids are constantly active and constantly growing. No wonder they’re constantly hungry! When it’s time for a snack, here are some tips to make between meal treats timely, tasty, and tooth-friendly.

Keep snacks to a minimum

Every time we eat, we’re also providing food for the bacteria in our mouths. Bacteria use sugars to produce acids. These acids weaken our enamel and can lead to cavities. Luckily, we have a natural way of protecting our teeth. Saliva washes away food particles and bacteria, and even provides substances that strengthen our teeth in the hours between meals.

When we eat throughout the day, there is no chance for this recovery period to take place. Small children aren’t usually able to get through the day without a few snack periods, which is perfectly normal. Just try to make sure that snacking doesn’t become all-day grazing!

Avoid foods that contain sugar and carbohydrates at snack time

We know that sugar leads to an increased chance of cavities because bacteria convert this sugar into acids that damage our enamel. But carbohydrates should also be in the no-snack zone. Why? Because carbohydrates break down into sugar very quickly. So while you wouldn’t offer your child a daily mid-afternoon snack of sodas and chocolate bars, those muffins, doughnuts, chips, and bagels should be on the “special treat” list as well.

Dental-healthy snacks

Luckily, we are left with many healthy and convenient choices when your child needs a nibble.

• Crunchy, crisp fresh fruits and vegetables provide vitamins as well as a gentle scrubbing action to help clean teeth. They are also rich in water, which helps us produce the saliva that naturally washes away food particles and bacteria.
• Low-fat yogurts and cheeses provide essential calcium for strong teeth and the vitamin D that helps us absorb calcium.
• Whole grain breads, cereals, and crackers are healthier than products made only with white flour because they retain valuable vitamins and minerals that have been removed from refined grains.
• Lean meats, peas, legumes, and eggs provide protein that helps build connective tissue and maintain tooth structure.
• Water helps stimulate saliva production and provides cavity-fighting fluoride. Win/win!

You are constantly looking for ways to make your children’s lives better. Mix and match any of these foods for a snack that’s not only good for their teeth, but rich in the proteins, vitamins, and minerals needed to keep them active and growing throughout their school years. If you have questions about your child’s dietary needs, feel free to ask Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani at our Dallas office.

Plaque is a sticky subject! It sticks to the enamel of our teeth above and below the gum line, and it collects around fillings, braces, and other dental work. Plaque is one of the major causes of tooth decay and gum disease, and our teeth are under daily attack by this filmy menace.

What are the facts about plaque, and how can we fight back? Read on for some effective strategies!

What Is Plaque?

Plaque is a sticky film that builds up on our teeth, largely made up of millions of different types of oral bacteria. Plaque is a colorless biofilm at first, but as it collects, it takes on a white or yellow tint. If you haven’t brushed for a few days, that fuzziness you feel on your teeth is plaque build-up. Unless it’s removed, plaque hardens within a matter of days to become tartar.

• Tip: You can remove plaque with careful brushing and flossing, but it takes a dental professional to remove tartar. Be proactive!

Why Does Plaque Cause Cavities?

Bacteria in plaque use our food as their food, especially sugars and carbs. They then transform these nutrients into acids, which attack our tooth enamel, weakening it and leaving it vulnerable to further erosion and eventual decay.

• Tip: Cavities aren’t the only damage caused by accumulated plaque. Plaque also collects along and below the gum line. If tartar forms here, it irritates delicate gum tissue, leading to gingivitis and more serious gum disease. Make sure you don’t forget your gums when you brush and floss.

When Does Plaque Build Up?

The short answer? Plaque is always forming, because oral bacteria are a natural part of our biology. (In fact, there are even oral bacterial which are beneficial.) Plaque starts building up within minutes after eating, and during the night as we sleep.

That’s why we recommend brushing for two minutes at least twice a day, and flossing at least once a day. If you have braces or oral issues that make brushing more often advisable, ask us for suggestions for your best brushing schedule.

• Tip: Just because plaque is unavoidable, that doesn’t mean we need to give the bacteria in plaque any additional encouragement. Every time you have a meal or a snack that’s heavy in carbs and sugars, you are providing more fuel for acid production. Cutting down on foods like sugary desserts and sodas is not only nutrition-healthy, it’s tooth-healthy!

Where Does Plaque Collect?

Plaque builds up all over tooth surfaces, at the gum line, and even below the gum line. It’s especially easy to miss in hard-to-reach places like the irregular surfaces of molars, between the teeth, behind our front teeth, and near the gum line.

• Tip: One of the ways plaque avoids detection is its invisibility. Fortunately, if you’re having trouble brushing away all your plaque, there are plaque-disclosing toothpastes and chewable tablets available in the dental aisle which reveal the plaque hiding between, behind, or around your teeth by tinting it with a can’t-miss color. Just brush the color away, and you’ve brushed the plaque away as well.

How Do We Clean Away Plaque?

Use the Right Tools

Floss at least once a day. There are different materials, sizes, and coatings for floss, so you can find one that’s comfortable for you. Floss reaches those spots in between teeth and around the gum line that brushes miss.

Choose a soft toothbrush (soft bristles are better for your enamel) and change it every three to four months, or as soon as the bristles show wear. Make sure the head is the right size—too big, and it’s not only uncomfortable, but you won’t be able to reach all the surfaces you need to.

• Tip: If you have trouble removing plaque with a manual toothbrush, consider an electric model. Several studies have shown a reduction in plaque with the use of an electric brush.

Use the Right Toothpaste

There are many toothpastes specifically formulated to fight plaque and tartar. And fluoride toothpastes not only fight cavities, they can strengthen your enamel.

• Tip: Studies have shown that toothpastes with baking soda, in particular, are effective in reducing plaque. Ask us for a recommendation the next time you’re in for a cleaning.

Use the Right Technique

What not to do?  A forceful, horizontal sawing motion is awkward, hard on your enamel, and misses plaque and debris between the teeth. Technique is important—not for style points, but for cleaner teeth!

Hold your toothbrush at a 45-degree angle, especially at the gum line, to gently remove plaque from teeth and gums. Use short strokes or a circular motion to clean as much of the surface and between the teeth as possible. Brush the inside of your front teeth with careful vertical strokes—remember, that’s one place where plaque is easy to overlook. The same holds true for the tops of your molars, so thoroughly clean those uneven surfaces.

• Tip: Do you floss before or after you brush? While both methods have benefits, many dentists and periodontists suggest flossing first. But really, if you are flossing daily, no matter what the order, you’re doing it right!

Who Can Help You Fight Plaque?

Even when you do your best at home, plaque can still be a sticky problem. That’s why we advise regular professional cleanings. We can not only remove any plaque that’s been overlooked, we can eliminate the tartar which can cause serious gum disease.  And, of course, we can give you all the information you need to keep your teeth their cleanest.

• Final Tip: It’s important to schedule cleaning appointments at our Dallas office on a regular basis to help prevent tooth decay and gum disease. Ask us for phone, text, or email reminders when it’s time for your next cleaning.

True, you’re fighting plaque every day, but you have all the tools you need to make sure your teeth and gums stay healthy. You’re winning the battle with plaque every time you eat a nutritious meal, every time you brush and floss, every time you see Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani for a checkup and a cleaning. With that kind of strategy, plaque doesn’t stand a chance. And your bright smile and healthy teeth and gums? That’s a victory worth celebrating!

When we don’t keep up with our dental hygiene, plaque buildup can result in three kinds of cavities. Pit and fissure cavities are found on the tops of molars, where food particles get stuck in the irregular surfaces. Smooth surface cavities are located on the smooth sides of teeth.

Wait. Top, all around the sides—what’s left for plaque to attack?

Our roots. The roots of our teeth are generally protected by their concealed position in the jaw. Sitting securely in alveolar bone, held firmly in place by connective tissue, with gum tissue snugly surrounding them, roots are generally not cavity prone.

But these cozy conditions can change. Due to gum disease, abrasive habits, or simply the passage of time, gums can recede and expose root surfaces. And this exposure can lead to root cavities.

If you look at a complete tooth, it looks like enamel is covering the entire tooth surface. In fact, enamel, the strongest substance in the body, only covers the visible part of the tooth, called the crown. The roots are covered by a substance called cementum, which is softer than enamel. And if enamel can’t stop decay, cementum is even more vulnerable when it’s exposed to plaque, bacteria, and acidic foods.

How do we protect our roots from decay? Protecting our gums is the first line of defense.

• Gum Disease

Receding gums caused by periodontitis can be treated by Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani. Deep cleaning procedures such as scaling and root planing can remove accumulated plaque and tartar, and help gum tissue reattach to teeth. For serious recession, gum grafts can replace lost tissue.

Early treatment can prevent recession. If you notice any signs of early gum disease, including bleeding, swelling, tenderness, or persistent bad breath, it’s time for a visit to our Dallas office.

• Gum Abrasion

It’s not just gum disease that can lead to gum recession. Some personal habits are hard on gums and teeth, and can leave roots exposed. If you bite your nails, grind your teeth, irritate your gums with oral piercings, you are at risk for gum recession. Talk to Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani about preventing abrasive damage.

A surprising cause of receding gums? Over-vigorous brushing. Use a soft-bristled brush—and don’t use a heavy hand when brushing—to protect your delicate gum tissue.

• Aging

As we age, our gums recede. So it’s no wonder that older adults are especially at risk for root cavities. That’s why it’s very important to keep up with brushing (at least two minutes twice a day) and flossing (once a day, or more often if needed) to prevent the buildup of plaque and tartar.

And it’s more important than ever to schedule regular dental exams and cleanings. Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani can help stop small problems from becoming major ones, and suggest brushing and flossing techniques, fluoride treatments, or other procedures to encourage gum and dental health.

If a cavity develops, no matter what kind, it should be treated as soon as possible. And time is especially important for a root cavity.

Because cementum is weaker than enamel, cavities can progress more quickly in roots. A cavity which has reached pulp tissue might require a root canal and a crown to restore tooth function. Serious decay could lead to extraction.

Don’t let root cavities undermine your dental health. If you notice any sign of gum disease or recession, it’s time for a visit to our Dallas office. After all, even though they go unnoticed, strong roots are the foundation of a healthy, attractive, life-long smile.

What to do to prevent gum disease? If left untreated, gum disease can lead to discomfort, infection, and even tooth loss. Bacteria in our mouths form a film called plaque. Plaque sticks to our teeth and can lead to gum inflammation. This inflammation can cause our gums to pull away from the teeth creating “pockets” which are home to infection and result in tooth and bone loss. Since the early stages of gum disease are often invisible, what is the secret to keeping our gums healthy?

Luckily, there is no secret to it at all! Preventing most gum disease is a simply a matter of following well-known guidelines, at home and in our Dallas office.

 Healthy Habits at Home

• Regular brushing and flossing

At least two minutes of careful brushing twice a day will help reduce bacteria and plaque. Use floss, picks, and other interdental tools to remove plaque from tight areas between the teeth that your brush might miss.

• If you smoke, now is the time to quit!

Smoking weakens your immune system, making it harder to fight infections and to heal. If you need another reason to quit, improving your oral health is a great one. Talk to us about ways to stop.

• Eating well

We all know sugar is no friend to dental health, and encourages bacterial growth. But eating apples, carrots and other crunchy vegetables can help remove food particles and stimulate the production of saliva, which fights bacteria production. Vitamins and minerals help strengthen bones and build healthy gum tissue. And a balanced diet supports not just your oral health, but the health and well-being of your entire body. Ask us for suggestions for a dental-healthy diet.

Regular Checkups and Cleanings

• We recommend a visit to our Dallas office every six months for a checkup. Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani can discover and treat gingivitis (early periodontal disease) and recommend a periodontal exam if there are signs of more severe gum disease. There are some individuals who develop gum disease even with great brushing and flossing habits, so it’s important to have a dentist’s evaluation.
• Having your teeth cleaned every six months will remove plaque that brushing alone can’t handle. If there are signs of more serious gum disease, a periodontal cleaning will remove plaque and tartar from both above and below the gumline.

Brushing, flossing, avoiding smoking, eating well, seeing Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani regularly—there’s no secret here! Talk to us about what you can do and what we can do to keep your gums healthy for a lifetime of beautiful smiles.

The electronic toothbrush has undergone several technological advances since the 1960s. Everything from design and bristle motions to rotation, oscillation, and sonic vibration has led to dramatic changes in this necessary tool over time.

Rotation oscillation happens when the head of the toothbrush rotates from one direction to the other. The benefit of powered toothbrushes is that they can produce 50,000 strokes per minute, compared to 300 strokes with a manual toothbrush.

When you’re thinking about brush head size, smaller brush heads are best for hard-to-reach areas and small mouths. Brush heads should be replaced every three to six months as needed. A good way to save money is to designate a brush head for each family member which can be taken on and off a shared base motor.

Having a base motor or rechargeable toothbrush can deliver enough power on a full charge for a week of brushing, which makes it convenient for travel or when life gets busy. Some toothbrushes include audible signals that let you know when to switch the area of your mouth you’re brushing or when a full two minutes has gone by.

Do you have sensitive teeth? Studies have indicated that people tend to apply more pressure on their teeth when they use a manual toothbrush. This makes an electric toothbrush a preferable option if you’re having issues with sensitive teeth or gums.

There are even electric models with pressure sensors that will stop the brush from spinning when you press too hard against your teeth!

Everyone can benefit from having an electric toothbrush. A large handle size can be taken into consideration if a member of the household is young, or has a physical disability or arthritis. They’re even recommended for children in order to maintain good oral hygiene from a young age.

Biofilm is a term used for plaque or debris that builds up in your mouth. If not properly addressed, this can cause serious bacterial infections to your gums and teeth. If you want to remove biofilm in the most efficient way, an automatic toothbrush is the way to go.

When you're ready to make your decision, make sure to consult with Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani at our Dallas office to decide which electric toothbrush is right for you!

You’ve made an appointment at our Dallas office to treat your cavity, the decayed area has been removed, and the site has been cleaned and prepared for a filling. Now it’s decision time. What kind of filling should you choose? Well, that depends. There are durability, aesthetic, and price considerations involved in any of your choices, so let’s look at some options before you decide.

Gold

This is a classic choice for a reason. Gold is very durable and can last longer than fillings made from other materials. Because they are crafted from precious metal, gold fillings are more expensive than other alternatives. They are also most often indirect fillings—that is, they are not immediately placed in a tooth, but are formed based on a mold of your tooth taken on your first visit and set in position on a second visit. A gold filling is also noticeable, which can be a matter of concern or a style statement!

Metal Amalgam

An amalgam is a mixture, and an amalgam filling is usually composed of several metallic elements, including silver, tin, copper, and mercury. This filling is also very durable and is one of the most cost-effective choices. Its silver color does not blend into the tooth, so visibility is a factor. Amalgam fillings are considered a safe option, but, if you wonder about potential metal allergies or the amount and kind of mercury involved, we will be happy to discuss your concerns. One possible drawback to amalgam fillings is that sometimes more tooth structure needs to be removed to accommodate them, so this is also a subject we can discuss.

Composite Resins

These fillings are often selected because they are both durable and almost invisible when the color is matched to your tooth. Made of acrylic resin and powdered glass, a composite filling is what is called a “direct filling”—one that can be completed and bonded to the tooth in one visit. These are often more expensive than amalgam fillings, but might be preferable for cosmetic reasons, especially when a front tooth is involved. They also need less tooth structure removed to accommodate them and can be better bonded to small excavations than some other options. They can be prone to staining over time.

Ceramic

Ceramic fillings have the virtue of being virtually undetectable. They can be color-matched to your teeth for a seamless look, and are more stain-resistant than composite fillings. They are also a more expensive option, and, like gold fillings, can involve a two-phase process with a filling molded to fit the excavation site placed in your tooth on a second visit.

Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team are happy to discuss all of your options before it is time to treat your cavity, since there are a number of factors which might impact your decision. A molar will require a more durable filling than a front tooth, while being less visible when you smile or speak. Insurance plans might pay for only a portion of a filling’s cost if it is more expensive than an amalgam, or will pay for a composite filling only if it is in a visible location. We can help you decide which filling best fits all your needs, providing you with the healthy and beautiful smile you deserve!

Now that you’re a teenager, you have a lot more responsibility and independence. Choosing high school classes and electives. Getting a driver’s license. Landing your first job. And those new responsibilities extend to your dental health as well.

• Mouthguards

If you have a mouthguard for sports or athletic activities, wear it! Whether you have an over-the-counter device or a custom fabricated guard, it won’t do you any good hiding in your locker. A mouthguard cuts down on tooth and facial injuries caused by falls, physical contact, or other accidents that might happen in your active life. And if you wear braces, ask about a mouthguard designed to fit around them. These custom devices protect your braces and your mouth.

• Gum Health

Part of adolescence is adapting to all the changes your body is going through. But an increased chance of gingivitis, perhaps caused by hormonal changes, is not something you want to adapt to. You might suspect you have gingivitis, or early gum disease, if your gums are swollen, red, bleeding, or easily irritated. Let us know about your concerns. With proper dental care (brushing, flossing, cutting down on sugars and carbs), your gums will be healthy again in no time.

• Wisdom Teeth

Your teen years might be the time that your wisdom teeth make their appearance. We could discover them at one of your visits, or you may suddenly notice new teeth emerging behind your molars. If there’s room for your wisdom teeth and they are erupting (coming in) without problems, you might be good to go. But if there’s no room, or if you have pain or infection, or if they are causing damage to the teeth next to them, extraction might be necessary. Talk to us about all your options.

• Tobacco

You’re making decisions now that will affect the rest of your life. Don’t start using tobacco products, or if you’ve started, stop before it becomes even more addicting. Quitting tobacco is one of the best decisions you will make for your health—and this includes your dental health. Studies have shown that smokers and other tobacco users suffer much higher rates of oral cancer, serious gum disease, and early tooth loss. Set yourself up for decades of better health!

Finally, remember that sticking with your dental routine—two minutes of brushing morning and night and thorough flossing each day—will keep your gums and teeth healthy throughout your teen years. And, if you have any questions about your dental health in general, or a specific dental concern, give our Dallas office a call! We’re here to work with you for a lifetime of beautiful smiles.

At Dallas Dental Arts, we have patients coming in asking us why a taste of ice cream or a sip of coffee becomes a painful experience, or why brushing or flossing makes them wince or cringe. The answer, usually, is sensitive teeth. Tooth sensitivity typically occurs when the underlying dentin layer of the tooth is exposed in the oral cavity, and most people experience tooth sensitivity at some point in their lives.

So, why do people experience sensitivity and how do you know if tooth sensitivity is something to be worried about? The most common cause of the sensitivity is exposure of the dentin, which is the layer surrounding the tooth’s nerve. Contributors to tooth sensitivity include teeth whitening and dental work such as fillings, periodontal treatment, and the placement or adjustment of braces. These are temporary and should be of no concern.

Permanent hypersensitivity, however, may require treatment at Dallas Dental Arts. The first step is to determine the cause, and that begins with a visit to our Dallas office.

The reasons your teeth may become sensitive vary, but possible causes include:

• Tooth decay (cavities) near the gum line
• Cracked or fractured teeth
• Fillings that are worn
• Gum (periodontal) disease, or recession of the gums
• Worn tooth enamel
• Brushing too hard
• Consuming acidic foods

Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team at Dallas Dental Arts want you to know that sensitive teeth can be treated, and the type of treatment will depend on what is causing the sensitivity. Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani may suggest one the following treatments:

• Desensitizing toothpaste, which contains ingredients that seal off the microtubules inside the exposed dentin to reduce tooth sensitivity
• Fluoride gel, which strengthens compromised tooth enamel, helps prevent tooth decay, and decreases hypersensitivity of the teeth
• A crown, inlay, or bonding, which is used to treat tooth decay and prevents sensitivity
• A surgical gum graft. If gum tissue has been lost from the root, this procedure will protect the root and reduce sensitivity.
• Root canal: If you are experiencing severe and persistent sensitivity which cannot be treated by other means, Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani may recommend you undergo a root canal to eliminate the problem.

If you are experiencing tooth sensitivity, give us a call today so that Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani can provide you with some much-needed relief!

One of the most frequent questions that Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team hear is about what kinds of snacks are best for a child’s dental health. Sugary snacks are inevitable sometimes, but it’s vital for you as a parent to monitor how frequently your child is eating the kinds of snacks that may give him or her a cavity or two down the line.

Unsurprisingly, the best snacks are healthy ones, though they may not always be the most appealing to your little ones. The good news is that healthy doesn’t mean you have to compromise on taste. Once your kids give these tasty snacks a go, they might become open to all things healthy!

• Fresh veggies and hummus
• Apple wedges with peanut butter
• Low-fat yogurt with berries
• Cubes of cheese and crackers
• Hard-boiled eggs with a little bit of salt and pepper
• Celery sticks with cream cheese and sunflower seeds
• A homemade milkshake with low-fat milk (or almond milk), the fruit of their choice, chia seeds, and cinnamon
• Lean proteins such as chicken breast, fish, and turkey

These snacks aren’t high in sugar but they contain all the nutrients your children need to have the necessary energy throughout the day.

This is only a sample of all the great, healthy snacks out there for your kids. For more ideas, ask us the next time you visit our Dallas office. It’s never too early to create healthy habits; they’re not only good for oral health, but overall health too. That’s a win-win, if you ask us.

You take a sip of soda – and someone remarks, “That’s going to ruin your teeth!”

Is that true? Is sweet soda the enemy of a healthy smile? The answer, unfortunately, is that one glass might not hurt your teeth, but drinking soda regularly can do some real damage.

Sodas are one of America’s favorite drinks. The American Academy of Cosmetic Dentistry says about half of us drink soda regularly, averaging 2.6 glasses each day.

That’s a lot of soda considering the drinks are acidic, full of sugar, and have little or no nutritional value. It may surprise you to learn that it’s actually the acidity of cola, not the sugar, which poses the biggest threat to teeth. Over time, repeated exposure to soda wears down tooth enamel, leaving teeth stained and less able to prevent cavities.

As enamel wears away, teeth can become discolored, take on a rough texture, and become highly sensitive to hot or cold. Your teeth may start to tingle, and brushing or flossing can cause pain. If not checked by dental care, teeth may start to erode, becoming thinner and more likely to crack. It’s a pretty high price to pay for a glass of soda.

Of course, sodas are not the only culprits in tooth erosion. Coffee, wine, and some fruit juices are also acidic, though these drinks tend to have less acidity that a typical soda.

So what can you do to protect your teeth?

1. Cut back – way back – on acidic drinks.

2. Add more water to your daily diet in place of sodas.

3. Use a straw when you drink.

4. Don’t confuse diet soda with a healthy alternative. Diet drinks are just as acidic as regular sodas.

5. Rinse your mouth with water after drinking soda. The rinse may remove some acid from your teeth, although abstaining from the soda would do more good.

6. Hold off on brushing your teeth after drinking soda. Brushing too hard can weaken enamel that is already covered in acid.

7. Pay attention to your teeth, both how they look and how they feel. Let Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani know if you see signs of discoloration or erosion, or feel tingling. Make an appointment at our Dallas office if you feel tooth or gum pain when eating or drinking.

It really doesn’t happen very often. But sometimes you bite into something that is much harder than you anticipated. Sometimes you grind your teeth without realizing the pressure you’re putting on them. Sometimes you have a cavity that has stealthily developed beneath an earlier filling. And the result is—sometimes you lose a filling.

What to do when this happens? If you’re at a loss for ideas, we have some suggestions.

• Don’t panic

Usually, a cracked, broken, or lost filling is not an emergency situation. That being said, it’s still important to . . .

• Call us immediately

Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani will be able to give you the best advice as to how to take care of your tooth until you can make an appointment. And if your dental problem might be a dental emergency, we can make sure you are seen as soon as possible.

• Take care of your tooth

Keep your tooth and the area around it clean. Brush gently to keep food particles away from the newly exposed tooth surface. You can (carefully) rinse around the area with a bit of water or salt water as recommended.

Your lost filling might not inconvenience you at all. But if you feel sensitivity when the tooth is exposed to air, or when you eat hot or cold foods, or if you feel pain when you bite down, let us know. We can recommend some over the counter medications and pain relievers that can help.

If you’re experiencing severe pain, call us at once.

• Diet

This might not be the time for sticky caramels, frozen treats, or extra-hot beverages. Make yourself comfortable by avoiding chewing with your compromised tooth, and postponing foods that could trigger sensitivity.

• Make a dental appointment as soon as you can

Don’t put off treatment, even if the filling was a small one, and even if the tooth is causing you no discomfort.

There might be further damage or decay that should be treated. A tooth that required a large filling is often more fragile than an intact tooth, and might need to be fitted with a crown in order to protect it. A missing filling might reveal deep decay which has exposed the pulp of the tooth to infection or damage, and a root canal might be necessary. A seriously damaged tooth might require extraction. Delaying treatment could result in a more complex restoration.

See us as soon as you discover a problem with your filling, and we will make sure not only that your tooth is treated appropriately, but that the reason for the lost filling is discovered. While no filling lasts forever, if the cause of your lost filling is tooth grinding or decay, it’s important to be proactive to prevent further problems.

Losing a filling? It really doesn’t happen very often. But that’s not a lot of comfort if you do happen to lose or break a filling. If you’re at a loss for what to do next, contact our Dallas office. You’ll find yourself smiling again in no time!

We’re all trying to find a healthy balance in our lives. Balancing work and home life. Eating a well-balanced diet. Balancing our budgets. Maintaining the right pH balance in our mouths for better dental health. Wait, what was that last one?

You probably don’t spend a lot of time thinking about your pH levels, but if your oral pH is out of balance it can affect the health of your teeth.

What do we mean by pH levels? In biology and chemistry, the pH scale is a tool used to measure the concentration of hydrogen (H⁺) ions and hydroxide (OH⁻) ions in a solution.  

The higher the concentration of hydrogen atoms, the more acidic a solution. The higher the concentration of hydroxide ions, the more alkaline. The pH scale goes from 0 to 14, with the most acidic reading possible rating a 0, and the most alkaline, a 14.

You don’t have to be a biochemist to use the information provided by pH samples. We use pH readings to discover the ideal acid/alkaline conditions in many everyday applications. Azaleas grow best in very acidic soil. Swimming pools should be just a bit alkaline. Brewers test pH throughout the beer-making process for optimal fermentation—and taste.

When it comes to saliva, a neutral pH range of around 6.2 to 7.6 is generally considered normal. High alkalinity in saliva is rare. High acidity levels? Unfortunately, much more common. And an acidic environment has real-world consequences for teeth.

Plaque contains bacteria, which produce acids. Calcium and phosphate, the minerals that help make enamel the strongest substance in the body, are leached out by these acids. The weak spots left behind make enamel vulnerable to further erosion and, eventually, decay. When saliva has a normal, neutral pH, it helps neutralize plaque acids to reduce the risk of cavities.

But it’s not just bacteria that expose our teeth to acidic conditions—we do it ourselves with our choice of food and drink.

Acidic foods can directly lower the pH level in saliva. Lemon juice, for example, has a pH between 2 and 3. Red wine has a pH between 3 and 4. Blueberries? Around a 3.2. When the pH level in saliva becomes 5.5 or lower, the minerals in our teeth start to “demineralize,” or lose the minerals which keep enamel strong and intact—just the way enamel is demineralized by acids from plaque. This process is known as acid erosion.

Many of our favorite foods are acidic to some degree. Citrus and other fruits, pickled foods, vinegar, wine, coffee, tea—all of them can lower the optimal pH level of saliva. And sports drinks, energy drinks, and sodas? Check the labels and you’ll often find citric acid, phosphoric acid, and/or carbonation, all of which combine to create extremely erosive conditions.

So, no more soda? Or fruit? No. You don’t have to give up acidic foods altogether for healthy teeth. True, you won’t give up much eliminating soda from your diet. But fruits, vegetables, dairy foods, and meats are the source of essential vitamins, minerals, and proteins, and many of these healthy food choices have an acidic pH. How to eat nutritiously while protecting your enamel? Again, it’s a balancing act.

• Enjoy acidic foods sparingly, or as part of a meal. Saliva can neutralize acids more effectively when they aren’t washing over your teeth all through the day.
• Use a straw when you drink something with a low pH to reduce your enamel’s exposure to acids.
• Balance high-acid foods with low-acid choices to help neutralize the acids in your diet. Add a banana to your blueberry smoothie. Pair your wine with some cheese.
• Rinse with water after eating or drinking. When it comes to balanced pH, pure water is a 7.0 on the scale, a perfect neutral.
• Chew sugarless gum to increase saliva production.
• Use fluoride toothpaste—it not only helps prevent cavities, it helps remineralize teeth.

Even with your best efforts, acid erosion can be a problem. You might be experiencing enamel damage if you notice any of these symptoms:

• Tooth pain or sensitivity.
• Teeth that appear discolored. This happens as the whiter enamel thins, revealing the yellowish dentin underneath.
• Changes in the shape of your enamel—your teeth become rounded or have little dents or pits, known as cupping.
• White spots on your teeth, which could be a sign of demineralization.

If you think you could be suffering from enamel erosion, it’s a good idea to talk to Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani when you visit our Dallas office. We can diagnose conditions causing acid erosion, treat you if enamel damage has occurred, and offer suggestions for diet and eating habits to make sure your oral pH—and your dental health—is always in balance.

You’re all set for your happy morning and nighttime ritual. You’ve provided your son with his favorite action hero toothbrush and your daughter with her favorite flavored toothpaste. You’ve gotten them into the healthy habit of two minutes of brushing twice each day. You’ve introduced them to flossing. You have favorite brushing songs! Stickers! Gold stars! And, best of all, you’re teaching great brushing techniques.

Kids need the same basic brushing tools and skills as adults. What makes for the best cleaning?

Find the right brush

No matter how cute—or heroic—the brush, it needs to have soft bristles to protect enamel and delicate gum tissue. The head should be a perfect fit for your child’s mouth. And if the handle is easy to grip and hold, you have a winner.

Find the right toothpaste

The bubblegum flavor might appeal to your child, but it’s the fluoride that helps to prevent cavities. Talk to us about the right time to start using fluoride toothpaste and the right amount for your child’s brush.

Teach your child the angles

If your child is too young to brush alone, start geometry lessons early. Holding the brush at a 45-degree angle toward the gums will clean bacteria and plaque from the tooth surface and the gum line. And don’t forget the chewing surfaces and the insides of the teeth. When your child begins brushing on her own, coach her as she learns the best way to clean all the surfaces of her teeth.

Easy does it

Teeth and gums should be massaged, not scrubbed. Brushing too hard can damage not only tender gum tissue, but even your child’s enamel.

Learn to let go

No matter how comfortable and appealing the brush, after three or four months, it’s time for a change. Frayed bristles don’t clean as effectively, and making up for it by brushing harder isn’t the answer (see above). Also, toothbrushes can build up quite a collection of bacteria over time (see below), so a fresh brush is a must!

Everything in its place

A toothbrush should dry thoroughly between uses without touching other brushes. Placing a brush in a plastic container doesn’t let it dry and encourages bacterial growth. And a toothbrush needs its own space—touching toothbrush heads means sharing toothbrush bacteria. The best way to keep toothbrushes as dry and as germ-free as possible is to store them upright, without touching other brushes, in a clean, well-ventilated area.

Rinse and repeat

Your child should rinse his toothbrush before and after using it, and be sure to rinse his mouth as well. That should get rid of any leftover food particles brushing has removed.

Finally, keep up the good work! As you teach your child proper brushing techniques, and make sure she uses them as she grows, you are preparing her for a lifetime of great checkups with Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani at our Dallas office. Give yourself a gold star—you’ve earned it!

It’s easy to miss a dental appointment. Life and duties intervene, and suddenly you have to push your appointment back once, then again, or forget about it.

We get that. These days, we all have a lot going on. But what we don’t want is for a lengthy absence to make you anxious about returning. It doesn’t matter how long it’s been, we always love to see you! So let’s take a moment to explain what you can expect when you pay us a visit.

Your appointment will last roughly 60 to 90 minutes, so keep that in mind when you schedule it and plan accordingly. Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team want you to feel comfortable.

One of the first things we will ask is the reason for your visit. You’ll have the opportunity to let us know about any concerns or questions you may have. No question is too small, so ask away!

Next, we will go over your medical and dental history to make updates to your file as necessary. This will usually be followed by X-rays to give us a better idea of what is currently happening with your teeth. We will finish with a screening for oral cancer and periodontal disease. If you haven’t visited us in a while, we want to make sure nothing serious is going on.

After that, you will undergo a cleaning with one of our hygienists. Your teeth will be cleaned and checked for such things as broken fillings, cracked teeth, or active decay. Finally, Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani will come by for a final look and a rundown of your dental needs.

Then you’re ready to go! On your way out, you’ll discuss options for scheduling your next appointment, insurance coverage, and payment plans if applicable. You will also receive a goodie bag with a new toothbrush, floss, and toothpaste to get you started (and motivated) on the path to great dental health!

We always want our patients’ experience to be as comfortable and as easy as possible. From the moment you pick up the phone to make your appointment, our team is here to make sure we always meet your needs.

No matter how long it’s been since your last visit, we hope you’ll give us a call to make your next appointment at our Dallas office.

When you’re busy at work or school, when you’re on vacation, when you’re on the road to adventure—preparation helps everything go smoothly. Especially when the unexpected happens! So, how can you be prepared for any dental situations which might arise? By creating these useful—and portable—travel kits.

Everyday Basics Kit

Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team recommend brushing twice a day and flossing at least once each day for clean and healthy teeth. But after a long day at work with no time to head home before your date, or a garlic-heavy lunch, or a morning filled with coffee and pastries to help you meet a deadline, you might feel like there’s no time like the present to give your smile a bit of a boost.

Be prepared with a small travel bag filled with these easy-to-carry basics to get you through your busy day with clean teeth, fresh breath, and a confident smile:

• Toothbrush and case—and do make sure your case is ventilated so your brush can air dry. Bacteria love a closed, damp environment!
• Toothpaste
• Mini-bottle of mouthwash
• Small mirror—to check for any lunch leftovers
• Dental floss—to remove any lunch leftovers
• Dental picks
• Sugarless gum—to freshen your breath and encourage saliva production, which helps clean away bacteria and food particles

Flight Gear

Getting set to travel by air again after this long lay-over? Your basic kit will do the job with just a few minor additions and alterations.

• A travel version of your manual or electric toothbrush and travel case
• Plug adapter or voltage converter as needed for your electric brush if you’re visiting another country
• Quart size, resealable plastic bag to hold your carry-on supplies. Toothpaste and mouthwash are included in the list of items which need to fit carry-on guidelines.
• Travel-size toothpaste—3.4 oz (100 ml) or smaller tube size. (And an almost-empty regular size tube doesn’t count!)
• Travel-size mouthwash—also in a 3.4 oz (100 ml) or smaller container
• Our Dallas office’s phone number. In case of emergency, Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani can give you advice on how to handle any problem which might arise when you’re far from home.

Looking for Adventure?

If you’re camping in the forest, leaving for the lake, going for a road trip, or heading out on any travel adventure, you’ll be bringing the dental care basics, of course. We’d also like to recommend some items to take along in the event of a dental emergency while you’re away from home:

• Dental mirror
• Cotton rolls
• Over-the-counter pain relief—including a tube of oral pain relief gel
• Ice pack
• Dental wax—to cover the sharp edges of a broken tooth
• Temporary fillings—to protect your sensitive tooth if a filling or crown is lost
• Tooth preservation kit—to protect a dislodged tooth in case it can be reimplanted. (This means seeing a dentist very quickly, usually within 30 minutes of the accident.)

And, if you’ll be mountain biking, water skiing, or enjoying any activity where there’s potential for impact, don’t forget to pack your mouthguard!

Preparation is key to eliminating a lot of stress in our daily lives, and who couldn’t use a bit of stress-relief these days? Make room in your bag, locker, desk, luggage, or backpack for some portable, lightweight dental necessities. Be prepared to share your confident, healthy smile no matter what life has in store!

If you notice every imperfection in your smile and you are aiming for a more ideal-looking smile, veneers might be for you. Veneers are common tools in cosmetic dentistry for improving the look of your teeth. They are thin layers, either made of resin composite or dental porcelain, that go over your teeth. If you are considering dental veneers, these five reasons to choose them may help persuade you.

1. They hide imperfections.

The basis of cosmetic dentistry is providing an attractive smile, and veneers are designed to hide imperfections such as chipped, uneven, or badly aligned teeth. With veneers, teeth are even and uniformly colored.

2. They are durable.

Dental veneers can last for a decade to up to 30 years, so you do not need to continually go back to our Dallas office to replace them. On average, veneers last longer than standard fillings.

3. You can get the process done quickly.

Often, you can get a full set of dental veneers in a three visits and within a few weeks. The first appointment is a consultation to evaluate your teeth and plan your treatment. At the next visit, Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team prepare your teeth for veneers and take an impression of your teeth so the laboratory can custom-make your veneers. During the final visit, we bond the new veneers to the surfaces of your teeth.

4. They can whiten the appearance of your teeth.

Coffee, smoking, excessive fluoride, and certain drugs can yellow your teeth over time. Dental veneers can be colored to have a bright white appearance so your teeth appear noticeably whiter. This can be especially beneficial for individuals whose teeth are naturally off-white and do not respond well to bleach-based whitening treatments.

5. They can fix minor dental problems.

Dental veneers are not solely cosmetic. They can improve a variety of dental concerns, such as teeth with uneven spaces. They can hide the appearance of chipped and broken teeth, and make more even teeth that are worn down, spaced unevenly, or shaped irregularly. Since Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani can manufacture the veneers to match your natural tooth color, these thin layers are more attractive than unsightly fixes such as metal fillings.

You want to check all the boxes when you consider your child’s dental health. You make sure your child brushes twice daily to avoid cavities. You’ve made a plan for an orthodontic checkup just in case braces are needed. You insist on a mouthguard for dental protection during sports. One thing you might not have considered? Protecting your child from gum disease.

We often think about gum disease, or periodontitis, as an adult problem. In fact, children and teens can suffer from gingivitis and other gum disease as well. There are several possible reasons your child might develop gum disease:

• Poor dental hygiene

Two minutes of brushing twice a day is the recommended amount of time to remove the bacteria and plaque that cause gingivitis (early gum disease). Flossing is also essential for removing bacteria and plaque from hard-to-reach areas around the teeth.

• Puberty

The hormones that cause puberty can also lead to gums that become irritated more easily when exposed to plaque. This is a time to be especially proactive with dental health.

• Medical conditions

Medical conditions such as diabetes can bring an increased risk of gum disease. Be sure to give us a complete picture of your child’s health, and we will let you know if there are potential complications for your child’s gums and teeth and how we can respond to and prevent them.

• Periodontal diseases

More serious periodontal diseases, while relatively uncommon, can affect children and teens as well as adults. Aggressive periodontitis, for example, results in connective and bone tissue loss around the affected teeth, leading to loose teeth and even tooth loss. Let Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani know if you have a family history of gum disease, as that might be a factor in your child’s dental health, and tell us if you have noticed any symptoms of gum disease.

How can we help our children prevent gum disease? Here are some symptoms you should never ignore:

• Bleeding gums
• Redness or puffiness in the gums
• Gums that are pulling away, or receding, from the teeth
• Bad breath even after brushing

The best treatment for childhood gum disease is prevention. Careful brushing and flossing and regular visits to our Dallas office for a professional cleaning will stop gingivitis from developing and from becoming a more serious form of gum disease. We will take care to look for any signs of gum problems, and have suggestions for you if your child is at greater risk for periodontitis. Together, we can encourage gentle and proactive gum care, and check off one more goal accomplished on your child’s path to lifelong dental health!

Children’s oral health differs from the needs of adults in many ways. It’s vital for you to understand what your child needs to keep his or her teeth healthy. Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team are here to answer your questions to set you and your little one up for success.

In-home dental care should start as soon as your baby show signs of developing that first tooth. At around age one or two, bring your son or daughter to our Dallas office. Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani will examine your child’s tooth development and gum health.

The initial appointment will focus on getting your youngster familiar with our office and comfortable with our staff. We will go over several general matters during that first visit:

• Inspect for signs of decay or other tooth or gum problems
• Check for gum disease or cavities
• Examine your child’s bite and possible misalignment
• Clean the teeth, and apply fluoride if your child is old enough
• Talk with parents about proper oral health
• Give you tips for brushing and flossing your little one’s teeth
• Answer any questions you may have about caring for your son or daughter’s teeth

Once your child is old enough for the first dental visit, you should schedule regular cleanings every six months. Call our Dallas location if you have any conflicts or questions.

You might have experienced painful morning headaches. Or have a partner or housemate who begged you to please keep those grinding noises down at night. Or perhaps you were unhappily surprised to find that your teeth had mysteriously become worn, loose, or cracked.

So you made an appointment at our Dallas office. And you learned that you needed a night guard designed to protect your teeth from the damage done by night time bruxism—that grinding and clenching which is hard on enamel, bad for teeth, and painful for jaws. Good work!

Your night guard prevents your teeth from making contact, saving teeth and enamel from injury. It distributes the pressure placed on your teeth, muscles, and bones when your jaws clench through the night. Bonus: it can reduce nocturnal noises caused by grinding.

Guards are available over-the-counter in general sizes, or a custom night guard can be created for you by Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani. Custom guards are uniquely fitted to your teeth and jaw, and last longer than over-the-counter models. Whichever kind of appliance you choose, daily care is a must for a long and healthy partnership.

To make sure you get the best and longest use from your night guard, there are some easy steps to keep it in top shape when it’s off-duty.

• Keep It Clean

Plaque and bacteria can build up on your night guard just as they can on your tooth enamel. Rinse your guard in the morning and brush it gently. Ask Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani about using toothpaste, because toothpastes, especially abrasive toothpastes, can scratch your appliance. And don’t forget to clean your case!

Every week, or as directed, your night guard will benefit from a more serious cleaning. Follow the instructions for your appliance, whether it’s using cleaning tablets, a soaking solution, or another recommended cleanser. Your dentist can suggest how, how long, and how often to treat your night guard to a deep cleaning, because using the wrong products or cleaning methods can damage it.

• Keep It Dry

Putting a damp night guard into a closed case, even a ventilated one, provides an ideal setting for bacteria growth. Before you put your guard away, give it time to air-dry on a clean surface.

• Keep It Safe

Once your guard is clean and dry, make sure it keeps its shape and stays intact by keeping it in its clean, dry case when you’re not using it. Night guards and their cases are no fans of sun, extreme heat, very hot water, or (gulp!) dishwashers. A misshapen, melted, or broken night guard should not be used. If your night guard is damaged, it’s time to call us.

Spending just a moment or two each day caring for your night guard will result in a long-lasting appliance and many hours of healthy and comfortable sleep. Your night guard is protecting you. Be sure to return the favor for a long and healthy dental partnership.

It’s done a wonderful job for you, but after three or four months, the time has come to retire your toothbrush. Bristles that once easily removed food particles and plaque have become frayed and just aren’t as effective. But now that you’re regularly changing out your toothbrush, what to do with those retired brushes besides add to the local landfill? Check out some recommendations from Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani for some second career options for that old toothbrush.

Make Your Jewelry Shine

A gentle brush with your favorite jewelry cleaner and your old brush will remove dirt from small spaces and filigree that a cloth just can’t reach. Do check that brushing is safe for your jewelry—pearls, for example, are not a good candidate.

Keep Your Woodwork Dust-free

Keep the details on your wood trim dust free with an old toothbrush. Baseboards are some of the hardest places to keep clean—even vacuums have difficulty getting dust and dirt out of trim. But an old toothbrush is perfect for cleaning the top, the grooves, and the inside corners of your baseboards. You can also remove dust from around door trim and inside window tracks.

Polish Sinks and Faucets

Use a repurposed toothbrush to remove build-up where the base of your faucet meets the sink, or around levers and handles. And don’t forget the metal ring around the drain!

Clean Kitchen Gadgets

Those miniature blades in your coffee maker or blender, the tiny holes in your cheese grater, the micro-openings in your microplane—small cleaning jobs need small tools! Try an old brush the next time you have a mini-cleaning problem.

De-grease Appliances

And while we’re in the kitchen, don’t forget your appliances. A toothbrush can clean grease around dials, handles, and knobs where a sponge can’t reach.

Refresh Your Grout

There are special brushes made just for scrubbing grout, but give your old brush a try first. Use your regular cleaning solution or paste for fresh, clean grout lines on your tile floors and counters. 

Keep Your Technology Sleek

Your keyboard has a busy life and it shows! Keep the spaces between your keys dust and crumb free with a clean, dry toothbrush. The next time you’re detailing your car’s interior, try a toothbrush for cleaning around buttons and dials on your dash. And don’t forget your remote controls, or any other place where keys, knobs, and buttons collect dust.

There’s still a lot of life left in that toothbrush! If you choose to reuse, do be sure to thoroughly clean your toothbrush before it transitions to another housekeeping detail. It’s worth the effort—your old brush will prove useful in any number of new ways, and your home—and the environment—will thank you!

Your darling three-month old is crying and fussy—can she be teething already? Or, your happy baby boy has just celebrated his first birthday—with only one tooth in that beautiful, gummy smile. Is this normal? Probably! While baby teeth do typically erupt (come in) in the same order for all babies, and around the same time, there is still a lot of flexibility in the time it takes for a full, healthy smile to develop.

Baby teeth actually form before your baby is born, and those 20 teeth are there under the gums waiting to come out and shine. And even though there are no firm and fast dates for each of these primary teeth to erupt, it’s helpful to have a general overview of typical teething patterns so you know what to look forward to.

Incisors

These little teeth create a charming baby smile, and, if your finger has been in the wrong place at the wrong time, a very sharp one as well! That is because these tiny incisors are made to bite into foods. You might notice this when you introduce solid foods, even if the majority of your child’s “chewing” is done with her back gums. These teeth are the earliest to arrive.

• Six to ten months old: The lower central incisors (bottom front teeth) are often the first to come in.
• Eight to 12 months old: The upper incisors (8-12 months) are the next to show.
• Nine to 13 months old: The upper lateral incisors on each side of the front teeth arrive.
• Ten to 16 months old: The lower lateral incisors appear.

First Molars

Because these are larger teeth, babies often experience another bout of teething pain at this time. The large flat surface of each molar helps your child to chew and grind food, so he can handle a wider variety of foods and develop his chewing skills.

• 13 to 19 months old: You can generally expect to see the upper first molars arrive.
• 14 to 18 months old: The lower first molars appear.

Canines (Cuspids)

Fitting between the first molars and the incisors, the strong, pointed shape of the canine teeth allows your child to grip food and break it apart more easily.

• 16 to 22 months old: The upper two canines make their way into the space between the incisors and the first molars.
• 17 to 23 months old: The two lower canines appear.

Second Molars

By the age of three, most children have a full set of baby teeth.

• 23 to 31 months old: The second pair of bottom molars start erupting—you are in the home stretch!
• 25 to 33 months old: The upper second molars come in—completing that beautiful set of 20 teeth!

Baby teeth are extremely important, as Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani will tell you when you visit our Dallas office. They help your child eat and chew, develop face and jaw muscles, assist proper speech formation, and provide space for the adult teeth to come in properly. Now that your child’s smile is complete, keep providing him with the same care and attention you have been giving those little teeth since the arrival of the very first incisor.

It seems that so much of new parenthood is scheduling—when to feed her, when to put her to bed, how many hours between naps. But we soon find out that every baby is not on the same schedule, and the same is true for the arrival of their teeth. We should see your baby when that first tooth comes in, or by his or her first birthday. And if you ever have concerns at any time about your child’s teething schedule or teething delays, always feel free to give us a call.

We live in a tech-savvy world, and dental professionals take advantage of it! Digital imaging, convenient record storage and sharing, even more comfortable denture design—these are just some of the ways dentists can use modern technology to make our time in the office more efficient and more effective.

And since modern software developers have given us a program for just about everything, it’s no surprise that you can find apps to help make your home dental care more convenient and perhaps even more effective, too. What can an app do for you?

• Brushing and Flossing? Apply Yourself!

A big part of making your smile look its best is the care you take at home. This means keeping up with daily brushing and flossing, and using proper technique. Two minutes brushing, twice each day, and flossing at least once a day are the basic recommendations for preventing cavities and gum disease.

And to help you make sure you get a solid two minutes of brushing twice a day? Try an app that plays two minutes of your favorite music with a perfectly timed brushing playlist. Apps can also send you brushing and flossing reminders, let you know when it’s time to change your toothbrush (every three months, please!), and give you tips on better brushing and flossing techniques.

And for the kids in the house? There are apps just for children that use music and games to help teach them how—and how long—to brush, for an enjoyable and even educational brushing experience.

• Keep Track of Your Appointments

Your dentist is your partner in preventative care. Regular examinations and professional cleanings at our Dallas office not only make sure problems are caught before they become serious, they can help prevent problems from developing in the first place.

There are many apps out there that are designed to help you keep your dental care on track with appointment reminders. This sounds pretty basic, but when you have work, school, volunteering, sports, and activities filling your days, it doesn’t hurt to get a timely reminder that Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani should be seeing you for a checkup and a cleaning in the near future.

• Mapping Out Your Dental Care

Have an electric toothbrush? There just might be an app available designed to work especially with your model. These handy apps can let you know if you’re brushing long enough. They can alert you if you’re brushing too hard, which is not good for your enamel. Some apps can provide a map that lets you know just where you’ve brushed, in case you tend to neglect a few spots.

If you or a family member are thinking about orthodontic treatment, you’re in luck!

Not sure just how you’ll look in braces? Get a preview with an app that uses one of your selfies to model different types and styles of braces, brackets, bands, and aligners. Metal brackets? Ceramic? Elastic bands in your choice of colors? No bands at all? Hardly visible aligners? Find the look that works for you.

There are apps which can keep track of the hours you wear your aligners, or alert you to put on or replace your elastic bands if you wear traditional braces. Some apps even let you track your progress with selfies or “countdown” features.

• When Problems Happen

There are apps which can help you with basic dental questions. Apps can let you know that symptoms like a discolored tooth mean you should give your dentist a call, or provide instructions for taking care of simple problems, such as applying wax to an irritating bracket. Always remember, though, an app is not a dentist, and can’t diagnose or suggest treatment. If you have a problem or concern, call us immediately.

• Dentist Approved

If you’ve checked out the dental apps available for your operating system, you know that there are a lot of options out there. To help you find the best app for you and your family, talk to Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani.

We might know just the app for your specific dental needs, whether you’re looking to brush up on brushing techniques, organize your time more efficiently, manage your dental care, or simply make your family’s dental activities a little more fun. It’s a tech-savvy world—take advantage of it!

You just crunched down on a piece of hard food when you suddenly realize there is something hard still in your mouth. Your nightmare is confirmed when you retrieve a piece of your tooth from your mouth. You chipped your tooth; now what?

Obviously, the first thing you need to do is call our Dallas office. While we make every effort to see emergent cases immediately, you may have to wait a day or so before you can see Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani. Luckily, it’s easy to take care of your chipped tooth while you wait.

How to Take Care of a Chipped

The last thing you want is for the tooth to become infected or break even more. Let’s look at a few things you can do:

• If the chipped tooth is causing you pain take an over-the-counter pain medication, like Tylenol. Always follow the directions on the label.
• You should also rinse your mouth with lukewarm saltwater, as this will help prevent an infection from setting in.
• If your chipped tooth has a sharp edge, cover it up with a piece of wax to prevent it from cutting you cheek, tongue, or lip.
• If you have to eat, make sure you eat soft foods and don’t bite down on the chipped or broken tooth.

Treatment Options for a Chipped Tooth

• Dental Filling and Bonding – If you only have a small chip in your tooth, Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani will probably fix it with a filling. If it is a front tooth, we may bond the tooth using a tooth-colored compound.
• Dental Crown or Cap – If you broke a large piece of your tooth, we may grind the remaining part of your tooth and put a crown or cap on it.
• Dental Veneers – If you chipped or broke your front tooth then choosing a dental veneer may be your best choice. It will make your tooth look completely normal.
• Root Canal – If you cracked your tooth and the center (pulp) of the tooth is exposed and infected, you will need a root canal. If the center of your tooth is exposed, it becomes vulnerable to bacteria that will cause your tooth to abscess.

Chipping or breaking your tooth is never a good thing, and you should always call our Dallas office right away. The sooner you get your tooth repaired the less likely you are to have any problems with it.

Let’s see…

Toothbrush? Check.

Fluoride toothpaste? Check.

Floss? Check.

Two minutes of thorough brushing? Check.

Careful cleaning around your brackets and wires? Check.

Wait… there’s something else… it’s right on the tip of your…

Ah! Your tongue! Whenever you brush, morning, evening, or any time in between, if you want the freshest breath and cleanest teeth, don’t forget your tongue.

Why your tongue? Because the tongue is one of the most common sources of bad breath. Let’s examine just why this occurs.

The tongue is made up of a group of muscles that help us speak and chew and swallow. But there’s more to this remarkable organ than mere muscle. The surface of the tongue is covered with mucous membrane, like the smooth tissue which lines our mouths. But the tongue isn’t completely smooth—it’s textured with thousands of tiny bumps called papillae.

These little elevated surfaces have several shapes and functions. Some make the tongue’s surface a bit rough, which helps move food through your mouth. Some are temperature sensitive, letting you know that your slice of pizza is much too hot. And some are covered with thousands of the taste buds, which make eating that pizza so enjoyable.

All of these papillae with their various functions combine to create a textured surface, filled with miniscule nooks and crannies. And if there’s a nook or a cranny where bacteria can collect, no matter how miniscule, it’s a good bet that they will, and the surface of the tongue is no exception. But bacteria aren’t alone—the tongue’s surface can also hide food particles and dead cells.

How does this unappealing accumulation affect you? These elements work together to cause bad breath, especially the bacteria that break down food particles and cell debris to produce volatile sulfur compounds—compounds which create a particularly unpleasant odor. Including your tongue in your brushing routine helps remove one of the main causes of bad breath.

And that’s not the only benefit! Cleaning the tongue helps eliminate the white coating caused by bacterial film, and might even improve the sense of taste. Most important, studies show that regular cleaning noticeably lowers the levels of decay-causing plaque throughout the mouth.

So, how to get rid of that unwanted, unpleasant, and unhealthy debris?

• When you’re done brushing your teeth, use your toothbrush to brush your tongue.

Clean your tongue by brushing gently front to back and then side to side. Rinse your mouth when you’re through. Simple as that! And just like a soft-bristled toothbrush helps protect tooth enamel and gum tissue, we also recommend soft bristles when you brush your tongue. Firm bristles can be too hard on tongue tissue.

• Use a tongue scraper.

Some people find tongue scrapers more effective than brushing. Available in different shapes and materials, these tools are used to gently scrape the surface of the tongue clean of bacteria and debris. Always apply this tool from back to front, and rinse the scraper clean after every stroke. Wash and dry it when you’re through.

• Add a mouthwash or rinse.

As part of your oral hygiene routine, antibacterial mouthwashes and rinses can assist in preventing bad breath. Ask Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani for a recommendation.

• Don’t brush or scrape too vigorously.

Your tongue is a sturdy, hard-working organ, but tongue tissue is still delicate enough to be injured with over-vigorous cleaning.

Taking a few extra seconds to clean your tongue helps eliminate the bacteria and food particles which contribute to bad breath and plaque formation. Make this practice part of your daily brushing routine—it’s a healthy habit well worth remembering!

