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Should Adults Continue Fluoride Treatments?

January 30th, 2018

Many adults wonder if they should continue to receive fluoride treatments. Our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry wants to set the record straight about the usefulness of fluoride treatment for adults.

There are several reasons fluoride treatments could be beneficial to you as a grownup. If you have a high risk for cavities, topical fluoride applications can cut down on that risk.

If you’re experiencing gum recession that’s softening your enamel, fluoride treatments can slow down that process. Fluoride treatments may also protect expensive restorative work on crowns or bridges that may be adversely affected by plaque.

In addition, fluoride can also protect teeth in adults who have orthodontic braces or who sometimes neglect to keep up with daily oral hygiene regimens such as flossing and using mouthwash.

Do you have sensitive teeth? Consuming foods that are highly acidic or using teeth-whitening products can lead to irritated gums. Fluoride treatments remineralize your enamel and reduce sensitivity.

If you’ve undergone radiation treatment for cancer, fluoride can help restore any dry-mouth damage that may have developed during that time. Saliva acts as a buffer against the foods we eat, and without enough of it you may be more likely to get cavities.

In general, fluoride treatments are not always necessary for adults, but they can be beneficial to your overall oral hygiene depending on your situation. If you fall into one of the general areas listed above, ask about a fluoride treatment during your next visit at our Carmel, Monterey, Morgan Hill, CA office.

We can also go over your options to treat other issues you may experience in terms of your oral health. Until then, make sure to take care of your teeth properly and use toothpaste or mouthwash that contains fluoride on a regular basis.

Why is replacing missing teeth important?

January 23rd, 2018

When we talk about teeth, every single one of yours counts. Whether you’ve lost a tooth due to injury or poor oral hygiene, it’s worth seeing Dr. Stephen C. Smith to evaluate all your replacement options. If you don’t, you could suffer negative effects to your teeth, gums, jawbones, appearance, and self-esteem.

Depending on how many teeth are missing and where they are located, Dr. Stephen C. Smith may suggest an implant, fixed bridge, or a removable bridge.

Addressing missing teeth as soon as possible is in your best interests. If you don't, the consequences might include:

  • Shifting teeth: When you lose a tooth, the space it creates allows the neighboring teeth to drift and move out of alignment. A once-straight smile and correct bite can quickly turn into crooked teeth and a misaligned bite.
  • Tooth decay and/or gum disease: After teeth have shifted, it can be harder to reach all areas around them to brush and floss properly. The buildup of bacteria and plaque can result in periodontal disease and the loss of your remaining teeth due to decay.
  • Effect on jaws: Missing teeth alter your bite and how your teeth and jaws contact one another. This puts added strain on your jaw joint (TMJ) and can contribute to the development of TMJ disorder.
  • Change in face and appearance: When you lose a tooth, your gums and your jawbone are no longer stimulated in that area. A dental implant replaces the root of a tooth or several teeth, and provides stimulation to prevent bone loss. If the root isn’t replaced, this can lead to deterioration of the jawbone and alteration of the shape and appearance of your face. Your face, especially the cheeks, can look older and more sunken.

Replacing missing teeth is an essential step for your physical and emotional health. If they are replaced in a timely manner at our Carmel, Monterey, Morgan Hill, CA office, you’ll continue to have the same wonderful smile you’ve always had.

Anatomy of a Smile Makeover

January 16th, 2018

A smile makeover is usually a combination of one or more cosmetic dental procedures. To achieve your desired result, Dr. Stephen C. Smith may perform or suggest a variety of options. The entire process is designed specifically for your unique cosmetic needs, and Dr. Stephen C. Smith will make sure all your concerns regarding your smile are addressed.

Here are some of the most common procedures in cosmetic dentistry and how they work:

  • Tooth whitening – Whiter teeth are achieved through a bleaching process typically using hydrogen peroxide or carbamide peroxide. Yellower teeth usually respond well to this procedure, while brown-colored teeth stained by fluorosis or taking tetracycline do not respond as well to whitening. Tooth whitening is not for everyone; if you have sensitive teeth, gum disease, or poor enamel, Dr. Stephen C. Smith may recommend against tooth-whitening services.
  • Orthodontics – Braces are one of the tried-and-true ways of achieving a healthier smile. Braces are typically worn between 12 and 24 months to reposition the teeth in a straighter and safer alignment. Since your bite is also corrected during this process, it helps ensure you won't have any trouble down the line. There are several different types of braces available these days including: traditional metal braces, clear ceramic braces, lingual braces, and clear aligners.
  • Veneers – Veneers are thin, tooth-colored material (porcelain or resin) designed to be placed on the front surface of teeth to improve their overall appearance. They can be used in cases where the color, shape, size, or length is not as desired. Veneers are usually used in cases where teeth are discolored, chipped, worn down, misaligned, irregular, or have gaps.
  • Implants/bridges – Dental implants and bridges are used to replace missing or broken teeth. Nowadays, both implants and bridges are commonly performed procedures. Implants integrate directly with the jawbone, while bridges are placed over the adjacent teeth to the missing tooth. Implant technology has advanced a great deal in recent years and highly biocompatible ceramic materials are becoming more commonplace.

Getting your perfect smile will take time and patience, but the end result will be well worth it! Please schedule an appointment at our Carmel, Monterey, Morgan Hill, CA office about the cosmetic dental services we offer, and achieve the smile you've always wanted!

Is gingivitis preventable?

January 9th, 2018

The earliest sign of gum disease is called gingivitis (sometimes called periodontal disease), and is an inflammation of the gums. If left untreated, gingivitis can lead to gum tissue loss, loss of bone that supports the teeth, and eventually tooth loss. The good news is that gingivitis is easily treatable at Stephen C. Smith Periodontics, Laser and Implant Dentistry. Better yet, gingivitis is nearly 100 percent preventable.

Gingivitis is usually caused when plaque and bacteria accumulate on the gums, generally due to poor oral hygiene. A patient with gingivitis will have red and puffy gums that will likely bleed when he or she brushes or flosses.

It is almost entirely within our patients’ power to prevent gingivitis by brushing and flossing on a daily basis. In addition to good oral health habits, regular visits to see Dr. Stephen C. Smith will also help with early detection. We can often detect minor inflammation and other signs of gingivitis before it causes any discomfort or issues.

If left untreated, gingivitis will eventually progress to periodontitis, a breakdown of the tissue and bone that support the teeth. Smokers, women who are pregnant or menopausal, people with heart disease, diabetes, epilepsy or HIV infection, and people who suffer from poor nutrition are more likely to have gum disease.

To learn more about gingivitis, or if you suspect you have gingivitis, we encourage you to give us a call at our Carmel, Monterey, Morgan Hill, CA office today!

Considerations When Picking the Right Mouthwash

January 4th, 2018

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 Dr. Stephen C. Smith 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, Dr. Stephen C. Smith 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 Dr. Stephen C. Smith 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 Carmel, Monterey, Morgan Hill, CA or ask Dr. Stephen C. Smith 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.

Things You Probably Didn’t Know About New Year's Eve

December 26th, 2017

It’s no secret that New Year’s Eve is one of the most widely celebrated holidays in the world. Dr. Stephen C. Smith and our team love it too. It’s a fresh start, another year of surviving the crazy world we live in, a time to refocus on the things we want for ourselves, a celebration with those we love … the list goes on.

Dozens of countries welcome the New Year with over-the-top parties and celebrations. Because it’s a public holiday, many offices, businesses, and schools close for the day. As you think about your plans for this holiday, here are some fun facts about New Year’s that might surprise you!

Can you guess what the most common New Year’s resolutions are? You may already have one or two of these on your own personal list. The top five New Year’s resolutions are: to quit smoking, get a new job, lose weight, increase personal savings, and return to school. Just remember that coming up with a concrete plan to reach your goals is the surest way to achieve your resolutions!

About one million people brave the cold to watch the New Year’s Eve ball drop in New York City’s Times Square in person. Yes, that’s one million! This event is one of the most iconic celebrations in the world. People travel from all over just to experience it, but you can watch from the warmth and comfort of your living room.

If you’re not a fan of cabbage, collard greens, black-eyed peas, or ham hocks, you might want to revise your tastes. All these foods are all regarded as lucky fare on New Year’s Day. Unless you’re allergic, of course!

For many people in Mexico and Latin America, eating 12 grapes at midnight is a tradition that brings good luck in the 12 coming months. Most people even make a wish per grape!

Whether you’re celebrating in Carmel, Monterey, Morgan Hill, CA or traveling elsewhere to observe the holiday, New Year’s Eve is a time to enjoy the company of your friends and family. Don’t forget to send warm wishes to your loved ones, and snag a midnight kiss with that special someone if you can!

Dry Mouth and How to Treat It

December 19th, 2017

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 Carmel, Monterey, Morgan Hill, CA office a call or make sure to ask Dr. Stephen C. Smith during your next visit!

When should I floss during the day?

December 12th, 2017

A vital step in your oral health routine is flossing. We hope our patients at Stephen C. Smith Periodontics, Laser and Implant Dentistry maintain good oral hygiene, including daily flossing between each visit to our Carmel, Monterey, Morgan Hill, CA 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, Dr. Stephen C. Smith 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 Carmel, Monterey, Morgan Hill, CA 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!

Why do wisdom teeth need to be removed?

November 28th, 2017

Sometime around the late teens or early twenties, people’s wisdom teeth start to erupt. These are the third and final set of molars. When wisdom teeth come in properly — meaning they are correctly aligned — they offer more chewing power. Unfortunately, more often than not, wisdom teeth are misaligned, crowd other teeth, and need to be removed.

Why do we have wisdom teeth?

It is thought that we have wisdom teeth because — back in the day — we ate a diet that consisted of more rough foods, like roots, leaves, and meat, all of which required more heavy-duty chewing power.

Reasons Wisdom Teeth Need to be Removed

While there is no clear-cut rule that says every single person needs to have their wisdom teeth removed, there are certain situations where one or more wisdom teeth are causing a problem or have a strong likelihood that problems will eventually arise in the future that warrant their removal.

1. Fully Impacted Wisdom Teeth

When a wisdom tooth is “impacted”, it means that the tooth is covered by gum tissue, thereby preventing it from erupting through the gum. This often occurs when the mouth is too small to allow enough room for the tooth to emerge. Because bacteria, food, or other mouth substances can be lodged under the gum that covers the wisdom tooth, it can lead to an acute abscess, known as pericoronitis.

2. Partially Impacted Wisdom Teeth

When a wisdom tooth is partially impacted, meaning the tooth is partially emerged from the gums, it almost always is advised to be removed. Because of its location in the very back of the mouth, a partially erupted wisdom tooth is more susceptible to not only decay and cavities, but also gum disease.

3. Other Reasons to Have Wisdom Teeth Removed

If you experience any of the below dental issues or changes in your dental health, removal of your wisdom tooth (teeth) may be necessary:

  • Pain at or surrounding the wisdom tooth site, including the jaw or cheek area
  • Repetitive infections
  • Gum disease
  • Tooth decay (extensive)
  • Tumors
  • Cysts
  • Damage to surrounding teeth

It is important to know that the decision to have a wisdom tooth removed isn’t always cut and dry. It is essential to talk to Dr. Stephen C. Smith about the alignment of your wisdom teeth if they have already erupted, health of your wisdom teeth if impacted or partially impacted, and your overall dental health to determine what is best for your situation. Contact our Carmel, Monterey, Morgan Hill, CA office to schedule an appointment today!

Overall Health Can Be Influenced By Oral Hygiene

November 21st, 2017

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 Carmel, Monterey, Morgan Hill, CA 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 Dr. Stephen C. Smith and schedule an appointment.

We want you to be proactive about your health!

IV Sedation Dentistry: What is it, and how can it help?

November 14th, 2017

While Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry strive to offer a comfortable and unmatched experience for all our patients, we realize that fear or anxiety while visiting the dentist still affects some of our patients. For those of our patients who need extra comfort and relaxation during their visits, we are more than happy to offer IV sedation, a safe and effective option that provides a deeper and more complete relaxing state than most common oral medications.

Sedation dentistry at our Carmel, Monterey, Morgan Hill, CA office can turn a nerve-wracking and sweaty-palmed visit into a comfortable and pleasant one, and allows our patients to drift through their appointments, including complex dental work, feeling completely relaxed and without any discomfort or pain.

During sedation, Dr. Stephen C. Smith and our team will monitor your comfort, providing as much medication as necessary to keep you relaxed. We will also use the best tools we have at our disposal to monitor your vital signs so that you can have peace of mind before your procedure.

Dr. Stephen C. Smith and our team will be able to tell you if you are a candidate for sedation dentistry and will be more than happy to discuss any concerns, issues, or fears you may have before or during your visit. By talking with us about sedation dentistry, you can feel more comfortable and relaxed during your next visit to Stephen C. Smith Periodontics, Laser and Implant Dentistry. Give us a call today!

Ease up on your gums — don’t brush your teeth too hard!

November 7th, 2017

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 Dr. Stephen C. Smith. 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 Dr. Stephen C. Smith during your next visit to our Carmel, Monterey, Morgan Hill, CA office; we'd be happy to help!

Top Five Best Foods for Oral Health

October 31st, 2017

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, Dr. Stephen C. Smith 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 Carmel, Monterey, Morgan Hill, CA office!

How Computers Help Dental Implants Look Natural

October 24th, 2017

Never before have dental implants looked as natural and aesthetically pleasing as they do today. With the help of computer-aided design and computer aided manufacturing (CAD/CAM), Dr. Stephen C. Smith and our team are able to create implants with impeccable fit and finish. Although these technologies have been in use since the 1980s, it's only recently that they became efficient and cost-effective enough to be useful.

Dr. Stephen C. Smith can also take digital scans of your teeth, providing a much more in-depth and accurate representation of them when compared to traditional X-rays. This scan can be used to create a physical model of your teeth through the use of 3D printing technology, allowing for the utmost in accuracy when planning your implant treatment.

Since each of our patients are unique, these CAD/CAM technologies offer a highly customized approach to implant dentistry that helps avoid the "one-size-fits-all" ways of the past. The goal is to have an implant look and function as closely as it can to the tooth it's replacing. That’s why these implants are typically milled using ceramic or composite resin — materials chosen due to their durability and resemblance to teeth.

Even the planning of your surgery can be aided and guided by computers. 3D CT scans create a digital representation of your mouth including all significant anatomical markers. This data is imported into planning software which, coupled with CAD/CAM implant technology, is able to 3D print surgical guides that snap into place over a patient's teeth. This means less risk for surgical error and much more accurately placed dental implants.

The main benefits of CAD/CAM dental implants are that they:

  • Are extremely accurate for every patient, down to 50 micrometers
  • Have better long-term results and more natural-looking implants
  • Can be manufactured quickly, the same day in many cases

Of course this is just a quick summary of the benefits, and a computer-modeled implant may not always be the best option. If you have questions about the dental implants or the technologies we use to make them look as natural as possible, feel free to contact our Carmel, Monterey, Morgan Hill, CA office.

Xylitol: A significant factor for improving your oral health

October 17th, 2017

Xylitol is a naturally occurring sweetener found in tree bark, plants, fruits, and vegetables. The human body also produces it in small amounts. It looks and tastes like sugar, so as part of a health regimen, most people require no willpower to use it.

Xylitol is safe (approved by the World Health Organization) because only a small amount is needed for health benefits. With a glycemic index of seven, it is safe for diabetics. It has less than three calories per gram and 40% fewer calories than other carbohydrates. If eaten in extremely large amounts too quickly, it has a laxative effect in humans.

Tooth decay happens when bacteria in your mouth consume the sugars you eat. When you eat food that contains ordinary sugar, it gives energy to the bacteria on your teeth, allowing them to multiply and start making acids that destroy the enamel on the teeth.

Since xylitol is a natural sweetener derived from the fibrous parts of plants, it does not break down like sugar, so it helps maintain a neutral pH level in the mouth. Xylitol also prevents bacteria from sticking to the teeth because they are unable to digest it. That is how it protects the teeth from cavities.

With xylitol, the acid attack is diminished. With less bacteria and acid, your teeth stay healthier. The frequency of xylitol ingestion is important: aim for five grams a day, or one gram every three hours.

Studies of xylitol use as either a sugar substitute or a small dietary addition have demonstrated a dramatic reduction in new cavities. It has also stopped and even reversed some existing cavities. This effect is long lasting and possibly permanent. Low cavity rates persist even years after the trials have been completed.

Xylitol needs to be one of the first ingredients in a product to be effective. It is convenient and easy to use. You can find it in health food stores and specialty grocery stores. Xylitol can be delivered to your teeth in chewing gum, tablets, or even candy and mints.

It also comes in toothpaste, mouth rinse, baby oral wipes, gel and pacifiers, nasal wash, dry mouth spray, a granulated form for cooking, granulated packets to add to drinks, and commercially prepared foods. It can replace sugar on a one-to-one ratio.

Sweet rewards in xylitol are good for the body and the teeth! If you have specific questions please feel free to contact Stephen C. Smith Periodontics, Laser and Implant Dentistry. We look forward to seeing you soon!

What are mini implants used for?

October 10th, 2017

The use of mini dental implants (MDIs) is on the rise. MDIs are about the diameter of a toothpick (1.8 to 2.9 millimeters with lengths between ten to 18 millimeters) and are primarily used to secure loose upper or lower dentures or partial dentures.

MDIs are particularly useful for patients who suffer from osteoporosis or otherwise aren't well enough to get the bone grafts sometimes required by traditional dental implants. Their diminutive size also allows them to replace smaller teeth where the placement of a dental implant isn't feasible or called for.

Some of the benefits of MDIs include:

  • The procedure is quicker and less invasive – Since MDIs don’t require the cutting of gum tissue or sutures, Dr. Stephen C. Smith can place the implant quickly, resulting in a shorter healing process. MDIs go directly through the gum tissue and into the jawbone.
  • Lower cost – MDIs run in the range of $500 to $1500, whereas traditional dental implants can cost around $4,000.
  • Less risk of surgical error – Since MDIs don't go as deep into the tissue or jawbone, there is less risk of surgical error, like hitting a nerve or sinus cavity.
  • Can be used in thinner areas of the jawbone – Since MDIs don't require as much gum tissue or jawbone, they can be used in thinner areas of the jawbone, where a traditional dental implant would require a bone graft.

Although there are many advantages to MDIs, they aren't for everyone or every situation. There are some drawbacks, especially when it comes to their durability and stability. MDIs also haven't been studied nearly as much as dental implants.

Whatever your situation, it's best to speak with Dr. Stephen C. Smith about your options, and whether an MDI or a dental implant would work best for your specific case. Schedule an appointment at our Carmel, Monterey, Morgan Hill, CA office to learn more.

Crushing the Ice-Chewing Habit

October 3rd, 2017

It's a habit many people have and not only can it be annoying to the people around you, it can be detrimental to your dental health. Chewing ice is so common that it even has its own name, pagophagia. We're not talking about a slushy or shaved ice (although those artificially sugary treats should be avoided too!) but more like the hunks of ice rattling around in the bottom of your glass.

Ice chewing can be a sign of emotional problems like stress or obsessive-compulsive disorder, but it can also be a marker for iron deficiency anemia and other physical problems. Then again, some people just like to have something to chew on. For whatever reason you find yourself chewing on it, it's a habit you need to break.

Chewing on ice can cause:

  • Chipped and cracked teeth
  • Damaged enamel
  • Sore jaw muscles
  • Damage to dental work such as crowns, fillings, or other appliances

If chewing on ice is becoming a problem in your life, don’t hesitate to speak with Dr. Stephen C. Smith about it. But if you find yourself still wanting to chew on something, here are a few alternatives to ice:

  • Baby carrots
  • Celery sticks
  • Sugar-free (xylitol) gum

We know you need to chill sometimes, but chomping down your entire glass of ice is not the way to do it. If you have any other questions on the topic, feel free to talk with a member of our Carmel, Monterey, Morgan Hill, CA team. It may be beneficial in solving the issue and helping to remediate any damage to your teeth.

Diet Soda vs. Regular Soda: Which is better for teeth?

September 26th, 2017

When most patients ask Dr. Stephen C. Smith this question, they're thinking strictly about sugar content — cut out the bacteria-feeding sugar that's present in regular soda by opting for a diet soda and it will be better for your teeth. That seems logical, right? Well, there's a bit more to it than that. Let's take a closer look at how any kind of soda can affect your dental health.

Diet Soda – Why it can also lead to tooth decay

The main culprit in these drinks that leads to decay is the acid content. Diet sodas and other sugar-free drinks are usually highly acidic, which weakens the enamel on your teeth and makes them more susceptible to cavities and dental erosion. The level of phosphoric acid, citric acid, and/or tartaric acid is usually high in sugar-free drinks so it's best to avoid them.

Some patients also enjoy drinking orange juice or other citrus juices. These drinks are high in citric acid and have the same effect on the enamel of your teeth.

So what about regular soda?

We know the acidity of diet sodas and sugar-free drinks contributes to tooth decay, so what about regular soda? Like we alluded to earlier, regular soda is high in sugar — a 12 ounce can contains roughly ten teaspoons of sugar — and sugar feeds the decay-causing bacteria in the mouth. This also includes sports drinks and energy drinks, which are highly acidic and loaded with sugar too. So these drinks are a double-whammy of sugar and acidity your teeth and body simply don't need.

The problems caused by both diet and regular soda is exacerbated when you sip on them throughout the day. If you drink it all in one sitting, you won't be washing sugar and/or acids over your teeth all day long and your saliva will have a chance to neutralize the pH in your mouth.

The best beverages to drink and how to drink them

Drinking beverages that are lower in acid is a good step to take to keep your enamel strong. According to a study conducted by Matthew M. Rodgers and J. Anthony von Fraunhofer at the University of Michigan, your best bets are plain water, black tea or coffee, and if you opt for a soda, root beer. These drinks dissolved the least amount of enamel when measured 14 days after consumption of the beverage.

If you still choose to drink soda, diet soda, sugar-free drinks, or juices here are some other tips to lessen tooth decay:

  • Drink your soda or acidic beverages through a straw to minimize contact with teeth
  • Rinse with water immediately after consumption of the beverage
  • Avoid brushing your teeth between 30 minutes to an hour after drinking the beverage as this has been shown to spread the acids before your saliva can bring your mouth back to a neutral pH
  • Avoid drinks that have acids listed on the ingredients label

Still have questions about soda, sugar, and acid? Give our Carmel, Monterey, Morgan Hill, CA office a call and we’d be happy to help!

Diet and Dental Health: What to eat and what to avoid

September 19th, 2017

You are probably aware that guzzling soda and drinking those sugary Starbucks Frappuccinos aren’t particularly good for your dental health. But how much thought do you give to the effects of your diet on your teeth? Practicing healthy eating habits isn’t just helpful for your waistline, it also ensures that your teeth stay strong and cavity-free.

How diet affects dental health

Our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry will tell you that your mouth is a complicated place on a microbiological level. Harmful bacteria form dental plaques which convert the sugars in food to acids that wear away at tooth enamel. Meanwhile, saliva washes away some of the detrimental acids, while minerals work to rebuild where teeth are damaged. The foods you eat are important for managing this balancing act between harmful bacteria and helpful rebuilding agents.

Rethinking your diet to prevent cavities

Carefully considering your dietary choices is a smart way to become mindful of the foods you eat and how they affect oral health.

Foods to eat

  • Calcium- and phosphorus-rich foods. We’ve all heard that milk builds strong bones, and your teeth are included in that. Milk, cheese, nuts, and chicken are strong sources of calcium and phosphorus. These minerals are used to repair damage to the teeth’s enamel.
  • Crunchy fruits and vegetables. Biting into an apple stimulates saliva flow, which washes harmful acids from the surface of your teeth. Turn to other crunchy fruits and vegetables, including carrots, celery, pears, and lettuce, to increase saliva production.
  • Sugar substitutes. If you have a sweet tooth but want to decrease tooth decay, sugar substitutes such as Stevia or Equal provide a sugary kick without harming your teeth.

Foods to avoid

  • Sugary snacks. Cookies, cakes, candies, and other sugary treats provide a feast for the acid-producing bacteria in your mouth. Furthermore, these foods often get stuck in the ridges of your teeth, and provide a breeding ground for new bacteria.
  • Acidic fruits and vegetables. Foods high in acidity, such as tomatoes, citrus fruits, berries, peaches, and lemons, wear away the enamel of your teeth. Because these foods can be part of a healthy diet, remember to brush after eating them or swish with a mouth rinse to protect your teeth.

Eating well is an essential part of keeping your teeth healthy. Consult Dr. Stephen C. Smith about your diet for tips on food habits that keep your teeth strong and cavity-free. For more information about the link between your diet and your oral health, or to schedule an appointment with Dr. Stephen C. Smith, please give us a call at our convenient Carmel, Monterey, Morgan Hill, CA office!

Aging and Oral Health

September 12th, 2017

As you age, it becomes even more important to take good care of your teeth and dental health. According to the Centers for Disease Control and Prevention, approximately one-fourth of adults age 65 and older have no remaining teeth. What's more, nearly one-third of older adults have untreated tooth decay.

Oral health, regardless of age, is crucial to overall good health. Ideally, we all want to keep your natural teeth, but whether you're caring for natural teeth or dentures, advancing age may put older adults at risk for a number of oral health problems, including:

  • Dry mouth
  • Diminished sense of taste
  • Root decay
  • Gum disease
  • Uneven jawbone caused by tooth loss
  • Denture-induced tissue inflammation
  • Overgrowth of fungus in the mouth
  • Attrition (loss of teeth structure by mechanical forces)
  • Oral cancer

These conditions may not be diagnosed until it is too late. If you want to feel good, stay healthy, and look great throughout life, you might be surprised what a difference a healthy mouth makes.

Here are some tips for maintaining and improving your oral health as you become older:

  • Brush twice a day with a toothbrush with soft bristles. You may also benefit from using an electric toothbrush.
  • Clean between your teeth once a day with floss or another interdental cleaner.
  • If you wear full or partial dentures, remember to clean them on a daily basis. Take your dentures out of your mouth for at least four hours every day. It’s best to remove them at night.
  • Drink tap water. Since most contains fluoride, it helps prevent tooth decay no matter how old you are.
  • Quit smoking. Besides putting you at greater risk for lung and other cancers, smoking increases problems with gum disease, tooth decay, and tooth loss.
  • Visit Stephen C. Smith Periodontics, Laser and Implant Dentistry regularly for a complete dental checkup.

If you have any questions about keeping up with your oral hygiene at home, please give us a call!

Alleviating Anxiety before Your Implant Procedure

September 5th, 2017

Does the thought of getting a dental implant put knots in your stomach? There are many people who don't enjoy getting dental work done and there is a myriad of reasons why. For whatever reason you aren't at your best when you arrive at our Carmel, Monterey, Morgan Hill, CA office, we'd like to offer some tips that can help put you at ease for your implant procedure.

Sedation

For lengthy visits like an implant procedure, sedation dentistry may be an option for you. With sedation dentistry you are given sedation medication, usually orally with a pill or intravenously, which allows you to drift through the entire procedure without any memory of it afterward. If you decide on oral sedation, typically you take the medication about an hour before your procedure starts.

To avoid any complications, a complete medical background check is made along with a record of any allergies before any sedation is administered. Your vital signs are also monitored throughout the entire procedure.

If you decide sedation is not the right option for you, there are other techniques that you can benefit from. Some of these include:

  • Communication: This may seem obvious, but communicating any fears or anxiety you may have about your procedure with us is extremely helpful. Not only does this build a relationship of trust but it allows us to try and alleviate your anxiety as much as we can.
  • Herbal teas: Drink some herbal tea (like chamomile or lemon balm) before you visit the office. Many patients find this is a great help in relieving anxiety and putting them sufficiently at ease.
  • Relaxing music: Bring a pair of headphones along and listen to your favorite music during treatment (preferably something low-key). Or why not catch up on your reading when you visit us — some patients like to listen to audiobooks too!
  • Meditate or practice deep breathing: Meditation and deep breathing are good to practice in general, since they relax both the body and mind. They can be effective in the case of anxiety, too!

Implants and Orthodontics

August 29th, 2017

If you have missing teeth and need restorative work done, orthodontics and implants can work hand in hand to achieve your desired result. There are different scenarios that could require an implant before an orthodontic appliance or vice versa. Your case will be unique and Dr. Stephen C. Smith will design the best plan for you. Here are some of the ways implants and orthodontics can work together to give you your smile back:

Implants provide anchorage for orthodontic appliances: For an orthodontic application to be effective it needs to be able to put sufficient torque on your teeth to move them. If you have several missing teeth there won't be anything for the appliance to anchor to.

This is where an implant can be used. If you replace the missing teeth with dental implants, you then have a sturdy anchor on which you can place braces or any other orthodontic appliance needed to correct the malocclusion.

Orthodontic appliances can be used to create space for an implant: When you have a missing tooth, surrounding teeth tend to drift and tip which doesn't leave an ideal space for a dental implant. However, we can use orthodontics to correct the space where the tooth was, positioning the adjacent teeth so as to make a perfect space for the implant. In the end, this correction lends to better hygiene, function, and aesthetics.

Mini implants can be used to close spaces: Mini implants can also be used to close spaces if you have a missing tooth or teeth. The mini implant or implants (a small titanium pin) are placed directly into the jaw and are used as an anchorage device to achieve the desired orthodontic result.

A combination of orthodontics and dental implants at our Carmel, Monterey, Morgan Hill, CA office may be what's needed to restore the form and function of your natural teeth.

Are baby teeth really that important?

August 22nd, 2017

Your infant’s first teeth will begin to appear around six to 12 months of age. You might wonder how important these primary teeth really are. After all, baby teeth are destined to fall out within a few years and be replaced by a full set of permanent teeth. However, baby teeth have important functions, and proper care can set the stage for excellent oral and overall health.

Promote Better Nutrition

The appearance of your baby’s primary teeth around six to 12 months of age coincides with changes in your infant’s nutritional needs. Beginning at six months, exclusive breastfeeding is no longer nutritionally sufficient; this is the age at which you should introduce solid foods.

At six to eight months, when your baby can start to chew, strained or pureed fruits and vegetables are appropriate. As your little one’s teeth grow in and chewing abilities progress through 12 months of age, you can gradually add cereal, bread, cooked meats, and other adult foods to his or her nutritious diet.

Increase the Life Expectancy of Baby Teeth

Although baby teeth are inevitably going to fall out and be replaced by permanent ones, making baby teeth last serves an important role that can have benefits into the future. Baby teeth serve as placeholders for permanent teeth. If they decay and fall out too soon, permanent teeth are more likely to grow in crooked.

How to Take Care of Baby Teeth

Your baby’s primary teeth are already in his or her mouth at birth; they are just invisible because they have not broken through the gums. Since they are already present, your baby can get cavities if you do not practice proper oral hygiene from the beginning.

  • Do not let your baby fall asleep with a bottle in his or her mouth.
  • Brush your child’s baby teeth twice a day as soon as they come in.
  • Floss your child’s teeth as soon as he or she has two teeth that touch.
  • Visit Stephen C. Smith Periodontics, Laser and Implant Dentistry for your baby’s first checkup when the first tooth arrives.

Mouthguard Q&A

August 15th, 2017

Today, Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry thought we would talk about mouthguards, what they are, where to get them, and when to use them.

Q: What is a mouthguard?

A: A mouthguard, which is made of soft plastic, is a flexible, removable device that fits in your mouth and is adapted to fit comfortably to the shape of your upper teeth. A mouthguard will protect not only the teeth, but also your jaws, lips, tongue, cheeks, and gums, and should be worn anytime you are participating in full-contact athletic or recreational activities that may result in injury.

Q: How do mouthguards work? Why are mouthguards important?

A: A mouthguard works as a shock absorber to cushion your mouth from the effects of a blow to the face, head, or neck. Mouthguards protect teeth from not only fractures, but also hold the tongue, lips, and cheeks away from the teeth to avoid lacerations. Using a mouthguard as instructed by Dr. Stephen C. Smith can lessen the possibility of concussion and temporomandibular joint (TMJ) dislocation while you are out on the court or field. Increasingly, organized sports are requiring mouthguards to prevent injury to athletes, and research shows most mouth injuries occur when athletes are not wearing mouth protection.

Q: When should I wear a mouthguard?

A: Whenever you are participating in an activity that involves a risk of falling or head contact with other players. This includes football, baseball, basketball, soccer, hockey, and other competitive sports.

Q: How do I choose a mouthguard?

A: Dr. Stephen C. Smith and our team encourage you to choose a mouthguard that you can wear comfortably. There are several options of mouthguards you may choose from. First, preformed or what we call “boil-to-fit” mouthguards are found in sports stores. But your best choice is asking us for one during your next visit as we can fabricate a custom mouthguard for you at our Carmel, Monterey, Morgan Hill, CA office. A custom mouthguard will be more comfortable to wear and more effective in preventing injuries.

If you have any additional questions about mouthguards, please give us a call or ask us during your next visit!

How a High-Tech Office Helps Your Periodontal Treatment

August 8th, 2017

Today's periodontal office is a very different place than it was in the past. Yes, perhaps the same issues are still being treated, but it's the way in which they are treated which has changed drastically. Now patients with periodontal disease (gum disease) have more options.

What patients must understand is that gum disease is an infection that progresses in stages. First it affects gum tissue, and then it moves to the bones supporting the teeth, which then progresses to loss of teeth if left untreated. The main goal of treatment is to control this infection before it becomes more serious or painful.

Cutting-edge technologies used by Dr. Stephen C. Smith now allow gum disease to be treated non-surgically, which is a huge advantage for patients who don't want to get gum surgery, can't afford it, or simply aren't good candidates for it. Here are some of the ways in which our office implements the latest in periodontal technologies:

  • Ultrasound gum treatments –An ultrasonic cleaning device is used to break apart stubborn plaque and tartar, as well as bacteria. The tool vibrates at a high frequency while simultaneously spraying a thin stream of water. The stream is sprayed around the teeth and at the gum line to clean and help prevent the bacterial buildup that leads to gum disease.
  • Laser therapy – A tiny diode laser is aimed at the gum line to kill disease-causing bacteria. This method is able to penetrate into the pockets between the teeth and gums, all with minimal discomfort and no surgery whatsoever.
  • Panoramic X-rays – These X-rays give us a much more detailed view of your mouth and the structures that support it than traditional dental X-rays. The machine spins around your head 360 degrees to produce a digital X-ray in a matter of seconds. We're then able to refer to this digital image on the computer for effective and precise treatment planning.
  • Intraoral camera – The head of this device contains a small camera used to show you what we see. It produces a live feed on the monitor so you get a better understanding of the issues in your mouth. This way we can better explain how we will go about treating them and what you can do about them, too.

