Dr. Trent Buchanan of Greystone Smile Design discusses the importance of dental hygiene on the local NBC13 morning show. 

More videos of Dr. Trent Buchanan:

Dr. Buchanan on ABC’s ‘Talk of Alabama’ July 2010

Dr. Buchanan on ABC’s ‘Talk of Alabama’ January 2010

In the dental office, we never mention the “n” word…the one that rhymes with beedle.  If it weren’t for the “beedles,” maybe we dentist would be more popular.  Nobody likes “beedles,” but if we didn’t numb your tooth, we definitely wouldn’t remain friends. 

But what if we could numb your tooth without you even knowing it?  Or, better yet, what if we could do some procedures without the use of “beedles” altogether.

At Greystone Smile Design, we are on the cutting edge of dental technology.  Our goal is to make dentistry comfortable – we don’t just treat teeth, we treat people.  That’s why I’m excited to announce one more advancement in our pursuit of pain-free dentistry – Profound topical anesthetic.  This is one of the strongest topical anesthetics on the market. 

Do your gums hurt when you get your teeth cleaned?  Those days are over!  All we have to do is simply apply the Profound topical to the sensitive site and waaalaaa – painfree without a “beedle!”  This can also be used for deep cleanings and several pediatric procedures including simple baby tooth extractions and most baby tooth fillings.

For procedures where we do have to use a “beedle,” the vast majority of patients do not feel anything.  After applying the Profound with a Q-tip and waiting about 2 minutes, you will already begin to feel the numbness.  The top teeth are easy – you will rarely feel anything on these.  Even the dreaded “roof of the mouth” injection can be relatively painless.  For the bottom teeth, we can virtually eliminate the injection that numbs your lip and tongue.  Profound is so strong that we can place it around the tooth to be treated and inject only around that tooth – no fat lip, no fat tongue, no drooling, and no slurred speech!

In those situations where we do have to numb your whole head, our anesthetic reversal agent can reverse the numbness in about half the time so you can get on with your day. 

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There has always been some disagreement in the dental world about this question.  Some past studies showed that high-concentration hydrogen peroxide-based products can cause increased porosity leading to demineralization and calcium loss, but results have always been inconclusive. 

Researchers from the University of Trieste found that whitening does not alter enamel surface roughness, even after multiple applications of the strongest in-office solution on the market (38% hydrogen peroxide).

The study authors looked at 20 patients; all underwent an in-office 1 hour whitening procedure with 38% hydrogen peroxide once per week for 4 weeks.  The results indicate that these bleaching products have no harmful effects on enamel morphology. 

The major difference in this study compared to past studies is that actual patients were examined.  Past research was conducted in the lab on extracted teeth.  These results show the remineralization capability of the oral environment. 

Other colleagues in Ohio found the same results – no change in enamel surface roughness AND no change in enamel surface hardness after 1 hour in-office whitening.  But, they also claim that take home whitening products may cause decreased hardness in enamel because of the longer application times.  Once again, this is debatable and more research is needed. 

Visit us at Greystone Smile Design for a FREE whitening consult!

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From Baby Bottle to Cup

Tooth decay can occur as soon as a baby’s teeth appear.  One of the risk factors for early childhood caries (sometimes called “baby bottle tooth decay”) is frequent and prolonged exposure of a baby’s teeth to liquids containing sugar – including milk, formula, and fruit juice.

Because decay can destroy the teeth of an infant or young child, parents should encourage their children to drink from a cup by their first birthday. 

As you make the change from baby bottle to training cup, be very careful about:

• what kind of training cup you choose
• what goes into the cup
• how frequently your child sips from it
• not allowing your child to carry the cup around

How to Select the Right Training Cup

The best training cup for your child is one with no valve.  Stores offer a large and often confusing variety of training cups (also called “sippy cups” or “tippy cups”).  Many if not most of these are “no-spill” cups – nothing more than baby bottles in disguise.  “No-spill” cups include a valve beneath the spout, which does stop spills.  However, cups with valves do not allow your child to sip.  The only way your child can get liquid from a cup with a valve is by sucking (as from a baby bottle).  This defeats the purpose, as it prevents your child from learning to sip.

When shopping for a training cup, avoid those that have no-spill valves.  A useful training cup will have a snap-on or screw-on lid with a spout.  If you can find a cup with two handles, that may be best.  A useful cup also may be self-righting, with a weighted base that pulls the cup upright when it tips, keeping spills to a minimum.

What – And How Often – Your Child Should Drink

Do not let your child constantly sip liquids containing sugar (including milk and juice drinks), because that encourages tooth decay.  Offer these liquids only at mealtimes – understanding that mealtimes for little ones may be more frequent than the standard three times a day for adults.  Saliva production increases during a meal and helps neutralize acid production and rinse food particles from the mouth.  If your child is thirsty between meals, offer water in the cup.