Did you know that there are certain foods you can eat which help to clean your teeth? We call them "detergent foods." In dentistry we look at the impact of food in three ways: the kind of food, how often it is eaten, and when it is eaten. Detergent foods should be the last piece of food you consume during a meal for best results. Think of them as the closest you can get to brushing your teeth.

A healthy diet is important for oral health as well as overall health, but here are some particular foods that can help clean your teeth and mouth:

• Carrots
• Apples
• Celery sticks
• Popcorn
• Cucumbers
• Pears
• Lettuce
• Cheese

As you can see, detergent foods are usually foods that are firm and crisp. They act like scrubbers on and around your teeth and gums and bring your mouth's pH back to 7.0, which is optimal.

Which foods are the worst for your teeth?

Cookies, cakes, breads, chips, crackers, soft drinks, dried fruit, and candies (what many people’s diets are full of) provide carbohydrates (sugar) to the bacteria in your mouth causing an acidic environment and increasing the chance of cavities and decay. These foods are sticky and don't rinse easily from your mouth. Avoid letting these foods sit on your teeth after eating them.

It also depends on how often you consume these foods throughout the day. For example, if you drink soft drinks, it's best to have it all in one sitting instead of sipping it all throughout the day. Doing so causes the perfect environment in your mouth for bacteria to flourish and your saliva never gets the chance to neutralize its pH.

This is where detergent foods can come into play. When you're about to finish your meal, have an apple, celery stick, or carrot. It will act like a "natural toothbrush." Also, try to make these detergent foods the basis for snacks you have throughout the day.

Always remember, these foods are not a replacement for brushing and flossing. You still need good dental hygiene regardless of what you're eating! For more tips and tricks for ideal oral health, ask Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani the next time you visit our Dallas office!

Getting a cavity seems like delayed punishment for eating that special dessert every weekend or for the few days you forgot to floss. When you are doing everything right with minimal exception and a cavity is diagnosed, it is discouraging. Knowing how cavities form and what causes them is valuable in knowing how to prevent them. In this blog post, Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani will help you understand cavities!

A cavity is not a one-time event. It is actually a symptom of a disease called caries. Tooth decay is a result of an active infection and condition in the mouth. There are ingredients to this infection, which include bacteria, acid, your tooth, and a food source. The main bacterial culprit is S. Mutans. Bacteria live in a housing structure called biofilm. This offers them protection, food, and an ideal replicating environment.

Biofilm can be healthy if there is a balance of good bacteria. When you have caries, the numbers of “bad” bacteria increase and produce an environment where they thrive and therefore cause tooth decay. A main indicator of this is a pH measurement of your saliva.

Several factors can influence the biofilm pH. Foods and beverages all have different pH levels. The lower the number, the higher the acidity. Since acid promotes tooth decay, a beverage like soda will promote a cavity. Water, being neutral, is a good choice to promote healthy oral pH. Healthy eating can still cause cavities. Here is an example of a highly acidic, yet traditionally healthy meal:

Toast with store-bought strawberry jam, and a cup of cottage cheese topped with fresh cranberries.

Instead, here is a better choice, which involves mixing acidic healthy foods with alkaline (non-acidic) foods to reduce the overall pH:

Toast with almond butter, and Greek yogurt topped with fresh blueberries.

The first example will result in a very low pH in the mouth and even in the rest of the body. The second meal mixes highly acidic blueberries with an alkaline Greek yogurt. Dairy products from cows are highly acidic. Toast is acidic because of the yeast and almonds are alkaline.

A natural buffer is saliva. Whenever mouth breathing or medications compromise the saliva flow, the pH is going to drop and caries can go rampant. Getting a cavity is not just about the sweets or forgotten flossing sessions. It is about the pH levels and bacterial management.

For more helpful tips about how to avoid cavities, contact our Dallas office.

Is this a trick question? After all, you probably already know quite a lot about cavities:

• It all begins when bacteria-filled plaque sticks to teeth and starts to attack enamel. How?
• Because the bacteria in plaque use the sugars and other foods we eat to produce acids.
• These acids gradually weaken teeth by dissolving minerals which help make up our enamel (a process called demineralization).
• Over time, a hole, or cavity, develops in the tooth surface.
• Left untreated, bacterial decay can spread to the inside of the tooth, creating a more serious cavity.

Some cavities aren’t discovered until you visit our Dallas office, but sometimes there are clear signs that there’s a problem.

• You have tooth pain or sensitivity.
• Your tooth changes color in spots where the enamel has decayed.
• You might even notice enamel loss when a cavity is large enough.

So, if you have any of these symptoms, it’s a cavity, right? It might be—but it might not. Sometimes, because the symptoms are similar, what we suspect is a cavity is really enamel erosion.

The bacteria-created acids weaken enamel. But it’s not just bacteria that subject our teeth to acids—we do it ourselves with our choice of food and drink. Acidic foods are one of the leading causes of tooth erosion.

Our normal saliva pH level is around a 7, which is neutral. Any number lower is acidic; any number higher is alkaline. Acidic foods have a low pH (the pH of lemon juice, for example, measures between 2 and 3), and can reduce our normal, neutral pH level. When saliva pH levels drop to 5.5 or lower, tooth enamel starts to demineralize, just as it does when exposed to the acids from oral bacteria.

Regularly snacking on citrus and other acidic fruits, wine, fruit juices, flavored teas, sour candies, and other acidic foods can cause enamel erosion. Especially erosive are sports drinks, energy drinks, and colas, because they contain some combination of citric acid, phosphoric acid and/or carbonation.

The symptoms of tooth erosion and damaged enamel can be very similar to those caused by cavities:

• You suffer tooth pain or sensitivity
• Your teeth appear discolored, as the enamel thins to reveal the yellowish dentin underneath
• You notice missing enamel—your teeth become rounded or have little pits known as cupping

You call Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani right away if you suspect a cavity. Be just as proactive if you suspect erosion. Even though your symptoms may not have been caused by plaque and bacteria, acidic erosion from your diet leaves weakened enamel just as vulnerable to cavities and decay.

How to avoid erosion?

• Enjoy acidic foods sparingly, or as part of a meal. This helps your saliva pH stay in the neutral zone.
• Balance acidic foods with low-acid choices to help neutralize acids and restore a normal pH balance. (A good reason to pair wine or fruits with cheese.)
• Use a straw! This simple solution keeps erosive drinks from bathing your teeth in acids.
• Drink water instead of an acidic beverage, or drink it afterward to rinse your mouth. The pH of pure water? A perfect, neutral 7.
• And what about brushing right after eating or drinking something acidic? Ask Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani if you should rush for your brush. We may recommend waiting 30 minutes or so after an acidic treat to give teeth time to remineralize after acids weaken them. Otherwise, brushing might cause more wear and tear on your enamel.
• Finally, while foods are often the source of acid erosion, medical conditions can cause erosion as well. Talk to us about ways to minimize erosion while addressing your medical needs.

There’s no trick to it—watching your diet, brushing and flossing as recommended, using a fluoride toothpaste, and visiting Dallas Dental Arts for regular checkups will help prevent tooth erosion. We can restore eroded enamel with bonding, veneers, or crowns if the erosion is serious. Better still is to catch erosion before symptoms appear to keep your teeth their strongest for a lifetime of healthy, beautiful smiles.

When we think of sports and dental damage, we naturally think of hockey and football. But when it comes to the actual number of dental injuries suffered each year, vying for top seed is the game of basketball.

How is this possible? After all, football and hockey are categorized as “collision sports”! But along with the helmets, shin guards, and padding, these teams often require mouthguards—and this makes all the difference. Studies have shown that an increase in the number of players wearing mouthguards means a decrease in the number of oral traumas.

And while basketball isn’t considered a collision sport, it is a contact sport. Basketball is a combination of running, jumping, hard surfaces, and solid bodies. And elbows. We can’t forget elbows. So a broken or even a knocked out tooth isn’t, unfortunately, all that unusual when bodies in motion meet hard surfaces—or other players. But there are other dental dangers as well. Besides tooth injuries, oral injuries can involve:

• The ligaments and bone structures holding teeth in place
• Bones in the upper and lower jaw
• Delicate gum, tongue, and mouth tissue.

You need a solid defensive strategy to reduce the severity of oral injuries or to prevent them from happening altogether. The best play in your playbook? Wearing a mouthguard!

Choosing the right guard is key. There are three common options, and you can choose the model which works best for you:

• Stock guards, which are ready-made guards in pre-formed shapes and sizes. You can buy them over the counter in drug stores and sporting goods stores. Because these guards aren’t shaped to fit your teeth and mouth specifically, they can be less protective (and harder to speak around).
• “Boil-and-bite” guards can also be purchased, and can provide a closer fit. After warming the guard in hot water as directed, you place it in your mouth and bite down firmly to mold it to your teeth.
• Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani can make you a mouthguard which is designed and crafted specifically for your use. Because this guard is custom-fitted, it provides better protection for your teeth and mouth. Patients often find custom guards much more comfortable and more durable as well.

Mouthguards are most effective when you wear them on the court and care for them off the court. This means avoiding a few flagrant fouls.

• Dirty play

All those moist nooks and crannies inside your mouthguard are a perfect environment for bacteria, mold, and plaque buildup. You should clean your mouthguard carefully every time you wear it, and let it air dry before popping it back in the case. Ask Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani for advice on getting your guard and its case their cleanest.

• Failure to sub out in a timely fashion

Mouthguards don’t work if they’re damaged. If you notice any warping, breakage, or jagged or sharp edges, contact our Dallas office for a replacement. If a guard doesn’t fit you properly, it doesn’t protect you, and sharp edges can irritate or injure delicate mouth tissue.

• Unnecessary roughness

Your mouthguard protects you, so don’t forget to protect it! Keep your guard in its case when you’re not wearing it to save it from dirt, damage, and disappearance.

If you know your basketball, you know your guard game can make all the difference. Even though a mouthguard might not be mandatory on your team, that doesn’t mean it’s not essential. Remember that basketball is a contact sport, and protect yourself with a mouthguard whenever you play.

We all want our best and brightest smiles, and today there are many options we can explore at home to make those beautiful smiles a reality. Whether it’s healthy habits, a healthy diet, whitening toothpaste, or do-it-yourself home products, we have golden opportunities to achieve whiter teeth.

• Healthy Habits

Proper brushing is the first step in keeping your teeth stain-free. You should devote at least two minutes twice a day to brushing, being careful to cover the areas between and at the base of teeth, where plaque you miss can form visible tartar. Ask us about the most effective brushing techniques. And please, don’t smoke. Smoking is one of the worst offenders when it comes to discoloring teeth. If you are a smoker, quitting at any point in your life will make a big difference in the whiteness of your smile—and your lasting health!

• Healthy Eating

We all know red wine, coffee, and tea cause some of our worst enamel stains. Acidic drinks such as sodas and citrus beverages can cause even more problems by eroding tooth enamel, exposing the yellowish dentin underneath. Moderation and rinsing with water can help prevent damage. But we have some dietary allies as well! Crunchy foods like apples, carrots, and celery provide a mild scrubbing effect. Dairy products such as milk, cheese, and yogurt strengthen enamel. Fruits such as strawberries and pineapples, studies suggest, contain enzymes that are natural stain removers. While no one food takes the place of brushing or cleaning, a healthy diet and a healthy body enhance any smile.

• Brushing with a Whitening Toothpaste

Toothpastes are available which can remove some surface stains, and which can keep teeth their whitest after a professional whitening. They won’t penetrate the enamel surface or change the natural color of your teeth. If these toothpastes are going to work on discolored tooth surfaces, you will usually see results within a few weeks.

• Over-the-counter (OTC) Whitening Kits

These products provide a peroxide-based gel that can be applied in a tray or with strips. If you choose a tray application, make sure trays fit properly so sensitive mouth and gum tissue is not irritated. If you decide on strips, always make sure all of the tooth surface is covered to avoid uneven whitening. These kits have more powerful whiteners than toothpastes, and so you might see better results, but tooth and gum sensitivity can be a problem.

While all these whitening methods can be helpful, there are some circumstances when a professional whitening is best. Professional gel whiteners are more powerful, and can help eliminate darker stains that OTC products can’t remove. We can make sure sensitive gum and mouth tissue is protected from bleaching agents. And, if you are on a deadline, we can provide a much faster result. Some conditions, such as deep stains caused by trauma or medication, or darker-colored caps, veneers, and crowns, require more than whitening, and we are happy to present options for those situations.

If you have any questions or concerns about whitening your teeth, please give our Dallas office a call. Whether it’s advice on how to brush or how to quit smoking, discussing the effects of foods and drinks on our teeth, suggesting OTC whitening products, or providing a professional whitening, Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team are happy to help you achieve your best and brightest smile!

Have you been having trouble getting a good night’s rest?

Sometimes the reason for a poor night’s sleep is obvious. A midnight horror movie. A bedtime espresso. That anchovy and pineapple pizza you had for dinner. Not much we can do about these problems.

Sometimes, though, the cause of your sleep difficulties is dental in origin, and that is something Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani can help with.

Teeth grinding, or bruxism, is a very common dental problem. When people with this condition sleep, their jaws clench and their teeth grind against each other throughout the night. When to suspect you might suffer from bruxism?

• You wake with a sore jaw, or you hear pops or clicks when you move your jaw
• You suffer from frequent headaches or facial pain
• Your teeth are chipped, cracked, flattened, worn down, or sensitive
• You wake up tired, because grinding affects the quality of your sleep
• Partners, siblings, or roommates complain about nocturnal grinding noises affecting the quality of their

Pain and fatigue are unpleasant enough, but there are additional serious consequences for those who suffer from bruxism. Our jaws are extremely powerful, and clenching and grinding can put hundreds of pounds on pressure on teeth and jaws over hours of sleep. These forces can lead to:

• Damaged teeth. Cracked, chipped, and worn down teeth can mean veneers, crowns, and root canals. Seriously compromised or broken teeth might need to be extracted.
• Damaged dental work. Bruxism can lead to fractured veneers and damaged fillings and crowns. If the damage is too serious for repair, replacement might be necessary.
• Damaged jaw joints. Severe cases of bruxism can lead to injury to the temporomandibular joint, or TMJ, the complex hinge that allows our jaws to move up and down, back and forth, and side to side.

While these problems can be treated with restorations, or root canals, or implants, or surgical procedures, prevention is clearly a much better option for a healthy smile. And one of the simplest and most effective treatments for preventing the damage caused by bruxism is a night guard.

Night guards fit over the affected teeth to prevent them from touching directly, saving tooth and enamel from injury and wear. Not only do night guards prevent contact, they spread the biting forces of the jaw over the surface of the guard to greatly reduce their impact. And because they also stop the jaw muscles from clenching tightly, there’s no excess stress placed on the temporomandibular joint.

While over-the-counter products are available, it’s best to see Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani for the most effective night guard. A custom night guard is designed to fit your individual teeth and mouth perfectly. Impressions or 3D scans are taken in our Dallas office, and a guard is fabricated with the precise shape, strength, and thickness you need to protect your teeth. And, as a bonus, custom night guards offer the most comfortable fit for the most comfortable night’s sleep.

Scary movies, late night caffeinating, creative food combinations—not much we can do about those! But if you’re suffering lost sleep and painful mornings because of tooth grinding, give us a call. A night guard just might be the key to sweet dreams.

When working out, studying late, or any time we feel like a bit of a boost would come in handy, energy drinks are a common go-to for many teens and adults. Energy drinks promise more focus and vitality, all wrapped up in clever names and eye-catching graphic designs. What they can’t promise, though, is a drink that’s good for your dental health.

Why? Because most energy drinks come with a high concentration of caffeine, acids, and/or sugar.

• Caffeine Consequences

Before we talk about your dental health, a word about caffeine. Too much caffeine in a short period can leave us jittery, anxious, irritable, and sleepless. A cup of coffee has about 100 mg of caffeine, and some energy drinks have three to four times that much.

While the recommended daily limit for adults who aren’t pregnant is 400 mg of caffeine, doctors suggest a much lower limit for children and teenagers. Among other reasons, sleep is especially important for developing brains and bodies, and caffeine interferes with healthy sleep.

You might have to go online to find out how various energy drinks measure up and compare in terms of caffeine, but taking the time to check them out is well worth it. Now, back to your dental health!

• Acid Attacks

Many energy drinks are very acidic. The tart flavors of energy drinks might please your palate, but they attack your enamel.

Our mouths are their healthiest when our saliva is neutral, balanced between acidic and basic on the pH scale. That’s somewhere around a 7 on a scale of 0-14, where lower numbers mean more acidic conditions. That burning feeling we get from acid reflux when stomach acids back up? That’s because stomach acid is a 1-2 on the pH scale.  Many energy drinks rate an eye-opening (and not in an energetic way!) 1.5-3.5 on the pH scale, which means your teeth are bathing in acids.

Even tooth enamel, the strongest substance in the body, can’t stand up to these acids, because acids break down the mineral structure of your enamel. If your teeth are more sensitive to heat and cold, if they appear darker as the white outer layer of enamel thins, if your dentist has discovered weak spots in your enamel—you might be experiencing demineralization. Once enamel is gone, it can’t be replaced.

• Surplus Sugar

A well-known source of quick energy is sugar. A little more biology and chemistry here—sugar is a food which our bodies can break down quickly. And when sugar molecules break down, this breakdown releases energy—energy which we use to fuel essential bodily functions. This quick burst of sugar energy is why many energy drinks contain lots of added sugar. Some brands have more than 60 grams of sugar per serving—and 60 grams is almost 5 tablespoons!

We get all the sugar we require for our daily energy needs from the natural sugars found in fruits, dairy, even some vegetables and grains. With added sugars, we’re just adding empty calories, affecting the balance of our blood sugar and hormones, and increasing the risk of chronic health conditions—all while providing a convenient food source for the bacteria in plaque.

Because, just like our bodies find it easy to convert sugar to energy, the oral bacteria which cause cavities find it easy to convert sugar to acids. And just like the acids in foods, these acids attack the tooth’s mineral structure and break down its strength. Eventually, the weak spots in enamel grow larger and deeper and become cavities.

While most labels don’t let you know how much caffeine you’re getting, or the pH of the liquid inside, you can see how much sugar is being added to your diet with every can or bottle. Do look for added sugars before you choose your beverages.

If you have several energy drinks a day, a soft drink or two, plus the occasional sports drink—you’re bathing your teeth in acids and sugar all day long. With any beverage high in sugars and acids, limit your consumption. Rinse with water afterward, and don’t brush for about an hour to give your enamel time to remineralize after being exposed to the acids in your drink.

Better yet, choose healthier alternatives. Water is still the best way to hydrate. Try adding protein and carbs to your diet for more energy. Make sure you’re getting the vitamins you need with a balanced diet. If you see signs of enamel erosion, talk to Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani. The temporary boost you get from a bottle of caffeine, acids, and sugar might seem tempting, but it can have long-lasting consequences for your dental health!

Xylitol tastes sweet, but unlike sugar, it is not converted to acid that can cause your teeth to decay. It’s a naturally occurring sweetener found in plants, fruits, and vegetables; even the human body produces it in small amounts. Xylitol is widely used in sugar-free chewing gum, mints, candies, and even certain forms of medicine.

The World Health Organization has approved xylitol because only a small amount is needed for its health benefits. It’s even safe for diabetics, with a glycemic index of only seven. Xylitol has 40% fewer calories than other types of carbs: less than three calories per gram.

So how can this natural sweetener benefit your oral health? Take a look at the facts. Tooth decay starts when bacteria consumes the sugars left in your mouth. When you eat sugary foods, the bacteria on your teeth will multiply and make acid that can destroy your enamel.

Xylitol is derived from fibrous parts of plants, so it does not break down like a regular sugar. It actually helps maintain a neutral pH level in the mouth, which in turn prevents bacteria from sticking to the teeth. The bacteria are then unable to digest xylitol, which means your teeth won’t develop enamel damage and cavities.

Studies have shown the consumption of xylitol as a sugar substitute or a dietary addition had a dramatic reduction in new cavities and even reversed existing cavities. These effects are long lasting: low cavity rates remained years after the trials were done.

When there’s less bacteria and acid in your mouth due to xylitol, your teeth stay healthier. The more frequently it’s ingested, the more you will prevent enamel damage.

Aim to consume around five grams a day, or one gram every three hours if possible. You can do this by consuming gum, tablets, candy, or mints that have xylitol as one of the first ingredients after your meals. You can find these products in health food stores and specialty grocery stores.

Since xylitol replaces sugar on a one-to-one ratio, it’s used in several common items:

• Toothpaste
• Mouth rinse
• Baby oral wipes, gel, and pacifiers
• Nasal wash
• Dry mouth spray
• Granulated forms for cooking
• Granulated packets to add to drinks
• Commercially prepared foods

Make sure to pick up items that contain xylitol the next time you’re at the store! This is an easy way to maintain great oral health. If you have specific questions about xylitol, ask Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani during your next appointment at our Dallas office.

X-rays are a vital diagnostic tool for any dental professional. X-rays help your endodontist perform a root canal, your orthodontist check the position of a tooth’s root, your oral surgeon discover a fracture. X-rays reveal what we can’t see with the naked eye—and that’s why they are an especially important tool for Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani as well.

Why Are X-rays Necessary?

There’s a lot going on below the surface. An X-ray can reveal such conditions as cavities between teeth or underneath fillings, abscesses and other infections in the bone, impacted wisdom teeth, and cysts and tumors. They can also show the size, shape, and density of the bone beneath the teeth, which is essential information for dental implant procedures or dentures.

How Do X-rays Work?

Traditional X-rays, or radiographs, make use of film just like traditional cameras. When you have an intraoral X-ray, for example, the film is sealed in a moisture- and light-proof packet, and placed inside the mouth to capture images of specific teeth and the bone around them.

The X-ray machine is aligned precisely with the film and an exposure is taken. The image at this point is latent, and won’t show on the film, because, just like photo film, traditional radiographs need to be chemically processed before they produce a visible image.

Digital technology, on the other hand, uses an electronic sensor instead of film. For an intraoral digital X-ray, a small sensor is positioned in the mouth just like a film. When the X-ray is taken, a digital image capture device produces an image which is formed by a matrix of pixels instead of a photo-like film exposure. This format allows the image to be sent directly to a computer for immediate display without requiring processing.

Even though these methods seem very similar, digital X-rays offer some significant advantages over traditional films. Let’s look at how they compare, more or less.

• More Diagnostic Advantages

A traditional X-ray is a fixed image. It cannot be modified or enhanced. Here the digital X-ray offers a clear advantage in diagnosis.

Just as you can enlarge certain types of images on your computer without blurring or losing detail, a digital X-ray uses computer software to magnify images while keeping their details sharp. They can also be enhanced through brightness and contrast applications to make details stand out even more. Both of these benefits are extremely helpful for diagnosis, especially when looking for small cavities, problems in the roots and surrounding bone, or developing wisdom teeth.

There is even digital subtraction radiography software available that can be used to compare recent images to older ones, removing (“subtracting”) all the similarities in the two images to display only the changes in the two—even small changes—that have taken place over time.

• Less Exposure to Radiation

Dental X-rays expose patients to very low levels of radiation, and modern technology means traditional X-rays expose patients to less radiation than ever before. Even so, digital X-rays have significant advantages. Radiation exposure can be reduced by an additional 10%, 20%, or more with a digital radiograph.

• More Convenient for Sharing and Transmitting

If you need to share your X-rays with another dental specialist or physician, digital technology allows you to simply have them e-mailed to another office or multiple offices. You no longer need to worry about preserving physical copies, either.

• Less Waste

Unlike traditional X-rays, digital X-rays don’t need to be processed, so you save time in the office. And while the processing time is not significant (usually several minutes), if you need to repeat some X-rays for a clearer picture, or require different images for several teeth, this time can add up.

Digital X-rays are also more eco-friendly.  The fact that they don’t need to be developed means that the chemicals used to process traditional films are no longer necessary—which also means that there is no need to dispose of chemical waste products afterward.

Our goal is to provide you with the safest, most efficient, and most effective dental treatment possible, and digital X-rays help us do that. If you have any questions about digital X-ray technology, contact our Dallas office. We’re happy to explain the science—and the benefits—of high-tech radiography.

Anyone who has had a compromised tooth knows that the amount of discomfort it causes can be extremely unpleasant. Although no one looks forward to a root canal, this procedure is actually the best way to both eliminate pain and save your tooth. If the pulp inside your tooth is infected or damaged, a root canal is probably necessary.  

The process is relatively straightforward and can take place over one or two visits to our Dallas office. The area around the tooth is numbed, the pulp is removed from the inside of the tooth, the area is thoroughly cleaned, and a temporary filling or crown is placed on the tooth to prevent bacteria and food from entering the site. A permanent crown will be fabricated and affixed to the tooth at a later visit.

Once your root canal is finished, recovery is usually only a matter of days. What can you to keep yourself as comfortable as possible during that time?

• The area around the affected tooth might be somewhat sore or sensitive for a few days. Let us know, and we can talk about medication to reduce pain and inflammation. If you are prescribed antibiotics, be sure to take the entire course of medication as directed.
• Taking an ibuprofen (if this is a pain reliever that is safe for you) before the anesthetic wears off will reduce the soreness in the hours immediately after the procedure.
• Wait until the numbness is gone before eating to avoid biting down on a temporary filling (or your tongue). Hot drinks are also best avoided.
• Avoid chewing on the side of the affected tooth until the restoration is complete. A soft diet is recommended for the first several days—chewy, sticky, and crunchy foods should wait.
• Continue with regular brushing and flossing.
• Call Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani immediately if you experience severe pain or visible swelling, if you have an allergic response to medication, if your bite feels uneven, or if you lose the temporary filling.

Follow the instructions we’ll give you carefully, and feel free to call us with any concerns. We want to ensure that your root canal is as pain-free and worry-free as possible.

Let’s face it, by now, brushing our teeth is something we pretty much do on auto-pilot. A quick brush after breakfast, a minute or so at night, floss when we think of it. Done. But take a few minutes to review these cleaning tips, and see if a few small adjustments to your routine could make all the difference at your next checkup at our Dallas office.

• Tools

Some of us prefer brushing with a manual brush. Some like the electric brush for ease and comfort. Whichever form of brush you choose, be sure that it fits comfortably in your mouth, reaches everywhere it needs to, and has a handle that is easy to grip. There are many bristle options available, so if you are an energetic brusher, or if you have sensitive gums, try a soft bristled brush for gentler brushing.

If you haven’t been exploring the floss aisle lately, there are now many varieties available to suit your particular needs. Besides the traditional floss, there are coated flosses for easy gliding between teeth that fit closely together, dental tape-style flosses to fit teeth with wider spacing, and even flosses designed just for braces that thread between the wires and brackets. Talk to Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani at your next cleaning for product suggestions if you think there’s an easier, more comfortable option out there for you.

• Technique

With proper technique, any toothbrush and floss you choose will do a fine job of removing plaque.

Brushing? There’s a tried and true method for success. Place the toothbrush at a 45° angle at the gum line. Be sure to brush the outside, inside, and chewing surface of each tooth thoroughly. Remember the expression, “Massage, don’t scrub.” Over-vigorous brushing can actually irritate gum tissue and damage enamel. An electric toothbrush should provide a continuous brushing motion without needing any pressure from the brusher. This might be the model for you if you have a too-vigorous approach to brushing, or sensitive teeth and gums. If you like your manual brush, again, give a soft-bristled brush a try!

As for flossing? That harmless-looking little string can cause gum damage if used too forcefully. You can accomplish the placement and cleaning power you need by easing the floss down to the gumline and flossing with gentle pressure against the tooth surface. If you have any questions about technique, remember—we are always happy to let you know the best cleaning methods for your specific needs.

• Timing

Of course, the best tools and the best technique in the world won’t be effective unless you put the right amount of time into brushing and flossing.

The standard rule is two minutes of brushing in the morning and two minutes at night. If you wear braces or have other special circumstances, we might recommend brushing after every meal. And if you brush after breakfast, give your teeth half an hour or so to remineralize. This natural process uses the calcium and phosphate ions in your saliva to strengthen tooth enamel after it’s been exposed to any acidic foods in your breakfast.

Thorough flossing can be accomplished in a few minutes, and might be needed only once a day. But again, depending on your individual needs, we might have other recommendations. Let’s review what works for you at your next visit—we can tailor suggestions for a brushing routine to your unique needs.

It’s a great idea to review your brushing habits periodically to make sure you are getting the most out of those minutes you spend cleaning your teeth. There won’t be a test at the end of this review, and you won’t get a gratifying grade or a gold star. What you will get is much more important—better checkups, fewer cavities, and healthy teeth and gums. Happy cleaning!

Your gums are responsible for a large part of your overall oral health. So keeping them healthy and knowing how to detect gum disease is extremely important.

Since it’s often painless, gum disease may go unnoticed and can progress when left untreated. Understanding the causes of gum disease will give you the ability to keep your oral health in great shape:

• Bacteria and Plaque. Good hygiene helps remove bacteria and plaque from teeth. When plaque is not removed, it turns into a rock-like substance called tartar, which can only be removed by a dentist.
• Smoking and Tobacco. Smokers and tobacco users put themselves at a higher risk of developing gum disease. Tobacco use can also stain your teeth, give you bad breath, and increase the risk of oral cancer. It’s best to avoid using tobacco altogether.
• Certain Medications. Ironically, certain medications for other health conditions can increase your risk of developing gum disease. Talk with Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani if you have concerns about a medication you are taking. Steroids, anti-epilepsy drugs, certain cancer therapy medications, and oral contraceptives can be among the culprits.
• Medical Conditions. Certain medical conditions can also affect your gum health. Diabetics can have an increased risk of gum disease due to the inflammatory chemicals in their bodies. Talk to our team about your health condition so we can take that into account when treating you.

Luckily, there are actions you can take to prevent gum disease. You should make regular visits to our Dallas office for regular cleanings. It’s also worthwhile to maintain good hygiene habits at home, such as flossing and brushing at least two times every day.

Good oral hygiene practice and visits to our Dallas office can help you eliminate or reduce the risks of developing gum disease!

Medical doctors and dental health professionals, like Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani, have debated over the connection (or lack thereof) between gum disease and heart disease. While there still is no unanimous consensus on whether there is a link – or the extent to any link there may be – several studies offer some interesting insight into possible correlations that may prove that there are some common factors that point to a likely correlation between the two.

Could there be a link between gum disease and heart disease?

Dr. Simone Ricketts reported on the findings of an Australian study of 80 patients in Profile Magazine. That study showed that 70% of the patients who participated in the study and needed heart transplants also had gum disease. She noted that other studies show a similar pattern, indicating that patients who needed heart transplants or other cardiac surgery procedures, were more likely to have dental problems.

Not Just Heart Disease Linked to Gum Disease

It isn’t just heart disease that experts are linking to periodontal disease, however. More and more evidence is showing that many chronic inflammatory diseases such as diabetes can be linked to periodontal disease. Poor oral hygiene resulting in gum disease was evident in blood tests that showed positive markers for inflammation.

Experts looked at a combination of over 120 medical studies focusing on a link between dental health and heart health. The findings of that research were published in the Journal of Periodontology and the American Journal of Cardiology. While there was no agreement on a definitive link, the research showed some promising results, and offer information that may be helpful to both dental health professionals and their patients.

On its own, gum disease increases the risk of developing coronary artery disease. Data from the National Health and Nutrition Examination Survey (NHANES) showed that gum disease increases the risk factor for blood vessel and artery diseases when those arteries supply blood to the brain.

This is especially important for strokes because they are a common cause of inadequate blood flow to the brain. Data from another study of 50,000+ people found a higher risk of stroke among people with gum disease and tooth loss.

The study did, however, show two very important connections between gum and heart disease:

• Both the gums of people with gum disease and the blood vessels of people who had atherosclerosis tested positive for similar types of bacteria.
• Both patients with atherosclerosis and those with gum disease showed the presence of inflammation in their bodies.

Patients need to understand the importance of taking care of their mouths and doing whatever is necessary to ensure or support heart health – even if there is no guarantee that doing so will prevent either disease.

When you’re pregnant, you expect physical changes. That’s part of the excitement of the journey! What isn’t expected—and not nearly as exciting—is when your familiar smile seems to be changing as well.

If you’ve noticed that your teeth feel loose, or that your regular tooth alignment has shifted, you might be experiencing one of the unexpected, but quite common, side effects of pregnancy—tooth mobility.

How is this “wiggle room” possible? After all, you’re making sure that you’re eating a diet rich in protein, vitamins, and minerals, including calcium, vitamin D, and all the other nutrients which keep teeth and gums healthy. You’re brushing and flossing regularly to prevent cavities and gum disease. You haven’t changed your healthy dental habits, so why are you seeing different results?

The answer lies in the hormonal changes which occur with pregnancy. Your body has significantly increased production of hormones such as estrogen, progesterone, and relaxin. One of the benefits of these higher hormonal levels is their relaxing effect on your ligaments and joints. Relaxed ligaments and joints help make pregnancy and childbirth easier.

But you can’t target hormones just where they’ll be most useful. An increase in hormones affects the ligaments and joints throughout your body. And while this explanation might seem unrelated to loose teeth, it is, in fact, the “root” of the matter.

A complex support system holds our teeth securely in their sockets. Instead of being rigidly fused to the jaw, each tooth root is surrounded by a periodontal ligament within the socket. This ligament is largely made of flexible connective tissue, and attaches to both the root of the tooth and the bone tissue of the jaw, holding the tooth in place. Its flexibility helps cushion your tooth from pressure and impact, and allows the tooth movement which makes orthodontic work possible.

The hormones which relax ligaments and joints throughout the body have that same relaxing effect on the flexible ligaments and joints in the mouth. So it’s not uncommon to find that your teeth feel a bit looser, or that your customary tooth alignment has shifted, or that you’re experiencing discomfort in your jaw joint, especially if you grind or clench your teeth.

Fortunately, while loose teeth are alarming, it’s most often only a temporary condition. Your teeth and ligaments should return to their normal, stable status after your baby is born. But because dental health can impact on your pregnancy, see us if you notice any changes in your smile. We want to rule out any other causes of tooth mobility, including gum disease, tooth abscesses, or other serious conditions.

Other proactive prenatal tips to keep your smile its healthiest?

• Call us when you learn about your pregnancy. We can offer suggestions for caring for yourself and your dental health during this exciting time.
• Keep up with your dental hygiene. Brushing and flossing are more important than ever to keep your gums healthy.
• And, because your gums might be more prone to gingivitis now, extra cleanings as needed can keep plaque buildup from forming.
• Don’t forget your regular appointments at our Dallas dental office for exams and cleanings. We want to help prevent any small problems from becoming larger ones.

Pregnancy is a time of many physical changes. Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani will work with you to ensure that one thing which remains constant is your beautiful, healthy smile!

Your dashboard lights up when you need an oil change. Your smoke detector beeps when you need to switch out the batteries. But when it’s time to replace your toothbrush, you’re on your own. Luckily, there are several not-too-subtle clues that you should be shopping for a new model.

• Fraying

Is your toothbrush looking a bit scruffy? Do those once orderly bristles look like they have the toothbrush equivalent of bed head? Have some bristles vanished altogether? Time to retire that toothbrush. Once the bristles are frayed, you just can’t reach plaque as effectively, especially where it likes to hide between the teeth.

Are you prematurely fraying? You could be brushing too hard. Overbrushing can damage delicate gum tissue and cause wear and tear to tooth enamel. If you find your brush fraying after only a few weeks of use, you might be using too much force. Remember, plaque is a sticky film, but it’s a soft sticky film. Ask us for advice on just how hard you need—or don’t need—to brush.

• Odor

This one really goes without saying—no one wants an aromatic toothbrush! How to make sure your toothbrush is fresh and clean?

Always rinse carefully after you brush. This will get rid of any toothpaste, bits of food, or other particles left on your brush.

Let your toothbrush air dry. It might seem more hygienic to keep your brush covered in a bathroom setting, but a closed, moist container is a perfect breeding ground for germs. Don’t let them make a home in your bristles!

• Illness

A cold or a bacterial infection (like strep throat) is no fun. But now that you’re feeling better, it might be time to throw out your toothbrush. The chances of re-infection are very low, unless your immune system is compromised, but this is a perfect opportunity to replace your brush with a fresh, germ-free model.

And if you share your toothbrush, or if you store it right next to a loved one’s or family member’s (which you really shouldn’t do, for this very reason), germs get shared, too. Quarantine your brush while you’re ill, and replace it once you’re out and about.

• Discomfort

Bigger isn’t necessarily better. A brush with a head that’s too big won’t allow you to get into those small spaces in your mouth where plaque likes to collect.

And harder doesn’t mean more effective. A brush with hard bristles can cause damage to your gums and enamel. We almost always recommend soft-bristled brushes for this very reason.

There are so many styles of brush out there, you’re bound to find the perfect fit with a little trial and error. Or ask Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani for suggestions the next time you’re at our Dallas office for a cleaning!

• The “Best By” Date Has Passed

Because of its durable construction, your toothbrush can last a long, long time. But no matter how comfortable and effective your toothbrush is right now, it was never meant to go through life with you. Bristles break down over a period of months, and just don’t clean as effectively. Your brush should be changed every three months, and this includes changing the head on your electric toothbrush.

Unfortunately, you don’t have a flashing light or annoying beep to remind you when it’s time to change brushes, so you’ll have to devise your own reminders. Reminder apps, calendar notes, the first day of a new season—use whatever works best for you. 

Don’t ignore the clues your toothbrush is leaving you. Replacing your brush whenever it’s necessary helps guarantee that the time you spend cleaning your teeth and gums will lead to confident, healthy smiles. Case closed!

We’re all friends here, so if you sometimes feel a bit nervous before your dental appointment, no judging! Ask us about any worries you might have. We are happy to explain procedures, equipment, and sedation options so you know just how safe and comfortable your experience can be. And if X-rays are a concern, we can put your mind at ease here as well.

What Exactly Are X-rays?

Sometimes patients feel reluctant about the process of imaging because X-rays are a kind of radiation. But the fact is, radiation is all around us. We are exposed to radiation naturally from our soil and water, sun and air, as well as from modern inventions such as cell phones, Wi-Fi, and air travel.

Why is radiation so common? Because matter throughout the universe constantly gives off energy, and the energy that is emitted is termed radiation. This radiation takes two forms—as particles (which we don’t need to consider!) and as traveling rays. This second type is known as electromagnetic radiation, created by photons traveling in regular waves at the speed of light.

We are exposed to electromagnetic radiation every day, because, whether we can see them or not, these different wavelengths and frequencies create various forms of light. Radio waves, microwaves, infrared, visible, and ultraviolet light, X-rays, and gamma rays are all part of the electromagnetic light spectrum.

Different types of radiation on this spectrum have different wavelengths and different frequencies, and produce different amounts of energy. Longer wavelengths mean lower frequencies and less energy. Because X-rays have shorter wavelengths and higher frequencies than, for example, radio waves and visible light, they have more energy.

How Do Dental X-rays Work?

An X-ray machine produces a very narrow beam of X-ray photons. This beam passes through the body and captures images of our teeth and jaws on special film or digital sensors inside the mouth (intraoral X-rays), or on film or sensors located outside the mouth (extraoral X-rays). These X-ray images are also known as radiographs.

Why are X-rays able to take pictures inside our bodies? Remember that higher energy we talked about earlier? This energy enables X-rays to pass through the softer, less dense parts of our bodies, which are seen as gray background in a radiograph. But some substances in our bodies absorb X-rays, such as the calcium found in our bones and teeth. This is why they show up as sharp white images in radiographs.  

There are different types of common dental X-rays which are used for a number of reasons:

• Bitewing X-rays, which are used to check on the health of the back teeth.
• Periapical X-rays, which allow us to look at one or two specific teeth from crown to root.
• Occlusal X-rays, which show the entire arch of teeth in the upper or lower jaw.
• Panoramic X-rays, which use a special machine to rotate around the head to create a complete two-dimensional picture of teeth and jaws.
• Cone Beam Computed Tomography, an external device which uses digital images to create a three-dimensional picture of the teeth and jaws.

Why Do We Need X-rays?

If all of our dental conditions were visible on the surface, there would be no need for X-rays. But there are many conditions that can only be discovered with the use of imaging—infection, decay, a decrease in bone density, or injuries, for example, can show up as darker areas in the teeth or jaws. Among their many diagnostic uses, X-rays can help us find:

• Cavities between teeth or under old fillings
• Damage to the tooth’s pulp which might require root canal treatment
• Injuries to teeth or roots after trauma
• Abscesses, tumors, or other conditions that might be causing swelling or pain
• Position and development of wisdom teeth
• Ideal placement for implants
• Health and density of the jaw and alveolar bone

X-rays can also serve an important preventative role, by discovering small problems before they become major ones.

How Do Dentists Make Sure Your X-rays Are As Safe As They Can Be?

First of all, the amount of radiation you are exposed to with a dental X-ray is very small. In fact, a set of bitewing X-rays exposes us to slightly less than the amount of radiation we are exposed to through our natural surroundings in just one day. Even so, Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team are committed to making sure patients are exposed to as little radiation as possible.

Radiologists, the physicians who specialize in imaging procedures and diagnoses, recommend that all dentists and doctors follow the safety principal known as ALARA: “As Low As Reasonably Achievable.” This means using the lowest X-ray exposure necessary to achieve precise diagnostic results for all dental and medical patients.

The guidelines recommended for X-rays and other imaging have been designed to make sure all patients have the safest experience possible whenever they visit the dentist or the doctor. We ensure that imaging is safe and effective in a number of ways:

• We take X-rays only when they are necessary.
• We provide protective gear, such as apron shields and thyroid collars, whenever needed.
• We make use of modern X-ray equipment, for both traditional X-rays and digital X-rays, which exposes patients to a lower amount of radiation than ever before.
• When treating children, we set exposure times based on each child’s size and age.

And now that we’ve talked about some things you might like to know,

Please Let Us Know If . . .

• You’re a new patient, with previous X-rays taken during regular exams or for specific procedures. Ask to have your older X-rays sent to our office. With digital X-ray technology, this transfer can be accomplished with e-mail! Having your dental history available lets us notice any changes that have taken place.
• You’re pregnant, or think you might be pregnant. Even though radiation exposure is very low with dental radiographs, unless there is a dental emergency, dentists and doctors recommend against X-rays for pregnant patients.

X-rays play an important part in helping us make sure your teeth stay their healthiest. If you have any concerns, contact our Dallas office. When it comes to making sure you’re comfortable with all of our procedures, including any X-rays that might be necessary, we’re happy to give you all the inside information!

At Dallas Dental Arts, we know that brushing your toddler’s teeth can be an intimidating prospect. So we’re providing a few tips in the hope of making the process a lot more easy, effective, and all-around enjoyable for everyone!

Start by getting into a position that gives you control and enables you to see well into your child’s mouth. If you can see clearly, you will be able to maneuver the toothbrush better around your son or daughter’s mouth for a better quality of brushing.

It’s important to choose a time when your toddler is calm. Have your little one sit with his or her favorite stuffed animal, or play a fun movie in the background so your child can focus on something comforting while you’re brushing.

Using a circular motion, brush all sides of their teeth. Be sure to let your toddler have a turn after you’re done, to start getting used to it. This way, he or she is more likely to repeat the brushing and flossing exercise when your youngster is old enough.

Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team agree that brushing and flossing need to be performed with kindness and care. To ensure your child learns good dental hygiene habits early on, be gentle and make this time a happy, learning time.

Your child should also have regular appointments at our Dallas office for checkups and cleanings to keep on track!

Coffee. Blueberries. Red wine. Tomato sauce. They might please our palate, but they are notorious for staining our teeth. Luckily, nature has balanced the scales for us! Here are just some of the foods that could actually help whiten your smile.

Apples

The crunchy texture of an apple makes it perfect for scrubbing your teeth as you chew. The more you chew, the more saliva you produce. And saliva helps lower the amount of the bacteria in our mouths that cause decay, while washing away food particles that can stain our teeth.

Broccoli

Raw broccoli florets look—and act—like tiny toothbrushes. Broccoli also contains high levels of iron which help protect our enamel from stains and erosion.

Carrots and Celery

More crunchy vegetables that scrub teeth. These are high in fiber, which acts as a gentle abrasive, and water, which stimulates healthy saliva production.

Nuts and Seeds

These are nutritious snacks that both act as abrasives and increase saliva production.

Pineapple

Pineapple is that rare fruit that produces bromelain, enzymes that help in digestion. These enzymes are also believed to help remove staining.

Strawberries

Malic acid considered by many to be a natural whitener which helps break down stains, and strawberries are a great source for this organic compound. But don’t overdo, because too much acid is hard on your enamel.

Of course, the real benefit of eating a balanced diet containing fresh fruits, vegetables, nuts, and seeds is nutritional, and any whitening that takes place is an added bonus. And eating healthy foods won’t take the place of brushing to keep your teeth clean and bright, especially if you are relying on sugary fruits for their whitening effect. If you want help whitening your smile, and diet and brushing alone aren’t the answer, give our Dallas office a call and we’ll be happy to suggest other options. Until then, bon appétit!

Somewhere in a bathroom drawer or medicine cabinet, we all have one—that little plastic dental floss dispenser. And whether you use your floss every day (yay!), or have completely forgotten it was in there (not so good), just how much do you know about that sturdy string? Let’s find out!

• Flossing has been around for hundreds of years.

FACT: It’s been just over two hundred years since Dr. Levi Spear Parmly, a dentist in New Orleans, suggested his patients use waxed silk thread to clean between their teeth. This is considered the first “official” invention of dental floss, although using some form of tool to get rid of food particles between the teeth has been around since prehistoric times.

• Brushing well is the same as flossing.

FICTION: It’s really not. While brushing does a great job of cleaning food particles, plaque, and bacteria from your enamel, there are some places those bristles can’t… quite… reach. Floss was designed to clean plaque and food from between the teeth and close to the gum line where your brush doesn’t fit.

• There’s more than one way to clean between your teeth.

FACT: Indeed there is! Not only are there many varieties of dental floss (waxed, flavored, round, flat, thick, thin, in a dispenser, attached to miniature floss wands), but you have alternatives if using any kind of floss is difficult for you. Water-flossers direct a pulsing stream of water between and around the teeth and gum line to remove food particles and plaque. Another useful alternative is the interproximal brush, a tiny little cone-shaped brush designed to remove food and plaque from those hard-to-reach spots.

• Flossing helps prevent gum disease.

FACT: Scientific studies haven’t provided definitive answers. But Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team strongly recommend daily flossing as one of the most important things you can do to prevent gum disease. Gingivitis, or mild gum disease, is caused by irritated, inflamed gum tissue. Gum tissue becomes irritated and inflamed as a response to the bacteria, plaque, and tartar, which stick to your teeth. Anything you can do to help remove these irritants will reduce your risk of gum disease.

• Flossing helps prevent cavities.

FACT: We strongly recommend daily flossing to remove the food particles and plaque, which lead to cavities. Brushing removes cavity-causing plaque from the outer surfaces of your teeth. But there’s a lot of enamel between your teeth as well. Flossing removes plaque from these hidden spots, helping to prevent interproximal (“between the teeth”) cavities from forming.

• Bleeding when you floss is normal.

FICTION: Bleeding isn’t a typical reaction to flossing. Bleeding gums could be an early sign of gum disease caused by plaque and tartar buildup. On the other hand, if you floss too hard, or go too deeply below the gum line, you can make delicate gum tissue bleed. Ask Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani for tips on perfect flossing technique.

• You need to floss after every meal.

FICTION: Dental professionals generally recommend brushing twice a day and flossing at least once each day. But this suggestion comes with some exceptions. If you have braces, your orthodontist might recommend flossing after eating. And certainly, for removing pesky food particles, flossing or interdental picks are a sensible choice after any meal.

• Your dentist will never know that you haven’t been flossing.

FICTION: Nope. Sure, you can miss flossing a few times and catch up before your appointment at our Dallas office. But built-up plaque between the teeth, red, swollen, or bleeding gums, and gingivitis and interproximal cavities let both you and Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani know that you’ve been neglecting good dental habits.

• It’s never too late to start flossing!

FACT: Flossing is a simple, quick, and inexpensive way to maintain tooth and gum health. If you haven’t had much luck flossing in the past, ask Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani for flossing tools and techniques that will work for your specific needs. Start now, and see what a difference it will make at your next checkup!

If you had all these flossing facts at your fingertips, congratulations! But if you didn’t, no need to worry, because the real test of your knowledge is in its application. Flossing properly at least once each day will give you something far more rewarding than blog-quiz kudos—you’ll see that regular flossing rewarded with healthier teeth and gums!

Unfortunately, dental emergencies can sometimes be unavoidable among young children. The good news is Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani can help you prepare in case you and your child find yourselves in any of the following situations.

Teething

Starting at about four months and lasting up to three years, your son or daughter may experience teething pain. It’s common for teething children to grow irritable and become prone to drooling due to tender gums. Give your child a cold teething ring or rub his or her gums with your finger to help relieve the discomfort.

Loss of Teeth

If a baby tooth is knocked out in an accident, bring your child to our Dallas office to make sure damage hasn’t occurred in the mouth. Permanent teeth can sometimes grow in before baby teeth have fallen out. In this situation, Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani should examine your child to make sure teeth are growing in properly. This can prevent serious issues from arising later in adulthood.

Gum Issues

Bleeding gums could mean several things. They may be an early sign of periodontal disease, which results from poor oral hygiene. Gums may also bleed if a youngster is brushing too hard or has suffered an injury to the gum tissue.

Rinse your child’s mouth with warm salt water and apply pressure to the area if bleeding continues. Don’t hesitate to contact our Dallas office if you are concerned so we can schedule an appointment.

As a parent, you can provide the best education for your children on proper oral hygiene habits. If you some coaching, ask Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani for tips during your next appointment.

Creating good dental hygiene habits early in your child’s life is essential to the health of his or her teeth, even when your infant doesn’t have any. By starting now, you can set the foundation for your son or daughter’s oral health later on in life.

When do I start?

The best time to begin brushing your baby’s teeth is before that first tooth ever comes in. Wipe your little one’s gums gently with a soft washcloth soaked in warm water every day. Not only will this help to get rid of bacteria in the mouth, but it will also familiarize your child with a daily brushing routine.

What do I use?

When your child’s teeth begin to emerge, it’s time to switch to a baby toothbrush. Select one with a big grip for your hand and a small head that’s easy to maneuver in your baby’s mouth.

Your little one won’t need toothpaste until he or she is about a year old; and even then, only a small amount is necessary. Apply an amount the size of a grain of rice and move to a pea-sized amount when your infant is about two years old.

By around six years, your child will probably rinse and spit without your help. At this time, you may introduce a child-friendly fluoride mouthwash.

How do I do it?

Until about age five or six, it’s likely your child will still need your help with brushing teeth. Gently scrub over all the teeth and gums, even where teeth have yet to come in. It may be helpful to explain what you are doing and how you are doing it, so your toddler can learn to brush her or his teeth alone.

Paired with regular visits with Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani at our Dallas office, proper hygiene habits instilled in your child early on will set up a good foundation for a healthy mouth in the future.

No matter how wonderfully something works for us, there comes a day when a replacement might be necessary. This holds true whether it’s the latest and greatest smart phone, or your perfectly prescribed eyeglasses, or your discreet and comfortable dental filling.

Wait, dental filling?

It’s true! While most dental fillings will last for many trouble-free years, there might come a time when a replacement is in order. Here are some signs to look for:

• Obvious Damage

Your teeth are under a lot of stress. The forces of biting and chewing place hundreds of pounds of pressure on teeth and jaws. And if you grind your teeth, your teeth are really getting a workout. What’s true for your teeth is true for your fillings. Over time, fillings can break down after years of this constant pressure.

If you notice a filling has become loose, or is cracked, or is pulling way from the edges of the tooth, give your dentist a call! A timely replacement can prevent decay from forming under the filling. Which leads us to . . .

• Pain in a Filled Tooth

When a filling is damaged, it no longer protects the dentin and pulp inside the tooth as effectively.

Why? Because your toothbrush can’t reach beneath your filling—but cavity-causing bacteria can. This means that cavities can develop underneath a filling that’s loose or damaged. Hidden decay will eventually progress into the pulp area of the tooth, which could lead to infection, root canal treatment, or even extraction.

If you’re suffering from pain or sensitivity in or around a tooth, it’s important to see your dentist right away to rule out hidden decay or other serious conditions.

• Cosmetic Concerns

Composite resin fillings are often used on front teeth because they can be carefully color-matched to our enamel for an almost invisible restoration. Over time, though, you might discover your composite filling has become quite a bit more visible.

Just like our enamel, composite fillings can become stained over time from foods like coffee and red wine, and from smoking. Does a discolored filling need replacement? If the filling is damaged, or if decay is present, yes. If the problem is surface cosmetic staining, Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani might be able to restore the original color of your filling with polishing. If you’re concerned about the color of your filling, talk to us about all of your options.

• Your Dentist Recommends Replacement

Part of each dental examination includes checking the condition of your restorations. If we notice a loose or damaged filling, or find decay beneath a filling, it’s time for a replacement.

You have more options that ever before when it comes to dental fillings. Gold fillings and silver amalgam fillings last from ten to 15 years or even longer, and are capable of withstanding chewing pressure and filling larger cavities. Composite fillings, although they might not last quite as long, are almost unnoticeable and perfect for visible teeth. Your dentist will recommend the filling which is best suited for your needs.

If you wait to replace a cracked or compromised filling, you’re taking a chance with the health of your tooth. Dental fillings provide years of durable, comfortable wear—but if it’s time for a replacement, don’t hesitate to call our Dallas dental office for an appointment.

Act One: Those 20 adorable baby teeth which begin arriving when you’re about six months old and are probably gone by the time you’re twelve.

Act Two: The 32 (if you have all your wisdom teeth!) adult teeth which start showing up around the age of six, and need to last the rest of your lifetime. Unless there’s an . . .

Act Three: Where science has discovered a way to repair damaged teeth or create replacements for lost teeth that would look and function just like our original teeth.

Sounds like science fiction, doesn’t it?

In biological terms, of course, we’re not there yet. But teams of scientists around the world have been working toward just this goal—the ability to repair a tooth with its own biological material or even grow a new tooth when an adult tooth is seriously damaged or lost.

Because the pulp—the living tissue inside each tooth—contains dental stem cells, some researchers are studying whether these cells can be used to regenerate the living pulp inside a damaged tooth. Even more exciting, there’s research being done into the possibility of using these stem cells to rebuild an entire tooth—pulp, dentin, and hard enamel exterior. Because the supply of usable dental stem calls is quite small, and process of guiding these cells to create all the varied parts of the tooth is quite complex, this research is in its early stages.

In other studies, scientists have focused on tooth regeneration by studying the teeth of other species. Mice, for example, have front teeth with open roots. This allows these teeth to keep growing up as they wear down, because stem cells inside mouse gums are always working to create new tissue. Even though our teeth are not exactly comparable (no open roots in human teeth!), finding out just how this tissue regeneration works in mice and other animals might help find an answer for human tooth regeneration.

Right now, these scientific goals are just that—goals for a future day. But in the meantime, your quality of life doesn’t need to suffer when you lose an adult tooth. You can enjoy a third act right now with dental implants.

Cosmetic concerns aren’t the only reasons why you want your complete smile restored in the event of a lost tooth. A missing tooth can lead to many unpleasant consequences:

• Speaking and eating can become more difficult.
• Lack of stimulation from biting and chewing can cause the bone beneath the lost tooth to shrink.
• Other teeth can shift to fill the gap left behind, which can affect tooth, bite, and jaw alignment.
• Loss of teeth can lead to loss of confidence.