Patients suffering from gum disease have more options and help than ever before. If you are currently a patient or would like to know about the treatment options we offer, please speak with one of our staff members or contact our Carmel, Monterey, Morgan Hill, CA office.

Oral Health Problems: An indicator of overall health problems?

August 1st, 2017

If you are like many people, you might think of your oral health as separate from your overall health. After all, most dental coverage plans are distinct from health care coverage. However, your oral health goes far beyond being able to chew nutritious and enjoyable foods. Oral health problems may be an indicator of a variety of other health problems.

Links between Oral Health and Overall Health

In the late 1980s, researchers noticed a trend among patients who had recently suffered from heart attacks. As the Journal of the American Dental Association reported, they observed that these patients were more likely to have dental caries or cavities, periodontitis or inflammation around the tooth, and other forms of gum disease. Later studies found similar results, and dentists and doctors now recognize poor oral health as a risk factor for a variety of heart conditions, such as heart attacks, atherosclerosis, and coronary heart disease.

There are even more links between oral health problems and overall health problems. Some individuals do not find out that they have Type 2 diabetes until a dentist sees that they have periodontitis. If you have diabetes, worsening periodontitis can indicate that your diabetes is not under control.

Poor oral health is also associated with rheumatoid arthritis. Furthermore, poor oral health puts you at higher risk for respiratory infections, such as pneumonia, because harmful pathogens can enter your body through your mouth.

Take Care of Your Teeth

Keeping your teeth healthy remains important, especially as you grow older. Older adults are more prone to dental caries and other oral health problems, as well as to chronic diseases. While taking care of your oral health might not prevent a specific disease, a healthy mouth is a significant factor in your overall health.

You can take care of your teeth by continuing to brush twice a day and floss every day. Avoid consuming too many sugary and starchy foods, and drink water after each meal or snack to rinse your teeth. See Dr. Stephen C. Smith for regular checkups, and contact Stephen C. Smith Periodontics, Laser and Implant Dentistry if you have any concerns about your teeth or gums.

Quit Smoking to Save Your Smile

July 25th, 2017

You’ve likely heard that smoking increases risk of lung cancer and emphysema. But did you realize that your cigarette habit also has an impact on your smile? Chronic smokers suffer from increased dental problems that make their smiles unsightly. Understanding how smoking affects your oral health may provide the momentum you need to kick the habit for good.

Cosmetic Changes Associated with Smoking

Cigarettes contain more than 600 ingredients that, when lit, create in excess of 4,000 chemicals. Of these chemicals, many are known carcinogens while others have been shown to have serious negative effects on health. The nicotine and tar in tobacco products are absorbed by the enamel of your teeth. The result is yellowed teeth that look unsightly; with heavy smoking, your teeth may eventually turn nearly brown in color.

The chemicals in cigarettes and cigars also cause your teeth to become less clean. Smoking is associated with a build-up of tartar and plaque on the surface of your teeth. Over time, this increases your risk of developing cavities and other oral health problems. Furthermore, pursing your lips while smoking leads to wrinkles around your mouth, which detracts from your smile.

More Serious Dental Conditions

In addition to having unsightly teeth, smoking can cause serious health conditions. Because of the carcinogens in cigarettes, smoking is associated with an increased risk of oral cancer, which can be deadly. Smokers are also more likely to develop gum disease, which can lead to tooth loss. You may experience an increased loss of bone within your jaw, which will cause significant problems later in life.

Treatment for Smoking-Related Oral Health Problems

Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry will tell you that the best defense against smoking-related oral health problems is to ditch your nicotine habit. By decreasing the amount of nicotine and other chemicals you consume, you can decrease your risk of oral cancer and gum disease. Remember to mention your smoking habit when you’re at our Carmel, Monterey, Morgan Hill, CA office. We frequently treat smokers and can recommend smoking cessation programs to help you quit. Dr. Stephen C. Smith can also advise you about whitening treatments and gum disease prevention activities that ensure you’ll have a beautiful smile for years to come.

The Hazards of Smokeless Tobacco

July 18th, 2017

Many smokers believe that chewing tobacco is a safer alternative to smoking cigarettes. This simply isn't the case! In fact, smokeless tobacco can cause serious health concerns.

Smokeless tobacco comes in many forms and goes by many names: dip, snuff, snus, or simply chewing tobacco. Use of these products usually involves sucking or chewing on shredded or loose tobacco leaves, sometimes flavored, for a prolonged period. There are even products that emulate a dissolvable candy-like consistency which are made of compressed tobacco powder.

What are risks and smokeless tobacco?

Whichever form a tobacco product takes, the dangers of using or consuming them is very real. According to a 2007 study by the World Health Organization's International Agency for Research on Cancer, there are upwards of 28 cancer-causing chemicals in smokeless tobacco that are known to cause cancer. And these products are habit-forming just like any other tobacco product that contains nicotine. Using them will increase your risk for many serious diseases including but not limited to: cancer (especially oral and esophageal), gum and heart disease, cavities, and pre-cancerous mouth lesions.

At the end of the day, long-term use of smokeless tobacco can cause serious health issues. These products really take a toll on both your oral and overall health. They put a strain on your immune system and make it less capable of warding off infection and disease.

Dr. Stephen C. Smith and our team strongly advise you to stop using smokeless tobacco—or any kind of tobacco product—and not to pick up the habit if you aren't. There is no safe level of tobacco use, smokeless or otherwise.

Need to quit smoking or using smokeless tobacco products?

You can and should always talk to your doctor, healthcare practitioner, or Dr. Stephen C. Smith for help quitting. But there are many other resources available today for those who'd like to quit. The National Cancer Institute offers information, support (local and online), and tools to help smokers and smokeless tobacco users quit. They offer live online chat with cessation counselors Monday through Friday and even have a smartphone application available to help people who are serious about quitting.

You can take a look at their website at smokefree.gov or call them toll-free at 1–877–44U–QUIT (1-877-448-7848). There is also help available from your state's quit line at 1-800-QUIT-NOW (1-800-784-8669).

Make the best choice for your health and well-being; avoid the bad habit of tobacco products. If you have any questions about how tobacco related products affect your oral health and hygiene, please don't hesitate to ask one of our Carmel, Monterey, Morgan Hill, CA staff members.

Stress and Your Oral Health

July 11th, 2017

Stress symptoms—which include high blood pressure, severe aches, and insomnia—may be affecting your health, even though you might not realize it. You may think illness is the culprit when in fact stress may actually be the reason. While stress can be good for us sometimes, Dr. Stephen C. Smith and our team know stress can be physically harmful. But what is often overlooked is that stress can also take a toll on your mouth. Here’s how:

Teeth Grinding

It’s not uncommon for people dealing with stress to develop teeth grinding, also known as bruxism. People who grind their teeth at night may do so unconsciously, but the condition requires treatment to prevent the development of headaches, TMJ, and tooth damage. If you’re a night-grinder, talk to Dr. Stephen C. Smith. We may recommend a night guard.

Mouth Sores

Research suggests stress and depression harm your immune system, making it easier for infections to develop and stick around. That can mean canker sores or a cold sore outbreak. If mouth sores are a recurring problem for you, give us a call to schedule an appointment with Dr. Stephen C. Smith.

Bad Habits

Stress can lead to bad oral health habits such as smoking, drinking, and neglecting your daily brushing and flossing routine. If you’ve been feeling under pressure lately, try to keep up with your oral health routine—it will serve you well when your stress levels return to normal.

Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry know there’s not always an easy way to reduce your stress levels, but eating healthy, exercising regularly, and spending time with friends and family are all good places to start.

Happy Gums, Happy Heart!

July 4th, 2017

Medical doctors and dental health professionals, like Dr. Stephen C. Smith, 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.

Foods that Can Harm Enamel

June 27th, 2017

Many people who are careful about brushing and flossing their teeth wonder how they still end up with cavities or tooth decay. Several factors affect wear and tear on tooth enamel. Diet is a major factor, with certain foods increasing the likelihood that your enamel will become discolored or decayed. Pay close attention to the foods you eat to keep your pearly whites looking healthy and clean.

What causes enamel damage?

Tooth enamel refers to the hard, semi-translucent, whitish part of the tooth that shows above your gums. The enamel is primarily composed of minerals that are strong but susceptible to highly acidic foods. When acid reacts with the minerals in enamel, it results in tooth decay. Strongly pigmented foods can also damage enamel by discoloring the surface of the tooth.

Foods that harm enamel

Acidic foods are the greatest source of enamel damage. To determine whether a food is acidic, look up its pH. Scientists use pH, on a one-to-seven scale, to define the relative acidity or alkalinity of a substance. Foods with low pH levels, between a one and three, are high in acidity and may damage your enamel. Foods with high pH levels, such as a six or seven, are far less likely to cause enamel harm.

So which foods should you avoid? Many fruits are high in acidity, including lemons, grapefruit, strawberries, grapes, and apples. The high sugar and acid content in soda makes it another huge contributor to enamel decay. Moderately acidic foods include pineapple, oranges, tomatoes, cottage cheese, maple syrup, yogurt, raisins, pickles, and honey. The foods that are least likely to cause enamel damage include milk, most cheeses, eggs, and water.

Beverages such as red wine and coffee also damage the enamel by discoloring it. Although stains do not necessarily undermine the integrity of your teeth, they can be unsightly.

What can I do to prevent enamel damage?

Fortunately, there are several measures you can take to prevent your enamel from discoloring or decaying. The easiest way to avoid decay is to steer clear of high-acidity foods. This may not always be possible, but eliminating sugary fruit juices and soda from your diet is a good start. Brushing your teeth after each meal and flossing frequently also preserves your enamel. Another good idea is to rinse your mouth with water or mouthwash after eating to wash away high-acidity particles.

Although enamel damage is common, it does not have to be an inevitable occurrence. Knowing the foods that harm your teeth gives you the tools to prevent discoloration and decay. With some easy preventive measures, your teeth will stay strong and white for years to come! Give us a call at Stephen C. Smith Periodontics, Laser and Implant Dentistry to learn more!

Does the placement of implants hurt?

June 20th, 2017

If you're scheduled to get a dental implant, it's only natural to have questions about it. The pain involved is usually on the mind of most patients. Of course, some discomfort is possible, as with any major dental procedure. Having a well-defined plan ahead of time, which is carried out by Dr. Stephen C. Smith, reduces the risk of complications or side effects post-surgery.

During the procedure you won't feel a thing, since it is performed under general or local anesthesia that totally numbs your mouth. It's more likely that you will feel some pain or discomfort after the anesthesia has worn off.

There are usually three things that will affect the length and intensity of any discomfort:

  • The complexity of your surgery (for example if you need a bone graft or sinus lift beforehand)
  • How well-trained the dental team which works on your case is (it may be multiple people, including a periodontist, oral surgeon, and/or general dentist)
  • How quickly your body is able to heal itself post-surgery

The pain experienced from an untreated case will usually far outweigh that experienced from a dental implant. Good oral hygiene after your surgery is important to avoid infection. Salt water rinses are generally recommended 24 hours after your surgery. Brush your teeth gently around the implant.

It's also a good idea not to eat any food that is too hot, cold, or hard. Soft or pureed foods will help you to avoid chewing for the first few days after surgery and will help your mouth to heal faster. You'll typically be prescribed pain medication, but some patients find that ibuprofen or acetaminophen work well enough. Just remember, the most severe discomfort is usually experienced within the six hours after your anesthesia wears off.

Getting a dental implant is a big decision, and we want to make sure you get through it easily. Our Carmel, Monterey, Morgan Hill, CA team is here to help if you have any questions about the procedure or post-surgery care.

Top Five Things to Keep Your Dentist Smiling

June 13th, 2017

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 Dr. Stephen C. Smith!

Stay fresh. At Stephen C. Smith Periodontics, Laser and Implant Dentistry, 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 Carmel, Monterey, Morgan Hill, CA 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.

Wisdom Teeth Emergencies: Causes and treatment

June 6th, 2017

When you think of a dental emergency, you may picture teeth that have fallen out or severe tooth pain. But it is not uncommon for wisdom teeth to develop conditions or problems that require urgent care from Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry. Wisdom teeth are the third set of molars that erupt in the late teen years to early 20s. Spacing and crowding problems often cause impaction and infections, which is why many people elect to have their wisdom teeth removed. If you are experiencing discomfort or pain related to your wisdom teeth, call our office to schedule a wisdom teeth consultation.

Perisoronitis and Infections

You may develop perisoronitis if you have a partially-erupted wisdom tooth that has become inflamed. Often, inflammation is caused by food lodged beneath the gum. Here at Stephen C. Smith Periodontics, Laser and Implant Dentistry, we can gently search for and remove food debris, as well as clean the affected area and treat it with antibiotics. Do not avoid treatment, however, as untreated perisoronitis can lead to infection, which ultimately places your health at risk.

Crowding and Impaction

When your wisdom teeth erupt, they may cause overcrowding of your teeth, which can have a negative effect on their alignment. This can make it harder for you to clean your teeth properly, and it also increases the chances for developing tooth decay and other oral health problems in the future. For some people, the wisdom teeth never erupt, becoming impacted beneath the gum and causing problems with the neighboring teeth.

If you have an impaction or wisdom tooth crowding, make an appointment with our office soon. We will be happy to evaluate the progress of your wisdom teeth, as well as their effect on the rest of your jaw. Depending on our analysis, we will then discuss your options for treatment and whether extraction might be right for you.

Complications from Wisdom Tooth Extraction

If you have recently had your wisdom teeth extracted, blood clots will have formed in the open sockets the teeth previously occupied. In most cases, the gums heal normally, assuming you follow post-surgical care instructions. However, a small percentage of wisdom tooth extractions do not heal according to plan. If you continue to experience pain or other unusual symptoms following a wisdom tooth extraction, please give us a call. We’ll do everything we can to minimize discomfort and help you heal safely and quickly.

Remember, our team is here to support your dental health in every capacity. We are dedicated to providing excellent service before, during, and after all wisdom tooth procedures, so you can rest assured that your oral health is in good hands.

Periodontics and Pregnancy

May 30th, 2017

Periodontal health — which refers to the condition of the structures that support your teeth — is an important part of your oral and overall health. However, periodontal health becomes even more important when you're pregnant. Bad oral health can have detrimental effects on the health of your unborn child and can lead to low-birth weight babies and giving birth to a pre-term baby, according to reports by the American Academy of Periodontology (AAP), the European Federation of Periodontology (EFP), and several research studies.

Periodontal disease (gum disease) is a set of chronic, bacteria-induced, inflammatory diseases that attack the gum tissue and in more severe cases, the bones supporting the teeth. Early signs of periodontal disease usually include tenderness, swelling, and redness. Symptoms can also include bleeding gums when flossing or brushing, receding gums, loose teeth, and bad breath. These signs shouldn't be ignored, especially if you're pregnant.

Prevention is the best tool you have to fight periodontal disease. Here are some steps you can take to keep your gums in tiptop shape:

  • Brush your teeth properly twice a day – angle your toothbrush at the gum line to help disrupt the bacterial growth that eventually leads to periodontal disease, and make sure you don't brush too hard.
  • Floss daily and clean behind the back molars on the top and bottom of your mouth.
  • Use antiseptic mouthwash to rid your mouth of the bacteria that can cause gum disease.
  • Get regular checkups at our Carmel, Monterey, Morgan Hill, CA office to ensure you have no signs of periodontal disease and that your oral hygiene habits are effective.

Dr. Stephen C. Smith and our team urge women to care for their periodontal health during pregnancy to avoid complications. If you have any questions regarding periodontal health and how it affects you and your baby's overall health, please contact our Carmel, Monterey, Morgan Hill, CA office for more information.

Teeth Grinding: Not just a bad habit, but a dental concern

May 23rd, 2017

Perhaps you don't even know you grind your teeth. Maybe a spouse or loved one woke you up in the middle of the night and made you aware of what was happening.

For many people, teeth grinding is a habit and a mechanical reflex; when they’re awakened and informed they were grinding their teeth, they have no recollection of it at all. According to the American Dental Association, this is the nightly situation for roughly ten percent of Americans. From young children to the elderly, teeth grinding, known in the dental community as bruxism, is a serious concern.

Many people who grind their teeth in their sleep have no idea they're doing it. In fact, when they wake up in the morning they feel no jaw pain and their teeth are fine: if it hadn’t been for someone telling them about it, the teeth grinding would have gone unnoticed.

There are other people, however, who wake up with jaw pain, shoulder and neck pain, and headaches. Teeth grinding can cause a host of dental complications. From cracked teeth and receding gums to a misaligned jaw, teeth grinding is not something to take lightly.

Preventive measures are the key to combating bruxism, and a visit to Stephen C. Smith Periodontics, Laser and Implant Dentistry can set you on the path to a healthy and safe night sleep.

The Reasons for Teeth Grinding

There are many reasons for teeth grinding. For some people, it’s a habit they acquired when they were a child and never grew out of. On the other hand, some research claims that the condition is related to stress, anxiety, or some other type of psychiatric issue.

Still other studies point to everything from poor muscle control or over-eating before bed to gastro-esophageal issues. However, the root cause of the teeth grinding is less important than identifying preventive measures against it.

Common solutions to teeth grinding include:

  • Wearing a protective nightguard
  • Stress management techniques
  • Medications and muscle relaxers

When you make an appointment with Dr. Stephen C. Smith at our Carmel, Monterey, Morgan Hill, CA office, we will assess your situation and determine what the best course of action is. Teeth grinding is a dental concern that can cause serious health issues down the road, so be sure to take preventive measures today.

Proper Flossing Techniques

May 16th, 2017

Of all the dental hygiene techniques you can use at home to promote clean teeth and good oral health, flossing is likely to be the one that troubles most people. It can be viewed as confusing and time-consuming, but when you learn how to floss your teeth correctly, you’ll find it’s easy to do on a daily basis.

Proper flossing techniques are vital to the health of your teeth and gums. These tips will help you with the correct flossing procedures. Likewise, Dr. Stephen C. Smith and our team can also help you learn how to floss effectively and efficiently.

Steps to Flossing Your Teeth Properly

  1. Choosing Dental Floss. You can find dental floss in various flavors, as well as waxed or unwaxed. If the floss you use seems to get stuck between your teeth, switch to waxed to make it easier.
  2. Flossing “Helpers.” Beginner flossers who have trouble coordinating the floss and the movements of their hands can use a floss holder to help them get in and around teeth.
  3. Preparing the Floss. Cut an 18-inch piece of floss to use for flossing a few teeth. This allows you to make progress before you must stop and cut another piece of floss.
  4. How to Hold It. Wind the ends around your middle fingers. Hold the floss taut, pinching each side with your thumbs and index fingers. Leave a couple inches free in the middle.
  5. The Process of Flossing. Use your index fingers to guide the floss toward your gum line. Bring it down between the teeth with a zigzag motion. Hold the floss in a C-shape around the tooth, and move it up and down along the side.
  6. Where to Floss. Use a clean portion of the floss to clean around and in between each tooth. Don’t forget about the molars in the back of your mouth, too!

Flossing: A Vital Part of Oral Care

Periodontal disease begins at the gum line; this is where flossing comes in. Regular flossing helps you remove plaque from the gum line and between your teeth to avoid gum disease. In conjunction with daily brushing and twice-a-year visits to Stephen C. Smith Periodontics, Laser and Implant Dentistry, floss each day to maintain good oral hygiene and overall health. Gum disease can have an impact on your general health, but it doesn't have to. This easy-to-prevent condition can be avoided with regular visits to our Carmel, Monterey, Morgan Hill, CA office and daily flossing. Allow our team to partner with you in maintaining a bright, shiny smile and good oral health.

Do adults need fluoride treatments?

May 9th, 2017

Many dentists and hygienists recommend fluoride treatments for their adult patients. You might ask yourself, “Do I really need a fluoride treatment? I thought those were just for my kids.” After all, most insurance plans cover fluoride treatments only up to the age of 18.

What you need to know as a dental consumer is that studies have shown topical fluoride applications performed by a dental professional create a significant benefit for adults who have moderate to high risk for cavities.

There are several circumstances that warrant extra fluoride protection among adults. Many prescription medications reduce saliva flow or otherwise create dry mouth. A reduction in saliva increases cavity risk.

Adults often experience gum recession, which exposes part of the root surface of teeth. These areas are softer than the hard enamel at the top of the tooth, which makes them more susceptible to decay.

In addition, adults often get restorative work such as crowns or bridges. Fluoride can help protect the margins of these restorations, ultimately protecting your investment.

Today many people opt for orthodontic treatment (braces) as adults. Braces make it more challenging for patients to maintain good oral hygiene. Just ask your kids! Fluoride can keep the teeth strong and cavity-free even with the obstacle of orthodontic appliances.

Have you had a restoration done within the last year due to new decay? If you have, that puts you at a higher risk for cavities. Fluoride treatments are a great way to prevent more cavities in patients who are already prone to them.

How is that flossing coming along? You know you should floss daily, but do you? If your oral hygiene is not ideal, fluoride could be just the thing to keep your neglect from leading to cavities between your teeth.

Fluoride can also help with the growing problem of sensitive teeth. Diets high in acidic foods and beverages, general gum recession, and increased use of whitening products all tend to produce sensitive teeth. Fluoride treatments re-mineralize tooth enamel and reduce that sensitivity.

Patients who undergo radiation treatment for cancer also benefit from topical fluoride applications. Radiation damages saliva glands, thus greatly reducing the flow of saliva. Saliva acts as a buffer against the foods we eat and beverages we drink. Once again, less saliva greatly increases the risk of cavities.

If one or more of these conditions applies to you, consider requesting a topical fluoride treatment. Be sure to ask Dr. Stephen C. Smith at your next appointment whether you might benefit from a topical fluoride application.

Zirconia Dental Implants

May 2nd, 2017

Since dental implants first started being implemented in the 1980s, they have been primarily made of titanium. Recent advances in implant technology have allowed dental implant manufacturers to shift from all-metal implants, to part-metal and part-ceramic implants, to the newer all-ceramic or zirconia implants.

Zirconia implants are made of high-impact resistant ceramic called tetragonal zirconia polycrystal (ZrO2+Y2O3). They remedy many of the issues and complaints doctors and patients have with traditional metal implants and have several advantages—let’s take a look at some of them.

Advantages of Zirconia Implants

  • Do not cause allergic reactions – Although titanium is considered non-toxic, some people still have allergic reactions to titanium. Zirconia implants are inert, non-corrosive, and hypoallergenic.
  • Have been used for decades in medical applications – Millions of patients have had zirconia used safely and effectively as the base material for their hip replacements. The zirconia used for medical applications also undergoes strict radiation monitoring to ensure its safety for use within the body.
  • They are incredibly strong – Unlike titanium implants, zirconia offers a much higher degree of resistance to scratching, corrosion, and fracture. The aerospace industry even uses zirconia (ZrO2) due to its high resistance to heat and fracture. This all means a safer and more aesthetically pleasing result for the patient.
  • One-piece design is more hygienic – Zirconia implants are a one-piece design, meaning there is nowhere for bacteria to build up or liquids to penetrate like with titanium implants. They are highly biocompatible (how a material reacts with the human body) which leads to healthier gums and no risk of corrosion.
  • Implant margin is at gum not bone level – With titanium implants the margin (or gap between the implant and the tooth) is at bone level, which can lead to bacterial buildup since you can’t brush there. The zirconia implant margin, which is at gum level, allows you to brush and clean your implant and restoration regularly.

If you are in need of a restorative dental implant, it would be wise to consider zirconia due to its many advantages. It might not work in every situation, but feel free to discuss your options with Dr. Stephen C. Smith or one of our Carmel, Monterey, Morgan Hill, CA staff members.

What happens during my hygiene appointment?

April 25th, 2017

Regular visits to the dentist are important for people of all ages. Seeing Dr. Stephen C. Smith as recommended provides preventive care for oral diseases. If a disease is already present, early detection can prevent hefty dental bills and further damage to the teeth and gums. Once you have made the decision to visit Stephen C. Smith Periodontics, Laser and Implant Dentistry, you may ask yourself, “What happens during my hygiene appointment?”

Preparation

Arrive at your appointment a few minutes early and bring along any insurance cards or medical information. While it may seem irrelevant, a full medical history can be important, since certain conditions include symptoms that occur inside the mouth.

Initial appointment

In some offices, the first appointment is a screening appointment, during which a dental hygienist will go over your medical and dental history with you, assess the condition of your teeth and gums, then schedule a future appointment to complete the cleaning and any other treatments you may need. In other offices, the screening and cleaning will be done over the same appointment. The dental hygienist may:

  • Count your teeth
  • Clean your teeth by using a small tool to scrape them in order to remove plaque
  • Brush and floss your teeth
  • Apply a fluoride treatment using foam that sits on your teeth within a tooth mold, or a gel that can be “painted” on with a small brush
  • Inspect your teeth for cavities or signs of decay
  • Administer oral X-rays. You will be covered with a special blanket to protect your body and then given a small piece of plastic on which to bite.

Seeing the dentist

After the dental hygienist completes his or her portion of the appointment, the dentist will usually come in and inspect your teeth. After an initial inspection, the dentist may:

  • Perform a quick tooth count as well as a more thorough inspection, looking for signs of decay in and around the teeth
  • Use a small tool called a “probe” in order to check for signs of gum disease around the base of your teeth
  • Visually inspect the skin around your mouth, called the “mucosa”

If you need any further dental work completed, you will usually be required to make an additional appointment. To learn more about hygiene visits, or to schedule an appointment with Dr. Stephen C. Smith, please give us a call at our convenient Carmel, Monterey, Morgan Hill, CA office!

Care for Your Dentures

April 18th, 2017

Just like natural teeth, Dr. Stephen C. Smith will tell you that dentures have a tendency to get coated with plaque, which is a sticky, transparent film that attracts food and bacteria. When you don’t take care of your dentures adequately and regularly, plaque can build up, harden, and become difficult to remove. More importantly, it can result in dental problems, including gum disease and infection. Proper care for your dentures also helps them maintain their shape, fit the way they are supposed to, and last longer.

Cleaning your dentures

Your dentures should be cleaned with the same diligence as you clean natural teeth.

  • Take out dentures and rinse them after eating. To remove food particles, run water over your dentures.
  • Clean your teeth after denture removal. Once dentures have been removed, use a soft-bristled toothbrush to brush existing teeth, gums, and tongue.
  • Scrub your dentures on a daily basis. At least once per day, gently scrub your dentures with a soft-bristled toothbrush and denture cleanser.
  • Soak dentures overnight. In order to keep their shape intact, many dentures must remain moist. Always use a mild denture solution recommended by our office. Never use hot water on your dentures, as they may warp their shape.
  • Rinse dentures prior to placing them back in your mouth. This is especially important if you soak your dentures in a denture solution.
  • Dentures are fragile and can break when dropped. It’s a good idea to hold them in a soft cloth or towel to keep them from falling and breaking.

Over time, even with diligent daily care, your dentures may form difficult-to-remove tartar. When this happens, our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry uses a powerful ultrasonic cleaner to remove stubborn, denture build-up.

Proper care for your dentures can help retain their shape, prevent oral issues, and increase their longevity. Visit Dr. Stephen C. Smith regularly at our convenient Carmel, Monterey, Morgan Hill, CA office to maintain your oral health and keep your dentures in tip-top shape.

Warning Signs of Impacted Wisdom Teeth

April 11th, 2017

When your wisdom teeth start to emerge it can definitely be painful, but it can be even worse if your wisdom teeth become impacted. Impacted wisdom teeth are trying to erupt but are unable to do so because there is not sufficient room for them to emerge. This usually means that your wisdom teeth are painfully lodged in your jawbone.

While you may not see any real signs of the emerging wisdom teeth when they are impacted, what you can’t see can still definitely hurt you. Some of the indicators of impacted wisdom teeth are listed below.

  • Jaw Pain: Pain in the back of your jaw is a common indicator of impacted wisdom teeth. The pain often concentrates in the area around your gums.
  • Changes in the Mouth: You may notice some changes in your mouth when you have impacted wisdom teeth. Reddish gums, swelling in the jaw, bleeding gums, and bad breath can all be indicators that you are dealing with impacted wisdom teeth.
  • Headaches: If you suddenly start having headaches, especially at the same time as some of the other issues mentioned above, they may indicate impacted wisdom teeth.
  • Chewing Issues: Problems with chewing normally can indicate impacted wisdom teeth. If you are having trouble making the chewing motions because your mouth won’t quite open and close as easily as it used to, impacted wisdom teeth may be the culprit.

The Solution

If you are suffering from impacted wisdom teeth, the best solution is usually going to be removal. This is not a problem that will resolve naturally, and in fact, your pain and other symptoms may worsen as your wisdom teeth become increasingly impacted. At Stephen C. Smith Periodontics, Laser and Implant Dentistry, Dr. Stephen C. Smith can review the details of wisdom teeth removal surgery with you and help you determine if this is the best solution for your situation.

What’s the deal with bottled water?

April 4th, 2017

As more people turn to bottled water and away from the tap, they may be missing out on one important ingredient that most brands of bottled water fail to include: fluoride! Because fluoride helps strengthen teeth, it is an important component of maintaining good oral health. Our friends at the American Dental Association have endorsed both community water fluoridation and the use of fluoride-containing products as a safe means of preventing tooth decay.

In fact, the Centers for Disease Control and Prevention has also warned that “bottled water may not have a sufficient amount of fluoride, which is important for preventing tooth decay and promoting oral health.” If you are avoiding fluoridated tap water in favor of ever-more-popular bottled water, you could be missing out on the levels of fluoride necessary to make a difference in your oral health. One 2012 study in the Journal of Pediatric Dentistry found that more than 65 percent of parents using bottled water did not know what levels of fluoride it contained.

If bottled water happens to be your or your children’s beverage of choice, check the label to make sure your brand contains fluoride. Of course, simply drinking fluoridated water is not a magic ticket to perfect teeth. To keep your pearly whites in tip-top shape, it’s important to brush and floss daily and avoid sugary sweets, in addition to maintaining your fluoride intake.

Questions about fluoride? Give us a call at our convenient Carmel, Monterey, Morgan Hill, CA office! We look forward to hearing from you!

How many times a day should I floss?

March 28th, 2017

Flossing is one of the most important parts of your oral care routine. Many patients know they need to do it but find it difficult to fit into their busy lives. Well, here's the good news: flossing once a day is enough if you're doing a good job!

Some patients like to brush before they floss and others like to floss before they brush. Some like to floss in the morning when they have more energy, others like to floss at night so they can go to bed with a clean mouth. Don't get hung up on any of this, the important thing is that you floss and floss effectively no matter when you do it.

Effective flossing contributes to oral health in these ways:

  • It reduces the chance of cavities between teeth, since cavities can only form on teeth covered with dental plaque and you're scraping that plaque away when you floss.
  • Along with brushing, it reduces the amount of time the plaque is left on your teeth, allowing them to be in a state of healing and remineralization for longer.
  • It removes plaque that accumulates at or below the gum line, aiding in the prevention of gum disease.

As you can see, flossing offers many benefits for such a simple and inexpensive technique. So if you're still wondering how much to floss, don't worry about it. Don't mistake the frequency of your flossing with the effectiveness of it. Choose a dental floss that you like and one time during the day when you can floss thoroughly and just do it! If you need more tips on how to floss correctly, ask Dr. Stephen C. Smith or any member of our Carmel, Monterey, Morgan Hill, CA team—we'd be glad to help you pick up this healthy habit!

Detergent Foods: Clean your teeth while you eat!

March 21st, 2017

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 Dr. Stephen C. Smith the next time you visit our Carmel, Monterey, Morgan Hill, CA office!

What's the best dental floss?

March 14th, 2017

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, Dr. Stephen C. Smith 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 Carmel, Monterey, Morgan Hill, CA office.

Ten Fun Things to Do with Your Old Toothbrush

March 7th, 2017

Dr. Stephen C. Smith and our staff recommend that you replace your worn-out, germy toothbrush with a new one every three months. But most people either forget or resist getting rid of something that is still “working.”

Maybe if they had a few ideas for putting that old toothbrush to good use, more people would take our advice? To encourage good oral practices, we offer these ten fun things you can do with your used toothbrush:

1. Let your five-year-old budding Da Vinci create a masterpiece with some paint and your old toothbrush.

2. Scrub oily areas on your face with your toothbrush. The bristles are perfect for removing embedded dirt and oil that clogs pores.

3. Pamper your hamster by brushing his fur with an old toothbrush.

4. Dab a bit of Vaseline on the bristles and comb your eyelashes: instant glamour! Got dry, flaky lips? Slough away by using a toothbrush on your lips.

5. Remove the bristles: instant small plant stakes!

6. Old toothbrushes are great for spot-cleaning just about anything.

7. When nobody is around to scratch an unreachable itch on your back, turn that old toothbrush into your personal backscratcher.

8. Is your dog’s breath so bad that all your houseplants have died? Try brushing his teeth with your old toothbrush so that his kisses (and breath) are more tolerable.

9. Give your fish the cleanest tank in the neighborhood by scrubbing it with your old toothbrush.

10. Did you notice a few gray hairs sprouting from your hairline this morning? Old toothbrushes were made for touch-up dye jobs; works for dyeing your eyebrows, too!

Electric Toothbrush: How do you choose?

February 28th, 2017

Since the introduction of the power toothbrush in the 1960s, this tool has undergone many technological advances, from design and bristle motions to rotation oscillation and sonic vibration.

What is rotation oscillation? That’s when the head of the toothbrush alternately rotates in one direction and then the other. Power toothbrushes can deliver up to 50,000 strokes per minute, which is much more effective than the average 300 strokes per minute with a manual toothbrush.

A smaller brush head is available for hard-to-reach areas, which is a good alternative for small mouths. The brush heads are replaceable and should be changed every three to six months. Each family member should have his or her own brush head while sharing the base motor. What a great deal! Check the handle size. A large handle is better for members of the household with arthritis, children, or family with other physical disabilities.

A rechargeable toothbrush is ideal. It should deliver enough power on a full charge for one week of brushing.

We recommend you brush for a minimum of two minutes. Some electric toothbrushes include a signal you can hear, such as a beep every 30 seconds, to indicate it's time to switch to a different area of the mouth. Others sound an alert after the full two minutes has elapsed.

Will an electric toothbrush harm the teeth or gums? Studies indicate that people tend to apply more damaging pressure to their teeth and gums during manual brushing than when they use an electric toothbrush. If you experience tooth sensitivity, choose a model with pressure sensors that stop the toothbrush any time you press too hard.

