Congenitally Missing Teeth

IT’S ONE THING TO lose a tooth, whether through poor oral hygiene, accident, or oral surgery. A tooth not growing in where it should is something else. Between 2-4 percent of the population will have at least one tooth missing from their adult set. This condition is called congenitally missing teeth or hypodontia. In the much rarer event that the full set of teeth is missing, it’s called anodontia.
 

It’s All About Genes

The most common teeth to be affected by this condition are wisdom teeth, upper lateral incisors, and lower second premolars. Since wisdom teeth are often removed anyway, not having them in the first place can save you a lot of hassle, but those incisors and premolars are more necessary.

Genetics are almost always the culprit behind hypodontia, which is why it tends to run in families. Missing teeth could be the only issue, or they could be the result of a broader genetic disorder, such as ectodermal dysplasia or Down syndrome. Whatever the cause, there are many treatment options available for hypodontia.

Filling In The Gaps

Having these missing teeth can cause a few problems, such as difficulty chewing, the existing teeth shifting, and poor jaw support that could lead to the loss of additional teeth. This is why it’s important to get the issue taken care of as soon as possible, but there is no one-size-fits-all solution. Different options will be preferable depending on the age and sex of the patient and the length of time the tooth has been missing.

In most cases, orthodontic treatment will be the first step. Because missing teeth can cause the existing teeth to shift, braces might be necessary to correct the problem and open the gap wide enough to fit a replacement tooth. Replacements can come in a few different forms:

• Removable partial dentures. These are the simplest solution in many cases. They use the surrounding teeth to anchor them in place, or might be attached to a retainer.
• Dental bridges. As the name implies, a dental bridge “bridges” gaps by anchoring to the neighboring teeth. Unlike dentures, bridges are cemented in place.
• Dental implants. These will function like normal teeth, with a post fixed in the jaw bone and a crown on top that matches the natural teeth. If multiple teeth are missing, implants can be used as support for bridges.

If you have questions about implants, check out this FAQ video by a woman who just got hers!

https://www.youtube.com/watch?v=AN9wX3_fLsg

What Treatment Is Right For You?

Having congenitally missing teeth can be a struggle, but our practice is here for you. We can answer any questions you have and help you find the ideal treatment option so that your smile can be complete!

Keep being the wonderful patients that you are!

                             

                                         

                                                  Dr. Andrew Bruening & Dr. Carissa Bruening are

 General & Family Dentists located in Chesterfield, Missouri.

636-532-3311 | admin@chdental.net

Check Out Our Website!

                                          

The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.Top image used under CC0 Public Domain license. Image cropped and modified from original.

                                          


Your Pet’s Dental Health


YOU MIGHT BE TEMPTED to think that because wild animals can’t do much for their dental hygiene, pets like dogs and cats don’t need dental care either. In reality, keeping your pet’s teeth healthy will help them have a longer, healthier, and happier life!
 

Why Do Pets Need Dental Care?

Our pets need dental care for the same reasons we do. Their mouths contain bacteria that coat their teeth in plaque, which, if not removed, calcifies into tartar and can easily lead to tooth decay and gum disease.

Your dog or cat can’t tell you if something is wrong with their teeth, so these conditions are often easy to miss, but they are alarmingly common. By age three, 85 percent of dogs and cats get periodontal disease. Common symptoms of periodontal disease in a pet are difficulty chewing, tooth loss, and even bad breath. You can also check for loose teeth, bleeding or swollen gums, and reduced appetite.

Taking Care Of Their Teeth

Even if your pet is showing none of the above symptoms, the best time to begin a dental hygiene regimen for them is now. If they are already suffering from poor oral health, your efforts will dramatically improve their quality of life. If they aren’t, then you’ll be able to keep them healthy!

Here are a few things you can do to keep your pet’s pearly whites in good shape:

• Brush their teeth once a day. You only need to brush the outsides of their teeth, and it should take less than a minute, but doing it on a daily basis is crucial!
• Regular fluoride toothpaste will make your pet sick, so make sure to only use veterinary toothpaste, if any. It might work better as a treat after brushing to encourage them to cooperate.
• Give them veterinarian-approved dental treats to chew on. The right chew toys won’t just help with stress and boredom — they’ll also help with oral health!
• Take them in for professional teeth cleanings! Your veterinarian might offer this service, and if not, they can recommend a good veterinary dental specialist.

For more tips on pet dental care, listen to the Dog Whisperer himself:

https://www.youtube.com/watch?v=G7T8Vxexk6I

Your Pets Are Worth It!