Unlike dentures or bridges, dental implants are designed to function just like your natural teeth.

The post, or base, of each implant fuses with the bone in your jaw, acting as a “root” for the implant. Once the post has fused with the bone around it, a crown designed to match your other teeth in shape and color is secured to the post. You can eat, speak, brush, floss, keep your bone healthy, and smile confidently just as you did before.

Will biological replacements be ready for your third act in the near future? Probably not. But that’s not to say this will never be possible! In the meantime, take care of your teeth with daily brushing and flossing, eat a dental-healthy diet, and visiting our Dallas office as recommended.

You do your best to keep your teeth intact and in place—but if you lose one through trauma or decay, talk to Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani about an implant. Because in any stage of life, the most important result is the happy ending a healthy and confident smile brings you!

You’ve planned your dream vacation. Your reservations are made. You’re packed and ready. You’ve even scheduled a dental checkup at our Dallas office to make sure you catch any potential problems, have finished any major work, and have an up-to-date chart.

But things don’t always go according to even the best of plans. So, what to do if you find you have a dental emergency while traveling? Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team have some recommendations for problems that might arise.

• Toothache—Rinse your mouth with warm water and use dental floss to remove any food particles. Never put aspirin directly on a tooth or gum tissue. If the pain persists, call a dentist.
• Cracked or broken tooth—Immediately rinse with warm water to clean the area and apply cold compresses to the face to minimize swelling. Get in touch with a dentist.
• If you lose a tooth—Keep the tooth moist at all times. Put the tooth back in the socket without touching the root if possible. If that is not an option, place the tooth between the cheek and gums or in milk. See a dentist as soon as possible.

Know where to get help if you need it! If you are traveling in the United States, the American Dental Association offers Find-a-Dentist, a website that can locate a member dentist closest to you. If you are traveling to another country, there are steps you can take to prepare for an emergency.

• If you are out of the country and need to locate a dentist, your local embassy or consulate, your hotel concierge, or friends abroad can be a useful resource.
• Before you go, check your insurance to see if you are covered while traveling.
• If you have travel insurance, find out if it covers dental treatment and can provide information on qualified local dentists and translation help, if necessary.
• Good dental care is available in many areas internationally, but it is important to know what standards are present in the countries you plan to visit. The Organization for Safety and Asepsis Procedures offers a checklist for safe treatment in their “Traveler’s Guide to Safe Dental Care.”

If you have any questions, Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team are happy to do all we can to answer them. While it’s unlikely that problems will arise, we are always available if you need to contact our Dallas office. Bon voyage, and we look forward to hearing about your trip!

It's a moment many of our patients have experienced. One second you're chewing on a piece of gum, then suddenly you forget to keep chewing and swallow the entire rubbery gob whole! It's at this point you remember your mother warning you as a child that if you swallow gum it will stake a claim and take up residency in your belly for seven years. Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team at Dallas Dental Arts hate to take all the fun out of the mystery, but the truth is that chewing gum, when swallowed, will enter your stomach and move through your digestive system just like any other piece of food. So, if you ever accidentally swallow a piece of gum, there is no need to worry!

That being said, it's important to know that gum does not have any dietary benefits, so while it’s not exactly harmful to swallow, you still want to avoid swallowing it. If you are an avid gum-chewer, we encourage you to chew sugarless gum, especially if you are wearing braces, because gum with sugar can lead to cavities. Sugarless gum still has the same amount of flavor, but has fewer cavity-causing ingredients. In fact, many brands contain an additive called xylitol, a natural sweetener known to fight cavity-causing bacteria. Xylitol is also known to increase salivary flow as it rinses away plaque and acid.

The fact is, when the bacterium in your mouth breaks down sugar, what’s left behind is acid. This acid eats away at the enamel coating of your teeth, causing holes that we call cavities. Cavities can lead to other long-term mouth problems if they are not treated in time, so it is best to try and avoid overexposing your teeth to too many harmful substances!

If you have any questions about chewing gum, please contact our office. Happy (sugar-free) gum chewing!

You use your mouthguard for sports, wear a nightguard if you grind your teeth, and never bite down on solid objects. But even with all the care in the world, accidents happen. If we break a leg, our bones can regenerate tissue and knit together over time. A cracked tooth, on the other hand, can only be repaired, but will not heal. The right treatment is essential to protect your injured tooth. If you suspect you have a fractured tooth, what should you do?

Sometimes you know right away when you’ve cracked a tooth. A fall off a bike, a blow to the face on the basketball court, a bite of something that turned out to be much harder than it should have been—the results can be instantly apparent. If you have a broken or chipped tooth, call our Dallas office immediately. If you have lost a piece of your tooth, bring it in with you. Early treatment can not only restore the appearance of your tooth, but might prevent the possibility of infection or damage to the root and pulp.

Sometimes, a fractured tooth is an unwelcome surprise. It doesn’t take one specific incident to cause damage to a tooth. A crack or break can develop over time if you grind your teeth, have a large filling that has compromised a tooth, or have undergone a root canal procedure that has left the tooth brittle.  You might notice a crack or a missing piece of tooth, or experience pain while chewing or sensitivity to heat and cold. If you have any of these symptoms, call us. Once again, the earlier a tooth is treated, the better the outcome.

No matter how you discover an injury, immediate treatment by Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani is the best way to safeguard your healthy smile. Prompt treatment and restoration repair your smile cosmetically, and, in the case of more serious fractures, extend your tooth’s life, prevent further damage, and ward off potential infections of the gum and bone.

We have many options for restoring your damaged tooth, and our recommendations will depend on the type of injury your tooth has suffered.

• Chips

It is important to bring any broken piece of your tooth with you because sometimes the piece can be reattached. If that is not possible, a small chip might only require bonding with a tooth-colored resin. A veneer is an option for a larger chip, or where a translucent, natural appearance is important. If the chip is deep enough, and there is pulp damage, we might suggest a root canal and a crown.

• Broken Cusps

A lost cusp is a common result of injury, especially near a filling. If the pulp is unaffected, which is generally the case, a filling or crown can restore the appearance and function of the tooth.

• Cracks through the Tooth

A tooth cracked from the chewing surface to the root presents a more serious problem. If the crack has extended to the pulp, but remains above the gum line, a root canal and crown can preserve the tooth. If the crack extends below the gum line, however, extraction might be necessary. Early cracks will eventually extend below the gum line, so early treatment is essential.

A tooth can also fracture from the root up. Any crack in the root is a serious matter, and often is not discovered until infection has set in. Extraction is a common recommendation, although some specific cracks near the tip of the root might be treated with endodontic surgery.

• Split Tooth

Sometimes an untreated vertical crack can lead to a tooth split into two pieces. An endodontist can determine whether any portion of the tooth can be saved, although extraction is more likely.

If you injure your tooth, or have any symptoms of a tooth fracture, call us immediately. Whether you have suffered a chipped tooth, a broken cusp, crown or root fractures, or even a split tooth, prompt treatment is the best way to restore and protect your attractive and healthy smile.

While you make sure your family is getting the best care possible, with regular dental checkups and cleanings at our Dallas office, there is one family member that might be hiding under the bed when it’s time for tooth care. Periodontal disease is the most common clinical condition affecting adult cats—and it is completely preventable!

Periodontal disease starts when the bacteria in your pet’s mouth form plaque. The plaque can harden into tartar, and, if plaque and tartar spread under the gum line, can be responsible for a number of serious problems. Tooth loss, tissue damage, bone loss, and infection can be the result of periodontal disease. Professional dental treatment is important if your cat is suffering from periodontal disease, and your vet can describe the options available to you.

But, like with humans, prevention is the best way to assure these problems never develop, and there are several methods for avoiding plaque and tartar build-up.

Brushing: Yes, there are toothbrushes and toothpastes specifically designed for your cat! If a toothbrush is not working for you or your pet, there are cat-sized finger brushes available as well. Daily brushing is most effective, but try for at least several times each week. The process of introducing brushing should be a slow and gentle one, and seafood and poultry flavored pastes make the process more palatable. (Human toothpaste is not good for your cat due to its abrasiveness, and swallowing the foam might pose a danger to your pet.)

Anti-plaque rinses and gels: If despite your gentle persistence your cat simply will not cooperate with brushing, there are other options! Rinses and gels containing Chlorhexidine are effective and do not usually pose a problem for pets—although they might not take to the flavor. Rinses can be squirted inside each cheek or gels can be applied to the teeth with a toothbrush or finger brush. Talk to your vet to find the safest and most effective products.

Diet: Whether they use a particular shape and texture to simulate brushing or an anti-tartar ingredient, several pet foods claim to reduce the accumulation of plaque and tartar. Your vet is the best resource for nutritional suggestions to make sure your cat’s dental and physical diet is as healthy as it can be.

Whether you try brushing, rinses, gels or a tooth-friendly diet, patience and a gentle touch are the best way to introduce dental hygiene. Talk to your vet at your cat’s next checkup, and find out what you can do to keep your feline friend healthy and happy. An ounce of prevention might be worth a pound of purr!

Time to brush! So, you make sure you gently brush the plaque off the outside surfaces of your teeth. You want to present a gleaming smile to the world, after all. And you make sure to brush the inside surfaces as well, because who wants to feel a fuzzy patch of plaque every time their tongue hits their teeth? And, naturally, you remember to clean the tops of your molars, because those crevices make them more cavity-prone than any other surface.

Done? Not quite!

You might be surprised to learn that no matter how well you’ve brushed all the visible surfaces of your teeth, you’ve left quite a bit of enamel untouched—the adjoining, or touching, surfaces of the teeth which sit next to each other.

You’ve probably noticed that your bristles can’t . . . quite . . . reach all the enamel between your teeth (especially between your molars!) when you’re brushing. This means that food particles and plaque have an easier time sticking around. And when the bacteria in plaque are left undisturbed, especially with a banquet of food particles available, they produce acids which gradually eat away at the enamel covering our teeth, creating a cavity.

Here’s where we work in some specific dental vocabulary. “Interproximal” means between the adjoining, or touching, surfaces of the teeth. And an interproximal cavity is a cavity which develops on one of those side surfaces of your teeth.

• Discovering Interproximal Cavities

Clearly, a cavity between the teeth won’t be as obvious as other cavities. How will you know if a dental appointment is in order?

There are typical symptoms which can show up when you have a cavity. Chewing might be painful. You might feel pain or sensitivity when you eat or drink something which is hot, or cold, or sweet. But pain and/or sensitivity aren’t always present, especially when a cavity is just beginning to develop.

Regular exams are important so you can catch small cavities before they become more serious. That’s why, at your regular dental exams, Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani will always check for any signs of decay on every surface of each tooth, including those places which aren’t easily visible. And that’s why X-rays can be an important tool for locating these tricky cavities.

• Treating Interproximal Cavities

If Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team finds a cavity between your teeth, there are different treatment options available depending on the size of the cavity:

• A typical cavity will require a filling. The decay will be removed, and then the area will be cleaned and filled. You’ll probably choose a filling material which can be matched to your enamel color if the restoration will be noticeable.
• If decay has spread to the pulp chamber inside the tooth, a root canal is often the best treatment option, with a crown applied afterward to protect the tooth.
• A tooth so decayed or infected that it cannot be saved might require extraction.

Dealing with any weakness in a tooth as quickly as possible is always better than waiting until a more complicated treatment option is needed. Of course, the best treatment is prevention, and, luckily for us, it’s not a complicated process at all.

• Preventing Interproximal Cavities

In fact, it’s about as basic as it can be—brush and floss effectively. We recommend brushing for two minutes at least twice a day and flossing once each day. While most of us are good about keeping up with brushing, sometimes that daily flossing is more a goal than a reality.

But it’s flossing which really does the trick when it comes to interproximal cleaning. If you floss correctly, food particles and plaque are removed from between the teeth and around the gumline—places where bristles just can’t reach. The next time you get your teeth cleaned at our Dallas office, ask for tips on how to perfect your technique. And, if you have difficulty flossing, ask about alternatives such as water flossers and interproximal brushes.

Preventing cavities on the exterior surfaces of your teeth is probably pretty much automatic by now, but don’t forget the potential for stealth decay! If Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team find signs of erosion on the sides of your teeth, or if your hygienist lets you know that you’ve got a lot of interproximal plaque buildup, work with us to make sure “interproximal cavity” doesn’t become a working part of your dental vocabulary.

You brush and floss thoroughly twice a day. You have regular checkups. Everything seems fine on the periodontal radar. Sometimes, however, even healthy gums can become sensitive and irritated. Is it something you did? Maybe! Here are some common causes of gum irritation and sensitivity that you might not be aware of.

• Brushing Bravado

One of the most important tools for gum health is one we use at least twice a day—the simple toothbrush. Two minutes at night and two in the morning reduce the bacteria and plaque that lead to serious gum disease, known as periodontitis. And while preventing tooth decay and gum disease are the primary goals of brushing, let’s also protect delicate gum tissue from injuries and irritation caused by too-forceful brushing.

Try using a brush with soft bristles and brushing with short strokes and gentle pressure, especially if you know you have a tendency to be a bit heavy-handed. Massaging rather than scrubbing will clean teeth and gums just fine.

• Fierce Flossing

Just because we can use dental floss to slice cakes or cookie dough logs doesn’t mean we should apply the same pressure to our gums! While a firm sawing motion seems like the obvious way to clean between teeth and gums, you can actually cause irritation and bleeding that way.

Insert the floss between your teeth carefully, bring it to the gumline, and move the floss with gentle pressure up and down and around the tooth surface. This technique will make sure that you remove food particles and plaque from beneath the gumline without causing your gums any trauma. Ask us about the best flossing techniques—we know them all.

• Appliance Aches

You know how helpful your braces/retainers/mouth guards/dentures are. You just wish that your helpful appliance was a little less irritating to sensitive gum tissue.

This is a problem that often disappears as you get used to your new appliance. But if pain or irritation persists or gets worse, give us a call. We want to make sure your appliance fits properly, and make any necessary adjustments to ensure your comfort.

• Peroxide Problems

Most home whitening kits use peroxide-based gels or treated strips to remove surface stains from the teeth. Those same bleaching agents that make enamel whiter can also cause gum sensitivity and irritation. If you use whitening strips or gel trays, be careful to keep the peroxide solution away from gum tissue. But because these systems are one-size-fits-all, that is often easier said than done.

If you have sensitive gums, one solution is a professional office whitening. We’ll check on your gum (and tooth) health first, and monitor and protect your gums throughout the procedure. If you still want to whiten at home, we can create custom trays for you that will provide more complete exposure to the whitening solution for your teeth, and less exposure for your gums, than over-the-counter products.

• Still Smoking?

Studies have shown a strong link between gum health and smoking and other forms of tobacco use. Smokers are much more likely to suffer from gum disease than non-smokers, and those who have smoked for a long time, or who smoke heavily, have an even higher risk of developing periodontal disease. Some studies suggest that smokers don’t respond as well to treatment as non-smokers.  Unfortunately, it appears that smoking and tobacco use help mask the obvious symptoms of gum disease (redness and bleeding), which could lead smokers to delay getting treatment. If you smoke, talk to us about ways to quit.

We talk a lot about periodontal health because it is so important. Periodontitis can lead to infection, loss of bone around the tooth, and even eventual tooth loss. If you are suffering from any of the signs of gum disease—swelling, redness, bleeding, pain—give our Dallas office a call. Whether it’s as simple as making a few lifestyle changes, or a problem requiring professional dental treatment, being proactive with your dental care is more than good for your gums—it’s good for your health!

When you think of Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani, you naturally think of your teeth. But your dental professional is concerned with more than the teeth, as important as they are. All aspects of your oral health—gums, bite, tongue, mouth—contribute to your well-being. So many elements go into creating your beautiful smile, and your lips? They’re front and center.

• SPF—BFF

You already know that sunscreen is your best friend when it comes to protecting your skin. But don’t forget your lips when you’re slathering on the sunscreen! Delicate lip tissue is also susceptible to the sun’s damaging UV rays. Use a lip balm or lipstick with an appropriate SPF (Sun Protection Factor) for your skin type, and apply it liberally. Don’t forget to reapply every hour or two, after eating and drinking, and after going in the water. And if you’re protecting your children from the sun’s rays, check with your doctor about using sunscreen on young lips.

• Healthy Hydrating

Dry, chapped lips are no one’s go-to look. And while moisturizers and balms can help dry lips recover, there’s a simple preventative measure you can take to avoid or reduce dryness.  You know how important water is for our bodies, and it’s essential for hydrating our lips as well. Make sure you drink the recommended amount of water each day for lips (and skin!) that are healthy and hydrated.

Not so healthy liquids? Alcohol. Alcohol is dehydrating, which undoes the benefits of that water you’ve been drinking. More than that, excessive alcohol consumption has been linked to oral cancer, especially when coupled with tobacco use.

• Toss the Tobacco

All tobacco users have an increased risk for oral cancer. Pipe and cigar smokers are particularly at risk for lip cancers, and smokeless tobacco users have a greater risk of cancers on the inner lip surface. Need another reason to quit? Smoking leads to an increase in lip lines (wrinkles) and a decrease in lip volume.

• Oral Exams

When you come to our Dallas office for regular checkups, you can also get regular screenings for oral cancer and other oral conditions. While irregularities are often benign, lip cancer is one of the most common forms of oral cancer, and detecting cancerous or precancerous lesions as early as possible is important for treatment. If you have a sore or lump that doesn’t go away, a red or white patch of skin, bleeding or pain, or any other symptom that concerns you, talk to Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani.

Protect yourself from the sun, hydrate, use alcohol in moderation, give up tobacco if you are using it, and see your dentist regularly for examinations. These simple practices are beneficial not only for your expressive lips, but for your overall health and well-being. And feel free to spread the word—healthy habits and preventative care should be on everyone’s lips!

Probably because, for many kids, molars do get more cavities. So let’s answer two better questions: Why do molars get more cavities? And, how can we help prevent them?

It’s the Pits. (And Fissures.)

The reason molars are so useful—and more likely to develop cavities—is because of their shape. Unlike our front teeth, which are used to bite through foods, molars are used to grind and chew. That’s why they are so much larger, with a flat surface on top. Well, not exactly flat.

When you look at a molar, you’ll notice that the top isn’t really smooth at all. It’s covered with little indentations known as pits and longer grooves called fissures. These irregular features both trap food particles and make it more difficult for bristles to clean them away. Cavities in molar surfaces are so common that they even have a specific name: “pit and fissure cavities.”

But molar biology does not mean tooth decay is inevitable! There are steps you can take to protect your children’s molars as they grow, while you’re providing them with dental strategies that will keep their adult molars healthy and cavity-free.

Preventing Pit and Fissure Cavities

• Don’t Just Brush—Brush Effectively

The first step in preventing any kind of cavity is brushing properly. Your child should be brushing at least two minutes, at least twice each day. And while the time we spend brushing is important, technique is also key.

When you’re showing your child how to brush, be sure that the tops of molars, upper and lower, get brushed thoroughly, with special emphasis on cleaning pits and fissures. Make sure the toothbrush is small enough to fit your child’s mouth comfortably and reach all the tooth surfaces. Replace worn-down brushes or electric toothbrush heads after three to four months when they no longer clean as effectively.

Your child will probably need adult supervision from toddler years through the early years of grade school to learn how to brush properly. This is time well spent, as your child learns cavity-preventing brushing techniques which will last a lifetime.

• Eat a Tooth-Healthy Diet

Plaque bacteria use the sugars in our food to make acids. These acids break down the mineral strength of tooth enamel and eventually lead to cavities. And because pits and fissures are great hiding places for bacteria and food particles (especially sticky ones), molars are even more at risk for cavities. Limiting sugary, sticky foods like sweet treats and simple carbs helps reduce that risk.

Acidic foods like flavored juices, sour candies, sodas, and power drinks also weaken enamel and can leave teeth more vulnerable to decay. Help your child avoid cavities by limiting acidic foods and drinks, making them part of a balanced meal, and/or rinsing with water after eating.

• Use Fluoride Toothpaste

Fluoride toothpaste not only reduces the risk of cavities, it also helps strengthen enamel that has been weakened by bacterial and dietary acids. Win-win!

• Ask About Sealants

Sealants are invisible, safe coatings which protect molars by preventing food and bacteria from getting trapped in their uneven surfaces. The top of the molar is first treated with an etching solution to allow the sealant to bond tightly to the tooth, a thin coat of sealant is painted on, and then it’s hardened under a curing light. That’s all there is to it.

Sealants are often recommended when children’s permanent molars first erupt, when they are especially at risk for cavities. Sealants can last from three to five years (or even longer), and studies have shown a dramatic reduction in cavities for patients who use sealants compared to patients with untreated teeth. Depending on your child’s individual needs, Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani might recommend a sealant for baby molars as well.

• Regular Exams and Cleanings

It might be hard for you to tell if your child’s molars have been affected by sticky plaque, or sugary foods, or acidic drinks, or inadequate brushing, or any other potential cavity-causers. It’s not a difficult job for Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani, though! Through regular checkups and cleanings at our Dallas office, we will discover any conditions that might lead to cavities, and, if necessary, treat small cavities before they lead to more serious decay.

Statistically, childhood molars have a greater chance of developing cavities than incisors and canines. Help your child beat the odds by understanding why these teeth are at risk and by working with your dental team to give your child years of healthy teeth now and a future filled with beautiful smiles!

We want our children to have every advantage, including oral health. That’s why you encourage your child to brush twice a day. You keep the sugary treats to a minimum. You schedule dental exams and cleanings at our Dallas office.

So, how did your child get a cavity? What to do to prevent more tooth decay?

First, don’t feel guilty. Some people are more prone to cavities, even with diligent brushing and flossing. But to make sure children have all the advantages when it comes to preventing cavities, we have some tips which might improve their dental habits.

• Better Brushing

Even for adults, brushing technique can be haphazard! Brushing’s not as effective without covering all the tooth surfaces (inside, outside, and molar tops), holding the brush at a 45° angle, gently brushing the teeth with small strokes, brushing for at least two minutes, and flossing between the teeth at least once a day.

Until children develop the motor skills to brush by themselves (around age six or seven), you can help by monitoring their brushing and flossing. If you like, you can use these four minutes a day for fun as well as dental care by playing music, awarding stickers, using an app with entertaining timers, or having your child mirror your brushing habits as you brush together.

And do make your child’s life easier with the right tools. Brush heads should be small enough to fit in little mouths comfortably, and bristles should always be soft. Floss, too, should be soft and flexible. Don’t forget to retire your child’s brush after three or four months—bristles start to fray and won’t clean effectively.

• Sealing the Deal

Ask about dental sealants. This treatment provides a protective coating for your child’s molars. Cavities are so common in molars because the tops of these teeth are quite uneven. Food particles and plaque are trapped in grooves where brushes have a hard time reaching.

The sealant process is a simple and safe one. Healthy teeth are cleaned and dried, an etching solution prepares the tooth surface, a thin coat of sealant is applied, and the coating is hardened under a curing light.

Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani might recommend sealants when your child’s first adult molars erupt. Enamel takes a while to develop its full strength, so new molars are especially vulnerable to cavities. Sealants typically last from three to five years, and studies have shown a dramatic reduction in cavities when teeth are treated with sealants.

• Fluoride Helps Prevent Cavities—in Two Ways!

Fluoride helps strengthen enamel in developing teeth. Because many communities have fluoride available in their water systems, your child gets the benefit of this natural mineral.

If you’re providing your child with fluoride toothpaste, you’re helping prevent cavities in the teeth, which have already erupted. The acids from oral bacteria weaken the mineral structure of enamel, which is the first step in forming a cavity. Fluoride helps repair weakened enamel in a process known as “remineralization.”

Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani can let you know the amount of fluoride that is right for your child, including how much or how little fluoride toothpaste to use, a prescription supplement if your water doesn’t contain fluoride, or the application of a fluoride treatment directly to your child’s teeth.

• Avoid Tricky Treats

Some treats are much better than others. We’re not talking taste, though. When it comes to dental health, texture and time are more important.

When your child enjoys a plain chocolate bar, saliva helps wash away sugary food particles. Sticky candies and starches, like caramels and potato chips, are a “stickier” problem. They cling to enamel, providing lots of sugar as fuel for cavity-creating bacteria. Similarly, drinking a soda with lunch (not every day, of course!) provides a short exposure to sugars. Sipping sodas throughout the day is like bathing teeth in sugar for hours at a time.

To eliminate some of the treats bacteria love, choose snacks with an eye to how they affect teeth throughout the day, and teach your child to brush or rinse with water after eating.

• Schedule Regular Dental Exams and Cleanings

Most children should be visiting Dallas Dental Arts twice a year, even during the baby teeth years. Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani will monitor your child’s primary teeth and developing teeth and bite. And a professional cleaning removes built up plaque that even the most dedicated brusher might miss.

If you have any concerns about cavities and their prevention, Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani will have suggestions tailored to your child’s individual needs. Us working together to make sure your child has a healthy, confident smile? That’s a partnership that will provide lifelong advantages!

Have you ever wondered why people have wisdom teeth? These are a third set of molars that come in behind the rest of all your other teeth, usually during early adulthood. Scientists and anthropologists believe that wisdom teeth are a result of evolution, because our ancestors needed these extra teeth to handle their primitive diets. Nowadays, the average diet consists of fewer hard-to-chew foods, which renders wisdom teeth largely superfluous.

Most people begin to experience wisdom teeth pain between the ages of 17 and 25. Our ancestors nicknamed them wisdom teeth because they appeared at a time in life when we supposedly grew wiser.

If you’ve already had your wisdom teeth removed, you know how painful they can become if they aren’t taken care of promptly. If not, watch out for discomfort in the back of your mouth and let Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani know right away if you think your wisdom teeth are coming in.

In some cases, people do not experience any problems or discomfort with their wisdom teeth. These patients may keep their wisdom teeth intact if there’s enough room in their jaw to fit them properly. But this is generally not the case, so wisdom teeth can cause several concerns, depending on which direction they grow.

Common problems include:

• Damage to surrounding teeth due to the pressure from the emerging teeth
• Infection that causes the surrounding gums to swell and become painful
• Tooth decay due to the lack of room to clean the teeth properly
• Impaction (when the tooth is unable to break through the skin)
• A cyst that may damage the jaw, the surrounding teeth, and nerves

If you haven’t had your wisdom teeth removed yet, there are many symptoms to watch out for when they begin to grow. Symptoms may include:

• Pain or stiffness in the jaw
• Tooth irritation
• Swelling of gum tissue
• Crowding of other teeth
• Spread of tooth decay or gum disease on nearby teeth

If you’ve noticed these symptoms, schedule an appointment at our Dallas office. Don’t forget: This is a common procedure that will take some time to recover from. Allow your mouth to heal, and then you’ll be able to get back to a normal routine quickly and be free from pain!

Dental veneers are a popular treatment to improve the appearance of your smile. Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team want to help you understand whether this dental option is right for you.

Veneers, also known as laminates, are custom-made shells that cover the front of your teeth. They can change the color, size, or length of each individual tooth. The process can require between one and three trips to our Dallas office to complete.

This treatment is usually done for people who want to change the appearance of their smile: they can get rid of stains, gaps, or chips. Here at Dallas Dental Arts, we know how getting veneers can dramatically change your smile and help improve your confidence.

Your initial appointment entails preparing the teeth and creating an impression. The impression will help us design each veneer to the exact shape and color you desire. You’ll come back in a week or two to have the veneers placed. Your veneers should last about ten years, as long as you practice proper care and hygiene.

There are plenty of benefits to getting veneers, but you should be aware of the potential downsides of this procedure. This process is irreversible and the veneers cannot usually be fixed. If they chip or crack, they’ll need to be replaced.

It is also possible for veneers to fall off due to excessive pressure from nail biting or chewing on ice. If you grind your teeth a lot, you’re more likely to expose your veneers to damage, which can be costly to repair.

In order to know whether veneers are right for you, schedule an appointment at our Dallas office for a consultation. We can decide what you’re looking to do with your smile and if this is the best option for you.

It’s a rare week that we don’t hear something about superfoods—those foods which will transform our diets and radically improve our health. Remember kale? All the kale? (But, more on kale later!)

So, what exactly are “superfoods”? Unfortunately, we don’t have an exact answer for you, because, while the term “superfood” sounds impressive, it really doesn’t have an exact scientific meaning. Any food which is nutritionally dense with antioxidants, vitamins, minerals, healthy fats and/or other nutrients is often called a superfood.

Can these so-called “superfoods” help improve our dental health? The short answer: Yes! Let’s look at the benefits of some current popular superfoods, and just why they’re so good for our teeth and gums.

• Berries

Blueberries, strawberries, raspberries, and cranberries are not only delicious, but a rich source of antioxidants, minerals, and vitamins, including vitamin C. What does this mean for your dental health? Vitamin C is essential for healthy gums. In fact, one of the symptoms of vitamin C deficiency is swollen and bleeding gums.

• Salmon

“Good fat” seems like a dietary contradiction, but salmon is here to prove it’s possible. Omega-3 fatty acids have been linked to numerous health benefits, including fighting inflammation. Research has shown a possible relationship between getting the recommended amounts of omega-3s and a reduced risk of gum disease.

• Ancient Grains

Ancient grains are grains (and certain grasses and seeds) which have been cultivated the same way over the centuries. And even though these grains have been around for hundreds of years, many cooks are just starting to incorporate foods like quinoa, millet, farro, and freekeh into their recipes. Ancient grains are considered especially healthy because they are whole grains, with their nutrients, bran, and fiber intact. Processing grains removes many of these good-for-your-body elements.

And how does this processing affect our teeth? Whole grain carbs take time to break down and convert into the sugars which fuel our bodies. Processed grains used in foods like soft white breads and white rice start to break down quickly right in the mouth. They also tend to stick to the teeth, providing a rich supply of sugar to feed the oral bacteria which cause cavities. But you don’t need ancient grains to reap the benefits of whole grains—consider substituting whole wheat, brown rice, or whole grain corn for some of the processed grains in your diet.

• Yogurt

Most yogurt, unlike other dairy products, contains probiotics, which help supply our bodies with healthy bacteria. Most yogurt, like other fortified dairy products, is also rich in vitamin D. Vitamin D is essential for tooth health because it allows our bodies to absorb the calcium which keeps bones and teeth strong.

• Kale

We couldn’t leave without a word about kale! Kale is everywhere on the menu, from salads to pasta to soups, added to the blender for fruit smoothies, or salted and roasted for a potato chip substitute. And kale deserves its good reputation. Kale is rich in antioxidants, vitamins, and minerals, such as the beta-carotene which our bodies convert into vitamin A. Among its other benefits, vitamin A is crucial for the health and healing of mucous membranes, which include our gums and the soft membranes of the mouth.

And if you just can’t warm up to kale? More good news: dark green vegetables such as leafy greens and spinach also provide many of the same beta-carotenes. And so do colorful orange options like sweet potatoes, carrots, peppers, pumpkins, and squash.

Can these so-called “superfoods” help improve and maintain our dental health? The short answer: Yes! The longer answer: Yes—and so will any foods which are rich in the vitamins, minerals, antioxidants, and fatty acids which support and protect our teeth and gums. Just remember, a nutritious, balanced diet is more important than any one ingredient. Want more information? Ask Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani when you visit our Dallas office for dietary tips to help you maintain a heathy body—and a super smile!

Baby teeth come with a built-in expiration date. That charming first smile is meant to make way for a healthy, beautiful adult smile. Unfortunately, before they are ready to make way for permanent teeth, primary teeth can be affected by decay, trauma, or infection—problems which can lead to damage to the pulp within the tooth. If your dentist tells you that your child’s tooth needs specialized endodontic treatment, is treatment really that much better for your child than losing a baby tooth prematurely?

Quite often, the answer is yes!

Baby teeth do much more than serve as temporary stand-ins for adult teeth. They are essential for:

• Biting and chewing—a full set of baby teeth helps your child develop proper chewing, which leads to healthy digestion. And chewing also helps build face and jaw muscles.
• Speech development—primary teeth help guide speech production and pronunciation.
• Spacing—a baby tooth serves as a place holder for the adult tooth waiting to arrive. If a primary tooth is lost too early, the remaining baby teeth may drift from their proper location. This, in turn, can cause overcrowding or misalignment of the permanent teeth when they do erupt.

Baby teeth, like adult teeth, contain living pulp tissue. The pulp chamber inside the crown (the visible part of the tooth) and the root canals (inside each root) hold nerves, blood vessels, and connective tissue. When the pulp is damaged by trauma or infected, a baby tooth can still be saved with endodontic treatment. Endodontic treatment in baby teeth can take two forms.

• “Vital” pulp is pulp that can be saved. Vital pulp therapy uses procedures to deal with damaged pulp inside the crown, or visible part, of the tooth. Pulp therapy can be used on teeth when only the top of the pulp has been affected by decay, limited exposure, infection, or trauma, but the root pulp remains healthy. Specific treatment will depend on the nature of the pulp injury, and a crown will usually be placed over the tooth after treatment to protect it.
• With non-vital pulp, your dentist will probably recommend a traditional root canal procedure. All of the pulp tissue will be removed from inside the crown and the roots, and the pulp chamber and root canals will then be cleaned, disinfected, shaped, and filled. Finally, because the treated tooth will be more fragile, a crown will be used to protect the tooth from further damage.

There can be good reasons for extracting a seriously damaged baby tooth, and there are situations where preserving the tooth is the best and healthiest option for your child. Discuss your options with Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani when you visit our Dallas office for the safest, most effective way to treat your child’s compromised tooth.

Winter Is Coming.

Okay, that sounded a lot more dramatic in a popular fantasy series. But here in the real world, winter is coming as well, so let’s look at some easy steps you can take to keep your teeth and gums healthy during this icy season.

Remember to Hydrate

Dehydration is dangerous for your health in general, and it’s also bad for your dental health. A dry mouth is more vulnerable to gum disease and tooth decay because there’s less saliva to help maintain a healthy oral environment. Saliva helps wash away food particles and bacteria, works to neutralize the cavity-causing acids they produce, and strengthens tooth enamel with its mineral content.

Summer means heat and perspiration—two obvious causes of dehydration. Winter, though, has its own more subtle ways to dry you out.

• Just as you lose moisture through summer perspiration, you lose moisture with a winter workout as well. That foggy cloud you see when you exhale outdoors? That’s water vapor leaving your body.
• Cold weather means it’s time to kick up the heating system a few degrees. But unlike heated summer outdoor air, heated winter indoor air is not as humid, so it’s more drying.
• Some of us just aren’t as thirsty during winter months, and so we don’t hydrate as regularly as we do in the summer. And while summer menus tend to offer foods like salad, fruits, and iced drinks which automatically provide us with a lot of water content, winter menus? Not so much. Keep up with your daily recommended amount of water throughout the year for a healthier body and healthier teeth and gums.

Wear Your Mouthguard

Whether it’s skiing, hockey, snowboarding, or skating, those winter sports can be hard on your teeth. That’s why it’s important to wear your mouthguard when you’re getting the most out of the snow and ice. Mouthguards help prevent injuries to your teeth and provide protection for your jaw and mouth, too.

And a sport doesn’t have to involve snow and ice to be a winter hazard for your teeth. The combination of hard courts, flying elbows, and body contact make basketball a leader in the dental injuries competition. In fact, any sport which involves potential falls or personal contact is a good candidate for a mouthguard.

Mouthguards are available in several forms:

• One-size-fits-all, pre-formed mouthguards can be found in drugstores and sporting goods stores.
• “Boil-and-bite” models are warmed in hot water and then shaped when you bite down. The fit is somewhat more comfortable than a stock guard.
• Custom-made guards from your dentist are precisely molded to your teeth and mouth, letting you speak and breathe more comfortably.

If you haven’t gotten a mouthguard yet, or your old high school guard was retired years ago, talk to Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani about a custom guard.  While the over-the-counter options are better than going unprotected, a custom mouthguard fits your teeth perfectly—and comfortably!

Get to the Bottom of Winter Sensitivity

That first breath of frosty air might be more alarming than invigorating when tooth pain and sensitivity makes being out in the cold an unpleasant experience. Sensitivity to cold air or warm winter drinks can be an important symptom, caused by a number of dental conditions such as:

• Cracked teeth
• Cavities
• Exposed dentin (the layer of the tooth underneath your enamel)
• Receding gums
• Over-vigorous brushing

If the cold weather is keeping you indoors because of oral sensitivity, give us a call.

Even though this can be a very busy time of year, if you’re due for a checkup and cleaning at our Dallas office, or if you have any concerns about your teeth and gums, make time for your dental health. We want to make sure you’re ready to enjoy every frosty moment of the season!

Calcium from dairy products for strong bones and teeth? Check. Vitamin C from fruits and vegetables for gum health? Check. Protein from lean meats, eggs, and fish to create, maintain, and repair tooth and gum tissue? Check, check, and check.

These nutrients are probably the most well-known players in the production of a dental healthy diet, but there are several other important minerals and vitamins we need to balance the cast. Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team take a look at some of these lesser-known but equally vital actors.

• Phosphorus

Calcium is the mineral we hear about most often for maintaining strong teeth and bones, but it doesn’t act alone. Phosphorus is necessary for our bodies to make full use of calcium. Phosphorus is absorbed best from animal foods like meat, fish, and poultry, but it can also be found in beans, nuts, whole grains, and dairy products.

• Magnesium

Magnesium also works with calcium, and promotes bone density and the strength of our hard enamel. If you are looking to add magnesium to your diet, you have a spectacular variety of options, including salmon, tuna, chickpeas, green leafy vegetables, nuts, avocados, seeds, brown rice—even dark chocolate!

• Vitamin A

This vitamin is essential for the health and healing of our mucous membranes, which include our gums and the soft membranes in our mouths. Vitamin A is found in animal products such as dairy foods, meat, and liver, or formed from beta-carotenes, found in plant foods such as carrots, peppers, pumpkin, squash, and sweet potatoes.

• Vitamin D

Even though we might make sure to get plenty of calcium to keep our teeth and bones healthy, we will never get the most out of a calcium-rich diet without vitamin D. Vitamin D not only helps with bone density, it actually helps our bodies absorb calcium so we can put it to work for us. It has also been shown to promote gum health by reducing the inflammation that can lead to gum disease. Sunlight exposure leads our bodies to produce vitamin D naturally, but it is available in foods as well. Fatty fish, such as salmon, tuna, and herring, are a rich source of the vitamin, as are cod liver oil and egg yolks. The only plant that produces vitamin D is the mushroom, but it is also available in foods fortified with vitamin D, such as cow’s milk, soy milk, orange juice, and even many cereals.

You want your diet to be part of your healthy lifestyle, and more and more we are coming to discover just how important a balanced diet is to our dental health as well. The fascinating fact is that all of the nutrients which support our dental health work together and depend on each other to play their roles effectively. Talk to Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani at your next checkup at our Dallas office for some suggestions on finding the dietary balance that works best for you.

It’s a bit of a contradiction: you are justifiably proud of your beautiful dental work, but you don’t want it to be obvious when you smile. Dental prosthetics such as veneers and crowns should blend perfectly with your natural teeth. If you have noticed your veneers are a different shade than your other teeth, or have a crown that is visibly darker than the teeth surrounding it, you are probably wondering if there is any way to lighten and whiten an artificial tooth surface. There is no one right answer, but let’s examine a few common scenarios to find the best solution for you.

If You Haven’t Started Your Dental Work and Want a Whiter Smile

If you are planning on getting a veneer or a crown, it’s best to take advantage of teeth whitening before you have the work done. Choosing a shade of bright white for your veneers and then trying to whiten your natural teeth to match it afterward is almost impossible. It’s a good idea to talk to us about whitening beforehand, and, if this is the best way to achieve the look you want, Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani can match the color of your new prosthetic to your newly whitened smile. The goal is to make your new veneer or crown a perfect match to your natural teeth.

If You Have Existing Veneers, Crowns, or Other Artificial Surfaces

Porcelain veneers cannot be whitened, but the good news here is that they don’t stain the way natural teeth do. Unlike our teeth, porcelain is non-porous, so it is very difficult for typical culprits such as coffee, tea, or red wine to have as much effect. Any surface stains that appear can usually be gently removed with a professional cleaning and polishing, where we will take care not to scratch the delicate surface of the veneer. Porcelain crowns and implants, like veneers, can be brightened with a professional surface cleaning, but their original color cannot be changed.

Composite veneers and composites used in dental bonding are more porous and therefore more likely to stain. They are also immune to whitening, but might respond somewhat to a careful professional polishing at our Dallas office.

Finally, if the color of your existing dental prosthetics is a concern, replacement is an option we can consider together.

Whether you have existing veneers and crowns or are planning future dental work, please talk with us about achieving a seamless blend of old and new for a beautiful, natural smile. It’s a bit of a contradiction: the best work is the work no one notices!

You and your dentist are essential partners in making sure you have the best dental care. You do your part by eating a tooth-healthy diet, brushing and flossing as recommended, and seeing Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani regularly for checkups and cleanings.

And one more essential step you can take for your dental health? Let Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani know which prescriptions and over the counter medications you’re taking.

Medications Have Oral/Dental Side Effects

We’ve all grown used to hearing “Possible side effects include . . .” at the end of every pharmaceutical commercial. That’s because those unintended side effects can affect our health in any number of unexpected ways—and this includes oral health.

For example, a common side effect of many medications is xerostomia, or “dry mouth.” Because saliva helps keep our teeth and gums healthy by washing away food particles and oral bacteria and by reducing acidity in the mouth, a reduction in saliva production means a greater risk of cavities, gum disease, oral infections, denture discomfort, and bad breath.

Knowing a patient is taking one of the hundreds of medications which cause xerostomia allows Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani to both monitor the condition and suggest the most effective treatment options to control unpleasant symptoms.

Medications can cause not only dry mouth, but excessive gum tissue growth, oral sores, tooth discoloration, and changes in taste, among other side effects, so knowing which medications you’re taking can provide essential information for the diagnosis and treatment of these conditions.

Medications Interact

Medication might be needed for your dental treatment. Because certain drugs, supplements, and even some vitamins and foods can affect the way our bodies metabolize, absorb, and respond to other medications, we need to know which medicines you’re taking to arrive at your best treatment options.

• There are different classes of antibiotics used to treat oral infections. Knowing your medical history enables Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani to choose an antibiotic option which won’t interact with your other medications.
• Local anesthetics such as lidocaine, which numb the area to be treated, can also interact with certain medications. Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani can prescribe an alternative local anesthetic or adjust the dosage as needed.
• If you will be using sedation during your procedure, you have several options, including nitrous oxide gas, oral sedation, or IV sedation. Be sure we know about all of your medications beforehand because of possible interactions. Changes can be made to the type of sedation and/or the dosage as needed.

Medications Impact Treatment

It’s important for Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani to know if any of your medications will affect standard treatments.

Anticoagulants, for example, are a necessary medication for preventing blood clots from forming, and are often prescribed for certain heart conditions, after joint replacement surgery, or for anyone at risk for developing blood clots. Because these medications prevent the blood from clotting, it’s important to let us know if you are taking such drugs before any kind of oral surgery.

If needed, Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani can work with you and your doctor to create a treatment plan which will be safe, effective, and designed to work with any of your medications. You should never discontinue taking your prescribed medications before dental work without medical approval, as this can be dangerous.

We need the most up to date information about your health to provide you with the best care possible. Knowing which medications you take and why you take them can help us:

• Diagnose and treat any side effects from non-dental medications which have affected your oral health,
• Prevent drug interactions from occurring, and
• Tailor your treatment to your specific medical needs.

Your prescriptions, over the counter medications, and even herbal supplements and vitamins are essential information. It’s a good idea to make a list before your next appointment at our Dallas office so you have specific medications and their dosages at hand. It’s one small—but vital—step you can take to work with Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani for your best dental health!

It might seem like you’ve gotten a great night’s sleep—but why aren’t you well rested? Worse, why are you waking up with:

• A headache
• Ringing in your ears or an earache
• Pain in your jaw
• Worn or sensitive teeth
• Dry mouth or mouth and cheek injuries
• An unhappy partner who’s been kept awake all night?

If you suffer from any or all of these symptoms, you might be one of the millions of people who have a sleep-related disorder called bruxism, better known as teeth grinding.

There are any number of causes that have been linked to bruxism. Stress and other negative emotions seem to trigger episodes, as can lifestyle habits such as smoking and drinking alcohol or caffeine. Sleep apnea can lead to grinding your teeth, or you could have bite or tooth alignment problems. Certain medications might set off this disorder, and some studies have shown a hereditary tendency in families. Whatever the reason you grind your teeth, there are many important reasons to stop as soon as you can.

As bad as the nagging headaches and earaches that can accompany bruxism can be, long-term damage to your teeth can develop over time. With continuing grinding pressure on the teeth, enamel is worn away prematurely. Teeth can crack or chip. They may loosen or develop sensitivity to heat, cold, and pressure. Gum tissue can recede or become inflamed. Dental restorations can be cracked or broken.

If you—or someone in your house—suspects that you are grinding your teeth at night, give our Dallas office a call! We can recommend relaxation techniques, diet changes, or tips to help you relax your jaw. Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani might suggest a nightguard, a custom-fitted appliance worn while you sleep, to reduce the impact of grinding. There are options available. Let’s work together to make every night’s sleep a restful, healthy one.

Congratulations! You’re getting married! Wow! It’s your twentieth reunion! New job? Great news! No matter the occasion, large or small, you want to celebrate it with your whitest, brightest smile. How can Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani help? In a number of ways!

Professional Whitening

Because teeth are porous, over time substances in food, beverages, and tobacco products can stain the surface of the teeth. This is called extrinsic staining. If this is your concern, having your teeth whitened professionally is the fastest, most effective, and longest-lasting method of achieving your brightest smile.

We’ll examine your teeth to make sure that there are no pre-existing conditions such as cavities or gum disease that should be treated before whitening. We will use a gel with a higher concentration of whitening ingredients than over-the-counter products, protect your gums, and monitor the entire process. If you want to whiten at home, talk to us during your visit to our Dallas office about custom mouthpieces and professional whitening gels for precise application and safe, effective results.

Intrinsic Stains

Intrinsic stains are below the surface of the tooth, and harder to remove. These stains might be the result of an injury to the tooth or exposure to a medication like tetracycline while the tooth is forming.

While some whitening systems and professional whiteners can improve intrinsic staining if it is not too severe, normally bonding or veneers are better options. We can use color matching to make sure bonding or veneers are indistinguishable from your natural teeth. And do consider a professional whitening first, so we can match your dental work to your whitest natural smile!

Treating Existing Dental Work

Again, when you are considering porcelain veneers or crowns, composite veneers, or tooth bonding, choose the color that works best for your whitest natural smile, because these materials cannot be whitened like natural teeth. If you have dental work already in place that you would like to brighten, both composite and porcelain dental work can be polished to remove surface stains. If the color is simply not a good match for your natural teeth any more, replacement of your dental work is an option we can discuss.

There are plenty of good reasons to get your teeth whitened—Weddings! Reunions! New jobs!—but the best reason of all is giving you the healthy, confidant smile you’ve always wanted. And that’s something to celebrate!

There are a few dental treatments that Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team recommend for all patients to get if they wish to protect their oral health. Sometimes it’s hard for patients to decide which treatment plan would be best for their teeth. Learn about these three must-have treatments and how they can help protect your teeth in various ways.

Professional Cleanings

First, get a professional dental cleaning every six months. Regular cleanings can protect you from potential gum disease because they enable us to catch it early.

Cleanings also will get rid of plaque and tartar that have collected on your teeth over time. Oral health has been linked to your body’s overall health. We recommend scheduling your appointments in advance: Feel free to contact our practice’s Dallas location if you forget when you scheduled your next visit. Our staff will be happy to assist you.

Periodontal Exams

We also recommend that all our patients at Dallas Dental Arts receive a complete periodontal exam each year. You can ask about this during your regular, scheduled cleanings.

It’s a quick and painless procedure in which our hygienist probes each tooth to make sure the bone and soft tissue are healthy. If there’s a sign of infection, we will be able to treat it effectively before painful symptoms kick in.

Many adult patients are unaware that they have periodontal disease, and they may suffer the loss of a tooth if it goes untreated. Make sure you schedule a periodontal exam each year and save yourself a lot of time and pain.

Sealants

We also recommend dental sealants, particularly to protect your molars. Many people assume this treatment is just for kids to prevent cavities, but it can be used for adults too!

Sealants provide a protective barrier on your teeth that can help block against the buildup of plaque in those hard-to-reach areas in the back of your mouth. If you received sealants as a child, chances are they’ve worn off over time.

So if you want to save dental costs over the long haul, we recommend getting sealants again for cavity protection.

Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team hope you take our advice when it comes to your oral hygiene and schedule regular appointments for your dental cleanings. We look forward to seeing you at your next appointment!

It seems today’s technology has made every moment a camera-ready opportunity. (Just check your friends and their latest selfies.) What you may not expect is the opportunity to see a close-up of your teeth and gums in vivid detail the next time you’re in our office. But with intraoral cameras, Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani can use the most up-to-date tools to provide your most accurate diagnosis—and let you see for yourself exactly what we’re seeing.

Intraoral cameras were developed in the 1980s. This camera makes use of a sleek wand-style design to fit easily into your mouth. Using a camera lens and its own lighting, the camera is able to show hard-to-reach places in the mouth much more clearly and easily than can be seen using dental mirrors alone. Images are projected onto a monitor or screen, where both dentist and patient can get a detailed view, and images can be enlarged, if needed, to provide better definition.

What can an intraoral camera reveal? While X-rays are invaluable for discovering treatable conditions such as cavities, infections and bone diseases, there are some conditions that are not easily apparent using X-rays alone. Small cracks in a tooth, developing cavities near crowns or older fillings, fractures, early gum disease, even areas where plaque has been missed during brushing are visible in clear detail using the intraoral camera.

How does this improve your dental care?

• We always want to use the least invasive procedure we can, and keep as much of your healthy tooth as possible. Finding small problems early prevents them from becoming large problems later.
• If you are consistently failing to brush certain teeth, or if some areas of your gums show signs of neglect, we can show you directly what places you’ve been missing so you can adjust your brushing and flossing habits.
• We can take photos if needed for your files so we have a detailed visual record of your dental status at any point in time.
• Finally, you will be able to see for yourself the reasons we might suggest certain treatments, and be better informed about your own dental health.

We’re happy to offer the intraoral camera at our Dallas office as one of the tools we use to provide you with the most precise and thorough care possible. Ready for your close-up?

There are some pretty exciting rewards to look forward to as you transition from your mid-teens to your 20s. Driving! Voting! Graduation! But there is one rite of passage that you might not be looking forward to quite so much: getting your wisdom teeth. What are wisdom teeth? When are they a problem? And, most important, how can Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani help?

Children have 20 baby teeth that are replaced as they grow up with 32 adult teeth. The last to arrive are the four third molars more commonly known as wisdom teeth. But that “32” number is a little flexible. Some people never develop wisdom teeth at all. You can stop reading here if you are one of this carefree group. The rest of us have from one to four wisdom teeth. Some people have enough room in their mouths to accommodate wisdom teeth without affecting the alignment of their other teeth or their bite. But for many of us, wisdom teeth extraction is often the best and healthiest option.

When do wisdom teeth become a problem? Most generally, when there is simply no room for them to erupt properly. As a result, the wisdom teeth become “impacted.” An impacted tooth can cause you trouble in a number of different ways.

• Completely Impacted Tooth

Some wisdom teeth never erupt at all, staying within the jawbone. If there are no problems with these teeth, your dentist might recommend leaving them in place. If your other teeth become crowded or otherwise affected, if cysts develop, or if other complications arise, these teeth should be extracted. Even if you are symptom free, regular exams and X-rays at our Dallas office are important for monitoring the condition of impacted wisdom teeth to make sure they remain problem-free.

• Partially Erupted Tooth

A wisdom tooth can also begin to erupt, but never break completely through the gum tissue. The tooth and gum area can’t be cleaned properly, trapping food particles and bacteria. The gums can become easily irritated and even infected, and these teeth are much more prone to decay. When infection and rapid decay are present, extraction is often considered the best treatment option.

Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani might be the first to mention your wisdom teeth at your regular checkup, or you might be surprised to see a new tooth appearing while you are doing your nightly brushing and flossing. Impacted wisdom teeth can be symptom-free, or may present with pain, redness, swelling, or bad breath. Whenever the first signs of wisdom teeth appear, it’s time to discuss your options.

Your dentist or oral surgeon is your best resource for helping you decide on the wisest course of action for your wisdom teeth, whether it’s extraction or regular monitoring. After all, transitioning to adulthood is even more rewarding with a beautiful healthy smile.

Health and beauty trends surface on the web every day, and it can be difficult to tell which ones are worth your time, or even safe, for that matter. Perhaps one of the biggest dental trends recently on Facebook, YouTube, and Instagram has been teeth whitening through brushing with activated charcoal.

Unfortunately, charcoal whitening isn’t everything the Internet makes it out to be. Activated charcoal isn’t what you use to grill at a summer barbecue; it’s an oxidized substance made from peat, coal, wood, coconut shell or petroleum heated with a gas.

Toxins and surface stains can cling to charcoal due to its adhesive qualities, which is why some people declare it’s perfect for removing discoloration on teeth. Although it may show quick results initially, charcoal is nothing more than a temporary solution.

The abrasive texture may roughen up enamel, which will make it easier for future stains to stick to the surface of your teeth. They may show stains shortly after you use charcoal on them, and may become even more discolored than before.

It’s crucial to emphasize the results of damaged tooth enamel because it cannot replenish itself, which means any damage is permanent. People with receding gums or sensitive teeth especially should steer clear of charcoal because it can make brushing too harsh and worsen sensitivity.

Long-time use can deplete enamel, which over time exposes dentin: the soft, yellowish layer in the tooth. This puts you at a higher risk for cavities, tooth discoloration, and complicated dental problems such as periodontal disease in the future.

The American Dental Association does not approve of charcoal as a safe means for whitening teeth. If you do choose to use it, do so with caution.

Charcoal should be used once every other week at the most, even if your teeth feel fine. The only proven ways to whiten teeth safely are with ADA-approved whitening products or in-office bleaching treatments overseen by a dental professional.

Before you begin any whitening treatment at home, consult with Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani to make sure your teeth won’t be harmed in the process. If you are already experiencing sensitivity, stop charcoal use immediately and make an appointment with our office right away.

If you have questions about whitening or want to schedule an in-office whitening treatment, feel free to give our Dallas office a call today!

Experiencing tooth or oral pain is not fun. If you cannot get to Dallas Dental Arts right away, the pain may even seem to increase. The old saying that a tooth will stop hurting once you get to a dentist is not that far from true. However, there are many tips you can try to relieve your oral pain until you can see Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani.

Common Pain Relief Options

First, try to determine the source of the pain. This is sometimes not possible, but it may help. If you are experiencing pain between your teeth or along the gum line, try swishing some warm salt water in your mouth. One teaspoon of salt in eight ounces of warm (not hot) water is all you need.

The pain you are experiencing could be a particle of food stuck under your gum. You can also try flossing as long as bleeding is not present. Salt water soothes other mouth irritations to reduce pain.

You can try over-the-counter pain relievers, including oral medications or topical gels. Avoid taking aspirin; it thins your blood, which could end up being a problem for dental work. Wash your hands before applying any topical pain treatments to avoid spreading germs.