Who would benefit from an electric toothbrush? Everyone! Consumers with a physical disability may have specific needs that power toothbrushes can address. Children also tend to maintain better oral health hygiene when they use an automatic toothbrush. Plus, many of them find it fun to brush!

Automatic toothbrushes really do remove debris better than the old-fashioned way. You may have heard the term “biofilm.” Better known as plaque when it occurs in the mouth, biofilm is the debris and bacteria that cause infections to your teeth. It regenerates quickly, so healthy habits are the best defense for a healthier you! With a healthier mouth, you face a lower risk of gum disease and other conditions like heart disease: mouth health has been linked to heart health.

When you're ready to make your decisions, be a wise comparison shopper. Consult with Dr. Stephen C. Smith at Stephen C. Smith Periodontics, Laser and Implant Dentistry to decide what is best for you!

Can I use mouthwash instead of flossing?

February 21st, 2017

While mouthwash goes a long way in improving your oral care, it is not a substitute for flossing. Mouthwashes and flossing provide different benefits that you should understand.

Mouthwash Benefits

Mouthwash comes in two categories. Some are considered cosmetic. This type of rinse provides temporary relief from bad breath and has a pleasant taste. These do not actually kill any bacteria.

Therapeutic mouthwashes provide the healthier benefits. These may contain different ingredients including fluoride or antimicrobial agents. This type is used to remove plaque buildup and reduce the potential for calculus formation. Therapeutic rinses can also help prevent cavities, bad breath, and gingivitis. In addition, Dr. Stephen C. Smith can prescribe special rinses to assist patients after periodontal surgery or other procedures.

Flossing Benefits

Flossing is what removes the plaque formation before it can harden and become calculus. While a rinse reduces buildup, only flossing will fully remove plaque, especially between teeth. The bristles on a toothbrush do not get between teeth completely. If plaque is not removed, it hardens into tartar or calculus. When this builds below the gum line, gum disease can start.

Types of Floss

Floss is available in a thin string form or a tape. It can be waxed or unwaxed. If you find flossing difficult, you might want to try a different type of floss. You can buy bulk floss in containers or purchase the disposable type with a plastic handle attached. This style can be easier for many individuals to use. Interdental picks are available for bridgework or other situations where regular floss cannot be used.

If you have questions regarding the best mouthwash or floss, or need tips for easier flossing, please ask our Carmel, Monterey, Morgan Hill, CA team for advice. We will be glad to give you solutions to help keep your mouth clean and healthy.

Snacks for Healthy Teeth while Watching the Big Game

February 14th, 2017

It's almost game day and you're wondering what to put on the menu for your guests. Most snacks are typically highly processed and unhealthy. Why not mix it up this year and opt for some snacks that promote good oral health? Here are some of Dr. Stephen C. Smith favorites!

  • Apples, carrots, celery, and cucumbers: These foods and other crispy, fibrous, fruits and vegetables are an excellent choice for the big game. Not only are they rich in vitamins and minerals which your body and mouth need, they are also known as detergent foods because of the cleaning effect they have on the teeth and gums. Try apples wedges spread with peanut butter and sprinkled with cinnamon.
  • Beans: Beans are filling because they are packed with fiber and that keeps you from opting for sugary or fatty snacks. Along with fruits and vegetables, beans should be one of the stars of your game-day snack lineup. How about some hearty chickpea hummus with cucumber chips?
  • Nuts like almonds, walnuts, pistachios, and cashews: Nuts abound in the minerals that help keep your teeth and gums strong like calcium, magnesium, and potassium. Put out a bowl of raw or roasted nuts for your guests as a crunchy, satisfying alternative to chips or crackers. Recent research even shows that the polyunsaturated fatty acids in nuts may help prevent gum disease. But remember not to eat the whole bowl! Nuts are very high in calories and a little goes a long way. Enjoy and handful or two along with your other healthy snacks.
  • Dark chocolate: This one may be hard to believe at first, but research shows chocolate can be great for your teeth and help prevent decay! Now don't run off and start stocking your pantry with a bunch of that super sweet stuff, because these benefits come mainly from the tannins, polyphenols, and flavonoids present in the cacao bean. Dark chocolate is the least processed variety of chocolate and the closest to the cacao bean, so make sure you purchase a variety that is listed as 70% cocoa or more for these benefits. Like with nuts, chocolate is easy to overdo — aim to eat two or three squares.

Does chronic stress impact periodontal health?

February 7th, 2017

Many studies over the past several years have focused on this question. Since we will all face stressful situations during our life, it is a good question to ask. This question also delves into the mind-body connection—the psychological having an effect on the physical and vice versa.

Studies were performed as far back as the 1940s and continue today. Many of them have shown that stress "downregulates" or hinders cellular immune response. The most common periodontal diseases related to this stress-induced downregulation are gingivitis and periodontitis.

It is believed that stress and depression contribute to a state of chronic inflammation within the body. Stress also raises levels of cortisol in your body, which has been linked in studies to higher levels of tooth loss and deeper pockets between the gums and teeth.

Perhaps the biological side of this equation makes sense, but an important factor is that people who are stressed and/or depressed tend to neglect oral hygiene and other health-promoting activities. The studies seem to support both the behavioral and biological effects as risk factors for periodontal disease.

Here are some things you can do to help prevent stress-related periodontal problems:

  • Daily relaxation –You may consider meditation or yoga. Both have been proven effective at easing stress.
  • Practice good oral hygiene – Don't let your oral hygiene fall by the wayside. Doing so will obviously have a detrimental effect on your oral health. You should also aim to quit smoking if you do smoke.
  • Get regular dental checkups – Getting regular checkups will help you to spot anything that's amiss before it gets out of hand. You can speak with your dentist if you have any pain or concerns and have them take a look.

Stress is something that affects all of us but it can be managed. Each one of us may manage it in a different way. Find what works for you and always make sure to keep up with your oral hygiene routine. For more information about stress-related periodontal issues, schedule an appointment with Dr. Stephen C. Smith at our Carmel, Monterey, Morgan Hill, CA office.

Solutions for Dry Mouth (Xerostomia)

January 31st, 2017

Dry mouth, or xerostomia, is a common side effect of many medications. It can also be a side effect of cancer treatments, or the result of certain auto-immune diseases. Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry will tell you that for most people, discontinuing their medication isn’t an option. The solution is two-fold: find ways to increase saliva production and eliminate specific things that are likely to increase dryness in the mouth.

Lack of saliva creates a situation in the mouth that allows harmful organisms such as yeast and bacteria to thrive. It may also make it difficult to swallow food, create a burning feeling in your mouth, or cause bad breath, among other problems.

Medications that are known to cause dry mouth include:

  • Anti-depressant drugs
  • Anti-anxiety medications
  • Drugs for lowering blood pressure
  • Allergy and cold medications — antihistamines and decongestants
  • Chemotherapy drugs
  • Medications to alleviate pain
  • Drugs used in the treatment of Parkinson’s disease

Saliva helps people digest their food. It also functions as a natural mouth cleanser. Xerostomia increases the risk you will develop gum disease or suffer from tooth decay.

Solutions for dry mouth

  • Carry water wherever you go, and make a point of taking regular sips.
  • Avoid oral rinses that contain alcohol or peroxide.
  • Chew sugarless gum or suck on sugarless hard candies that contain xylitol.
  • Limit your consumption of caffeine, carbonated beverages (including seltzer and sparkling waters), and alcoholic beverages.
  • Brush your teeth at least twice a day, and use dental floss or other inter-dental products to remove food particles that get stuck between your teeth.
  • Look for oral rinses and other oral hygiene products that bear the American Dental Association (ADA) Seal of Approval.
  • Brush your teeth and use oral rinses that contain xylitol. Certain gels and oral sprays are equally helpful. Biotene is one over-the-counter brand that makes products designed to treat dry mouth.
  • Make sure you get your teeth checked and cleaned twice a year. Dr. Stephen C. Smith will be able to examine your mouth for problems and treat them before they turn into something more serious.

You may not be able to solve your dry mouth problem altogether, but you’ll be able to deal with it by following these recommendations. You’ll be able to increase saliva production while reducing your risk of more serious dental problems. To learn more about preventing dry mouth, or to schedule an appointment with Dr. Stephen C. Smith, please give us a call at our convenient Carmel, Monterey, Morgan Hill, CA office!

Post-Procedure Care

January 24th, 2017

As with any surgery, post-procedure care is of utmost importance after getting periodontal surgery. Bleeding, pain, swelling, and other sensations are common and should be expected to a degree. This can manifest as small amounts of blood in your saliva, pain after anesthesia wears off, and swelling around the lips and cheeks. However, these symptoms should start improving after a several days.

Below you'll find recommendations from Dr. Stephen C. Smith on what you should do to make your post-procedure experience as quick and painless as possible:

Don't smoke - After your surgery you should definitely not smoke. Smoking will inhibit your body's ability to heal the surgical site.

Don't drink alcohol - If you are taking prescription or over-the-counter pain relievers, don't drink alcohol. And it is a good idea in general to avoid alcohol after surgery, since excess alcohol consumption suppresses immune system function and slows the healing process.

Take pain medication as prescribed or an alternative - Pain is to be expected for at least the first week after your procedure. If you choose to take the prescription medication that is prescribed to you, do so as directed. However some patients have found over-the-counter pain medication works for them. You may also consider natural herbs instead of pharmacological solutions. Try turmeric, arnica, or white willow bark (which is what aspirin is derived from, so the same warnings for aspirin apply to white willow bark.)

Eating with your surgical site in mind - It is best to chew on the other side of your mouth for the first several days so as not to irritate the surgical site. Avoid overly cold or hot foods as well. Softer foods like mashed potatoes, oatmeal, and fruit will be more comfortable to chew.

Avoid brushing the surgical site - You can start brushing and flossing your teeth the day after the procedure but avoid the surgical site.

Don't rinse for the first 24 hours - After the first day has passed you can rinse with a mild mouthwash to keep your mouth, dressing, and surgical site clean.

We're here to answer any questions you have after your procedure and will help you as best we can. Pay special attention to any excessive bleeding or discomfort. Contact our Carmel, Monterey, Morgan Hill, CA office immediately if you have tried addressing the issue on your own but are still having trouble.

The History and Mythology of the Tooth Fairy

January 17th, 2017

While the last baby teeth generally aren’t lost until age ten or 11, most children stop believing in the tooth fairy by the time they're seven or eight. Of course, children are more than happy to play along with the game when there’s money at stake! While it is impossible to know what the tooth fairy does with all those teeth (are they labeled and stored like museum pieces in a giant fairytale castle?), it is possible to trace the history and myth of the tooth fairy to several cultures and traditions. Dr. Stephen C. Smith and our team learned about some interesting myths about the tooth fairy!

The Middle Ages

Legend has it that Europeans in the Middle Ages believed a witch could curse someone by using their teeth, so it was important to dispose of baby teeth correctly. Teeth were swallowed, buried, or burned. Sometimes baby teeth were even left for rodents to eat. Despite being pests, rodents were valued for their strong teeth; it was generally believed a tooth fed to a rodent would lead to the development of a healthy and strong adult tooth.

Eighteenth Century France

The tooth fairy myth began to show more characteristics of a conventional fairytale in 18th century France. La Bonne Petite Souris, a bedtime story, tells the strange tale of a fairy that changes into a mouse to help a good queen defeat an evil king. The mouse secretly hides under the evil king’s pillow and defeats him by knocking out his teeth.

Scandinavian Lore

So, why does the tooth fairy leave money under the pillow? The idea of exchanging a tooth for coins originated in Scandinavia. Vikings paid children for a lost tooth. Teeth were worn on necklaces as good luck charms in battle. While the idea of exchanging a tooth for coins quickly spread throughout the rest of Europe, a fierce, horn-helmeted Viking is far cry from the image of a fairy collecting teeth.

While the tooth fairy as children know her today didn’t make an appearance until the 1900s, tooth myths and rites of passage have existed in numerous cultures since the dawn of time.

Can surgery help my periodontal disease?

January 3rd, 2017

If Dr. Stephen C. Smith and our team have tried several different treatments without success such as antimicrobial therapy, tooth scaling, or root planing, but have been unsuccessful in curing or even stabilizing your periodontal disease, then surgery is most likely the next step.

Dr. Stephen C. Smith will recommend surgery for the following three reasons:

  • Stop the gum disease from progressing
  • Repair the gums and periodontal tissue
  • Prevent further destruction of your periodontal issue in the future

Types of Gum Surgery

There are many types of gum surgery available at our Carmel, Monterey, Morgan Hill, CA office, including:

  • Gingivectomy – This is generally the first surgical intervention for periodontal disease. The procedure aims to extract diseased or infected gum tissue. It allows new tissue to grow and reattach itself to your teeth. Gingivectomy surgery can also be used to remove unnecessary gum tissue if you have a condition called gingival hyperplasia.
  • Gingivoplasty - This surgical procedure that is implemented for aesthetic reasons after a gingivectomy. It gives your gum tissue a natural look around your teeth. The procedure reshapes the areas of your gums that can look deformed after a soft tissue graft or a gingival curettage procedure.
  • Osseous (bone) Surgery – This type of surgery is often used in combination with a pocket depth decreasing procedure. This type of surgery is performed to correct malformations of the bones near your teeth. These pockets can provide an area for bacteria to hide and grow. The procedure evens out the shallow holes and asymmetrical surfaces of the damaged bone caused by bone loss because of the by periodontal disease.
  • Gum Graft – This type of surgery is performed to replace or reinforce the gingival tissue if you have bad gum recession. Gum grafts are used as a covering for teeth with exposed roots. The grafts also lessen the roots sensitivity and stops root cavities and gum recession.
  • Periodontal Flap Surgery & Pocket Depth Reduction – This surgery is considered the most significant gum surgery to cure your moderate to severe periodontal disease. Flap surgery reduces the depth of your periodontal pockets that can trap damaging dental plaque bacteria. By reducing the size of your periodontal pockets, less plaque bacteria and tartar can get in the pockets. This surgery also allows you to remove the plaque and tartar yourself using good oral hygiene.

Should I use mouthwash?

December 27th, 2016

Mouthwashes are commonly used as a part of a daily oral care regimen. Not only do they freshen breath, but some are capable of improving dental health too. Using a mouthwash daily can rinse fine debris away and out of reach while brushing. It can also make the teeth and gums more resilient to decay and disease.

Types of Mouthwashes

There are several types of mouthwashes available today that Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry want you to be aware of. Some do little more than freshen breath and are known as cosmetic mouthwashes. These are ideal for quickly eliminating odors that linger after eating, drinking, or taking medication. Using a cosmetic mouthwash does not offer any health benefits.

Other mouthwashes offer more comprehensive benefits; they can potentially prevent tooth decay and gum disease. Mouthwashes that contain antimicrobial agents work by preventing the buildup of plaque that can lead to gingivitis and decay of the tooth enamel. However, it should be noted that the use of a mouthwash is never a substitute for regular brushing and flossing.

In some cases, prescription mouthwashes are necessary to treat patients with gum disease or who have undergone periodontal surgery. These specialty mouthwashes are designed specifically for the treatment of gum disease and should not be used outside of their intended use. The majority of mouthwashes require no prescription.

Tips for Choosing a Mouthwash

The choice to use a mouthwash and which one to use is between you and your dentist, depending on your individual oral health needs. If you determine that a mouthwash is right for you, look for one that contains fluoride, if possible. Fluoride provides an added layer of protection for your teeth, and helps them become more resistant to decay. As always, if you have any questions or concerns when choosing a mouthwash, please give our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry a call for assistance in selecting the rinse that is best for you. Or, we invite to ask us during your next visit to our Carmel, Monterey, Morgan Hill, CA office!

Periodontics and Braces Treatment

December 20th, 2016

Most people think braces are all about their teeth. While it is true orthodontics is meant to move your teeth into proper position, there's more to it than that. To safely move your teeth with braces, you're going to need healthy and stable gums (or periodontium—the tissues that support your teeth).

For this reason it's critical to have your periodontal health evaluated prior to getting braces. This applies particularly to adults, since a 2013 study by the Center For Disease Control found that an estimated 47.2% of adults 30 years of age and older had periodontitis (gum disease). If you do have periodontitis, moving your teeth with braces will only make things worse.

Conversely, there is also risk for periodontal disease if you don't get orthodontic treatment. Malocclusion, as well as crooked and spaced teeth, can all contribute to periodontal disease. In these situations your teeth and gums are more difficult to clean and become breeding grounds for disease causing bacteria. Bad oral hygiene combined with these traits can greatly contribute to the development of periodontitis.

So, periodontics and braces have a tricky relationship. On one hand, you shouldn't get braces if you show signs of developing or have periodontitis, while on the other hand, braces can help prevent the possibility of developing periodontitis by correcting the bite and straightening the teeth.

If you are 30 years of age or older and are considering getting braces, it would be wise to first:

  • Let Dr. Stephen C. Smith know about your desire to get braces
  • Get an exam to make sure you're in good periodontal health and a good candidate for braces
  • If you are a good candidate, keep an eye on your teeth and gums and get regular dental checkups throughout your entire course of treatment.

If you are in any doubt about the status of your teeth and gums, it's always best to get them checked before embarking with braces treatment. For more information or to have your periodontal health assessed for braces treatment, please contact our Carmel, Monterey, Morgan Hill, CA office.

How Smoking Increases the Risk of Oral Cancer

December 13th, 2016

Cigarette smoke contains more than 6,000 chemicals, and at least 200 of those chemicals are known to be harmful to your health. When smoke is inhaled, moist oral tissues are saturated with excessive amounts of carbon monoxide, hydrogen cyanide, and a host of other known carcinogens. Most oral cancers originate in abnormal squamous cell activity, which are cells found on the lips, inside the mouth, and in the throat.

How Oral Cancer Begins

Cells exposed to consistently high levels of cigarette smoke may eventually suffer abnormal mutations within their DNA. Since deoxyribonucleic acid (DNA) is responsible for providing cells with instructions about growth, reproduction, and death, these instructions become distorted, which causes the cells to reproduce uncontrollably.

Essentially, that is what cancer is: rapid, unchecked growth of genetically mutated cells that encourages the development of malignant tumors. Unfortunately, the chemicals in cigarette smoke are strongly associated with oral cancer.

Signs of Oral Cancer

Early-stage oral cancer is often asymptomatic, which means symptoms appear only after the cancer intensifies and spreads. Possible signs of oral cancer include:

  • Ulcers inside the mouth or on the lips that do not heal
  • White or dark red patches inside the mouth
  • Lumps inside or around the mouth (a lump could appear on your neck)
  • Bleeding, numbness, and soreness in the mouth
  • Chronic halitosis
  • Loose teeth in the absence of tooth decay

Diagnosis and Treatment of Oral Cancer

Squamous cell oral cancer is the most common type diagnosed in smokers. Dr. Stephen C. Smith and our staff often discover squamous cell carcinoma lesions during dental examinations or cancer screenings. Depending on the stage of the oral cancer, treatment may begin with a biopsy or an exfoliative cytology procedure that involves collecting cells from the oral cavity using a scraper.

According to the Oral Cancer Foundation, oral cancer patients may need surgery, radiation therapy, a combination of surgery and radiation therapy, or chemotherapy to eradicate oral cancer.

Smoking, Cancer, and Tooth Decay

Not only is smoking the number-one cause of cancer but it is also detrimental to the overall health of your teeth and gums. Yellow teeth, bad breath, dry mouth, and expedited tooth decay are all caused by smoking, not to mention the damage smoke does to the heart, lungs, and kidneys.

In other words, don’t smoke!

Curing the Nail-Biting Habit

December 6th, 2016

Do you ever find yourself gnawing at your nails? Nail-biting is a very common and difficult to break habit which usually has its beginnings in childhood. It can leave your fingers and nail beds red and swollen. But if you think that your nails are the only ones getting roughed up by nail-biting you'd be mistaken—so are your teeth!

According to a study by the Academy of General Dentistry, those who bite their nails, clench their teeth, or chew on pencils are at much higher risk to develop bruxism (unintentional grinding of the teeth). Bruxism can lead to tooth sensitivity, tooth loss, receding gums, headaches, and general facial pain.

Those are some nasty sounding side effects from chewing on your nails. Most nail-biting is a sign of stress or anxiety and its something you should deal with. So what steps can you take if you have a nail-biting habit?

There are several things you can do to ease up on nail-biting:

  • Trim your nails shorter and/or get regular manicures – Trimming your nails shorter is an effective remedy. In so doing, they'll be less tempting and more difficult to bite on. If you also get regular manicures, you’ll be less likely to ruin the investment you’ve made in your hands and fingernails!
  • Find a different kind of stress reduction – Try meditation, deep breathing, practicing qigong or yoga, or doing something that will keep your hands occupied like squeezing a stress ball or playing with a yo-yo.
  • Wear a bitter-tasting nail polish – When your nails taste awful, you won't bite them! Clear or colored, it doesn't matter. This is also a helpful technique for helping children get over the habit.
  • Figure out what triggers your nail-biting – Sometimes it's triggered by stress or anxiety and other times it can be a physical stressor, like having hang nails. Knowing what situations cause you to bite your nails will help you to avoid them and break the habit.
  • Wear gloves or bandages on your fingers – If you've tried the steps above and they aren't working, this technique can prove effective since your fingernails won't be accessible to bite.

If you're still having trouble with nail-biting after trying these self-help steps, it's best to consult your doctor, dermatologist, or Dr. Stephen C. Smith. For some, it may also be the sign of a deeper psychological or emotional problem.

Whatever the cause, nail-biting is a habit you need to break for your physical and emotional well-being. If you have any questions about the effects it can have on your oral health, please don't hesitate to ask Dr. Stephen C. Smith during your next visit to our Carmel, Monterey, Morgan Hill, CA office.

The Secret to Keeping Your Teeth for Life

November 29th, 2016

The secret to keeping your teeth for life involves more than one secret. The first is that there is no secret; and in fact, there really is no difficulty involved. Follow this simple four-step process – brush, floss, rinse, and visit our Carmel, Monterey, Morgan Hill, CA office regularly – and you will have healthy teeth for life!

Brush

You should brush your teeth twice a day, preferably once in the morning and once at night. Three times a day will not hurt. Use a soft-bristled toothbrush and light pressure; you do not want to scrub away your gums or tooth enamel.

Brush for a minimum of two minutes, and carefully clean all tooth surfaces. Three minutes is better. Use quality toothpaste; Dr. Stephen C. Smith and our staff can recommend the best type for your needs. Keep your toothbrush clean and replace it about every three months.

Floss

Make flossing part of your daily routine, at least once a day. Flossing is important for more than just removing food particles between your teeth. The process also helps to remove bacteria that you cannot see. Bacterial build-up turns into plaque, or calculus: a cement-like substance that cannot be removed by brushing alone.

Use floss gently; you do not want to cut your gums. There are many different types of flosses and flossing tools. Dr. Stephen C. Smith and our staff will be happy to help you find the style that works best for you.

Rinse

Mouthwash does more than freshen your breath. Rinses help kill the bacteria that lead to plaque formation and gum disease. This extra step can go a long way toward having healthy teeth for life.

Keep your appointments

You should have a professional cleaning at Stephen C. Smith Periodontics, Laser and Implant Dentistry twice a year. Some patients benefit from more frequent cleanings. Your hygienist will remove any plaque build-up to prevent gingivitis, which left untreated becomes full-blown gum disease. Periodontitis leads to tooth loss.

You also need to see Dr. Stephen C. Smith twice a year for a teeth and mouth exam. We can find problems such as cavities, and treat them before the situation becomes critical. Ask our Carmel, Monterey, Morgan Hill, CA team any questions you have; together we can make your teeth last for life.

What happens if I don’t have my wisdom teeth removed?

November 22nd, 2016

One of the things Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry monitor during your dental appointments is the growth of your wisdom teeth, or third molars. Third molars generally begin to erupt between the ages of 17 and 25. Wisdom teeth may require removal for many reasons, including pain, infection, or growth issues. While not all patients need their wisdom tooth removed, problems can develop if removal is not performed.

Overcrowding

Many patients have smaller mouths and jaws, which do not allow room for the third molars to grow in properly. If these teeth do erupt, overcrowding can occur. Your teeth will begin to shift or overlap each other. Wisdom teeth that erupt after orthodontic care is completed can cause the teeth to shift and negate the work performed.

Impacted Wisdom Teeth

When wisdom teeth are impacted, they are trapped below your gum line. Impacted wisdom teeth can be very painful and may be prone to abscess and infection. The impaction can lead to decay and resorption of healthy teeth.

On occasion, if wisdom teeth are not monitored properly, their growth can shift parallel to the jaw line. They can also shift backward and eventually interfere with the opening and closing of your jaw.

Greater Potential for Decay

Even when wisdom teeth grow in properly, the location can make the teeth harder to care for. This in turn can lead to the growth of more bacteria, and create health issues later in life.

If you do not have your wisdom teeth removed, they will require continued monitoring. Wisdom teeth are just as subject to decay and other problems as the rest of your teeth. Those that appear above the gum surface can often be extracted at a dental office in a fashion similar to any other tooth extraction. Impacted teeth are normally handled by an oral surgeon.

Pain in the back of the jaw and swelling may indicated wisdom teeth that are beginning to rupture or are impacted. A simple set of X-rays will determine the extent and direction of growth. Please do not hesitate to discuss your concerns during your next visit our Carmel, Monterey, Morgan Hill, CA office. We will be happy to explain wisdom teeth, and potential removal, as it applies to your specific case.

How can veneers improve my smile?

November 15th, 2016

Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry know your smile is an important part of your appearance; it can be a source of pride or embarrassment. Everyone deserves beautiful, straight teeth that complement their features, but few are born with natural dental perfection. Fortunately, cosmetic dentistry has come a long way in recent years, with veneers making it possible to make over your smile completely.

With dental veneers, the smile of your dreams can become a reality. These thin, wafer-like shells are crafted of porcelain and completely customized to fit your smile. Once your tooth size, shape, and color have been determined, veneers are adhered to the surface of your natural tooth, instantly transforming your appearance. What used to be a secret of the rich and famous is now highly accessible to dental patients around the world.

Benefits of dental veneers

Appearance

Dental veneers are very natural in appearance and virtually undetectable to other people. Their non-porous surfaces make them resistant to staining, which ensures they do not change color over time.

Improvements

Dental veneers can be used to improve the appearance of many kinds of imperfections. In fact, an entirely new smile can be crafted from veneers, to cover up chipped teeth, discoloration, and gaps between teeth.

Durability

Veneers are long-lasting cosmetic enhancements that can survive many years with appropriate care and maintenance. They are specially fabricated to be resistant to scratches and chipping, which makes them a practical solution for the average person.

Flexibility

Dental veneers are highly adaptable. You can opt for only a single veneer to repair a chipped or cracked tooth, or you can modify multiple teeth at once for a smile makeover.

Considerations

Keep in mind that cosmetic treatments like dental veneers are secondary to primary dental care. You must have healthy teeth and disease-free gums to be a candidate for cosmetic procedures. An initial consultation at our convenient Carmel, Monterey, Morgan Hill, CA office will reveal any underlying decay or other problems that must be addressed prior to getting veneers. Give us a call today!

What are the advantages of dental implants?

November 8th, 2016

Losing a tooth can affect a lot more than just the look of your smile. Missing teeth affect your ability to chew and can also cause problems for your other teeth. It is essential to replace missing teeth in order to maintain oral health as well as your overall well-being. Dental implants are an excellent option to replace your natural tooth and its root without affecting your neighboring teeth, and are available from Dr. Stephen C. Smith.

Why choose dental implants?

There are many reasons to choose dental implants to replace your lost or damaged teeth. According to the American Academy of Implant Dentistry, dental implants are often considered more predictable than other treatment options and are known to provide long-term successful outcomes.

Dental implants provide many benefits over other treatments such as bridgework and dentures:

  • Unlike other treatment options for missing teeth, dental implants allow Dr. Stephen C. Smith to replace your tooth without impacting the healthy teeth surrounding the space.
  • Dental implants also protect healthy bone by preventing potential bone loss and deterioration in the jaw.
  • This treatment option allows you to speak and eat normally without worrying about slippery or uncomfortable removable dentures.
  • The closest thing to natural teeth, dental implants allow you to maintain your smile and natural face shape.
  • These implants are built to last, providing you with a long-term solution to missing teeth.

Overall, dental implants are the next best thing to natural, healthy teeth. Choosing to undergo surgery to replace your lost or damaged teeth is an important decision. To avoid the issues caused by lost teeth, consult Dr. Stephen C. Smith or visit our Carmel, Monterey, Morgan Hill, CA office to see if you are a candidate for dental implants.

The Most Common Causes of Gum Disease

November 1st, 2016

Unless you're aware of the signs and symptoms of gum disease and how it's caused, it's possible that you may have unknowingly developed it. Often painless, gum disease -- or periodontal disease -- becomes progressively more serious when left untreated. As you learn more about the common causes of gum disease, you'll be better-equipped to maintain the best oral health possible.

Gingivitis & Periodontitis: Common Causes of Gum Disease

  • Bacteria & Plaque. Bacteria in the mouth creates a sticky film over the teeth. Good hygiene practices help remove the bacteria and the plaque they cause. When plaque is not removed, it develops into a rock-like substance called tartar. This can only be removed by a dental professional.
  • Smoking & Tobacco. If you're a smoker or use tobacco, you face a higher risk of developing gum disease. Additionally, tobacco use can lead to stained teeth, bad breath, and an increased risk of oral cancers.
  • Certain Medications. Some medications that are taken for other health conditions can increase a person's risk of developing gum disease. If you take steroids, anti-epilepsy drugs, certain cancer therapy medications, or oral contraceptives, speak to Dr. Stephen C. Smith about how to maintain healthy gums.
  • Medical Conditions. Certain medical conditions can impact the health of your gums. For instance, diabetics face an increased risk of gum disease due to the inflammatory chemicals present in their bodies. Always talk to our team about other health conditions to ensure we take that into account when treating you.

Take a Proactive Stance

Good oral hygiene practices and regular visits to our Carmel, Monterey, Morgan Hill, CA office can help you eliminate or reduce the risks of developing gum disease. A thorough cleaning with your toothbrush and dental floss should take about three to five minutes. Brush your teeth a minimum of twice per day and floss at least once each day. Keep these tips in mind and you’ll be ready to prevent gum disease.

Five Reasons for Your Bad Breath

October 25th, 2016

Bad breath, or halitosis, is probably not a matter of life or death. But it can make you feel self-conscious and have a negative impact on your life. The majority of people suffering from bad breath are dealing with oral bacterial. However, there are other causes of this embarrassing problem. Learning more can help you fight this solvable problem.

Five Causes of Embarrassingly Bad Breath

  1. Dry Mouth. A decrease in saliva flow can be caused by several things. Most often, medication or mouth breathing are the culprits. As saliva helps wash away food particles from your mouth, it prevents bad breath. Dry mouth can be dealt with by stimulating salivation.
  2. Gum Disease and Poor Oral Hygiene. Not brushing and flossing well enough or with enough frequency can lead to gum disease, which leads to bad breath. Halitosis can be a sign that plaque is present on your teeth.
  3. Food-Related Bad Breath. Food particles that aren't brushed or flossed away attract bacteria that leads to bad breath. It's especially important to brush after eating strong-smelling foods, such as garlic or onions.
  4. Smoking and Tobacco. Tobacco is bad for your health, and that includes your oral health. Smoking or chewing tobacco can contribute toward the development of gum disease, as well as oral cancer.
  5. Mouth Infections and Other Medical Problems. A mouth infection, sinus infection or even the common cold can cause you to temporarily have bad breath. Even conditions such as diabetes and reflux can cause halitosis. It's always wise to see Dr. Stephen C. Smith to help determine the cause.

We are Your Ally

Even if you maintain good oral hygiene, it's important to see Dr. Stephen C. Smith at our Carmel, Monterey, Morgan Hill, CA office to deal with or avoid problems with bad breath. We can help you uncover the cause of halitosis, while also providing solutions that allow you to enjoy fresh breath without relying on mints and breath fresheners. As is the case with all things related to oral health, we are your number-one ally when it comes to eliminating the problem of bad breath.

Are you nervous about seeing the dentist? You’re not alone!

October 18th, 2016

With advances in modern dentistry, a trip to Stephen C. Smith Periodontics, Laser and Implant Dentistry these days is pretty routine. But visiting Dr. Stephen C. Smith and our team still makes some patients anxious—so much so that they don’t go as often as they should and end up with costly complications down the road, such as tooth decay or gum disease.

When it comes to dental care, prevention is the best medicine. And that begins with regular checkups and dental cleanings at our convenient Carmel, Monterey, Morgan Hill, CA office. Today, we thought we would offer five tips for taking the pain out of a visit to see Dr. Stephen C. Smith:

1. Ask yourself: What are you most afraid of? Is it the sound of the drill? Do you have needle phobia? Have you been traumatized by previous dental visits? Write down your fears, one by one and talk about them during your visit.

2. Don’t wait. The more frequently your visit our office, the less work will need to be done at any given visit. Simply having your teeth cleaned professionally by Dr. Stephen C. Smith twice a year prevents many, if not most, problems down the road.

3. Bring a distraction such as music to your appointment. Just plug in those earphones, close your eyes, and get lost in the music. Listening to tunes can also be a pain killer.

4. Unwind. Inhaling slowly and counting to five helps. Try holding your breath for ten seconds, then exhale slowly to the count of eight, and repeat as needed.

5. Ask us. Before any given procedure, we encourage you to ask Dr. Stephen C. Smith or one of our assistants why we’re using the tools we’re using. Ask us what we’re doing, what the tool is used for, and how it benefits you. Also, please ask about anti-anxiety medications we may prescribe to help you relax during your appointment.

If you suffer from dental anxiety, a visit to Stephen C. Smith Periodontics, Laser and Implant Dentistry might seem like a daunting prospect. Perhaps you had a bad experience in the past, but whatever the reason, please know that at our Carmel, Monterey, Morgan Hill, CA office, there is nothing to be afraid of.

Remember, you’re not alone. We understand that going to the dentist isn’t easy for everyone. In fact, the Journal of the American Dental Association estimates that as many as 12 percent of adults suffer from dental anxiety so bad that they avoid the dentist altogether. Many more suffer from varying degrees of dental anxiety, which often results in poor oral health.