We know that training your pet to get used to a toothbrush isn’t always easy, but there are plenty of resources available to help you, including your veterinarian and our practice. Keep persevering until it becomes a habit for both you and your pet.

Don’t forget to take care of your own teeth too!

          

                                     

                                                 Dr. Andrew Bruening & Dr. Carissa Bruening are

 General & Family Dentists located in Chesterfield, Missouri.

636-532-3311 | admin@chdental.net

Check Out Our Website!

                           

                                          

The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.Top image used under CC0 Public Domain license. Image cropped and modified from original.

                                            

Is Your Frenulum Holding You Back?

YOU’VE HEARD OF being tongue-tied, but what about lip-tied? Both are actually legitimate medical conditions, and the culprits are pieces of tissue in our mouths called frenula.
 

Tongue Ties And Lip Ties

We all have a frenulum (or frenum) that connects our upper lips to our upper gums, one that connects our lower lips to our lower gums, and one that connects our tongues to the floors of our mouths. Normally, they are all thin and highly elastic, allowing free movement of our lips and tongues. If someone is literally tongue-tied, it means the lingual frenulum (the one under the tongue) is large enough to restrict the movement of their tongue, causing difficulties with speech, chewing, and swallowing.

Having a “lip tie,” on the other hand, means one of the labial frenula is so thick and/or tight that it restricts movement of the lip it’s attached to. Being lip-tied can lead to problems such as a large gap between the teeth, gum recession, and, in infants, not being able to latch while breastfeeding.

https://www.youtube.com/watch?v=Fj2BHzYMJwQ

What Can We Do About It?

Luckily, a simple surgery called a frenectomy can reduce or remove an abnormal frenulum. Now, don’t let the word “surgery” scare you off. A frenectomy is definitely worth considering for anyone with these frenulum-related problems, particularly if they’re experiencing pain or discomfort.

Frenectomies are relatively quick procedures with short healing times. Periodontists (dentists who specialize in working with the gums) and oral surgeons are normally the ones who perform them. The way it works is that the doctor will numb the area  and make a small incision in the frenulum to make it smaller or remove it. Alternatively, the procedure could involve laser surgery, where the doctor removes the frenulum with a laser. Either way, that pesky lip tie or tongue tie will be gone!

Let’s Take Care Of That Frenulum

For the majority of people, frenulums will never be a problem. If you think any of yours might be thick or tight enough to cause the above problems, schedule an appointment with us, and the same goes for your children if they seem to have these problems. We can take a look and see if a frenectomy would be a good option. If it is, then we can recommend a periodontist or oral surgeon to take care of it.

Thank you for choosing us to take care of that smile!

                                      

                                               Dr. Andrew Bruening & Dr. Carissa Bruening are

 General & Family Dentists located in Chesterfield, Missouri.

636-532-3311 | admin@chdental.net

Check Out Our Website!

                                           

The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.Top image used under CC0 Public Domain license. Image cropped and modified from original.

                                             

Why Straight Teeth?

TO SOME, IT MIGHT seem like the benefits of having straight teeth are purely cosmetic. And those benefits certainly do exist. Studies have shown that people tend to perceive someone with straight teeth as wealthier, happier, and more date able than someone with crooked teeth. But there are plenty of other important benefits as well.
 

Consequences Of Crooked Teeth

There are many different ways crooked, crowded, or misaligned teeth can negatively impact a person’s health and quality of life. Let’s take a look at a few of the big ones.

Difficult To Clean

When teeth overlap each other in ways they aren’t meant to, they can be much harder to clean with brushing and flossing than straight teeth. If teeth aren’t getting cleaned as effectively, then they become more vulnerable to tooth decay.

Impede Clear Speech

Underbites, severe overbites, and other teeth alignment problems can interfere with a person’s ability to speak clearly, leading to lisps and other distortions in articulation.

Interfere With Healthy Digestion

Chewing is a critical part of the digestion process. Our saliva begins to break food down on a chemical level while our teeth break it apart into more manageable pieces. Crooked teeth can make it difficult or even impossible to chew food enough, which forces the rest of the digestive system to pick up the slack. This can lead to a number of unpleasant GI consequences, and it can even make it harder to lose weight!
https://www.youtube.com/watch?v=bR_XyzWHedA

Can Interfere With Healthy Breathing

If your teeth don’t fit comfortably together, you might keep them apart instead of closing your jaws when resting. This can lead to mouth breathing, which has many negative health effects. The two most connected to oral health concerns are chronic bad breath and dry mouth.