Clove Oil

Clove oil works quickly to relieve most oral pain. Place a few drops of clove oil on a damp cotton ball and place the cotton in your mouth near the painful area. Do not use this method overnight, because you don’t want to swallow the cotton.

Whole cloves can also be used, but try to remove any sharp edges first. Place a few pieces in your mouth and allow your saliva to soften the clove. Some sources say that chewing the clove helps, but you shouldn’t do this if you have a fractured tooth.

Other Household Remedies

If you have cough drops that include benzocaine or menthol, you can try sucking on a cough drop for relief. Placing a warm, wet tea bag against a painful oral area can sometimes reduce the pain as well.

Toothpastes designed to relieve pain from sensitive teeth may work. While these pastes do take time to reach full effectiveness, they can be helpful if you have to wait several days.

Remember that these tips are only designed to provide temporary pain relief. You need to schedule an appointment at Dallas Dental Arts quickly. Call and schedule an emergency appointment with Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani as soon as possible.

According to the American Association of Endodontists, root canals have a success rate of over 95% and in most cases they last a lifetime.

There are a few factors that ensure the root canal will last and should be followed.

• You want to make sure you allow Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani to perform a permanent restoration of the tooth. That means getting the filling and the crown immediately after the canals have been cleaned of all bacteria and debris.

• Practice good oral hygiene; that means brushing and flossing at least three times a day especially after meals and before bed.
• Just because a tooth has had a root canal that does not mean the tooth is safe for as long as it remains in your mouth. That tooth can still get a cavity. Since the nerves are no longer present in that tooth you will not feel any pain or experience any other signs of a cavity. That’s why it is important to get regular cleanings and checkups.
• If the tooth becomes fractured or you develop an abscess, you will feel pain and know there is a problem with the tooth.

Why do root canals fail?

As mentioned above, only about five percent of root canals fail, and sometimes it is not actually a “failure.” In cases, of teeth that have more than one root, it is possible that only one root was infected and filled. If the remaining root(s) become infected in the future, they will also need a root canal performed on them.

There are a few other reasons why your root canal may fail:

• The first reason is you may not have taken good care of your tooth (teeth). This is commonly seen in children and teens who often have inconsistent oral hygiene habits.
• If the tooth has more than one root, and one of the roots has a minute infection that is undetectable and goes unnoticed it can cause the root canal to fail. While this scenario is very unlikely, it does occasionally happen.
• Over time, the seal can become weak and bacteria can enter the tooth. This is also very uncommon but it does happen.

No procedure dental or medical comes with a 100% guarantee to last a lifetime, but if you take care of your treated tooth, the chances of success are great.

If you have any additional questions about root canals and your oral health, be sure to ask a member of our team at our Dallas office.

Whew! It’s a hot one! And whenever the temperature soars, you need to stay hydrated, especially when you’re outside or exercising. But all cold drinks aren’t equal when it comes to healthy hydration. Which beverages shouldn’t have a prime spot in your cooler when you’re wearing braces or aligners?

• Soft Drinks

You’re probably not surprised to find soft drinks at the top of the list. After all, sugar is a) a big part of what makes soda so popular, and b) not a healthy choice for your teeth.

Sugar is a favorite food source for the oral bacteria that make up plaque. These bacteria convert sugar into acids, and these acids attack the surface of your tooth enamel. Over time, the minerals which keep enamel strong begin to erode, and weakened, eroded enamel is a lot more susceptible to cavities.

So, what about sugar-free drinks? Does this make soft drinks a better choice? Unfortunately, you can take the sugar out of many sodas, but you can’t take the acids out. Most soft drinks are very acidic, even without sugar, and will cause enamel erosion just like the acids created by bacteria will.

• Fruit Drinks

Fruit juice provides us with vitamins, which is great, but it’s also full of natural sugars and acids. And blended fruit drinks and fruit punches often contain added sugars and added citric acids. Best to choose 100% fruit content and check the labels before you buy. (And you can always get refreshing fruit flavor by adding a slice of fruit to a glass of water.)

• Sports Drinks

You might be surprised to see these on the list—after all, they promise healthy hydration while you’re working out. And hydration is healthy—but sugars and acids aren’t. Even when the label tells you there’s no added sugar, that same label will often reveal high amounts of citric acid. In fact, some sports drinks are more acidic than sodas.

We’ll make an exception, though, for thirsty people who participate in sports or activities that require a lot of physical exercise and produce a lot of sweat. When we sweat, we lose electrolytes, those ionized minerals which help regulate many vital bodily functions. Talk to Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani about which sports drinks are best for you if you need to replenish your electrolytes when working out.

So, what’s your best hydration choice on a hot day? Water! It not only hydrates you, it cleans your teeth, it helps you produce saliva, and it often contains tooth-strengthening fluoride. But if you only have sports drinks in the cooler, or if you just want to enjoy a soft drink or a bottle of juice from time to time, no need to go thirsty. We have some ways to make sure your teeth are safer, even with this tricky trio:

• Rinse with water after you drink a sugary or acidic drink. And remember to brush when you get home.
• Be choosy. Check labels for added sugars and acids.
• Don’t sip your drinks all day long. Saliva actually helps neutralize acids in the mouth, but sipping acidic beverages throughout the day doesn’t give saliva a chance to work.
• Use a straw to avoid washing your enamel in sugars and acids.

You need to keep hydrated when it’s hot. When you’re packing your cooler, choose drinks that are healthy for your entire body, including your teeth and gums. Ask our Dallas team for the best choices in cold drinks to make sure you’re getting the hydration you need—without the sugar and acids you don’t!

When your child loses a tooth for the first time, you both have a lot to look forward to. Sharing in the “I’m a big kid!” excitement. Tales of the Tooth Fairy or other traditions to mark the occasion. Seeing the start of a beautiful grown-up smile.

But before that baby tooth wiggles all the way out of your child’s mouth, let’s talk about how to handle a loose baby tooth.

• Be mindful of your children’s feelings. Reassure them that this is a normal part of growing up. If they are anxious about losing a tooth, there are children’s books which can help ease their fears in a soothing and entertaining way.
• Crunchy and healthy foods like carrot sticks and apple slices can help the tooth fall out naturally—and nutritiously!
• Encourage careful wiggling. No need for children to yank or pull—time, and a child’s own gentle wiggling with tongue or clean hands, should do the trick. If wiggling the tooth is painful, it might not be ready to come out just yet.
• If a tooth absolutely is ready, but just won’t come out, you can help your child without resorting to a string and a doorknob. Give our Dallas office a call for some suggestions for helping that baby tooth on its way to the Tooth Fairy in a timely—and gentle—fashion.

And if a tooth is clearly loose before its time? Should you encourage its exit?

Probably not. Baby teeth are temporary, but they’re important for your child’s development. They help with speech production, eating and chewing, and serve as placeholders so that permanent teeth can erupt in the right spot at the right time.

There are some situations when a loose baby tooth means a visit to the dentist is in order:

• Baby teeth usually fall out over a period of years, generally from ages 6 through 12. Since children’s teeth tend to fall out in the same order they arrived, if a molar is loose before the front teeth start to wiggle, give your dentist a call.
• If your child suffers a fall, or a sports injury, or any kind of accident that leaves a tooth or teeth loose, call your doctor or dentist right away to make sure there are no serious injuries or chance for infection.
• Any time you feel a tooth is loose that shouldn’t be, make an appointment with your child’s dentist.

Finally, we’ve been talking about loose baby teeth, but loose permanent teeth are another matter entirely.

If you child has a loose permanent tooth due to an injury, or a bad bite, or night-time bruxism (tooth-grinding), or for any other reason, it’s important to call for an appointment immediately. Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani will be able to pinpoint the cause of the problem and can offer some solutions. In the meantime,

• Make sure your child eats soft foods, and tries to eat on the opposite side of the loose tooth.
• Keep the area clean with gentle rinsing instead of brushing and flossing.
• Tell your child not to wiggle it! If the bone or ligaments holding the tooth in place have been damaged, playing with the tooth can make it looser.

A loose baby tooth is a step in your child’s journey to a beautiful, healthy adult smile. Reassure, encourage, and help your child through this rite of passage—and don’t hesitate to call on Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani for advice!

Kids are active, and with lots of activity comes the potential for mishaps. Before an emergency occurs, you’d be smart to stay informed about the problems your child may encounter.

Here are a few things you should keep in mind about teething pain, loose baby teeth, and other common dental issues.

Teething Pain

Discomfort while teething is common for babies from the time they are four months until they are about two and a half. Teething can cause drooling, tender gums, and irritability. To help relieve your child’s discomfort, gently rub his or her gums with wet gauze or offer a cold teething ring.

Loose Baby Tooth

It is normal for a child’s first set of teeth to become loose and fall out. If a tooth is knocked out by a forceful blow, however, you should make an appointment with our office to determine whether any damage may have occurred. You should also book an appointment if the baby tooth that’s on its way out develops a crack but doesn’t fully fall out.

Issues with Permanent Teeth

Sometimes, permanent teeth can come in before the baby teeth have fallen out. In this event, schedule an appointment with us even if your child does not report discomfort or pain. Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani will need to determine if the permanent teeth are coming in correctly to avoid problems later on.

Bleeding Gums

Bleeding gums can have multiple causes: periodontal disease, rough brushing, or an injury to the gum tissue. If your child experiences heavy bleeding, it’s vital to call our office immediately. Wash the youngster’s mouth with warm salt water and put gentle pressure on the area to soothe it before your appointment.

Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team are always here to address any concerns you may have regarding your child’s dental health. Contact our Dallas office for emergency services 24 hours a day, seven days a week.

Kids are active, and with lots of activity comes the potential for mishaps. Before an emergency occurs, you’d be smart to stay informed about the problems your child may encounter.

Here are a few things you should keep in mind about teething pain, loose baby teeth, and other common dental issues.

Teething Pain

Discomfort while teething is common for babies from the time they are four months until they are about two and a half. Teething can cause drooling, tender gums, and irritability. To help relieve your child’s discomfort, gently rub his or her gums with wet gauze or offer a cold teething ring.

Loose Baby Tooth

It is normal for a child’s first set of teeth to become loose and fall out. If a tooth is knocked out by a forceful blow, however, you should make an appointment with our office to determine whether any damage may have occurred. You should also book an appointment if the baby tooth that’s on its way out develops a crack but doesn’t fully fall out.

Issues with Permanent Teeth

Sometimes, permanent teeth can come in before the baby teeth have fallen out. In this event, schedule an appointment with us even if your child does not report discomfort or pain. Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani will need to determine if the permanent teeth are coming in correctly to avoid problems later on.

Bleeding Gums

Bleeding gums can have multiple causes: periodontal disease, rough brushing, or an injury to the gum tissue. If your child experiences heavy bleeding, it’s vital to call our office immediately. Wash the youngster’s mouth with warm salt water and put gentle pressure on the area to soothe it before your appointment.

Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team are always here to address any concerns you may have regarding your child’s dental health. Contact our Dallas office for emergency services 24 hours a day, seven days a week.

No, we don’t mean the latest foamy offering from your favorite microbrewery. When you’re thirsty, one of the best options available is literally at your fingertips—tap water, straight from your faucet. It might not be the most adventurous choice, but drinking a tall glass of fresh tap water is refreshing in so many healthy ways.

Physical Health

Water conveniently available at home is much more than a convenience. We need to keep hydrated, because our bodies are made to run on water. To name just a few of its benefits, water provides nutrients to organs and cells, eliminates waste, regulates our temperature, and protects our joints and delicate tissues. Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our Dallas team will tell you all about the importance of proper hydration when it comes to your mouth, gums, and teeth, but here are a few highlights:

• We need to be hydrated to produce enough saliva. Saliva, which is more than 90% water, helps prevent cavities and protect enamel by both washing away bacteria and balancing acids in the mouth which can cause decay.
• Tooth enamel is so strong because it’s made of calcium and phosphate. These minerals are leached from our enamel by both bacteria-produced acids and dietary acids. Saliva also contains calcium and phosphate, and, with fluoride, restores these minerals in our enamel, leaving teeth stronger and less likely to develop cavities.
• As a bonus, a quick rinse with water when you can’t brush after eating is a great way to remove food particles left behand—especially healthy when you’ve had sugary or acidic foods.

Ecological Health

If you want to reduce waste, one of the easiest ways to do so is to use tap water instead of bottled water.

• Bottled water has a carbon footprint. It takes energy (and additional water) to create plastic and glass bottles, to label them, and to transport them. Water piped into your home from local sources? No bottles, labels, or long road trips necessary.
• Water bottles should be recycled. Unfortunately, many cities don’t offer, or have stopped offering, recycling. Plastic and glass empties end up in landfills, littering our neighborhoods, or in our waters.

Budget Health

Getting your daily hydration from bottles can add up quickly.

• Bottled water can cost hundreds of times as much as tap water. While local water prices vary, the average gallon of tap water costs less than a penny. No matter what kind of sale your local store is offering, bottled water will never be the bargain tap water is.
• When you buy many small bottles instead of a few larger ones, or choose more expensive “designer” water, your costs can mount up even more.
• When you need to bring water with you for work, sports, or other activities, consider filling a reusable bottle with water from home.

Dental Health

Getting the recommended amount of fluoride in your diet is one of the single best things you can do for your dental health. Fortunately, many communities make this easy for us by providing fluoridated drinking water.

• Fluoride works with the calcium and phosphate in your saliva to create stronger enamel, so cavities can’t form as easily when your teeth are exposed to plaque and food particles.
• Fluoride helps strengthen your child’s permanent teeth as they develop, and helps prevent cavities in both baby teeth and permanent teeth as children grow.
• If your community doesn’t offer fluoridated water, ask Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani for the best way to get the fluoride you need to protect your teeth.

For the good of your body, your planet, your wallet, and last, but most certainly not least, the health of your teeth and gums, consider a glass of water. So many benefits—and you have them all on tap!

No, we don’t mean the latest foamy offering from your favorite microbrewery. When you’re thirsty, one of the best options available is literally at your fingertips—tap water, straight from your faucet. It might not be the most adventurous choice, but drinking a tall glass of fresh tap water is refreshing in so many healthy ways.

Physical Health

Water conveniently available at home is much more than a convenience. We need to keep hydrated, because our bodies are made to run on water. To name just a few of its benefits, water provides nutrients to organs and cells, eliminates waste, regulates our temperature, and protects our joints and delicate tissues. Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our Dallas team will tell you all about the importance of proper hydration when it comes to your mouth, gums, and teeth, but here are a few highlights:

• We need to be hydrated to produce enough saliva. Saliva, which is more than 90% water, helps prevent cavities and protect enamel by both washing away bacteria and balancing acids in the mouth which can cause decay.
• Tooth enamel is so strong because it’s made of calcium and phosphate. These minerals are leached from our enamel by both bacteria-produced acids and dietary acids. Saliva also contains calcium and phosphate, and, with fluoride, restores these minerals in our enamel, leaving teeth stronger and less likely to develop cavities.
• As a bonus, a quick rinse with water when you can’t brush after eating is a great way to remove food particles left behand—especially healthy when you’ve had sugary or acidic foods.

Ecological Health

If you want to reduce waste, one of the easiest ways to do so is to use tap water instead of bottled water.

• Bottled water has a carbon footprint. It takes energy (and additional water) to create plastic and glass bottles, to label them, and to transport them. Water piped into your home from local sources? No bottles, labels, or long road trips necessary.
• Water bottles should be recycled. Unfortunately, many cities don’t offer, or have stopped offering, recycling. Plastic and glass empties end up in landfills, littering our neighborhoods, or in our waters.

Budget Health

Getting your daily hydration from bottles can add up quickly.

• Bottled water can cost hundreds of times as much as tap water. While local water prices vary, the average gallon of tap water costs less than a penny. No matter what kind of sale your local store is offering, bottled water will never be the bargain tap water is.
• When you buy many small bottles instead of a few larger ones, or choose more expensive “designer” water, your costs can mount up even more.
• When you need to bring water with you for work, sports, or other activities, consider filling a reusable bottle with water from home.

Dental Health

Getting the recommended amount of fluoride in your diet is one of the single best things you can do for your dental health. Fortunately, many communities make this easy for us by providing fluoridated drinking water.

• Fluoride works with the calcium and phosphate in your saliva to create stronger enamel, so cavities can’t form as easily when your teeth are exposed to plaque and food particles.
• Fluoride helps strengthen your child’s permanent teeth as they develop, and helps prevent cavities in both baby teeth and permanent teeth as children grow.
• If your community doesn’t offer fluoridated water, ask Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani for the best way to get the fluoride you need to protect your teeth.

For the good of your body, your planet, your wallet, and last, but most certainly not least, the health of your teeth and gums, consider a glass of water. So many benefits—and you have them all on tap!

No, we don’t mean the latest foamy offering from your favorite microbrewery. When you’re thirsty, one of the best options available is literally at your fingertips—tap water, straight from your faucet. It might not be the most adventurous choice, but drinking a tall glass of fresh tap water is refreshing in so many healthy ways.

Physical Health

Water conveniently available at home is much more than a convenience. We need to keep hydrated, because our bodies are made to run on water. To name just a few of its benefits, water provides nutrients to organs and cells, eliminates waste, regulates our temperature, and protects our joints and delicate tissues. Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our Dallas team will tell you all about the importance of proper hydration when it comes to your mouth, gums, and teeth, but here are a few highlights:

• We need to be hydrated to produce enough saliva. Saliva, which is more than 90% water, helps prevent cavities and protect enamel by both washing away bacteria and balancing acids in the mouth which can cause decay.
• Tooth enamel is so strong because it’s made of calcium and phosphate. These minerals are leached from our enamel by both bacteria-produced acids and dietary acids. Saliva also contains calcium and phosphate, and, with fluoride, restores these minerals in our enamel, leaving teeth stronger and less likely to develop cavities.
• As a bonus, a quick rinse with water when you can’t brush after eating is a great way to remove food particles left behand—especially healthy when you’ve had sugary or acidic foods.

Ecological Health

If you want to reduce waste, one of the easiest ways to do so is to use tap water instead of bottled water.

• Bottled water has a carbon footprint. It takes energy (and additional water) to create plastic and glass bottles, to label them, and to transport them. Water piped into your home from local sources? No bottles, labels, or long road trips necessary.
• Water bottles should be recycled. Unfortunately, many cities don’t offer, or have stopped offering, recycling. Plastic and glass empties end up in landfills, littering our neighborhoods, or in our waters.

Budget Health

Getting your daily hydration from bottles can add up quickly.

• Bottled water can cost hundreds of times as much as tap water. While local water prices vary, the average gallon of tap water costs less than a penny. No matter what kind of sale your local store is offering, bottled water will never be the bargain tap water is.
• When you buy many small bottles instead of a few larger ones, or choose more expensive “designer” water, your costs can mount up even more.
• When you need to bring water with you for work, sports, or other activities, consider filling a reusable bottle with water from home.

Dental Health

Getting the recommended amount of fluoride in your diet is one of the single best things you can do for your dental health. Fortunately, many communities make this easy for us by providing fluoridated drinking water.

• Fluoride works with the calcium and phosphate in your saliva to create stronger enamel, so cavities can’t form as easily when your teeth are exposed to plaque and food particles.
• Fluoride helps strengthen your child’s permanent teeth as they develop, and helps prevent cavities in both baby teeth and permanent teeth as children grow.
• If your community doesn’t offer fluoridated water, ask Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani for the best way to get the fluoride you need to protect your teeth.

For the good of your body, your planet, your wallet, and last, but most certainly not least, the health of your teeth and gums, consider a glass of water. So many benefits—and you have them all on tap!

No, we don’t mean the latest foamy offering from your favorite microbrewery. When you’re thirsty, one of the best options available is literally at your fingertips—tap water, straight from your faucet. It might not be the most adventurous choice, but drinking a tall glass of fresh tap water is refreshing in so many healthy ways.

Physical Health

Water conveniently available at home is much more than a convenience. We need to keep hydrated, because our bodies are made to run on water. To name just a few of its benefits, water provides nutrients to organs and cells, eliminates waste, regulates our temperature, and protects our joints and delicate tissues. Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our Dallas team will tell you all about the importance of proper hydration when it comes to your mouth, gums, and teeth, but here are a few highlights:

• We need to be hydrated to produce enough saliva. Saliva, which is more than 90% water, helps prevent cavities and protect enamel by both washing away bacteria and balancing acids in the mouth which can cause decay.
• Tooth enamel is so strong because it’s made of calcium and phosphate. These minerals are leached from our enamel by both bacteria-produced acids and dietary acids. Saliva also contains calcium and phosphate, and, with fluoride, restores these minerals in our enamel, leaving teeth stronger and less likely to develop cavities.
• As a bonus, a quick rinse with water when you can’t brush after eating is a great way to remove food particles left behand—especially healthy when you’ve had sugary or acidic foods.

Ecological Health

If you want to reduce waste, one of the easiest ways to do so is to use tap water instead of bottled water.

• Bottled water has a carbon footprint. It takes energy (and additional water) to create plastic and glass bottles, to label them, and to transport them. Water piped into your home from local sources? No bottles, labels, or long road trips necessary.
• Water bottles should be recycled. Unfortunately, many cities don’t offer, or have stopped offering, recycling. Plastic and glass empties end up in landfills, littering our neighborhoods, or in our waters.

Budget Health

Getting your daily hydration from bottles can add up quickly.

• Bottled water can cost hundreds of times as much as tap water. While local water prices vary, the average gallon of tap water costs less than a penny. No matter what kind of sale your local store is offering, bottled water will never be the bargain tap water is.
• When you buy many small bottles instead of a few larger ones, or choose more expensive “designer” water, your costs can mount up even more.
• When you need to bring water with you for work, sports, or other activities, consider filling a reusable bottle with water from home.

Dental Health

Getting the recommended amount of fluoride in your diet is one of the single best things you can do for your dental health. Fortunately, many communities make this easy for us by providing fluoridated drinking water.

• Fluoride works with the calcium and phosphate in your saliva to create stronger enamel, so cavities can’t form as easily when your teeth are exposed to plaque and food particles.
• Fluoride helps strengthen your child’s permanent teeth as they develop, and helps prevent cavities in both baby teeth and permanent teeth as children grow.
• If your community doesn’t offer fluoridated water, ask Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani for the best way to get the fluoride you need to protect your teeth.

For the good of your body, your planet, your wallet, and last, but most certainly not least, the health of your teeth and gums, consider a glass of water. So many benefits—and you have them all on tap!

Diabetes is a disease that affects the health of the entire body, including, of course, your mouth, gums, and teeth. We are trained to look for issues that might arise in our patients with diabetes, and are eager to help you maintain your dental health. What do we consider in order to give you the best treatment?

Your Teeth

Dry mouth can be a problem for diabetic patients, whether caused by blood sugar levels or medication, and this condition can lead to tooth decay. When we produce saliva, it not only helps wash away sugar in our mouths, it also helps remove the acids sugars produce which attack our enamel and lead to cavities.

Your Gums

People with diabetes are at higher risk for gum disease. With diabetes, the body is more susceptible to infection and finds it harder to fight bacteria. Early gum disease, called gingivitis, is inflammation caused by the body’s reaction to bacteria. Periodontitis, serious gum disease, leads to infections that can cause bone and tooth loss.

Other Oral Concerns

Dry mouth can lead to mouth ulcers, oral thrush, sores, and infections. And oral infections of any kind can be slower to heal when you have diabetes. We will give careful attention to any concerns you might have for your oral health, and will work with you to prevent any future problems.

Preventive dental care is important for all our patients, and we have special suggestions for you to help maintain your dental health and reduce the possibility of dental complications. Diabetes can lead to oral problems, and oral infections can in turn cause problems with controlling blood sugar, so a healthy mouth can lead to better health in general.

• Home Care

If dry mouth is a problem, talk to us about possible causes and treatments. Hydrate throughout the day, and avoid foods or beverages that lead to dehydration. Talk to us about the best products for use at home to prevent dry mouth.

Brush and floss after meals to reduce the presence of harmful bacteria and prevent the plaque buildup that leads to gum disease.

Above all, monitor your blood sugar carefully to ensure your body is at its best when combatting infection or when healing.

• Professional Dental Care

Be sure to visit our Dallas office at least twice a year for a full examination and a professional cleaning. We can reduce the plaque that leads to gingivitis and more serious periodontal infection. We can monitor your oral health and recommend solutions for problems such as dry mouth. We will make your appointments based on what is best for your schedule. If any type of oral surgery is needed, we will schedule it with an understanding of the importance of healthy blood sugar levels for healing and recovery.

It’s important to make Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani part of your health support system. If you have diabetes, let us know. We will work with you to monitor the well-being of your teeth and gums and to suggest ways to promote your overall oral health. Let’s work together for healthy, happy smiles!

According to the Oral Cancer Foundation, this form of cancer kills roughly one person an hour, every 24 hours. This means that nearly 10,000 people will die this year from this type of cancer.

Often, the cancer is discovered late, which is the main reason the death rate is unfortunately so high. Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team want you to know the precautionary steps you can take to avoid oral cancer.

Here are some of the most effective methods:

• Good oral hygiene is the first step in oral cancer prevention.
• Visit our Dallas,TX office every six months for a dental exam.
• Quit smoking or using chewing tobacco, if you do.
• Limit alcohol consumption.
• Maintain a healthy, well-balanced diet.
• Consume cancer-fighting foods such as vegetables, berries, garlic, green tea, etc.
• Change how you prepare foods; baked, boiled, or steamed foods are healthier than grilled or fried.
• Exercise regularly to maintain a healthy immune system.
• Limit the amount of time you spend in the sun, and be sure to use sunscreen.
• Conduct an oral self-exam each week.

We know the thought of oral cancer can be frightening, so we hope the above advice can help patients catch it early or prevent it from ever happening. If you notice a negative change in your oral health, contact our Dallas,TX location right away and schedule an appointment with Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani.

If you’re ever concerned or have questions about this common form of cancer, don’t hesitate to ask a member of our team.

Summer’s here, and it’s time to enjoy a well-deserved break! But even though school’s out, please take a few minutes to learn some tips from Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani to keep your teeth and mouth healthy for a summer of great smiles.

Hydration

When you are active in warm weather, you need to keep hydrated. So choose your drinks wisely. Sodas and sports drinks can contain a lot of sugar, which encourages cavity-causing bacteria to grow. Water is always a healthy, sugar-free choice. If your tap water contains fluoride, you can even fight cavities while staying hydrated. One other benefit of hydration? It helps with saliva production, and saliva is a natural way to wash away food particles and bacteria while providing substances that help keep teeth strong.

Mouthguards

Biking, skateboarding, baseball, soccer—all great outdoor sports, but one fall or accidental contact can cause serious damage to teeth. If you have a mouthguard for school sports, don’t forget to wear it for summer activities as well. And, if you don’t have a mouthguard, now is a good time to think about getting one. You can use a ready-made guard, or we can custom-fit one especially for you. Talk to us about your favorite sports, and we’ll suggest ways to protect your teeth while you enjoy all the physical activities warm weather brings.

Vacation Plans

If you and your family are going to be traveling this summer, let us know! If you need any procedures at our Dallas,TX office, we can plan them around your time away. It’s best to get any necessary work done before you travel, and we will be happy to work with your family’s schedule. When you are away, be sure to carry our number with you in case a dental problem comes up, and it’s always a good idea to travel with a dental emergency kit.

Sticking To Your Dental Routine

Unfortunately, the bacteria that lead to increased plaque and cavities never take a vacation. Keep up with your regular schedule of two minutes of careful brushing at least twice a day, and make sure to floss. Come see us if it’s time for an exam or a cleaning, or if you have any dental problems or concerns.

However you spend your summer, we hope it is filled with happy—and healthy—smiles!

Your trusty manual toothbrush has been with you from pre-school through high school—well, obviously not the same manual toothbrush, because that would be seriously unhygienic—but it’s the kind of toothbrush you’re used to and comfortable with.

Now, though, you’re off to college, and your lifestyle will be changing. Late night study sessions complete with study session snacks. Getting caught up in a project and making dinner from dorm vending machines. Grabbing fast food on the way to the practice field, or work-study job, or evening class. You get the point—meals can be hectic, unscheduled, and less than tooth friendly.

Maybe it’s time to consider an electric toothbrush. After all, anything that can make your life easier and more efficient during busy college days deserves a spot in your dorm room.

• Electric Brushes Are Effective

The most important reason to switch to an electric toothbrush is its effectiveness. Several studies have shown that regular use of an electric toothbrush leads to a marked reduction in plaque, that bacteria-filled film which sticks to the teeth and leads to cavities and gingivitis. And it’s really no surprise that an electric brush can out-perform a manual brush.

Electric toothbrushes offer several design options, from oscillating/rotating brushes to oscillating/rotating/pulsating models to brushes using sonic vibration technology. What these technologies all have in common is the ability to remove plaque far more efficiently than we can on our own, because electric brushes provide the equivalent of thousands and even tens of thousands of brushstrokes per minute, compared to the hundreds we can achieve by hand.

You know by now what your brushing habits are like. If you tend to be a bit cavalier with your brushing and flossing, make sure you set yourself up for success. Because you have better things to do during semester breaks and summer vacations than visiting Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani!

• Electric Brushes Can Make Life Easier

Several of today’s electric brushes come with options designed to do more than simply remove plaque. They can let you know if you’ve brushed for the recommended two minutes, alert you if you’re brushing too hard, and even remind you when it’s time to replace the brush head.

Want more from your electric brush? Some models offer apps that can map out just where you’ve brushed, in case there are a few spots that often get overlooked. Or provide different brushing modes for daily cleaning, deep cleaning, whitening, and more. Or come with a travel case that can recharge while you’re busy exploring the world—or going home for a visit.

In the end, it’s up to you. Do some independent study and research the toothbrushes that will give you the best results for your individual brushing habits. You might not need or want a brush with all the technological bells and whistles.

If you’re comfortable with your manual brush and you get good grades when you visit our Dallas,TX office, stick with it. But if you think you might benefit from the ease and efficiency of an electric toothbrush, if an electric toothbrush makes your teeth and gums healthier and your smile brighter, that’s an extra credit project worth pursuing.

Imagine that you’re only going to brush your teeth once tomorrow. Don’t worry, we know you would never skimp on your dental hygiene like that, but let’s just pretend for a moment. When would be the best time to brush? When you wake up? During the day? Or perhaps before you go to bed?

Actually, whenever you choose to brush, you’ll receive important overall dental benefits as well as specific benefits tied to the time of day. Let’s explore your daily schedule to see why.

Brushing in the Morning

Brushing when you first jump out of bed produces several positive results.

• Cleaning plaque from your teeth

Plaque is a sticky film made up of oral bacteria, food particles, and saliva. As you sleep, these oral bacteria multiply and produce acids which attack the minerals in your enamel, leaving weak spots which, over time, can become cavities. Brushing removes these bacteria and acids from your enamel before they cause serious harm.

Moreover, plaque hardens if it’s left undisturbed, turning into tartar in a relatively short time. And once plaque becomes tartar, it must be removed by a dental professional. Brushing first thing in the morning removes this plaque buildup and helps prevent tartar from forming.

• Fresh breath

That bacterial growth we mentioned? It’s also responsible for morning breath. If nothing else, brushing when you wake up means greeting a fresh day with fresh breath, and that’s reason enough to pick up your brush in the morning.

Brushing During the Day

Brushing after meals and snacks also has a lot to recommend it.

• “Leftovers” lead to cavities

Foods, especially foods rich in sugar and carbohydrates, are converted by oral bacteria into acids which weaken enamel and lead to cavities. When food particles remain in the mouth after a meal, bacteria have more time and more fuel to manufacture these acids.

• Acidic foods also affect your teeth

If you have eaten something acidic, such as citrus fruits, sodas, or pickled anything, the acids from these foods can temporarily weaken the mineral strength of your enamel. But brushing immediately after eating or drinking acidic foods can damage weakened enamel. Better to rinse well with water and brush after half an hour or so.

• When you wear braces

One of the first things you discover when you get your braces is that you might need to brush more often. In fact, it’s best to brush after every meal and even every snack while you’re in braces.

Why? First, because no one wants to smile with food particles sticking to brackets and wires. Even more important, though, the filmy plaque which sticks to your enamel can be harder to remove with those brackets and wires in the way. Since plaque causes weakened enamel and cavities, brushing thoroughly is more important than ever when you wear braces.

• When you wear aligners

Wearing clear aligners means you don’t need to worry about food trapped in brackets or cleaning around wires. After all, you take them out when you eat. But this doesn’t mean you are home free. Brushing after every meal is also a good idea when you wear aligners.

Our teeth have an organic way to help wash away food particles, acids, and bacteria between brushings—saliva! Your aligners, while covering your teeth, decrease their exposure to saliva. It’s really important, then, to make sure you brush after eating. Otherwise, food particles and acids which remain on your teeth after eating are trapped in your aligners, increasing the risk of enamel erosion and decay.

Whether you wear braces or aligners, you’re especially at risk for food particles sticking around your teeth and in your orthodontic appliances. Talk to Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani about when to brush your teeth after eating and how to keep your braces or aligners clean throughout the day.

Brushing at Night

Growing up, you probably received regular reminders to brush before bedtime—for several really good reasons:

• Saliva production slows while you sleep

During the day, saliva helps to wash away food particles and neutralize acidity in our mouths. It also contains proteins and minerals which help keep tooth enamel strong. But as we sleep, saliva production slows dramatically, and our bodies can’t remove bacteria and acids as effectively.

• Food particles fuel bacterial growth

If you haven’t brushed since morning, you’ve accumulated a whole day’s worth of food particles from meals and snacks. Remember, oral bacteria use the sugars and carbs we eat as fuel to produce the acids which attack our tooth enamel throughout the night.

• Brushing helps prevent both of these problems

Brushing your teeth before bed not only cleans away the accumulated food particles of the day, but also eliminates the plaque and bacteria which would have a much easier time sticking to your teeth without that daytime saliva flow to wash them away.

So, When’s the Best Time to Brush?

In the morning, during the day, at night—there are solid advantages to brushing any time of day. The question isn’t so much when to brush as how often you should brush.

While many dental professionals consider brushing before bedtime as the most important brush of the day, brushing at least two full minutes, at least twice during a 24 hour period, is a necessity for basic dental hygiene, along with flossing at least once a day.

When you’ve been eating sugary snacks, when you’re showing signs of gingivitis or getting more than your share of cavities, when you want to reduce the chance of plaque and tartar buildup, or when you simply want to make sure you’re doing everything you can to maintain your overall dental health, brushing after meals is also highly recommended.

And when you wear braces or aligners, frequent brushing (and flossing) is the very best way to make sure your teeth stay clean and cavity-free.

Talk to Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani about your brushing habits at your next appointment at our Dallas office. No need to use your imagination to plan your best brushing schedule. We have all the answers you need to help you brush your way to your best—and healthiest—smile!

What’s the big deal about a little snoring during the night? Or feeling a bit drowsy during the day? Or an occasional bout of insomnia? If your sleep problems are few and far between, probably not a major worry. But if your sleep disruptions are frequent, getting worse, or more noticeable to those around you, your problem might be sleep apnea. And that can be a big deal.

Sleep apnea occurs in three forms:

• Obstructive sleep apnea

This is the most common form of sleep apnea. It can be the result of the muscles in the back of the throat relaxing during sleep to obstruct the airway. Obstruction can also be caused by a physical condition such as a deviated septum, excess throat tissue or enlarged tonsils.  Loud snoring often results as the sleeper struggles to inhale through the obstructed passageway.

• Central sleep apnea

Central sleep apnea is caused by the brain failing to transmit the proper signals to breathe during sleep. The sleeper either stops breathing, or takes such shallow breaths that he or she can’t get enough air into the lungs.

• Complex sleep apnea

This condition is a mix of both obstructive and central sleep apnea.

Any of these forms of sleep apnea will cause a miserable night’s sleep. Sufferers actually stop breathing for a brief time. To start breathing properly again, our bodies move from the deep sleep we need to restore our physical and mental health to shallow sleep or even momentary wakefulness. And these disruptive episodes can happen dozens of times an hour, all night long. You might think you have gotten a full night’s sleep, while in reality you are suffering from sleep deprivation.

When you suffer from obstructive sleep apnea, the immediate consequences are easy to see and hear. Loud snoring, choking, constant drowsiness—you (and your loved ones) suffer from these symptoms night and day. But the hidden consequences of this disorder are even more dangerous. Sleep apnea has been linked to high blood pressure, heart disease, and strokes. It can cause memory problems, depression, and mood changes. Loss of focus and slow reflexes can lead to accidents. Complications from general anesthetics and medications can also become a serious risk.

Snoring is not the only symptom of sleep apnea. If you notice that you often wake up with a sore throat, a dry mouth, or a headache, have difficulty going to sleep at night or staying awake during the day, can’t concentrate,  or constantly feel irritable—you should consider the possibility that you suffer from sleep apnea. Talk to Drs. Sheena Allen, Murat Ayik, and Mark Margolin at our Dallas,TX office. We can recommend options that will have you once again sleeping soundly in your bed, waking up refreshed and healthy. And that is a big deal.

If there’s one meal that can claim the title of “Sweetest Meal of the Day,” it’s almost certainly breakfast. Sugary cereals, syrup-covered waffles, oatmeal with honey, cinnamon toast (which is literally sugar poured on toast)—it’s hard to imagine another menu even coming close. But you’re trying to keep your diet as healthy as possible. What to do?

First, no need to deprive yourself of the occasional pastry or stack of pancakes. The real problem with breakfast isn’t so much sugar as it is added sugar.

• Just a Spoonful of Sugar? What’s So Bad About That?

Nothing! Many healthy foods have natural sugars. Milk contains lactose sugar, and it also contains calcium and is enriched with vitamin D—both of which are essential for strong bones and teeth. Fruits get their sweetness from a sugar called fructose, and deliciously provide vitamins, minerals, antioxidants, and fiber to our diets.

Even processed sugar is surprisingly low in calories. In fact, a teaspoon of white sugar has only about 15 calories. But this teaspoon is also rich in nutrients for cavity-causing bacteria. The oral bacteria in plaque use sugars and carbohydrates from food particles as a fuel source to produce acids. These acids erode enamel and lead to cavities.

Choosing breakfast foods without additional sugars, then, is an easy way to reduce the number of empty calories in your diet while safeguarding the health of your teeth. We have a few suggestions.

• Be Selective with Cereals

If the word “sugar” or “honey” or appears on the box, that’s a hint that your favorite cereal is heavy on the sugar. But there’s a more scientific way to tell just how much sugar is in that spoonful.

While the colorful packaging and playful mascots are eye-catching, check the black-and-white panel with nutritional facts found on every box. If one serving equals 27 grams, and the sugar in that serving equals 15 grams, you know you have a problem. And cereals marketed to children are especially “rich” in added sugar.

But luckily, you don’t need to give up your morning bowl. Many cold cereals are available that offer whole grains, protein, and fiber without a lot of added sugar. Spend some time in the cereal aisle comparing, or, to make life easier, there are many online sites which recommend the best (and worst) cereals in terms of sugar content.

• Use Your Judgment with Juices

Fruits are packed with important nutrients. Not only do they provide essential vitamins and minerals, they’re a great source of water and fiber. If you drink 100% fruit juice, you are getting the benefit of most of the vitamins and minerals found in fruit. (You’re also getting less of the fruit’s natural fiber, and more of the fruit’s natural sugar, so consider fresh fruit as an option occasionally.)

But when fruit juice comes with “cocktail,” or “punch,” or “ade” attached to the end of it, there’s often something else attached—added sugar. For natural fruit flavor and the least amount of sugar, stay with 100% unsweetened fruit juice.

• Search Out “Surprise” Sugars

Remember the childhood excitement of searching through your cereal box for the prize inside? Fun! What’s not so much fun? The surprises you might find when you search through the labels on your favorite breakfast items—because added sugars make their stealthy way into many of our morning favorites.

When you compare plain, Greek, and low-fat yogurts, for example, the low-fat options are often higher in added sugar. A container of low-fat yogurt can provide 19 grams of sugar—that’s a tablespoon and a half!

And while you’re at it, be sure to compare the sugar content in granola bars. Some are full of nuts and grains, and some are full of added sugar.

Going out for a breakfast smoothie? Those can contain 70 grams of sugar and more. Making your own at home might be a little more time-consuming, but if you use fresh fruit as your sweetener, you can make sure that what you’re not consuming is added sugar. If you’re on the go, check out all-fruit options at your favorite smoothie shop.

Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team aren’t asking you to eliminate sugar from your breakfast diet altogether. (Everyone loves a doughnut now and again.) But substituting some alternatives for your regular menu choices can reduce the amount of added sugars by tablespoons every meal. That’s another great reason to greet the morning with a smile!

Ideally, it should never hurt when you floss your teeth. But if you haven’t flossed in a long while or don’t do it regularly, you may experience sore or bleeding gums. You should floss every day to avoid pain and maintain the best oral hygiene. In the meantime, there are a few things you can do to make flossing a little more pleasant.

Be Gentle

If your gums are sensitive, take your time and be gentle while flossing. Rough flossing can lead to more irritation and soreness. Also, daily flossing should help your gums become acclimated to the practice, and as a result, irritation should decrease over time.

Use an Alternative Method

If you still feel discomfort after being gentle, an alternative method of flossing may work better for you. A water floss machine or Waterpik can dislodge food particles and plaque without irritating your gums. Also, some brands of floss have a soft coating that make them less harsh and harmful to your gums.

Many people tend to forget or skip flossing, but it is one of the most important steps your dental hygiene routine and shouldn’t be neglected. If you are consistent about flossing, your gums should become used to it and won’t be so irritated in time.

For more flossing tips, schedule an appointment at our Dallas,TX office and ask Drs. Sheena Allen, Murat Ayik, and Mark Margolin or a member of our team!

The topic is tubes. No, we’re not talking about TV shows, or sports socks, or British subway systems. We’re talking toothpaste! With so many options out there, which toothpaste should you be looking for to keep your teeth their cleanest and healthiest during orthodontic treatment?

• Fantastic Fluoride

The last thing you want while you’re wearing braces is a cavity. Cavities develop when plaque sticks to a tooth. The oral bacteria found in plaque produce acids that weaken your enamel. Over time, these acid attacks lead to the breakdown of the enamel and a cavity forms. But you have a way to stop this process. Fluoride provides protection against cavities. Fluoride toothpastes contain minerals that actually strengthen your enamel, and can even repair early damage before a cavity has a chance to form. Whichever toothpaste you choose, fluoride is the most important ingredient.

• Terrific Tartar-Control

What is tartar, anyway? Tartar, or calculus, is hardened plaque. It’s so hard, it can’t be removed by brushing alone—that’s why your dental hygienist uses special tools to remove it when you have a cleaning. Tartar buildup can lead to receding gums and gum disease, so prevent this buildup before it starts by using a toothpaste especially formulated to remove plaque.

• Desensitizing Decisions

There are many causes for tooth sensitivity. If painful sensitivity is caused by hot or cold drinks, it could mean a dental issue such as decay or a damaged tooth, and your dentist can help diagnose and treat the problem. Sensitivity be a sign that you’re not cleaning around your braces well enough, leading to sore and inflamed gums. Sometimes sensitivity can actually be caused by over-enthusiastic brushing. Remember, massage, don’t scrub! For some extra-sensitive teeth, a desensitizing toothpaste or even a prescription toothpaste can help. If you find that your teeth are more sensitive only after an adjustment, give us a call. This is usually temporary.

• What about Whitening?

Whitening toothpastes do a good job of taking care of some surface stains, so why not use them? Because they take care of some surface stains. When your braces are in place, your brackets cover a small portion of your enamel—a portion that won’t be whitened as you brush. Generally, because whitening toothpastes don’t make a huge difference in tooth color, this might not be a problem. Talk to Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani before you decide to whiten, and we’ll have suggestions just for you.

In fact, if you have any questions about the best toothpastes for orthodontic patients, contact our Dallas office! Getting your braces is a great step forward on your way to a beautiful smile. Let us help you choose the right toothpaste to make sure that beautiful smile is a healthy and lasting one.

You have probably counted a hundred reasons to stop smoking. It’s unhealthy. It’s expensive. It annoys the people around you. You have to schedule your day around the next cigarette. But here’s reason number 101: Did you know that one of the many side effects of smoking is the damage it does to your smile?

Your Appearance

One of the most obvious results of smoking is the constant yellowing and discoloration of your teeth. Tobacco stains can take longer to remove with home brushing and whitening. And, while a professional cleaning and whitening will make a world of difference, all that good work is undone once you start smoking again.

More important, no smile looks its best with periodontal disease and tooth loss. Smoking has been linked to the presence of more harmful oral bacteria and higher occurrences of cavities and gingivitis (early gum disease). Periodontitis, or severe gum disease, is much more common among smokers. Tooth loss is also much more likely.

Healing after Dental Surgery

Smoking slows the healing process. It has been linked to a weaker immune system, so it’s harder to fight off an infection or to heal from one.  And because of the harmful effect of smoking on bone tissue, there is a higher failure rate for dental implants among smokers. Bone density can be so compromised that an implant is not even an option.

Healing after Extractions

If you have a tooth extracted, the formation of a blood clot at the site of the removal is essential to avoid a condition called dry socket. Dry socket can lead to pain, serious infection, and other complications. Luckily, this clot is resilient and pretty hard to dislodge—unless you apply suction such as sipping through a straw or drawing smoke from a cigarette.

Oral Cancer

Research has shown that smoking is the single most serious risk factor for oral cancer. The good news is that this risk is cut dramatically if you quit!

Let Drs. Sheena Allen, Murat Ayik, and Mark Margolin help you maintain your smile. We can offer many more reasons to give up the smoking habit, and we are happy to offer suggestions for quitting during your next visit to our Dallas,TX office. We want to protect your smile and your health as well. It doesn’t really matter which number on the list finally leads you to quit—every number on that list is your lucky number!

If you have a hard time understanding your dental insurance plan, particularly the treatments and services it covers, you’re not alone. That’s why Drs. Sheena Allen, Murat Ayik, and Mark Margolin and our team have put together a cheat sheet to help you through them.

It’s common for patients to get lost in the morass of the terms and phrases that surface when you’re dealing with a dental insurance plan. Knowing the commonly used terms can help speed up the process and enable you to get the most out of your coverage.

Common Terms

Annual Maximum: The most your policy will pay per year for care at Dallas Dental Arts. It is often divided into cost per individual or per family.

Co-payment: Typically, a small amount the patient has to pay at the time of service before receiving care, and before the insurance pays for any portion of it.

Covered Services: A list of all the treatments, services, and procedures the insurance policy will cover fully under your contract.

Deductible: An amount you must pay out of pocket each year before the insurance company will contribute for any treatments or procedures. The amount can vary according to your plan.

Diagnostic Services: A category of treatments or procedures that most insurance plans will cover before the deductible, which may mean services that occur during preventive appointments with Drs. Sheena Allen, Murat Ayik, and Mark Margolin, including X-rays or general screenings.

Exclusions: Dental services not covered under a dental benefit program.

In-Network: An insurance company will usually cover a larger portion of the cost of the care if you see an in-network provider for treatment.

Out-of-Network: If you visit someone who is not a part of your provider’s network, the insurance company may pay for a portion of the care, but you will be responsible for a significantly larger share out of your pocket.

Lifetime Maximum: The most that an insurance plan will pay toward care for an individual or family over the entire life of the patient(s).

Limitations: A list of all the procedures the insurance policy does not cover. Coverage may limit the timing or frequency of a specific treatment or procedure, or exclude some treatments altogether.

Member/Insured/Covered Person/Beneficiary/Enrollee:  A person who is eligible to receive benefits under an insurance plan.

Premium: The regular fee charged by third-party insurers and used to fund the dental plan.

Provider: Drs. Sheena Allen, Murat Ayik, and Mark Margolin or other oral-health specialist who provides treatment.

Waiting Period: A specified amount of time that the patient must be enrolled with an insurance plan before it will pay for certain treatments.

It’s essential to understand the various insurance options available to you. Knowing what your insurance covers can save you major costs in the future.

Drs. Sheena Allen, Murat Ayik, and Mark Margolin and our dental staff hope this list of terms will help you understand your dental insurance plan better. Be sure to review your plan and ask any questions you may have about your policy the next time you visit our Dallas,TX office.

It’s possible to develop tooth decay even when you take great care of your teeth. Brushing and flossing may not be enough to keep your teeth healthy, depending on your diet. Cavities, discoloration, and decay are still possible when certain foods feature in your daily intake. Keep an eye out for foods that will damage your enamel and cause the very issues you’ve been trying to avoid.

What causes enamel damage?

Tooth enamel is the hard outer layer of your teeth that is made of various minerals. Tooth decay results when the acids in your food react with the minerals in your enamel. Strongly pigmented foods may also cause unsightly discoloration on the surface of your teeth. Avoid wreaking havoc on your beautiful smile by identifying the foods that can harm your enamel.

Acid

Acidic food is your teeth’s worst nightmare! This is the greatest cause of enamel damage, even if you brush and floss regularly. To avoid damaging your teeth, make sure you can determine whether a food is acidic or not.

The pH levels are a way to determine acidity on a one-to-seven scale. This defines the relative acidity or alkalinity of a food or substance. Foods with high pH levels are not as likely to harm your enamel.

It’s wise to avoid or minimize foods that are high in acids. Highly acidic food can include fruits such as lemons, grapefruit, strawberries, grapes, and apples. Moderately acid foods may surprise you; they include tomatoes, maple syrup, pickles, and honey.

Not surprisingly, eggs and dairy products such as milk and cheese contain the least amount of acid. Red wine and coffee can also discolor your enamel if they’re drunk in excessive amounts.

What can I do to prevent enamel damage?

There are plenty of ways to avoid discoloration and decay of your enamel. The best thing to do is limit the amount of high-acid foods, including sugary juices and soda, in your diet.

Another way is to brush and floss regularly, an hour after each meal. If you can’t make time to brush, an easy solution is to swish your mouth with water or mouthwash to rinse away any leftover acidic particles.

Damaged tooth enamel may be common, but is avoidable when you know which foods to stay away from and the steps to take after you do eat highly acidic foods. Take our advice and you’ll be sure to slow down any future discoloration and decay that happens in your mouth.

For more advice on protecting your enamel, give our Dallas,TX a call to learn more!

If there’s one meal that can claim the title of “Sweetest Meal of the Day,” it’s almost certainly breakfast. Sugary cereals, syrup-covered waffles, oatmeal with honey, cinnamon toast (which is literally sugar poured on toast)—it’s hard to imagine another menu even coming close. But you’re trying to keep your diet as healthy as possible. What to do?

First, no need to deprive yourself of the occasional pastry or stack of pancakes. The real problem with breakfast isn’t so much sugar as it is added sugar.

• Just a Spoonful of Sugar? What’s So Bad About That?

Nothing! Many healthy foods have natural sugars. Milk contains lactose sugar, and it also contains calcium and is enriched with vitamin D—both of which are essential for strong bones and teeth. Fruits get their sweetness from a sugar called fructose, and deliciously provide vitamins, minerals, antioxidants, and fiber to our diets.

Even processed sugar is surprisingly low in calories. In fact, a teaspoon of white sugar has only about 15 calories. But this teaspoon is also rich in nutrients for cavity-causing bacteria. The oral bacteria in plaque use sugars and carbohydrates from food particles as a fuel source to produce acids. These acids erode enamel and lead to cavities.

Choosing breakfast foods without additional sugars, then, is an easy way to reduce the number of empty calories in your diet while safeguarding the health of your teeth. We have a few suggestions.

• Be Selective with Cereals

If the word “sugar” or “honey” or appears on the box, that’s a hint that your favorite cereal is heavy on the sugar. But there’s a more scientific way to tell just how much sugar is in that spoonful.

While the colorful packaging and playful mascots are eye-catching, check the black-and-white panel with nutritional facts found on every box. If one serving equals 27 grams, and the sugar in that serving equals 15 grams, you know you have a problem. And cereals marketed to children are especially “rich” in added sugar.

But luckily, you don’t need to give up your morning bowl. Many cold cereals are available that offer whole grains, protein, and fiber without a lot of added sugar. Spend some time in the cereal aisle comparing, or, to make life easier, there are many online sites which recommend the best (and worst) cereals in terms of sugar content.

• Use Your Judgment with Juices

Fruits are packed with important nutrients. Not only do they provide essential vitamins and minerals, they’re a great source of water and fiber. If you drink 100% fruit juice, you are getting the benefit of most of the vitamins and minerals found in fruit. (You’re also getting less of the fruit’s natural fiber, and more of the fruit’s natural sugar, so consider fresh fruit as an option occasionally.)

But when fruit juice comes with “cocktail,” or “punch,” or “ade” attached to the end of it, there’s often something else attached—added sugar. For natural fruit flavor and the least amount of sugar, stay with 100% unsweetened fruit juice.

• Search Out “Surprise” Sugars

Remember the childhood excitement of searching through your cereal box for the prize inside? Fun! What’s not so much fun? The surprises you might find when you search through the labels on your favorite breakfast items—because added sugars make their stealthy way into many of our morning favorites.

When you compare plain, Greek, and low-fat yogurts, for example, the low-fat options are often higher in added sugar. A container of low-fat yogurt can provide 19 grams of sugar—that’s a tablespoon and a half!

And while you’re at it, be sure to compare the sugar content in granola bars. Some are full of nuts and grains, and some are full of added sugar.

Going out for a breakfast smoothie? Those can contain 70 grams of sugar and more. Making your own at home might be a little more time-consuming, but if you use fresh fruit as your sweetener, you can make sure that what you’re not consuming is added sugar. If you’re on the go, check out all-fruit options at your favorite smoothie shop.

Drs. Sheena Allen, Murat Ayik, and Mark Margolin and our team aren’t asking you to eliminate sugar from your breakfast diet altogether. (Everyone loves a doughnut now and again.) But substituting some alternatives for your regular menu choices can reduce the amount of added sugars by tablespoons every meal. That’s another great reason to greet the morning with a smile!

“Shouldn’t that be healthy gums,” you’re thinking? And, of course, you’re correct. Healthy gums are extremely important not only for our dental well-being, but for our overall physical health.

But that’s a subject for another blog! Today, we’re talking about healthy gum—chewing gum, that is. Because choosing the right chewing gum can actually improve your dental health.

Oral bacteria use the foods we eat, especially sugars and simple carbs, as fuel to produce acid. These acids attack our tooth enamel, gradually weakening the minerals in the tooth surface and allowing cavities to develop. Clearly, we want to reduce these acids to help prevent decay. Luckily, our bodies have a natural defense against acid attacks—saliva.

Saliva works to protect our enamel in three ways:

• It helps neutralize and wash away acids in the mouth.
• It rinses away the food particles which bacteria feed on.
• It strengthens teeth by providing the necessary minerals our enamel needs to “remineralize” after acids have weakened the tooth surface.

Studies have concluded that chewing sugarless gum for 20 minute after a meal can help prevent cavities. Why? Because chewing gum increases saliva production. You are actually reducing the effects of harmful acids, washing food particles away from your teeth, and strengthening weakened enamel with every stick! Some artificial sweeteners are even thought to inhibit the growth of the bacteria that lead to decay.