If you suffer from dental anxiety, your fears don’t have to keep you from seeing Dr. Stephen C. Smith. Our patients at Stephen C. Smith Periodontics, Laser and Implant Dentistry are our most important asset, and we strive to create a comfortable experience, no matter how long it has been since your last visit at our Carmel, Monterey, Morgan Hill, CA office. We hope to see you soon!

Energy Drinks and Dental Health

October 11th, 2016

Are energy drinks bad for your teeth? Many of our patients at Stephen C. Smith Periodontics, Laser and Implant Dentistry ask us this question, so here’s the scoop.

Energy drinks have been on the rise, taking up more and more space on grocery store shelves. Drinks such as Red Bull, 5-Hour Energy, Monster Assault, Rockstar, and the like promise to jump-start your day, give you more energy, and help you feel more alert. But they also do a lot more than that. Turns out, they do a pretty good job of stripping your teeth of enamel, which is a very bad thing.

Many of these energy drinks are loaded with a lot of citric acid. In addition, they are laden with preservatives (not to mention sugar), not only to enhance flavor, but extend shelf life. While enamel loss, tooth decay, teeth sensitivity, and cavities cannot be blamed entirely on energy drinks (improper oral hygiene at home and lack of professional dental care also play a role), they can wreak havoc on the health of your teeth and gums, especially when consumed in more than moderation. Over time, energy drinks can strip enamel, which is the outer layer that protects your teeth.

What can you do?

Although Dr. Stephen C. Smith and our team aren't recommending you drink energy drinks at all, if you must drink one occasionally, there are a few things you can do to minimize the damage to your teeth.

  • Drink through a straw.
  • Don’t hold the drink in your mouth before swallowing.
  • Rinse your mouth with water immediately after drinking this kind of beverage. Water helps both to neutralize the acid and to increase the production of saliva.
  • Chew sugar-free gum immediately after, to increase saliva production.
  • Don’t brush your teeth right after drinking an energy drink. Wait at least an hour instead, because the combination of the acid and brushing will further damage tooth enamel.

The best advice is to refrain from drinking energy drinks altogether. One of the best hydrators is water. Water is a natural energy-booster and hydrator, and it doesn’t contain calories.

Give us a call today at our Carmel, Monterey, Morgan Hill, CA  office if you have any questions or concerns about energy drinks and dental health. We can provide additional tips and a treatment plan to help reduce enamel loss, eliminate tooth sensitivity, and repair cavities and tooth decay as a result of drinking energy drinks.

Four Oral Health Issues Seniors Face

October 4th, 2016

Oral health is an important and often overlooked component of an older person’s general health and well-being. Dr. Stephen C. Smith and our team know that for many of our older patients, oral health can become an issue when arthritis or other neurological problems render them unable to brush or floss their teeth as effectively as they once did. Today, we thought we would discuss four common oral health issues our older patients face and how they can avoid them:

Cavities: It’s not just children who get tooth decay—oral decay is a common disease in people 65 and older. Ninety-two percent of seniors 65 and older have had dental caries in their permanent teeth, according to the National Institute of Dental and Craniofacial Research. The risk for tooth decay increases because many older adults don’t go to the dentist as often as they used to, thus cavities go undetected and untreated for longer than they should. Keeping regular appointments with Dr. Stephen C. Smith is the key to getting cavities treated in a timely manner.

Difficulty eating: Oral health problems, whether from missing teeth, cavities, dentures that don’t fit, gum disease, or infection, can cause difficulty eating and can force people to adjust the quality, consistency, and balance of their diet.

Dry mouth: Also called xerostomia, dry mouth is a common issue for a lot of seniors. Our friends at the Oral Cancer Foundation estimate that 20 percent of elderly people suffer from dry mouth, which means the reduced flow of saliva (saliva plays a crucial role in preventing tooth decay). Many seniors are on multiple medications for a variety of chronic illnesses or conditions. Common medications taken that may cause dry mouth are decongestants, antihistamines, blood pressure medications, pain pills, incontinence medications, antidepressants, diuretics, muscle relaxers, and Parkinson’s disease medications. To help counter this, we suggest drinking lots of fluids and limiting your intake of caffeine and alcohol. We also encourage you to check with Dr. Stephen C. Smith during your next visit if you think your medications are causing your mouth to feel dry.

Gum Disease: Gum (periodontal) disease is an infection of the gums and surrounding tissues that hold teeth in place. While gum disease affects people of all ages, it typically becomes worse as people age. In its early stages, gum disease is painless, and most people have no idea that they have it. In more advanced cases, however, gum disease can cause sore gums and pain when chewing.

Gum disease, which can range from simple gum inflammation to serious disease, is usually caused by poor brushing and flossing habits that allow dental plaque to build up on the teeth. Plaque that is not removed can harden and form tartar that brushing simply does not clean. Only a professional cleaning at our office can remove tartar. The two forms of gum disease are gingivitis and periodontitis. In gingivitis, the gums become red, swollen, and can bleed easily; in periodontitis, gums pull away from the teeth and form spaces that become infected.

Proper brushing, flossing, and visiting our office regularly can prevent gum disease. Seniors with limited dexterity who have trouble gripping a toothbrush should ask Dr. Stephen C. Smith about modifying a handle for easier use or switching to a battery-powered toothbrush.

What is gum recession?

September 27th, 2016

Gum (gingival) recession occurs when gums recede from the tops of the teeth enough to expose sensitive roots. People typically experience increased sensitivity to sugary or cold foods when gums no longer cover and protect teeth roots. In addition, untreated gum recession may lead to loosening of teeth and accelerated tooth decay, something Dr. Stephen C. Smith see all too often.

Causes of Gum Recession

  • Periodontal disease – a serious oral disease arising from poor oral habits
  • Gingivitis – gum disease characterized by bleeding and swollen gums
  • Aging
  • Overly aggressive brushing and/or flossing – brushing hard in a scrubbing fashion will erode gum tissue at the roots of teeth
  • Genetic predisposition to gingival recession – having inherited thin, insufficient gum tissue facilitates gum recession
  • Bruxism – a condition where someone regularly grinds their teeth, usually during sleep
  • Chewing tobacco/smoking – promotes chronically dry mouth and reduced gum health

Periodontal gingivitis may also cause causing drooping of the gums instead of gum recession. A gingivectomy removes excess gum tissue weakened by bacterial decay while a gingivoplasty can reshape gums around the teeth. If sagging or receding gums are left untreated, they may develop pockets (gaps) that provide hiding places for food particles, mucus and other mouth debris conducive to anaerobic bacteria growth. As the most destructive type of oral bacteria, anaerobic bacteria is responsible for tooth decay, cavities, gum disease, and chronic halitosis.

Treatments for Gum Recession

Corrective actions need implemented as soon as possible to reverse gum recession by addressing the cause. For example, people who brush with hard-bristled toothbrushes should switch to a soft-bristled toothbrush and brush more gently. If gum recession is the result of poor oral hygiene, improve oral hygiene habits by brushing after meals, flossing, rinsing with non-alcoholic mouthwash, and getting dental checkups and cleanings every six months. For severe cases of gum recession, soft tissue grafts can add gum tissue to exposed roots by removing tissue from the person's palate and attaching it to existing gums at the area of recession via laser surgery.

If you’re worried about gum recession, visit our Carmel, Monterey, Morgan Hill, CA office and talk to a member of our team.

Does smoking affect oral health?

September 20th, 2016

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, Dr. Stephen C. Smith 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 Carmel, Monterey, Morgan Hill, CA office to schedule an appointment with Dr. Stephen C. Smith.

Aging and Dental Health

September 13th, 2016

As you grow older, your mind may be preoccupied with the health of your bones, heart, or brain. However, our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry will tell you that keeping your teeth healthy is an equally important part of the aging process. Older adults are at increased risk for a variety of oral health conditions, which makes it essential for you to speak with your dentist to create a prevention plan that’s best for you.

Oral health conditions associated with aging

Just as the rest of your body continues to change as you age, your mouth changes, too. Certain conditions become more likely to develop as you reach older adulthood, including:

  • Dry mouth. Although your salivary glands continue to produce saliva as you get older, medications and chronic health problems often cause dry mouth.
  • Root decay. Your teeth have lasted you a lifetime, but improper nutrition or cleaning may lead to decay at the roots of your teeth.
  • Diminished sense of taste. Your eyesight and hearing aren’t the only senses affected by aging. The ability to taste naturally diminishes over the course of older adulthood.
  • Tissue inflammation. Are your gums tender, bleeding, or inflamed? Tissue inflammation may indicate gum disease or may be a consequence of wearing dentures that don’t fit well.
  • Oral cancer. Risk for most cancers increases with age, and oral cancer is no exception. Older adults are at increased risk for oral cancer compared to younger individuals.

Ways you can prevent dental problems

Fortunately, many age-related oral health problems are preventable. Begin by improving your diet to include plenty of fruits and vegetables. Choosing water over coffee or soda will keep your teeth whiter and cavity-free. Also remember to practice good brushing habits to prevent cavities and gum disease.

Visiting the dentist at least twice a year is vitally important when you reach older adulthood. Your dentist is familiar with your oral health and may be the first person to notice a sore, discolored patch, inflammation, or other abnormality that indicates oral cancer or gum disease.

If you’re experiencing any problems with dental health, let your dentist know immediately. Together, you can troubleshoot solutions and create a plan that keeps your mouth and gums healthy.

For more information, or to schedule an appointment with Dr. Stephen C. Smith, please give us a call at our convenient Carmel, Monterey, Morgan Hill, CA office!

Sealants: What are they and how do they help?

September 6th, 2016

Molars are made up of canyons, caves, pits, and seemingly endless caverns that are a breeding ground for decay. The protective solution is a sealant. When done correctly, a sealant from Dr. Stephen C. Smith of Stephen C. Smith Periodontics, Laser and Implant Dentistry can be most effective in preventing cavities.

A sealant is made up of composite (a plastic-like) material that contains bonding agents to seal to the edge of the tooth. Sealants placed on the chewing surfaces of back teeth block food from being trapped. The process in which a sealant is placed is quite precise and painless.

First the tooth is cleaned with a sodium bicarbonate (baking soda) spray. Then an acid etch is applied to “roughen up” the surface. No saliva is to touch the tooth. This will re-mineralize the area, then a repeat etching is needed. An alcohol-based liquid then dries out the area and it must remain completely dry. The sealant is placed and guided through all the caverns, pits, fissures, and grooves. It is then cured with a special light, which makes it a hard, plastic-like material.

Sealants can last for several years. It is wise to have them examined on a semi-annual basis. If there is a break in the sealant, a high risk for decay is common. If a sealant is damaged, repair is simple, painless, and quick to complete.

Who can benefit from sealants? Anyone! Children often receive sealants as routine preventive care. Adults with deep canyons with stained grooves on their teeth can also benefit from a sealant. The process is quick, painless, and does not require any anesthesia. It is an effective way to lower dental restorative costs.

An investment in dental sealants can reap great benefits as properly cared for teeth will remain cavity free. Our Carmel, Monterey, Morgan Hill, CA location is available to answer your questions so give us a call today!

Can my body reject my dental implant?

August 30th, 2016

According to the International Congress of Oral Implantologists it is rare that your body will reject your dental implants. However, this does not mean that your dental implant will not fail. A successful dental implant is one that is placed in healthy bone and is properly cared for after the surgery takes place.

There is only one major reason why a dental implant would be rejected: a titanium allergy. The majority of dental implants are made with titanium because it has proven to be the most biologically compatible of all metals. On average, less than one percent of potential dental implant recipients reported an allergy to titanium.

Dental Implant Failure

The most common cause of dental implant failure in the upper and lower jaw is bacteria. Everyone has bacteria in their mouth. If you have bacteria in your jawbone at the time of your dental implant, it can spread from implant to implant, causing dental implant failure.

If you do not take proper care of your dental implants, that could also cause them to fail. You also have to take proper care of the implant and keep your mouth clean. The development of excessive bacteria around the implant and in surrounding tissues can lead to implant failure.

Teeth grinding is another reason dental implants fail. When you grind your teeth, it can move the implants out of position. Therefore, you should wear a mouthpiece when you go to sleep if you know you grind or clench.

If you take care of your implants by practicing good oral hygiene and visit our Carmel, Monterey, Morgan Hill, CA office, you should not have any problems with your new dental implants. As always, ask Dr. Stephen C. Smith about any questions or concerns you have about you dental implants.

How Tooth-Colored Fillings Improve Your Smile

August 23rd, 2016

Today’s crowns, veneers, and tooth colored fillings are very natural looking compared to early counterparts. There was a time when dentists placed silver fillings exclusively. This material is still used, however the most common material used today in fillings is composite, tooth-colored fillings. Composite fillings can be made to match any shade of tooth and even let light travel through them like natural enamel.

Composite fillings are great in many different scenarios. The most obvious reason is when a cavity is present. This is an excellent way to seemingly erase the imperfection that once was. It is almost as if the cavity was never there.

Placing composite fillings to reshape teeth can also minimize excessive spacing. In the case of a diastema, (a large space between the two front teeth) composite material is a non-invasive and cost-effective choice that provides instant results. It can be an alternative to braces.

Mottled enamel is a symptom of fluorosis, which causes discoloration and imperfections in the enamel. Composites are the material of choice for masking this condition.

Composite fillings are easy to place, easy on the eyes, and easily repaired. With skill and good composite material, a filling can be easily disguised. This look is desired most in our society today, where dental perfection is now standard.

In conclusion, your smile is in good hands with composite fillings. There are some great materials that give a near perfect match to the appearance of natural tooth enamel. Smile with confidence knowing no one ever has to know. Your secret is safe with us at Stephen C. Smith Periodontics, Laser and Implant Dentistry!

My gums are inflamed. What can I do?

August 16th, 2016

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 Dr. Stephen C. Smith. 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, Dr. Stephen C. Smith can easily treat the swollen gum issue at our Carmel, Monterey, Morgan Hill, CA office, or can give you an effective treatment to take home.

Best Ways to Prevent Bad Breath

August 9th, 2016

Nobody likes bad breath, and although it can sometimes be difficult to tell if you have it, it is always better to practice good oral health than risk having a smelly mouth. There are many ways to reduce or eliminate bad breath, some are definitely more effective and longer lasting than others. Check out ways to do so below.

Floss Regularly

As difficult as it can be to remember to floss regularly, when it comes to bad breath, flossing is one of the easiest and most cost effective ways to freshen your mouth. See, flossing reduces the plaque and bacteria found in areas of your mouth that a toothbrush simply can't reach, and in turn, it rids your mouth of the smell associated with that bacteria. While flossing may not eliminate bad breath on its own, if you do it along with other health oral hygiene habits like brushing, then you may just develop a fresher smelling mouth.

Use Mouthwash

Using some sort of mouthwash can really freshen up your breath, especially if you find it still smells after brushing and flossing. There is a wide variety of mouthwash products on the market, however, you can also create your own by simply using baking soda mixed with water.

Always Brush after You Sleep

Whether after taking a nap, or having a full night of sleep, you will want to brush your teeth in order to reduce bad breath. The truth is, bacteria accumulates in your mouth while you are sleeping (even during a short nap) and that is ultimately the source of bad breath. So next time you wake from a good slumber, give your mouth some brushing and you will find it makes a big difference in the freshness of your breath.

There are many ways to freshen your breath beyond just using gum or mints, the above mentioned are just a few for you to try. Test them out and you will likely find your bad breath problem is solved, or at least considerably reduced. Of course, you can always ask Dr. Stephen C. Smith at your next visit to our Carmel, Monterey, Morgan Hill, CA office.

Sleep Apnea and Snoring

August 2nd, 2016

Snoring may not be something you take seriously. You might even laugh or joke about it. But the fact is, anytime you or your partner snore to the point of waking, it could be a sign of serious health problems.

Sleep Apnea and Its Effects

Sleep apnea is a sleep disorder that is potentially dangerous, and the most common symptom is loud snoring. Breathing repeatedly starts and stops throughout the night, and you wake up feeling tired. Other serious effects from sleep apnea could be potentially dangerous to your health if left unaddressed.

Besides losing a good night's sleep, you may experience difficulty concentrating. Depression, risk of heart attack, irritability, high blood pressure, memory loss, sexual dysfunction, and chances of stroke all increase when sleep apnea is not treated.

Sleep apnea occurs when the muscles in the back of the throat relax to the point of inhibiting natural breathing. The muscles used to support the soft palate relax and the airway closes, causing breathing to stop for ten to 20 seconds. This lowers the oxygen level in the brain. As the brain senses the inhibited oxygen levels it rouses the sleeper awake so the airway can reopen. Normally, the reawakening is so brief the person won't remember it.

If you think you may have sleep apnea, visit our Carmel, Monterey, Morgan Hill, CA office and let Dr. Stephen C. Smith determine what treatment is needed. Without it, you could risk losing more than a restful night's sleep.

Prevention and Treatment

Anyone can develop sleep apnea, but it is more common among middle-aged adults who are overweight. Dr. Stephen C. Smith can help you determine the cause and suggest positive treatment.

A common treatment for apnea is the placement of oral devices that are designed to help keep the airway open. By bringing the jaw forward, the device opens the airway and thereby discourages snoring. We are experienced in sleep apnea appliances, and Dr. Stephen C. Smith can prescribe a fitted device and monitor its success with follow-up therapy.

A continuous positive airway pressure mask, known as a CPAP, is among the other treatment options. A mask is fitted over the mouth and forces oxygen through the throat while you sleep. The pressure holds the soft tissue and throat muscles open.

Our professionals at Stephen C. Smith Periodontics, Laser and Implant Dentistry can advise you of other ways to prevent sleep apnea, including weight loss, avoiding alcohol, or alternative sleeping positions. We can help you sleep return to easy sleep, knowing you are safer and healthier during your resting hours.

The History of Dental Implants

July 26th, 2016

The earliest endeavors for dental implant tooth substitutes on record dates back to the Mayan civilization, to 600 AD. Archeologists recovered primeval skulls in which the teeth had been replaced with materials the ranged from wood, stones, and jewels to small pieces of seashells.

Like most scientific progresses, the finding of what makes todays dental implants so successful was unexpected. In 1952, a Swedish orthopedic surgeon, named Dr. Branemark, placed a very small titanium cylinder into a bone to learn how the bone would heal. What he discovered was that the titanium cylinder had fused (melded to the bone.) Out of this experiment dental implants would be born within two decades.

In 1970s, modern dental implants made their first appearance. Of course, over the past four decades, the original dental implant has undergone several improvements in both structure and design, but has always been based on the original theme.

Dental implants were first made available to individuals who had lost all of their teeth and had difficulty wearing dentures, mainly because they had lost of much of their jawbone were dentures set. Today, most dental implants are used in place of dentures, for multiple teeth that are missing, or to replace a single tooth.

When dental implants were first designed, they were a one size fits all. The original dental implants were all the same circumference, while the length of each tooth varied depending on the type of tooth it was replacing. The dental implants were smoothed out and polished by a machine, but still did not produce the natural looking dental implants we have today.

Now, with the help of state-of-the-art equipment and advanced technology, implants come in a wide variety of sizes and shape to match the teeth that are missing. The surfaces of today’s dental implants give them a more natural look and feel. In addition, the surface of the dental implant also attaches to the bone much easier and for a longer period of time.

Dr. Branemark's discovery has left an impression on dental professionals, all over the world, including Dr. Stephen C. Smith. If you are considering dental implants to improve your smile’s health, beauty, and function, be sure to contact our Carmel, Monterey, Morgan Hill, CA office to schedule an appointment.

Top Five Ways to Improve Heart Health

July 19th, 2016

While there is no definite evidence that if your prevent gum diseases, like periodontitis, that you may be able to prevent a heart condition or heart disease. The only thing experts, like Dr. Stephen C. Smith, know for sure is that if you take care of your gums it can lessen atherosclerosis, (build-up of artery clogging plaque) that may result in a heart attack or stroke.

Could periodontal disease cause heart attacks?

Regardless of your oral health, if you're at a high risk for heart disease, you need to take action.

  • Maintain a healthy weight or lose weight.
  • Consume healthy foods and beverages.
  • Exercise several days the week. Walking is a powerful and lightweight exercise and will clear your head while helping your body get or stay healthy.
  • Control any medical conditions you may have such as high cholesterol, diabetes, or high blood pressure.
  • Reduce your stress. Have lunch with a friend, go for a walk in the park, take a bubble bath, mediate, or do whatever you find relaxing.
  • Get a social life. Laughing reduces stress and “feel good” hormones. Everyone needs to feel like they are a part of something: join a book club or any activity where you can interact with other people at least once or twice a week
  • Be sure to get enough sleep. The recommended amount is eight to nine hours a night. It has been proven that a lack of sleep increases your risk for angina, strokes, and heart attacks.
  • Practice good oral hygiene to keep bacteria in check and your mouth healthy.

Contact our Carmel, Monterey, Morgan Hill, CA office if you have questions about your heart and oral health. If you take practice good oral hygiene, both your mouth and your heart will thank you.

What to do about Sensitive Teeth

July 12th, 2016

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 Carmel, Monterey, Morgan Hill, CA office may be in order. There are a couple of ways Dr. Stephen C. Smith 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.

I have halitosis. What can I do?

July 5th, 2016

Halitosis is the fancy, scientific word for “bad breath.” Dr. Stephen C. Smith and our team know there are several reasons why you may have halitosis; let’s look at a few:

  • Gum disease (also known as periodontal disease) – There are five main types of gum disease, and each one can range from mild to severe. For example the most common one is gingivitis; it is caused by bacteria in the plaque that has been allowed to build up, usually as a result of poor oral hygiene. A more serious and uncommon type of gum disease is called necrotizing periodontal disease. It is most common in people who have a suppressed immune system.
  • Smoking
  • Dry Mouth – This can be caused by something as simple as a medication you take.
  • Food – Of course, if you eat something that is potent like garlic, it is going to give you bad breath.
  • Diseases of the Body – Some diseases such as sinus infections and diabetes, among a few other types of infections, can also cause you to have halitosis.

How to Get Rid of Halitosis

The most obvious answer to how to get rid of halitosis is to practice good oral hygiene, although, depending on the cause of halitosis it may not be that simple. If you have an infection that is causing the halitosis then you may need an antibiotic to clear up the infection and then the bad breath will go away. Here are more tips:

  • Brush your teeth after every meal and before bed.
  • Floss your teeth. The more plaque you get out of your teeth, the better chance you have of not getting cavities or bad breath.
  • Address any medical conditions that are not related to your teeth that can be causing the halitosis.
  • Ask Dr. Stephen C. Smith for a prescription mouthwash that kills bacteria.

Halitosis (bad breath) can be an embarrassing condition to live with, but there are plenty of ways to get rid of it permanently. Start by talking to a member of our team at our Carmel, Monterey, Morgan Hill, CA office.

The Connection Between Your Mouth and Your Heart

June 28th, 2016

At Stephen C. Smith Periodontics, Laser and Implant Dentistry, we know your dental health is closely connected to your overall health. We also know that the mouth can oftentimes be the first place to show signs of other bodily health issues.

Studies have shown possible links between periodontal (gum) disease and heart disease, and researchers have found that people with gum disease have an elevated risk of suffering from a stroke or developing coronary artery disease. Believe it or not, an estimated 70 to 80 percent of North American adults currently have some form of gum disease.

Gum disease, which affects the tissues that surround and support the teeth, is an infection caused by a sticky film of bacteria called plaque that forms on the teeth, mainly along the gum line. In its early stages, called gingivitis, gum disease can be treated by Dr. Stephen C. Smith and often reversed.

To help keep your mouth and heart healthy, we’ve provided following tips to help prevent problems before they arise:

  • Brush your teeth with fluoride toothpaste at least twice a day. Make sure you brush gently beneath the gum line around each tooth.
  • Floss at least once a day.
  • Have a dental checkup and cleaning twice a year, or as recommended.
  • Eat a healthy diet. This includes avoiding foods with a high concentration of sugars or starches and consuming more fruits and vegetables.
  • Avoid tobacco and copious levels of alcohol. If you smoke, quit. And remember, heavy drinking dramatically increases the risk of developing mouth and throat cancer.

Don’t put off your next visit to Stephen C. Smith Periodontics, Laser and Implant Dentistry any longer! If it has been a while since your last visit to our Carmel, Monterey, Morgan Hill, CA office, please give us a call!

Thumb Sucking, Pacifiers, and Your Baby's Teeth

June 21st, 2016

Sucking is a common instinct for babies and the use of a pacifier or their thumb offers a sense of safety and security, as well a way to relax.

According to the American Academy of Pediatric Dentistry, the majority of children will stop using a pacifier and stop sucking their thumb on their own between the ages of two and four years of age. Prolonged thumb sucking or use of a pacifier can have dental consequences and needs be taken care of sooner, rather than later.

Many dentists favor pacifier use over thumb sucking because it makes it easier for parents to control and even limit the use of a pacifier. If thumb sucking lingers, the same strategies used to break the baby from using the pacifier can be used for thumb sucking.

Precautions

  • Try to find "orthodontically correct" pacifiers, as they may reduce the risk of dental problems.
  • Never dip a pacifier in sugar or honey to calm the baby.
  • Give your baby a bottle of water at bedtime, never juice.

Dental Complications

Long term pacifier use can lead to an assortment of dental complications including:

  • The bottom teeth leaning inward
  • The top teeth slanting outward
  • Misalignment of the baby’s jaw

The risk of any or all of these things happening is greatly increased if thumb sucking and pacifier use is sustained after the baby’s teeth start to come in.

Breaking the Thumb Sucking and Pacifier Habit

Most toddlers and children will stop sucking their thumb or using a pacifier between the ages of two and four on their own. However, if intervention is necessary here are a few tips to help your child break the habit:

  • Slowly decreasing the use of a pacifier can be effective for many children. This method does not work very well with thumb sucking.
  • Thumb sucking can be more difficult to break. Dr. Stephen C. Smith may recommend using an over the counter cream that you put on the child’s thumb; it doesn’t taste good and usually does the trick.
  • Rewards can also help with the process.
  • If these simple commonly used strategies do not work, there are oral devices that will prevent a child from sucking their thumb or a pacifier.

Talk to Dr. Stephen C. Smith and our team, as we have many tricks up our sleeves that will be effective in breaking your child’s thumb sucking or pacifier use.

How long do dental implants last?

June 14th, 2016

The average dental implant can last a lifetime if taken care of properly. In fact, studies have shown that the success rate of implants after ten years is about 90%! Of course, Dr. Stephen C. Smith and our team know that the better you care for your implant, the longer it will last.

There are a few factors that must be taken into consideration, when you are considering dental implants. These factors all play a role in how long your dental implants will last.

  • Bone Structure – You must have enough bone in your mouth for the implants to be inserted. Over time, the bone can wear down and become too thin or to short. In cases, where you may have just enough bone for the implants, over the years, the bone will continue to become smaller and thinner and the implants will not last nearly as long as the suggested minimum of ten years.
  • Healthy Gums – Diseased gums will not support dental implants for very long. It is important to maintain regular dental visits to maintain your healthy gums.
  • Good Oral Hygiene – Just because your implants are not your “real” teeth, doesn’t mean you have to take care of them. That means brushing, flossing, and regular professional cleanings.

Bone structure, healthy gums, and good oral hygiene all play a crucial role in the length of time your dental implants will last. Whether you have full dental implants, partial implants, or a single tooth implant. The bottom line is you have to take care of them if you want them to last as long as possible.

For more tips on how to maintain the health of your dental implant, visit our Carmel, Monterey, Morgan Hill, CA office!

Antibiotic Prophylaxis or Pre-Medication

June 7th, 2016

At Stephen C. Smith Periodontics, Laser and Implant Dentistry, we know the human mouth contains a lot of bacteria. A bacterium can travel through your body with routine activities that are a normal part of daily living. You spread bacteria when you brush or floss your teeth, when you chew, and when you swallow.

For most people, bacteria don’t cause any problem. For some people, however, especially those who have chronic medical conditions, specific cardiac conditions, or whose immune systems are compromised, bacteria that spreads throughout the bloodstream can lead to much more serious bacterial infections.

The goal of pre-medication or antibiotic prophylaxis, Dr. Stephen C. Smith will tell you, is to prevent bacterial endocarditis, a serious infection of the endothelial heart surfaces or the heart valves. The condition is also called infective endocarditis. A small population of people with certain health problems has a high risk for contracting this potentially deadly bacterium.

The American Heart Association states that people at greatest risk for contracting bacterial or infective endocarditis are:

  • Patients who underwent cardiac valve surgery in the past
  • Those who have suffered past incidents of infective endocarditis
  • Patients who have mitral valve prolapse, resulting in or causing valve leakage
  • People who have had rheumatic fever or any degenerative cardiac condition that produces abnormalities in cardiac valves
  • Patients who suffer from certain congenital heart diseases

For these patients, any dental procedure may cause bleeding, and prophylactic antibiotic administration is recommended as a preventive measure.

Other patients who require prophylactic antibiotics

The American Association of Endodontists extends recommendations to patients who have undergone joint replacement surgery within the past two years, suffer from type 1 diabetes, or have immune deficiencies from diseases such as lupus, rheumatoid arthritis, or HIV; cancer patients whose immune systems are suppressed because of radiation or chemotherapy; people who have had organ transplants; and hemophiliacs.

The American Academy of Pediatric Dentistry also includes people who suffer from sickle cell anemia, as well as patients who suffer from conditions that require chronic steroid therapy.

Typical endodontic procedures for which antibiotic prophylaxis is recommended include root canal therapy (when it involves going deeper than the root apex), surgical tooth extractions, and any other dental, endodontic, or periodontal procedure during which the doctor anticipates bleeding.

Although different medical societies and organizations offer these guidelines as a way of identifying patients for whom prophylactic pre-medication is essential prior to dental procedures, dentists will take each patient's medical history and personal risk factors into consideration. Some doctors may choose to administer antibiotics following a procedure, especially for patients who have previously suffered from oral infections either as a result of dental procedures or that necessitated oral surgery.

For more information about antibiotic prophylaxis, or to schedule an appointment with Dr. Stephen C. Smith, please give us a call at our convenient Carmel, Monterey, Morgan Hill, CA office!

Seven Foods that will Give You a Smashing Smile

May 31st, 2016

As the saying goes, you are what you eat. But did you know that what you eat also affects your smile? Chow down on these seven tasty treats, recommended by Dr. Stephen C. Smith and our staff, for a healthier mouth and a smashing smile!

Sesame Seeds

These tiny seeds that you find in some Chinese and Thai dishes (as well as on top of your hamburger bun) are packed with bone-building calcium. They help to preserve and protect the bone that supports your teeth and gums. As a bonus, they also help to build up your tooth enamel while sloughing away plaque.

Kiwi

This funny little fruit has the highest amount of Vitamin C of any fruit, including oranges! What does this mean for your chompers? Well, you need Vitamin C to keep your gum tissue healthy and strong. Without it, they are more susceptible to periodontal disease.

Sweet Potatoes

These are not just for Thanksgiving and Christmas dinner! You should add sweet potatoes to your regular diet. These tasty spuds are rich in Vitamin A, which your body uses to form tooth enamel and heal gum tissue.

Onions

You know those strong vapors from onions that make you cry? Well, they come from the sulfur compounds in the vegetable, which gives them a superpower-packed antibacterial punch. Get ready, though: Onions are most effective for your smile when you eat them raw!

Cheese

If you love cheese, you will love this news! Munching on some cheese helps prevent gum disease and cavities. The reason is that cheese is very high in calcium and phosphate, which help to balance the pH levels in your mouth. This in turn helps to preserve your tooth enamel and kill harmful bacteria.

Green Tea

Sipping on some green tea can not only help prevent cavities and gum disease, it can also kill the bacteria that cause bad breath. Score! Green tea has catechins, which actually kill the bacteria that cause plaque. So drink up! Your smile depends on it!

Celery

Have some fun with that crunchy stuff because, guess what? It is great for your smile! When you chew celery you produce saliva. Your saliva neutralizes cavity-causing bacteria. As a little added bonus, while you are chewing, it is giving your gums a little massage and cleaning between your teeth.

So grab some of these healthy snacks and give your mouth something to smile about!

Are dental implants painful? What You Need to Know

May 24th, 2016

Whether it is the result of tooth decay, gum disease, or injury, millions of people suffer tooth loss. Dental implants provide a strong replacement tooth root for fixed replacement teeth that are designed to match your natural teeth. Of course, there is one question all patients have about dental implants: are they painful?

Dental implant placement is performed under local or general anesthesia and is not considered a painful procedure. However, if the surgery is more complicated and involves bone or tissue grafts, there may be slightly more discomfort and swelling. At the same time, every patient has a different threshold for pain, so what may bother one person may not bother another. If you experience any pain from dental implants, there are several things can do to relive it.

Relieving Pain from Dental Implants

1. The initial healing phase can last up to seven to ten days. Over-the-counter painkillers such as Tylenol, Ibuprofen, and Motrin work well to alleviate any pain or discomfort you may experience. However, only take these if instructed to by Dr. Stephen C. Smith.

2. Once you leave our Carmel, Monterey, Morgan Hill, CA office, you can reduce inflammation and any swelling to your cheek or lip by holding an ice-pack on your face over the implant area.

3. Your gum will be tender for the first few days. We often recommended that you bathe your gums with warm salt water.

4. Steer clear of crusty or hard foods for the first day or two. Ice cream, yogurt, and other soft foods are ideal as your gums will be tender.

5. Dental implants are a relatively straightforward oral procedure. Many people take time off from work to have dental implant surgery, and then return to regular activities. However, if you are feeling any pain or discomfort, there is nothing wrong with taking the day off, relaxing, and putting your feet up.

There is typically no severe post-operative pain with dental implants. When most people return for a follow-up appointment about two weeks later, they often say that getting a dental implant was one of the least painful procedures they’ve experienced.

Oral Health during Pregnancy

May 17th, 2016

Pregnancy can be one of the most exciting times in a woman’s life, as you eagerly wait for the birth of the new addition. Needless to say, pregnancy comes with a lot of responsibilities. Everything you do to your own body can affect your baby’s health, so you eat right and try to avoid anything that could harm your baby.

You may not realize it, but even your oral health affects your baby. You have a lot to worry about during this time in your life, but it’s important not to let your oral health slide. Maintaining good routines before and during pregnancy can improve the health of your baby.

Gum Disease and Pregnancy

Gum disease includes gingivitis and the more severe condition called periodontitis. Pregnancy gingivitis is a condition that results from bacteria in your teeth. Symptoms include gum inflammation and bad breath. If it progresses to periodontitis, your baby is at higher risk for preterm delivery and low-birth weight. You can also develop pregnancy tumors, or pyogenic granulomas, which can interfere with speaking and eating. Throughout pregnancy, continue to visit Dr. Stephen C. Smith at your regularly scheduled appointments to look for signs of gum disease.