Can Cause Jaw Problems

If there’s something wrong with your bite, that can result in temporomandibular joint (TMJ) syndrome. Symptoms include a clicking jaw joint, jaw pain, and frequent headaches.

Do Your Teeth Need Straightening?

Having straight teeth eliminates or greatly reduces all of these problems. This, paired with the cosmetic advantages and the boost in confidence, makes orthodontic treatment a very worthwhile investment. If you think you could benefit from orthodontic treatment, our practice can recommend a great orthodontist for you. In the meantime, keep brushing, flossing, and scheduling your regular dental appointments!

You deserve the best for your teeth!

                                       

                                                    Dr. Andrew Bruening & Dr. Carissa Bruening are

 General & Family Dentists located in Chesterfield, Missouri.

636-532-3311 | admin@chdental.net

Check Out Our Website!

                                        

The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.Top image used under CC0 Public Domain license. Image cropped and modified from original.

                                     

Impress Your Friends With Dental Trivia

MOST PEOPLE OUTSIDE of teeth-related professions probably only think about their teeth when something’s wrong, like when there’s something stuck between them in the middle of a date, they’re sore from a toothache, or they’re stained after drinking coffee or juice. That’s why we thought our patients would appreciate an opportunity to think about teeth in a more fun and interesting context. So get ready, because it’s time for some dental trivia!
 

You Probably Didn’t Know…

These are seven of our favorite pieces of dental trivia! How many of them did you already know? If you know any cool dental facts we didn’t include in our list, feel free to share them in the comments!

1. A Lifetime Of Brushing: If you brush your teeth for two minutes twice a day, that means you’re spending a whole day brushing your teeth for every year of your life! Keep up the great work!
2. First Impressions: After your eyes, your smile is what people notice most about you, so make sure you’re taking care of it!
3. Teeth Tattoos: It is possible to tattoo your teeth, though technically the tattoo is on a cap or crown that covers the tooth, not the tooth itself. (We probably wouldn’t recommend this one!)
4. Super-healing: The mouth heals faster from injuries (like a bitten cheek or burned tongue) than any other part of the body. This is because of the ample blood supply, the simplicity of the tissues in the cheeks, tongue, and gums, and the healing properties of saliva.
5. Congenitally Missing Teeth: Most of us will have 20 baby teeth and between 28 and 32 adult teeth (depending on how many wisdom teeth we have) in our lifetime, but for 3-8 percent of the population, some of those teeth might never develop at all!
6. Baby Teeth: One in about 2,000 babies are born with at least one tooth already erupted! These are called natal teeth (or neonatal if they erupt within the first month).
7. Ice Age Dental Fillings: Archaeologists have discovered evidence of crude dental fillings in teeth from 13,000 years ago in northern Italy!

For a few more weird dental facts, check out this video:
https://www.youtube.com/watch?v=kQXYslGfLGs

Let’s Take Care Of Those Teeth!

There are plenty of weird and fascinating things we can learn about teeth, but if you ever notice anything about your own teeth that strikes you as unusual, come see us. It’s always better to make sure nothing out of the ordinary is going on, and your teeth will thank you for doing so earlier rather than later.

Remember to keep brushing and flossing!

                                    

                                                   Dr. Andrew Bruening & Dr. Carissa Bruening are

 General & Family Dentists located in Chesterfield, Missouri.

636-532-3311 | admin@chdental.net

Check Out Our Website!

                                         

The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.Top image used under CC0 Public Domain license. Image cropped and modified from original.

                                               

The Big Scoop On Tooth Sensitivity

DO YOU GET a painful jolt through your teeth every time you try to enjoy a bite of ice cream or a sip of fresh coffee? If you do, then you’re familiar with the woes of tooth sensitivity, and you’re not alone. More than half of adults between the ages of 20 and 50 experience some degree of sensitivity in their teeth, and children can have sensitive teeth too.

So why does this happen? Well, to understand tooth sensitivity, it helps to know about the structure of a tooth and how the different layers function.

The Anatomy Of A Tooth

The crown of each tooth is covered in a thin layer of hard enamel. Beneath the enamel is dentin, a bony substance with thousands of microscopic tubules running through it. These tubules are how the nerves in the pulp at the core of each tooth can detect what’s going on at the surface.

Causes Of Sensitivity

Most often, tooth sensitivity occurs when the enamel wears away, which could be the result of teeth grinding, erosion from acid, or even improper brushing. Without enamel, the tubules in the dentin become exposed. Once that happens, eating or drinking anything hot or cold — sometimes even sweet or sour — will give the tooth a nasty shock.