With all that in mind, it’s also healthy to know when you shouldn’t chew gum:

• When the gum contains sugar. Even with an increase in saliva production, bathing your teeth in sugar as you chew does your enamel no favors!
• When you wear braces. Gum can stick to your brackets and between your brackets and your wires. And while trying to clean gum from your appliance is no one’s idea of fun, an even more unpleasant possibility is the chance that gum might bend your wires out of shape. Sugarless gum is not quite as sticky as regular gum, but before you open that first pack, check with your orthodontist to see if you might be putting your orthodontic work at risk.
• When you have jaw problems such as TMD, TMJ or other temporomandibular concerns, or if you develop jaw pain while chewing gum.
• You should never give gum to a child too young to understand that it should not be swallowed. Beyond acting as a choking hazard, continual gum swallowing can lead to diarrhea, blockages, abdominal pain and other serious problems. Talk to your Drs. Sheena Allen, Murat Ayik, and Mark Margolin about the right age for chewing gum.

While chewing sugarless gum has the potential to improve dental health, remember it should never take the place of regular brushing and flossing—still the best way to prevent cavities at home. Talk to Drs. Sheena Allen, Murat Ayik, and Mark Margolin about the possible benefits of sugarless gum at your next visit to our Dallas,TX office, and we can make recommendations based on your individual dental history. Because whether it’s healthy gums or healthy gum, we’re here to help.

It’s no secret that kids and adults have different priorities: your duty is to raise a happy, healthy child, but your little one’s only priority may be to have fun. When it comes to brushing teeth, it can be hard to combine a healthy habit with having fun. You might fear it can’t be done, but with a little creativity, brushing time can be a great experience for both of you!

Make It a Party

Brushing time doesn’t have to be a chore when you throw a little party! Get Mom and Dad together so the whole family can brush their teeth at the same time.

Let your child choose a song to dance to while you all brush for the required two minutes. Your son or daughter may grow to love this silly routine, especially when the parents are clearly dedicated to brushing their own teeth as well.

Big Kid Decisions

Kids love the responsibility of making “big kid” decisions. Keep a variety of toothbrushes, colors of floss, and toothpaste flavors on hand so they can choose something “new” each time they brush, just like when they visit our Dallas,TX office.

Not only can this help them grow more comfortable with the idea of seeing the dentist, but they’ll love having the responsibility of picking what would be fun at brush time.

Practice Makes Perfect

It’s true that the only way to get better at something is to practice, practice, and practice. Have your child practice brushing on his or her favorite stuffed animal, and use that opportunity to teach your youngster how to hold the brush and use circular cleaning motions. Showing how you brush your own teeth can also be worthwhile.

There’s An App For That

Did you know there are lots of fun apps that encourage good brushing habits among children? Brands like Oral-B and Aquafresh have free apps you can download on your phone.

The child gets to select a character, scenery, and a song he or she would love to accompany the task of brushing. If you have a daughter, she might like to use the Tooth Fairy Timer, which allows her to pick her very own fairy as her brushing buddy.

The important things to remember when you seek to establish good brushing habits is to keep it fun and stay consistent with your routine. It may take some getting used to, but after a while your child will become familiar with brushing and might even look forward to the new dental routine.

What is the strongest part of our bodies? Do you think it might be our bones, which help us move and protect our brains, hearts and other organs? Or could it be those tough fingernails and toenails that guard our fingertips and toes? Nope! You might be surprised to learn that the hardest thing in our bodies is the enamel which covers our teeth!

Our bones grow with us and can even knit back together in case we have a broken arm or leg. Our toenails grow more slowly, and our fingernails grow more quickly, so regularly trimming is required for both. But our enamel doesn’t grow or repair itself when it is damaged, so it needs to last us a lifetime. How can such a strong part of our bodies be damaged? And can we do anything to protect our teeth? Luckily, we can!

Prevent Chips and Cracks

You might be the fastest on your bike, or the highest scorer on your basketball team, or able to do the most amazing tricks on your skateboard. But even the strongest teeth can’t win against a paved road, or an elbow under the basket, or a cement skate park. If you’re physically active, talk to us about a mouthguard. This removable appliance fits closely around the teeth and can protect your teeth and jaw in case of accident. And protect your enamel even when you’re not being adventurous! Don’t bite down on ice cubes or hard candy, and save your pens and pencils for writing, not chewing.

Guard Your Teeth from Tooth Grinding

If you grind your teeth, you’re not alone! Many other young people do, too—mostly in their sleep. In fact, it might be a parent or sibling who lets you know you are grinding at night. But constant pressure on your enamel can lead to cracked enamel, sensitivity, and even worn down teeth. How can you protect them? Once again, a mouth guard can be a great solution. We can custom fit one to allow you to sleep comfortably while protecting your teeth.

Eat Healthy Foods & Brush Regularly

We all have bacteria in our mouths. Some are helpful, and some are not. The bacteria in plaque can change food products like sugar and starches into acids. These acids actually break down our enamel, which can lead to tooth sensitivity and decay. Making sugars and carbs a small part of your regular diet, and eating meals rich in proteins, vitamins, and minerals, will help stop acids from attacking your enamel. And careful brushing and flossing twice a day with a fluoride toothpaste can help keep those minerals in enamel from breaking down and even help restore them.

Your enamel is the strongest part of your body, and you can help it stay that way. Protect your teeth from accidents, let our Dallas,TX team know if you or a parent suspect you are grinding your teeth, eat healthy foods, and keep up your regular brushing. And remember, we are here to help keep your family’s teeth and mouth their healthiest for your strongest, most beautiful smile.

Some languages have many different words for love. Some have many different words for snow. One language even has different words for a tasty layered sandwich. Is that a hoagie or a hero you’re having? A sub? Grinder? Po’boy?

“Sugar,” though, is a single word which has taken on many meanings, from casual endearment to monosaccharide molecule. Today, we’re examining scientific definitions, with a short and sweet look at the science of sugar.

Chemistry

First, let’s get basic—all the way down to the molecular level.

Carbohydrates, fats, and proteins are the three essential macronutrients which keep our bodies running. Sugars are molecules made of carbon, hydrogen, and oxygen atoms, and all carbohydrates are made of these sugar molecules, from single unit structures to very complicated chains.

Sugars called monosaccharides are the most basic of the carbohydrates. “Monosaccharide” comes from the Greek words for “single” and “sugar,” and monosaccharides are the sugars we mean when we talk about “simple sugars.” Why are they simple? Because a monosaccharide is a single molecule which can’t be broken down into smaller carbohydrates.

While there are several types of monosaccharides, the three major simple sugars are:

• Fructose—the sugar we get from fruit.
• Galactose—the sugar found in milk.
• Glucose—the sugar our bodies use the most. It’s found in plants, and also produced when our bodies break down other carbs. Fun fact—this is the only sugar essential for brain cell function.

When two monosaccharide molecules join together, they form a disaccharide (not surprisingly, from the Greek for “two sugars”). Again, there are quite a few disaccharides, but we tend to concentrate on three in our diets:

• Lactose (glucose + galactose)—found only in milk and dairy products.
• Maltose (glucose + glucose)—the sugar chiefly produced by grains.
• Sucrose (glucose + fructose)—produced in plants. These plants include sugar cane and sugar beets, from which we get our refined table sugars.

The reason sugar molecules are so important is because of how our bodies use them.

Biology

Our bodies use the glucose in carbs for energy. As foods break down, first through digestion and then in the cells, the chemical bonds which hold glucose molecules together break as well. This action releases energy, and this energy fuels all our bodily functions.

But even though we need carbohydrates to keep our bodies going, and even though sugars are the easiest carbs to use for energy, there’s a reason no one recommends a diet filled with extra sugar.

Our bodies get all the sugar they need from the natural sugar in the foods we eat. Natural sugars are found in fruits, dairy products, even some vegetables and grains. Along with that sugar come vitamins, minerals, antioxidants, fiber, and/or protein.

Extra sugars added during baking or mixing or processing for flavor and sweetness provide none of these nutrients. These sugars are known as “added sugars,” and have more serious consequences than just empty calories.

Once we have the sugars we require, there’s no need for more. Extra sugars are stored in liver, muscle, and fat cells for later use. When we eat too much sugar, this carefully balanced system is upset, with negative effects for, among other things, weight, blood sugar, insulin levels—and our dental health.

Nutrition and Dental Health

You know that a sugar-filled diet often means a cavity-filled checkup. Why? Because it’s not just our bodies that break down sugar for fuel.

The oral bacteria in plaque also need sugars for food, which they use to make acids. An acidic environment in the mouth weakens and dissolves the minerals which keep tooth enamel strong. And these weak spots are vulnerable to decay. A steady diet of sugar-filled foods means that your enamel is constantly under acid attack.

Cutting down on added sugars is one of the easiest and best ways to cut down on added cavities. Reading recipes, checking out labels, learning to recognize added sugars—this is nutritional research which has sweet results.

How to recognize added sugars? Here’s where language gives us plenty of words to fill our linguistic sugar bowl. Whether the ingredients are called agave nectar, honey, molasses, syrups, treacle, or table sugar, they’re really just sugar. More specifically, they’re all sugars made up of glucose and fructose, with at best a trace amount of vitamins and minerals—and usually not even a trace!

To make our lives easier, labels on food packaging now let us know exactly how much of the sugar in any product is “added sugar.” You expect to find a high percentage of sugar on dessert labels, but you might be surprised to read how much sugar is added to foods like energy drinks, sports drinks, flavored yogurts, cereals, spaghetti sauce, and many more of the items in your grocery cart. Spend an extra minute examining the label, and save yourself many empty calories.

Monosaccharides, disaccharides, glucose, fructose, maltose, agave syrup, treacle, and on and on—so many words for so many kinds of sugar. When it comes to dental health, let Drs. Sheena Allen, Murat Ayik, and Mark Margolin have the last word on sugar science. During your next visit to our Dallas,TX office, talk to us about reducing unnecessary sugars in your diet for a future filled with the sweetest of healthy smiles.

Hiking is a great way to appreciate the beauty of nature, to get away from the stresses of daily life, and, of course, to challenge yourself physically. While you’re packing away your sunscreen and your first aid kit, do your body another favor—take a minute to include some lightweight, dental-friendly items.

• Snacks

When you’re exerting yourself, snacks that provide quick energy on the go are a must. Granola, trail mix, energy bars, candy, dried fruit—these are the foods we think of as trail food, and we generally get that quick energy boost from the sugars and starches they contain. As it happens, Drs. Sheena Allen, Murat Ayik, and Mark Margolin and our team strongly recommend you pick snack options other than sugary and starchy foods. Why? Because many sugars and starches provide oral bacteria the food they need to produce acids. These acids weaken enamel and damage our teeth. And these common trail foods often have the added “bonus” of sticking to the teeth, leaving acids even more opportunity to attack. Don’t give up the energy boost you need for a safe hike, but do yourself and your teeth a favor and look for the healthiest granola, energy bars, and gorp out there.

Other suggestions for trail treats that are also a treat for teeth? If you need a chocolate pick-me-up, try dark chocolate. Dark chocolate has more caffeine that milk chocolate and less sugar. (It has other health benefits as well that you might want to look up after your hike.) If you like nuts and seeds, take softer nuts, or sliced nuts—a good source of energy and not likely to provide as much stress on your teeth when you’re in the field. (Shell them beforehand—don’t ever use your teeth as a nutcracker!) Similarly, if you take seeds, leave the shells at home. If you like crackers, try whole grains. Looking for protein? How about a tuna pouch instead of chewy beef jerky?

• Hydrate

Water is always the go-to beverage. Pre-hydrate even before setting out, and have plenty on hand for your trek. Many hiking sources suggest two cups of fluids per hour of activity. (And in hot or humid weather or at high altitudes, you could need even more.) There are actually hiking water calculators online, which can give you a good estimate on how much you’ll need for your trip, taking into account your age, weight, level of activity, and other factors. Because water can get heavy, plan a lengthy hike around the availability of fountains or other clean water sources if necessary.

What if you feel the need for more than water? If you are getting a good workout, you’re probably losing electrolytes. Generally, sports drinks aren’t on the dental menu. They tend to be loaded with sugar and carbs—good for energy, bad for teeth. Sports drinks can be as acidic and hard on your enamel as sodas. But if you need those electrolytes on a long hike, don’t feel guilty. There are many options—choose the healthiest one for you and your workout level.

• Be prepared!

While you are probably already packing a mini-first aid kit for long hikes, think about a lightweight dental emergency kit as well. These are readily available online and in outdoors stores, and usually contain supplies like cotton balls, dental floss, oral pain relievers, even temporary fillings, in a lightweight bag.

And once your hike is done? Rehydrate, and don’t forget to treat your teeth to a good brushing and flossing when you get home.

Got all that? Great! Now, go take a hike!

If you have a child who loves arts and crafts, try some of these creative projects with a dental twist. One of these activities is sure to give your child something to smile about!

Toothbrush Art

Why throw away that used toothbrush when you can help your young child make art with it? Give it one more cleaning and a second life. The easy-to-grip handle and the wide bristles make a toothbrush easy for young hands to hold and paint with. If you are in an adventurous mood, use the brush to make splatter art. Your child can splatter an entire sheet of paper for an abstract effect, make a sky full of stars with a flick of the brush, or add splatter leaves to a tree scene. Cut out a stencil with a favorite shape (an animal, a flower, a toy), place it on a sheet of paper, splatter around it, remove the cutout, and—instant silhouette!

Paper Crafts

If your child is an origami enthusiast, there are some challenging dental-themed examples available online. These might be too advanced for beginners, but more experienced origami fans can make molars with roots and even molars lined with pink paper to symbolize the interior pulp. Younger paper artists might enjoy making construction paper models of an actual tooth, with white enamel, yellow dentin, and pink pulp layered in their proper order.

Sculpting Fun

For the scientifically minded young artist, clay can be used to make a 3D model of a tooth, with different colored clays representing the different layers of the tooth. Younger children learning about their teeth might enjoy fitting little white clay teeth into a pink clay crescent to show how baby (or adult) teeth fit into the gums. And for non-dental inspiration, old, clean toothbrushes can once again help out if your child likes sculpting art work with modeling clay. Add interesting texture by using the brush bristles on damp clay to create grooves, lines, or indentations.

Welcome the Tooth Fairy

If the Tooth Fairy is a regular visitor, make her welcome with a box decorated with paint or fabric to hold that special baby tooth. Or craft a pouch or a bag with fabrics scraps, and add a fabric tooth so that the Tooth Fairy will know she has come to the right spot. If you use felt and fabric glue, no sewing necessary! If your Tooth Fairy is an under-the-pillow traditionalist, decorate an envelope with a letter to the Tooth Fairy inside.

If some of these projects sound just right for your child, check out online craft sites for even more ideas. And, please be sure to have your children show and tell the next time they visit our Dallas,TX office. That will put a smile on our faces!

As we all know, or should by now, the key to maintaining great oral health is keeping up with a daily plan of flossing, brushing, and using mouthwash. These three practices in combination will help you avoid tooth decay and keep bacterial infections at bay.

At Dallas Dental Arts, we’ve noticed that it’s usually not the toothbrush or floss that people have trouble picking, but the mouthwash.

Depending on the ingredients, different mouthwashes will have different effects on your oral health. Here are some ideas to take under consideration when you’re trying to decide which type of mouthwash will best fit your needs.

• If gum health is your concern, antiseptic mouthwashes are designed to reduce bacteria near the gum line.
• If you drink a lot of bottled water, you may want to consider a fluoride rinse to make sure your teeth develop the level of strength they need.
• Generally, any mouthwash will combat bad breath, but some are especially designed to do so.
• Opt for products that are ADA approved, to ensure you aren’t exposing your teeth to harmful chemicals.
• If you experience an uncomfortable, burning sensation when you use a wash, stop it and try another!

Still have questions about mouthwash? Feel free to ask Drs. Sheena Allen, Murat Ayik, and Mark Margolin during your next visit to our Dallas,TX office! We’re always happy to answer your questions. Happy rinsing!

Perhaps you’ve heard your friends talking about dental sealants, and how well they prevent cavities. And as soon as your child’s permanent molars come in, you absolutely plan to make an appointment at our Dallas,TX office for this treatment. But should you also be concerned with your child’s baby teeth? Could they benefit from sealants too?

Even though those beautiful baby teeth are going to be replaced with permanent teeth, they should still be protected. Primary teeth help with speech development, enable your child to develop proper chewing and eating habits, and serve as place holders so that permanent teeth can erupt in the correct place. That’s why you’ve been so careful to help your child brush and floss twice daily, and make regular visits to our office for exams and cleanings.

But some teeth are just harder to keep clean with regular brushing than others. Primary molars, just like permanent ones, have depressions and grooves on the chewing surfaces. These grooves collect bacteria and food particles that are hard for bristles to reach, providing a perfect opportunity for cavities to develop in those little molars.

Cavities are not the only problem which can affect primary teeth. Because baby teeth have thinner layers of protective enamel, a cavity can actually reach the pulp (the center of the tooth) more quickly, leading to pain and potential infection.

While baby teeth can be treated, with fillings, restorations, and even stainless steel crowns, preventing tooth decay is always our first, best choice. And dental sealants are recommended by the American Academy of Pediatric Dentistry and the American Dental Association as one of the most effective ways to prevent cavities in both baby teeth and adult teeth.

Dental sealants are safe and effective.  Sealants are thin coatings (usually a plastic resin or other dental material) that cover a molar’s grooves and depressions, making it impossible for bacteria and food particles to collect there. Applying them is a simple, pain-free process.

Each tooth will be examined first. If we find any signs of decay starting, we will gently treat that area before applying the sealant. After the tooth is cleaned and dried, an etching solution will be brushed on to the surface area being sealed. This etching roughens the surface so that the sealant will hold to the tooth more effectively. A thin coat of the sealant is then painted on and hardened under a curing light.

That’s all there is to it! Sealants typically last from three to five years, and some last even longer. Keep up your regular careful brushing and flossing, and we will monitor the condition of the sealants at each exam.

Talk to Drs. Sheena Allen, Murat Ayik, and Mark Margolin about dental sealants. We’ll let you know if your child can benefit from the procedure even before those baby teeth give way to permanent ones. It’s never too early to prevent tooth decay!

Our teeth perform several vital roles for us. We use them to bite and chew, to help form words, to support our facial structure. And never underestimate the power of a smile!

But once you try to expand that job description, you are asking for trouble. Using your teeth for tasks they were not designed for is a game no one wins. What are some of the worst moves you can make? Putting your teeth into play as:

• Ice Crushers

Crunching hard objects like teeth and ice cubes together can have one of two results—the ice will give, or your tooth will. If your tooth is the loser, you can expect cracks, fractures, worn enamel, and even dislodged crowns and fillings. If you’re tempted to chew on the ice in your drinks, try asking for a straw or using slushy ice instead. (The craving for ice can also be a symptom of other medical conditions—check with your doctor for more on that subject.)

• Bottle Openers

If ice vs. teeth is a bad idea, metal vs. teeth must be a really bad idea. Those sharp hard metal caps can be difficult to remove even with a bottle opener. Don’t take a chance on chipped, fractured teeth and lacerated gums to get to that beverage faster/work around a lost opener/impress your friends.

• Nut Crackers

Just because nuts offer more protein than ice doesn’t make their shells any safer to crack with your teeth. Besides the danger of fractured teeth and eroded enamel, biting on whole nuts can produce sharp splinters of shell that can damage delicate gum tissue. By all means, enjoy nuts—they pack a lot of nutrition in a small package. But buy them already shelled, or invest in a nutcracker.

• Cutting Tools

Teeth aren’t meant to be scissors or utility knives. Even if you are trying to bite through the top of a relatively soft bag of chips, or a piece of duct tape, or a tag that just won’t come off your new clothes, you are putting pressure on your teeth in ways that they are not meant to handle. Don’t take a chance on chips and fractures.

• A Helping Hand

Using your teeth to hold the straps of your heavy bag, or the leash of your well-trained pet—what could go wrong? How about an awkward fall? Or a squirrel? Or something that might possibly be a squirrel? Any fall or force that applies violent pressure to your teeth and jaw is a potential for dental disaster.

• Stress Relief

You might grind your teeth or bite your nails whenever you feel nervous. Please find another form of stress relief! Grinding and clenching the teeth can lead to worn enamel, jaw pain, broken teeth and restorations, and a host of other problems. Biting fingernails is not only hard on your nails, but also introduces bacteria into your mouth and can cause damage to your tooth enamel.

If you grind your teeth at night, ask Drs. Sheena Allen, Murat Ayik, and Mark Margolin about a nightguard during your next visit to our Dallas,TX office.

This is real life, and you really don’t want to be playing “Tooth or Dare” with your dental health. Use your teeth for what they were designed for, and you’ll take home the grand prize—a lifetime supply of beautiful, healthy smiles.

Pregnancy leads to so many changes in your body, so it’s no surprise that your teeth and gums are affected as well! Dental care is very important during these months, so let’s look at some of the concerns you might have about treatments and procedures.

• Regular Exams and Cleaning

Yes and yes! Let us know you are pregnant when you make your appointment. Preventive care is especially important during pregnancy for keeping your gums healthy.

• Periodontal Care

Swollen and tender gums are often one of the first signs of pregnancy. Hormonal changes can make your gums more vulnerable to irritation and infection. Early gum disease, called gingivitis, should be treated promptly to avoid a more serious condition called periodontitis. This form of gum disease can actually cause the gums to pull away from the teeth, leading to pockets where infection can develop. Talk to us about scheduling extra cleanings, if needed, to avoid the plaque build-up that leads to gum disease.

• Regular Dental Work

If you need a cavity filled or a crown placed, talk to us about scheduling. It is important to keep your teeth healthy to avoid infection or more serious dental problems. If you do need restorative work, procedures are usually best treated during the second trimester, where morning sickness is less of a problem and reclining comfortably in the dental chair is easier than it would be in your third trimester.

• Emergency Work

If there is a dental emergency, call us immediately. You shouldn’t put off emergency work, as the complications of pain and infection can be harmful to you and your baby.

• Elective Treatments

If you are thinking about whitening your teeth or having other cosmetic dental work done, waiting until after your baby is born is usually recommended.

• X-rays

Most studies suggest that dental X-rays, because they are so limited in focus, are probably safe during pregnancy. But since there is no definitive answer at this time, it’s recommended to wait until after your baby is born for elective X-rays. In case of a dental emergency, however, an X-ray might be a necessity. If you are worried, talk to us about the shielding we use during X-rays, as well as scientific agreement about the safety of dental X-rays.

Let Drs. Sheena Allen, Murat Ayik, and Mark Margolin know about your pregnancy, and we will work with you to schedule exams or treatments at our Dallas,TX office so that your dental experience is both comfortable and safe. If you have any concerns, call us immediately. We know your pregnancy brings many significant changes to your life, but our concern for your health and well-being—that’s unchanging!

Sleep apnea is a disorder in which breathing stops and starts repeatedly throughout the night. It’s most common among middle-aged adults, and the most prevalent symptom is loud snoring.

Sleep apnea occurs when the muscles in the back of your throat relax to the point where they inhibit your natural breathing. It can cause your breathing to stop for anywhere from ten to twenty seconds. In the worst cases, it can even stop your breathing for up to a few minutes.

In addition, people who suffer from sleep apnea wake up feeling tired and unrested. The condition may even lead to depression, high blood pressure, irritability, and memory loss. It puts you at a greater risk for heart attack and lowers oxygen levels in your brain.

All of this sounds scary, but the good news is that sleep apnea can be treated! One of the most common ways Drs. Sheena Allen, Murat Ayik, and Mark Margolin can treat sleep apnea is by creating an oral device for you to wear while you sleep.

The device brings your jaw forward, which keeps the airway open and lowers the incidence of snoring. Another method is to use a continuous positive airway mask, often referred to as a CPAP. The mask fits over the mouth and forces oxygen through the throat while you sleep.

If you’re unsure about whether you may suffer from sleep apnea, visit our Dallas,TX office and let Drs. Sheena Allen, Murat Ayik, and Mark Margolin know. We can determine the appropriate treatment if any is needed. Don’t risk losing another night’s sleep over something we can easily treat!

Dental insurance can be a great addition to your health care plan, but the way benefits are calculated can also make it a confusing one. If you have dental insurance, you might be wondering how you can make the most of your benefits. Let’s look at some of the important things to remember about taking advantage of your dental insurance.

• Know Your Benefits

Figuring out what insurance will and won’t pay for, what percentage of a procedure is covered, what the insurance company considers an allowable fee, when you have covered your deductible for the year—these calculations are often bewildering. It’s helpful to call our office and check with your insurance provider to learn the final cost of any treatment, and how much, if any, will be covered by your insurance.

• Use Your Benefits

Don’t lose benefits you have paid for! If you have not used your benefits, the time to do so is before the end of the insurance period (which may or may not be the end of the calendar year). When your dental plan re-starts, you will be paying for these unused benefits all over again. Similarly, if you have used your insurance and covered your deductible for the year, it makes sense to schedule your appointments before a new year brings a new deductible amount you will have to meet.

If you qualify for a certain number of preventive services such as check-ups and cleanings, you should always take advantage of this benefit—not only to find possible dental problems, but to prevent them.

And, if you have set up a Flexible Spending Account (FSA) to cover medical and dental expenses for the year, be sure to use the money in the account or you might lose it at the end of your year’s coverage. Many dental procedures are covered by an FSA—talk to our Dallas,TX team and your provider for details.

• Possible Tax Deductions

If you are paying for your own dental insurance, you might be able to take advantage of the deduction for medical and dental premiums and expenses on your taxes. If your employer pays for your insurance, if you take the standard deduction, or if you spend less than a certain proportion of your income on health costs, these expenses are most likely not deductible. Be sure to check with your tax preparer or with the IRS for latest information on dental and medical deductions.

Finally, you should never put off urgent dental work because of insurance considerations. At the same time, you should be able to take full advantage of any dental insurance plan you have purchased, because you deserve to get every benefit you have paid for. Drs. Sheena Allen, Murat Ayik, and Mark Margolin and our team are here to help you work with your insurance company in any way we can. Our goal is the same as yours—insuring dental health for you and your family!

It’s a new year, and it couldn’t come fast enough for many of us! Let’s do our part to make this a better year in every way—and you can start by making this the year you quit smoking once and for all.

You know that smoking is very damaging to your body. Smokers are more likely to suffer from lung disease, heart attacks, and strokes. You’re at greater risk for cancer, high blood pressure, blood clots, and blood vessel disorders. With far-reaching consequences like this, it’s no surprise that your oral health suffers when you smoke as well.

How does smoking affect your teeth and mouth?

• Appearance

While this is possibly the least harmful side effect of smoking, it’s a very visible one. Tar and nicotine start staining teeth right away. After months and years of smoking, your teeth can take on an unappealing dark yellow, orange, or brown color. Tobacco staining might require professional whitening treatments because it penetrates the enamel over time.

• Plaque and Tartar

Bacterial plaque and tartar cause cavities and gum disease, and smokers suffer from plaque and tartar buildup more than non-smokers do. Tartar, hardened plaque that can only be removed by a dental professional, is especially hard on delicate gum tissue.

• Bad Breath

The chemicals in cigarettes linger on the surfaces of your mouth causing an unpleasant odor, but that’s not the only source of smoker’s breath. Smoking also dries out the mouth, and, without the normal flow of saliva to wash away food particles and bacteria, bad breath results. Another common cause of bad breath? Gum disease, which is also found more frequently among smokers.

• Gum Disease

Smoking has been linked to greater numbers of harmful oral bacteria in the mouth and a greater risk of gingivitis (early gum disease). Periodontitis, or severe gum disease, is much more common among smokers, and can lead to bone and tooth loss. Unsurprisingly, tooth loss is also more common among smokers.  

• Implant Failure

Tooth implants look and function like our original teeth, and are one of the best solutions for tooth loss. While implant failure isn’t common, it does occur significantly more often among smokers. Studies suggest that there are multiple factors at work, which may include a smoker’s bone quality and density, gum tissue affected by constricted blood vessels, and compromised healing.

• Healing Ability

Smoking has been linked to weakened immune systems, so it’s harder to fight off an infection and to heal after an injury. Because smoking affects the immune system’s response to inflammation and infection, smokers suffering from gum disease don’t respond as well to treatment. Smokers experience a higher rate of root infections, and smoking also slows the healing process after oral surgeries or trauma.

• Dry Socket

Smoking following a tooth extraction can cause a painful condition called “dry socket.” After extraction, a clot forms to protect the tooth socket. Just as this clot can be dislodged by sucking through a straw or spitting, it can also be dislodged by the force of inhaling and exhaling while smoking.

• Oral Cancer

Research has shown again and again that smoking is the single most serious risk factor for oral cancer. Studies have also shown that you reduce your risk of oral cancer significantly when you quit smoking.

Quitting smoking is a major accomplishment that will improve your life on every level. It’s always a good idea to talk to Drs. Sheena Allen, Murat Ayik, and Mark Margolin for strategies to help you achieve your wellness goals for the new year. Make this the year you stop smoking, and the year your health improves in countless ways because you did.

Happy New Year!

Thank you to all our wonderful patients for allowing us to do what we love for another year. We are so grateful for your support and have seen continued growth over the last year.

As a result, you will see new staff working to support our goal of a more available and efficient office.  However, we do have several staff members with personal time off, so you will see a few smiling faces missing at times.

As many of you know, we are currently open Monday through Friday from 8am to 4pm. This will continue unless we state otherwise. As we continue another year with the ongoing pandemic, we want to reiterate that all new patients should be completing their paperwork ahead of time to streamline the appointment process. We also continue to urge and require the use of masks, especially during heightened alert times.

If you are a new patient looking for more information, schedule a smile consultation to begin the process. Often it will not require as much dentistry as you believe!

We look forward to seeing everyone and a great year ahead!

It’s a new year, and a resolution found on many lists is learning to be more mindful about healthy food choices. You might have set some of these goals yourself. Gaining, losing, or maintaining your current weight. More fruits and veggies. Better proteins. Less sugar. Fewer carbs. You want to make this new year your healthiest year yet.

And while you’re making your new and improved shopping list, don’t forget your oral health! Because while brushing and flossing are extremely important, your diet can also have very real benefits for your teeth and gums.

Stronger Teeth and Jaws

We often talk about teeth and bones together, and that’s natural. Calcium and phosphorus, as well as other minerals, make them the strongest parts of our bodies. When teeth lose mineral strength, they are more vulnerable to cavities, and bone loss in the jaw can cause loose or even lost teeth.

Making sure you get the recommended daily amount of the minerals and vitamins you need will help sustain and repair both teeth and bones. A diet rich in calcium, phosphorus, and vitamin D helps build strong bones and promotes bone density. While your teeth can’t create new enamel, minerals that are eroded by acids from plaque and acidic foods can be restored, or remineralized, with the calcium and phosphates in saliva.

• Calcium

Strong teeth and bones need calcium. More than 99% of the calcium in our bodies is located in our teeth and bones. How to make sure we get enough?

Dairy products are the traditional answer. Several servings of milk, cheese, or yogurt each day supply most of our needs. If you can’t eat dairy, though, calcium is also found in other foods, such as salmon, sardines, many dark leafy vegetables, and fortified juices, tofu, and cereals.

• Phosphorus

Calcium gets most of the attention when it comes to creating strong teeth and bones, but it’s not a solo act. We need phosphorus to make full use of the calcium in our diets.

Proteins like meat, fish, and poultry are good sources of phosphorus, as are beans, nuts, whole grains and dairy.

• Vitamin D

Vitamin D is a diet essential because it enables us to absorb the calcium and phosphorus that keep teeth and bones strong.

Most dairy and many other foods are fortified with vitamin D, such as cow’s milk, soymilk, orange juice, and cereals. Egg yolks and fatty fish, such as salmon, tuna, and herring, are also a rich natural source of the vitamin.

Healthy Gums

Gum disease is more than just a nuisance. Left untreated, gingivitis (early gum disease) can become periodontitis (serious gum disease). Periodontitis can cause infection, loose teeth, and tooth and bone loss.

Brushing and flossing promote gum health and help prevent gum disease, but your diet plays an important role, too.  

• Vitamin A

Vitamin A is essential for the health and healing of mucous membranes, including gum tissue and the soft membranes in the mouth.

You can get this vitamin directly from animal products such as dairy foods and meats, or it can be formed in the body from beta-carotenes. Think orange when you hit the produce aisle, because foods such as carrots, peppers, pumpkin, squash, and sweet potatoes are a rich source of beta-carotenes.

• Vitamin C

Vitamin C is one of the so-called “essential nutrients.” These are the nutrients that are necessary for our bodies to function properly, and which can only be supplied in our diets. Vitamin C is vital for healthy gums and soft tissue—in fact, one sign that your diet is deficient in vitamin C is inflamed and bleeding gums.

Citrus fruits, those oranges, lemons, limes, grapefruit, and all their cousins, are a wonderful source of vitamin C, but you have many other flavorful options. Fruits such as kiwis, mangos, papayas, and strawberries are rich in vitamin C. Step over to the vegetable aisle to load up on red peppers, kale, cauliflower, Brussels sprouts, and broccoli—all of which contain more vitamin C per serving than a medium orange!

Fewer Cavities

Plaque thrives on a diet of sugar. Oral bacteria in plaque use the sugars in our food to produce acids. These acids erode enamel and eventually lead to cavities. Limiting your sugar consumption and choosing complex carbohydrates over simple carbs are two ways to reduce your risk of cavities.

• Sugars

The usual suspects—candies, desserts, pastries, sodas—are sugar-filled items you’re familiar with. What might surprise you is the amount of sugar in sports drinks, fruit juices, flavored yogurts, breakfast cereals, and other standard grocery purchases. Checking labels for sugar content is a great way to cut down on unexpected sweeteners.

• Carbs

The refined starches in white bread, white rice, potato chips, and other simpler carbohydrates quickly break down into sugars. This is the kind of nutrition only plaque appreciates.

Instead, fill your cart with complex carbohydrates, which contain important vitamins, minerals, and fiber. Found in foods like whole-grain breads and cereals, legumes, and many vegetables, complex carbs break down slowly for longer-lasting energy.

Of course, these suggestions don’t cover everything on your healthy dental shopping list. We could add magnesium for bone density, vitamin B to prevent oral irritation and inflammation, vitamin K for bone strength, and more. To find out the best options for your healthiest smile, talk to Drs. Sheena Allen, Murat Ayik, and Mark Margolin or a member of our Dallas,TX team about ideas for improving your daily diet.

Because besides leading to stronger teeth, healthier gums, and fewer cavities, a careful and conscious approach to your food choices has another wonderful benefit—a healthy dental diet is healthy for the rest of your body as well. Just something to be mindful of as we greet the new year!

Drs. Sheena Allen, Murat Ayik, and Mark Margolin and our team at Dallas Dental Arts believe everyone’s smile should be a something they can be proud of. Most of us aren’t born with naturally perfect teeth, though, so it’s fortunate that cosmetic dentistry and veneers make it possible to achieve the smile of your dreams!

Dental veneers are a great option to improve your smile and are highly accessible to patients around the world. They’re made of porcelain and will be customized to fit the surface of your teeth perfectly. Our team will note your tooth size, color, and shape so your veneers will look completely natural.

Benefits of dental veneers

Appearance: Dental veneers can be undetectable to others because they look so natural. One of the best perks is that they are resistant to stains, so you don’t have to worry about discoloration over time.

Improvements: Not only will your smile look better, but many minor imperfections can be improved with dental veneers as well. Chipped teeth, discoloration, and gaps will be covered by your veneers.

Durability: Veneers are made from long-lasting porcelain materials, which means they are resistant to scratches and chipping. If you take care of them properly, they can look as good as new for years!

Flexibility: Patients have the option of choosing single veneers to repair chips or cracks in teeth or go for multiple teeth to create a completely new smile.

Considerations

Just because dental veneers can cover imperfections, that doesn’t mean your oral hygiene is any less vital. Your teeth and gums should be healthy and disease-free in order to be eligible for veneers.

Set up an initial consultation at our Dallas,TX office today, and we can address any underlying issues you may have. Your perfect smile could be just a phone call away!

Most of us know that unpleasant feeling. You’re happily enjoying an icy milkshake with lunch or having a piping hot cappuccino break, and suddenly an innocent binge turns to cringe—your tooth sensitivity has crossed another item off the menu. If heat, cold, even the act of brushing cause you tooth discomfort, we have solutions for you. Let’s look at some of the common reasons for tooth sensitivity and how to prevent it.

• Bad Brushing Habits

There can be too much of a good thing! Aggressive brushing, especially with firm toothbrushes, can damage enamel. When the dentin underneath is exposed, heat and cold can reach the sensitive inner tooth and trigger discomfort.

Go easy on yourself: Switch to a soft bristled or electric toothbrush and brush thoroughly but gently. It’s often suggested that we massage rather than scrub. We can also recommend toothpastes that can help reduce sensitivity.

• Gum Disease

As gum disease progresses, the gums start to pull away from the teeth and expose their roots. Even though the roots are protected by cementum, a covering a lot like enamel, they are more sensitive to heat and cold. And if you are an aggressive brusher, the cementum is more easily damaged than enamel, leaving the sensitive roots even less protected.

Prevention is the answer: Brushing and flossing help prevent gum disease, as do your regular exams and cleanings. If you are suffering from more advanced gum disease (periodontitis), Drs. Sheena Allen, Murat Ayik, and Mark Margolin can suggest advanced treatment to protect your roots, such as deep cleanings and gum grafts. Don’t let periodontitis go untreated, as it can lead to infection and even tooth loss.

• Your Diet

If your enamel is already compromised, sugary foods and acidic foods can cause tooth discomfort.

Be patient: Until your sensitivity problem is under control, avoiding these types of foods will help. On the other hand, sugary and acidic foods aren’t the ideal dental diet, so cutting back is not a bad idea.

• Your Dental Products

Mouthwash, whitening toothpastes and home whitening products contain substances such as alcohol or bleaching agents that can cause sensitivity in some users.

Make some changes to your shopping list: Choose products without alcohol or whiteners. Talk to us about gentler alternatives for mouthwashes and whitening.

• Tooth Injuries

If you have a cavity, a broken filling, a cracked tooth, or some other injury to the tooth, sensitivity can be a warning sign.

Take care of yourself: Call our Dallas,TX office immediately if you have prolonged sensitivity or any other painful symptom. Repairing and restoring your damaged tooth should eliminate this discomfort. And, while it is often common to experience some degree of sensitivity after dental work, if this doesn’t clear up within a short time, let us know.

• Teeth Grinding

Because grinding also wears away enamel, tooth grinders often suffer from sensitive teeth.

Protect yourself: We can fit you for a custom nightguard that will eliminate the nightly stress on your enamel. It can also help the tooth and jaw pain caused by grinding.

Talk to us about any sensitivity you have been experiencing, especially if it has been going on for a while or is causing you real discomfort. We will explore the possible reasons for your tooth sensitivity and help you find solutions. After all, you should feel free to enjoy any item on the menu, in the very best of dental health.

Snoring occurs when the tissues in the throat relax enough to block part of our airways, or physical conditions such as enlarged tonsils or a deviated septum prevent air from flowing freely. This obstruction causes the tissues around the airway to vibrate, producing that familiar, unpleasant sound. But sometimes, loud, constant snoring is a sign of a condition called Obstructive Sleep Apnea (OSA). With OSA, the sleeper actually stops breathing for a few seconds at a time, or, in some cases, even longer. The body wakes to breathe again properly, so we move from the deep sleep we need to keep ourselves healthy mentally and physically to a lighter state of sleep or wakefulness—and this disruption of the sleep cycle can happen dozens of times an hour.

The potential problems caused by sleep apnea are many. You could suffer from daily morning headaches, sore throats, and dry mouth (which can lead to tooth and gum problems). You might find yourself moody, depressed or forgetful. Irritability and loss of libido are common consequences of sleep apnea. Any or all of these problems can make getting through each day a struggle.

Even worse, sleep apnea can lead to very dangerous situations. You could fall asleep while working, watching your children, or even driving. Sleep apnea has been linked to very serious conditions such as high blood pressure, heart disease, and stroke. And for those who suffer from this disorder, general anesthesia or pain medication can lead to severe or even fatal consequences.

You should be examined for sleep apnea if you or a loved one notice any of the following symptoms:

• Snoring loudly enough to disturb your sleep or the sleep of others
• Waking up gasping for air
• Pauses between normal breathing during sleep
• Continual drowsiness during the day
• Waking up with headaches, sore throats or dry mouth regularly
• Personality changes

If you are diagnosed with sleep apnea, talk to Drs. Sheena Allen, Murat Ayik, and Mark Margolin at our Dallas,TX office. We can point you in the right direction for treatment, including the possibility of crafting an orthodontic oral appliance to maintain open airways as you sleep. But whatever treatment you and your doctors decide on, the important part is following through. Don’t let an annoying situation become a dangerous, and even life-threatening, one.

You have a lot more freedom as a teenager than you did as a young child. You also have a lot more responsibilities, and one of your jobs is to take care of your teeth. Develop and maintain good dental habits now so you can have great dental health for life!

Tooth Decay

As a teenager, you risk tooth decay, or dental cavities, if you are not careful. In fact, 59% of adolescents aged 12 to 19 have at least one cavity, according to the National Institute of Dental and Craniofacial Research. Drs. Sheena Allen, Murat Ayik, and Mark Margolin and our staff recommend keeping your teeth strong and healthy by brushing at least twice a day and flossing every day.

If you suspect that you have tooth decay, do not be embarrassed. Instead, ask your parents to bring you to Dallas Dental Arts to get it looked at. When you do not treat your dental cavities, they can turn into more serious problems. A severely damaged tooth may need to be treated with a root canal or even an extraction.

You can take easy steps to prevent tooth decay when you are at school or hanging out with your friends. Carry a bottle of water around with you so you can take a sip after you eat any kind of food. Choose water or milk instead of soda or sports drinks, and if you chew gum, select a sugar-free flavor.

Other Oral Health Concerns

You can probably think of many reasons why you should not smoke or use tobacco. Your oral health is another one. Tobacco gives you bad breath and stains your teeth yellow. It also increases your risk for gum disease and cancer of the mouth. Smoking even slows the speed of healing after you have dental procedures done.

Here are a few more tips that can keep your mouth attractive and healthy during your teen years.

• Drink plenty of milk.
• Limit candies and sugary snacks.
• Wear a mouthguard if you play a contact sport.
• Visit Dallas Dental Arts twice a year.
• Reduce infections and avoid piercing your tongue and lips.

You only get one set of permanent teeth in your life, so get in the habit of taking care of them now!

A lot of patients go at their teeth like they were sanding an old floor—that is to say, way too hard! Brushing too hard is probably the most common mistake patients make in their oral care routine, and it can be detrimental to the gums and teeth.

What can brushing too hard cause?

• Receding gums
• Bone loss around teeth
• Loss of teeth
• Tooth sensitivity, especially to hot and cold
• Worn down enamel

Brushing too hard wears away at your gums, which can lead to the neck of the teeth being exposed. This part of the tooth isn't covered by hard enamel like the rest of the tooth and hence the soft inner layer, or dentin, is exposed. Dentin is very sensitive to hot and cold and much more susceptible to bacterial decay. Once the gums recede due to improper brushing, it’s usually irreversible.

How to brush your teeth properly

You know you're supposed to brush your teeth twice a day, so why not do it right? First and foremost, you should only ever brush with a soft bristled brush—not medium or hard—unless directed otherwise by Drs. Sheena Allen, Murat Ayik, and Mark Margolin. Unless you have braces or specific oral health issues, brushing twice a day for two minutes is usually plenty.

The main purpose of brushing is to remove plaque from your teeth and gums. Plaque is actually soft and is a buildup of bacteria, saliva, and food debris. You really don't need to brush hard to remove it, just make sure you aim your toothbrush at the gum line (where plaque grows) and brush in small circular motions, never a back-and-forth motion.

It's also wise to hold your toothbrush gently. People tend to brush harder the tighter they hold their toothbrush.

Still have questions about proper tooth brushing technique or gum health? Ask any staff member or Drs. Sheena Allen, Murat Ayik, and Mark Margolin during your next visit to our Dallas,TX office; we'd be happy to help!

We’re parents, so we worry. It comes with the job description! That’s why we make sure our children use toothbrushes with soft bristles and apply just the right amount of fluoride toothpaste. That’s why we make regular appointments with their dentists for preventive care and examinations. And that’s why we want to know all about the X-rays that are used in our children’s dental exams.

First of all, it’s reassuring to know that the amount of radiation we are exposed to from a single dental X-ray is very small. A set of bitewing X-rays, for example, exposes us to an amount of radiation that is approximately the same as the amount of radiation we receive from our natural surroundings in a single day.

Even so, dentists are especially careful when children need X-rays, because their bodies are still growing and their cells are developing more rapidly than adults. And children often have different dental needs than adults, which can require different types of imaging.

In addition to the usual X-rays that are taken to discover cavities, fractures, or other problems, young patients might need X-rays:

• To confirm that their teeth and jaws are developing properly
• To make sure, as permanent teeth come in, that baby teeth aren’t interfering with the arrival and position of adult teeth, and that there’s enough space in the jaw to accommodate them
• To plan orthodontic treatment
• To check the progress and placement of wisdom teeth

So, how do dentists make sure your child’s radiation exposure during X-ray procedures is as minimal as possible?

Radiologists, the physicians who specialize in imaging procedures and diagnoses, recommend that all dentists and doctors follow the safety principal known as ALARA: “As Low As Reasonably Achievable.” This means using the lowest X-ray exposure necessary to achieve precise diagnostic results for all dental and medical patients.

Moreover, radiologists are devoted to raising awareness about the latest advances in imaging safety not only for dental and medical practitioners, but for the public, as well. With children in mind, pediatric radiologists from a number of professional associations have joined together to create the Image Gently Alliance, offering specific guidelines for the specific needs of young patients.

And because we are always concerned about the safety of our patients, dental associations around the world, including the American Academy of Pediatric Dentistry, the American Dental Association, the American Dental Hygienists’ Association, the Canadian Academy of Pediatric Dentistry, and the Canadian Dental Hygienists Association, are Image Gently Alliance members.

The guidelines recommended for X-rays and other imaging for young people have been designed to make sure all children have the safest experience possible whenever they visit the dentist or the doctor. As dental professionals, Drs. Sheena Allen, Murat Ayik, and Mark Margolin and our team ensure that imaging is safe and effective in a number of ways:

• We take X-rays only when they are necessary.
• We provide protective gear, such as apron shields and thyroid collars, whenever needed.
• We make use of modern X-ray equipment, for both traditional X-rays and digital X-rays, which exposes patients to a lower amount of radiation than ever before.
• We set exposure times based on each child’s size and age, using the fastest film or digital image receptors.

We know your child’s health and safety are always on your mind, so you’re proactive about dental care. And your child’s health and safety are always on our minds, too, so we’re proactive when it comes to all of our dental procedures available at our Dallas,TX office.

Please free to talk with Drs. Sheena Allen, Murat Ayik, and Mark Margolin about X-rays and any other imaging we recommend for your child. We want to put your mind at ease, knowing that X-rays will be taken only when necessary, will be geared to your child’s age and weight, and will be used with protective equipment in place. Because ensuring your child’s dental health and safety? That comes with our job description!

Five words no one welcomes: “You need a root canal.” But if you are delaying treatment because you are worried about pain and an uncomfortable day in the dentist’s chair, please think again! Modern root canal procedures are designed to repair your damaged tooth gently and efficiently, and leave you with a restored natural tooth that can last a lifetime.

• Why might you need a root canal?

First, a little tooth biology. Each tooth has a crown (the part we see above the gums) and one or more roots (the part of our tooth below the gum line that is attached to bone in our jaw). The tooth has three basic layers: the hard enamel and cementum that cover the outer crown and root, the softer dentin beneath that layer, and, on the inside, the pulp. Pulp is made of living tissue, and contains the blood vessels and nerves that nourish the tooth and keep it vital.

Even with the protection the enamel and dentin provide, sometimes the pulp can be infected or damaged. If you have suffered an injury to your mouth or jaw, or an infection has developed from an opening in the tooth caused by a deep cavity or crack, you may need a root canal to prevent further infection, pain, and even tooth loss. Call our Dallas,TX office immediately if you feel pain with chewing or pressure, prolonged sensitivity to heat or cold, swollen, and tender gums around a tooth, or tooth discoloration.

• The Root Canal Procedure

If a root canal is necessary, the procedure is very straightforward. After the area around the tooth is numbed, we will make an opening in the crown to allow access to the pulp inside. Very small instruments will be used to clean the inner tooth and removed bacteria and dead or dying tissue. The area will be thoroughly disinfected, and the inside of the tooth shaped and then filled and sealed. A temporary filling or crown might be placed on the tooth to prevent bacteria and food from entering the site if a permanent crown needs to be created. The entire process usually takes from one to three visits.

If we suggest a root canal, it is because this is the best way to save your tooth. Please feel free to talk to us about your particular needs and concerns. Which tooth is affected, how many roots are involved, what type of filling or crown might be best—we will work with you to provide all the information you need and all the options you have available.

Common Concerns

• Are you concerned about pain?

The most painful part of a root canal is often the severe discomfort your tooth causes before treatment. And infections and damaged nerves can affect not only the injured tooth, but the gums, tissue and even bone surrounding it. With our modern dental techniques, a root canal procedure is often no more uncomfortable than a regular filling. The local anesthetic we use will prevent you from feeling any pain during the procedure, and, while the area around your tooth might be a bit sensitive following treatment, the pain caused by the infection or injury should be gone.

• Are you anxious about the procedure?

If dental treatment causes you anxiety, please let us know. There are several sedation options we can pursue to make this procedure less worrisome. Our goal is to make your treatment as gentle and comfortable as possible.

No one welcomes the news that a root canal is necessary, but with today’s procedures, this treatment can be just what you need to relieve your pain and keep your natural tooth where it belongs for many years to come. And that is welcome news, indeed!

HPV, or human papillomavirus, is the most common sexually transmitted infection in the country. There are over 100 strains of HPV, and, while most of these infections leave our systems on their own with no long-term ill effects, some cancers have been linked to certain “high risk” strains of the virus. One of these strains, HPV16, increases the risk of oral cancer.

HPV-related oral cancer most often appears in the oropharynx. This area of the mouth includes:

• The base, or back, of the tongue
• The soft palate
• The tonsils
• The back and sides of the throat

While HPV-related oral cancers can appear in other parts of the oral cavity, they most typically occur at the back of the throat and tongue and near the folds of the tonsils. Because of this location, oropharyngeal cancer can be difficult to detect. This is one more important reason to maintain a regular schedule of dental exams. Our examination doesn’t focus only on your teeth and gums. We are trained to look for cancerous and pre-cancerous conditions in the mouth, head, and neck to make sure you have the earliest treatment options should they be needed.

If you discover any potential symptoms of oropharyngeal cancer, call us for a check-up. These symptoms can include:

• Trouble moving the tongue
• Trouble swallowing, speaking, or chewing
• Trouble opening the mouth completely
• A red or white patch on the tongue or the lining of the mouth
• A lump in the throat, neck, or tongue
• A persistent sore throat
• Ear pain
• Unexplained weight loss
• Coughing up blood

Not every symptom is caused by cancer, but it is always best to be proactive. HPV-related oral cancer is rare, but it is on the increase. While HPV-positive oral cancers generally have a better prognosis than HPV-negative oral cancers, early diagnosis and treatment are still essential for the best possible outcome.

Finally, if you are a young adult or have an adolescent child, talk to Drs. Sheena Allen, Murat Ayik, and Mark Margolin and to your doctor about the HPV vaccine, which is effective before exposure to the virus occurs. Most HPV vaccines, while not designed specifically to prevent oral cancer, prevent the HPV16 strain from infecting the body—the very same strain that causes the majority of HPV-related oral cancers.  Although no studies have shown definitive proof yet, there is strong feeling in the scientific community that these immunizations might protect against HPV-positive oral cancer as well as cervical, vaginal, and other cancers. It’s a discussion worth having at your next visit to our Dallas,TX office.

Imagine that you’re only going to brush your teeth once tomorrow. Don’t worry, we know you would never skimp on your dental hygiene like that, but let’s just pretend for a moment. When would be the best time to brush? When you wake up? During the day? Or perhaps before you go to bed?

Actually, whenever you choose to brush, you’ll receive important overall dental benefits as well as specific benefits tied to the time of day. Let’s explore your daily schedule to see why.

Brushing in the Morning

Brushing when you first jump out of bed produces several positive results.

• Cleaning plaque from your teeth

Plaque is a sticky film made up of oral bacteria, food particles, and saliva. As you sleep, these oral bacteria multiply and produce acids which attack the minerals in your enamel, leaving weak spots which, over time, can become cavities. Brushing removes these bacteria and acids from your enamel before they cause serious harm.

Moreover, plaque hardens if it’s left undisturbed, turning into tartar in a relatively short time. And once plaque becomes tartar, it must be removed by a dental professional. Brushing first thing in the morning removes this plaque buildup and helps prevent tartar from forming.

• Fresh breath

That bacterial growth we mentioned? It’s also responsible for morning breath. If nothing else, brushing when you wake up means greeting a fresh day with fresh breath, and that’s reason enough to pick up your brush in the morning.

Brushing During the Day

Brushing after meals and snacks also has a lot to recommend it.

• “Leftovers” lead to cavities

Foods, especially foods rich in sugar and carbohydrates, are converted by oral bacteria into acids which weaken enamel and lead to cavities. When food particles remain in the mouth after a meal, bacteria have more time and more fuel to manufacture these acids.

• Acidic foods also affect your teeth

If you have eaten something acidic, such as citrus fruits, sodas, or pickled anything, the acids from these foods can temporarily weaken the mineral strength of your enamel. But brushing immediately after eating or drinking acidic foods can damage weakened enamel. Better to rinse well with water and brush after half an hour or so.

Brushing at Night

Growing up, you probably received regular reminders to brush before bedtime—for several really good reasons:

• Saliva production slows while you sleep

During the day, saliva helps to wash away food particles and neutralize acidity in our mouths. It also contains proteins and minerals which help keep tooth enamel strong. But as we sleep, saliva production slows dramatically, and our bodies can’t remove bacteria and acids as effectively.

• Food particles fuel bacterial growth

If you haven’t brushed since morning, you’ve accumulated a whole day’s worth of food particles from meals and snacks. Remember, oral bacteria use the sugars and carbs we eat as fuel to produce the acids which attack our tooth enamel throughout the night.

• Brushing helps prevent both of these problems

Brushing your teeth before bed not only cleans away the accumulated food particles of the day, but also eliminates the plaque and bacteria which would have a much easier time sticking to your teeth without that daytime saliva flow to wash them away.

So, When’s the Best Time to Brush?

In the morning, during the day, at night —there are solid advantages to brushing any time of day. The question isn’t so much when to brush as how often you should brush.

While many dental professionals consider brushing before bedtime as the most important brush of the day, brushing at least two full minutes, at least twice during a 24 hour period, is a necessity for basic dental hygiene. (And don’t forget to floss at least once each day.)

If you wear orthodontic appliances, if you’ve been eating sugary snacks, if you’re showing signs of gingivitis or getting more than your share of cavities, if you want to reduce the chance of plaque and tartar buildup, or if you simply want to make sure you’re doing everything you can to maintain your overall dental health, brushing after meals is also highly recommended.

Talk to Drs. Sheena Allen, Murat Ayik, and Mark Margolin about your brushing habits the next time you visit our Dallas,TX office. No need to use your imagination to plan your best brushing schedule. We have all the answers you need to help you brush your way to your best—and healthiest—smile!

Whether it’s a broken tooth or injured gums, a dental emergency can interfere with eating, speaking, or other day-to-day activities. According to the American Dental Association , you can sometimes prevent dental emergencies like these by avoiding the use of your teeth as tools or by giving up hard foods and candies.

