Dentist in Greensboro, NC
Michelle H. Mottinger, DDS
2710 Henry St. Ste 104
Greensboro, NC 27405-4962

Phone (336) 375-1825

Dentist Blog

Posts for category: Oral Health

WithOutdoorSportsHopefullyPoisedtoBeginBePreparedforOralInjuries

National Physical Fitness & Sports Month in May, sponsored by the President's Council on Sports, Fitness & Nutrition, is a fitting time to encourage us to play sports. Many of us already feel the Spring itch to get out there and get involved. Unfortunately, an increase in sports or exercise activities also means an increase in potential physical injury risks, including to the face and mouth.

Although COVID-19 protective measures are delaying group sports, there's hope that many leagues will be able to salvage at least part of their season. If so, you should know what to do to keep yourself or a family member safe from oral and dental injuries.

First and foremost, wear a sports mouthguard, a plastic device worn in the mouth to reduce hard impacts from other players or sports equipment. A custom-fitted guard made by a dentist offers the best level of protection and the most comfortable fit.

But even though wearing a mouthguard significantly lowers the chances of mouth injuries, they can still occur. It's a good idea, then, to know what to do in the event of an oral injury.

Soft tissues. If the lips, cheeks, gums or tongue are cut or bruised, first carefully clean the wound of dirt or debris (be sure to check debris for any tooth pieces). If the wound bleeds, place some clean cotton gauze against it until it stops. If the wound is deep, the person may need stitches and possible antibiotic treatments or a tetanus shot. When in doubt, visit the ER.

Jaws. A hard blow could move the lower jaw out of its socket, or even fracture either jaw. Either type of injury, often accompanied by pain, swelling or deformity, requires medical attention. Treating a dislocation is usually a relatively simple procedure performed by a doctor, but fractures often involve a more extensive, long-term treatment.

Teeth. If a tooth is injured, try to collect and clean off any tooth pieces you can find, and call us immediately. If a tooth is knocked out, pick it up by the crown end, clean it off, and place it back into the empty socket. Have the person gently but firmly clench down on it and call the office or go to the ER as quickly as possible. Prompt attention is also needed for teeth moved out of alignment by a hard blow.

Playing sports has obvious physical, mental and social benefits. Don't let an oral injury rob you or a family member of those benefits. Take precautions and know what to do during a dental emergency.

If you would like more information about, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “An Introduction to Sports Injuries & Dentistry” and “Dental Injuries: Field-Side Pocket Guide.”

By Michelle H. Mottinger, DDS
April 23, 2020
Category: Oral Health
Tags: oral hygiene  

Caring for your teeth and gums really isn’t that difficult. It just takes a little know-how!

You’ve just pulled yourself from the couch where you’ve been binging the latest show and now you need to get ready for bed. You’re exhausted and your brain is most likely on autopilot. You are brushing but you’re not really thinking about it. Does this sound like you? Habits such as brushing and flossing are habitual, so you may not really think about them, but our Greensboro, NC, family dentist Dr. Michelle Mottinger will tell you that it’s time to take a look at your habits to see where they can be improved.

Here’s how to improve your current oral care routine to reduce your risk for cavities and gum disease,

  • Brush your teeth twice a day with a soft-bristled toothbrush and ADA-approved fluoride toothpaste. Fluoride can help restore and strengthen enamel to prevent decay.
  • Floss every day, preferably at night before bedtime. Flossing can remove plaque, food and bacteria from between teeth that brushing just can’t.
  • Make sure you are eating a healthy balanced diet and avoiding sugary drinks and foods. Sugar is a major culprit of decay. If you do eat sugar it’s important to do so in moderation, and to brush your teeth immediately after.
  • Considering adding an oral rinse into the mix after brushing and flossing. If your Greensboro, NC, general dentist has told you that you are prone to cavities or at risk for gum disease there are specialized mouth washes designed to reduce tartar and plaque buildup to protect against these two common dental problems.
  • Quit smoking as soon as possible, as smoking can greatly increase your risk for gum disease and cavities.
  • Replace your toothbrush every few months once the bristles splay out. Worn bristles won’t provide a thorough clean and may even damage enamel. Just gotten over an illness? This is another reason to immediately replace your toothbrush head.
  • Visit your dentist twice a year for routine cleanings and exams.
     

We know that these are difficult times and with the pandemic, the main goal for our dentist and her team here in Greensboro, NC, is to keep everyone safe. While our office is temporarily closed for routine visits, know that we can provide you with care for dental emergencies. If you are dealing with a true dental emergency, please call us at (336) 375-1825.

By Michelle H. Mottinger, DDS
April 23, 2020
Category: Oral Health
Tags: gum recession  
4ThingsYouCanDotoAvoidDamageFromGumRecession

Gum recession is a serious oral condition in which the gums shrink back or “recede” from their normal position around the teeth. Because they're the primary protection for teeth below the enamel, this can expose the teeth to infection or cause painful sensitivity. And receded gums most certainly can diminish your smile.

But there are preventive measures you can adopt that might help you avoid this unpleasant condition. Here are 4 things you can do to minimize your risk for gum recession.

Practice daily oral hygiene. The main cause for recession is gum disease, a bacterial infection that weakens gum attachment to teeth. Gum disease usually arises from dental plaque, a thin bacterial film that builds up on teeth. Removing it every day with brushing and flossing minimizes the risk of gum disease and gum recession.