Do not let your child carry the training cup around, or get into the habit of keeping it within reach while riding in a car or stroller.  At-will, frequent sips of sugary liquids encourages tooth decay.  Another problem is that toddlers often are unsteady on their feet.  They take an unnecessary risk if they try to walk and drink at the same time.  Falling while drinking from a cup can injure the mouth.  Do not let your child walk or run around with a training cup.

A training cup should be used temporarily.  Once your child has learned how to sip the training cup has achieved its purpose.  It can and should be set aside when no longer needed.

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Prepared by the ADA Division of Communication, in cooperation with The Journal of the American Dental Association.

Greystone Smile Design is proud to offer Opalescence Boost 1 hour in-office whitening.  This video demonstrates how easy this procedure is.  It takes about an hour and has amazing results!  We use desensitizers before and after the procedure, making sensitivity minimal.  Check it out today!

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Watch Dr. Trent Buchanan on ABC 33/40′s “Talk of Alabama” discussing the many ways to whiten your smile! 

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We’ve all heard that an apple a day keeps the doctor away.  But, have you ever heard about raisins helping to keep the dentist away?

Raisins have been shown to provide many overall health benefits.  They can help maintain blood sugar levels in athletes, and the high fiber content can help regulate intestinal function.  Also, antioxidants are present to reduce cancer risks, and the potassium content can help maintain blood pressure.  If that’s not enough, the small, convenient packages can be excellent at controlling hunger. 

But what are the effects on teeth?  With all the sugar and stickiness, they must be toward the top of the dentist’s no no list…right?  Not so fast my friend. 

To read the rest of this article, click here.

Can you live without caffeine?  I know I can’t.  I patient recently asked me what the best “source” of caffeine was based on oral health.  A great question! 

My aunt started a new diet, which refrained her from caffeine…and she claimed she lost 6 friends!  As Americans, we are all addicted to caffeine, in one way or another.  Ninety percent of all Americans will ingest caffeine in some form each day.  This fact makes caffeine the most popular drug in America, and one of the most addictive.  Caffeine gives you energy, makes you feel awake, and makes you feel happy. 

The most common delivery methods are via sodas, chocolate, coffee, tea, and energy drinks.  But, which one is best for your teeth?  With our caffeine-crazed society, we’ll explore the good and the bad for the most popular caffeine-containing foods and drinks.  Areas evaluated will be focused on amounts of caffeine, sugar content, teeth staining potential, and erosiveness.

Sodas

Sodas are probably the most common source of caffeine.  From convenience stores to fast food restaurants, sodas have easy availability which adds to their popularity.  But, the caffeine content is relatively low.  Coke and Pepsi contain about 3 mg of caffeine per ounce and about 3.3 grams of sugar per ounce.  Mountain Dew and Mellow Yellow are in the top category for caffeine (about 4.4 mg per ounce) and sugar content (about 4 grams per ounce).  An interesting note:  There is more sugar in caffeine-free sodas and more caffeine in diet drinks.  From a dental standpoint, the ideal soda (and by the way, there is no ideal soda) would be one with lots of caffeine and no sugar.  Diet drinks have no sugar, but the caffeine content is only in the moderate category.  From my research, Pepsi One looks to be the best with no sugar and 4.5 mg of caffeine per ounce (the same as Mountain Dew).

The problem with soda, even those without sugar, is the erosive potential from the acidic ingredients.  This can cause a generalized wear on teeth by eroding away the enamel.  See the post “Is Sour Candy or Original Flavor Worse For Your Teeth” to learn more about dental erosion.  As far as staining teeth, sodas would be in the mild category.  The potential is there due to the dark color of some beverages, but these are usually mild surface stains that can generally be removed by many whitening products.  For more on teeth whitening, check out “Teeth Whitening Myths Uncovered.”

Summary

The Good:  Can have no sugar and has mild effect on teeth staining.

The Bad:  Low levels of caffeine and the erosiveness can cause teeth wear.

Chocolate

There are many different types of chocolate, but most contain only a trace of caffeine (up to 0.5 mg per ounce).  So it’s not the caffeine in chocolate that gives you that “feel-good high.”  It’s the…you guessed it…high sugar content.  I couldn’t find the exact amount of sugar in comparison to soda, but either way, this isn’t the best pick-me-up for your morning commute.  To learn more about sugar and the process of cavity formation, check out “Is Gum Good For Your Teeth.”

Coffee

If you drive by Starbucks at 8 AM, you may think coffee is the most popular source of caffeine.  Well, technically it is.  More caffeine is consumed through coffee than anything else, mainly because coffee has more caffeine per ounce.  Sodas, however, still remain the most common source in the United States.  There are many different kinds of coffee with varying levels of caffeine.  The range is broad, but the most common choices are instant coffee at close to 10 mg per ounce, brewed coffee at about 17 mg per ounce, and espresso at almost 50 mg per ounce.  As far as sugar, coffee itself has none.  The sugar in coffee is from milk or from how much sugar you actually put in it.  Watch out for the Starbucks bottled Frappucino – it’s sugar content rivals that of Coke and Pepsi. 