Even if you take excellent care of your mouth, however, unexpected dental problems can still arise. Our team at Dallas Dental Arts is available 24 hours a day, seven days a week to assess and resolve your individual situation. When an emergency arises, you should immediately make an appointment with our office so we can put you at ease, give you the best possible care, and help you return quickly to your regular routine.

Damaged Teeth

For tooth damage in particular, don’t hesitate to call and schedule an emergency dental appointment. You should come in as soon as possible. However, if you have some time before your appointment there are a few things you can do to avoid further injury. If you break your tooth, clean the area well by rinsing it with warm water. To ease any discomfort, put a cold compress against your skin near the area with the affected tooth.

A dislodged tooth should be handled carefully in order to keep it in the best possible condition. Gently rinse off the tooth without scrubbing it and try to place it back into the socket of your gums. If it won’t stay in your mouth, put the tooth in a container of milk and bring it along to your dental appointment.

Injured Soft Tissues

For other problems, such as bleeding gums or an injured tongue, cheek, or lip, the Cleveland Clinic recommends gently rinsing your mouth with salt water and applying pressure to the site with a moist strip of gauze or a tea bag. If you’re also experiencing some discomfort, you can put a cold compress on your cheek near the area of the bleeding. If the bleeding continues, don’t hesitate to contact our office so you can receive further help.

A dental emergency may catch you off guard, but Drs. Sheena Allen, Murat Ayik, and Mark Margolin can provide fast, pain-free treatment. Follow the advice above and set up an appointment with us as soon as possible so you can put your teeth and mouth on the road to recovery.

Now that you’re having your wisdom teeth removed at our Dallas,TX office, you’re probably looking forward to spending a few days on the couch with a cool dish of ice cream in hand. Good! Give yourself time to heal, and choose foods that will be soothing and safe for your mouth as you recover. We’ll provide you with detailed instructions on how to take care of yourself immediately after your surgery, and that includes suggesting the best menu options.

But while you’re making your post-wisdom teeth shopping list, there are several kinds of foods and beverages that should be crossed right off. If it’s small, spicy, sticky, or steamy, put it back on the shelf. Spirits? Not this round. Drinks with straws? Absolutely not. Items like these can undermine your healing and recovery.

• Small and Crunchy

Any small particles, such as seeds or grains, or items like cookies, crackers, nuts, and popcorn which turn into small particles, can wind up lodged in the surgical site where your tooth was removed. These particles can also interfere with the blood clot that forms to protect the socket as it heals. If the clot is dislodged, there is a chance that a painful condition called “dry socket” can develop.

• Spicy

Spicy and acidic foods can irritate delicate gum tissue. It’s best to wait until your gums are back to normal before uncapping the hot sauce.

• Sticky

Sticky, crunchy, and chewy foods can be hard on the extraction site, so stick to a soft diet until you have healed. Now is the time to try all the pudding flavors!

• Steamy

Piping hot foods and drinks can interfere with the protective clot—ask us about the best time to resume your morning coffee.

• Spirits

Mixing pain medication and alcohol can be dangerous. Talk to Drs. Sheena Allen, Murat Ayik, and Mark Margolin about possible interactions. And some studies have suggested that alcohol use slows healing, so even without pain medication, it could be a good idea to wait until you are healed to toast your beautiful smile.

• Straws

And last, but by no means least, leave the straws in their little paper wrappers! Any kind of suction brings a real risk of dislodging the protective blood clot that has formed at the surgical site. Milkshakes are delicious, but eat them with a spoon. (And please, no cigarettes!)

Follow our suggestions for a soothing, safe diet, and you will be enjoying your regular menu favorites in no time. So rest, relax, eat sensibly, and enjoy that second bowl of ice cream. Doctor’s orders!

Xerostomia might sound like a serious and rare condition, but it’s more common than you think. If you’ve been feeling like your mouth is constantly dry, you may already be having your first encounter with it.

Xerostomia refers to when you have a dry mouth due to absent or reduced saliva flow. Now you might assume this is not a big deal, but a lack of saliva can threaten your dental health or worse, because it can be a sign of a bigger overall problem.

Some of the more common symptoms to watch for are a sore throat, difficulty swallowing, a burning sensation on the tongue, and of course, a significant lack of saliva. Because xerostomia entails a reduction in saliva, you have less of a buffer between your teeth and the food you eat, which makes you more vulnerable to cavities and tooth decay. It also means that food is more likely to get stuck in your mouth.

So what causes xerostomia? There can be many different culprits. One of the most common causes involves medication. If you’re taking antidepressants, muscle relaxers, anti-diarrhea medicine, anti-anxiety medicine, or antihistamines, this could be the reason for your xerostomia.

Dry mouth may also be a warning sign for other health issues. These can include lupus, diabetes, thyroid disease, arthritis, or hypertension. Patients that receive any kind of chemotherapy might also experience xerostomia as a side effect of their treatment.

If you’re experiencing symptoms of dry mouth, there are several things you can do:

• This may seem obvious, but you should drink generous amounts of water. If you’re taking any of the medications known to cause xerostomia, a glass of water before and after administering the medication could be helpful.
• Avoid heavily caffeinated drinks, since they will dehydrate you further.
• Opt for a mouthwash that contains little to no alcohol.
• Consume excessively sugary or acidic foods in moderation, if at all.
• Try adding a humidifier to your room while you sleep, to add moisture to the air you’ll be breathing.

As always, stay on top of your brushing and flossing routines, and if you feel you might be suffering from xerostomia, please let Drs. Sheena Allen, Murat Ayik, and Mark Margolin know during your next visit to our Dallas,TX office. We’re happy to recommend products we’ve found to be successful in treating xerostomia.

A shopping mall is a great place to get lots of errands done in one trip. Department stores, clothing boutiques, specialty shops? So many tempting options all in one place. But teeth whitening? Maybe not.

Dental office whitening provides you with the whitest possible teeth in the safest possible manner. Your teeth will be checked first for any conditions that might make whitening a bad idea, such as tooth decay, weakened enamel, or gum disease. Drs. Sheena Allen, Murat Ayik, and Mark Margolin will make sure your gums and mouth are protected. A gel with a higher concentration of bleaching agents than those available over-the-counter will be applied, and your whitening progress will be monitored. You can also ask about having a custom-fitted tray made for at use at home with professional whitening gel.

What is different about mall bleaching?

• No dental exam will be provided beforehand. If you have dental issues, the whitening process might cause further problems such as tooth sensitivity or gum inflammation.
• The amount of peroxide in the bleaching agents can vary from place to place. You might end up with something equivalent to home whitening strips, or you might be exposed to solutions that should only be available in a dentist’s office.
• Finally, in many areas, mall whitening is actually illegal because it is considered the practice of dentistry without a license. Mall kiosks skirt this problem by having customers insert the trays full of gel themselves—a practice that does not take the place of professional training, licensing, and regulation.

A mall kiosk is a convenient place to select a new phone. Or try an unusual hair care product. Or purchase the latest in fad toys. But when it comes to your dental health, it’s worth a special trip to our Dallas,TX office if you want the safest, most effective whitening.

Two studies – one conducted in Washington State, and whose findings were published in the Journal of Pediatric Dentistry in 2004, and another conducted in Madrid, Spain, and whose findings were reported in 2012 in Science Daily, reinforce earlier findings that show a direct relationship between parental dental fear and that of their children.

The Washington study looked at dental fear among 421 children whose ages ranged from 0.8 to 12.8 years. The children were all patients at 21 different private pediatric dental practices in Western Washington State. The Spanish study looked at 183 children between the ages of seven and 12, and their parents in Madrid.

The Washington study used the Dental Sub-scale of the Child Fear Survey Schedule. The survey responses came from either parents, or other parties charged with taking care of the children. The people responsible for each child filled out the survey, which consisted of 15 questions to which answers were given based on the child’s level of fear. The scale used was one to five, with one meaning the child wasn’t afraid at all, and five indicating the child was terrified. The maximum possible points (based on the greatest fear) was 75.

Spanish researchers found that like past studies, there is a direct connection between parental dental fear levels and those of their kids. The most important new discovery from the study conducted in Madrid, was that the more anxiety and fear a father has of going to the dentist, the higher the fear levels among the other family members.

Parents, but especially fathers, who suffer from fear of going to the dentist and fear of dental procedures in general pass those fears on to every member of the family. While parents may not feel like they have control over those fears, the best way to help your child understand the importance of going to the dentist is by not expressing your fears in front of them – or around the rest of the family.

Drs. Sheena Allen, Murat Ayik, and Mark Margolin and our team understand that some patients are more fearful than others when it comes to visitingour Dallas,TX office. We work hard to make our practice as comfortable for our patients, both children and adults.

Sometimes people feel a tiny bit nervous when they sit in the dental chair. And sometimes it’s more than a tiny bit. If your anxiety over visiting the office leads you to skip regular checkups and cleanings, or, worse, if you would rather suffer tooth or gum pain than give us a call—give our Dallas,TX office a call! Sedation dentistry might be just the procedure you need to make dental anxiety a thing of the past.

Drs. Sheena Allen, Murat Ayik, and Mark Margolin and our team are trained to administer sedation and to monitor your responses throughout. And we want you to have all the information you need to decide on any dental treatment, including sedation. We will tell you of any risks, and describe the procedure in detail. If you have any health conditions or take any medications that might interfere with sedation, we can discuss your options with you and your doctor to make sure you are a good candidate. We will explain any preparations you should take, and let you know if there is a window of recovery time needed in our office while the sedation wears off.

Don’t let yourself suffer dental pain because you suffer from dental anxiety! Please call us to discuss sedation. We are trained to administer the treatment you choose gently and safely. Above all, we want to help you keep your smile the heathiest it can be, and that only happens when you have regular dental care. Let us work with you to make that care as comfortable and stress-free as possible.

September 19^th is just around the corner, and you know what that means—Aye, matey, it’s “Talk Like a Pirate Day”! Why do we have a “Talk Like a Pirate Day” and not a “Take Care of Your Teeth Like a Pirate Day”? You don’t need a treasure map to find the answers!

• High Seas Hygiene

The toothbrush as we know it, with easy to clean nylon bristles, was invented less than 100 years ago. Even toothbrushes with animal bristles weren’t easily available until a century after pirates sailed the seas. If pirates brushed at all, they probably used rags or twigs with frayed ends to clean their teeth. And rags and twigs just can’t take care of plaque the way careful brushing and flossing can.

Two minutes brushing in the morning and two minutes at night, with careful flossing each day, will help keep your teeth as white as a chest of pearls—and healthy to boot!

• Dastardly Diet

Pirates were a scurvy lot—literally. Scurvy is a disease caused by a lack of vitamin C, a vitamin found in fresh fruits and vegetables. One of the many unpleasant symptoms of scurvy is bleeding, swollen gums. As you can imagine, months at sea on a pirate ship provided very few chances for fresh fruit and vegetables. As a result, sailors often had to live with gum pain and even tooth loss from serious gum disease.

We now know that eating a healthy diet is a key to oral health. In fact, it was a British naval doctor who discovered that bringing oranges, lemons, and limes aboard sailing vessels prevented scurvy—but sadly for our pirate crew, this discovery happened several decades after the Golden Age of Piracy. Fortunately, you have access to a bounty of fresh fruit and vegetables. Eat a diet rich in vitamins and minerals, and your teeth and gums will be all the better for it.

It’s not looking too good for our pirate crew, but let’s look on the bright side—even if a pirate did get a cavity or suffer gum disease, he could always see the ship’s dentist, couldn’t he?

• Ship’s Dentist—Arrrr You Kidding?

If a pirate had a bad cavity, his best treatment option would probably be to ask a fellow pirate to pull the tooth. If a pirate needed a root canal, his best treatment option would probably be to ask a fellow pirate to pull the tooth. If a pirate had a cracked tooth, his best… well, you get the picture.

Luckily, it’s a different world today. Now we have dentists with years of education and training, modern tools and equipment, and the very best medical knowledge to treat all of our dental problems, big and small. See your dentist at least twice a year for exams and cleanings, and you will reap the bountiful rewards of regular, professional, proactive care.

Being a pirate for a day is fun. We all enjoy tales of a good treasure hunt. But you already have a treasure that most pirates could never hope to have—healthy teeth and healthy gums! And with proper care, this treasure can last a lifetime. Until next September 19^th, fair winds and good checkups at our Dallas,TX office be yours, matey!

One of the most charming aspects of your baby’s beautiful smile is his brilliantly white teeth. But now that his adult teeth are coming in, the difference in color is very noticeable. Is this something to be concerned about? Happily, probably not.

Both baby teeth and adult teeth have the same basic structure. The inside of the tooth, the pulp, contains blood vessels and nerves. The pulp is covered by a layer of dentin, a hard, yellowish substance composed of living tissue that helps protect the pulp and transmits signals for pain, pressure, and temperature. Enamel is the outer protective covering of the tooth, and its natural color can vary from greyish-white to light yellow.

If primary and permanent teeth are so alike, how can they look so different? As with so many things, the difference lies in the details. In adult teeth, enamel is semi-translucent, so it will allow the color of what is beneath it to show through. And the color of the thick dentin beneath is naturally yellow. Baby teeth have a thinner layer of the yellowish dentin. And while their enamel is also thinner, the enamel in baby teeth is generally whiter and more opaque, so less of the underlying yellow from the dentin is visible.

The result of these small differences is that adult teeth are normally darker than baby teeth to begin with. And when a permanent tooth that is just a bit darker erupts next to a bright white baby tooth, it is going to look even more yellow than it actually is. Once all of the baby teeth in front have been replaced with adult teeth, you will have a much better idea of their real color without unflattering comparisons!

There are times when concerns about tooth color should be looked at by Drs. Sheena Allen, Murat Ayik, and Mark Margolin more closely.

• Unusual discoloration in teeth should be examined. Some discoloration is caused by medical conditions such as hypomineralization, some by environmental factors such as excess fluoride, some by trauma, some by medication. If you notice a discolored section of your child’s tooth, or the tooth has turned a different shade from the teeth around it, give us a call.
• Your child might have naturally whiter or yellower teeth simply as a matter of genetics. If your child is self-conscious about the color of his teeth, we can talk about whitening solutions when he is old enough to use them safely. Home whitening products should never be used on young children.

Give yourself time to adjust to your child’s new, adult smile. You will probably notice no difference at all once all of his permanent teeth come in. And keep those new teeth their brightest with consistent brushing and flossing, and regular checkups and cleanings at our Dallas,TX office. This is the simplest prescription for a charming, white, and healthy smile at any age.

One of the most charming aspects of your baby’s beautiful smile is his brilliantly white teeth. But now that his adult teeth are coming in, the difference in color is very noticeable. Is this something to be concerned about? Happily, probably not.

Both baby teeth and adult teeth have the same basic structure. The inside of the tooth, the pulp, contains blood vessels and nerves. The pulp is covered by a layer of dentin, a hard, yellowish substance composed of living tissue that helps protect the pulp and transmits signals for pain, pressure, and temperature. Enamel is the outer protective covering of the tooth, and its natural color can vary from greyish-white to light yellow.

If primary and permanent teeth are so alike, how can they look so different? As with so many things, the difference lies in the details. In adult teeth, enamel is semi-translucent, so it will allow the color of what is beneath it to show through. And the color of the thick dentin beneath is naturally yellow. Baby teeth have a thinner layer of the yellowish dentin. And while their enamel is also thinner, the enamel in baby teeth is generally whiter and more opaque, so less of the underlying yellow from the dentin is visible.

The result of these small differences is that adult teeth are normally darker than baby teeth to begin with. And when a permanent tooth that is just a bit darker erupts next to a bright white baby tooth, it is going to look even more yellow than it actually is. Once all of the baby teeth in front have been replaced with adult teeth, you will have a much better idea of their real color without unflattering comparisons!

There are times when concerns about tooth color should be looked at by Drs. Sheena Allen, Murat Ayik, and Mark Margolin more closely.

• Unusual discoloration in teeth should be examined. Some discoloration is caused by medical conditions such as hypomineralization, some by environmental factors such as excess fluoride, some by trauma, some by medication. If you notice a discolored section of your child’s tooth, or the tooth has turned a different shade from the teeth around it, give us a call.
• Your child might have naturally whiter or yellower teeth simply as a matter of genetics. If your child is self-conscious about the color of his teeth, we can talk about whitening solutions when he is old enough to use them safely. Home whitening products should never be used on young children.

Give yourself time to adjust to your child’s new, adult smile. You will probably notice no difference at all once all of his permanent teeth come in. And keep those new teeth their brightest with consistent brushing and flossing, and regular checkups and cleanings at our Dallas,TX office. This is the simplest prescription for a charming, white, and healthy smile at any age.

Come say hello twice a year. The American Dental Association says two times is the charm. Multiple visits a year lets us keep an eye out for any developing issues. It’s important to remember that this goes for the whole family. Children over one year old should be seeing Drs. Sheena Allen, Murat Ayik, and Mark Margolin!

Stay fresh. At Dallas Dental Arts, we have a virtually unlimited stock of toothbrushes and floss, which means you have no excuse to be using a sad, ineffective toothbrush. As soon as bristles begin to fray, pick up a new one or stop by our Dallas,TX office and we’ll replace yours. On average, you should be opening a new one every two to three months.

For goodness sake, floss! Flossing is an efficient way to keep your whole mouth healthy. It not only protects your teeth by removing aggregated plaque, it keeps your gums happy, too.

And brush. Practicing regular healthy habits is essential to keeping your mouth—and us—happy! When it comes to brushing that means two minutes, two times a day. If your kids need some encouragement, try making a calendar or playing a song like this.

Tell a friend. One way you can help us is by spreading the love. Tell your friends about what a good thing we’ve got going here. The more the merrier. And the healthier.

Your smile is in the spotlight every day, helping you greet the world with confidence! But when you’re self-conscious about discolored spots on your teeth, it’s time to get some professional advice to deal with these troublesome tints.

Discolored patches, both dark and light, can develop for a number of different reasons. Some markings are cosmetic only, and some spots require treatment. Some can be removed with a professional cleaning, and some might require more serious restoration. Let’s have a look at some of the common causes of enamel discoloration.

• Cavities

Decayed enamel can appear as a brown spot on the tooth. A dark edge around a filling might mean decay underneath.

Regular checkups at our Dallas,TX office will help catch small cavities before they become big ones. If you need a filling, the filling color can be matched to your tooth color for an undetectable restoration.

• Demineralization

Bacteria in plaque produce acids, which attack our teeth. These acids erode minerals such as calcium and phosphorus from enamel, leaving a weak spot that is vulnerable to decay. This process is called “demineralization,” and often leaves a whiter spot on a tooth where minerals have leached away. Common reasons for demineralization are neglecting dental hygiene, failure to clean around braces, and a diet filled with sugary and acidic foods.

Fluoride and enamel-strengthening toothpastes, a healthy saliva flow, and a balanced diet help our teeth “remineralize,” bathing teeth in minerals that can help replace those that have been lost. But if you have lingering white spots due to demineralization, Drs. Sheena Allen, Murat Ayik, and Mark Margolin can provide some options, including whitening, microabrasion, and veneers.

• Fluorosis

Fluorosis is a cosmetic condition caused by exposure to too much fluoride while the permanent teeth are still forming (generally, during the years before a child’s eighth birthday). Small white spots and patches are a common result of mild fluorosis. In more serious cases, teeth can be pitted and stained with brown, gray, or black spots.

Preventing fluorosis begins in early childhood. Talk to Drs. Sheena Allen, Murat Ayik, and Mark Margolin about fluoride levels in local tap water if you have any concerns. Use only the recommended amount of toothpaste (the size of a grain of rice for children three and under; the size of a pea for children three to six), and show your child how to spit out toothpaste and rinse after brushing. Keep fluoride toothpastes and other fluoride products out of the reach of young children. Don’t give children fluoride supplements or fluoride rinses without discussing it with Drs. Sheena Allen, Murat Ayik, and Mark Margolin.

If your own teeth have been affected by fluorosis, talk to us. Again, this is a cosmetic condition affecting otherwise healthy teeth. Whitening treatments can be helpful in mild cases, microabrasion has been effective for mild to moderate cases, and, for severe cases, cosmetic restorations such as bonding and veneers are an option.

• Tartar

Are you seeing an accumulation of dark brown spots and stains on your teeth, especially between the teeth and at the gum line? This might mean that you have tartar buildup. When you brush plaque away every day, your enamel stays smooth and clear. But when plaque builds up over time, it hardens and becomes tartar.

How hard is tartar? So hard that it can only be removed with a professional cleaning. Eliminate this source of spots and staining with twice daily brushing and daily flossing, and make sure regular professional cleanings are on your calendar.

• Other Causes

Medications taken while teeth were developing (notably, antibiotics in the tetracycline family) can cause discoloration. Medical conditions such as celiac disease and enamel hypoplasia can affect both tooth color and enamel formation.

Cosmetic treatment and restorations can help with discoloration caused by medications, and restorations such as bonding, veneers, and crowns can restore tooth appearance and function when medical conditions cause imperfections in enamel color and structure.

If you’re unhappy with the overall whiteness of your smile, a professional whitening might be just what you’re looking for. If specific patches, streaks, and spots of a different color are dimming your bright smile, it’s time for an exam. Drs. Sheena Allen, Murat Ayik, and Mark Margolin will be able to tell you the reason for any discolored enamel as well as present you with all your treatment options. Put the spotlight back where it belongs—on your healthy, confidant smile!

Drs. Sheena Allen, Murat Ayik, and Mark Margolin and our team want you to have the healthiest possible smile in the healthiest possible body. Oral cancer can affect the mouth, tongue, throat and jaw. Early detection is vital for the best possible outcome when treating this disease. That is why we check for symptoms of oral cancer at every dental examination.

What can you do to reduce the chance of oral cancer?  Reduce your risk factors. You can help prevent oral cancer by adopting these healthy habits:

• Don’t smoke. Don’t chew tobacco. Don’t use a pipe. If you use any tobacco products, quit. Tobacco use is the single largest risk factor for head and neck cancers. Talk to us—we have suggestions for helping you break the habit.
• Drink alcohol in moderation. Heavy drinkers have a higher rate of oral cancer. More than one to two drinks per day can be considered heavy drinking, depending on factors such as weight, age, and even gender. Check with your doctor to find your personal definition of moderation.
• Eat a healthy diet. Cancer-fighting fruits and vegetables are a great addition to any menu.
• Protect yourself from the sun. Help prevent sun-related lip cancers by always wearing a UVA/UVB blocking sun screen or lip balm whenever you are working or playing outside—and reapply frequently.
• Some forms of the HPV virus have been linked to oral cancer, and those affected are generally younger and less likely to be smokers. Research indicates that the HPV vaccine, known for preventing several types of cancer, might also help prevent HPV-related oral cancers.
• Schedule regular dental exams. We are trained to recognize oral cancer and precancerous conditions that you might miss.

Of course, cancer can occur even with the healthiest habits. Do come see us if you detect any of these symptoms:

• A sore or ulcer that doesn’t heal, or persistent tenderness and pain in the mouth
• Lingering sore throat, hoarseness, or vocal changes
• Pain in the neck or ear that doesn’t go away
• A lump, a rough or thickened area, or eroded tissue in the skin lining the mouth
• Red or white patches in the lining of the mouth or on the tongue
• Difficulties chewing, swallowing, speaking, or moving the tongue or jaw
• Numbness in the tongue or mouth
• Changes in the way your natural teeth or your dentures fit together.

Not every symptom is caused by cancer, but it is important to rule out the possibility. We are trained to recognize early signs of oral cancer, and can recommend further tests if needed. Call our Dallas,TX office immediately if you have any concerns. Early detection and treatment lead to the most successful outcomes.  

One of the first exciting childhood experiences we outgrow is the excitement of discovering a loose tooth. Sadly, there’s no adult Tooth Fairy waiting to exchange a gift for a lost tooth, and, even worse, there’s no backup tooth all set to replace it.

If one of your permanent teeth is feeling a little less than permanent, don’t ignore the problem! Here are four things to do right away when you discover a loose tooth:

Eat Soft Foods

While you’ll probably automatically take caramels off the menu and ditch your chewing gum, crunchy foods such as nuts, chips, even apples can be a problem for a compromised tooth. Stick with soft foods and try to eat on the opposite side of your loose tooth.

Keep the Area Clean

The typical bacteria and food particles in your mouth won’t thoughtfully leave the area around your wiggly tooth untouched. But your normal brushing and flossing might be a little too much for a loose tooth. Gently rinsing with warm water should do the trick until you can see us.

Leave It Alone

Sometimes the hardest thing to do is to do nothing. But when it comes to a loose tooth, please choose this course of (in)action. You might recall having a loose tooth as a child, and how you’d automatically wiggle it with your tongue or your fingers. But you’ll also remember what happened at the end of all that wiggling—your baby tooth fell out.

Teeth are held in place by ligaments attached to the alveolar bone in the jaw. When those ligaments or bone are damaged because of injury or infection, your tooth feels loose. Wiggling your tooth back and forth can cause further detachment and expose you to more bacteria. So even though it might be tempting, leave your tooth alone until you can see us.

Call Your Dentist Immediately

The most important tip of all! Call Drs. Sheena Allen, Murat Ayik, and Mark Margolin at once if you notice a loose tooth. It’s important to discover not only the best treatment, but the reason for your loose tooth as well. A loose tooth can be caused by several different conditions, and none of them should be ignored.

• A blow to your mouth

If your tooth, ligaments, or bone have suffered trauma, your dentist might be able to stabilize your loose tooth with a splint so that ligament and tissue can heal.

• Gum disease

Periodontitis (severe gum disease) is a chronic condition. Pockets form between your gums and teeth that become home to bacteria and infection. Over time, periodontitis can destroy gum, ligament, and bone tissue. Left untreated, it leads to loose teeth and even tooth loss. Gum disease is reversable when caught early enough, and even in later stages can respond well to a variety of treatments.

• Pregnancy

Hormonal changes during pregnancy can cause the ligaments and bones around your teeth to loosen, and loose teeth are the result. While this situation is usually temporary, taking care of your teeth and gums is essential during pregnancy, and Drs. Sheena Allen, Murat Ayik, and Mark Margolin will have many important recommendations for your dental health.

• Teeth Grinding (Bruxism)

Your jaw and teeth can exert hundreds of pounds of pressure. When you spend your sleep hours grinding them, that force is applied to your teeth and the ligaments holding them. Small wonder that bruxism can lead to loose teeth. Your dentist will have ideas to help you stop teeth grinding, from behavioral changes to custom night guards.

Osteoporosis, bite problems, oral cancer, and other conditions can also cause loose teeth. Any condition that causes loose teeth should always be evaluated immediately to prevent more serious medical or dental problems.

Sometimes a loose tooth can’t be saved, and a professional extraction is the best solution. But if there’s a chance to save your tooth, treating the tooth carefully and visiting our Dallas,TX office at once improve your odds considerably. Because there’s no adult Tooth Fairy, and really, no coins under a pillow will ever be as valuable as a beautiful, healthy smile.

Keeping on top of your oral health is key when it comes to making sure your whole body stays healthy. The bacteria that occur naturally in your mouth can produce harmful bacteria such as strep and staph, which can lead to serious infections and sickness.

When you follow good dental habits like daily brushing and flossing, and eat a healthy diet, you can discourage harmful bacteria from traveling from your mouth to other parts of your body. Protect yourself and learn more about the link between oral hygiene and a healthy body.

Until recently, tooth decay was more common because of the lack of regular dental care and research behind fluoride. Tooth decay is much less problematic today, due to fluoridated water and toothpastes that contain fluoride.

Nowadays, gum disease has replaced tooth decay as the most frequent dental problem. Periodontal disease is on the rise among adults because people don’t floss regularly and then ignore gum tenderness and bleeding. If left unchecked, periodontitis can cause inflammation that may cause harm to other parts of the body.

Oral Health and Chronic Disease

Many scientists believe inflammation-related infections can trigger systemic disease or intensify existing conditions. Remember, bacteria overgrowth in inflamed gum tissue is able to enter the bloodstream through your eating processes, which is why it’s so vital to visit our Dallas,TX office if you notice sustained gum irritation and inflammation in your mouth.

Caring for your teeth and gums every day can prevent the onset of disease and save you trouble in the future with regard to your body’s health. If you think you may be showing signs of periodontal disease, or notice anything else out of the norm, please contact Drs. Sheena Allen, Murat Ayik, and Mark Margolin and schedule an appointment.

We want you to be proactive about your health!

An emergency usually evokes panic, and for good reason. Emergencies don’t discriminate when it comes to time or place. They’ll happen during your vacation, at home, while you’re shopping for groceries, at the movies … whenever they can.

We’ve identified the five most common reasons for emergency visits to our office, so if you ever find yourself in one of these situations, don’t hesitate to reach out and schedule an appointment with us!

1. Getting a piece of food stuck where it doesn’t belong. This might sound trivial, and even comical, but a piece of food stuck and left unattended can cause inflammation, pain, and a serious infection.
2. Losing a filling. If this happens to you, it’s crucial that you receive care immediately. The purpose of a filling is to shut off a space where bacteria can enter. If that barrier is breached, your tooth becomes more vulnerable to decay.
3. A chipped tooth. Even if the chip is small, it’s essential to get it repaired before it grows bigger. Unless chips are affecting a nerve, they are usually easy to repair with a crown, bonding, or veneers.
4. A broken tooth. This can result from a small, hidden chip in the tooth. It’s clearly something to address quickly, because the pain will be much more severe than what you’ll feel with just a chip.
5. Losing the entire tooth. This is the worst of the list. When you lose a tooth, you should not delay in seeking emergency care. Usually, you have a window of one to two hours during which the original tooth can be salvaged and successfully reattached.

Though any of these scenarios can be nerve-wracking, Drs. Sheena Allen, Murat Ayik, and Mark Margolin and our team are here to assist you with any and all dental emergencies. Don’t wait; give our Dallas,TX office a call!

School’s out and you’ve emptied your gym locker until next fall. But while you’re stowing away the football gear, the basketball warm-ups, the field hockey sticks, and all the other equipment you’ve collected over the school year (that’s where that other shoe went!), be sure to keep one item handy: your mouthguard.

Team and contact sports like football, basketball, and wrestling aren’t the only potential dental dangers. In fact, almost any sport or activity can be made safer when you use your mouthguard.  While you’re keeping active and fit in the summer months, remember to look out for your smile.

• Sports on wheels

Biking, skate boarding, rollerblading—it only takes one fall to make you realize that roads, sidewalks, and concrete are not ideal landing pads. If you do take a spill, using a mouthguard, along with your helmet, will help protect your teeth and jaw.

• Court sports

Handball and tennis are not what we consider contact sports, but an unexpected bounce from a ball, or a completely unexpected backhand from your partner, can lead to dental injuries. Ace your workout and wear a mouthguard.

• Water sports

A fall in the water can lead to a collision with your surfboard or water skis, and water polo often seems to be a game of stamina, accuracy and elbows. Wear your mouthguard on land and sea, and help reduce your chance of dental injury.

• Team sports

Anyone who has played summer league baseball, softball or soccer knows that occasional contact with other players is pretty much a given. Cushioning your head, mouth, and teeth with a mouthguard will not only protect you, but keep you in the game—and your teammates will appreciate that!

If you already use a mouthguard, keep up the good work! If you don’t, talk to Drs. Sheena Allen, Murat Ayik, and Mark Margolin about the importance of protecting your smile with a mouthguard. There are ready-made options available at drug stores and sporting goods shops. These will provide protection to your mouth and teeth, but can sometimes be bulky and uncomfortable and should never be used with braces. If you would like a mouth protector that provides the best fit and comfort, or if you wear braces, we can customize a mouthguard in our Dallas,TX office that will be a perfect fit for your teeth and bite.

Whatever activity you choose, play it smart! Don’t gear up without your mouthguard, and you’ll greet next year’s classes energized, fit, and sporting a beautiful smile!

If you’ve been following a vegetarian or vegan diet, you know that there’s much more to living a healthy life than simply avoiding meat products. Making sure your diet includes enough protein, as well as any nutrients that are primarily available in animal products, takes planning, and there’s no one-menu-fits-all solution.

Why? Because there’s no one menu that will suit all vegetarians. Specific vegetarian diets can allow for many different options:

• Vegan—a plant-based diet which excludes meat, fish, dairy, and egg products
• Ovo-vegetarian—includes eggs as a dietary option, but no dairy
• Lacto-vegetarian— includes dairy as a dietary option, but no eggs
• Lacto-ovo-vegetarian—a meat-free diet which allows both dairy products and eggs

If you are a pescatarian, who eats fish on occasion, or a flexitarian, who sometimes includes meat in a meal, your menu options are even broader.

So let’s look at the big picture—a healthy vegetarian diet is really more concerned with the foods you do eat for nutrition rather than the foods you don’t. You can create a meal plan rich in all your essential nutrients with a little research, no matter which type of vegetarian diet is your go-to choice.

And while you’re constructing your ideal menu guidelines, don’t forget about your dental nutrition!

In terms of keeping your teeth and gums their healthiest, what important vitamins and minerals are often missing from vegetarian and vegan diets? Let’s look at three of them.

• Calcium

Calcium is essential for maintaining strong bones and tooth enamel. Without enough calcium, a weakened jawbone leads to loose, and even lost, teeth. The acids in our food and the acids created by oral bacteria also weaken the minerals in enamel, including calcium. These weak spots can eventually become cavities. A diet rich in calcium not only supports the bones holding our teeth, but can even help repair, or remineralize, enamel which has been weakened by acidic erosion.

For vegetarians who include dairy in their diets, dairy products are a great way to include calcium. Milk, cheese, and yogurt are traditional and rich sources of this mineral.

For vegans, it’s a bit more challenging, but still doable! Non-dairy foods providing calcium include dark green vegetables (kale, broccoli, spinach), certain types of tofu, and fortified cereals, juices, and non-dairy milks.

• Vitamin D

Now you’re ready to put that calcium to work by making sure you have enough vitamin D in your diet. Vitamin D not only helps keep our bones healthy, it also enables our bodies to absorb calcium. Bonus—it’s been linked to better gum health in several studies.

So how to get more vitamin D? If you eat dairy, most dairy products have been fortified with vitamin D. If eggs are a part of your diet, egg yolks are a great source. Pescatarians can enjoy the benefits of vitamin D from fatty fish such as tuna and salmon.

Because we get most of our vitamin D from sun exposure or foods derived from animals, plant-based foods are not a practical way to obtain the vitamin D you need. But, just as non-vegetarians can get plentiful vitamin D from fortified dairy products, vegans also have options. Try adding cereals, juices, and non-dairy milks fortified with this essential nutrient to your diet, or take a vegan vitamin D supplement.

• Vitamin B12

Vitamin B12 is essential for healthy red blood cells, nerve cell development, brain function, and DNA production. (This is why it’s especially important for pregnant and nursing women.) Vitamin B12 can also impact your oral health. A B12 deficiency can cause a swollen, sore, or inflamed tongue, loss of taste, and gum, tongue, and mouth ulcers.

Unfortunately, vitamin B12 is reliably found only in animal foods and nutritional yeasts. If you would prefer an egg-free and dairy-free diet, look to B12 supplements or B12-fortified cereals, plant-based milks, energy bars, and other vegan options. This is a good subject to discuss with your physician, because even supplements and fortified foods might not provide enough B12.

In fact, Drs. Sheena Allen, Murat Ayik, and Mark Margolin can be vital resources when you’re planning your healthiest vegetarian diet. The next time you visit our Dallas,TX office, ask for recommendations for supplements if you’re concerned that diet alone can’t provide for all of your nutrition essentials. Finally, care should be taken to ensure that, even with supplements, you get the proper amount of the vitamins and minerals you need.

As a vegetarian, you are used to the concept of care. Whether it was concern for nutrition, the planet, the animal world, or another reason that drew you to a vegetarian diet, be sure to care for your body as well as your dietary choices. Careful planning can ensure a diet which supports not only your general health, but your oral health, for a lifetime of nourishing—and well-nourished—smiles.

A dental office on the cutting edge of technology offers numerous benefits to its patients. Whether you are in need of a simple cleaning or extensive restorative work, these technologies will help you stay more comfortable and give you better results than the outdated tools used in many offices. Here are some of the technologies that you can expect to see in our modern dental office:

• Digital radiography – Digital X-rays and imaging expose patients to far less radiation than traditional X-rays. Not only that, but these digital images provide a more detailed and easier-to-view snapshot of what is going on in and around your teeth. They make it easier for patients to see what's going on since we can show them right on the computer monitor. It's also better for the environment because there’s no need for the toxic chemicals used to develop traditional X-ray films.
• Panoramic X-rays – This digital X-ray gives Drs. Sheena Allen, Murat Ayik, and Mark Margolin a more in-depth understanding of the entire structure of your mouth and head than a regular X-ray. The panoramic X-ray machine rotates around your head and takes a 3D image of it, giving us a very complete picture that allows for more effective and timely treatment planning.
• Bioceramic implants, prosthetic devices, and sealants – Advances in implants and prosthetic devices over the past several decades has led to the creation of bioceramic (nontoxic) materials ideal for crowns, veneers, and implants. These materials allow for more visually appealing dental work since there are no metals used with these high-tech ceramics.
• Paperless bills and records – We all know the inconvenience of paper bills and receipts; they can create clutter and get lost. Our office has done away with this trouble by going paperless. This means you'll receive all your pertinent paperwork in your email inbox and records will be kept digitally at the office. No more wall full of patient records!

This is just an overview of the many advances that we’ve made to our Dallas,TX office to make it cleaner, quieter, more comfortable, and more efficient, helping you spend less time in the chair and more time smiling!

From the time you were small, you’ve been warned about the dangers of plaque. Why? Because:

• It’s an unappealing film that sticks to your teeth
• It causes cavities
• It causes gum disease

And really, do we need to know much more than this to motivate us to brush? But if you’re in a curious mood, you might be wondering just how this soft, fuzzy film accomplishes all that damage. Let’s take a closer look at the sticky problem of plaque.

How does plaque form?

We live with hundreds of species of oral bacteria, most of which are harmless, and some of which are actually beneficial. But when our oral ecosystem gets out of balance, problems can occur. For example, without regular and thorough brushing and flossing, we start to build up plaque.

Plaque starts forming within hours of your last brushing. And even though plaque fits the very definition of “seems to appear overnight,” this biofilm is actually a complex microbial community with several different stages of development.

• It starts with saliva.

Saliva is vital to our oral health, because it keeps us hydrated, washes away food particles, neutralizes acids in the mouth, and provides minerals which keep our enamel strong. Saliva also contains proteins, which help form a healthy, protective film on the tooth surface. This film is called a pellicle.

• Bacteria attach to the pellicle.

There are species of oral bacteria that are able to attach themselves to the pellicle film within hours of its formation. As they become more firmly attached, they begin to grow and divide to form colonies, and are known as the early colonizers of the plaque biofilm.

• A complex biofilm forms.

If you’ve skipped brushing for a few days (please don’t!), you’ll notice a fuzzy, sometimes discolored film on your enamel—that’s a thriving plaque community, and it only takes a matter of days to go from invisible to unpleasant.

If you’re not removing plaque regularly, it can harden further and become tartar. And once you have tartar buildup, you’ll need the care of a dental professional to remove it.

• What happens if we ignore plaque and tartar?

We get cavities and gum disease.

How does plaque cause cavities?

• The bacteria in plaque, like all organisms, need nutrients.

Our normal oral environment and the food in our everyday diets provide the nutrients plaque needs. And, as we mentioned above, certain types of oral bacteria convert these nutrients into acids. Foods such as carbohydrates, starches, and sugars are most easily converted into acids, which is why we recommend that you enjoy them in moderation.

• The biofilm promotes acid production.

Within the plaque film, anaerobic bacteria (bacteria which don’t use oxygen) convert sugars and starches into acids. As the plaque film becomes denser, it blocks acid-neutralizing saliva and oxygen from reaching these bacteria close to the tooth’s surface, creating an ideal environment for the bacteria to produce their acid waste products.

• Acids attack enamel.

The sticky nature of plaque keeps these acids in contact with tooth enamel, where, over time, acids dissolve minerals in enamel, weakening the mineral structure of the tooth.

How does plaque cause gum disease?

• Bacteria cause inflammation and gingivitis.

The bacteria in plaque irritate the delicate tissue of the gums, which causes an inflammation response which can leave your gums swollen, red, bleeding, or tender. This early form of gum disease is gingivitis. Fortunately, good dental care and careful brushing and flossing can usually prevent and even eliminate gingivitis.

• Plaque and tartar can lead to periodontitis.

When plaque and tartar build up around and below the gumline, the gums pull away from the teeth, leaving pockets where bacteria collect, leading to infection as well as inflammation. Infections and constant inflammation not only harm gum tissue, they can destroy the bone supporting the teeth. This serious gum condition is periodontitis, and should be treated immediately to avoid further infection and even tooth loss.

How do we fight plaque?

From the time you were small, you’ve learned how to fight plaque:

• Brush at least twice a day for two minutes, and be sure to brush all of your tooth surfaces and around the gumline.
• Floss to remove plaque from between the teeth and near the gumline.
• Visit our Dallas,TX office for a thorough professional cleaning.

Be proactive. If you have any questions, talk to Drs. Sheena Allen, Murat Ayik, and Mark Margolin about the best way to keep plaque at bay. We can show you the most effective ways to brush and floss, recommend anti-plaque toothpastes and rinses, even suggest plaque-revealing tablets if you’re missing some trouble spots.

We’ve only brushed up on some plaque basics, because there is a lot more to discover about this complex biofilm. Happily, even with all there is to learn about plaque’s growth and development, it’s reassuring to know that getting rid of it is quite simple—with just a soft-bristled brush, some dental floss, and a few minutes of your time each day, you’re on the way to a healthy, happy, plaque-free smile.

Talking about a healthy diet usually means talking about food. After all, our teeth and gums need protein, vitamins, and minerals to stay strong and free from cavities and gum disease. But let’s not forget the part liquids play in our diets! What we drink can actually have a dramatic effect on our dental health.

Beneficial Beverages for Our Teeth and Gums

• Water, water, water!

Water is always a healthy option. Besides being a nutrient in its own right, water washes away food particles as we eat, dilutes the acids in our mouth that can lead to cavities, and often provides the fluoride, which reduces our risk of tooth decay. Also, water helps with the production of saliva, which cleanses our mouth and helps neutralize the acids which cause cavities, gum disease, and bad breath.

• Milk

Milk provides the calcium and vitamin D that are essential for bone and tooth health. If you are worried about the fat content in milk, low-fat options will still deliver the nutrients your body needs.

• Vegetable juices

These juices provide important vitamins and minerals without the sugar levels of fruit juices. If that 100%-leafy-green smoothie is a bit bitter, add a small amount of fruit to the mix, but remember to avoid too many acidic, sugary additions.

Drinks that are Less than Ideal

• Sugary beverages

Regular soft drinks, fruit juices, energy drinks, and sweetened tea and coffee provide bacteria with the sugar they use to produce acids. These acids, over time, weaken our enamel and lead to cavities.

• Acidic drinks

Any acidic beverages, such as soft drinks, sports drinks, or citrus juices, provide their own acids that can erode tooth enamel.

• Drinks that stain our teeth

Red wine, coffee, black tea, fruit juices, colas—even sports drinks!—can leave our enamel stained and discolored.

Should we give up all these problem drinks completely? Can’t we start our day with orange juice and a cup of coffee, or down an energy drink after a workout? The important takeaway here is to recognize which drinks can damage teeth and gums, and to minimize any harm they might cause. If you are going to drink something sugary or acidic, don’t sip it. Sipping lets the sugars and acids linger in the mouth. Drink with a meal. Chewing increases saliva production, which helps wash away harmful sugars and acids. Try using a straw for drinks that stain teeth. And it’s always best to rinse with water immediately after drinking anything sugary, acidic, or staining.

Best of all, try to include as many nourishing beverages as possible in your diet. Keep your mouth healthy with a steady routine of brushing and flossing for at least two minutes twice a day. Don’t forget to schedule regular checkups and cleanings at our Dallas,TX office so Drs. Sheena Allen, Murat Ayik, and Mark Margolin can monitor your teeth and gums and remove plaque and stains if they develop. And if you have any questions about the healthiest beverages out there, let’s have a glass of water and discuss.

Heading for the beach! Hiking to the lake! Keeping cool with a tall, frosty glass of ice water in a foreign bistro, or taking a refreshing gulp from the fountain in the park! Hot weather has arrived, and water is something we’re more conscious of now than most other times of the year. Even so, water as a dental feature? Glad you asked!

• Recreation

Whether you want to bask in the heat or escape it, heading out for a day in or on the water works. And while you’re protecting your skin with sunscreen, think about protecting your teeth and mouth as well. With one small slip, any physical water sport—water skiing, water polo, surfing—can result in damage to your teeth or jaw. Bring—and use—the mouthguard you wear for sports like basketball or biking, and make sure you have a summer of smiles ahead of you.

• Refreshment

Summer has a beverage menu all its own. Iced coffee and iced tea, a cooler full of sodas, fresh lemonade, fruity cocktails—so many refreshing ways to beat the heat! And we would never suggest that you turn down every frosty summer temptation. But do be mindful that dark beverages like tea, coffee, and sodas can stain teeth, sugary and acidic ones are damaging to your enamel, and alcoholic drinks can be dehydrating. Water, on the other hand, is always a healthy choice. It’s helpful for keeping your mouth and teeth clean, it often contains the fluoride that helps fight cavities, it’s hydrating—and, it has no calories! Be sure to make water a significant part of your summer beverage menu, and your body will thank you for it.

• Rinse & Restore

Water’s importance to our bodies can’t be overstated! From major organs to individual cells, we need water. And one major benefit of proper hydration is healthy saliva production. Why is that important? Saliva plays a vital role in preventing cavities. It washes away the food particles that oral bacteria feed on, reducing their ability to produce the acids that lead to enamel erosion and cavities. Saliva even helps neutralize acids already in the mouth. Finally, saliva contains important calcium, phosphate and fluoride ions which actually help restore enamel strength after it has been exposed to oral acidity.

Summer goes by all too quickly. Protect your teeth during these warm, active months with a mouthguard. And whether you spend your free time outdoors, or visiting people and places, or keeping cool at home, be mindful of dental-friendly beverage options and always stay hydrated. You’ll be ready to greet fall with a beautiful smile and healthy teeth. “Water Features”? Perhaps a better title would be “Water Power”!

Many patients at Dallas Dental Arts are under the impression that harder brushing leads to cleaner teeth, but that is not true. Gentle brushing is just as effective, and less likely to cause damage. Other good brushing habits include brushing your teeth at least twice a day, replacing your toothbrush after a few months, and brushing for at least two minutes each time. It can be tough to keep track of the time when you are aiming for two minutes, but these tips can help.

Set a Timer

Setting a timer is a sure-fire way to hit your two-minute goal on the dot. Leave a kitchen timer in your bathroom so that it is easy to set each time you start brushing your teeth. Hit each surface of all of your top and bottom teeth, and keep brushing until the timer rings. Many electric toothbrushes have a built-in timer that you can use instead of a kitchen timer.

Entertain Yourself for Two Minutes

Time flies when you are having fun, and you can stay entertained as you brush your teeth for two minutes. These are some ideas.

• Time your favorite song and sing it in your head as you brush your teeth.
• Find a two-minute video on the Internet that you want to watch, and start it when you begin to brush your teeth.
• Do squats in the bathroom as you brush. Go down for three slow counts, and up for three slow counts. By the time you get to 20 squats, your two minutes will be over.

Let Your Children Use Technology

Toothsavers is an app designed to inspire children to brush. The app was developed and released by the Ad Council and the Partnership for Healthy Mouths, Healthy Lives. It includes:

• A game to fight an evil sorceress who causes cavities
• A two-player version that lets children interact with friends and parents
• Real-life reminders to brush twice a day
• A built-in timer that helps kids brush for two minutes

Quick trivia question: define “mamelon.” Some kind of warm blooded animal? No, not a member of the mammal clan, but good guess. A fruit of the gourd family? Nope! There are watermelons, and honeydew melons, and even canary melons, but no ma-melons. Those little rounded bumps you notice on the edge of your child’s permanent incisors when they first emerge? We have a winning answer!

• Why Do We Have Mamelons?

We have eight incisors, or biting teeth, in the front of our mouths—four on top and four on bottom. Mamelons are actually a clue as to how these incisors were formed. Even before a baby is born, the permanent teeth begin to take shape. Three different groups of cells develop to form the incisal edge of these front teeth. As they fuse together, they create three lobes of enamel on the erupting edge of the tooth. It’s these lobes, or bumps, that give the teeth a serrated appearance.

Whether your child’s mamelons are quite prominent or barely noticeable, if you are worried about them, relax! They are almost always a temporary part of your child’s smile, and disappear over time with chewing and normal wear. But what if the mamelons overstay their welcome?

• Cosmetic Concerns

Because mamelons are composed of enamel, without the underlying dentin layer found in the body of the tooth, they can appear translucent or a bit different in color. They might wear away unevenly, leaving the tooth edges looking misaligned. Or, they might not wear away at all if your child’s tooth eruption is delayed. Talk to Drs. Sheena Allen, Murat Ayik, and Mark Margolin if mamelons are a cosmetic concern for you or your child. You might discover that they are wearing away naturally, or we can discuss ways to polish or smooth them down if needed. This is a painless procedure that doesn’t require an anesthetic. Generally, however, this is a matter where time will resolve the issue for you.

• Orthodontic Implications

Occasionally, mamelons might become a topic of discussion for orthodontic reasons. Sometimes, mamelons do not wear away over time because of a malocclusion (misaligned bite). Your orthodontist will let you know your child has a bite problem and can explain treatment options. Your orthodontist might also suggest smoothing away the mamelons to ensure that the edges of the incisors align correctly and symmetrically while the teeth are in the process of straightening. Again, this is not always considered a necessity, so weigh your options with your dental care provider.

So, if you notice that your child’s beautiful new teeth are bumpy or serrated as they erupt, don’t be concerned! If you have any questions about mamelons, talk to Drs. Sheena Allen, Murat Ayik, and Mark Margolin at your next visit to our Dallas,TX office. This is a natural occurrence and most likely just a temporary “bump” in the road. Soon enough, mamelons will be a memory—and the answer to a pretty difficult trivia question.

One of the most important parts of staying healthy as we grow older is being open to learning new ways of staying healthy! While worrying about braces or wisdom teeth might be a thing of the past, there are new dental concerns that come with mature years. Taking care of our gums is one way to maintain not only our dental health, but to look out for our overall health as well.

• Periodontal disease is preventable for older adults

While gum disease is all-too-common among older adults, it isn’t really a result of the aging process itself. If you have been keeping a regular schedule of brushing and flossing (two minutes twice a day), and have been making routine visits to our office for exams and cleaning, you probably have avoided gum disease. But if you have been neglecting your dental care, gingivitis and periodontitis are conditions that only become more serious over time.

The first symptoms of gingivitis include puffy, swollen gums that may bleed easily. Persistent bad breath and changes in the bite or the fit of dentures are also indications of gum disease. As gum disease progresses it leads to periodontitis. The gum tissue pulls away from the teeth, leaving deep pockets of tissue where plaque can collect and infections can develop. Infection, left untreated, can lead to loose teeth and even bone and tooth loss.

The good news? It is never too late to treat gum disease. Most gingivitis is reversible, and modern periodontal treatment makes use of deep cleaning, antibiotics, and even gum surgery to restore gum health. Don’t let past neglect lead to future tooth loss. We are happy to see you any time to treat your gums and teeth and to let you know ways to protect them for a happy, healthy future.

What new concerns do we face as we age?

• Our gums recede.

This natural recession can lead to the exposure of the root areas of the teeth, which are more vulnerable to cavities. It’s very important to keep up with brushing, flossing, and regular check-ups to catch potential small problems before they become big ones.

• Old fillings and dental work can break down.

Call our Dallas,TX office any time you notice a problem with a filling, and keep up with exams, where we can pinpoint fillings that need replacement and detect cavities that can develop near the edges of old work.

• Medications can cause side effects that affect our gums.

Some medications cause the growth of puffy gum tissue. Some can cause dry mouth, which can lead to gum disease. Always let us know about any health conditions you have or medications you may be taking. We can suggest a number of options to reduce or eliminate effects on your mouth and gums.

• Gum health and our overall health—what’s the connection?

While no one has discovered an absolute relationship between gum disease and other health problems, there is growing evidence that higher rates of diabetes complications, heart disease, and stroke are linked to higher levels of gum disease. Make your medical and dental health a priority.

• Smoking risks increase with age.

Studies have shown smokers have not only a greater risk of gum disease, but more severe gum disease as well. Your risk of developing oral cancer also increases with every year you smoke. It is never too late to quit! Talk to us about suggestions for breaking the habit once and for all, and be sure to keep up with regular checkups for early detection and treatment of any oral diseases caused by smoking.

Please let us know any changes that have taken place in your dental habits, medical condition, or medications. Talk to us about any periodontal concerns you may have, or the latest dental procedures we offer for gum care and treatment. We can let you know about products that can make brushing and flossing easier as you age.

It’s never too late or too early to think about taking care of yourself. We are happy to offer suggestions for maintaining or restoring your dental health that will serve you well in any chapter of your life.

Children’s oral health differs from that of adults in a variety of ways. Drs. Sheena Allen, Murat Ayik, and Mark Margolin and our team want you to understand how you can provide the best care for your son or daughter’s teeth. It’s essential to understand what your child will need from you when it comes to his or her oral health in those first few years.

In-home dental care begins when your baby starts to show signs of developing the first tooth. We recommend that you bring your child to our Dallas,TX office between the ages of one and two. Drs. Sheena Allen, Murat Ayik, and Mark Margolin will take a look at your child’s tooth development and gums during this first scheduled appointment.

The initial appointment with your little one is designed to get him or her accustomed to our office. We recommend allowing your child to be in the exam room alone with us during the first visit in order to become comfortable with our staff at an early age.

We will go over several general matters during your child’s first visit:

• Look for signs of decay or other tooth or gum problems
• Make sure your youngster doesn’t have gum disease or cavities
• Examine your child’s bite, and check for misalignment that could lead to problems in the future
• Clean the teeth, and apply fluoride if your son or daughter is old enough
• Talk to you about proper oral health care for your
• Give you some tips for brushing and flossing your child’s teeth
• Answer any questions you may have about caring for your little one’s teeth

Once your child is old enough for his or her first visit to the dentist, you should begin to schedule regular cleanings every six months. If any problems arise before a scheduled appointment, call our Dallas,TX location and we will be happy to answer any questions you may have.

Remember, creating healthy oral health habits with your child early on is crucial. We’re here to guide you through this process and make sure your child is healthy and happy.  

What’s life like for the average 60-year-old today? It’s complicated! We travel. Or we work out. Or we relax with friends. We pursue favorite hobbies or we develop new ones. We work, or start businesses, or volunteer for schools, museums, and charities. We practice the art of writing letters or we text our grandchildren. Whatever else we do, we do our best to stay healthy so we can live our lives to the fullest.

Part of living our lives to the fullest means caring for ourselves. And caring for ourselves means learning how to look out for the potential dental problems that might come with age, and how to keep ourselves in the best of dental health.