Pregnancy and the Role of Our Office

Make an appointment with Dr. Stephen C. Smith at our Carmel, Monterey, Morgan Hill, CA office when you first learn that you’re pregnant, especially if you have unresolved oral health issues. If possible, try not to schedule necessary treatment during the first trimester or second half of the third trimester.

Oral Health Care Habits to Follow

Maintain a normal good oral health care regimen, which includes brushing your teeth at least twice daily with a fluoride toothpaste and soft toothbrush, and flossing daily. If your regular regimen is not up to par, now is a good time to develop good habits. You can use an unflavored toothpaste if you have morning sickness and regular toothpaste makes you feel nauseous. Also, rinse your mouth with water or mouthwash if you experience morning sickness to prevent acid damage to your teeth.

Top Ten Ways to Improve Heart Health

May 10th, 2016

The human heart truly appreciates it when we eat healthy foods, don’t smoke, and exercise regularly. But there’s something else that can improve your heart’s longevity and you may not know about: keeping your teeth and gums in tip-top shape.

Bacteria responsible for periodontal disease have been found in the heart area of subjects who suffer from artery inflammation, high cholesterol, and heart disease. Physicians and dentists, like Dr. Stephen C. Smith, think that it is not difficult for oral bacteria to enter the bloodstream through diseased, bleeding gums, and abscesses that reach from the gums into veins and capillaries that carry blood to and from the heart.

In addition to practicing good oral hygiene and visiting Stephen C. Smith Periodontics, Laser and Implant Dentistry every six months, here are ten other ways you can make your heart love you for the rest of your life:

  1. Avoid eating foods that contain saturated fat (fatty meats, processed meats, pastries, butter).
  2. Craving a crunchy snack? Grab a handful of tree nuts: pecans, almonds, walnuts. They’re rich in monounsaturated fats (the “good” kind of fat) as well as vitamin E, magnesium, and potassium.
  3. Eating a bowl of oatmeal for breakfast nourishes your heart with a soluble fiber called beta-glucan that can reduce cholesterol and help prevent atherosclerosis.
  4. Think “fish” the next time you shop for groceries, especially sardines, salmon, fresh tuna, and mackerel. These fish provide omega-3 fatty acids that lower triglycerides and blood pressure, and may help prevent blood clots from forming.
  5. Opt for whole grains over processed white breads and cereals.
  6. Put that remote control (or computer mouse) down right now and get moving! Walk, swim, ride a bike, plant flowers; your heart likes to pump, so make it pump.
  7. Refresh your brain and improve your heart health with at least eight hours of sleep every night.
  8. De-stress your life as much as possible: relax, stay optimistic, and don’t sweat the petty stuff!
  9. Watch your weight and get regular health examinations, especially if you have a family history of heart disease.
  10. And don’t forget to brush, floss, and rinse twice a day!

How do OTC whitening treatments compare to in-office whitening?

May 3rd, 2016

If you are unhappy with the color of your teeth, teeth whitening may be an excellent choice for you. Many patients of Dr. Stephen C. Smith suffer from darkened teeth due to the natural aging process, regular consumption of coffee or tea, or nicotine staining from cigarettes.

Some people may have darkened teeth due to long-term use of medication. Certain medication-related stains on the teeth cannot be lightened, but virtually every other type of teeth stains can be effectively lightened using either professional dental whitening or at-home whitening.

While both types of whitening have benefits, at-home kits are less expensive and less effective overall. Professional teeth whitening is a highly effective option, but it requires a bit more of an investment. Here is the basic info on each type of whitening.

At-Home Whitening

At-home whitening is done in a number of different ways today. Some of the most popular options include:

  • Whitening strips that are applied to teeth and then removed after a specified period. These will typically be used once a day for at least a week.
  • Whitening gels or pastes that are placed in a one-size-fits-all plastic tray. These trays are worn, retainer style, for a set period of time once a day.
  • Whitening toothpaste, which is used daily, and whitening mouthwashes are also available today. These products require constant use to realize results.

In-Office Whitening

In-office whitening is the fastest way to achieve whiter teeth. If you want an almost immediate difference in the color of your teeth and their overall appearance, this is probably the option for you.

Dr. Stephen C. Smith will typically apply the whitening formula directly to your teeth. Following the application, we will have you relax in our office between half an hour and an hour.

Some office-whitening formulas are strengthened with the use of heat, specialized lighting, or laser application. Patients will usually notice whitening results after only one application, but it usually takes at least a few appointments at Stephen C. Smith Periodontics, Laser and Implant Dentistry to notice a truly dramatic change in tooth color.

What can I expect during my implant procedure?

April 26th, 2016

Dental implants are a surgical procedure done by Dr. Stephen C. Smith right here at our Carmel, Monterey, Morgan Hill, CA office. Screw-like parts made of titanium are inserted into your jaw bone and act as the root of your tooth. An artificial tooth will be placed on top of the screw, usually made out of ceramic or layered porcelain. The dental implant will look and feel just like the natural tooth you lost.

How much time will the dental implant surgery take?

There are numerous factors that determine the length of time for the dental implant procedure:

  • If you’re having one tooth replaced or several
  • The teeth that are being replaced
  • If you need a tooth or teeth extracted before the implant placement
  • The amount of time it takes for your IV to be placed
  • Any last minute questions or concerns you may need addressed

All of the above factors will also govern the amount of visits to our Carmel, Monterey, Morgan Hill, CA office you will need to make throughout your dental implant treatment period. For example, a single tooth dental implant surgery typically takes one to two hours from the time you arrive until you awaken from the anesthesia. This also includes the amount of time it takes to put on your gown, hair cap, and other surgical dressing preparations before you are able to enter the sterile surgical environment.

Does getting an implant hurt?

With nearly any surgical procedure, you will feel some sort of discomfort. Whether it is the insertion of the IV for the anesthesia, or discomfort you may feel after the surgery. However, most patients report that their pain was tolerable after their dental implant surgery. In fact, the majority of patients said the discomfort was a lot less than they expected. Dr. Stephen C. Smith will prescribe pain medications to help with any discomfort you may experience once you get home.

How will I feel after the dental implant treatment?

It is normal to have some bruising and swelling in the soft tissue and gum area. Usually the pain or discomfort does not require the use of anything more than an over-the-counter pain medication such as Tylenol or ibuprofen. In addition, you will have the prescription for a stronger pain medication if you need it. You should be able to work the following day.

What do I do if I fall and loosen my teeth?

April 19th, 2016

Although teeth are strong enough to tear through food, they are also fragile. An accident such as a fall may loosen teeth or knock a tooth out entirely. When a child loses a baby tooth in this manner, no permanent damage is usually done. However, adults who loosen permanent teeth may need to visit our Carmel, Monterey, Morgan Hill, CA office.

The Anatomy of a Loose Tooth

The hard external layer of teeth covers a more vulnerable interior. The center of a tooth consists of the pulp, which contains blood vessels and nerves. The entire tooth extends below the surface of the gums into the jaw. Special tissue called cementum and the periodontal ligament hold teeth in place, preventing them from moving.

When a fall or blow to the face loosens a tooth, the tissues anchoring a tooth to the jaw may be damaged. This results in a loosened tooth that wiggles in place. There may be inflammation or bleeding of the gums, which signals dental damage.

Dental Treatments for a Loose Tooth

The range of dental treatments for loose teeth varies by the severity of the problem. If your teeth are just slightly loose following a fall, it may be fine to wait a few days. Teeth often retighten on their own. Simply avoid chewing with that tooth and enjoy softer foods for a few days.

If a tooth is very loose or nearly falling out, call Dr. Stephen C. Smith immediately. Immediate placement of the tooth back into the socket is needed to ensure its survival. In general, a tooth must return to its socket within two hours or it may be lost.

In some cases, Dr. Stephen C. Smith may recommend splinting, in which teeth are joined together to strengthen them and reduce strain on an individual tooth. Tightening or straightening the tooth can restore your ability to chew regularly without stressing the loosened tooth.

Regardless of the extent of the problem, it is essential to keep the tooth clean to prevent decay. Brush carefully with a soft-bristled brush, and use mouthwash regularly to kill bacteria.

Help! My gums hurt when I floss!

April 12th, 2016

By no stretch is it rare for your gums to hurt during and after flossing. Even some bleeding is to be expected. This is especially true if you have not flossed in a long time. However, if your gums do indeed hurt when you floss, and unbearably so, there are some things you can do.

Be Gentle

Perhaps the most obvious way to combat gum soreness and bleeding is to be gentle. One of the most common occurrences of these gum problems is over-aggressive flossing. In other words, if you are too rough on your gums while flossing, either because you are out of practice or because you are in a hurry, soreness and hurting is to be expected. Instead, try taking your time and be gentle. Also, if you are just starting out, be patient and consistent, your gums will become more conditioned over time.

Use an Alternative Method

If being consistent and gentle does not work, there are other alternative methods of flossing that you can try. You can also try a water floss machine, or what is sometimes called a water pick. The device essentially shoots water into the crevasses between your teeth, and in other areas of your mouth, in order to dislodge food and plaque. These oral instruments also come with different attachments that allow you to reach many of the hard to see and reach areas of your mouth. And lastly, you can always buy floss that is not as abrasive to your gums. There is floss that comes with soft and gentle coatings that will do less harm to your gums while they are adjusting to the good oral hygiene habit you are creating.

Flossing is one of the easiest parts of oral hygiene to overlook. When you first start out, it is common that you may want to stop because of the pain it can initially cause. However, if you try one, or all, of the above mentioned methods, you will give yourself the best chance of being success with your flossing, and it won't hurt as much.

For more flossing tips, schedule an appointment at our Carmel, Monterey, Morgan Hill, CA office and askDr. Stephen C. Smith or a member of our team!

Are dental X-rays safe?

April 5th, 2016

YES! X-rays have been used in dentistry for a long time, and the amount of radiation has significantly decreased with advances in technology. While there is risk in every health diagnostic procedure at Stephen C. Smith Periodontics, Laser and Implant Dentistry, the benefits must outweigh the risks. Dental X-rays do indeed fall into this category.

X-rays are exposed to a type of film to produce an image. The amount of X-rays required to produce this image differs with film speeds. Speed E or F is highly recommended, and digital X-rays require up to 50% less than speed E or F film. The digital X-ray software can adjust the exposure to produce a quality image. Digital X-rays are becoming a new standard and are most common.

Lead aprons have been used to reduce the amount of scatter radiation. All X-ray units have a cone to focus the X-ray beam so the exposure is highly localized. Lead aprons continue to be worn as a precaution for pregnant women, and a thyroid collar should also be worn. In most cases, this is sewn into the lead apron.

We get radiation exposure from environmental factors as well as healthcare diagnostic and treatment tools. To place this in perspective, in one year a person is expected to have 360mRem per year from the sun, air etc. By comparison, a single set of bitewing X-rays is 0.3mRem. Radiation can accumulate in our body over a lifetime, and additional exposure should be avoided whenever possible.

Headaches, TMJ, and Dentistry

March 29th, 2016

That ache in your head may stem from your jaw. If your jaw falls out of alignment, you could have temporomandibular joint disorder, or TMD.

It's not clear what causes TMD. Obesity may factor in. Stress and pressure on the jaw may also contribute. A misaligned bite (that is, where your upper and lower teeth don't fit together when you close your mouth) may cause TMD symptoms, too.

TMD can affect your life and your health by making it painful to eat and hard to sleep. Some people find the nagging pain difficult to bear.

Symptoms of TMD include:

  • Recurring headaches with no other cause
  • Pain along and behind your ears
  • Pain in your cheeks or lower face
  • Clicking noises when you talk or chew
  • Tired or sore jaw muscles after eating
  • Limited jaw movement

If you experience the symptoms listed here, make an appointment with our office. We’ll take an X-ray to look at your bite, and determine if TMD could be the culprit. If you have TMD we can offer a number of treatments, including:

  • Relaxation and stress reduction techniques
  • Pain reduction recommendations, which might involve visualization or medication
  • Jaw joint exercises that can help reduce stress and improve your alignment

Left untreated, TMD headaches and other symptoms can become quite severe. If you suffer the symptoms of TMD, you do not have to live in pain. Make an appointment at our Carmel, Monterey, Morgan Hill, CA office to learn how we can reduce your pain and restore comfort to your life.

Dangers of Alcohol and Oral Health

March 22nd, 2016

We often have patients who ask, “Can drinking alcohol affect my oral health?” There are, in fact, a few reasons why that martini may not be good for your pearly whites.

In addition to creating an overly acidic environment in your mouth, alcohol severely dehydrates oral tissues because of its desiccant and diuretic properties. Because alcohol saps oral tissues of their moisture so readily, saliva glands can't keep enough saliva in the mouth to prevent dry mouth. In addition, saliva contains antibacterial properties that inhibits growth of anaerobic bacteria, a destructive type of oral bacterial responsible for tooth decay, gingivitis, chronic bad breath, and periodontitis.

What are anaerobic bacteria?

When there is a lack of saliva flow in the mouth and the mouth cannot naturally cleanse itself of oral debris (food particles, dead skin cell, mucous), conditions develop that promote activity of anaerobic bacteria, or bacteria that thrive in dry, airless places. These anaerobes also flourish when an unending supply of proteins (food debris) are available to consume, creating rapidly multiplying layers of plaque that stick to teeth and demineralizes tooth enamel unless removed by brushing and professional dental cleanings.

Oral Cancer and Alcohol

Acetaldehyde is a chemical compound leftover after the liver has metabolized alcohol. Capable of causing genetic mutations, acetaldehyde is also a known carcinogen that contributes to the ill feelings of hangovers. Although most metabolism of alcohol is done in the liver, evidence shows that metabolism also occurs outside the liver and that enzymes in the mouth could encourage accumulation of acetaldehyde in oral tissues.

When combined with poor oral health, smoking, and other detrimental lifestyle factors, alcohol may be considered a primary contributory factor in the development of oral cancer.

Even if you don't drink or drink only occasionally, remaining aware of symptoms that may indicate oral cancer will improve your chances of recovering successfully when you start treatment in the early stages of oral cancer. Signs include red or while speckled patches in the mouth, unexplained bleeding, lumps/swellings, chronic ear or throat pain, and areas of numbness in the mouth or on the face.

If you have any questions about alcohol and its connection to oral health, don’t hesitate to ask Dr. Stephen C. Smith at your next visit to our Carmel, Monterey, Morgan Hill, CA office.

Go Green for St. Patrick’s Day

March 15th, 2016

Millions of people, around Carmel, Monterey, Morgan Hill, CA and beyond, wear green on St. Patrick’s Day so they can show their spirit for the holiday and avoid getting pinched. While it may be easy for you to throw on a green shirt, sport a St. Patrick’s Day button, or wear a pair of emerald-hued shoes, if you’re an avid St. Patty’s Day enthusiast you may want to try something different this year. Dr. Stephen C. Smith thought of a few ideas that will help you take your holiday spirit to the next level:

Visit Chicago’s Green River

If you happen to be near the Windy City during St. Patrick’s Day or you’re thinking of planning a trip, don’t miss out on going downtown to watch the large-scale celebration that kicks off when the city dyes the river bright green. According to the Chicago Sun-Times, Chicago has been celebrating the holiday with this tradition for more than 50 years, with tens of thousands of people gathering annually to witness the mysterious dying process and the stunning result.

Don Green Face Paint

Just like an avid sports fan on game day, you can use green face paints to showcase your enthusiasm for this holiday. Avoid breakouts or allergic reactions by only using paints that are specifically meant to be applied to the skin. A little bit of face paint can cover a large area, so feel free to get creative and decorate the whole family on St. Patrick’s Day.

Eat Green All Day

Not a fan of green eggs and ham? With the increasing popularity of green smoothies, there’s no better time to get in on this health craze. To create a green smoothie without the aid of food coloring, you can simply blend a generous amount of a leafy green vegetable, such as spinach or kale, with the ingredients that you would typically use to make a smoothie, like fruit, ice, milk, or juice. Keep the trend going throughout the day by using those same vegetables to create a green soup, egg salad, or a batch of bright green pastries. As an added bonus, you’ll get a healthy dose of vitamins without changing the taste of most of these foods.

If your old holiday routine has gotten stale, leave your green T-shirt in the drawer and try one or all of these tips. Don’t be surprised if you have so much fun that you decide to start a new, annual St. Patrick’s Day tradition! Have a happy St. Paddy’s day from Stephen C. Smith Periodontics, Laser and Implant Dentistry!

Canker Sores and Stress

March 8th, 2016

Canker sores are painful lesions that form in the soft tissues of the mouth, usually along the inner lips, under the tongue, and along the cheek walls. They are usually small and round, and take on a white or yellow hue. Though most are generally harmless and tend to heal on their own within a week or two of appearing, canker sores can be very irritating.

Only about one in five people develop canker sores. Of those who do, many develop them recurrently as a result of external factors. Though canker sores have been connected to allergies and hormonal changes, many people who are prone to developing canker sores find that their outbreaks are stress-related.

A combination of emotional stress and fatigue can be a perfect storm for the development of mouth sores. Some people say they are not under stress when canker sores form, but the sores appear several days after a stressful event or situation instead. Managing stress, reducing anxiety, and getting plenty of sleep may help prevent canker sores from forming and ensure that existing ones heal more quickly.

What to do if you develop canker sores

Do not be alarmed if you develop a canker sore. They are not contagious and are not harmful to your health. Over-the-counter oral numbing products can be used to manage pain, as can ice chips. Canker sores may heal faster if you apply milk of magnesia to them daily and avoid spicy foods that could irritate them.

You should contact your doctor if you find that your canker sores are unusually large or persist without healing for several weeks. Our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry also recommends seeking out professional treatment if you experience extreme pain or a fever develops in association with a canker sore outbreak.

For more information about canker sores, or to schedule an appointment with Dr. Stephen C. Smith, please give us a call at our convenient Carmel, Monterey, Morgan Hill, CA office!

You broke your tooth; now what?

March 8th, 2016

You may have bitten down on a hard food or object, or perhaps you had a cavity that weakened your tooth. Either way, your tooth is now broken, and the steps you take to care for it will determine whether you get to keep your natural tooth or not. Millions of people suffer from broken teeth every year, so you are not alone. However, that does not mean your newly cracked tooth does not need immediate attention.

What is a broken tooth?

A broken tooth is one that has been fractured, chipped, cracked, broken apart, or completely knocked out of the mouth. You may or may not feel your tooth break, depending on the extent of the break and whether your tooth was decaying prior to the break. It is usually very easy to diagnose a broken tooth, because the evidence will be visible. In the case of hairline cracks in the teeth, you may start to note a sensitivity to hot or cold in the neighborhood of the fracture.

The Right Way to Handle a Broken Tooth

As soon as you know your tooth is broken, chipped, or fractured, make an appointment to visit our emergency dental office. Even the tiniest fractures require attention: bacteria can infect the fractured area, which could cause you to lose the tooth altogether.

Until you are in our office, you can manage your pain using over-the-counter pain medication, such as Tylenol, or you can apply a cold compress to prevent swelling and inflammation. Be sure to rinse your mouth with warm salt water after every meal until you are able to visit us.

Keep in mind that while pain medication is an effective way to manage a broken tooth at home, it is only a temporary fix. Broken teeth should not be treated solely at home, and over-the-counter solutions are not substitutions for professional dental care. Failing to make an appointment with Dr. Stephen C. Smith after breaking or chipping a tooth can place your health at risk.

Treatment

Treating your broken tooth will depend on the type of break you have and how much of the tooth is affected. A minor chip or tiny fracture line may easily be repaired with bonding. On the other hand, a more serious break that exposes the tooth's pulp may require a root canal or extraction to prevent infection. Ultimately, our team here at Stephen C. Smith Periodontics, Laser and Implant Dentistry will explain to you the best treatment plan based upon our evaluation of the condition and extent of your break.

If you have broken, cracked, chipped, or fractured one or more of your teeth, don’t hesitate to contact our office immediately. We specialize in emergency dental care and are available to serve you 24 hours a day, seven days a week.

How often should I see my periodontist?

February 23rd, 2016

Dental health is a reflection of and related to total health. Many people are surprised to learn this. Because tooth and gum decay can be related to many serious health concerns, Dr. Stephen C. Smith and our team suggest that you visit our Carmel, Monterey, Morgan Hill, CA office every three to six months to care for any periodontal issues you may be experiencing. If you have ever been diagnosed with even susceptibility to gum disease or periodontal concerns, we suggest you follow this guideline.

During Your Visit

At a periodontal exam, Dr. Stephen C. Smith will evaluate any inflammation you may be experiencing along with any other tooth and gum abnormalities such as decay, holes, pockets, root exposure, bone loss, tooth loss, and more. If you have diabetes, cardiovascular disease, are pregnant, have had chronic respiratory issues, or have underwent/are undergoing cancer treatments, cardiovascular surgery, joint replacement surgery or organ transplant, you will want to discuss all of these concerns with us.

At your visit, be sure to mention all health concerns even if you do not think they may be related. We will help determine which of your health concerns may be contributing to your periodontal disease and if further evaluation is necessary. During your exam, you will have your gums, teeth, and neck evaluated to rule out disease and infection. Because plaque is related to the development of other health concerns such as cardiovascular disease, we can alert you to health issues you may not be aware of. We are trained to notice these subtle changes in dental health.

How can I protect my child's teeth during sports?

February 16th, 2016

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. Dr. Stephen C. Smith 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 Carmel, Monterey, Morgan Hill, CA office.

How do I care for my dental implant?

February 9th, 2016

Dental implants are designed to be strong and durable, able to withstand the everyday rigors of chewing and biting, but to keep them functioning the way they should and looking their best, you need to care for them properly. Luckily, dental implant care is fairly straightforward; in fact, your implants can be cared for the same way you care for your natural teeth, with regular brushing and flossing performed correctly, as well as regular visits with Dr. Stephen C. Smith to ensure your implants, the neighboring teeth, and your gums are as healthy as possible.

Before the actual replacement tooth is attached to the implant post, you may want to avoid harshly abrasive toothpastes, such as those with baking soda or those designed to get rid of significant staining. These abrasives may damage the threads of the posts or irritate the gum and soft tissue surrounding the posts, causing inflammation or bleeding.

As the implant heals and “settles in,” a special kind of protective tissue called “keratinized” tissue will form where the implant meet the gum. This natural development in healing helps ensure the implant post and the soft tissue beneath the gum line are protected from bacteria.

As you care for your implants, always look for signs of infection, like swollen, tender, or bleeding gums – just as you would with your normal teeth. If you're nervous about caring for your implants or you feel you may be reluctant to floss around them, ask our team to provide you with care tips and walk you through the process of flossing.

Your implants represent a considerable investment both in time and money, so it's only natural you'd want to be sure you're doing all you can to keep them in top shape. Remember: dental implants are designed to replace your natural teeth, and they're also designed to be cared for in much the same way as you care for your natural teeth. Although you may be a little nervous at first, you'll soon become as used to your new implants as you are to your natural teeth, and caring for them will become second nature.

More questions? Simply as at your next visit to our Carmel, Monterey, Morgan Hill, CA office!

Is periodontal disease contagious?

February 2nd, 2016

According to the Centers for Disease Control and Prevention, half of adults age 30 and over suffer from some form of gum disease. Caused by plaque buildup, gum disease is an infection of the tissue that surrounds and supports the teeth. In its advanced stages, it is known as periodontal disease. If left untreated, it can result in the loss of tissue and bone that support the teeth, causing teeth loss. It’s a preventable condition seen far too often by Dr. Stephen C. Smith.

Research between periodontal disease and other diseases is ongoing. Some studies have indicated that gum disease is linked to other health conditions such as stroke or diabetes. Furthermore, while most factors that lead to periodontal disease are dependent on the individual (genetics, diet, poor oral hygiene) there is a possibility that periodontitis is capable of spreading from one person to another.

What the Research Says

Periodontitis is a gum infection, and the bacteria that cause the gums to become infected travels in saliva. Researches have used DNA coding techniques to track the path of infection from one person to another. In other words, kissing and close contact play a role in the transmission of the infection, so if you’re married to a spouse with periodontal disease, then your chances of having gum problems are slightly increased. Other studies have indicated that saliva contact is common in family settings through coughing, sneezing, and shared utensils and food. Children with parents who have periodontal disease are at a somewhat higher risk of developing it. At the same time, just because you exchange bacteria with your loved ones doesn’t mean you will get periodontal disease.

It is important to note that the scientific evidence supporting the spread of periodontal disease is limited and ongoing. The best way to prevent gum disease is through proper plaque control, which includes brushing, flossing, mouthwash, and twice a year trips for professional cleanings. Contact our Carmel, Monterey, Morgan Hill, CA office if you have any questions about periodontal disease.

How do I know if I need dentures?

January 26th, 2016

The choice to get dentures is a permanent decision so there are several important factors you should take into consideration. Many people have teeth that are not able to be repaired due to a variety of reasons, but for those who have the option and the money to repair their natural teeth they need to consider every choice they may have.

You have a choice!

Yes, it’s true! We do have a choice about whether we will have to have dentures in the future. Many people don’t realize that just by taking certain precautions they can actually prevent any serious issues from arising. For example, it’s very easy to reschedule that dental cleaning. However, it’s very important that you keep every appointment because Dr. Stephen C. Smith will be able to catch small problems before you even realize you have them. Also, if there are any signs of gum disease you will know early enough to stop any further damage. One of the main reasons that many people end up needing dentures is because of either gum disease or because severe cavities have cause too many teeth to be extracted.

If you notice any of the following you should make an appointment at our Carmel, Monterey, Morgan Hill, CA office right away:

  • Teeth are moving further apart
  • Soreness or tenderness of the gums
  • Trouble eating hard food
  • Sensitivity
  • You have already lost several teeth
  • Toothaches

The key to avoiding dentures is prevention. Avoiding dentures is not impossible and can be as simple as staying on top of your oral hygiene. However, if you are currently experiencing any dental issues you should see Dr. Stephen C. Smith now, because a small problem can quickly escalate into a very large and expensive dental procedure.

Steer clear of that candy!

January 19th, 2016

At Stephen C. Smith Periodontics, Laser and Implant Dentistry, we know how tempting candy can sometimes be on our sweet tooth, but it’s important to remember that every candy and sugary treat you consume elevates your risk of developing tooth decay, which can break down your teeth.

While not all bad in moderation, when eaten in excess, candy can lead to big problems, especially if good oral hygiene habits are not followed. We have a few helpful tips if you just can’t stay away from all those treats:

1. Consume candy and other sweets during meals when your saliva can help neutralize the acids that are found in some candies, especially the sour variety.

2. Avoid sticky or hard candies, which can stay in your mouth longer than you think, resulting in acids being constantly exposed to your teeth. That leads to cavities and tooth decay.

3. Make sure the water you drink is fluoridated. Water that is fluoridated has been shown to help prevent cavities.

4. Make sure to maintain your daily oral hygiene habits. This includes brushing twice a day, and flossing at least once.

5. Visit our office twice a year for regular dental checkups and cleanings with Dr. Stephen C. Smith. During your visit, we can help catch problems such as cavities early to reduce the effects they have on your teeth, as well as give you tips for improving your oral health.

We hope these tips have helped! To learn more about cavity prevention, or to schedule your next visit at our convenient Carmel, Monterey, Morgan Hill, CA office, please give us a call!

Breaking Bad Oral Habits

January 12th, 2016

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 Carmel, Monterey, Morgan Hill, CA office and speak with Dr. Stephen C. Smith or a member of our team.

How do I know if I’m at risk for oral cancer?

January 5th, 2016

Every year, over 50,000 North Americans are diagnosed with oral or throat cancer, which 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.

Because oral cancer is typically painless in its early stages and often goes undetected until it spreads, many patients aren’t diagnosed until they are already suffering from chronic pain or loss of function. However, if detected early, Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry want you to know that early detection of oral cancer improves the survival rate to 80 percent or more.

If you visit our Carmel, Monterey, Morgan Hill, CA office regularly, you have probably received an oral cancer screening and didn’t even realize it. That’s because the exam is quick and painless; Dr. Stephen C. Smith and our team check your neck and mouth for signs of oral cancer such as discolorations, lumps, or any changes to your tissue. Oral cancer is typically found on the tongue, lips, gums, the floor of the mouth, or tissues in back of the tongue.

Factors that may influence your risk for developing oral cancer include:

  • Use of tobacco products. Smoking cigarettes, cigars, 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 are harmful to cells in your mouth.
  • Excessive consumption of alcohol. Those who drink alcohol regularly 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. Those 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.
  • Your 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.
  • Your 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.

In between your visits to our office, it is critical for you to be aware of the following signs and symptoms, and give us a call if these symptoms don’t go away after two weeks.

  • A sore or irritation that doesn’t disappear
  • Red or white patches
  • Pain, tenderness, or numbness in mouth or lips
  • Difficulty chewing, swallowing, speaking, or moving your jaw or tongue
  • A change in the way your teeth fit together when you close your mouth

During your next visit, Dr. Stephen C. Smith will examine your mouth for signs of oral cancer. If you have been putting off a visit to our Carmel, Monterey, Morgan Hill, CA 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!

New Year's Eve

December 29th, 2015

Watching the clock tick down the final seconds until midnight, many of us- Stephen C. Smith Periodontics, Laser and Implant Dentistry included- feel nostalgic about the passing year and hopeful about the new one to come. New Year’s Eve is one of the most widely celebrated holidays in the world, with over-the-top celebrations taking place in dozens of countries. The Gregorian calendar, which is widely used in Western nations and around the world, was implemented in 1582. Since that time, December 31st has marked the final day of the year, with midnight heralding the beginning of a brand new year. In the United States, New Year’s Day is a public holiday; government offices, schools, public organizations, and many businesses are closed for the day. Ponder the following fun facts as you think about your plans for the holiday:

  • Approximately one billion people watch the New Year’s Eve ball drop in Times Square, New York City. This televised event is one of the most iconic New Year’s celebrations in the world. For many years, watching the ball drop meant tuning in to Dick Clark’s Rockin’ New Year’s Eve, an iconic television special dear to the hearts of many viewers.
  • The idea for the New Year’s Eve ball came about because of a citywide ban on fireworks. Before 1907, when fireworks became illegal in New York City, celebrations included an elaborate fireworks show. The large, glittering, illuminated ball was developed as an alternative. Although the first ball was heavy at 700 pounds, the modern New Year’s Eve ball is made of Waterford crystal and tips the scale at six tons!
  • The top five New Year’s resolutions are: to lose weight, quit smoking, get a new job, return to school, or increase personal savings. However, approximately 88% of New Year’s resolutions fail. But don’t let that discourage you! Resolutions are most likely to succeed when they are clear, achievable goals. Setting out a concrete plan to achieve your resolution also boosts your chances of success.
  • Eating black-eyed peas on New Year’s Day is said to bring good fortune in the new year. Collard greens, cabbage, and ham hocks are also considered lucky foods to enjoy. Just steer clear of the chicken or turkey dinners; eating poultry is a bad omen for the year to come.

Whether you plan to stay in Carmel, Monterey, Morgan Hill, CA, or head out into the crowds to watch the ball drop in Times Square, New Year’s Eve is a time to enjoy friends and family. Send your loved ones well wishes for the New Year, and look for that special someone to share a midnight kiss with for good luck!

My mouth is dry. What can I do?

December 22nd, 2015

Nobody likes a dry mouth. It is an uncomfortable and sometimes oddly unexplainable sensation that most people like to avoid. It is not a condition that automatically sends you into a panic about your health, however, a dry mouth can be a bother and something you certainly want to change if possible. So, if you find yourself in the unpleasant position of having a dry mouth, here is what you can do.

Chew Sugar-free Gum: Chewing sugar-free gum will stimulate saliva in your mouth. The chewing motion of your jaw and teeth should take care of at least some of your dry mouth problem.

Suck on Sugar-free Candy: Similarly to chewing sugar free gum, if you suck on sugar free candy it should create more saliva in your mouth and moisturize it in the process.

Cut out the Caffeine:Caffeine can contribute to a dry mouth so by limiting, or eliminating your intake all together, you may find that your dry mouth is no more.

Stop Using Tobacco Products: Tobacco is another cause of dry mouth. Whether it is smokeless tobacco products or cigarettes, if you stop using them your dry mouth will likely improve. And not to forget, these products are exceedingly bad for your oral health to begin with, so you will be doing your mouth a favor even more so.

Drink Lots of Water: It may seem obvious, but drinking lots of water will likely improve your dry mouth. This is because dry mouth is usually a sign of dehydration, so plenty of fluids will surely help.

Dry mouth can be unpleasant, but it is often easily solved by either drinking more water, or trying one of the previously mentioned techniques. If the problem still persists you can always visit our Carmel, Monterey, Morgan Hill, CA office to see Dr. Stephen C. Smith. More often than not, doing one of the above will leave your mouth more moisturized than it was previously, and hopefully it will be long-lasting as well.

Getting to the Bottom of Chewing Gum Myths

December 15th, 2015

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. Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry 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!

What's the connection between gum disease and diabetes?

December 8th, 2015

People who have diabetes are usually familiar with many of the other health risks they face, including damage to the nerves, eyes, heart, and kidneys. But did you know that if you have diabetes you also have a much greater chance of developing gum disease? It's true, and like other diseases related to diabetes, the risk potential severity of gum disease is directly related to how well blood sugar is controlled.

The Causes

In diabetics, there are two primary mechanisms that increase the risk of developing gum disease, also called periodontal disease:

  • Bacterial growth: Bacteria love sugar including the glucose found in blood and bodily fluids. Elevated levels of sugar in saliva can provide a very hospitable environment for bacterial growth. The risk may be elevated if your gums bleed.
  • Circulatory changes: In diabetes, the blood vessels become thick, making it more difficult for blood to carry oxygen to the gums and to carry away harmful waste products. This decrease in circulation can weaken the mouth's natural resistance to decay. If you smoke, circulation can become even more compromised, significantly increasing your risk of periodontal disease.