Some recent research also puts coffee in the ‘good-for-you’ camp.  A study published in the Journal of Agricultural and Food Chemistry, the publication of the American Chemical Society, shows that coffee made from roasted coffee beans has antibacterial activities against certain micro-organisms, including Streptococcus mutans(S. mutans), a major cause of dental cavities.  Who knew!  Coffee possesses little potential for enamel erosion, but does have a high potential for teeth staining.  Dark coffee has been shown to have a direct correlation with increased staining of teeth – the darker the coffee, the more potential for stain.  Makes sense, but an interesting note – darker coffee actually has less caffeine.  So stick with the lighter roast to keep the staining at a minimum.

Summary

The Good – High caffeine content, usually no sugar, little potential for erosion

The Bad – High incidence of tooth staining

Tea

Tea contains antioxidants, which are helpful in preventing cancers and heart disease, but what about oral health.  Tea is the most consumed beverage in the world after water and contains no sugar (unless you add it).  Caffeine levels range from 2 – 6 mg per ounce, higher than soda but less than coffee. 

White tea has been getting lots of press in recent years, not only because of its overall health benefits, but also because of the role it has in a healthy mouth.  Researchers found that drinking a cup or two of white tea between meals can actually prevent cavities and periodontal disease (Visit “The Link Between The Mouth and The Body” for more information on periodontal disease).  White tea has been shown to suppress the growth of cavity causing microbes and interfered with the bacterias ability to stick to teeth.  In another study, people rinsed with tea for one minute 10 times per day. In that study, the more people rinsed, the more their plaque and bacteria levels fell.  Erosion of teeth is pretty much nonexistent, and the potential for teeth stain from white tea is minimal to none. 

Summary

So let me get this straight – White tea is good for your overall health, good for your teeth, has no sugar, has more caffeine than soda, and has little to no erosion or staining consequences.  This gets the #1 spot by a landslide.

Energy Drinks

We’ve found our sure-fire winner in white tea, but lets shed some light on energy drinks.  Most have about the same amount of caffeine as a cup of regular coffee (between 6 – 10 mg per ounce), but it’s the sugar content and erosive potential of some that is worrisome.  5 Hour Energy, 6 Hour Power, Adrenalyn, and Red Bull Energy Shot are a few with no sugar content.  A look at a few other popular brands and the amount of sugar:  Regular Red Bull (3 gr per ounce), Monster products (about 3 gr per ounce), Jolt (4 gr per ounce).  The worst on the list as far as sugar content were Ammo at 7 gr per ounce and Hype at 8 gr per ounce – that’s almost twice as much sugar as Mountain Dew!  The best energy drinks, as far as dental health is concerned, are the “shots” because of the decreased amount that bathes the teeth and the ones with no sugar (of course!). 

What to do to minimize dental issues

Short of quitting caffeine cold-turkey, you can take a few simple steps to keep your drinks from ruining your smile.  First, keeping your teeth sparkling clean is essential.  A whitening toothpaste or over-the-counter whitening products may be helpful for removing surface stains.  Or, an in-office whitening treatment may be in order if the stains don’t cooperate.  Make and keep regular dental cleaning appointments twice each year.  If you just can’t kick the habit of sodas, use a straw. Sipping through a straw protects your front teeth from discoloration and erosion.

Rinse your mouth with water after drinking darker beverages. Everyone wants us to drink more water each day anyway.   Grab a glass or bottle of water (but remember, bottled water doesn’t have fluoride), and swish it around in your mouth to clean your teeth.  Whenever you can, brush your teeth after eating or drinking.  This prevents a film from forming on the surface of the teeth, which contributes to discoloration.

Or just switch your morning routine to white tea and get the best of all worlds!

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Birmingham, Alabama Teeth Whitening

Birmingham, Alabama Cosmetic Dentist ]]> http://www.greystonesmiledesignblog.com/2009/11/dentist-35242/feed/ 2 http://www.greystonesmiledesignblog.com/2009/11/birmingham-dentist/ http://www.greystonesmiledesignblog.com/2009/11/birmingham-dentist/#comments Sun, 01 Nov 2009 06:52:44 +0000 http://www.greystonesmiledesignblog.com/?p=537 What Over-the-Counter Whitening Product is Best?

We’ve covered Teeth Whitening Myths, Toothbrushes, Toothpaste, Chewing Gum, but now another great question arises – What is the best over-the-counter whitener and do they really work? 

Bombarded by ads, commercials, and the gazillion different brands to choose from, this can be mind boggling.  Then to make you go really crazy, throw in the different choices of strips, paint-on gels, or rinses.  Wow! 

Read on for the truth, the whole truth, and nothing but the truth to calm your teeth whitening confusion. 

Click here to read the rest of this article.