• Gum Disease

Gum disease, or periodontitis, is not uncommon in older patients. Certain medical conditions, such as diabetes, can leave you more vulnerable to gum disease. Because gum disease is often symptom free, it can remain unnoticed until the disease has progressed. Good oral hygiene and regular visits to the dentist are the best means of prevention—we are trained to discover gum disease in its earliest stages, and can treat it before the disease causes serious damage to gums, teeth and bone. But if you have delayed seeing a dentist, the good news is that there are many methods of treating gum disease available, including antibiotics, professional plaque removal, and periodontal surgery.

• Tooth Decay

As we age, our gums can recede from the teeth. The new root area that is exposed is more vulnerable to decay because it is not shielded by the hard enamel which protects the upper part, or crown, of the tooth. Maintaining your brushing and flossing routine is the best way to keep cavities from developing. If gum recession is severe, there are surgical methods we can discuss to restore gum health.

• Time

Cosmetically, teeth can yellow with age as the dentin beneath the enamel darkens and the enamel covering it thins. Years of coffee, wine, smoking and other stain-makers take their toll. If you are self-conscious about the appearance of your smile, talk to us about suggestions for whitening and brightening.

Medically, over time our teeth are subject to damage. Enamel and tooth surfaces can wear away, leaving our teeth more at risk for breaks or fractures that can lead to infection, which can result in the need for root canal work. Simple chewing puts an amazing amount of pressure on the teeth—and if you grind your teeth, there is even more stress placed on them. See us regularly for ways to maintain strong teeth, to repair damage if necessary, and to keep your gums and bones healthy if you are a denture wearer.

• Dry Mouth

Dry mouth can be a problem for older patients, often caused by medical conditions or medications. When we produce saliva, it helps remove sugar and the acids sugars produce which attack our enamel. Without normal saliva production, we are more vulnerable to cavities. Dry mouth can also lead to mouth ulcers, oral thrush, sores and infections. If you have been suffering from this condition, talk to us. Drs. Sheena Allen, Murat Ayik, and Mark Margolin and our team have suggestions that will help.

• Oral Cancer

Oral cancer is something we look for during every check-up. And, if you ever notice any change that causes you concern, call us immediately. Early treatment of oral cancer and other oral diseases leads to the best possible outcome.

• Keep Up With Your Dental Care

The best way to keep our teeth and mouths healthy as we age is with prevention. Regular daily brushing and flossing and office visits twice a year for an examination and a professional cleaning are habits that should last a lifetime. Make sure to tell us about any medical conditions you may have and any medications you are taking, to avoid interactions and relieve unpleasant side effects.

What’s life like for the average older person today? There is no average older person! As we age, we are free to explore our interests in any number of creative and individual ways. But there is one goal we have in common: we all want to keep our smiles healthy and attractive. Call our Dallas,TX office for preventative and restorative care. We want to help you work toward an ageless smile!

The best way to protect yourself from gum disease is to be proactive: practice good oral hygiene at home and schedule regular checkups and cleanings in our Dallas,TX office.

How do you know if your dental routine is doing the job? There are specific symptoms you might notice when you brush and floss, and less obvious signs of gum disease we look for during your dental exams.

The early stage of gum disease is known as gingivitis. It’s generally caused by poor dental hygiene, although certain diseases, age, hormones, and a number of other factors can also put you at risk. It’s time to talk to Drs. Sheena Allen, Murat Ayik, and Mark Margolin about your gum health if you notice any of these symptoms:

• Bright red or purple gums
• Swollen gums
• Pain or tenderness
• Bleeding when brushing or flossing
• Persistent bad breath
• Receding gums

And sometimes, there are no obvious symptoms at all. That’s why regular checkups are so important. If you have gingivitis, careful attention to your oral hygiene, professional cleaning, prescription mouthwash, or other treatments as needed can reverse the effects of gingivitis and restore your gums to their normal, healthy state.

Why be so proactive? Because, left untreated, gingivitis leads to more serious gum disease, called periodontitis. The bacteria in plaque and tartar cause inflammation, and inflammation leads the gum tissue to pull away from the teeth, forming pockets which become deeper over time. Here, where brushing can’t reach, bacteria continue to multiply, leading to further inflammation, infection, and the eventual breakdown of gum and bone tissues.

The results of untreated periodontitis can be very serious, including:

• Significant gum recession, leaving roots more vulnerable to decay
• Periodontal abscesses
• Loose teeth, or teeth that shift from their proper positions
• Bone loss in the area surrounding the teeth
• Tooth loss

If we see signs of advanced periodontitis, we may refer you to a periodontist.

Periodontists specialize in the diagnosis, prevention, and treatment of gum disease. After dental school, a periodontal degree requires three years of additional advanced education. Periodontists have the training and skill to perform surgical and non-surgical procedures to treat gum disease, as well as to perform cosmetic procedures and place dental implants.

Periodontists are trained to diagnose and treat periodontitis with a number of procedures which they will recommend based on your specific needs. Among the treatments they provide to restore your gum health:

• Topical, time-release, or oral medication
• Scaling and root planing, non-surgical deep cleaning procedures which remove plaque and tartar above and below the gumline, and smooth tooth roots to remove bacteria and help the gum tissue reattach to the teeth
• Flap surgery to treat persistent gum infection, reduce pocket depth, and re-secure the gums snugly around the teeth
• Bone grafts, gum grafts, and other regenerative procedures which help restore and repair tissue damaged by gum disease

If we recommend a periodontal consultation, be proactive. The best way to protect yourself from the significant consequences of untreated gum disease is to see a specialist in this field. Your periodontist has the knowledge and experience to stop gum disease from progressing, treat damaged bone and gum tissue, and restore your healthy smile.

Let’s talk about mouthguards and night guards—two crucial appliances that protect your teeth and jaw.

We could talk about how important a mouthguard is when you lead an active life. Mouthguards protect teeth, delicate mouth tissue, and jaws from accidents and impacts.  

Or if you grind your teeth at night, waking up every morning with tooth or jaw pain, we can talk about how a night guard can be a quality-of-life-saver.

But we’re not going to talk about any of these important topics today. Instead of looking at how your mouthguard protects you, today we’re going to look at how you can protect your mouthguard.

If you want your guard to last longer, work better, and stay (and smell) cleaner, some basic tips make all the difference.

• Keep your guard clean.

This can’t be stressed enough. Without a good cleaning routine, your guard can become discolored, develop an unpleasant odor, and even cause illness. Not very appealing, right? Happily, keeping mouthguards and night guards clean isn’t difficult.

When you wear your guard, whether during daytime activities or through the night, the same plaque that is present in your mouth makes itself at home in your appliance. And when your guard is in its case, that dark, moist environment makes it a perfect breeding ground for all kinds of bacteria, viruses, and fungi.

As soon as you take your guard out, rinse it off. Brush with a soft toothbrush to remove all the plaque, saliva, or food debris that might be lingering in your appliance. (If you are on the playing field, in the park, or at some other inconvenient location, rinse it and brush as soon as you can.) Toothpaste can help get your guard its cleanest, but can be too abrasive for some appliances.

Once you’ve cleaned it, let your guard air dry in a clean spot for about 30 minutes. Air drying helps prevent bacterial growth. After your guard has dried, return it to its case.

Once a week, you might need to give your guard a good soak in a mouthwash or other dental cleaning solution.

Since cleaning instructions can be different depending on which type of guard you have, be sure to follow our instructions if you have a custom guard, or follow the manufacturer’s cleaning instructions if you have a store guard.

• Keep it safe.

When your guard isn’t in your mouth, it should be in its case. Lying loose on the bathroom counter or tumbling around in your gym bag puts your guard at risk for breakage and bacteria.

And don’t forget to clean your case thoroughly every few days and air dry it as well. Bacteria, viruses, fungi, mold, and other unwelcome guests can collect in your case, too.

• Keep it only as long as it’s in good condition.

You can purchase mouthguards from sporting or drug stores, or Drs. Sheena Allen, Murat Ayik, and Mark Margolin can make you a mouthguard or night guard designed to fit your teeth perfectly. These appliances are made to be strong and durable, but they’re not indestructible. Over time they can wear down or become damaged, especially if you treat them carelessly.

Bacteria can lurk in dents and cracks, and you can cut your mouth on rough, sharp, or broken edges. But if your guard isn’t fitting properly, don’t resort to self-help! Trying to repair, reshape, or trim your appliance yourself is not a good idea, because it might affect its fit and protective ability.

Any sign that your guard isn’t fitting properly or shows signs of wear and tear could mean it’s time for a replacement. You can replace a store model, or ask our Dallas,TX team about repairing or replacing your custom guard. A mouthguard or night guard that doesn’t fit, doesn’t protect you.

Take care of your guard, and it will take care of you. The reward for the small amount of time and effort you put into caring for your mouthguard or night guard is a smile that will last you for a lifetime. That’s a benefit we can talk about all day!

Poor April. While other months celebrate romance, or giving thanks, or costumes and candy, April has—April Fool’s Day and a tax deadline. We might be forgiven for thinking these two dates seem more like warnings than celebrations.

So here’s a new topic for the April calendar: National Facial Protection Month! Take the opportunity this month to review your safety practices while you’re enjoying your favorite activities.

• Mouthguards

If you have a mouthguard for sports or athletic activities, wear it! In any activity or sport where humans come into contact with solid objects (including other humans) tooth injury is possible. A mouthguard will help protect you from dental injuries caused by falls, physical contact, or other accidents that might happen in your active life. And it’s not just your teeth—mouthguards protect your lips, tongue, and jaw as well.

You can buy mouthguards in stock sizes or shape-to-fit options, or you can have a guard custom made especially for you at our Dallas,TX office. Custom mouthguards fit perfectly and are designed to make breathing and speaking easy and comfortable. And if you wear braces or have fixed dental work such as a bridge, a custom mouthguard can protect your smile and your appliances. Talk to Drs. Sheena Allen, Murat Ayik, and Mark Margolin about mouthguards for some great advice on how to protect your teeth and mouth.

As long as we’re discussing facial protection, let’s look at some other ways to keep safe as you keep active.

• Helmets

If there’s a helmet available for your sport, use it! Helmets are especially important for protecting athletes from brain injury and concussion, and they help protect the face and jaw as well.

• Face Guards

If you’ve experienced a puck speeding toward you, or a defensive tackle hurtling your way, or a fast ball coming in at 90 miles an hour, you know the importance of wearing a face guard. These guards can help protect your eyes, face, teeth, and jaws. Many sports now recommend using face guards—it’s worth checking to see if your sport is one of them.

• Eye Protection

And let’s not forget eye protection. Whether it’s safety glasses or a visor, protecting your eyes and the bones around them is extremely important. You can even get sports goggles or protective sports glasses with prescription lenses to keep you safe and seeing clearly.

We have the training and experience to help treat and restore injured teeth. But we will be the first to tell you, the very best treatment is prevention!

So here are a few suggestions for your calendar this month:

• If you haven’t gotten a mouthguard yet, now’s the time. Tooth and mouth injuries occur in sports beyond hockey and football. If you play basketball, ski, skateboard, ride a bike—in fact, almost any sport where you can fall or make contact with a person or object—a mouthguard is a must.
• If you need to replace an ill-fitting or damaged helmet and face guard, do it before your next game. And do replace a bike helmet if you’ve been in a crash—most likely it won’t be as protective, even if damage isn’t visible.
• Talk to your eye doctor about protective eyewear if off-the-rack products don’t work for you.
• If you are a parent or caregiver, make sure your child athlete has the proper facial protection—and uses it.
• If you are a coach, make sure your athletes have the right protective gear—and wear it.
• It’s also a great time to commit to using your protective gear every single time you’re active.

But, wait—these reminders are helpful and important, but weren’t we promised something to celebrate this April? Good catch! The great news is, using facial protection for sports and athletic activities gives you rewards you can celebrate all year: fewer injuries, fewer visits to the emergency room, and a beautiful, healthy, intact smile. Suit up!

Even before a baby is born, those tiny baby teeth are already forming. Expectant mothers can help ensure that their children’s baby teeth will be strong and healthy by getting the recommended amounts of proteins, vitamins, and minerals in their prenatal diets.

But a mother can’t “eat for two” to make sure her child’s adult teeth are healthy—children’s permanent teeth begin real growth and development only after birth. What can we do to encourage strong permanent teeth as our children grow and develop? Here are four important building blocks parents can use to lay a healthy foundation for their children’s grown-up smiles.

Serve a Tooth-Healthy Diet

The same vitamins and minerals that help create baby teeth are essential for creating healthy adult teeth. Tooth enamel, the hardest substance in the body, is almost completely made up of calcium phosphate minerals.  A diet which provides the recommended amounts of calcium and phosphorus helps your child’s body grow strong enamel. And don’t forget vitamin D, which our bodies need to absorb calcium and phosphorus.

A tooth-healthy diet should include several servings of foods which provide calcium, such as dairy products (milk, yogurt, cheese), dark leafy vegetables, and fortified juices, cereals and tofu. Phosphorus can be found in proteins like meat, fish, and poultry, as well as beans, nuts, dairy, and whole grains. Egg yolks and fatty fish are natural sources of vitamin D, and it’s easily available in fortified foods such as cow’s milk, soy milk, cereals, and orange juice.

Use the Right Amount of Fluoride

Fluoride is called “Nature’s cavity fighter” for a reason. Fluoride reduces the risk of cavities and helps strengthen tooth enamel. Drs. Sheena Allen, Murat Ayik, and Mark Margolin can offer invaluable advice on when to start and how to use fluoride toothpaste to protect your child’s baby teeth and developing adult teeth.

Can there be too much of this good thing? While fluoride is a safe and effective way to protect teeth in normal, recommended amounts, too much fluoride can lead to fluorosis. This condition can cause cosmetic changes in the enamel of permanent teeth, from almost invisible lighter spots to darker spots and streaking.

How to make sure your child gets the right amount of fluoride?

For children under the age of three, use a dab of toothpaste no larger than a grain of rice. Ask Drs. Sheena Allen, Murat Ayik, and Mark Margolin if fluoride toothpaste is recommended.

Young children can’t always understand the idea of spitting and rinsing after brushing, so children between the ages of three and six should use only a pea-sized dab of fluoride toothpaste, and need you there to make sure they spit and rinse afterward.

Ask us about local water fluoride levels if you have any concerns about using tap water for drinking or for mixing formula, keep fluoride toothpastes and other products out of the reach of children, monitor your children while they brush, and always check with us before giving your child a fluoride rinse or supplement.

Help Your Child Retire Harmful Thumb Sucking and Pacifier Habits

Your child might self-comfort with the help of a pacifier or thumb sucking, which can be a valuable soothing habit. But it’s important to talk to Drs. Sheena Allen, Murat Ayik, and Mark Margolin to see just how long this soothing habit should last. Around the age of four, aggressive thumb or pacifier sucking can lead to problems for permanent teeth.

Vigorous sucking can cause protruding upper front teeth. Aggressive sucking can lead to changes in the shape of your child’s palate and jaw. Open bite malocclusions, where the upper and lower teeth are unable to meet, and overbites, where the upper teeth overlap the lower teeth more than they should, can also be the result of lengthy and forceful thumb sucking.

Take Care of Baby Teeth

Baby teeth are important! They bite and chew food, and they work with the tongue to help your child learn to pronounce words properly. And there’s one more important reason to make sure primary teeth stay healthy: they serve as the place holders which guide permanent teeth into their proper spots.

When a baby tooth is lost too early, due to decay or injury, the teeth on either side can drift into the empty space, preventing a permanent tooth from erupting where it needs to. Any misalignment or crowding which results may require orthodontic treatment in the future.

Call our Dallas,TX office if your child unexpectedly loses a baby tooth. There may be no cause for concern, or, if there’s a potential problem, an appliance called a “space maintainer,” which keeps the baby teeth from shifting out of place, can be fabricated especially for your child.

Your child’s adult teeth are being formed now. Work with us to make sure the building blocks of present and future dental health are in place. You’re giving your child the foundation for a lifetime of beautiful, grown-up smiles!

Happily for all of us who like to celebrate with friends and family, there’s no need to be Irish to enjoy St. Patrick’s Day. Every March 17^th, many of us take the opportunity to display a bit of Gaelic spirit.

• Green Clothing (it’s tradition!)
• Green Hat (for a jaunty look)
• Green Shamrock (always the perfect accessory)
• Green Hair (for the adventurous among us)
• Green Grins?

Here’s where we draw the line. Emerald Isle? Delightful! Emerald smile? Not so beguiling.

That traditional St. Patrick’s party fare—green-frosted sweet treats and green-colored pastries and green-foamed beers—is full of green-tinted food dyes, which can leave us with teeth in subtle shamrock shades. Luckily, most of us will have only a very temporary tinge to remind us of our dietary shenanigans, and there are simple ways to rid yourself of the green sheen:

• Indulge sparingly in colorful cuisine, and drink water afterwards to rinse away green-dyed foods and beverages.
• Use a straw for green drinks.
• Brush your teeth. (Not only will you brush away the green, but you’ll brush away the sugars from sweet green desserts and the acids from sour green brews.)
• Try a whitening toothpaste.

One special note: if you’ve just whitened your smile, best to eliminate strong food dyes from your diet for a few days. Teeth are more sensitive to staining after whitening, because the whitening process temporarily makes them more porous. Give yourself a few days, and your enamel will be back to (stain)fighting strength.

So, celebrate on the 17^th and feel secure that on the 18^th, your smile won’t be “wearing the green” any longer. But if you find that you’re not happy with the appearance of your smile anytime during the year, if you have more permanent staining caused by natural darkening over time, or workdays fueled by black coffee, or a diet filled with tomato sauce, dark berries, red wine, and other tasty (but discoloring) food, you’re still in luck.

Ask Drs. Sheena Allen, Murat Ayik, and Mark Margolin about professional whitening procedures at our Dallas,TX office for a brighter, more confident smile. And with a bright, confident smile, every day’s a reason to celebrate!

The effects of bad oral habits are something our team sees all too often. You might have bad oral habits that stem from childhood, possibly because your parents did not know about proper oral care or force you to follow it. Or, your bad habits could develop gradually, like slacking on your frequency of brushing.

Bad oral habits can lead to tooth decay, gum disease, and consequences such as losing teeth and experiencing bad pain. They may be deeply ingrained and easy to continue, but you can break them with a little effort. Focus on developing good habits to replace your current ones, and eating a diet that is healthy for your teeth.

Replace Bad Habits with Good

Breaking your bad oral habits may not be as difficult as you expect when you focus instead on developing good habits. These new good habits can naturally replace your bad habits.

• Brush your teeth after each meal or at least twice a day.
• Visit a dentist every six months for an exam and a professional cleaning.
• Floss your teeth every day.

These good habits may not seem natural, so you can take steps to make sure you follow these behaviors. For example, make a daily checklist with your scheduled sessions of brushing and flossing your teeth and using mouthwash. You can also set a timer to be sure you brush your teeth for the full recommended two minutes.

Eat Properly

Poor eating habits can be detrimental to your teeth. A common mistake is to let food, especially carbohydrates such as starch and sugar, stay on your teeth for a long time. You can stop doing this by rinsing your mouth with water after each meal or snack. Also, avoid candy and soft drinks between meals, since the sugar sits on your teeth.

A healthy diet provides the nutrients you need to maintain strong teeth. The mineral calcium is key for healthy teeth, so try to get your three daily servings of high-calcium foods, such as low-fat milk or yogurt, canned fish, or fortified soy or almond milk. Also include vegetables and fruits, which have a high water content.

If you need more tips about breaking your bad oral health habits, contact our Dallas,TX office and speak with Drs. Sheena Allen, Murat Ayik, and Mark Margolin or a member of our team.

We know that the foods we eat and drink can have a definite impact on our smiles. Staining is an unhappy side effect of many of our menu favorites. That’s why we sip red wine through a straw, rinse with water after a slice of blueberry pie, and cut back on the coffee and tea after a single cup (or two—we’re not perfect!). And sugar is the fuel for cavity-causing bacteria, so we try to substitute water for soda, or replace the hot fudge sundae with grilled fruit. And we always brush carefully after indulging.

So far, so good. But while we’re saving our brilliant smiles from stains and decay, let’s not forget one other source of diet-related damage—acids. Acidic foods and beverages can actually erode the surface of our enamel, leaving our teeth more vulnerable to sensitivity and discoloration.

What Is Dental Erosion?

Enamel is the strongest substance in our bodies—stronger than bone—but it is not indestructible. And acids are one of the major causes of enamel damage. (In fact, it’s the acids produced by bacteria that lead to cavities.) Luckily, our bodies are designed to protect our enamel. Saliva helps clean the teeth by washing away food particles and it neutralizes acidity as well. But a diet that’s too heavy in acidic foods can undo all this good work and upset the healthy pH balance in our mouths.

Why is this a problem? Because acidic environments actually cause the minerals in our enamel to break down, a process known as “demineralization.” This weakening of the enamel leaves teeth more sensitive to heat and cold. It can even lead to discolored teeth, as thinner enamel allows the brownish-yellow dentin underneath the enamel surface to become visible.

Are You Aware of Acids?

We can immediately guess at some of the most acidic foods. Citrus fruits and juices, tomatoes in their many culinary forms, anything pickled in vinegar, coffee, tea, wine—these foods are certainly acidic, but also a regular part of many a healthy diet. You don’t need to avoid these foods altogether, but it’s best to enjoy them as part of a meal or enjoy them sparingly. And balance out some of these high-acidity foods at mealtime with low-acidity choices like bananas, bread, and dairy products.

Other sources of damaging acids might surprise you. Studies have linked sodas, energy drinks, and sports drinks to higher levels of tooth erosion. The combination of citric acid, phosphoric acid and/or carbonation raises acidity levels in the mouth. And because we tend to sip them all day long, it’s like a continuing acid bath for our enamel. Water is always a healthy alternative for hydration, but if you do indulge in a soda or sports drink, rinse with water after drinking. And don’t swish—just swallow.

Won’t Brushing Help?

Yes, but watch your timing. Because the acids in foods weaken enamel, brushing right after a big glass of orange juice or a soda can actually be even more abrasive for tooth surfaces. We recommend waiting anywhere from 20-60 minutes to brush. This gives your saliva the chance to not only wash away acids, but to “remineralize” your teeth, bathing them in the phosphate and calcium ions that strengthen enamel.

If you notice any of the symptoms of dental erosion, including pain, sensitivity when you eat or drink something hot, cold or sweet, or yellow discoloration, talk to Drs. Sheena Allen, Murat Ayik, and Mark Margolin during your visit to our Dallas,TX office about what you can do to help protect and strengthen your teeth. Unfortunately, our bodies can’t produce new enamel. By avoiding foods that stain, by reducing sugars that lead to decay, and by limiting the acidic foods that erode our enamel, we give ourselves the best opportunity for a lifetime of beautiful, healthy smiles.

With Drs. Sheena Allen, Murat Ayik, and Mark Margolin, emergency dental care is only a phone call away. Dental problems are uncomfortable and should always be treated as soon as possible to prevent them from getting worse.

Whether it’s an abscess or a toothache that you believe might be something more, it’s vital to pay attention to your body and give it the attention it needs. Below, you’ll find some more information about abscesses and toothaches that may clarify any doubts about the differences, whether you may be suffering from one of them … and what to do if you are.

Abscesses

What’s an abscess? It’s a bacterial infection: an accumulation of pus that can form inside a tooth or the gums and cause pain and swelling. It generally develops as a result of poor oral hygiene.

Bacteria lives in plaque so if plaque isn’t removed on a regular basis, it can build up and encourage bacteria to spread, which could ultimately result in an abscess. Antibiotics aren’t always needed for treatment, you should get this situation checked out as soon as possible. If left untreated, oral infections can lead to bigger complications.

Toothaches

Toothaches can happen for a number of reasons. The simplest, most common one is a piece of food that is stuck in your gum, which can cause a bit of swelling and discomfort.

To get rid of it, you can rinse your mouth with hot water and salt, every morning and evening. This helps kill bacteria and bring down the swelling. You can also gently floss the area to remove whatever is stuck there. If you experience bleeding while you’re flossing, and hot water with salt proves ineffective, it may be time to schedule an appointment.

If you’re especially sensitive to cold and heat, you may often experience toothaches. If this is the case, we can recommend a pain reliever to reduce the discomfort, but it’s worthwhile to come in for a check-up anyway to make sure the problem doesn’t get worse.

The last (and most obvious) reason for a toothache is a cavity. Depending on how bad it is, we might fill it or place a crown. The tricky thing with cavities is that sometimes you may not know you have one at all, especially when they’re just starting out. The best way to prevent them from getting worse and creating toothaches is by keeping up with your regular dental cleanings.

At Dallas Dental Arts, we’re here to assist you through any and all your dental emergencies! We encourage you to make an appointment at our Dallas,TX office if you notice any signs of discomfort, so we can provide the most efficient care for you.

If you want to fix staining, large gaps, fillings, chipped teeth, or the overall shape of your teeth, this may be the perfect option for you. Many of our patients opted for veneers and have never been more confident in their smile!

Dental veneers are made from long-lasting porcelain materials which cover the front and biting ends of each tooth. At your appointment, you can choose the shade of veneers to brighten up your smile. They are usually placed on the anterior, or front teeth, where the chewing forces are not as hard as in the back. Placing the veneers is easy, and the best part is: It requires only two appointments!

During the first appointment, we’ll take an impressions of your teeth. Then we send them to the lab to make your veneers. Veneers are fairly conservative in preparation because they require a small amount of space to be created on the front, bottom, and sides of each tooth for a natural appearance. You will leave the office with temporary veneers in place for a week or two while the permanent veneers are being made.

Your veneers will be placed during the second appointment, and you won’t believe the difference in your smile! If you’re interested in learning more, give Drs. Sheena Allen, Murat Ayik, and Mark Margolin a call at our Dallas,TX office today!

Some foods are just terrible for your teeth — think cookies and candy bars — but there are certain foods that are beneficial to your oral health. Below, Drs. Sheena Allen, Murat Ayik, and Mark Margolin and our team have covered five of the top foods to keep your teeth and gums healthy!

1. Crispy, low-acid fruits and vegetables: Fruits like apples and vegetables such as carrots and celery act like “natural toothbrushes,” helping to clear plaque from your teeth and freshen your breath.

2. Kiwis: These little green superstars are packed with vitamin C which is essential for gum health. The collagen in your gums is strengthened when you consume foods that are high in vitamin C, like kiwis, thus helping to prevent periodontal problems.

3. Raw onions: Onions have long been studied for their antimicrobial, antibacterial, and antioxidant properties. Proliferation of bacteria is what leads to tooth decay and cavities. By including raw onions in your diet, you'll be doing your part to wipe out those little microbes before they can multiply!

4. Shiitake Mushrooms: A specific compound in shiitake mushrooms, lentinan, has been shown to have antibacterial properties that target the microbes that cause cavities while leaving other beneficial bacteria alone. It may also help prevent gingivitis, or inflammation of the gums.

5. Green Tea: Often lauded for its high antioxidant content and many health benefits, it turns out green tea also benefits your oral health! A Japanese study found men who drank green tea on a regular basis had a lower occurrence of periodontal disease compared to men who drank green tea infrequently. It's believed this is due to the catechins in green tea, a type of flavonoid that may help protect you from free radical damage, but more research needs to be done. Either way, drink up for your overall health, as well as your teeth!

If you have any questions about your oral health, or are looking for even more oral health tips, contact our Dallas,TX office!

You find yourself drowsy and irritable all day. Or you have trouble sleeping, and when you do, you snore loudly throughout the night punctuated with silent pauses where you aren’t breathing at all. Or your loved ones tell you that you’ve been keeping them awake with your snoring or frightening them awake when you gasp for breath. Whatever symptom may have brought you to the doctor, you’ve been diagnosed with obstructive sleep apnea, and now it’s time to get this sleep disorder under control.

Obstructive sleep apnea occurs when the tissue in the back of the throat relaxes, partially blocking the airway, or structural problems in the mouth and throat (such as enlarged tonsils or tongue) obstruct air flow. The tissue around the air passage vibrates with every breath causing those annoying snoring sounds. More dangerous, an obstructed airway means that there is not enough oxygen getting into the lungs. The struggle to breathe wakes us, interrupting the deep sleep we need to function. Untreated, the results of sleep apnea can range from drowsiness and irritability to a greater risk of high blood pressure, heart disease, and stroke. Luckily, there are several approaches to combatting this form of sleep apnea, including life style changes, surgery or breathing machines, and orthodontic appliances.

• Lifestyle Changes

Sleep apnea is more likely to affect those who are overweight, smoke, use alcohol, take certain medications, or sleep on their backs. If you can make changes in your lifestyle that will restore the quality of your sleep, this is a great first option.

• Surgery or Breathing Machines

Sometimes obstruction of the airway is caused by structural problems in the throat or mouth. Tissue can be reshaped or removed during surgery to widen and stabilize the breathing passage. Or you might be prescribed a machine such as a CPAP (continuous positive airway pressure) machine, which blows pressurized air through a tube and mask to keep the airway open during sleep.

• Oral Appliances

Drs. Sheena Allen, Murat Ayik, and Mark Margolin can also be an important resource if you struggle with obstructive sleep apnea. Many people suffering from this disorder prefer an oral appliance for its effectiveness, comfort, and convenience. One common oral sleep appliance is designed to support your lower jaw in a forward position. This jaw movement increases the open space of your airway as you sleep. Other appliances can prevent the tongue from blocking the airway and obstructing air flow. These appliances resemble mouthguards and retainers, and, like them, are custom made just for you. We will recommend the type of appliance best suited to your needs, and will take a model of your mouth and teeth so that a lab can craft an appliance that will be a perfect fit. We will adjust it for comfort if necessary, instruct you on its use and care, and schedule follow up treatment to make sure the appliance is treating your sleep apnea as efficiently as possible.

Whether you opt for a change of lifestyle habits, a CPAP machine, surgery, or an oral appliance, it is important that you treat this sleeping disorder. Left untreated, obstructive sleep apnea can have many serious consequences. If you suspect you might have sleep apnea, talk to us during your next visit at our Dallas,TX office. You deserve a good—and healthy—night’s sleep.

Have you ever wondered why some people have dull and yellow teeth, while others have bright, white smiles? It’s not luck.

Everyone’s teeth naturally dull over time because of aging and the contact our teeth experience with staining foods, such as chocolate and coffee. However, teeth-whitening treatments can give you the whiter smile you’ve been after.

Get Regular Treatments

Unfortunately, the effects of teeth-whitening or bleaching treatments are only temporary, but regular treatments at Dallas Dental Arts can help keep your teeth white for much longer.

The effects of in-office bleaching can last for several months to a year, so you may prefer to repeat your use of at-home bleaching kits every few months to maintain your white teeth. Whitening toothpastes do not contain bleach and are safe to use every day.

Have Realistic Expectations

Not everyone’s teeth can be turned bright white. Some just don’t respond to whitening treatments. If your teeth are a light yellowish color, they may readily respond to teeth-whitening procedures, but bleach will not likely work on grayish teeth. Brownish teeth tend to fall somewhere in between.

Practice Good Oral Hygiene

For the best whitening results, it’s necessary to keep your teeth in good health. Visible fillings, implants, or bridges that are metallic stand out against the white color you’ll want to achieve.

Maintaining good oral hygiene will help you avoid tooth decay and keep your smile bright. In addition to brushing your teeth twice a day, these actions can help promote a healthy mouth:

• Floss every day
• Visit our Dallas,TX office every six months for professional cleanings
• Rinse your mouth with water after each meal and snack
• Limit sugary and starchy foods and beverages that can stain teeth, especially between meals

You might have a small chip in a tooth from an unfortunate encounter with peanut brittle, or even several chips from a touch football game that got a little out of hand. Perhaps you have a gap in your teeth that you’ve always wanted to address. Or it could be that you are not happy with the shape or color of your teeth, and are looking for a straighter, brighter smile. In all these cases, veneers may the perfect solution for you.

Veneers are one of the most dramatic ways to improve your smile:

• Realistic Appearance: A dental veneer is a thin shell of porcelain that is bonded to your tooth. Because they are semi-translucent, much like actual enamel, veneers look like natural teeth.
• Rapid Transformation: Normally, the application of veneers requires only a few visits. Your tooth will be shaped to accommodate the veneer for a smooth, flat appearance. A mold will be made to ensure an exact fit. On a subsequent visit, the new veneer will be bonded to the tooth permanently.
• Whiteness that Lasts: Veneers are stain-resistant, so if you are looking for a long-lasting bright smile, they are a good option. (If you are getting only a few veneers, it is a good idea to have your natural teeth whitened to the shade you desire before the veneer color is selected. Veneer color is permanent.)

There are also some aspects to consider before going ahead with the procedure:

• Be Sure About Your Decision: Veneers are a permanent choice. Some enamel might need to be removed for the veneer to fit and the surface of your tooth will be treated to allow the veneer to bond to it properly.
• Check Your Overall Dental Health: You should have a check-up before starting the process to make sure your teeth and gums are healthy enough for veneers. If you have severe orthodontic issues, grind your teeth, or have a habit of clenching your jaw, your veneers will be put under pressure they were not designed to take. We can let you know if you are a good candidate for this procedure.
• Expense: Veneers are more expensive than some other options, such as whitening and bonding, but can offer more benefits. Veneers will cover staining that whitening cannot eliminate. Their translucent quality makes them look more realistic than bonding, and they are also far more stain resistant. The cost of a crown might be comparable, and a crown is recommended if there is significant damage to the underlying tooth. If you are looking for cosmetic improvement only, veneers leave more of the tooth intact.
• Longevity: Veneers do not last forever, and will need to be replaced eventually. However, they can have a life expectancy of ten to 15 years, and we can give you tips to keep your veneers looking and lasting their best.

If you decide veneers are right for you, give our Dallas,TX office a call. We will be happy to discuss the procedure with you and help you discover the best possible path to your best possible smile.

Many people think dental fluorosis is a disease, but it’s not; it’s a condition that affects the appearance of your tooth’s enamel, not the function or health of the teeth. These changes may vary from tiny, white, barely noticeable spots to very noticeable staining, discoloration, and brown markings. The spots and stains left by fluorosis are permanent and may darken over time.

Dental fluorosis occurs in children who are excessively exposed to fluoride between 20 and 30 months of age. Only children ages eight years and younger can develop dental fluorosis. Why? That is the period when permanent teeth are still developing under the gums. For kids, fluorosis can cause significant embarrassment and anxiety about the appearance of their teeth. No matter how much they might brush and floss, the fluorosis stains do not go away.

Many well-known sources of fluoride may contribute to overexposure, including:

• Fluoridated mouth rinse, which young children may swallow
• Bottled water which is not tested for fluoride content
• Inappropriate use of fluoride supplements
• Exposure to water that is naturally or unnaturally fluoridated to levels well above the recommended levels

One way to reduce the risk for enamel fluorosis is to teach your children not to swallow topical fluoride products, such as toothpaste that contains fluoride. In fact, kids should use no more than a pea-sized amount of fluoride toothpaste when brushing, and children under the age of two shouldn’t use fluoride toothpaste at all.

Dental fluorosis can be treated with tooth bleaching, microabrasion, and conservative composite restorations or porcelain veneers. Please give us a call at our office to learn more or to schedule an appointment with Drs. Sheena Allen, Murat Ayik, and Mark Margolin.

Every January 1^st, you have your resolutions ready. No more nail biting. Lose ten pounds. Stop smoking. None of us are happy about those annoying bad habits we’ve picked up over the years. But if nothing else has helped you keep your resolutions, maybe seeing how they can improve your oral health will give you some extra willpower.

• No More Nail Biting

You can easily see how nail biting affects your fingernails, but its effects are more than cosmetic. The pressure this habit puts on tooth enamel can lead to cracks, chips, and enamel erosion. Nail biters have a greater risk of bruxism, or teeth grinding. (More on that below.) And the transfer of germs from fingers to mouth and mouth to fingers is a vicious circle that can lead to illnesses and infections in both fingers and mouth.

• Cut Down on Junk Food

Sugars and carbs help pack on the pounds, no doubt. Did you know that they can also help create cavities? Sugar is a favorite food for oral bacteria, which allows them to produce acids which attack and weaken tooth enamel. And carbs? They convert easily to simple sugars. Choose nutritious snacks and beverages, and you will keep those teeth healthy. You might even lose a few pounds!

• Lower the Volume

If your partner complains about sleepless nights thanks to your nocturnal teeth grinding, or your friends ask you to quit chewing on that cup of ice while they’re trying to watch a movie with you, listen to them! (If you can hear them over the grinding and chewing.) Bruxism can fracture teeth, cause headaches and jaw problems, and might even lead to loose teeth. Chewing hard foods can have the very same effects. Too much pressure from any source can damage your teeth. Grinding, chewing ice, crunching down on hard candies—any habit that’s loud enough to annoy others could be a warning to be more careful of your teeth.

• Don’t Put That in Your Mouth!

Helping you eat and chew nutritious foods—of course. Smiling—absolutely. Ripping off a piece of duct tape, tearing open a potato chip bag, holding your dog’s leash while you look for your keys, opening a tight bottle cap—no, no, no, and really no. Fractures and chips are common injuries when you use your teeth as tools. Your teeth have a crucial job to do, but that job description never includes “scissors” or “nutcracker” or “bottle opener.” Take that extra minute and find the tool you need!

• Drink in Moderation

Along with all the other consequences of over-indulging, too much alcohol in your diet can be bad for your oral health. Alcohol, especially paired with sugary drinks, helps create that acidic environment that leads to weakened enamel. More than that, it’s dehydrating. Without sufficient hydration, we don’t have the optimal saliva production we need to fight cavities. After all, saliva helps wash away food particles and bacteria, neutralizes acids, and strengthens enamel through remineralization. Ring in the New Year—moderately!

• It’s Time to Quit

Cigarettes, pipes, cigars, chewing tobacco—there is no tobacco product that is healthy for your body or your teeth! We’re all familiar with the discoloration tobacco can cause, but it also has serious oral health consequences. Oral cancer, gum disease, early tooth loss—all these conditions have been linked to tobacco use. Today there are more methods than ever before to help you quit. Make this your year!

You don’t have to wait for the New Year to start working on healthier habits. If you’d like to tackle teeth grinding, banish nail biting, stop smoking, or work on any other habits that can damage your health and your teeth, talk to Drs. Sheena Allen, Murat Ayik, and Mark Margolin at your next visit to our Dallas,TX office. And, don’t forget—resolving to see us twice a year for a checkup and a cleaning is a resolution that’s extremely easy to keep!

“What is the strongest substance in the body?” If this question comes up on trivia night, be prepared to impress your team when you confidently answer, “Tooth enamel!”

Tooth enamel? The reason for this surprising answer lies in the biology of our teeth. Minerals make up well over 90% of our enamel, a much higher percentage than is found anywhere else in the body, including our bones. But unlike bone tissue, which can heal and regenerate, tooth enamel cannot. Even though it is extremely strong, enamel can be damaged by a process called demineralization.

Demineralization

Demineralization is a result of acids at work in our mouths. Acids actually break down the minerals in our enamel, making the enamel softer. Over time, bacteria attack deeper into the tooth, eventually leading to decay. Acidic foods like sodas, citrus, pickles, and coffee are obvious culprits in providing an acidic environment, but there are other problem foods as well. We all have bacteria in our mouths, which can be helpful or harmful. The bacteria in plaque use the sugars and starches we eat to produce even more acids.

This process is something that takes place very quickly. In fact, even brushing too soon after eating something acidic can damage the demineralized surface of a tooth. Waiting at least 20 to 30 minutes to brush gives our bodies a chance to restore the enamel surface in a process called remineralization.

Remineralization

Our bodies are actually designed to help protect our enamel, and the most important part of this process is saliva production. Saliva cleanses our teeth and reduces levels of acidity. And our saliva constantly washes important minerals over our teeth. Calcium and phosphate ions rebuild and strengthen molecules where demineralization has taken place. This process is called remineralization.

We have other ways to help the remineralization process along. Fluoride toothpastes and fluoridated water speed up the movement of mineral building blocks back to the surface of the tooth. Fluoride also strengthens our teeth so that they resist acids and demineralization better than teeth without fluoride, making them less vulnerable to cavities.

New products are available for home and professional use that are designed to increase remineralization—talk to Drs. Sheena Allen, Murat Ayik, and Mark Margolin at our Dallas,TX office if you would like the latest recommendations. In fact, talk to us about tooth-friendly menus, the best toothpastes, brushing techniques, and all the ways to keep your enamel its healthiest. You’ll be answering all those trivia questions with a strong, confident smile!

If you need oral surgery, Drs. Sheena Allen, Murat Ayik, and Mark Margolin and our team will use our expertise and training to ensure that you have the best possible surgical outcome. And we want to make sure you have the best possible outcome for your recovery as well. Here are a few of the most common aftercare suggestions for making your healing as comfortable and rapid as possible.

• Reduce Swelling

Ice packs or cold compresses can reduce swelling. We’ll instruct you how to use them if needed, and when to call our Dallas,TX office if swelling persists.

• Reduce Bleeding

Some amount of bleeding is normal after many types of oral surgery. We might give you gauze pads to apply to the area, with instructions on how much pressure to apply and how long to apply it. We will also let you know what to do if the bleeding continues longer than expected.

• Reduce Pain or Discomfort

If you have some pain after surgery, over-the-counter pain relievers such as ibuprofen might be all that you need. We can recommend those which are best for you. If you need a prescription for pain medication, be sure to take it as directed and always let us know in advance if you have any allergies or other reactions to medications.

• Recovery-friendly Diet

Take it easy for the first few days after oral surgery. Liquids and soft foods are best for several days following surgery. We will let you know what type of diet is indicated and how long you should follow it depending on your particular procedure. We might, for example, recommend that you avoid alcohol and tobacco, spicy, crunchy, and chewy foods, and hot foods or beverages for several days or several weeks.

• Take Antibiotics If Needed

If you have been prescribed an antibiotic, be sure to take it as directed. If you have any allergies to antibiotics, let us know in advance.

• Protect the Wound

Do NOT use straws, smoke, or suck on foods. Avoid spitting.  Part of the healing process can involve the formation of a clot over the surgical site which protects the wound. If the clot is dislodged by suction or spitting, it can prolong your recovery time, or even lead to a potentially serious condition called “dry socket.”

• Maintain Oral Hygiene

Depending on your surgery, we might recommend that you avoid rinsing your mouth for 24 hours, use salt water rinses when appropriate, and keep away from the surgical site when brushing. It’s important to keep your mouth clean, carefully and gently.

• Take it Easy!

Rest the day of your surgery and keep your activities light in the days following.

These are general guidelines for recovery. If you have oral surgery scheduled, we will supply you with instructions for your specific procedure, and can tailor your aftercare to fit any individual needs. Our goal is to make sure that both your surgery and your recovery are as comfortable as possible.

It might be the most wonderful time of the year, but if you’re dashing through the snow to an emergency dental appointment, you’re not feeling very jolly. And post-holiday, no one wants to start off their New Year’s Resolutions with “Get Cavities Filled.” How to survive the sweetest of seasons with enamel and fillings intact?

Candies and sweets would normally be on the naughty list, but we’re not Scrooges! Indulging in a treat or two is part of the holiday fun, and we have some advice for how to enjoy them guilt-free. But first, some treats are definitely more naughty than nice. Which are the ones that are better as decorations than desserts?

• Candy Canes

If you’ve ever suffered a chipped or cracked tooth after an innocently biting down on a much-harder-than-expected piece of candy, you know that caution is in order. That’s why we tend to take our time with candy canes, letting them dissolve slowly in the mouth. Of course, the drawback to this strategy is that now we’re slowly bathing our teeth in sugar, encouraging the growth of plaque and cavity-causing bacteria.

Candy canes, peppermints, and other hard candies are potentially bad for your teeth when you crunch away, and definitely bad for your teeth if you let them dissolve slowly.

• Gumdrops

Glistening, colorful gumdrops. Roofing your gingerbread house, trimming a gumdrop tree, or simply sitting in a bowl, they are one of the sweetest ways to decorate for the holidays. And when we say “sweet,” we mean that literally. Most gumdrops are basically made of corn syrup and sugar—and then rolled in more sugar.

But their sugar content isn’t the only problem. This is sugar in an extra-gummy form that sticks between our teeth and around our gums.

• Toffees, Caramels, Taffy

They might come in lovely ribboned boxes, but these extremely sticky foods are not a gift to your teeth.

Not only do chewy candies stick to enamel, they stick to fillings, crowns (especially temporary crowns), and orthodontic wires and brackets. No one wants an unexpected trip to the dentist or orthodontist because dental work has been damaged or dislodged!

• Gingerbread Houses

Nothing says the holidays like a gingerbread house—chewy, sticky gingerbread covered with hard sugar icing, gumdrops, and peppermints. Great for your décor; not so great for your dental health. Eat one gingerbread man if you’re in a spicy mood and leave your architectural masterpiece intact.

• Fruitcake

If you need an excuse to turn down fruitcake, here’s a perfect one: most fruitcake is not great for your teeth. Candied fruit is, well, candied, and dried fruit is sugary, sticky, and chewy. There are delicious exceptions, of course, but even a delicious fruitcake is very high in sugar.

Well, this list wasn’t very jolly. So as a little holiday gift for you, here are some suggestions to help you enjoy your desserts in the healthiest way possible.

• Be choosy.

Just like you search for the perfect presents for your family and friends, take the time to choose the perfect holiday treats for yourself. If you are worried about cavities, or have a temporary crown, or wear braces, or have cracked a tooth before, or are just generally concerned with your oral health, stay away from sticky, hard, and excessively sugary desserts.

What can you accept from your holiday hosts with a grateful (and relieved) smile? The occasional soft chocolate should be nothing to stress about—and if you make it dark chocolate, you’ll actually get nutritional bonuses like magnesium and antioxidants. Cakes, cupcakes, cookies, pies—yes, they are made with lots of sugar, but it is the holidays after all. Just be sure to follow our next suggestions to make that slice of cheesecake guilt-free.

• Eat sweets with a meal.

Saliva does more than keep our mouths from getting dry. It also helps prevent cavities by washing away food particles and neutralizing the acids from food and bacteria, which damage enamel.

Eat dessert with a meal, and you benefit from increased mealtime saliva production. When you snack throughout the day, this acid-neutralizing ability is greatly reduced.

• Rinse after eating.

Rinsing your mouth with water after a meal or a snack, especially a sugary one, also helps wash away the sticky sugars and carbs, which oral bacteria convert into acids.

• Brush immediately. (Maybe.)

It’s always a good idea to brush right after eating—well, almost always. If you’ve been eating acidic foods like citrus or colas, the acids in the food can weaken your enamel just enough to cause some potential enamel damage if you scour your teeth immediately after eating. We often recommend waiting about 30 minutes to brush to give your enamel a chance to recover.

But every mouth is different. If you wear braces, or tend to get food stuck in your teeth or dental work, or have any other concerns, ask Drs. Sheena Allen, Murat Ayik, and Mark Margolin for the best times and methods for holiday brushing.

You don’t want to ho-ho-hope that we can fit you in at our Dallas,TX office to treat a cavity or a cracked tooth. Make your holiday dessert list and check it twice, and make sure you’re brushing and flossing more often if you’re indulging in seasonal treats—give yourself these two gifts, and you’ll be ringing in the New Year with a beautiful, healthy smile. Sweet!

Over the past decade, most people have been ingesting less and less fluoride. This is not such a great trend, since fluoride has a history of successfully reducing tooth decay and promoting good dental health. Most of us drink bottled water now, so many children and adults are not getting the optimum amount of fluoride they need. Of course, dental needs vary, depending on such factors as age, tooth sensitivity, medical conditions, and risk for cavities, but there are several ways to make sure you get the proper amount of fluoride.

Fluoride can be applied in the form of foam, varnish, or mouthwash. For children, topical fluoride can be useful in the early stages of development to ensure the future strength of enamel. For people who have a dry mouth as the result of medication to treat anxiety, diabetes, high blood pressure, depression, or high cholesterol, a daily fluoride rinse is recommended, as well as a varnish treatment. 

If you’ve received or are receiving any form of cancer treatment, that could be affecting your dental health. If such is the case, fluoride varnish treatments are recommended prior to, during, and after chemotherapy. Getting an oral infection during cancer treatment can be especially harmful, so it’s worthwhile to do as much as you can to prevent that.

If you suspect you might be in need of a fluoride treatment or have any questions about the treatments Dallas Dental Arts offers, please feel free to give our Dallas,TX office a call!

There are some things we just don’t miss about being a kid. Getting grounded? A thing of the past. Curfew? Not happening. Confiscating our cell phones? As if. Cavities? While we’d like to think those are also a part of childhood we can happily leave behind, unfortunately, the potential for cavities is one thing we never outgrow.

If you are keeping up a healthy dental routine, you know that two minutes careful brushing and flossing twice a day, a sensible diet, and regular checkups and cleanings are the best way to keep cavities from ever developing. But adults face other challenges that children might not. What else should we look out for?

• Over-Enthusiastic Brushing

Brushing too vigorously, or using a brush with hard or even medium bristles, can actually damage our teeth over the years. Enamel, as hard as it is, can erode, leading to the potential for decay, and gums can be pushed away from the lower part of our teeth, which are not covered by enamel. Talk to us about the gentle way to clean bacteria and plaque from your teeth while protecting your enamel and gums.

• Receding Gums

Whether due to gum disease, improper brushing, genetic factors, or other causes, we often see gum recession as we age. This is not just an aesthetic problem—gum recession leaves the root area of our tooth exposed to plaque and bacteria. Because this part of our tooth is not protected by enamel, there is a greater risk for decay in this newly exposed area. Also, pockets between the teeth and gums can be home to infections which lead to more serious problems. We will examine the condition of your gums at every checkup, and are happy to suggest the best solutions for keeping your gums their healthiest.

• Our Fillings Age, Too

Over time, fillings can become loose or damaged, allowing the bacteria that cause cavities to enter spaces within the tooth you cannot brush or floss. This is a problem we can catch at a regular checkup, but if you notice a damaged filling, lose a filling, feel sensitivity around a filled tooth, or have any other concerns, call us. Prompt replacement will stop decay before it leads to a more serious problem.

• Life Is Unpredictable

A busy schedule can lead to unhealthy diet choices. Not just sugars, but acidic foods (like sodas, coffee, and wine) and carbs (which break down into sugars) can leave teeth more vulnerable to decay. Physical changes (working out, new medications and medical conditions) can lead to dry mouth, which creates a bacteria-friendly environment that can lead to tooth decay. Stress can have consequences such as weakened immune systems, tooth grinding, and unhealthy eating habits, all of which can lead to a higher risk of cavities.

Call our Dallas,TX office if you have any dental concerns. And talk to Drs. Sheena Allen, Murat Ayik, and Mark Margolin about the changes in your life that might leave you more vulnerable to cavities or impact your overall dental health. We have suggestions and solutions for this phase of your life to protect and preserve that wonderful smile you had as a child. And that’s a great result at any age!

Sure, you brush your teeth and floss regularly, so you might think you’re off the hook when it comes to the dental chair. However, it’s just as important for adults to get regular dental exams as it is for kids. Cavities are common among adults, with 92% of people aged 18 to 64 having had cavities in their permanent teeth, according to the National Institute of Dental and Craniofacial Research.

How cavities form

Our mouths are teeming with hundreds of types of bacteria. Some are helpful and maintain good health, while others are harmful. Certain types of bacteria process the sugars in food and release acid in return. Although minor decay can be naturally reversed by your body, Drs. Sheena Allen, Murat Ayik, and Mark Margolin and our team at Dallas Dental Arts will tell you that eventually the acid wears away the enamel and creates small holes in the surface of teeth.

Cavity prevention for adults

Some people are naturally more prone to cavities than others. However, making a few lifestyle changes can dramatically reduce your likelihood of developing cavities.

• Food choices. Eating plenty of fresh fruits and vegetables increases saliva production, and reduces cavity risk. It is also important to avoid foods that get stuck in the ridges of your teeth. Candy, cookies, and chips should be eaten sparingly.
• Beverages. Most people know that drinking soda contributes to tooth decay. However, fruit juices and energy drinks also contain large amounts of sugar. Whenever possible, replace these sugary beverages with tea or water, which rinses your mouth and prevents decay.
• Fluoridated water. Fluoride is a naturally-occurring chemical that facilitates enamel growth. Most municipal water supplies are fortified with fluoride, so drinking tap water is a great way to keep teeth healthy. People with well water may use fluoridated toothpaste or other supplemental forms of fluoride to decrease cavity risk.
• Brush teeth and floss frequently. Gently brushing teeth several times a day removes the harmful bacteria that cause cavities to develop. If possible, brush your teeth after each meal or when drinking sugary beverages. Flossing regularly removes small particles that get trapped between teeth, which further decreases tooth decay.

One of the most important steps in cavity prevention is visiting your dentist at least twice a year. Consistent dental exams ensure that cavities are caught early, before they cause major damage to your teeth.

For more information about avoiding cavities, or to schedule an appointment with Drs. Sheena Allen, Murat Ayik, and Mark Margolin, please give us a call at our convenient Dallas,TX office!

The sounds of the season are filling the air—falling leaves rustling along the sidewalk, football cheers, holiday greetings—and the coughs and sneezes of your fellow sufferers. Yes, it’s cold and flu season, and you’re one of the unfortunate people who’s caught whatever it is that’s been going around. While you’re recuperating, here are some tips for looking after yourself and your dental health.

• Keep Hydrated

Fevers, sweating, diarrhea, and vomiting can all lead to dehydration. You know how serious that can be for your overall health, but it also leads to problems for your oral health. Lowered saliva production puts you at an increased risk for cavities, since saliva washes away food particles and bacteria, neutralizes cavity-causing acids, and helps strengthen tooth enamel. In addition to the dehydration illness can cause, many over the counter medications leave your mouth dry as well. Be sure to drink fluids throughout your illness, and, as always, try to avoid sugary beverages and acidic drinks.

• Keep Up Your Dental Hygiene

You may feel like you never want to get out of bed again, but it’s important to maintain your dental routine. Brushing and flossing are still necessary to protect your teeth and gums. And try gargling with warm saltwater or a mouth rinse. You’ll not only soothe a sore throat and help prevent the bad breath that sinus problems can cause, but you’ll also reduce oral bacteria and plaque.

• Keep Away from Your Toothbrush after Vomiting

Even though cleaning your mouth and teeth might be the first thing you want do to after throwing up, wait at least half an hour before brushing your teeth. Cavities occur over time when tooth enamel is weakened by the acids oral bacteria produce. When you vomit, your teeth are exposed to much stronger stomach acids, and immediate brushing simply brushes these acids on to your enamel. One common recommendation is to mix a teaspoon of baking soda with a glass of water, swish it around your mouth, and spit it out. Or simply use a glass of plain water, and repeat if needed.

• Keep Your Cough under Control

Here’s a tip your family, friends, co-workers, and fellow public transportation users will thank you for: If you are sick, stay home. If you do find yourself coughing while around others, cover your mouth. Cough into a tissue instead of your hands or the open air. If you don’t have a tissue available, cough into your upper sleeve.  And while you’re protecting others, protect your tooth enamel. Replace overly sweet cough syrups with tablets, and, if you are using cough drops, remember that sucking on a sugary cough drop is like sucking on candy. Look for the sugar-free variety and use only as directed.

• Don’t Keep Your Toothbrush

Now that you’re feeling better, it might be time to throw out your toothbrush. The chances of re-infection are low (unless you have a compromised immune system), but we often hang on to our toothbrushes long after their effective days are past. A toothbrush should only last around three to four months. If yours is older than that, this is a perfect opportunity to replace a brush that might be getting a bit long in the tooth with a fresh, germ-free model.