Preventing Gum Disease

If you're diabetic, the number-one key to preventing gum disease is to make sure you do all you can to keep your blood sugar under control. In fact, studies show diabetics who have excellent control of their blood sugar levels have no more risk for gum disease than those who don't have diabetes. Here are some other tips to keep your gums healthy:

  • Floss your teeth gently, curving the floss so it can gently reach just below your gum line to remove plaque and food particles. Rinse your mouth when you're done flossing.
  • Use a soft-bristle brush to brush teeth twice daily, using small circular motions. Avoid pressing too hard on tooth surfaces.
  • Brush your tongue gently to remove germs that can hide there.
  • Use an anti-bacterial mouthwash to kill germs that are hard to reach.
  • Keep track of how well your blood sugar is controlled and let Dr. Stephen C. Smith know at each visit.
  • Be aware that having diabetes may mean it takes you longer to heal after undergoing oral surgery.

Most importantly, be sure to visit our Carmel, Monterey, Morgan Hill, CA office for regular checkups and tell Dr. Stephen C. Smith about your diabetes so you can be sure to get the care you need. Follow these steps, and you can enjoy healthy teeth and gums for years to come.

Improve Your Smile with Periodontal Cosmetic Enhancements

December 1st, 2015

Dr. Stephen C. Smith and our team know that your smile is one of your most distinguishing features, and one of the first things people notice about your appearance. Whether you hesitate when you smile, would like to fix imperfections, or simply wouldn’t mind increasing your self-confidence, we would like to remind you that our team members at Stephen C. Smith Periodontics, Laser and Implant Dentistry are specialists when it comes to replacing teeth through dental implants, reshaping your gum line, helping you regain tissue health, or covering gum recession brought on by gingivitis.

Luckily, we provide procedures that cover unattractive, sensitive, or exposed root surfaces, as well as prevent future gum recession, ultimately giving you the smile you’ve always wanted.

Gummy Smile

For patients who feel they are showing excessive gums when they smile, we are proud to offer crown lengthening and gingival reshaping, a procedure where Dr. Stephen C. Smith and our team reshape excess gum and bone tissue in order to expose more of your natural tooth (or teeth), giving your mouth a natural-looking gum line.

Exposed Roots

When gums start receding, they begin literally pulling away from your teeth, exposing the roots and putting them at greater risk for tooth decay and bone loss, not to mention sensitivity to hot and cold foods and drinks. This condition can be alleviated through a cosmetic procedure we call a gum graft, also known as a soft tissue graft, which Dr. Stephen C. Smith can perform to reduce gum recession , cover unsightly tooth roots, and protect them from decay and subsequent loss.

Missing Teeth

Not only do missing teeth create unattractive gaps in your smile, they also take a toll on your oral health as normal activities like eating and speaking become challenging and sometimes downright painful. Dr. Stephen C. Smith and our team are proud to offer dental implants, which are the best treatment option for replacing missing teeth, and can dramatically improve the functionality and aesthetics of your smile, not to mention the impact they have on your quality of life. If properly maintained, implants can last a lifetime.

Gum Indentation

Sometimes when a tooth is extracted or falls out due to decay, the bone and gum tissue will collapse around the affected area, resulting in what Dr. Stephen C. Smith and our team call a gum indentation. If that is the case, we can replace your tooth, in addition to recommending you undergo a procedure called a ridge augmentation, where we will smooth out the indentation to recreate the natural outline of your gum line and jaw. This procedure generally includes bone grafting to regenerate the missing bone.

If you are interested in learning more about the cosmetic services we provide to give you the smile you’ve always wanted, we encourage you to give us a call at our Carmel, Monterey, Morgan Hill, CA office. During your visit, Dr. Stephen C. Smith will be happy to sit down with you and discuss your options.

Thanksgiving

November 24th, 2015

At Stephen C. Smith Periodontics, Laser and Implant Dentistry, we love to celebrate the holidays with vigor! Dr. Stephen C. Smith would love to share some unique ways of celebrating Thanksgiving from beyond the Carmel, Monterey, Morgan Hill, CA area to the national level!

When Americans sit down to dinner on the last Thursday of November, the day that Abraham Lincoln designated as the day on which Thanksgiving would be celebrated, they do so thinking that the first Thanksgiving feast was held at Plymouth in 1621. According to National Geographic, the Spanish explorer Francisco Vásquez Coronado and his men celebrated a feast of Thanksgiving in Texas in 1541, giving Texas the distinction of being the first place where Thanksgiving was celebrated.

Different Types of Celebrations

Native Americans had rituals around which they celebrated in hopes of ensuring a bountiful harvest. The Cherokees had a Green Corn Dance that they did for this very purpose. The Pilgrims (not to be confused with the Puritans,) rejected any type of public religious display. They held a three-day long non-religious Thanksgiving feast. Although they said grace, the focus of their celebration was on feasting, drinking alcohol (they did have beer,) and playing games.

The Pilgrims at the Plymouth Plantation celebrated a different day of Thanksgiving in 1623. Plagued by a crop-destroying drought, the settlers prayed for relief. They even fasted. A few days later, they got the rain they so desperately needed. Soon thereafter, they received another blessing when Captain Miles Standish came with staples they couldn't otherwise get. He also told them that a Dutch supply ship was en route. In gratitude for the abundance of good fortune, the Plymouth settlers celebrated a day of prayer and Thanksgiving on June 30, 1623.

The Story of Squanto

No discussion of Thanksgiving is complete without a discussion of Squanto, or Tisquantum, as he was known among his people, the Patuxet Indians. It is believed that he was born sometime around 1580. As he returned to his village after a long journey, he and several other Native Americans were kidnapped by Jamestown colonist, Thomas Hunt. Hunt put them on a ship heading to Spain where they were to be sold into slavery.

As fate would have it, some local friars rescued him and many of the other kidnapped natives. Squanto was educated by the friars. Eventually, after asking for freedom so he could return to North America, he ended up in London where he spent time working as a ship builder. By 1619, he was finally able to get passage on a ship headed to New England with other Pilgrims.

Upon arriving at Plymouth Rock, he learned that his entire tribe was wiped out by diseases that accompanied earlier settlers from Europe. In gratitude for passage on their ship, he helped them set up a settlement on the very land where his people once lived. They called the settlement Plymouth. Since they knew nothing about how to survive, let alone how to find food, Squanto taught them everything, from how to plant corn and other crops, how to fertilize them, how and where to get fish and eels and much more.

After a devastating winter during which many settlers died, thanks to Squanto's teaching, they had an abundant harvest. After that harvest, they honored him with a feast. It is this feast of 1621 which was celebrated between the Pilgrims and Wampanoag Indians that is widely considered the first Thanksgiving celebration.

About the Meal of the Plymouth Settlers

Surviving journals of Edward Winslow that are housed at Plymouth Plantation indicate that the first Thanksgiving feast was nothing like what Americans eat today. The meal consisted of venison, various types of wild fowl (including wild turkey,) and Indian corn. There were no cranberries, stuffing, pumpkin pie, potatoes, or any of the other “traditional” foods that appear on modern menus.

Today, Thanksgiving is celebrated on the fourth Thursday of November, the day that Abraham Lincoln designated as the holiday. It is still a day of feasting, and for some, a day of prayer and thanksgiving. For others, it is a celebration of gathering, especially for families. Still others may celebrate in entirely different ways, including watching college football bowl games, or by playing family games.

If you ever wonder why you're so tired after the Thanksgiving meal, it's because turkey contains an amino acid, tryptophan, and it sets off chemicals whose chain reaction combine to make people sleepy.

Does getting a dental implant hurt?

November 17th, 2015

Getting a dental implant is a surgical procedure and everyone’s pain tolerance level is different. Therefore, what one person may perceive as pain is only a slight discomfort for another person. The general consensus about pain and dental implants is that the majority of people feel discomfort, not pain.

A dental implant is a complex procedure. Let’s take a look at what may cause discomfort:

  • Some people may find that having the IV put in is uncomfortable, especially if the healthcare worker has to try more than once. If you have a fear of needles or if you have anxiety about the procedure, we can prescribe a sedative, which you take before you arrive.
  • Of course, during the dental implant surgery, you will be asleep. Therefore, you will not feel any pain or discomfort at all.
  • When you awake from the surgery, your mouth should still be numb. In many cases, we can give you a “block” – it is basically a 24-hour pain medication, so you will not feel any pain or discomfort at all.
  • We will also provide you with a prescription for a strong pain killer, and you will most likely sleep while you are taking them. If you are still in pain, do not take more than is prescribed without calling us first. You will need someone to stay with you for 24 hours after the surgery, and they will be instructed on how to give you any prescription medication. The anesthesia tends to make people a bit loopy and forgetful the first 24 hours.
  • After the first 24 hours you may feel some discomfort. The most important thing you can do is take your pain medication regularly, whether you are taking the prescription medication or an over-the-counter pain reliever such as Tylenol or Advil.
  • You should not need pain medication for more than the first few days.

Most people do say there mouth is sore and they have to be careful what they eat, so it’s best to stick to soft foods. If you have any additional questions, please contact our Carmel, Monterey, Morgan Hill, CA office and speak with Dr. Stephen C. Smith.

What is a crown?

November 10th, 2015

Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry hear this question all the time. Millions of people have dental crowns that artificially restore the chewing surface of a tooth. Also known as caps, these restorations surround the entire portion of the tooth that is above the gum line. Crowns are custom fabricated to match the color, shape, and size of other teeth and are visually undetectable to others. Several types of materials can be used to create crowns, including stainless steel, resin, metal alloys, porcelain fused to metal, or ceramic. When properly cared for and accurately fit, crowns can stay in place for a decade or more.

There are many reasons to get a dental crown, including:

  • To restore a broken or cracked tooth
  • To protect a tooth after a root canal
  • To restore a severely decayed tooth
  • To help anchor a dental bridge
  • To complete a dental implant
  • To protect a tooth that is at high risk for developing decay
  • For cosmetic purposes

Getting a dental crown

The process of getting a dental crown begins at our Carmel, Monterey, Morgan Hill, CA office. X-rays are used to ensure the teeth are healthy enough to receive a crown. If the roots and surrounding bone are in satisfactory condition, the tooth will be numbed, filed, and reshaped in preparation for the crown. If the tooth root is not healthy, a root canal may be necessary first.

After the tooth is prepared, a special paste is placed over the upper and lower teeth to make impressions. These impressions serve as blueprints for the dental laboratory responsible for making the crown. They also help ensure the position of the new crown will not negatively affect a patient’s bite. The prepared tooth is protected by a temporary crown while the permanent one is made. When ready, the permanent crown replaces the temporary crown and is cemented in place.

To learn more about crowns, or to schedule an appointment with Dr. Stephen C. Smith, please give us a call at our convenient Carmel, Monterey, Morgan Hill, CA office!

What is gingivitis, and how can I treat it?

November 3rd, 2015

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 Dr. Stephen C. Smith 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 Carmel, Monterey, Morgan Hill, CA 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.

Halloween: Candy, costumes, and more!

October 27th, 2015

All Hallows' Eve, more commonly known as Halloween, is a yearly event celebrated on October 31, and one that is anticipated by the young and young at heart all over the world. Some scholars claim that Halloween originated from Celtic festivals that honored the dead or that celebrated the harvest, while others doubt that there's any connection at all to Samhain (a Gaelic harvest festival.) Regardless of its origin, our team at the periodontal office of Dr. Stephen C. Smith hopes that Halloween is fun and enjoyed by all of our awesome patients!

Trick or treat?

In North America, Halloween is predominantly celebrated by children who dress up in costumes, which range from scary to cute, who then go around the neighborhood knocking on doors asking "trick or treat", and they are given candy in return. Trick-or-treating is a time honored tradition, and though many parents groan at the pounds and pounds of candy collected by youngsters and fear for the health of their teeth, there are a few things you can do to help their teeth stay in great shape until the candy is gone:

  • Limit the amount of candy they can consume each day
  • Have them brush their teeth after eating candy
  • Avoid hard, chewy candies as they can stick in hard to brush places
  • Keep candy out of sight to reduce temptation
  • Don't buy candy too far in advance to limit pre-Halloween consumption
  • Help or encourage your children to floss

Halloween Fun

Halloween isn't just about gorging on candy; there are other events associated with this festive day including carving jack-o'-lanterns, painting pumpkins, decorating sugar cookies, bobbing for apples, going to haunted houses, or just curling up on the couch with a bowl full of popcorn and watching some classic, scary movies.

Halloween Around the World

Some countries, like Australia, frown upon Halloween, claiming it is an American event and not based in Australian culture, while others like Italy have embraced the fun and celebrate much as Canadians and Americans do. Mexicans have been celebrating this fun day since around 1960, and it marks the beginning of the Day of the Dead festival. Some countries in Europe have come late to the party, but since the 1990s, countries like Sweden, Norway, and Germany have started celebrating Halloween as well, and finding children in costumes or having ghosts hanging in windows has become commonplace.

Halloween is about fun; stepping outside our normal lives and donning a costume or gathering with friends to knock on doors and ask for candy is as much a part of our culture as hot dogs and barbecue on Labor Day. Have a safe and happy Halloween from the team at Stephen C. Smith Periodontics, Laser and Implant Dentistry!

Dental Veneers

October 20th, 2015

Are you looking to improve the appearance of your front teeth? Dental veneers are widely used to improve the appearance of front teeth and are a much more conservative option than a full dental crown. Veneers can be used to improve the appearance of staining, large gaps, large fillings, chipped teeth, or overall shape. Veneers are a thin covering over the front and biting end of the tooth used to restore the beauty of a smile. Over the years we have helped many patients who opted for veneers and now have the confidence to smile again.

Dental veneers are made in a lab from long-lasting porcelain materials. The shade can be chosen to a desirable color to whiten the appearance of your smile. Dental veneers are usually placed on the anterior, or front teeth, where the chewing forces are not as hard as the back teeth. The process of placing veneers is relatively easy requiring only two dental appointments. In some cases, only one appointment is needed. It depends on the fabrication process.

The first appointment is to “prep” the teeth and take an impression to be sent to a lab to fabricate the veneers. Veneers are fairly conservative in the preparation as it requires a small amount of space to be created on the face (front), bottom, and sides of each tooth to allow space for the veneer to be placed and look natural. You will leave the office with temporary veneers for the next week or two while the permanent veneers are being made.

The second appointment is to place the veneers and make minor adjustments if needed. What a difference it makes in the appearance of the teeth! If you’re interested in learning more, give Dr. Stephen C. Smith a call today!

Proper Brushing Techniques

October 13th, 2015

Brushing your teeth properly removes the food particles and bacteria that can lead to tooth decay and gum disease. However, you do not want to scrub your teeth or gums heavily. A heavy hand can lead to tooth and gum erosion, as Dr. Stephen C. Smith and our staff see all too often.

You should also use a soft bristle toothbrush to avoid damaging the surface of your teeth. Make sure the head of the brush fits in your mouth, because if it is too large you will not be able to reach all tooth surfaces. Follow these steps to ensure you are brushing properly.

  1. Use a small amount of toothpaste on your brush. The recommendation is a pea-sized amount or thin strip on the bristles.
  2. Hold your toothbrush at a 45-degree angle to the surface of your teeth, angling towards your gums. Use a circular motion on all exterior tooth surfaces, and avoid back-and-forth “scrub” brushing.
  3. Once you have cleaned the outer surfaces, hold the brush vertically and clean the inner teeth surfaces — the side of your teeth that face your tongue. Do not forget the inner surfaces of your front teeth.
  4. Finally, finish by cleaning all the chewing surfaces of your teeth. You need to maintain a gentle touch, but make sure you get into the full depth of your molars. The entire process should take about two minutes.

Dr. Stephen C. Smith and our staff recommend changing your toothbrush every three to four months for best results. Do not forget to clean your tongue, which helps remove excess bacteria from your mouth. Special brushes are available just for cleaning your tongue, and they are easy to use.

Proper care of your teeth also requires flossing on a regular basis. Flossing can be performed before or after you brush. Following up with a quality mouthwash will provide you with even more protection. Do not be afraid to ask the Stephen C. Smith Periodontics, Laser and Implant Dentistry team for tips on proper brushing and flossing.

What's on your fall reading list?

October 6th, 2015

How better to spend the fall months than inside by the fireplace with a warm cup of cider and a book in hand? Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry encourage you to warm up your mind this fall season with a few great books. Sure it may be easy to put off reading when balancing a hectic schedule, but reading is vital to brain development. Besides, reading is always a blast!

This week, we thought we’d ask what you or your child are reading this fall. Do you have any suggestions for must-read books this year? Out of ideas for great fall reads? Ask us for suggestions, and we would be happy to provide a few. You may also ask a local librarian here in Carmel, Monterey, Morgan Hill, CA for some ideas.

Happy reading! Be sure to share with us your fall picks or your all-time favorites below or on our Facebook page!

Three Signs You May Have Gingivitis

September 29th, 2015

Gingivitis, or inflammation of the gums, is an early stage of gum disease. If you have gingivitis, it’s important to visit Dr. Stephen C. Smith to get proper treatment, since home care isn’t enough to get rid of the plaque that leads to tartar and eventually to gum disease. Monitor yourself to see if you have these signs of gingivitis, and get help as soon as you can to prevent the progression to periodontitis. Your vigilance could save your teeth.

1. You have one or more risk factors.

Having risk factors for gingivitis doesn’t mean that you have or will get the disease, but it does mean that you should be especially watchful. You’re more likely to get gum disease if you have the following risk factors:

  • You are a smoker.
  • You are a female going through puberty, pregnancy, or menopause.
  • You have diabetes.
  • You have a compromised immune system, as is the case if you have HIV/AIDS.
  • You have a family history of gum disease.

2. You have inflammation in your gums.

Gingivitis is inflammation of the gums, and that is a tell-tale sign of the condition. Gingivitis or periodontitis can involve a bacterial infection, and inflammation is your body’s response to an injury or infection. The four standard signs of inflammation are pain, redness, swelling, and a higher temperature than normal.

If you have inflammation around your teeth, your gum disease may have progressed to the more serious condition of periodontitis. Dr. Stephen C. Smith can evaluate your case using a scope, or small ruler. The ruler is used to measure the pockets around your teeth, with a depth of one to three millimeters being normal.

3. Your teeth seem to be moving around.

Loose teeth are a classic sign of periodontitis. You may also have them if you have gingivitis. They can occur when your gum line recedes, or as the result of having soft bone in your jaw.

You might also notice other signs of your teeth moving around. For example, they may seem to be oddly spaced, or they could be separating from each other. You might also notice that your partial dentures don’t fit properly anymore, even if they’re not that old.

Gingivitis is a very treatable condition, but you need the help of Dr. Stephen C. Smith to keep it in check. Contact our Carmel, Monterey, Morgan Hill, CA office to schedule an exam today!

Treating Gum Disease with Antibiotics

September 22nd, 2015

For those of our patients at Stephen C. Smith Periodontics, Laser and Implant Dentistry who suffer from periodontal (gum) disease, we proudly offer topical or oral antibiotics to help reduce or entirely eliminate disease-causing bacteria. It can also help fight the bacterial infection causing gingivitis, a mild form of periodontal disease that is characterized by reddening, swelling, and bleeding of the gums.

Dr. Stephen C. Smith may recommend systemic or topical antibiotics in conjuncture with scaling and root planing, as well as other procedures. These antibiotics include:

  • Tetracycline: The primary drugs used in the fight against bacteria, tetracycline includes antibacterial properties which help reduce inflammation and block collagenase, a protein which destroys the connective tissue and bone.
  • Azithromycin: This antibiotic is known to reduce bacterial growth associated with periodontitis, and is regularly used to reduce inflammation in those patients who are heavy smokers.
  • Metronidazole (Flagyl): This antibiotic may be prescribed to those patients suffering from severe periodontitis. Metronidazole works best when used in a combination with amoxicillin or tetracycline.
  • Ciprofloxacin: This antibiotic is used to specifically target A. actinomycetemcomitans, a slow-growing but harmful bacterium that contributes to gum disease.
  • Amoxicillin: Only intended to fight bacteria and bacterial infections, amoxicillin does not kill bacteria but prevents microbes from forming walls that surround them, which is how bacteria reproduces and survives.
  • Clindamycin: An antibiotic that works by stopping the development of bacteria, clindamycin is used to treat a variety of serious bacterial infections.

Most forms of gum disease can be treated without antibiotics, but the biggest advantage of using topical antibiotics to help treat the disease is that they are directed to their specific target areas, thus the entire body is not affected. The other advantages of topical antibiotics include reduced dosage and reduced side effects. Dr. Stephen C. Smith can discuss with you the advantages, as well as side effects, of each antibiotic during your visit.

To learn more, or to schedule your next visit at Stephen C. Smith Periodontics, Laser and Implant Dentistry, please give us a call today at our convenient Carmel, Monterey, Morgan Hill, CA office!

Preventing Periodontal Disease

September 15th, 2015

Periodontal disease is one of the most prevalent health issues in America, with the Centers for Disease Control reporting it affects approximately 65 million people, or roughly 47 percent of the population. People with periodontal disease have bacteria beneath the surface of the gums, which are responsible for tissue inflammation that can lead to pain, bleeding, gum recession, and even permanent tooth loss. Unfortunately, the chances of developing gingivitis and periodontitis only increase with age, with 70 percent of adults over age 65 having at least some degree of gum disease. However, a lot can be done to prevent periodontal disease and keep teeth and gums healthy.

Daily Hygiene

The process you take each day to clean your teeth and gums goes a long way towards preventing periodontal disease. Since gingivitis and periodontitis are caused by plaque build-up, the most important steps you can take to prevent them involve cleaning your teeth each morning, night, and after meals. Start by brushing your teeth and tongue, and follow up with mouthwash to kill any lingering bacteria. At least once per day, take time to floss thoroughly along the gum line to prevent gum infection from occurring in between teeth.

Periodontal Exams

In addition to caring for your teeth and gums at home, it is also important to see Dr. Stephen C. Smith for comprehensive exams. We can detect gingivitis in its earliest stages and treat it before it has a chance to progress. Everyone needs occasional periodontal exams, though people with certain risk factors may require them more often. Examples include individuals who smoke or have a personal or family history of gum disease.

Treating Periodontal Disease

See Dr. Stephen C. Smith right away if you suspect that you may be experiencing the warning signs of periodontal disease. Symptoms may include red, swollen, or bleeding gums, gum recession, pockets that have formed between the teeth and the gums, and even tooth loss. If you are diagnosed with periodontal disease, treatments are available to help restore your oral health depending on how advanced your gum disease has become. For example, gingivitis may require only a thorough cleaning and topical antibiotic. Periodontal disease that has been allowed to progress may require scaling and root planing, and in some cases, surgery to prevent tooth, bone, and gum loss.

Contact our Carmel, Monterey, Morgan Hill, CA office to schedule an appointment and learn about the ways we can help prevent and treat periodontal disease.

I have sensitive teeth. What are my options?

September 8th, 2015

At Stephen C. Smith Periodontics, Laser and Implant Dentistry, 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 Stephen C. Smith Periodontics, Laser and Implant Dentistry. The first step is to determine the cause, and that begins with a visit to our Carmel, Monterey, Morgan Hill, CA 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

Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry want you to know that sensitive teeth can be treated, and the type of treatment will depend on what is causing the sensitivity. Dr. Stephen C. Smith 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, Dr. Stephen C. Smith may recommend you undergo a root canal to eliminate the problem.

If you are experiencing tooth sensitivity, give us a call today so that Dr. Stephen C. Smith can provide you with some much-needed relief!

Celebrate Labor Day by Getting Away

September 1st, 2015

Labor Day honors the contributions that workers have made to this country, and for many Americans, the holiday is a great time to relax at home with family and friends. But there are quite a few people who celebrate the holiday by getting out of town, with an estimated 33 million people traveling more than 50 miles over Labor Day weekend each year. If you’re dreaming of a great Labor Day escape but you’re not quite sure where to go, here are a few ideas from our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry to give you some travel inspiration.

Explore a National Park

On a national holiday like Labor Day, it’s only fitting to experience the beauty of America’s landscapes by heading to the nearest national park. If you’re confined to an office most days of the year, national parks can provide a relaxing and scenic escape, whether you’re by yourself, traveling with a group of friends, or bringing the whole family along. Depending on how close you live to the nearest park, you can stay for an afternoon or for longer than a week. With 58 parks located in 27 states, there are plenty of beautiful areas to choose from.

Chow Down in a BBQ Haven

Barbecuing is a popular Labor Day activity, but instead of sweating over your own grill or oven, try visiting one of the country’s BBQ capitals. U.S. News and World Report names Memphis as the top BBQ destination, with more than 80 BBQ restaurants in the city, most notably Corky’s BBQ and Central BBQ. Kansas City is also known for the sweet taste of its sauces, while central Texas is said to have perfected the technique of smoking tender and flavorful brisket.

Relax on the Beach

Many people think of Labor Day as the unofficial start of fall, which brings cooler temperatures, more rain, and for many people, an end to lazy days at the beach. End your beach days with a bang by taking a trip to one of the coasts or to a lakeside beach. For an added dose of festivity, find a city or town that celebrates the occasion with a fireworks display over the water.

Whether you’re looking to turn your getaway into a full week affair or you simply want to experience a quick escape, make the most of your holiday by changing your surrounding scenery. Happy Labor Day from the periodontal practice of Dr. Stephen C. Smith!

Top Reasons People Choose Veneers

August 25th, 2015

Dental veneers are a way to correct and transform your smile by using “contact lens”-thin shells of porcelain or ceramic material and bonding them to the front of your teeth. They are strong and durable, look and feel like natural teeth, and improve your smile immediately. Here are some of the top reasons to consider getting dental veneers.

They Correct Multiple Cosmetic Issues

Dental veneers can help with cosmetic and dental health issues, and treat multiple problems at once. Some common reasons that individuals choose veneers is to close gaps and spaces between the teeth, fix alignment issues, change the overall shape and appearance of a tooth, whiten a smile by covering stained or discolored teeth, and cover chipped or cracked teeth.

If you have teeth that are already worn down and weakened, veneers help prevent further damage by covering them with a thin, tooth-colored shell.

Durability

Dental veneers are also extremely durable. They last several years longer than traditional composite fillings. You’ll have peace of mind when you choose veneers, knowing that you’ll have your new smile for many years. On average, dental veneers last about ten to 15 years. Just like your natural teeth, when you take good care of your veneers, they last longer.

Easy to Clean and Maintain

Keeping your veneers healthy and white is easy: You simply brush and floss them the way you do all of your teeth. Shortly after having your veneers installed, you’ll begin to think of them as your natural teeth because the thin shells lie right on top of your existing teeth. This makes it easy to floss and brush the way you normally would and keep them as clean as possible.

The Process is Simple

Getting dental veneers is a quick and easy process. You have a few short visits at Stephen C. Smith Periodontics, Laser and Implant Dentistry and see results. On average, it only takes about four weeks from your first appointment to your last to complete the veneer process.

If you are considering getting dental veneers, schedule a consultation appointment with Dr. Stephen C. Smith to find out exactly how they can benefit you.

Gum Disease and Your Child

August 18th, 2015

At Stephen C. Smith Periodontics, Laser and Implant Dentistry, we know that unfortunately, gum disease can exist in your child’s mouth without you even knowing. In fact, your child may be suffering from the beginning stages of periodontal (gum) disease without noticing any pain or discomfort. Since gum disease can be undetectable, it’s critical to watch for the warning signs in order to prevent the disease from growing worse!

If your child is experiencing any of the following symptoms, you may want to consider scheduling an appointment with Dr. Stephen C. Smith as soon as possible:

  • Gums that are red or swollen
  • Gums that feel tender
  • Gums that bleed easily during brushing or flossing
  • Gums that are receding
  • Persistent halitosis (bad breath)
  • Loose teeth
  • Any change in the way teeth come together in the biting position

If your child is experiencing these symptoms, schedule an appointment right away by calling our Carmel, Monterey, Morgan Hill, CA office. Dr. Stephen C. Smith and our team can diagnose the problem and begin treatment to save your child’s teeth!

Our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry looks forward to seeing you!

Why do wisdom teeth need to be removed?

August 11th, 2015

Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry get this question a lot. Wisdom teeth are the last teeth to come in, once young people get their adult teeth. Because they are the last teeth to break through the gums, they are often called the third molars. There are four wisdom teeth: two on each side of the top and bottom of the mouth.

There is no hard-and-fast rule that says everyone must have the wisdom teeth removed. There are certain situations in which they either cause problems directly, or create a situation where there is a greater likelihood problems will arise eventually.

Impacted wisdom teeth

If Dr. Stephen C. Smith and our team say you have a soft tissue impaction, it means your wisdom tooth is covered by gum tissue that is preventing it from erupting — most likely because your mouth is too small to provide the tooth with the room it needs to emerge.

The term “partial bony impaction” means that gum tissue is covering the wisdom tooth, but part of the jaw bone is also covering it, in which case there is no room in your mouth for the tooth to erupt. The opposite end of this spectrum is a complete bony impaction, where the wisdom tooth is completely covered by gum tissue and the jawbone, which prevent it from ever erupting.

The importance of removing impacted wisdom teeth

Dentists often want to remove impacted wisdom teeth because of the likelihood that they will cause problems, or because a problem already exists. One such problem is pericoronitis, an acute abscess that affects partially impacted wisdom teeth. Food, bacteria, and other mouth debris can become lodged under the gum flap that covers the wisdom tooth, which prevents it from erupting. Pericoronitis symptoms include pain, swelling, and the presence of an abscess.

Regular dental checkups will enable your dentist to keep an eye on your wisdom teeth, especially if they have some type of impaction. Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry typically recommend removal of impacted wisdom teeth because of the likelihood that severe infections such as pericoronitis will develop.

If you have any questions about wisdom teeth, or if you would like to schedule an appointment with Dr. Stephen C. Smith, please give us a call at our convenient Carmel, Monterey, Morgan Hill, CA office!

Radiation and the Safety of Dental X-Rays

August 4th, 2015

It is not uncommon to be concerned about your safety when you have dental X-rays performed. Putting on a heavy lead vest may make you apprehensive. The benefits of dental X-rays far outweigh the risks when safety procedures are followed and the number of X-rays is limited to the required number.

About Dental X-rays

Intraoral X-rays are the most common, and include bitewing X-rays. These allow Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry to detect caries (cavities) and check the health of your bone and root structure. Extraoral X-rays provide the information we need to monitor your jaw and temporomandibular joint (TMJ), as well as look for impacted teeth and tooth development.

X-ray Safety

A set of four bitewing X-rays exposes you to about 0.005 mSv (millisievert) of radiation, which is equal to the amount of radiation you receive in an average day from natural sources. A panoramic X-ray exposes you to about twice the amount of a bitewing. In both cases the risk is negligible and worth the diagnostic benefits.

Guidelines from the American Dental Association are offered for individuals who are not at high risk for cavities. Children in this group should have X-rays every one or two years. Teenagers should have X-rays every one-and-a-half to three years. Adults can go two to three years between X-rays. If you are at higher risk, yearly X-rays are not harmful and can save your teeth.

No matter what type of X-ray you are having, it is extremely important to tell Dr. Stephen C. Smith or one of our technicians if you are pregnant or may be pregnant. If you are concerned about the number of X-rays you are having done, or about any radiation you are exposed to, please give us a call at our convenient Carmel, Monterey, Morgan Hill, CA office and talk to us about your concerns.

What is gum disease?

July 28th, 2015

Gum disease, also called periodontal disease, is an infection of the gum tissues, and is something seen all too often by Dr. Stephen C. Smith. Extending from inflammation of the gums (gingivitis) to more serious infections and complications (periodontitis), there is a wide range of gum disease severity.

Not only does gum disease affect the health of your mouth and teeth, but according to the National Institute of Dental and Craniofacial Research, it can affect your general health as well. This is because an infection in the mouth as a result of gum disease can travel to other parts of your body through the bloodstream. Gum disease is also a risk factor for heart disease, and can play a role in blood sugar levels.

Causes and Risk Factors

Gum disease is essentially caused by the build-up of bacteria in your mouth. If you brush and floss every day, this bacteria is washed away, but if not, it turns into plaque. If left unchecked, this plaque buildup can lead to gum disease.

Some of the common risk factors for gum disease include not taking good care of your teeth, failing to have one’s teeth cleaned every six months, experiencing hormonal changes, smoking cigarettes, developing diabetes, being genetically exposed to gum disease, or taking certain types of medications.

Gingivitis versus Periodontitis

There are two main types of gum disease: gingivitis and periodontitis. Both are bad for you, but gingivitis is less severe. It is typically the first stage, and involves inflammation of the gums from plaque and tartar on the teeth. If your gums are swollen and bleed, this is a sign of gingivitis.

Periodontitis, a more severe case of gum disease, occurs when your gums pull away from the teeth and pockets form. These pockets are a concern because they can harbor infection.

Treatments for Gum Disease

Treatments for gum disease depend on the cause and severity. Deep cleaning to remove the plaque underneath the gum line – called root scaling and planing – is one of the most common treatments for gum disease. Antibiotics placed under the gums to rid you of an infection or reduce the inflammation may also be advised. In some cases, surgical procedures, including flap surgery and bone and tissue grafts, are needed.

If you have bleeding or swollen gums, pockets between your gums and teeth, pain, or other issues, you might have gum disease. Visit Stephen C. Smith Periodontics, Laser and Implant Dentistry for an exam and learn the best course of action.

Timing Matters!

July 21st, 2015

Many patients at Stephen C. Smith Periodontics, Laser and Implant Dentistry 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

The Effects of Sleep Apnea on Dental Health

July 14th, 2015

Sleep apnea is an increasingly common medical condition, and one that can have a truly devastating effect on the waking life of the sufferer. Those who suffer from the disorder may find that they suffer any or all of the following side effects:

  • Saliva has several important jobs, and one of them is to protect and heal your tongue, your gums, and the inside of your mouth. Snoring and sleep apnea dry out your mouth, meaning there isn’t enough time for your saliva to do all this vital work.
  • Over an extended period of sleep apnea, it’s likely that the sockets of your teeth will begin to dry out overnight as a result of your gasping for air and snoring between breaths. If this happens too frequently over a long a period of time, it can start to loosen your teeth.
  • Those with sleep apnea often also practice bruxism, which is the habit of clenching and grinding your teeth together as you sleep. This can lead to all manner of problems, including TMJ disorder, damage to the enamel, headaches, and toothaches.
  • For obvious reasons, sleep apnea does not lead to a particularly good night’s sleep. This means that sufferers are often tired and irritable, and suffer from the many other ill effects of sleep deprivation.
  • While it is unclear whether the reasons behind this are correlative or causative, it has been suggested there are links between sleep apnea and cardiac arrests, depressive disorders, Type Two diabetes, cancerous tumors, “silent” strokes, and various complications of pregnancy.