Another major cause of sensitivity is root exposure. Teeth roots don’t have that layer of enamel; their main defense is the gums. Gum recession, which can also be caused by teeth grinding or improper brushing, leaves the roots vulnerable. Other causes of sensitivity include cavities and having a chipped or fractured tooth.

https://www.youtube.com/watch?v=ZoO8KkboOzA

How You Can Protect Your Teeth

If you do have sensitive teeth, there are several ways to fight back. First, start using a soft-bristled brush if you aren’t already, because hard bristles may further damage the enamel and gum tissue. You can also switch to a toothpaste specifically formulated for sensitive teeth. Finally, avoid sugary or acidic foods and drinks, particularly soft drinks.

What Our Practice Can Do

Make sure to come to us if you begin experiencing tooth sensitivity, even if your next regular appointment is months away. We can strengthen your teeth with a fluoride varnish, perform dental restoration work on areas with enamel loss, recommend a gum graft to cover exposed roots, or prescribe a desensitizing toothpaste. We’ll also make sure there aren’t any other problems with your teeth!

We’re here to make sure your smile stays healthy and strong!

                                    

                                                  Dr. Andrew Bruening & Dr. Carissa Bruening are

 General & Family Dentists located in Chesterfield, Missouri.

636-532-3311 | admin@chdental.net

Check Out Our Website!

                                         

The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.Top image used under CC0 Public Domain license. Image cropped and modified from original.

                                              

The Story Of Your Toothbrush

HAVE YOU EVER WONDERED how your toothbrush was made or how it’s different from toothbrushes of the past? Teeth-cleaning tools have certainly come a long way from the frayed sticks Ancient Egyptians used around 3500 BC!
 

A Brief History Of The Toothbrush

The first toothbrushes that resemble modern ones were invented in China in the late 1500s, and they consisted of pig bristles attached to a bone or bamboo handle. Before long, the design caught on in Europe, with horse hair sometimes replacing pig. Can you imagine cleaning your teeth with animal hair? It doesn’t sound very fun to us, but there weren’t any other options back then, and it beats chewing on frayed sticks.

Over the centuries, the design gradually became more like the toothbrushes we’re familiar with. Toothbrushes were first mass-produced in 1780, in England. The first toothbrush with nylon bristles was made in 1938. Sixteen years later, Philippe Guy-Wood developed the first electric toothbrush in Switzerland.

Even with the long history of toothbrushes and all the advances in the design, oral hygiene didn’t become a priority in the culture until soldiers brought their strict hygiene regimens home with them from World War II. Just one more reason to be grateful for our troops!

How Your Toothbrush Is Made

Nylon bristles and plastic handles were the last major change in what toothbrushes are made of, but how are they actually made? There are a few different steps. First, the handles are molded from plastic pellets. Then a machine positions and attaches the bristles. Next, another machine trims the bristles to the right length. Finally, the finished toothbrushes are packaged and shipped.

To see the manufacturing process in action, check out this video:
https://www.youtube.com/watch?v=deOqWyRp-XI

The most important step before a toothbrush makes it to the cup beside your sink is quality control. The American Dental Association tests new toothbrush designs on comfort and efficiency. Toothbrushes that meet their standards are given the ADA Seal of Acceptance, so make sure any toothbrush you purchase has it!

You And Your Toothbrush

A toothbrush earning the ADA Seal of Acceptance isn’t the end of the story. From there, it’s up to you. Remember to brush your teeth for two full minutes twice a day, store your toothbrush upright in a dry place preferably far from the toilet after you use it, and don’t forget to replace it every few months! A frayed, worn out toothbrush can’t do the job of preventing tooth decay and gum disease as effectively as a toothbrush in good condition.

Need A Recommendation?

We know there are many toothbrushes out there to choose from, and there is no one toothbrush that’s perfect for everyone. Children need different brushes than adults, people with braces need different toothbrushes than people without, people with sensitive teeth need toothbrushes with extra soft bristles, etc. So if you’re having trouble finding the best one for you, just ask us at your next dental appointment!

We can help you find the brush that’s right for you!

                             

                                                   Dr. Andrew Bruening & Dr. Carissa Bruening are

 General & Family Dentists located in Chesterfield, Missouri.

636-532-3311 | admin@chdental.net

Check Out Our Website!

                                   

The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.Top image by Flickr user Pascal used under Creative Commons Attribution-Sharealike 4.0 license. Image cropped and modified from original.