Above all, be good to yourself when you are ill. Drink healthy fluids, maintain your dental routine, and treat your teeth and your body with care. Here’s wishing you a speedy recovery, continuing dental health, and a season filled with beautiful smiles.

When a child is born, he or she will have 20 primary teeth and 32 permanent teeth. But sometimes kids are born with additional teeth, and our team at Dallas Dental Arts calls this oral condition "hyperdontia." Primary teeth are the first set of teeth that erupt in your child's mouth, typically by the time they are 36 months old, and are shed by the time your child reaches the age of 12. Permanent teeth then take the place of the primary teeth and are usually fully-erupted by the time your son or daughter reaches 21 years of age. Anyone who develops more than 20 primary teeth or more than 32 permanent teeth has hyperdontia, and the additional teeth are referred to as supernumerary teeth.

While the cause of hyperdontia is not entirely clear, it is believed that there may be a genetic factor. Oral professionals have found that patients with extra teeth often have syndromes like cleidocranial dysplasia, Ehler-Danlos syndrome, Gardner syndrome, or cleft lip and palate. The prevalence of hyperdontia affects between one and four percent of the population in the United States, and the majority of cases are limited to a single tooth.

So, what is the best way to deal with hyperdontia? It really depends on the case. The treatment plan your doctor suggests varies according to the potential problem posed by the supernumerary teeth, as well as their type. Orthodontic treatment may certainly may help, but extraction can also be a good option. We recommend that children receive an oral evaluation or checkup no later than the age of seven. In addition to hygiene evaluation, this helps ensure your child does not experience hyperdontia problems.

If you suspect you or your child may be suffering from hyperdontia, please give us a call to schedule an appointment at our convenient Dallas,TX office to be evaluated.

In fancy medical terms, dry mouth is known as xerostomia. It’s really just what it sounds like: a condition in which you don’t have enough saliva to keep your mouth moist. Dry mouth can be the result of certain medications you’re taking, aging, tobacco use, nerve damage, or chemotherapy.

Depending on whether you’re aware of the cause of your dry mouth, here are some simple ways to keep it at bay:

• Avoid drinks that contain alcohol or caffeine
• Avoid tobacco use, or lower your consumption of tobacco
• Floss after every meal
• Brush your teeth after every meal using a fluoride toothpaste
• Avoid foods that have a high level of salt
• Stay hydrated and drink water frequently
• Consider using a humidifier at night

If you have any questions about dry mouth and how it is affecting you, give our Dallas,TX office a call or make sure to ask Drs. Sheena Allen, Murat Ayik, and Mark Margolin during your next visit!

The Good News

Carbohydrates are one of the body’s essential macronutrients (along with protein and fat). We use carbs to convert the food we eat into energy. How does this work? It’s a sophisticated process:

• Carbs break down into sugars as we digest them
• Sugars are absorbed into our bloodstream
• The pancreas releases insulin when blood sugar levels rise
• Insulin enables sugars to move from our blood to our cells
• Cells throughout the body use this sugar for energy.

Without the necessary amount of carbohydrates, our bodies lose a vital source of energy. So, why are carbs a dental concern?

The Bad News

Some foods immediately begin breaking down into sugars in the mouth. Sugars are a favorite food source for the oral bacteria that form plaque. They use this sugar to produce the acids that weaken our enamel and lead to cavities. And the more often we eat these foods, and the longer they remain in the mouth, the more damage our enamel suffers.

But there’s a silver lining! We can be healthier physically and get a jump on preventing damage from sugary treats by becoming more discriminating in our choice of carbs and timing our indulgences wisely.

Good Carb/Bad Carb

Unprocessed, complex carbohydrates are found in foods like whole-grain breads and cereals, legumes, and vegetables. They contain the vitamins, minerals, and fibers which are lost when foods are refined. They are composed of larger, more complex molecules, and so they break down gradually for sustained energy.

Some simple carbohydrates break down into sugars more quickly, but also offer important vitamins, minerals, and fiber. Fruits and dairy products, for example, are an important part of a balanced diet.

But some carbs are not pulling their nutritional weight. Refined sugars (think candies, desserts, and sodas) and refined starches (white bread and rice, potato chips, pastries) break down quickly into sugar in the mouth. Worse, many of these foods tend to stick around. Sticky sugars and sticky starches cling to our enamel and hide between the teeth and in the crevices of our molars. Not only do these treats provide a sugary feast for acid-producing bacteria, they take their time doing it!

So, What to Do?

If you have a diet filled with healthy carbs (whole grains, fruit and vegetables, legumes, dairy products), you’re already on the right track. Kudos! But does this mean no desserts? Ever?

No! We all need a cookie sometimes. But you can decrease the chance of enamel damage by interrupting the carbs to cavities cycle.

First, if you are indulging in a rich dessert or some salty chips, better to do it as part of a meal. When you eat a full meal, your body produces more saliva. Saliva not only helps wash away food particles, it also helps neutralize the acids that damage enamel.

Secondly, if you eat simple carbs and sugars all day, your mouth and teeth are being treated to acids all day. If you are going for a snack, there are many great options that don’t use refined sugars and starches. Think fruit smoothies (with a big dollop of vegetables) or whole-grain crackers with hard cheese instead of a can of soda and a bag of pretzels.

Carbs aren’t really bad, they’re just misunderstood. Talk to Drs. Sheena Allen, Murat Ayik, and Mark Margolin at your next checkup at our Dallas,TX office for ideas for the best carbohydrate choices for healthy metabolisms and healthy smiles!

Whether you already miss the sun’s bright rays, or can’t wait for some cool, crisp weather and colorful leaves, summer is making way for fall. And the change of seasons might mean it’s time for some adjustments to your dental care routine.

Fall’s in the Air, and You Can Feel It

You might enjoy the brisk weather and the cool autumn breezes, but you’d enjoy fall much more without the tooth sensitivity that cold weather can bring. Sensitivity can be the sign of a cracked tooth, gum disease, or even something as simple as too-energetic brushing. If you’re experiencing sensitivity outdoors or with hot and cold foods, don’t give up your nature walks and hot cider! Give Drs. Sheena Allen, Murat Ayik, and Mark Margolin a call, and we’ll get to the root of your problem.

Fall Sports

The baseball mitts, surfboards, and water skis have been retired for the year, but that won’t stop you from enjoying exercise and team sports. And while you’re keeping your body healthy, remember to keep your teeth and jaws healthy as well. A mouth guard is an essential piece of equipment for any autumn contact sport like football or soccer, and is also a good idea for biking, skateboarding, and other physical activities where a fall or a collision is a possibility.

Fall Feasts

‘Tis the season for sugary Halloween treats, bountiful Thanksgiving desserts, and those over-the-top holiday lattes. By all means, celebrate the season. And celebrate your dental health (and your overall health) as well by enjoying these treats in moderation.

Why not take this opportunity to explore some of autumn’s more nutritious seasonal offerings? Brussels sprouts, sweet potatoes, carrots, pumpkins, and apples are part of a fall harvest of fruits and vegetables rich in vitamin A, vitamin C, potassium, calcium, and other nutrients that help keep our teeth and gums their healthiest. (And if the pumpkins and apples make their way into pies, no one will complain.)

Fall Semester

Many schools require a dental exam before the start of the academic year. If you haven’t made an appointment for your child, now’s the time to do it! And don’t forget a professional cleaning to remove plaque and tartar. Nothing starts a school year off better than entering the classroom with a bright, healthy smile.

And don’t forget to call our Dallas,TX office for your own regular checkup if it’s that time of year. Spring, summer, winter, fall—it’s always the right season for taking care of your dental health!

On today's blog let's explore if the All-on-4 procedure is the right option for you.

Same-Day Implant-Supported Dentures in Dallas
The All-on-4 procedure is often called “teeth in a day” and is a way to attach a prosthesis to dental implants. Dr. Allen and Dr. Margolin use the All-on-4 system to replace traditional dentures, which can be uncomfortable, inconvenient, and poorly fitted. It is a clinically proven, FDA-accepted treatment option for replacing missing or non-functional teeth.

Unlike other approaches that may use six, eight, or even more implants per arch, and often involve bone grafting, Dallas Dental Arts uses this proven technique that requires only four specially placed implants, usually without bone grafts or other ancillary surgical procedures, which means lower costs and reduced healing time. And the success rate of All-on-4 is superior to more traditional approaches.

The All-on-4 procedure includes the removal of all remaining teeth, bone recontouring, and implant placement. The surgery is then immediately followed with the attachment of a temporary prosthesis to the dental implants. The best part is that you will leave our office with teeth the same day as the surgery.

You can expect to be on a soft diet for two weeks followed by a reintroduction of harder foods with time. Healing with this procedure happens rather quickly if you are healthy. Four months after the initial surgery, we will remove the temporary prosthesis, verify the implants for integration, and attach your permanent prosthesis.

Like your natural teeth, your All-on-4 implant dentures need to be maintained by a dental professional. The prosthesis should be removed yearly, cleaned, and inspected by a member of the Dallas Dental Arts team.

Why All-on-4 at Dallas Dental Arts?

Dallas Dental Arts is a leader in delivering the life-changing All-on-4 procedure for patients throughout the Dallas area. The major benefit of the All-on-4 procedure is how quickly dentures can be replaced with permanent implants and fixed, non-removable, new replacement teeth.

All-on-4 implant dentures can be completed from beginning to end from the convenience of our Dallas dental office. Dallas Dental Arts offers a surgical/prosthetic team with Dr. Margolin (periodontist) and Dr. Allen (prosthodontist). Dr. Allen is not only a prosthodontist but also a trained lab technician, so your prosthesis will be made onsite in our dental laboratory under the supervision of an expert. In addition, the All-on-4 technique can now be used in collaboration with Anatomize 3D-planning software, also available at Dallas Dental Arts.

Is All-on-4 right for you?

The ideal All-on-4 patient should be able to tolerate lengthy dental surgeries for this procedure. Healthy individuals tolerate this procedure best and will have the best outcomes. Individuals with compromised immune systems, smokers, diabetics, and those with autoimmune issues, are slower to heal and need to be evaluated at our Dallas dental office prior to committing to this procedure. During your evaluation at our Dallas office, we will talk with you about realistic expectations and long-term goals, so you can feel confident choosing the dental treatment that meets your needs.

To learn more about All-on-4 implant-supported dentures, contact us today!

TMJ is the quick way of referring to your Temporomandibular Joint. Pardon the pun, but that’s quite a mouthful! What is this joint, what does it do, and, if your Drs. Sheena Allen, Murat Ayik, and Mark Margolin and our team have told you that you have a TMJ disorder, what can we do to help?

The Temporomandibular Joint

Your two temporomandibular joints are amazing works of anatomical design. These are the joints where the temporal bone in the skull meets the mandible bone of the jaw, and allow our mouths to open and close, move back and forth, and slide from side to side. Muscle, bone, and cartilage work together to provide easy movement and to cushion the joint. But sometimes, the joint doesn’t work as smoothly as it should, and this can lead to Temporomandibular Joint Disorder, or TMD.

When Should You Suspect You Have TMD?

You might have TMD if you experience any of these symptoms:

• Painful chewing
• Pain around your TMJ, or in your face or neck
• Earaches
• Changes in your bite
• Jaws that are limited in movement or lock open or shut
• Clicking, popping or grating noises when you open and shut your jaw

There are many conditions linked to TMD. If you grind your teeth at night, have arthritis in the jaw, have suffered an injury or infection in the area, or have problems with your bite, for example, you might be more likely to have TMJ problems. If you suspect you have TMD, or suffer from any of the symptoms listed above for an extended period, give us a call.

Treating TMD

During your visit to our Dallas,TX office, we will check your medical history, and examine your head and neck. We can take an X-ray or scan if needed for further examination of the joint. Because there is no real scientific agreement yet about the best way to treat TMJ disorders, a conservative treatment plan is often best. If you do show signs of TMD, we might first suggest relaxation techniques, over-the-counter pain relievers, or the use of ice packs or moist heat compresses. A change to a softer diet can help, and you should stop chewing gum and making any exaggerated jaw movements.

If these self-care practices aren’t effective, we might suggest a nightguard. This appliance is a comfortable and flexible mouthguard custom fitted for you, and will bring relief from teeth grinding when worn at night. If this treatment is not effective, talk to us about other options.

Luckily, most cases of TMD are temporary and don’t become worse over time. But any persistent discomfort is a good reason to visit us. Whether you have TMD, or any other problem causing you pain in the head or jaw, we want to help.

Let's talk about brushing and flossing.

Brushing and flossing are essential daily habits to maintain good oral and general health. By regularly brushing and flossing your teeth you remove plaque and bacteria that cause gum disease and decay. Excess bacteria in the mouth have been linked to several systemic diseases including heart and kidney disease, and could also be linked to Alzheimer’s disease.

To keep your mouth as clean as possible, brush twice a day, and floss every night. This simple routine will help promote healthy teeth and gums and ensure a beautiful smile for years to come.

We recommend that you use an electric toothbrush, as it removes more plaque than a manual toothbrush when using the proper technique. There are many different brands on the market; some use ultrasonic vibrations while others use an oscillating motion to remove plaque. Ask us about our recommendations for electric toothbrushes!

Whether you are using a manual or electric toothbrush, hold it at the gum line with a gentle pressure and take your time, allowing the toothbrush to do the work for you. Brush for three minutes to make sure all tooth surfaces are brushed. When flossing, gently place the floss in between the teeth and scrub the surface of the tooth with the floss. This will allow you to remove plaque from between the teeth to prevent gingival inflammation and decay.

Do you have other questions about maintaining a healthy smile? Ask Dr. Allen the next time you visit us!

Toothpaste no longer comes in simple choices of fluoride and fresh breath. Paste is not even the only option! You can choose gel forms and even some with ribbons of color and flavor. With so many varieties available, it may be difficult to know which features or combinations of ingredients are best for your mouth. Drs. Sheena Allen, Murat Ayik, and Mark Margolin and our team are here to help!

Fluoride

The majority of all dental patients should use toothpaste with fluoride. Fluoride helps to strengthen the enamel on your teeth; it makes them stronger and more resistant to cavities. Even if you live in an area that adds fluoride to your drinking water, the fluoride protection in toothpaste is necessary.

Some individuals can have an allergic reaction to fluoride. Fluorosis can occur in children or adults that swallow too much toothpaste while brushing. If swallowing cannot be prevented, fluoride use should be reduced. The American Dental Association has updated guidelines that recommend fluoride be used as soon as the first teeth erupt in children. However, the amount should be minimal and swallowing should be prevented.

Sensitivity Protection

If your teeth are sensitive to temperatures, toothpaste with sensitivity protection can work wonders for your discomfort. Ingredients in these pastes or gels work to block the pathways to the nerves that react to hot or cold. Do not give up on this type of toothpaste after a few days; the full results may take a few weeks.

Plaque, Tartar, and Gingivitis Protection

Everyone has bacteria in his or her mouth, and this bacteria is normal. Unfortunately, some bacteria also cause plaque. If the plaque remains on your teeth, it hardens into tartar or calculus. Tartar is an almost cement-like substance that cannot be removed by brushing alone. When bacteria and tartar are left behind, the deposits will form under the gum line. This leads to gingivitis and gum disease.

Since there is a wide variety of toothpastes and ingredients for preventing tartar and gingivitis, ask Drs. Sheena Allen, Murat Ayik, and Mark Margolin and our staff what the best choice is for your teeth. We can help you select the right combination of ingredients.

Whitening

White teeth are desirable, and manufacturers are heavily marketing whitening toothpastes. Most brands do not contain bleaching ingredients; they use abrasives to polish stains away. Unfortunately, too much abrasive use can be damaging to your teeth. If you’re interested in teeth whitening, our Dallas,TX team can recommend a number of safe and effective options.

Feel free to ask Drs. Sheena Allen, Murat Ayik, and Mark Margolin and our staff at Dallas Dental Arts about the best choice in toothpaste to meet your individual needs. Remember to look for the ADA approval seal on any toothpaste you are considering.

If you are unhappy with the current shade of your teeth and are looking for a brighter, whiter smile, ask us about our teeth whitening services at Dallas Dental Arts! 

What is teeth discoloration? Teeth can become discolored over time, as staining from coffee, tea, or red wine builds up. Sometimes, teeth are naturally discolored. Whatever the reason, Dallas Dental Arts offers several types of professional teeth whitening that are safe, comfortable, and provide results that you’ll love.

Professional Teeth Whitening at Dallas Dental Arts

Dallas Dental Arts uses three systems for whitening, which can be used individually or together depending on your teeth-whitening needs.

In-Office KöR® Whitening

In-office KöR Whitening uses a dual-activated, Tri-Barrel™ Hydremide® peroxide whitening gel delivery system in combination with whitening trays. Super-resistant stains, like tetracycline and fluorosis, can be flooded with the concentrations of three bleaching factors necessary to obtain truly white teeth.

At-Home KöR® Whitening

At-home KöR Whitening uses a set of thin, form-fitting, ultra-comfortable trays. You only need to wear your trays, filled with KöR patented bleaching gel, while you sleep, so they won’t interfere with your lifestyle.

At-Home Phillips Zoom DayWhite

Phillips Zoom DayWhite comes in a variety of strengths, so we can customize your level of whitening and monitor your level of sensitivity. 

At Dallas Dental Arts, we genuinely care about your smile, hopes, and dreams, and try our best to help you achieve the smile you want. During your teeth whitening treatment, we’ll be here for you every step of the way, making sure you are comfortable during the process and happy with your results.

If you have any questions about how we can help you brighten up your smile please don't hesitate in contacting us. Request your appointment with us here.

Happy Self-Care Awareness Month! When you make time to take care of your teeth you are also helping maintain your overall health. Sticking to a regular oral hygiene routine helps remove daily plaque build-up by brushing twice a day and flossing once. Healthy gingiva (gums) without inflammation is a great indicator that plaque is being thoroughly removed daily. Read on to learn more about how you can keep your smile healthy and happy.

For daily oral care, Dr. Allen recommends brushing both in the morning and evening with a Sonicare toothbrush. Sonicare is her personal toothbrush of choice (she also recommends Oral B Genius). And don’t forget to floss once a day at bedtime. For toothpaste, choose an option that is both ADA approved and contains fluoride. If you suffer from teeth sensitivity, any of the Sensodyne toothpaste options will do. For patients that have fixed bridges, orthodontia, bone loss, or lack the dexterity to floss manually, Dr. Allen suggests using a waterpik for flossing.

Besides brushing, don’t forget to eat a balanced diet! Foods high in sugar can cause havoc to your teeth. The overall nutrition of your body and mouth run parallel with each other. If you have questions about diet or need suggestions for teeth health just ask Dr. Allen next time you’re in the office.

Dr. Allen makes oral care a priority because she knows and understands the importance of good daily oral hygiene habits and how it can impact overall health. We hope you feel more motivated to take care of your beautiful smile!

Did you know that Human Papilloma Virus (HPV) and oral cancer are linked? This information may prevent you or a loved one from suffering from oral cancer if a diagnosis is made early. Drs. Sheena Allen, Murat Ayik, and Mark Margolin and our team want you to understand how you can prevent the spread of oral cancer and protect yourself if you have HPV.

People don’t often speak up about this common virus, but we believe it’s important to educate yourself to prevent the potential spread of oral cancer. According to the Centers for Disease Control and Prevention, up to 80% of Americans will have HPV infections in their lifetime without even knowing it. Symptoms usually go unnoticed, though it’s one of the most common viruses in the U.S. The body’s immune system is generally able to kill the HPV infection without causing any noticeable issues. If you think you might have HPV, talk with primary care physician about getting the preventive vaccine or taking an HPV test.

According to the Oral Cancer Foundation, “HPV is the leading cause of oropharyngeal cancers (the very back of the mouth and throat), and a very small number of front of the mouth, oral cavity cancers. HPV16 is the version most responsible, and affects both males and females.”

Common signs of oral cancer may include:

• Ulcers or sores that don’t heal within a couple of weeks
• Swelling, lumps, and discoloration on the soft tissues in the mouth
• Difficult or painful swallowing
• Pain with chewing
• Persistent sore throat
• Numbness of the mouth or lips
• Lumps felt on the outside of the neck
• Constant coughing
• Earaches on one side of your head

If you experience any of these side effects, please contact Dallas Dental Arts as soon as possible.

We hope this information will help you understand the interactions between HPV and oral cancer. Please remember to take precautionary steps if you notice anything out of the ordinary with regard to your oral health. If you have any questions or concerns, contact our Dallas,TX office.

Gingivitis is an early stage of gum disease that results when bacteria in your mouth cause inflammation in your gums. This is a common condition, and you can treat it effectively if you are aggressive. Otherwise, it could develop into more advanced gum disease, or periodontitis, and you could lose one or more teeth.

Watch for symptoms of gingivitis so you can ask Drs. Sheena Allen, Murat Ayik, and Mark Margolin for help as soon as you need it. Strategies for treating gingivitis include thoroughly cleaning your teeth and assessing the scope of your gingivitis and how serious the problem is.

Gingivitis: Early Gum Disease

Your mouth contains many bacteria that form plaque, which is a sticky substance. You can get rid of plaque by brushing well, but if you don’t, it can build up on your teeth and form tartar. Bacteria can make your gums inflamed and cause pain and bleeding, or gingivitis. Other symptoms include loose teeth, bad breath, receding gums, and sensitive teeth. You’re at higher risk for gingivitis if you’re a smoker, if you have a weakened immune system, or if you have diabetes.

Assessment and Diagnosis

If you think you recognize the symptoms of gingivitis, contact our Dallas,TX office to make an appointment. We will ask you about your risk factors for gingivitis and examine your teeth and mouth for signs of red and swollen gums. We may also measure the pockets around your teeth. If they are larger than usual, your gingivitis may be more advanced. Finally, will take some X-rays to get a picture of the bone structure of your jaw.

Deep Cleaning

You can’t get rid of the tartar on your teeth just by brushing at home. Instead, you need a deep cleaning consisting of scaling and root planing. Scaling involves scraping the plaque off of your teeth, both below and above the line of your gum. In root planing, the rough surfaces of your teeth where tartar is more likely to build up are smoothed. A laser may be used to make the procedure more effective, more accurate, and more comfortable.

Sports are great for children for a variety of reasons. Children can develop their motor skills, learn how to solve conflicts and work together, and develop their work ethics. As a parent, you may recognize the benefits of sports, but also naturally worry about your child’s health and safety. Your job goes beyond providing a water bottle and making sure your child follows the rules of the game.

Although you may not think of your child’s teeth first when you think about sports, accidents can happen that affect your children’s teeth. A stray hockey stick, an errant basketball, or a misguided dive after a volleyball are examples of ways a child could lose a tooth. In fact, studies show that young athletes lose more than three million teeth each year.

Becoming a Better Athlete to Protect Teeth

Becoming a better athlete involves refining skills, learning the rules of the game, and being a good sport. These components are not just about winning. They are also about safety. Young athletes who are better ball-handlers and who are careful to avoid fouls and penalties are less likely to have harmful contact with the ball, teammates, or opponents. Children who are better roller-bladers are less likely to take a face plant into the blacktop, and more likely to save their teeth. Being a good sport and avoiding unnecessary contact is one way to protect teeth.

Proper Protective Equipment for Teeth

If your child is in a sport that poses a high threat to teeth, it is essential for your child to wear a mouthguard. Mouthguards fit your child’s mouth and consist of soft plastic. Drs. Sheena Allen, Murat Ayik, and Mark Margolin can custom fit a mouthguard if generic ones are uncomfortable. While children may resist wearing a mouthguard initially, your persistence in insisting that they wear it should be enough to convince them. A helmet or face mask provides additional protection.

While prevention is best, rapid treatment can improve the situation if your child does happen to lose a tooth during sports. Rapid implantation can work in about ten percent of cases. To learn about ways to save a lost tooth, contact our Dallas,TX office.

Happy August from Dallas Dental Arts! Though summer has looked a little different this year with social distancing measures in place for our health and safety, there are still plenty of ways to get outside and soak up the sun before fall arrives. 

Most of our staff spend their summer days outside staying active. On a nice day, you can find them bike riding or taking a walk around White Rock Lake. A few other beloved summer activities include beach days, swimming, and cooling down with some ice cream or watermelon. 

Sometimes it can get too hot to cook during the warm summer months. But don’t worry! There are plenty of great meal ideas that don’t require standing over a hot stove. Our favorite easy summer snacks are watermelon and frozen grapes. Or if you’re looking for a quick healthy meal, you can blend some greens and fruits together into a delicious smoothie. Need a new dinner idea? Here’s one of our tried and true favorites for you to try: 

Fresh Summer Roll Noodle Bowl

INGREDIENTS

ALMOND BUTTER LIME DRESSING:

-3 tablespoons smooth almond butter, preferably unsweetened

-3 tablespoons neutral vegetable oil such as avocado or canola

-3 tablespoons agave nectar or honey

-2 tablespoons fresh lime juice

-1 tablespoon rice vinegar or apple cider vinegar

-1 teaspoon sriracha

-1 teaspoon kosher salt

-2 teaspoons grated fresh ginger

-1 plump garlic clove, grated

-8 ounces rice stir fry noodles, I use Thai Kitchen or Annie Chun's cooked according to package directions, drained and rinsed in cold water

NOODLE BOWL

-8 ounces rice stir fry noodles, I use Thai Kitchen or Annie Chun's cooked according to package directions, drained and rinsed in cold water

-2 cups matchstick-cut carrots, about 1/2 pound carrots

-2 cups half-moon sliced seedless cucumber

-4 scallions, trimmed and thinly sliced on the diagonal

-1 shallot, thinly sliced

-1 cup loosely packed each fresh cilantro, mint and basil leaves

-Handful mixed baby greens

GARNISH IDEAS:

-Sesame seeds

-Crushed roasted peanuts or chopped roasted almonds

-Thinly sliced fresh red chili pepper

INSTRUCTIONS

-Whisk all ingredients for the dressing together in a bowl until smooth.

-In another large bowl, toss the drained noodles with the carrots, cucumber, scallions, shallot, herb leaves and 1/2 of the dressing.

-Serve in bowls over mixed greens, with additional dressing spooned over to taste. Garnish with fresh red chili, peanuts and/or sesame seeds. Enjoy! 

In office-related news, this month we celebrate Kristin's 30th anniversary with our office. She's been a hygienist with Dallas Dental Arts since 1990 and we couldn't be happier to have her as part of our team! The next time you’re in our office make sure to wish Kristin a happy work anniversary. 

Times continue to be uncertain but we must all do our part by helping stop the spread of the coronavirus and staying positive. Once we make it through all of this, imagine how strong our country and economy will be! We hope everyone enjoys the rest of their summer. 

When was the last time you paid Drs. Sheena Allen, Murat Ayik, and Mark Margolin a visit? If you're like many people, chances are it was more than six months ago. We hear the reasons why people neglect regular dental visits all the time: lack of money or quality dental insurance, busy schedules, and fear. However, your twice-yearly checkups are so important for your dental health and for your overall health as well.

You may brush your teeth twice a day and even floss, and your teeth may feel fine, but regular dental checkups with Drs. Sheena Allen, Murat Ayik, and Mark Margolin aren’t about addressing problems and reacting — they are about cavity prevention. No matter how much you brush and floss, there is still a chance that food or other debris can get lodged between your teeth, and there is also a chance that food and beverages can wear down your tooth enamel in between visits, making your teeth vulnerable to decay.

In addition to a thorough teeth cleaning and polishing, these regular visits help us detect and prevent the onset of tooth decay and periodontal (gum) disease. During your visit, we’ll check the health of your mouth, teeth, gums, cheeks, and tongue. We’ll also check old fillings and restorations, as these can wear away over time from constant chewing, grinding, or clenching.

It's important to know that the majority of dental problems do not become visible or painful until they are highly advanced. And, unfortunately, serious oral issues are painful and expensive to treat. A deep cleaning twice a year by our team at Dallas Dental Arts is the best way to hit all the spots you may have missed with brushing and flossing and prevent any problems that may have gone unseen.

Make sure your teeth get the professional attention they deserve! If you’re overdue for your next cleaning, please give us a call to schedule an appointment at our convenient Dallas,TX office!

As adults, we often wish our teeth could be as white as they were when we were small children. Baby teeth have thinner and whiter enamel than adult teeth, and those brilliant smiles are a result! But occasionally, you may be surprised to discover some staining or discoloration on those lovely first teeth. You might be tempted to apply a whitening product to your child’s teeth, but, please—read on!

Causes of Staining

• Improper Brushing—Often, a loss of tooth whiteness means that plaque has built up on the tooth surface. Careful brushing is needed to remove bacteria and plaque, and if your child isn’t brushing at least twice a day for two minutes, discoloration can be the result.
• Medications—When given in liquid form, or when added to formula or food, iron supplements can cause dark grey staining on the teeth. Medications taken by a mother while pregnant or breast feeding, such as tetracycline, can also lead to discoloration.
• Injury—If a tooth suffers a serious injury, the tooth can darken because of changes inside the enamel.
• Health conditions—Certain health problems can cause tooth discoloration, or sometimes children are born with weaker enamel that is more likely to stain.

If you have noticed any staining on your child’s primary teeth, call our Dallas,TX office. Simple stains can often be removed with better brushing techniques, and we can clean other surface stains in the office. Staining caused by an injury or a health condition is something we can discuss in detail with you. We can even use some professional whitening methods if those are indicated.

Why not just buy a home whitening kit for your child? There are several important reasons to leave these products on the shelf while your child is young.

• Whitening kits are designed for adults. They have been tested for adult teeth in adult trials. Check the box for age appropriate use. Most products are not recommended for pre-teen children.
• Remember that thinner enamel we mentioned earlier? Add to that the delicate skin of young children, and it’s sensible to be cautious about using a bleaching agent that can cause mouth and tooth sensitivity even in adults.
• There is no body of evidence available as to the short and long term effects of using these products on children.

If you are concerned about the brightness of your child’s smile, please talk to Drs. Sheena Allen, Murat Ayik, and Mark Margolin. We can recommend better ways to brush at home, clean your child’s teeth in the office, or suggest professional methods of whitening if there are physical or psychological reasons that it would be valuable. But while your child is young, those off-the-shelf whitening products can wait a few more years.

Drs. Sheena Allen, Murat Ayik, and Mark Margolin and our team at Dallas Dental Arts will tell you that good oral health habits when you are pregnant are very important. A plaque or infectious buildup can affect the baby in gestation, and cause some unforeseen issues during birth. There are a few steps relating to oral health that can help prevent complications and other pregnancy issues. Here are a few things to consider about oral health when you are expecting.

Proper brushing

Brushing your teeth at least twice a day is essential when you are pregnant. This will peel away any buildup that you have on your teeth, and help create a shield against future buildup. Swallowing large amounts of plaque or bacterial buildup can and will affect the gestation of the fetus, and can cause certain complications.

Floss

Flossing will also help remove a lot of the buildup in your teeth that can promote infection. Make sure you floss at least once a day. Bacterial infections fester on food buildup, and certain destructive viruses can also breed and grow on these remnants.

Morning sickness

The acidity of vomit can erode the enamel on your teeth, and create buildup of damaging particulates in your teeth. If you are experiencing regular morning sickness, rinse your teeth with a mixture of baking soda and water. This will remove buildup, and alleviate some of the acidity from the vomit.

Alcohol-free, antimicrobial mouthwash

Regardless of whether you are trying to or not, you will swallow small amounts of your mouthwash. Alcohol can affect your gestating baby. Use an antimicrobial, alcohol-free mouthwash.

Visit the dentist

If you have any dental issues, please give us a call at our convenient Dallas,TX office away. We will be able to diagnose and treat any oral health issues immediately, and make sure they do not affect your developing child. Protecting your baby includes protecting your oral health.

You may have heard this term the first time you or a friend got your wisdom teeth. That makes sense, as wisdom teeth are the teeth most often impacted in teenagers and young adults. But other permanent teeth can be impacted as well. What exactly do we mean by “impacted teeth,” and what can we do to treat them?

The term “impacted” means that somehow a tooth has been blocked from erupting properly. A tooth may be completely blocked by another tooth, erupt in the wrong space, or even come in from the wrong direction. Depending on the teeth involved, there are several different options for treatment.

From Baby Teeth to Permanent Teeth

Normally, when children lose a baby tooth, a permanent tooth is right there, ready to take its place. But teeth don’t always behave according to plan. Occasionally, that baby tooth just won’t budge, and the permanent tooth starts to erupt behind it. When this happens, a simple baby tooth extraction will often let the permanent tooth move into its proper position on schedule.

A more complicated situation develops when upper teeth are impacted because there isn’t enough space in the mouth for them. In this case, a device called a palatal expander might be used to gradually widen the upper jaw to allow the permanent teeth to erupt without crowding.

In other rare cases, a tooth (often the canine) fails to erupt and may require oral surgery to uncover it, followed by orthodontic treatment to guide it into position.

Impacted teeth can result from other causes as well, and every impacted tooth should be treated as quickly as possible. Left untreated, the teeth can fail to erupt at all or erupt in the wrong place, crowd other permanent teeth, damage the roots of the teeth near them, and lead to difficulties eating and dental pain.

Wisdom teeth

Wisdom teeth are often a problem because there is simply not enough room in the jaw for them.

Wisdom teeth that are completely impacted (still in the jawbone) can sometimes be left alone if they aren’t causing other problems. But if impacted wisdom teeth develop cysts, affect the teeth around them, or lead to other dental complications, they should be extracted.

Partially erupted teeth, those that have begun to emerge through the gums but don’t erupt fully, can be the source of different gum and tooth problems. Because the gum tissue overlaps the tooth, food particles and bacteria can become trapped, leading to rapid tooth decay and even infection. In this case, extraction is probably the best option.

Be Proactive

The term “impacted” actually comes from the Latin root meaning “pushed against.” But teeth that don’t erupt at the right time, in the right place, can have a different kind of impact on dental health and appearance. And the earlier we can catch these problems, the easier it is to treat them.

Regular exams and X-rays with Drs. Sheena Allen, Murat Ayik, and Mark Margolin at our Dallas,TX office will show the progress of the teeth even before they erupt, and if there will be the space for them to fit in the mouth properly. We may recommend a visit to the orthodontist by the age of seven to see if there are any signs of potential orthodontic problems.

Intervention at an early stage can prevent potential problems from becoming major ones. That is why it’s so important to be proactive when teeth are erupting in children and young adults. After all, a healthy, confident smile makes a real impact!

If your idea of camping is a quiet walk through the woods before returning to your rustic hotel, your regular brushing habits will be perfect for your trip. But if you are hiking into the mountains with your tent, backpack, and camp food, Drs. Sheena Allen, Murat Ayik, and Mark Margolin and our team have some suggestions to adapt your dental routine to the great outdoors.

Water

If you wouldn’t drink it, don’t brush with it! Use bottled water if you have brought it, or make sure the local water is safe by using a testing kit. Boiling, filters and purification tablets are all ways to make sure the water tests clean and safe.

Toothpaste

You aren’t the only one in the woods who finds your toothpaste tasty. Bears, raccoons, and other animals are attracted to the scent of your toothpaste, so keep it safe with the same kind of tightly sealed, odor-proof container that you keep your food in. And if you want to discourage unwanted visitors, don’t spit your toothpaste out at your campground! It’s better to go some distance from your site and bury any paste, and best of all to spit used toothpaste into a container that can be tightly closed and removed from the campsite when you head for home. This practice protects you and the environment as well, since toothpaste can be harmful to small animals and plants.

Toothbrush

While there are disposable and camping toothbrushes available, a regular toothbrush will work as well. Normally, air-drying is the healthiest option for drying your toothbrush, but camping is an exception. Just as animals are attracted to toothpaste, they are also attracted to your toothpaste-scented toothbrush. Keep it in a sealed container that is odor-proof.

Floss

There are websites devoted to the many ingenious ways to use dental floss while camping, but we recommend the original use. Don’t forget to floss regularly, keep it in a sealed container, and do be sure to take used floss out of the area with you.

Even though you are roughing it, stick with your home routine as much as possible. If you are unable to brush as usual, rinse your mouth well with clean water and brush when you can. Have a great trip, and just one more thought—maybe go easy on the s’mores. Let us know all about your trip during your next visit to our Dallas,TX office!

Dental anxiety is a very common experience: people postpone checkups, live with tooth pain, or suffer anxiety all through each appointment. Knowing that you share this problem with many others might be comforting, but it isn’t very helpful. If you suffer from mild to moderate anxiety, talk to Drs. Sheena Allen, Murat Ayik, and Mark Margolin! Nitrous oxide sedation might be the answer.

• What is nitrous oxide?

Often referred to as “laughing gas,” nitrous oxide has been used since the 1800’s in dental procedures. Today, it is a safe and common form of inhalation sedation, and we are trained in its uses and administration. Our equipment is designed to provide a precise mixture of nitrous oxide and oxygen gases inhaled through a face mask that you will wear throughout the procedure. Just breathe normally, and you will feel calmer within minutes.

• Relaxed and Aware

Nitrous oxide provides the lightest form of dental sedation. This type of anesthesia is called “conscious sedation” because you will remain awake, relaxed, and able to respond to instructions. We can control the timing of the sedation easily, as it takes effect right away and leaves your system quickly when you stop inhaling the gas. We can also control the level of sedation as needed, so it will not wear off during longer procedures.

• Convenient Recovery Time

One of the biggest advantages of choosing nitrous oxide sedation is its remarkably quick recovery time. With pills or IV sedation, you might need several hours before and after the procedure both to allow these sedatives to take effect and for recovery time when you’re done. You should also have someone available to drive you to and from the appointment. Nitrous oxide, on the other hand, is used only at the time of the procedure and begins leaving your system as soon as you finish inhaling it. You will be able to resume your normal activities almost immediately.

We believe your dental experience should be as relaxing and stress-free as possible. Talk to us about the types of dental sedation available at our Dallas,TX office, and we will work with you to decide on the best possible option. If you have mild to moderate levels of anxiety, wish to remain awake and relaxed throughout your visit, and want a brief recovery time from sedation, nitrous oxide could be the ideal sedation choice for you.

If you suffer from sensitive teeth, you already know the frustration of having a type of pain that is hard to deal with. Because tooth sensitivity is sometimes unpredictable, you can't necessarily take medication to ward off the pain like you could if you just felt a headache coming on.

However, there is still something you can do about sensitive teeth. Use the following tips to help put your sensitivity and pain problems with your teeth behind you!

Use the Right Toothbrush: Select a toothbrush made just for sensitive teeth, or the softest bristles possible. This helps you avoid putting any extra pressure on your teeth or gums.

Choose a Special Toothpaste: There are several good options for toothpastes made just for sensitive teeth today. Usually, toothpaste formulated for sensitive teeth will be fluoridated and use a non-abrasive formula. The toothpaste will help with the pain usually associated with brushing and flossing if you use it regularly.

Avoid Trigger Foods: You may have noticed certain trigger foods that cause tooth sensitivity and pain for you. Avoid these foods whenever possible, and if you absolutely must eat them, try to consume them in very small quantities. Trigger foods may include:

• Foods with high acid content for example citrus fruits
• Very hot or very cold foods
• Hard or crunchy foods

Visit Our Office

If your sensitive teeth problem is too serious to manage on your own, a visit to our Dallas,TX office may be in order. There are a couple of ways Drs. Sheena Allen, Murat Ayik, and Mark Margolin can help:

• Fluoride Treatments: We can put a special fluoride formula on the most sensitive areas to help make your enamel stronger and to help lower pain levels.
• Sealing Exposed Roots:In some cases, your roots become exposed due to a receding gumline, which in turn causes teeth sensitivity and pain. We can apply a dental sealant that protects the exposed roots and reduces your pain dramatically.

On a sizzling hot day, there’s not much that makes us happier than heading to the water for a quick swim, some gentle laps, or even a rousing game of water polo. And this being a sizzling hot dental blog, we are happy to offer some tips on how to make your summer swim good for your dental health as well as your mental health!

• Mouthguards

You might use your mouthguard all the time—for biking, or basketball, or skiing. But in the pool? Absolutely! Anyone who has played water polo knows what a physical workout it is. Elbows! Hard tosses! Collisions! And it’s not just pool sports. Water-skiing on the lake, surfing in the ocean—anywhere humans and solid objects are involved, tooth and jaw injuries are possible. Don’t spend valuable summer hours tending to a cracked or broken tooth as a result of sports accidents.

And, unlikely though it seems, even hanging by the pool can be hazardous to your smile. Hard concrete edges wait to greet surfacing divers. Slippery cement and tiles surrounding the pool are the downfall of many a swimmer running to jump back into the water. Be aware of possible dental dangers, and use a mouthguard as a great proactive way to avoid them.

• Swimming Pools & Chlorine

Ah, the smell of chlorine! We all want to know that swimming pools are as clean as they can be, and one method of keeping them that way is with the addition of antimicrobials to the water. But too much exposure to chemicals can cause enamel erosion, or even a condition called “swimmer’s calculus.” Swimmer’s calculus is recognized by a hard, brownish, tartar deposit that appears on the front teeth of swimmers who spent a lot of hours in the pool. It’s a cosmetic problem, but one that’s difficult to get rid of without a professional cleaning. If you’re a competitive swimmer, or simply someone who spends many hours a week in treated water, give us a call if you notice hard-to-remove discoloration or tooth sensitivity.

• Retainers

Different people have different opinions on whether or not your retainer should be exposed to the chlorine in pool water. (Or the salt in saltwater or the bacteria in lake water.) Ask us for ours! But you’re best off leaving it in your bag or locker, anyway, because retainers can be easily lost in the water. They might be able to survive a swimming pool, but a lake or ocean rescue is very unlikely. Just remember to put your retainer in a case, in a safe spot, and replace it when you’re out of the water for the day.

Enjoy your time on the water, and don’t forget to schedule an exam with Drs. Sheena Allen, Murat Ayik, and Mark Margolin and a professional cleaning if you haven’t been in the office for a while. If you do have a dental problem or an accident, give our Dallas,TX office a call immediately. We want to make sure you dive in to summer fun with a healthy, beautiful smile!

The grown-ups in your life want you to have a healthy, happy smile. That’s why they help you brush and floss, and make sure you come see Drs. Sheena Allen, Murat Ayik, and Mark Margolin for checkups and cleanings. Did you ever wonder if there are other ways you can help build a beautiful smile? There are! And one of them is eating food that makes our teeth and gums strong and healthy.

Friendly Foods

• Enamel and Bone Builders

Calcium is a very important element that helps us grow strong bones and enamel, the hard covering on the outside of our teeth. Bacteria in our mouths can create acids that weaken enamel and lead to cavities, so we want to keep our enamel as strong as possible. Dairy products like milk, cheese, and yogurt are great sources of calcium, but you might be surprised to know dark green vegetables like kale, spinach and broccoli help build strong teeth as well, and strong teeth are less likely to get cavities!

• Good for Our Gums

Many foods have important vitamins that help keep our gums and mouths healthy. Vitamin C helps protect our gums and make them stronger. When we think of Vitamin C, we usually think of citrus fruits like oranges and lemons, but there are many other fruits and vegetables that give us this important vitamin, including mangos, potatoes, and strawberries. Vitamin A also helps keep our gums healthy. We can increase our Vitamin A by adding fish, leafy green vegetables, or orange colored foods to our diet.

• Natural Toothbrushes

Crunchy foods like apples, carrots, and celery can help keep our teeth clean. They act like gentle brushes to remove food and bacteria left on our teeth after eating. Chewing also increases saliva, which helps wash away food particles and bacteria. And, of course, drinking or rinsing with water after a snack helps clean our teeth when we can’t brush.

What Foods Aren’t Good for Our Teeth?

• Bacteria Builders

Plaque is a film of bacteria that sticks to our teeth. These bacteria make acids that soften our enamel and cause cavities. And what do these bacteria use for food? Sugar is one of their favorites! We can’t stop eating everything with sugar, of course, and we all deserve a treat every now and then. But to keep our teeth their healthiest, it really helps to cut down on sugary foods and drinks, and to brush or rinse with water when we do enjoy dessert.

• Acid Attacks

Bacteria can make acids that weaken our enamel, but we can also eat foods that damage our enamel and might lead to cavities. Drinks like sodas, citrus juices and even some sports drinks are acidic enough to make our enamel softer. Drinking with a straw or rinsing your mouth with water helps, but it’s a good idea to limit foods and drinks that make our enamel weaker over time.

• Sticky Stuff

Any food that stays on or between your teeth gives bacteria more time to grow and produce the acids that cause cavities. We can guess that hard candy and caramel would be a bad idea, but even healthy foods such as dried fruit and trail mix can be a problem when they stick to your teeth. If you eat something sticky, be sure to rinse with water or brush and floss as soon as you can.

You already know that brushing and flossing are the best way to keep your teeth clean, and that visiting us for checkups and office cleanings helps your teeth and gums stay strong and healthy. Eating well is just one more thing you can do to help. The next time you visit our Dallas,TX office, talk to us about what you and your family can add to the menu for a lifetime of beautiful smiles!

Accidents happen. Next time you’ll wear your mouthguard when you skateboard, never use your teeth to open anything, and carefully step away from your grandmother’s hard candy dish. But what to do now for your chipped tooth?

First of all, call Dallas Dental Arts. Drs. Sheena Allen, Murat Ayik, and Mark Margolin and our team can offer tips on dealing with any pain and how to avoid injuring your tooth further. Make an appointment to see us as soon as possible, where one of the following options might be the best treatment for you:

• Bonding

If the chip is small, you might be a good candidate for bonding. A tooth-colored resin is applied to the damaged area with adhesive, molded to shape, and then hardened with a curing light. It is then polished and, if necessary, further shaped to match your surrounding teeth.

• Porcelain Veneer

A veneer is a thin shell of porcelain individually molded for your tooth. If the chip is too large for bonding, or if you would like a more translucent finish, a veneer might be appropriate. During your first appointment, some of the tooth structure will be gently removed to accommodate the size of the veneer. A mold will be taken and sent to a lab for the creation of the veneer, which will be bonded to your tooth on a later visit. Whether a veneer will be successful depends on several variables, such as the condition of the tooth and enamel, your bite, and whether you grind your teeth. We will take all these factors into consideration in discussing possible treatments.

• Crown

A large chip or pain when eating or drinking might mean that you need a crown. This “cap” will protect your tooth from the pressures of chewing as well as restoring its appearance. On your first visit, some of the tooth structure will probably be removed to make room for the crown, impressions will be taken for the dental lab to make a permanent crown, and a temporary model will be fitted to your tooth. In a following visit the permanent crown will be adhered to your tooth.

If the crack has extended to the pulp of the tooth, you might need a root canal. If this is necessary, we will discuss the procedure during our exam.

No matter the size of the chip, it is important to contact our Dallas,TX office immediately to help avoid infection and prevent further damage. If your tooth is broken below the gumline or otherwise seriously compromised, more intensive care will be necessary. But when a minor accident happens, prompt treatment can quickly restore your smile to health.

It seems like yesterday. There you were, comforting your baby through sleepless nights, soothing her with a dentist-approved teether, celebrating as that first tiny tooth poked through her gums. And now here she is running to show you that same tooth, wiggly, loose, and almost ready for the Tooth Fairy. Now what?

Be Prepared

Children normally lose that first tooth somewhere around the age of six, but a year or two earlier or later is not uncommon. If you ever took a business class, you might have heard of the inventory method called “First In, First Out.” Baby teeth operate much the same way! The two bottom front teeth, followed by the two upper front teeth, will probably be the first teeth your child loses. Once you notice some wiggling, let your child know what is going on and reassure her that it is a normal part of growing up.

What to Expect with that First Loose Tooth

Normally, baby teeth become loose when the pressure from the permanent tooth below gradually breaks down the roots of the primary tooth. If your child has a loose tooth, encourage him to wiggle, not pull. Typically, gentle wiggling is all that is needed to free a tooth that has lost most of its root and is ready to be replaced. Avoid pulling or forcing the tooth, because that can cause injury to the root area if the baby tooth isn’t ready to come out. Call our Dallas,TX office if you have any questions about loose teeth. Drs. Sheena Allen, Murat Ayik, and Mark Margolin and our team also have suggestions if the baby teeth don’t become loose on schedule, or if they stubbornly remain in place even after the adult teeth have started to show up. One important note—if your child ever loses a tooth through accident or injury, call us at once. We might need to provide a spacer to give your child’s permanent teeth the proper time and space to come in.

Celebrate this Milestone with Your Child

The arrival of the Tooth Fairy is a familiar way to mark the occasion, and she can leave your child a note, a small gift, even a brand new toothbrush. Or explore other options!

If your child is fascinated by stories and traditions, learn about El Ratón Pérez (Perez the Mouse), a familiar tooth-collector in many Spanish speaking countries, or his French cousin, La Petite Souris (the Little Mouse). In other parts of Europe, Asia and Africa, children throw teeth on the roof, drop them in a glass of water, or hide them in a slipper. This is a great opportunity for you and your child to explore the world!

If your child likes science, look into books that explain the biology of baby and adult teeth in an age-appropriate way. You could print a chart of the primary teeth and take notes on each lost tooth as it makes way for the permanent tooth below. Or track her progress with photos showing the baby tooth, the gap left by the tooth, and the adult tooth as it comes in.

Losing that first tooth is an important moment for your child—and for you. Be prepared to celebrate another milestone together, and always feel free to talk to Drs. Sheena Allen, Murat Ayik, and Mark Margolin if you have any questions about this new stage in your child’s life.

School’s out for the summer, and it’s great to have the kids home. After all, they deserve a break after all their hard work. And you want to keep their vacation happy, relaxing, and fun—without letting them spend those summer months cooling off with sugary treats. What are some of your options for healthy hot weather snacks?

• Naturally Sweet Treats

Keep a supply of fresh fruit handy for summer snacking. Crispy fruits like apples and Bosc pears actually provide a little scrubbing action for the teeth with their vitamins, and softer fruits such as bananas, berries, and, of course, watermelon, provide natural sweetness along with vitamins and minerals. Yogurt has valuable calcium for strong teeth and the vitamin D our bodies need to use that calcium. Add some fresh fruit to Greek yogurt for added flavor and sweetness—and even more vitamins.

• Savory Snacks

Cheese is a calcium-rich snack, and crunchy carrots and celery help scrub teeth while providing vitamins and minerals. Do a little mixing and matching by adding some cream cheese to that celery for extra flavor. Serve up hummus and pita chips or cheese with whole grain crackers. They’re great nutritious alternatives to chips and dip.

• Blender Blast

Summer’s the perfect time to use your culinary creativity and expand your child’s palate with vitamin-rich smoothies. Toss your favorite fruits in the blender with a little juice, non-fat yogurt, milk, or honey, whirl away, and you have a delicious, healthy snack. You can add a few leafy greens for even more nutritional value. There are many easy recipes online for creating homemade smoothies that will please any picky palate.

• Freezer Favorites

Ice cream is a favorite summer treat, but it can also provide quite a sugar punch. There are many homemade frozen yogurt recipes available online which combine frozen fruit, yogurt, and honey for your own summer celebration, without adding large amounts of sugar. Or choose to stock your freezer shelves with low-sugar fruit pops, store bought or homemade.

• On Tap

A soda or a sports drink are often the go-to hydration choices in the summer. You might already be careful about handing these drinks out because they can have such a high sugar content. But they can also create a very acidic environment in the mouth, which is harmful to tooth enamel. Water is the safest, healthiest option for hydrating in hot weather, and can even provide some of the fluoride which helps keep enamel strong.

Whatever is on your child’s summer menu, keep up with all those great dental habits you’ve already established. A limited number of snacks—even healthy ones—is best, and be sure to brush after snacking, or rinse with water if brushing’s not an option. And don’t forget to maintain your child’s normal schedule of brushing and flossing, and regular visits with Drs. Sheena Allen, Murat Ayik, and Mark Margolin at our Dallas,TX office.

Have a great summer, and send your kids back to school rested, relaxed, and with a healthy, happy smile. Then take a moment, relax, and sip that smoothie—after all, you deserve a break after all your hard work!

A root canal entails the removal of the nerve supply from a tooth. If you know the purpose of a root canal, the process may seem a little less intimidating.

Drs. Sheena Allen, Murat Ayik, and Mark Margolin will explain the steps in person before your scheduled root canal. Here are some reasons why you may need one and how it will be done when you visit our Dallas,TX office for your appointment.

Let’s look at the parts of a tooth. Teeth are made up of layers. The outside is the enamel you see, which is composed of minerals. The middle layer is called dentin. It is less dense and made of calcified tissues.

The center of the tooth, also known as the pulp, holds the nerves and blood vessels. When a tooth has decayed or been infected all the way down to the pulp, a root canal is used to remove and replace the root with a filling.

A cavity, sudden trauma, severe cracks, or other events that may cause nerve damage can start an infection of the root of your tooth. You may notice an infection if you experience abnormal pain, swelling, sensitivity, or change in tooth appearance.

Don’t hesitate to contact our Dallas,TX office to schedule an examination if you notice these symptoms. We may need to take X-rays of the problem tooth to find out if a root canal is necessary.

Once an appointment is scheduled for a root canal and we’re ready to begin the procedure, you’ll be given anesthesia to keep you comfortable. The problem tooth will be isolated and sterilized. We work to remove all the infected area after that.

The treatment will include getting rid of nerve tissue and blood vessels, then filling in the spot where the nerve used to be. A crown is placed over the area to secure enamel from breaking down in the future and prevent the potential loss of the tooth. The root canal can block the possibility of having your tooth extracted due to decay or infection.

If you have further questions about root canals or notice any new issues in your mouth, please don’t hesitate to call our office and speak with a member of our staff. We’d be happy to answer your questions and schedule an appointment for you to come and get your problem tooth checked out.

Don’t forget: You can avoid having to undergo a root canal if we catch the problem early on!

Dental floss is similar to a lot of products that depend mainly on the consumer’s preference. Fact is, floss comes in a wide variety of flavors, coatings, and other variations, but all types of floss essentially do the same thing. After all, that is what is most important: that the dental floss you buy is functional—cleaning the areas in between your teeth. If you want to know what the best dental floss is, the answer is the kind that enables you to successfully and regularly clean those areas. So to help you find the right type of floss for you, here are some options.

Flavored Dental Floss

Many people that floss prefer a flavored dental floss because it freshens their breath even more than unscented floss. The latter can also take on the smells associated with bacteria in your mouth. And we all know how bad that can be. So, if flavored dental floss is what you prefer, and it allows you to floss your teeth regularly, then it is automatically best for your mouth.

Flossers

There are also products on the market called flossers, which usually consist of a plastic instrument with strung floss and a pick on the opposite end. This option can be both effective at cleaning the areas in between your teeth and scraping off plaque. These flossers also come flavored in mint and various other varieties.

Gentle Dental Floss

Some people find that typical dental floss is too harsh on their gums. For that reason some companies make floss with soft coatings that are less abrasive on the gums. For the most part these types of floss are just as effective as regular floss, and for those people that require a more sensitive approach to flossing, especially when just starting out, this is the best option.

Of the aforementioned options, it is difficult to name an absolute best type of floss. However, Drs. Sheena Allen, Murat Ayik, and Mark Margolin and our team say that the type of floss that works best for you, giving you the greatest chance of succeeding at regular flossing, is the best. For more information on floss, contact our Dallas,TX office.