But don't overdo it. Although brushing is key to keeping your mouth healthy, too hard and too often can damage your gums and lead to recession. A little “elbow grease” may be appropriate for other cleaning tasks, but not your teeth—use gentle strokes and let the mild abrasives in your toothpaste do the main removal work. And avoid brushing more than twice a day.

See your dentist regularly. Your personal care efforts are a major part of preventing gum recession, but you can greatly increase the effect with professional dental care. That's because with even the best hygiene practice infections and other gum problems can still arise. You may also have inherited thinner gum tissues from your parents that increase your disease risk and bear closer monitoring.

Act quickly at the first signs of disease. Gum disease is a progressive disease, and it doesn't take long for it to become intrenched. The sooner it can be treated, the less likely you'll experience recession. So, make a dental appointment as soon as possible if you notice your gums are swollen, red or painful, or if they bleed easily after brushing.

There are ways to reverse gum recession. But many treatments like grafting surgery to regenerate new gum tissues can be quite involved and expensive. Following these tips can help you avoid gum recession altogether or stop it before it goes that far.

If you would like more information on how to avoid gum recession, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Gum Recession: Getting Long in the Tooth.”

By Michelle H. Mottinger, DDS
April 03, 2020
Category: Oral Health
Tags: sedation dentistry  
SedationTherapyCanHelpAnxiousPatientsGettheDentalCareTheyNeed

Dental visit anxiety is a serious problem: Half of all Americans admit to some level of dental fear, while 15% avoid dental care altogether due to acute anxiety. The harm this can cause to dental health is incalculable.

But dentists have a number of sedation techniques that can relax anxious patients and allow them to receive the care they need. Although often used together, sedation is slightly different from anesthesia, which aims to deaden pain sensation. The aim of sedation is to calm the emotions and state of mind.

Sedation isn't a new approach: Physicians have used substances like root herbs or alcohol to relieve anxiety since ancient times. Modern dentistry also has a long history with sedation, dating from the early 1800s with the first use of nitrous oxide gas.

Modern dental sedation has expanded into an array of drugs and techniques to match varying levels of anxiety intensity. At the milder end of the scale are oral sedatives, taken an hour or so before a dental appointment to produce a calmer state. This may be enough for some patients, or it can be used in conjunction with nitrous oxide.

For those with more intense anxiety, dentists can turn to intravenous (IV) sedation. In this case, the sedative is delivered directly into the bloodstream through a small needle or catheter inserted in a vein. This causes a quicker and deeper reaction than oral sedatives.

Although similar to general anesthesia, IV sedation does differ in significant ways. Rather than unconsciousness, IV sedation places a patient in a “semi-awake” state that may still allow them respond to verbal commands. And although the patient's vital signs (heart rate, breathing, blood pressure, etc.) must be monitored, the patient doesn't need breathing assistance as with anesthesia.

There's one other benefit: The drugs used often have an amnesic effect, meaning the patient won't remember the treatment experience after recovery. This can be helpful in creating more pleasant memories of their dental experience, which could have its own sedative effect in the future.

Whether oral, gas or IV, sedatives are a safe and effective way to calm dental fears during treatment. That could help someone with anxiety maintain their oral health.

If you would like more information on reducing dental anxiety, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “IV Sedation in Dentistry.”

By Michelle H. Mottinger, DDS
February 13, 2020
Category: Oral Health
Tags: gum disease  
UncoveringEarlyGumDiseaseThroughPeriodontalProbing

How do you know if you have periodontal (gum) disease? Sometimes your gums will tell you—when they’re red, swollen or bleed easily.

But your gums can also look and feel healthy while a gum infection still brews below the gum line. In this case, a regular dental visit could make the difference. Even without overt signs of infection, we may be able to detect gum disease with a slender metal instrument called a periodontal probe.

Gum disease is a bacterial infection that most of the time arises from dental plaque. This thin film of bacteria and food particles accumulates on tooth surfaces, especially because of poor or non-existent oral hygiene. A continuing infection can weaken gum tissues and cause them to pull away or detach from the teeth.

Normally, there’s a slight gap between the gums and teeth. But as the infected gums pull away, the gaps grow larger and deeper, forming what are known as periodontal pockets. They become filled with infection that soon spreads to the root and bone and increases the risk of tooth loss.

These pockets, though, could be the means for detecting a gum infection with the help of the periodontal probe. During a dental exam we gently insert the probe, which has millimeter depth markings etched on it, between a tooth and its adjacent gums. While a depth of 1 to 3 mm is normal, a probe measurement of 4 to 5 mm could be a sign of an early stage infection. A reading of 7 to 10 mm, on the other hand, may indicate more advanced disease.

Along with other factors, periodontal probing can be quite useful identifying both the presence and extent of a gum infection and then how to treat it. The goal of any treatment is to remove plaque and tartar (calculus) deposits that sustain the infection. But probing, along with other diagnostic methods like x-rays, could point to deeper infection below the gum line that require more extensive methods, including surgery, sometimes to access and remove the disease.

Achieving the best treatment outcome with gum disease often depends on finding the infection early. Periodontal probing helps to make that discovery more likely.

If you would like more information on diagnosing and treating gum disease, please contact us or schedule an appointment for a consultation.