While sleep apnea can be a troubling condition, Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry will tell you it is eminently treatable. There are a number of ways to combat it, ranging from simple sleep hygiene to use of a CPAP machine. Of course, if it is possible for you to reduce your weight a little in a safe and healthy way, some have found that is also helpful in combating the problem. Sleep apnea is very easy to treat, once it has been correctly identified.

If you think you may be suffering from sleep apnea, or if you would like to know more about the condition, please give us a call at our convenient Carmel, Monterey, Morgan Hill, CA office to schedule an appointment with Dr. Stephen C. Smith.

Tell us about your summer!

July 7th, 2015

The dog days of summer are upon us, and what better time for Dr. Stephen C. Smith and our team to ask our patients about their summer!

Whether you visited our nation’s capital, went on a camping trip, or just stayed in Carmel, Monterey, Morgan Hill, CA and relaxed, we want to know how you’re all spending your summer! Please feel free to share your summer plans and experiences with us below or on our Facebook page as summer rolls on!

Happy Fourth of July!

June 30th, 2015

Happy Independence Day from Dr. Stephen C. Smith and team! The Fourth of July celebrations in America may have changed a lot over the years, but there is no doubt that we Americans love to celebrate the anniversary of our country's independence! Today we're devoting the Stephen C. Smith Periodontics, Laser and Implant Dentistry blog to some fun facts about the Fourth!

  • My, how we have grown! This year the United States Census Bureau estimates that our country has 313.9 million residents celebrating the Fourth of July this year, but back in 1776 there were just 2.5 million members of the country.
  • Our country loves to show how proud that we are of our independence. Did you know that there are 31 United States places with the word “Liberty” in their names? The state of Iowa actually has four towns with the word Liberty in the name: Libertyville, New Liberty, North Liberty, and West Liberty.
  • The United States loves Fourth of July food! It is expected that around 150 million hot dogs are eaten on the Fourth each year. One of the Fourth's most popular sides, potato salad, goes just perfectly with the hotdogs and hamburgers that are standard Fourth of July fare. Some people choose potato chips instead, but we wouldn't have such a plethora of potatoes if not for the prodigious production of the states of Idaho and Washington -- they provide about half of all the potatoes in the United States today!
  • Americans love celebrating the Fourth outdoors: About 74 million Americans fire up their BBQ grill every Fourth of July.
  • The Chinese contribution: Did you know that Americans have spent more than $211 million on fireworks that were imported from China?

No matter how your family chooses to celebrate the Fourth, stay safe, take precautions, and don't forget to brush after your fabulous Fourth feast!

What should I do if my child has a toothache?

June 23rd, 2015

Toothaches in children can be tricky ordeals that cause distress for both the child and the parent. You may feel helpless and frustrated because you cannot pinpoint the location of the pain. It is so hard to see your little one experience discomfort and feel like there is nothing you can do about it. But there are ways you can help. Try these tips the next time your child has a toothache.

Zero in on the Painful Area

The first thing you need to do is find out where the pain is coming from. If your child is old enough, ask him or her to point to the painful area. In younger children, look for swelling and redness on the gums and cheek, dental caries (discolorations on the tooth), or broken teeth. Try to get as close to the location of the pain as possible so you can determine an effective course of action to relieve it.

Try to Find the Cause

Not all toothaches are actually toothaches. A child can bite his or her tongue or cheek, have sore gums, or develop ulcers in the mouth. Teeth that are coming in can also be quite painful. If a tooth is discolored, broken, loose, or has spots that are either darker or lighter than the rest of the tooth, those could be causes of pain.

Five-Step Approach to Dental Pain Relief

  1. Floss. Help your child floss to remove any food particles that may be wedged between the teeth and could be causing pain.
  2. Rinse with warm salt water. Use a warm salt-water solution and have your child rinse well by swishing or holding the salt water over the painful area.
  3. Use a cold compress. This can relieve pain and swelling. If there is no swelling, you can try it anyway to subdue the pain. Try it on for about 15 minutes, then off for 20.
  4. Give the child ibuprofen or acetaminophen. Use the appropriate dosage for your child’s age and administer it regularly as directed.
  5. See Dr. Stephen C. Smith. If you determine that the tooth or gum is damaged, or if the pain simply cannot be relieved, call our Carmel, Monterey, Morgan Hill, CA office.

If your child is experiencing throbbing pain, fatigue, or fever, you should call your pediatrician as soon as possible. If your child is experiencing mouth pain accompanied by trouble breathing or swallowing, it can indicate a more serious situation and you should take your son or daughter to the emergency room.

Most mouth pain in children can be remedied with the simple steps here. The important thing is that you remain calm, no matter what. You child is taking cues from you and if you panic, he or she will panic.

Signs and Symptoms of Gum Disease

June 16th, 2015

Gum disease is a common problem among adults, and one Dr. Stephen C. Smith and our periodontal team see all too often. Early stages of gum disease are known as gingivitis, or inflammation of the gums. This can progress to more serious gum disease known as periodontitis.

If you notice signs and symptoms of gum disease, take early action to prevent progression of gingivitis to more serious periodontitis and the risk of losing your teeth due to gum loss.

Watch for These Signs and Symptoms

It’s important to watch for signs and symptoms of gum disease, especially if you have risk factors. Early detection at home can help you get treatment sooner so that you don’t risk losing your teeth. These are the classic signs and symptoms of gum disease:

  • Inflamed gums, or gums that are red or swollen
  • Pain when you chew
  • Teeth that are sensitive to heat, cold, sweets, or brushing
  • Loose teeth
  • Bad breath that you can’t get rid of by brushing or using mouthwash, even when you don’t eat particularly smelly food
  • Gums that are sore to the touch or bleed easily, including when you brush your teeth
  • Teeth that seem to be taller or longer due to receding gums
  • A change in the way your teeth fit together when you bite
  • A change in the way your dentures fit in your mouth

Signs We Look For

When you visit our Carmel, Monterey, Morgan Hill, CA office, we will examine you to see how far your gum disease has progressed. We do this by:

  • Discussing your medical history with you to see which risk factors you have
  • Checking your gums to see if they are swollen or red, and how far the inflammation has progressed
  • Measuring the depth of any pockets around your teeth using a type of ruler called a probe.

Treatment for Gum Disease

Brushing and flossing go a long way toward preventing bacteria from forming acid on your teeth and allowing tartar to build up. However, once you have the beginnings of gum disease, your regular brushing and flossing routine aren’t enough. Dr. Stephen C. Smith can provide more extensive treatment, such as:

  • Deep cleaning through scaling and root planing
  • Medications to fight the infection
  • Surgical treatments, like bone or tissue grafting to replace lost tissue

If you think you may have gum disease, or are concerned about the state of your gum health, be sure to contact our Carmel, Monterey, Morgan Hill, CA office to schedule an appointment. Together, we can help you achieve a lifetime of good oral health.

The Importance of Baby Teeth

June 9th, 2015

Dr. Stephen C. Smith and our team know it can be easy to underestimate the significance of baby teeth. At Stephen C. Smith Periodontics, Laser and Implant Dentistry, we sometimes meet parents who assume that since their child's baby teeth, also known as primary teeth, eventually fall out and are replaced, they are less important. But did you know baby teeth serve purposes other than biting, chewing, and digesting food properly?

Baby teeth are essential not only for your child’s language development, but they also serve other important functions, like contributing to the normal development of your child’s jaw bones and facial muscles. Baby teeth also reserve space for your child’s future permanent teeth.

So, when do baby teeth fall out?

A baby tooth is intended to remain in your child’s mouth until the permanent tooth underneath it is ready to take its place. Sometimes, either due to a tooth being knocked out accidentally or being removed because of tooth decay, kids lose baby teeth before the permanent teeth are ready to erupt. If a tooth is lost, the teeth on either side of the open space may possibly push into the open space. The result? There may not be enough room for the permanent tooth when it is finally ready to erupt.

If you have any questions about your toddler’s teeth, or if your child is experiencing issues that concern you, please give us a call to set up an appointment at our convenient Carmel, Monterey, Morgan Hill, CA office.

What's in toothpaste and how does it work?

June 2nd, 2015

Dr. Stephen C. Smith and our team recommend that you brush your teeth two to three times a day, for at least two minutes each time. But have you ever wondered what’s in toothpaste and how it actually works? The mouth is home to more than 500 types of microorganisms that feed on leftover food that gets stuck on and around your teeth. Toothpaste is the best line of defense against all those pesky microorganisms (especially when you brush two to three times a day). Here’s how it works.

Abrasives

Toothpaste contains mild abrasive additives that combat microorganisms and fight plaque. When you brush, the abrasives in toothpaste dislodge food particles and microorganisms more effectively than if you simply brush your teeth with water. The abrasives also work to remove food stains and polish the surface of the tooth. Some toothpastes include ingredients like triclosan and Xylitol. These chemicals prevent the growth of bacteria that produce plaque. Plaque not only causes cavities, but it can also lead to more dangerous issues like periodontal disease.

Fluoride

Fluoride is key ingredient in toothpaste. As the microorganisms in your mouth feed off the leftover food particles, they leave behind acid and sulfur byproducts that wear away the enamel of the teeth. This is the fancy, technical way of saying that the acid on your teeth causes cavities. As for the sulfur byproduct –well, that’s just a fancy, scientific name for bad breath. Fluoride works to fight the acid and help protect the teeth. By brushing, the fluoride is incorporated into the tooth enamel, which in turn makes the tooth more resistant to acid and plaque.

Flavoring and Sweetening Agents

Not all toothpaste tastes the same, right? The type of flavoring or sweetening agents added to the toothpaste doesn't have anything to do with fighting microorganisms and plaque, but taste is one of the most important selling points in finding a toothpaste brand you like. Flavoring agents mask the taste of some of the other ingredients in toothpaste, and without those agents chances are nobody would be brushing their teeth two to three time a day.

Why should I have my child’s wisdom teeth removed?

May 26th, 2015

The wisdom teeth are the last of the permanent molars to emerge from the gums. This can occur as early as age 17 or as late as 21. Though some teens and young adults experience a completely normal tooth eruption with ideally aligned molars that pose no health threat, this is not the case for everyone.

According to the American Association of Oral and Maxillofacial Surgeons (AAOMS), wisdom teeth must meet specific criteria to avoid a required extraction. These guidelines include:

  • Completely erupted and non-impacted
  • Completely functional
  • Painless
  • Free of decay
  • Disease-free
  • Capable of being properly cleaned

If one or more of your child’s wisdom teeth do not meet these conditions, we recommend scheduling an appointment with Dr. Stephen C. Smith; an extraction may be necessary.

Impacted wisdom teeth

One of the most common reasons for extracting a wisdom tooth is due to impaction. An impacted wisdom tooth is one that has not erupted and will not fully erupt from the gums. Usually this occurs because there is not enough room for the tooth to emerge. Impaction can be painful and can also lead to infection if left untreated. According to the AAOMS, roughly 90 percent of the teen and adult population has at least one impacted tooth. Extracting an impacted wisdom tooth early can help prevent future complications, such as periodontal disease, infections, and damage to neighboring teeth.

Extracting fully erupted wisdom teeth

Even if your child’s wisdom teeth are fully erupted, Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry may recommend removing them as a preventive measure. Fully-erupted third molars often interfere with a healthy bite. This can lead to problems with tooth and jaw alignment and may also contribute to the development of headaches. Your child’s wisdom teeth may also be more prone to tooth decay and gum disease, because their location in the back of the mouth makes them more difficult to reach for brushing and flossing.

To learn more about wisdom teeth, or to schedule an appointment with Dr. Stephen C. Smith, please give us a call at our convenient Carmel, Monterey, Morgan Hill, CA office!

Memorial Day

May 19th, 2015

Memorial Day is not only a federal holiday in the United States, but it is a day of observance and remembrance of those who died in service. Originally known as Decoration Day, this solemn day has been marked on calendars since the end of the American Civil War as a day to commemorate both the Confederate and Union soldiers who fought and died in the war.

Marking the graves of fallen soldiers with flowers, wreaths, or other tokens has been practiced throughout history, but it wasn't until the mark of the end of the Civil War that a special day was decided upon as the one to spend in remembrance. By 1890, every state in the country was observing Decoration Day. It wasn't until 1967 when the name formally changed from Decoration Day to Memorial Day, in order to encompass all fallen American soldiers in all wars and conflicts. In June of 1968, Congress moved the official date of Memorial Day to the last Monday in May in order to create a three day weekend.

Today, while there is certainly an air of remembrance on Memorial Day, it has become more a day of spending time with family, friends, and other loved ones. This day is also heralded as the start of summer, with many schools finishing for the year around this time. Our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry remembers it as a day to take solace and remembered those lost.

Traditional observances of Memorial Day are still held, and they often involve raising the American Flag then lowering it to a half-staff position until noon, and then raising it once again to its full height afterwards. The flag is lowered to remember those who've lost their lives while in service to their country, and then it is raised to signify our willingness to not let their sacrifice be in vain.

From community parades in the Carmel, Monterey, Morgan Hill, CA area, backyard cook-outs, and fireworks to formal ceremonies, Memorial Day is commemorated in many different ways. No matter how you choose to spend this day, take a moment to remember those who've lost their lives in an effort to preserve our freedom.

What is non-surgical periodontal treatment?

May 12th, 2015

Gum disease is about much more than pesky bleeding gums – it's a serious and progressive condition that, over time, can result in tooth loss, which in turn can have a significant bearing on your quality of life. Many people avoid being evaluated for gum disease because they worry that if they do have the condition, their only option will be to undergo surgery or let their teeth fall out. In fact, there are several non-surgical options to help treat gum disease (also called periodontal disease) and prevent eventual tooth loss. Wondering what they are? Here's a quick rundown of your options:

  • Regular dental cleaning: When your gum disease is in its earliest stages, regular cleanings at least twice a year may be enough to ward off further development, especially if you rigorously follow your dentist's recommendations for home care, including regular flossing. To get your periodontal disease under control, you may need to have cleanings more than twice a year, returning to twice-yearly cleanings once your gums are healthy again.
  • Scaling and root planing: These procedures involve deep cleaning above and below the gum line to remove plaque and tartar and to smooth rough spots on or near the root that can provide places for bacteria to lodge. Once the material below the gum line is removed, Dr. Stephen C. Smith may apply an antibacterial gel to help kill any bacteria that remain. Because these procedures involve using special instruments to reach deep pockets of plaque and bacteria, most patients opt for a local anesthetic to help avoid discomfort. For more advanced cases of gum disease, you may need two sessions to complete the procedure. Afterward, you may experience some slight discomfort and bleeding from your gums which will resolve soon afterward. We can recommend an over-the-counter pain reliever to help relieve any discomfort.
  • Medication: Antibiotics can be used in some cases to help destroy bacteria beneath the gum line and help preserve the tooth's attachment and prevent loosening and eventual loss. Both over-the-counter and prescription mouthwashes are available, as well as oral antibiotics that can be used to destroy gum disease-causing bacteria. Toothpastes containing antibiotics are also available and are usually used in combination with other products or treatments.

If you're experiencing signs of periodontal disease – tender, bleeding or swollen gums, receding gums, gums that bleed after brushing, or loose teeth – delaying treatment is the worst thing you can do. Make an appointment at our Carmel, Monterey, Morgan Hill, CA office and learn about all the options that can help you keep your teeth and gums as healthy as can be.

Five Easy Ways to Prevent Gum Disease

May 5th, 2015

Gum disease can be painful and lead to missing teeth if you don’t treat it properly. However, there are plenty of things you can do to lower your risk of getting gingivitis and periodontitis. Here are five easy ways to prevent gum disease.

1. Brush your teeth.

Basic oral hygiene is the first line of defense against gum disease. The reason is due to the way gum disease progresses. There are bacteria in your mouth that produce a sticky substance called plaque. Plaque can build up and form tartar. Together, plaque and tartar lead to the painful symptoms of gum disease. You can remove plaque from your teeth with regular careful brushing, but you can’t remove the tartar with your regular toothbrush. So, it’s best to brush at least twice a day, or after each meal, to continuously remove plaque from your teeth. Also floss your teeth and use mouthwash to prevent the bacteria in your mouth from having anything to eat.

2. Stop smoking.

Smoking is a major risk factor for gum disease. Your risk of getting gum disease if you’re not a smoker is one-seventh the risk of someone who does use tobacco. It’s also worth quitting smoking even once you do get gum disease, since treatment is less effective when you’re using tobacco.

3. Eat right.

Gingivitis is a bacterial infection, and a strong immune system helps fight it. Many nutrients are essential for a well-functioning immune system. For example, eat plenty of fruits and vegetables, such as citrus fruits, broccoli, and strawberries, for their vitamin C, which is an antioxidant. Vitamin E, which is another antioxidant, is in nuts, plant-based oils, and wheat germ.

4. Visit our Carmel, Monterey, Morgan Hill, CA office regularly.

You might not be able to detect that you have gum disease, even if you watch for symptoms. Dr. Stephen C. Smith can detect signs of gum disease before you do.

5. Catch it early.

Since only we can remove tartar once it forms, keep watching for signs of gum disease. They include sensitivity while brushing your teeth or when eating hot, cold, or sugary foods, painful or bleeding gums, and loose teeth. You might also notice that you have bad breath for no reason. Make an appointment with at our Carmel, Monterey, Morgan Hill, CA office if you think you may have gum disease.

How do I know if my gums are receding?

April 28th, 2015

Gum recession, a common result of gum disease, occurs when the gum tissue that surrounds the teeth wears away or pulls back, forming pockets between the gumline and exposing more of the tooth. Gum recession occurs gradually, so you might not know that you have it. Left untreated, gum recession can result in tooth loss. In addition, there are several studies that suggest that gum disease is associated with modest increases in coronary heart disease. Here are five ways to know if your gums are receding.

1. Healthy gums are firm, light pink, and very elastic. If your gums don’t fit that description, then it’s time to visit our Carmel, Monterey, Morgan Hill, CA office. Red, swollen gums are a common symptom of gum disease, and may lead to gum recession.

2. Do your gums bleed easily when you brush or floss? If you have gum recession, even if you brush gently and with toothpaste specifically designed for sensitivity, it may still result in bleeding.

3. When you look in the mirror, do you see more of a tooth than you used to? This is one of the easiest ways to tell if you have gum recession. When gums recede, more of the tooth is visibly exposed. Look for lines or notches along the bottom of the teeth, as this typically indicates areas where the gums have receded.

4. One of the first signs of gum recession is tooth sensitivity. Does it hurt when you bite down or chew? The more gums recede, the more painful it is going to be. However, before you experience tooth sensitivity or pain, you may notice awkwardness when you bit down. When gum recession occurs, teeth can shift slightly, making it feel as if they are not properly aligned.

5. Loose teeth are a symptom of advanced gum recession and periodontal disease. In other words, the supporting bone structure of the teeth has already begun to deteriorate. If left untreated, it will result in tooth loss.

From deep cleaning (scaling) to gingival tissue grafting surgery, there are several ways to combat gum recession and periodontal disease. How gum recession is treated depends on how far advanced it is. Talk to Dr. Stephen C. Smith about what options are best for you.

Every Day is Earth Day

April 21st, 2015

During the early days of the environmental awareness movement, those who demonstrated against pollution, toxic chemicals, and the general public health were known as hippies. The early 1970s were a time of change, and assertions that we needed to pay more attention to the Earth's atmosphere were generally dismissed. But within a couple decades, it had become clear that the previous generation was right; the citizens of the world needed to become more environmentally conscious.

Many people feel that they can't make a difference if they don't do something big. But caring for the environment doesn't have to be an all-or-nothing concept. In fact, the little things you do can add up to make a great impact, especially in our community. Here are a few ways you can help the environment on Earth Day, April 22nd and all year around.

Four Small Ways to be Environmentally Friendly

  • Recycle Your Textiles. Nearly 21 million tons of textiles are added to American landfills each year, according to the Environmental Protection Agency. Donating your unwanted clothing to a secondhand store or an organization that repurposes fabric helps cut down on solid waste and conserves natural resources.
  • Reduce Usage of Disposables. Plastic bottles and bags, disposable diapers and other things we can use and toss out are convenient, but they're not necessary. Simply choosing to replace one of type of disposable with a reusable product can help you cut down on waste that has a large negative impact on our environment.
  • Conserve Water. If everyone in the United States turned off the water while brushing their teeth, more than 1.5 million gallons of water could be conserved. Turn the water on long enough to wet your toothbrush for brushing and rinsing, and then immediately turn the water off again.
  • Turn Off the Lights. Flip the light switch to "Off" if you're going to leave a particular room for 15 minutes or more. This will conserve energy on incandescent light bulbs and cut down on cooling costs.

It's not necessary to be an activist or install solar panels all over your home to help the environment. Although you can do these things, the little everyday measures make a big difference in helping to conserve energy and the environment, while reducing your carbon footprint. Our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry wants to remind you to celebrate Earth Day and help the environment, knowing that it will benefit your and your children's generation.

How Missing Teeth Can Affect Your Health

April 14th, 2015

According to the American Academy of Periodontology, an estimated three out of four Americans suffer from gum disease. In milder cases, the disease is called gingivitis. More severe cases are called periodontitis. Despite the prevalence of periodontal disease (and it is very common), only three percent of people who suffer from periodontal disease get treatment for it. Gum disease has been linked to other serious diseases, including cancer, diabetes, and heart disease.

Periodontal Disease Is Common Among Americans

The Journal of Dental Research published the findings of a joint study from the Centers for Disease Control (CDC) and the American Academy of Periodontology (AAP). The study compared the full periodontal exam that participants received for this study against partial periodontal exams participants received for an older study.

The results show the rate of periodontal disease today could be as much as 50 percent higher than earlier estimated. Shockingly, this means that about twice as many Americans as previously believed suffer from gum disease – either moderate or severe.

The Link between Chronic Illness and Periodontal Disease

Many people who have chronic medical problems don’t have dental insurance, or the money to spend on dental care. Not surprisingly, this and a lack of understanding about proper oral hygiene leads to situations in which an initially minor problem turns into something far more severe, and probably preventable.

Gum diseases and cavities are caused by infections. When you get a cavity, the infection develops in the tooth itself. You may never feel anything, so unless you get regular, twice-a-year dental exams, you might not know there is a problem.

With gum disease, the infection occurs in the bones and tissues that form the gums and support the teeth. The tissues that surround teeth, and the bones that lie below the gums, are necessary to hold your teeth in. When those aren’t strong enough to support your teeth, you lose them.

Tooth loss has been linked to heart disease, diabetes, and an increased risk for kidney disease. Gum disease and severe infections in the mouth can spread to other parts of the body faster than people realize. A healthy mouth is alkaline. It’s vital for you to maintain an alkaline pH to keep harmful bacteria away.

When people eat, their pH changes, and the environment inside the mouth becomes more acidic. Since the typical American diet is very acidic, harmful bacteria thrive in the mouth. Typical foods include breads, grains, starches, and sweets – the foods people love the most. Since it isn’t always possible for people to brush after every meal, the mouth pH remains acidic, and the acid contributes to faster tooth erosion.

What does all this mean for you? The health of your mouth is more important than you realize. Get those regular dental exams, and make sure that you and your family keep to a regular routine of brushing and flossing. Good oral hygiene can help prevent periodontal disease, and that will lower your risk of tooth loss.

Oral Health Concerns for Infants

April 7th, 2015

Because babies’ teeth don’t appear until around six to eight months of age, it’s a natural misconception that they don’t need dental care. But the steps you take as the parent of an infant can help your baby maintain good oral health and develop healthy dental habits in the future.

It’s easy to take care of a baby’s teeth and gums, especially when oral hygiene for your infant becomes part of the normal daily routine. Learn more about how you can promote good dental health for your baby with these tips and considerations.

Taking Care of Baby’s Oral Hygiene

  • Dental Hygiene for Birth to Six Months. Cleaning your infant’s gums is as important as cleaning teeth will be later. Hold your baby in your arms, and with a clean, moistened washcloth wrapped around your index finger, gently massage his or her gums.
  • Dental Hygiene for Six to 12 Months. After teeth begin to appear, it’s time to switch to a soft, children’s toothbrush for teeth cleaning. New research has shown that fluoride toothpaste is safe and recommended for use once your baby’s first tooth arrives. Gently brush your baby’s teeth after each feeding, in the morning, and before bedtime, just as you did before teeth appeared.
  • Good Bedtime Habits. One of the most important things you can do to protect your infant from tooth decay is to avoid the habit of putting baby to bed with a bottle. Use other soothing bedtime activities, such as rocking and lullabies, to help your baby drift off to sleep.
  • A Note about Dental Decay. Many people are unaware that dental decay is transmissible. Avoid placing your baby’s bottle, sippy cup, or pacifier in your own mouth to test the temperature. Likewise, don’t share utensils with your baby.

Partner With Your Dentist

Your baby should receive his or her first dental health checkup by the age of six months. Even though your infant may not have teeth yet, Dr. Stephen C. Smith can assess the risk your baby might face for oral diseases that affect hard or soft tissues. Dr. Stephen C. Smith can also provide you with instructions for infant oral hygiene, and explain what steps to add as your baby grows and develops.

Stephen C. Smith Periodontics, Laser and Implant Dentistry is your partner for good oral health, and we’re here to make caring for your baby’s dental hygiene and health easier and more enjoyable for you.

How do I pick the right toothpaste for my needs?

March 31st, 2015

With so many toothpastes available in so many price ranges, it can be difficult to be sure you are selecting the right one for your needs. You need a product that not only protects against tooth decay, but also addresses any special concerns that Dr. Stephen C. Smith and our team have raised. Look for the American Dental Association seal and do some research to find the toothpaste that best meets your needs.

Choose a Product Approved by the American Dental Association

The American Dental Association approves dental products such as toothbrushes, dentures, mouthwashes, dental floss, and toothpastes when they meet certain quality standards. Before products can display the seal, the American Dental Association must verify that the product does what it claims to do. Look for the American Dental Association seal on the toothpaste package before you buy it. Also, check to make sure that the toothpaste contains fluoride, which helps protect against decay.

Consider Special Needs

You may be depending on your toothpaste to perform extra tasks beyond cleaning your teeth. These are some common concerns that the right toothpaste can address.

  • Bad breath (halitosis)
  • Sensitive teeth
  • Plaque or gingivitis
  • Tartar
  • Yellowing teeth

The American Dental Association’s website has a tool that lets users input their requirements and view a list of the toothpastes that carry the American Dental Association’s seal and address those particular oral health needs.

Make Your Children’s Tooth-Brushing Experience Fun

If you select toothpaste that contains fluoride and has the American Dental Association seal, most types of toothpaste will be fine for your children as long as they have no special needs. Allowing your kids to select fun toothpaste can encourage them to enjoy the brushing experience more, so that they brush more frequently and do a better job.

The following toothpaste characteristics can make brushing more fun for children.

  • Fun flavors, such as bubble gum, berry, and watermelon
  • Sparkles and swirls that make the toothpaste appear more attractive
  • Toothpaste that comes in a pump
  • Toothpaste with a container decorated with superheroes

What is a water pick and do I need one?

March 24th, 2015

Water picks, sometimes called “oral irrigators,” make an excellent addition to your regular home care regimen of brushing and flossing. Especially helpful to those who suffer from periodontal disease and those patients of ours undergoing orthodontic treatment with full-bracketed braces, water picks use powerful tiny bursts of water to dislodge food scraps, bacteria, and other debris nestled in the crevices of your mouth. Children undergoing orthodontic treatment may find using a water pick is beneficial if their toothbrush bristles tend to get caught on their wires or brackets.

When you use a water pick, you’re not only dislodging any particles or debris and bacteria you might have missed when brushing, you are also gently massaging the gums, which helps promote blood flow in the gums and keeps them healthy. While water picks are an excellent addition to your daily fight against gingivitis and other periodontal diseases, they are incapable of fully removing plaque, which is why Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry want to remind you to keep brushing and flossing every day.

If you have sensitive teeth or gums and find it uncomfortable to floss daily, water picks are a good alternative to reduce discomfort while effectively cleaning between teeth. Diabetics sometimes prefer water picks to flossing because they don't cause bleeding of the gums, which can be a problem with floss. If you have a permanent bridge, crowns, or other dental restoration, you may find that a water pick helps you keep the area around the restorations clean.

So how do you choose the right water pick?

Water picks are available for home or portable use. The home versions tend to be larger and use standard electrical outlets, while portable models use batteries. Aside from the size difference, they work in the same manner, both using pulsating water streams. A more crucial difference between water picks is the ability to adjust the pressure. Most home models will let you choose from several pressure settings, depending on how sensitive your teeth and gums are. Most portable models have only one pressure setting. If you want to use mouthwash or a dental rinse in your water pick, check the label first; some models suggest using water only.

Please give us a call at our Carmel, Monterey, Morgan Hill, CA office if you have any questions about water picks, or ask Dr. Stephen C. Smith during your next visit!

St. Patrick's Day: Celtic pride, green shamrocks, and lucky charms!

March 17th, 2015

“St. Patrick's Day is an enchanted time -- a day to begin transforming winter's dreams into summer's magic.” Adrienne Cook

Lucky green shamrocks, leprechauns, and pots of gold – it must be St. Patrick’s Day! If you’re not Irish, how do you go about celebrating St. Patrick’s Day? It’s easy: You just put on one of those tall leprechauns hats, dress in green from head to toe, and wear one of those carefree pins that say “Kiss Me, I’m Irish”. On St. Patrick’s Day, everyone is Irish, and that is the universal beauty of the holiday. Celtic pride does not discriminate.

Wondering what our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry is doing to celebrate March 17th? Well, we’ve thought about doing everything from handing out lucky gold coins (you know, the fake ones that are made of chocolate) to shamrock stickers. Maybe we’ll even give away green toothbrushes and floss! You’ll never know unless you come in to see Dr. Stephen C. Smith !

All kidding aside, St. Patrick’s Day is an important cultural and religious holiday. There are lavish parades and church services across Ireland on March 17th. Over time, however, the holiday has developed into a day to observe Irish culture in general. In places like England and the United States, where there is a large Irish Diaspora, the holiday has greater significance than other countries. From the streets of Boston to St. Patrick’s Cathedral in New York, it is a day of celebration, and many Americans of Irish descent will cook up a traditional meal of corned beef and cabbage.

So, to all of you with Irish ancestry, and to all of you who have decided to be Irish for the day, our office wishes you a Happy St. Patrick’s Day. Good luck looking for a pot of leprechaun gold, which is said to exist at the end of the rainbow. However, keep away from those sugary Lucky Charms; sweet cereals might taste good, but your kids’ teeth might not be feeling too lucky if they eat it for breakfast every day. Have a great St. Paddy’s Day!

When should a filling be replaced?

March 10th, 2015

There is no substitution for a natural healthy tooth. Dental fillings are intended to replace tooth structure and restore a tooth damaged by decay (a cavity) back to its normal function and shape. Silver (amalgam) and tooth-colored (composite) fillings last a long time, though they can develop decay when the integrity is compromised by open margins, fracture, or recurrent decay. In this blog, we discuss the signs and symptoms that indicate your filling may need to be replaced in order to prevent further complications.

Amalgam fillings are made of an alloy (mixed metals) that expands and contracts. They have no bonding properties, and so to place an amalgam filling, the hole in the tooth may need to be larger. Because of these two factors, fractures frequently occur. There are three types of cracks that are commonly associated. Craze lines are superficial with no treatment needed. Fractures extend along other parts of the tooth and may require a filling replacement or crown. Cracks extend toward the root and can require a root canal and crown or, if too severe, extraction.

A filing needs to be sealed to the tooth. If the seal between the tooth and the filling breaks down, food debris and bacteria can seep down under the filling and cause recurrent decay. If the decay is treated early, replacing the filling is adequate. If not, a crown and even a root canal may be needed. The biggest mistake you can make is waiting to do something about a broken or unsealed filling until it is painful. Doing this will only make the treatment more involved and often times more expensive.

Regular dental exams and X-rays are used to evaluate dental fillings. You will not be able to tell on your own when your fillings start to fail. Just as a car mechanic will change the oil, correct your alignment, or change your tires, a dental checkup will help you identify small concerns to fix as you go in order to avoid a critical emergency.

Pay attention to any bite or temperature sensitivity in teeth that have fillings. This can be an indicator for some of the problems listed above. You know your teeth better than anyone. Your observations are most valuable when evaluating a filling for replacement. If replacement is needed, know you are doing what is best to prevent future dental calamities and make an appointment to see Dr. Stephen C. Smith.

Good Nutrition Leads to Healthy Mouths

March 3rd, 2015

At Stephen C. Smith Periodontics, Laser and Implant Dentistry, we know the most common oral health diseases are tooth decay and periodontal disease (or gum disease), and both are among the easiest to prevent. One of the most common ways we recommend to boost your oral health is by improving your diet, because you (and your mouth) truly are what you eat. A healthy diet can lead to a healthy mouth and body, while an unhealthy diet can lead to the exact opposite.

The Role Nutrition Plays

While diet is not the only factor that leads to periodontal disease, studies suggest the disease may be more severe among patients whose diets lack essential nutrients. Poor diets will generally lead to a weaker immune system, leaving your body susceptible to all kinds of ailments, including periodontal disease.

A Well-Balanced Approach

There is no “magic” diet that we can recommend to improve your oral health, but the most important thing is to seek a well-balanced approach in your eating. While fad diets that emphasize one food group over another may help you lose weight in the short-term, they probably will not provide all the nutrients your body needs in the long run.

Meals should include a balance of lean meats or other healthy protein sources, colorful fruits and vegetables, whole grains, low-fat dairy, and healthy fats. Foods containing substantial amounts of sugar and salt should be consumed in moderation.

Soda and Sugar: A Dangerous Duo

Millions of gallons of soda are consumed every day in America, but sipping a cold soft drink can be very harmful to your teeth. Many of these beverages wear down the enamel that protects the teeth, which weakens and even destroys them over time. The American Beverage Association estimates that soft drinks account for almost 30 percent of all drink consumption in the U.S., averaging an annual total of about 50 gallons per person (up from only 20 gallons in the 1970s). For healthy teeth and a healthy body overall, try to limit your soda intake.

Sugar is another ubiquitous treat in our daily lives. When we eat sugar, naturally occurring bacteria in our mouths convert it to acids that attack tooth enamel. Consuming too much sugar can swiftly lead to tooth decay, cavities, and gum diseases like gingivitis. Most people do not even realize how much sugar they consume each day. It’s important to limit your daily sugar intake by reading the labels of all the food you eat, and sticking with natural food sources that are low in sugar, especially ones that minimize added sugar, such as fruits and vegetables.

If you have questions about your diet and how it may be affecting your oral health, talk to Dr. Stephen C. Smith about it. See you soon!

Periodontal Disease Associated with Cardiovascular Risk

February 24th, 2015

We all know that brushing your teeth and flossing regularly keeps your smile sparkly and bright, but did you realize that cleaning your teeth can actually help your heart? Recent research suggests that people with periodontal disease also have a higher cardiovascular risk, which means they are more vulnerable to heart attacks or stroke. It’s probably not time to throw away those running shoes in favor of a new toothbrush, but this is an added incentive to maintain good oral hygiene.

Relationship between Periodontal Disease and Cardiovascular Health

In 2003, researchers from the University of Buffalo conducted analyses which suggested that patients with gum disease were also at elevated risk of cardiovascular problems. Furthermore, people with more severe cases of gum disease have even poorer heart health. Although the exact causes of this relationship remain unknown, scientists continue to explore the impact of oral hygiene on broader health.

One hypothesis is that poor oral hygiene leads to inflammation, which negatively affects the heart. Gum disease occurs when bacteria build up in the mouth, and feed off sugars found in food. These bacteria release compounds that contribute to inflammation and red, swollen gums. The same inflammatory compounds may affect the heart, increasing overall cardiovascular risk.

Protect Your Teeth, Protect Your Heart

Taking a few commonsense measures can go a long way to improving your oral health and your cardiovascular risk. Consider the following:

  • Brush twice daily, and floss at least once per day. Brushing your teeth at least twice a day cleans away the harmful bacteria that contribute to gum disease. Similarly, flossing your teeth ensures that dangerous bacteria that build up between each tooth get swept away. These simple steps are the easiest ways to reduce your risk of periodontal disease.
  • Eat healthy foods. Those sugary snacks that you love so much don’t help your teeth. Whenever possible, stick to a healthy diet of fruits, vegetables, and whole-grain foods. For example, grab an apple or a few celery sticks for a mid-afternoon snack, rather than indulging in that candy bar.
  • Drink water. Staying hydrated doesn’t just help your body – it also swishes bad bacteria away from your tooth and gum surface. Drinking plenty of water improves your overall oral health. It’s particularly helpful after eating a sugary or sticky snack, because water can reduce plaque buildup.
  • Visit Stephen C. Smith Periodontics, Laser and Implant Dentistry. Dr. Stephen C. Smith and our staff will monitor your mouth for signs of periodontal disease and can make specific recommendations to keep your mouth – and your heart – safer.

Why Visiting the Emergency Room for Your Dental Problem isn’t a Good Idea

February 17th, 2015

Emergency rooms are for emergencies, so before you head to the hospital because of a dental problem, you need to ask yourself this question: Is what you're experiencing really a medical emergency? While emergency room visits for dental related issues are on the rise across the United States , they’re not necessarily the best solution for every problem. Many people don't know about emergency dental care services, many of which are available 24/7, and so they go to the ER.

These types of statistics are common across the country. However, despite the numbers, not all dental problems are created equal. If you've experienced some type of injury to your mouth, jaw, or face, then an ER visit is a good idea, but if you're suffering from a toothache, cavity, or broken crown or veneer, then the ER is not the best place to handle the situation. If you're having a dental emergency, then seeking emergency dental care should be your course of action.

Seeking Long-Term Solutions

The ER doesn't provide a long-term solution to your dental issue; it only gives you temporary relief. There’s a chance they will simply hand you a prescription for pain medication and tell you to call your dentist in the morning. In the end, you’re going to be saddled with two medical bills, and nobody wants that. Even if the ER outfits you with a temporary crown or filling, you're still going to have to make a follow-up appointment our office.

There are numerous homemade remedies that can sooth tooth and gum pain. However, if you're experiencing a dental emergency, the ER is not the place to go. The specialized emergency team at Stephen C. Smith Periodontics, Laser and Implant Dentistry is available to take care of every dental problem you may have. In the case of a dental emergency, don't wait any longer than necessary. Feel free to contact our Carmel, Monterey, Morgan Hill, CA office at any time, day or night.

Valentine's Day History

February 10th, 2015

Valentine’s Day is best known as a celebration of love in all its forms. Pink hearts, red roses, and cute greeting cards adorn every surface you see. What many people don’t realize is that the modern Valentine’s Day celebration arose from a religious holiday.

St. Valentine’s Day was originally celebrated as a religious feast day in honor of early Christian martyrs. Three martyrs named Valentine were honored: a priest in Rome, the persecuted bishop of Interamna (a town in central Italy), and a saint martyred in Africa. This saint’s day was celebrated throughout Christendom, although it was removed from the Roman Catholic Calendar of Saints in 1969.

The origin of Valentine’s Day as a holiday for lovers began with Geoffrey Chaucer in his 1382 poem “Parlement of Foules.” Chaucer wrote, “For this was on Saint Valentine’s Day, when every bird cometh there to choose his mate,” and the modern romantic holiday was born. William Shakespeare and other writers mentioned Valentine’s Day as a day of love.

Valentine’s Day as we know it came about in the early 19th century. In Victorian England, printers began manufacturing small numbers of cards with romantic verses, lace, ribbons, and other frills. Anonymous Valentine’s Day card were a popular way for young lovers to exchange romantic sentiments in an otherwise prudish time. As the 19th century progressed, printers began mass manufacturing Valentine’s Day cards. People in the United States give an estimated 190 million valentines every year, and up to one billion if you count children exchanging cards at school! With the rise of the Internet, Valentine’s Day e-cards have become a popular mode of communication, with millions of e-cards sent each year.

The other items associated with Valentine’s Day include chocolate and flowers. The tradition of giving chocolates has been around for decades, and Richard Cadbury created the first box of Valentine’s Day chocolates nearly 150 years ago. Today, purchases of chocolate total over $1 billion in the United States alone, with 35 million heart-shaped boxes sold each year. Loved ones also exchange flowers, with red roses being associated with Aphrodite, the Greek goddess of love. On Valentine’s Day itself, florists sell nearly 200 million stems of roses.

Although many people dismiss Valentine’s Day as a commercialized “Hallmark holiday,” it is beloved to couples and romantics across the United States and other countries. The team at Stephen C. Smith Periodontics, Laser and Implant Dentistry wants to remind all patients that no matter what your celebratory plans, February 14th can be a wonderful day to celebrate the loved ones in your life. Happy Valentine’s Day!

Can my child really avoid tooth decay?

February 3rd, 2015

Great question! Yes, in fact, tooth decay is preventable! Decay, which is caused by sugars left in your child’s mouth, can turn into an acid, which in turn can break down his or her teeth. Children are at high risk for tooth decay for a simple reason: many children and adolescents tend to be lax in their oral hygiene habits.

So, how can your child prevent tooth decay?

  • Start early. After the age of two, brush your child’s teeth with fluoride toothpaste twice a day. And, if possible, clean between the teeth with dental floss at least once a day, preferably before they go to bed.
  • Don’t allow your little ones to eat after cleaning teeth at bedtime, as salivary flow decreases while they sleep and their teeth become vulnerable to cavities.
  • Do not allow your little ones to nibble food or sip drinks continuously, and keep in mind that a low-sugar diet also helps keep tooth decay at bay. Allow time between meals for saliva to neutralize acids and repair the teeth.
  • Drinking water frequently throughout the day can also reduce the possibility of new cavities forming.
  • Dental sealants can also protect your children’s teeth from cavities. Sealants, which are applied to the chewing surfaces of molars, act as a shield between the tooth and harmful bacteria.

Finally, make sure your child visits Stephen C. Smith Periodontics, Laser and Implant Dentistry approximately every six months for a checkup and routine cleaning! Please give us a call at our Carmel, Monterey, Morgan Hill, CA office.

My child has canker sores! How can I help?

January 27th, 2015

According to the American Association of Pediatric Density, roughly one in five children suffers from canker sores. Canker sores are small sores that appear inside the cheeks, on the lips, on the surface of the gums, and under the tongue.

Even though, canker sores are not contagious, they do tend to run in families. There are several reasons your child may be suffering from canker sores including:

  • Children who have Vitamin B12, iron, and folic acid deficiencies tend to get canker sores more often than children who have normal levels of these vitamins and minerals.
  • Children who suffer from food allergies are also at a higher risk for developing canker sores. It’s difficult to determine what your child may be allergic to. If you feel strongly that the canker sores are related to an allergy, then a visit to an allergist is highly recommended.
  • Biting their lip or cheek can also result in a canker sore.
  • Any injury to mouth, where the skin breaks can cause a canker sore.
  • Brushing their teeth too hard can also be a problem.
  • Your child may be sensitive to an ingredient in their toothpaste. Try switching toothpastes and see if it makes a difference.
  • Emotional disturbances and stress are also factors to consider.

If your child has frequent canker sores a visit to our Carmel or Morgan Hill, CA office will be beneficial. Canker sores are painful and usually last about 14 days. Dr. Stephen C. Smith may recommend one or a few of the following treatment options:

  • Avoid food that is acidic, salty, and spicy.
  • A toothbrush with soft bristles may be helpful.
  • Avoid mouthwash and toothpaste that contain SLS.
  • Do not feed your child foods that they may be allergic to.

Canker Sore Remedies

  • Eating yogurt that contains Acidophilus will relieve the pain and help the canker sore heal faster.
  • Put one teaspoon of baking soda in an eight-ounce glass of lukewarm water. Have your child gargle and swish it around his or her mouth several times a day. Not only does this remedy relieve the pain, the canker sore could be gone in as little as 24 hours.
  • Place a wet tea bag on the sore and hold it there for a few minutes several times a day. This remedy will help with the pain and quickly heal the sore.
  • Camphor, Benzocaine, Lidocaine, and Orajel are over-the-counter medications that can help.

If you have questions about your child’s canker sore, contact Dr. Stephen C. Smith to schedule an appointment.

I’ve lost a filling; now what?

January 20th, 2015

Dental fillings usually protect our teeth, but sometimes they need to be protected, too. If you lose a filling, contact our Carmel or Morgan Hill, CA office immediately and let us advise you on the next steps to take.

Fillings serve an important function in oral health by preserving the structural integrity of your tooth. With the materials we use today, dental fillings usually last for many years, but they are subjected to the same stresses as your natural teeth are.

You can wear down, chip, crack, or break your fillings by eating, clenching, and grinding, and sometimes they can fall out completely. While you may not notice normal wear and tear, you should not ignore any fillings that loosen or fall out. Contact us as soon as possible so we can advise you about whether you need to be seen immediately.

If your fillings get damaged or fall out, a timely response can be important. There may be gaps or holes in your tooth which provide an easy access point for bacteria. Once bacteria begin working into your tooth structure, your tooth could become damaged even worse. Since cavities usually form in hard-to-reach places, it will be difficult for you to remove these bacteria through brushing alone.

When is a lost filling an emergency?

A lost or cracked filling is usually not an emergency unless you are in great pain or are bleeding excessively. In that case, contact our office immediately so we can schedule an emergency appointment. Otherwise we will schedule a regular appointment to evaluate and repair your filling. Before coming in for your appointment, try to avoid chewing on that side of your mouth, rinse with warm salt water, and be sure to brush and floss thoroughly after every meal.

Once you come to our office, Dr. Stephen C. Smith will examine your tooth, assess the situation, and advise you of your options. We may be able to replace the filling and can discuss whether an amalgam or composite material would be the best for your teeth. If the filling was large, a root canal or a dental implant and crown may be necessary.

A lost or cracked filling may not always pose a dental emergency, but it’s always important to contact us so our team can help you take the proper action to preserve your oral health.

Heart Disease and Oral Health

January 13th, 2015

According to the National Institute of Dental and Craniofacial Research, more than 200 million Americans suffer from some degree of inflammation of the gums. Over the past decade, researchers have published studies that link the bacteria involved in periodontal disease to cardiovascular disease. The Centers for Disease Control and Prevention have connected oral infections to heart disease, diabetes, stroke, and low birth weights.

Studies suggest bacteria that cause periodontal disease are also responsible for causing a thickening of the carotid arteries, which increases the chance of a heart attack or stroke. Further research is being conducted to understand the link between oral health and heart disease better.

What is periodontal (gum) disease?

Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry hear this question all the time. Periodontal disease is an infection. Our mouths are filled with bacteria, and this bacteria forms plaque. If the plaque is not removed through brushing, flossing, and regular cleanings at the dentist, it hardens into tartar. If gingivitis (gum inflammation) is not treated early, it can advance to periodontitis. Bacteria get under the gum tissue and erode it as well as the bone that supports the teeth. The gums eventually pull away from the teeth, and infected pockets form.

Proving that periodontal gum disease is connected to heart disease has been difficult for researchers. However, there are two theories about to what might connect the processes.

  • Bacteria are released in the bloodstream through chewing and tooth brushing. The same species of bacteria that causes gum disease has been discovered in the plaque in arteries in the heart.
  • Inflammation in the mouth is a catalyst for inflammation throughout the rest of the body.

Practice good oral health habits

While the link between periodontitis and heart disease is not yet fully understood, you can prevent the possibility of health complications by practicing good oral health. It’s recommended that you brush and floss twice a day, as well as visit your dentist twice a year for a cleaning and exam. Oral health should not be taken for granted. By preventing oral diseases, you’re also minimizing the risk of having a heart attack or stroke.

To learn more about the connection between heart disease and oral health, or to schedule an appointment with Dr. Stephen C. Smith, please give us a call at our convenient Carmel or Morgan Hill, CA office! A clean mouth leads to a happy heart!

How safe are dental X-rays?

January 6th, 2015

Dr. Stephen C. Smith and our staff rely on digital X-rays to help us diagnose oral conditions and process images at incredibly high speeds. You can also view digital X-rays in real time while we examine your mouth with an intraoral camera and upload the images to a software program. A chairside computer monitor lets you see these images as we refine areas of concern to ensure an accurate diagnosis.

But are dental X-rays safe?

Yes! They emit 80 percent less radiation than exposure-type X-rays and provide detailed images to improve diagnosis and treatment. We can now detect dental problems in their earliest stages without subjecting you to unnecessary radiation. The amount of radiation released by digital X-rays is “negligible,” which means the amount is so small, that it can be safely disregarded.

Safe enough for children and pregnant women, digital X-rays detect microscopic pitting in tooth enamel and other abnormalities in the oral tissues that might have remained undetected with traditional X-rays. When Dr. Stephen C. Smith and our staff discover dental caries in their earliest stages, we can initiate treatment measures that will effectively prevent cavity development, tooth decay, and potential tooth loss.

Patient appointment lengths are shortened with digital X-rays as well, because images are immediately viewable and do not require the exposure time associated with old-style X-rays.

How Digital X-Rays Differ from Traditional X-Rays

Instead of using cardboard-contained film, we insert a small sensing device about the size of a pen in your mouth and engage the digital X-ray machine by manually manipulating control buttons. Within seconds, images appear on the monitor that can later be stored in your file or sent to another doctor for further examination.

The increased resolution afforded by digital X-rays means that patients are able to understand the seriousness of their dental issues better, and are more inclined to follow through with procedures recommended by Dr. Stephen C. Smith.

Safer, Better and Faster

For detection of cancerous tumors in their early states, digital X-ray technology offers vast improvements over film X-rays because of its cutting-edge image processing capability. Early detection of oral cancer and dental caries is the best way to prevent any type of oral health problem from exceeding the treatable stage.

It's a Wrap: Ending the year with a smile!

December 30th, 2014

People have been ushering in the New Year for centuries but it became an official holiday in 1582 when Pope George XIII declared January 1st to be the day on which everyone would celebrate the New Year. At midnight people would yell, holler, and blow horns to scare away the evil spirits of the previous year so the New Year would be joyous and filled with opportunity. Nearly 500 years later, we still greet the New Year by whooping and hollering, but in a celebratory manner instead. Whether you intend to ring in the New Year quietly at home in the Carmel or Morgan Hill, CA area or have plans to join the countdown at a gala extravaganza, these tips can help you ring out the old and usher in the new with a smile.

Tips for a Happy New Year's Eve Celebration from Stephen C. Smith Periodontics, Laser and Implant Dentistry

  • Be Safe. There's no way to predict the behavior of others on New Year's Eve, but you can be responsible for your own behavior to keep yourself safe. If adult beverages will be part of your celebration, plan on spending the night wherever you are or line up a designated driver to bring you home after the party is over.
  • Enjoy Family and Friends. Spending time with the important people in your life is what makes the holidays enjoyable. Coordinate your schedules and choose New Year's Eve activities that everyone in the group will enjoy. You don't have to go to a party to ring in the New Year; some people like to go bowling, see a movie, or have a great meal at home.
  • Accessorize with a Smile. Whether you dress up or have a quiet dinner with family and friends, one of the best accessories you can add to your attire is a beautiful smile.

New Year's Eve is a time to gather with friends and family, reflect on the year that's coming to an end, and look forward to the new one with anticipation. Enjoy this transitional holiday in a way that's safe, healthy, and fun. After all, counting down until the clock strikes 12 marks the beginning of a full year of opportunity ahead of you. From Dr. Stephen C. Smith, have a great new year!.

Is dairy crucial to my child's oral health?

December 23rd, 2014

Healthy eating, combined with regular physical activity, plays a vital role in your child’s health and well-being. Dairy foods are naturally nutritious, packed with ten essential nutrients that help your child feel good for life. But did you know that dairy is also great for your child’s dental health? Our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry will tell you that, in addition to providing large amounts of much-needed calcium, dairy products also help fight cavities! Dairy products have a specific role to play in dental health as they contain a unique combination of special anti-decay nutrients such as calcium, phosphorus, and the protein, casein. Cheese is especially useful, as eating a small piece of cheese after consuming sugary foods or drinks can help protect teeth and reduce the risk of tooth decay.

If you’d like to know more about the importance of dairy products in your child’s diet, or about any aspect of your child’s dental health, feel free to ask Dr. Stephen C. Smith at your next appointment!

The Safety of Dental X-Rays

December 16th, 2014

An article was released to the public stating that dental X-rays contribute to a type of brain cancer. After reading an article like this, your first thought may be to avoid dental X-rays, but you may want to hold off on that quick judgment. As with any treatment we offer at Stephen C. Smith Periodontics, Laser and Implant Dentistry, education is your most valuable tool in deciding what is best for you.

How often dental X-rays are taken is based on risk for infection, physical symptoms, and clinical findings. The American Dental Association (ADA) is a governing body over the dental profession. The ADA states, “ . . . healthy adults receive routine mouth X-rays every two to three years. Dental X-rays are recommended every one to two years for children and every 1.5 to three years for teens. Children often require more X-rays than adults because of their developing teeth and jaws and increased likelihood for cavities.”

A "caries risk category" often determines how often dental X-rays are taken. The most recent documented resource to determine a caries risk is Caries Management by Risk Assessment (CAMBRA). This was adopted by the ADA and is used by dental professionals giving interval recommendations for X-rays.

With knowledge of your risk for dental infection, you will be informed by Dr. Stephen C. Smith of the interval at which dental X-rays should be taken. You can rest assured that the standards published by the ADA have been researched extensively and are there to protect your personal health and safety.

Dental X-rays are most commonly digital, which significantly reduces exposure. There is more radiation exposure from the sun or in an airplane than in a dental X-ray. It is common practice to use a lead apron with a thyroid collar for protection during X-ray exposure.

Having a cavity means having an active, potentially harmful infection. Diagnosing such infection with minimal exposure through digital dental X-rays at our Carmel or Morgan Hill, CA office does more good than harm.

Treating Gum Recession with Tissue Grafting

December 9th, 2014

One of the concerns we sometimes hear at Stephen C. Smith Periodontics, Laser and Implant Dentistry is, “My gums just don’t look the same they once did. What is causing this?”

Our gums recede for a number of reasons. These include aggressive tooth brushing or the presence of periodontal disease, a bacteria-induced, inflammatory chronic condition that attacks gum tissue and the bone supporting the teeth. While you may not be able to control what is causing or has caused the recession, Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry can help detect the factors contributing to the problem.

One of the treatments we proudly offer to fight receding gums is gum grafting, which involves removing healthy tissue from other locations in your mouth (usually the roof of your mouth) and placing it next to the affected tooth or teeth. Gum grafting helps cover the exposed roots to protect them from decay, and reduces tooth sensitivity, improving the aesthetics of your smile along the way.

How do I know if I have gum recession?

Gum recession doesn’t just appear overnight. Rather, it is a very slow, gradual process that is brought on by advanced gum disease such as periodontitis. Symptoms of gum recession include:

  • Bleeding gums whenever your brush or floss
  • Tender gums
  • Bad breath (halitosis)
  • Exposed teeth roots
  • Increased space (gaps) between teeth
  • Longer tooth line
  • Sensitivity to hot or cold, or even to sweet, spicy, or sour foods

Gum Tissue Grafting

When you visit Stephen C. Smith Periodontics, Laser and Implant Dentistry for your procedure, Dr. Stephen C. Smith will apply a local anesthetic to numb the area involved. Depending on your specific condition, Dr. Stephen C. Smith will perform one of three different types of gum tissue grafts:

  • Connective tissue graft: The most common procedure for covering exposed roots, connective tissue grafting involves cutting a flap of skin in other areas of your mouth (usually from the roof of your mouth) and stitching the tissue next to the affected tooth or teeth.
  • Free gingival graft: Similar to a connective tissue graft, a free gingival graft is an excellent method of treatment in cases where the goal is to increase the amount of gum tissue. Free gingival drafting also involves the use of tissue from the roof of the mouth. But rather than making a flap and removing tissue, a small amount of tissue is removed directly from the roof of the mouth and then attached to the gum area being treated.
  • Pedicle graft: In this procedure, instead of taking tissue from the palate, it is grafted from gum around or near the affected tooth. The flap is only partially cut away and the gum is then pulled over or down to cover the exposed root, then sewn into place.

The procedure you undergo will depend entirely on your condition. Dr. Stephen C. Smith will be happy to meet with you and discuss which method will work best for your unique situation. If you think you are suffering from gum recession, Dr. Stephen C. Smith will be happy to discuss and figure out which procedure can help get your smile back. To learn more about gum grafting, or to schedule your appointment at our Carmel or Morgan Hill, CA office, please give us a call today!

Good Teeth Lead to Sporting Success

December 2nd, 2014

You already know that taking care of your teeth can help prevent tooth decay and the need for extensive work such as root canals or implants, which can be inconvenient and expensive. But the benefits of good teeth can go far beyond having an attractive smile and being able to crunch carrots and chew meat.

The American Dental Association explains that healthy teeth are linked to a lower risk for heart disease and diabetes. Furthermore, recent research published in the British Journal of Sports Medicine states that good teeth can improve athletic performance among elite athletes.

Researchers examined the oral health of nearly 300 athletes in 25 sports at the 2012 Olympics in London. They looked for conditions such as dental caries, gingivitis, dental erosion, and periodontal disease, and asked about recent visits to a dentist.

Study investigators also asked athletes whether their oral health interfered with quality of life or athletic training and performance. The study concluded that poor oral health and fewer dental visits led to interference with preparation for competition.

This can happen for a few reasons. Tooth pain can disrupt sleep, which leads to slower reaction times. Oral health conditions can indicate chronic inflammation in the body, which means suboptimal performances on an elite level. Tooth pain can interfere with focus during training and competition.

Unfortunately, merely taking good care of your teeth won’t turn you into an Olympic gold medalist. However, the benefits can still be worthwhile. Even if healthy teeth provide little if any detectable gain in your athletic abilities, the potential benefits of maintaining a healthy mouth clearly go far beyond an attractive smile.

Practicing good oral hygiene and seeing Dr. Stephen C. Smith regularly can promote your physical health, and maybe – just maybe – you will start to achieve an advantage over your weekend athletic opponents.

Thanksgiving in North America

November 25th, 2014

Thanksgiving marks the start to the holidays; a season filled with feasting, indulging, and spending time with family and friends are always special. Thanksgiving is a holiday meant for giving thanks, and while this may seem like such a natural celebration, the United States is only one of a handful of countries to officially celebrate with a holiday.

Unlike many holidays, Thanksgiving is a secular holiday, and it is celebrated on the fourth Thursday in November in the United States. In Canada, it is celebrated on the second Monday of October, which is, oddly enough, much closer to a time when harvests were likely gathered. In addition to the different dates, the origins of the celebration also share different roots.

Thanksgiving in the United States

Giving thanks for a bountiful harvest are not new, but the modern day holiday in the US can be traced to a celebration at Plymouth in Massachusetts in 1621. This feast of thanksgiving was inspired by a good harvest, and the tradition was simply continued on. At first, the colony at Plymouth didn't have enough food to feed everyone present, but the Native Americans helped by providing seeds and teaching them how to fish, and they soon began to be able to hold a feast worthy of the name. The tradition spread, and by the 1660s, most of New England was hosting a Thanksgiving feast in honor of the harvest.

Canadian Thanksgiving

An explorer of early Canada named Martin Frobisher is accredited for the first Canadian Thanksgiving. He survived the arduous journey from England through harsh weather conditions and rough terrain, and after his last voyage from Europe to present-day Nunavut, he held a formal ceremony to give thanks for his survival and good fortune. As time passed and more settlers arrived, a feast was added to what quickly became a yearly tradition. Another explorer, Samuel de Champlain, is linked to the first actual Thanksgiving celebration in honor of a successful harvest; settlers who arrived with him in New France celebrated the harvest with a bountiful feast.

A Modern Thanksgiving

Today, Thanksgiving is traditionally celebrated with the best of Americana. From feasts and football games to getting ready for the start of the Christmas shopping season, Thanksgiving means roasted turkey, pumpkin pie, and green bean casserole. No matter how you celebrate this momentous day, pause for a moment to give thanks for your friends, family, and all the bounties you’ve received. Happy Thanksgiving from Stephen C. Smith Periodontics, Laser and Implant Dentistry!

I drink a lot of coffee. Could it be hurting my smile?

November 18th, 2014

At Stephen C. Smith Periodontics, Laser and Implant Dentistry, we know most of our patients enjoy a cup of coffee or two throughout the day. But what many of you don’t know is that coffee can be especially tough on your teeth because tannic acid (the substance that makes the dark color) etches into the pits and grooves of tooth enamel, staining your pearly whites and being generally detrimental to your smile.

Coffee is one of the most popular beverages in the world, with more than 50 percent of people drinking a cup daily. Other foods and drinks such as wine, chocolate-flavored beverages, and soft drinks can all cause tooth enamel discolorations. A hot cup of Joe, however, goes one step farther: extreme temperature changes in your mouth can cause teeth to expand and contract. This allows stains to penetrate deep into the micro-cracks of your tooth enamel.

Additionally, caffeine is considered a diuretic, which means it causes the body to lose fluids. So when you enjoy coffee or any kind of caffeinated beverage, it slows the production of saliva and causes dry mouth, which can potentially lead to bad breath and even tooth decay.

If you just can't make it through the day without a cup of java, we encourage you to consider these tips to help make sure your teeth stay in tip-top shape:

    • Drink a glass of water with your coffee or rinse with a glass of water after every cup. Not only does it help neutralize and rinse away the acid left behind from the coffee, but it also helps replenish fluids drawn out of your body by caffeine.
    • Chew gum after you drink coffee. Chewing gum will help keep your saliva production up and prevent dry mouth.
    • Enjoy your beverage with a straw so that tannins don’t make contact with your front upper and lower teeth.
    • Switch to decaf. Each cup of regular coffee you drink has an average of 110 milligrams of caffeine. Decaf has the same great taste with only two to 12 milligrams of caffeine.

Dr. Stephen C. Smith and our team also invite you to visit our convenient Carmel or Morgan Hill, CA office for whitening options. We can help bleach your teeth with proven and professional products. To learn more about whitening options available at Stephen C. Smith Periodontics, Laser and Implant Dentistry, please give us a call!

“Nancy’s Project”

November 18th, 2014

Giving back to our community in the Morgan Hill, Carmel, and Salinas Valley areas is an important part of Dr. Stephen C. Smith’s practice. We’re always looking for new and helpful ways to support the people and families who we share our community with.

One such effort that we are honored to support is “Nancy’s Project”. This community outreach works closely with the Salinas Valley school community to collect and bag thousands of pounds of pinto beans with the help of students and parents. For the last 25 years, “Nancy’s Project” has collected, bagged, and given to families in need here in the Salinas Valley over 500,000 pounds of beans!

As the holiday season approaches, we understand that the need for great community outreaches is incredibly important, and we’re eager to make a difference in the lives of those in need!

Periodontal disease; I have what?!

November 11th, 2014

Our team from Stephen C. Smith Periodontics, Laser and Implant Dentistry understands the diagnosis of periodontal disease can be scary and confusing, but the good news in most cases is that it is treatable and manageable with a little work on the part of the patient.

Periodontal disease is an infection of the gum tissue, bone, and supporting structures for the teeth. In the past it was known as pyorrhea. Diagnosis is commonly made through a combination of dental X-rays, periodontal readings (called probe depths), and visual clinical findings.

The mouth is a gateway to the rest of the body and can provide clues to the patient’s overall health. In fact, the first signs of some chronic diseases appear in the oral cavity; they can be a hint for the dentist to refer the patient to a medical doctor for a thorough exam.

If left untreated, periodontal disease can lead to premature tooth loss, sensitivity, and chronic or acute mouth pain. If you have diabetes, you are more prone to periodontal disease and can experience greater difficulty controlling your blood glucose levels. The body ends up spending so much energy fighting the infection in the mouth that it cannot achieve balance elsewhere. Studies have shown that once periodontal disease is treated, the glucose levels become more responsive to control as well.

Standard treatments can include scale and root planing, medicated mouth rinse, and in some cases antibiotic therapy or laser therapy to help control bacteria while promoting healing. Periodontal disease can range from a few localized pockets to extensive and severe infection that may require surgery.

The process of scale and root planing may entail two to four appointments for treatment, with follow-up maintenance exams every three to four months to help prevent the spread of disease. In most cases you will be numbed for comfort during the procedure. After treatment you may feel a little sore—but you are taking steps to improve your health!

Scheduling an appointment with the Carmel or Morgan Hill, CA office of Dr. Stephen C. Smith will give you an accurate diagnosis and a range of treatment options. Periodontal disease is “silent,” which means you will not always experience pain as a signal of infection. When caught early and subjected to proper oral hygiene care on a daily basis, treatments are usually successful.

Dr. Stephen Smith and Team at the American Academy of Periodontology Meeting

November 11th, 2014

In its effort to “provide members the expertise and resources to enhance the evaluation and diagnosis of oral conditions, assessment of risk for future disease, and delivery of specialty periodontal non-surgical, surgical* and medical** care for our patients,” the American Academy of Periodontology aims to make sure our patients receive the expert care they need and deserve. To help achieve this, the AAP offers many educational resources to practitioners like Dr. Stephen Smith and their teams.

There is perhaps no better example of this than the meetings the AAP puts on. In a recent one held in San Francisco, Dr. Smith and members of our team attended to learn about all the latest trends, techniques, and technologies dedicated to diagnosing and treating gum disease. Dr. Smith and our team had an excellent meeting and brought with them great new insights and ideas for improving our practice and the care our patients receive.

We value these opportunities greatly and are honored to apply what we continually learn to the benefit of our incredible patients!

November is National Diabetes Month

November 5th, 2014

As a healthcare provider committed to helping our patients lead the happiest and healthiest lives, we’d like to take this moment to remind our patients that November is National Diabetes Month. Educating our patients about the very real and important connection with your oral health and whole-body wellness is an important part of our effort to fulfill our commitment to our patients.

Right here in the United States, over 25 million people battle diabetes while another 79 million adults face the risk of developing type 2 diabetes*. However, with diabetes, changing unhealthy lifestyle habits can drastically reduce chances of getting the disease.

Perhaps the most notorious of connections between oral and overall health is found in the relationship between gum disease and diabetes. Not only are people with diabetes more vulnerable to gum disease, but diabetes may also have the potential to affect blood glucose control, as well as contribute to the advancement of diabetes.

For more information about what you can do to lower your risk of diabetes, we encourage you to visit the National Diabetes Education Program’s website at http://ndep.nih.gov/partners-community-organization/national-diabetes-month/2014.aspx.

The Intriguing History of Halloween

October 28th, 2014

Halloween is fast approaching, and Dr. Stephen C. Smith wanted to be sure to wish our patients a happy day, no matter how you might celebrate this holiday. The Halloween that is familiar to most people today bears little resemblance to the original Halloween; back in the "old days" it wasn't even called Halloween!

Festival of the Dead

Halloween started out as a Celtic festival of the dead that honored departed loved ones and signified a change in the cycle of the seasons. The Celtic people viewed Halloween, then called "Samhain," as a very special day – almost like our New Years day in fact, as their new calendar year began on November 1st. Samhain was the last day of autumn, so it was the time to harvest the last of the season's crops, store food away for winter, and situate livestock comfortably for the upcoming cold weather. The Celts believed that during this day, the last day of winter, the veil between this world and the spirit world is the thinnest, and that the living could communicate with departed loved ones most effectively on Samhain due to this.

Modern Halloween

Halloween as we know it today started because Christian missionaries were working to convert the Celtic people to Christianity. The Celts believed in religious concepts that were not supported by the Christian church, and these practices, which stemmed from Druidism, were perceived by the Christian church as being "devil worship" and dangerous.

When Pope Gregory the First instructed his missionaries to work at converting the Pagan people, he told them to try to incorporate some of the Pagan practices into Christian practices in a limited way. This meant that November 1st became "All Saints Day," which allowed Pagan people to still celebrate a beloved holiday without violating Christian beliefs.

Today, Halloween has evolved into a day devoted purely to fun, candy, and kids. What a change from its origins! We encourage all of our patients to have fun during the holiday, but be safe with the treats. Consider giving apples or fruit roll-ups to the kids instead of candy that is potentially damaging to the teeth and gums.

Remind kids to limit their candy and brush after eating it! Sweets can cause major tooth decay and aggrivate gum disease, so to avoid extra visits to our Carmel or Morgan Hill, CA office, make your Halloween a safe one!

How do I avoid bad breath?

October 21st, 2014

At Stephen C. Smith Periodontics, Laser and Implant Dentistry, we see a lot of patients who are concerned about their bad breath, also known as halitosis. So today we thought we would educate our patients about what you can do to keep your pearly whites clean and your breath minty fresh!

Naturally, good oral hygiene on your part is the first step. With proper brushing and flossing you can keep halitosis in check. Even though you may have done an excellent job of brushing and flossing your teeth, if you fail to brush your tongue, you may still have bad breath. Bad breath is caused by odor-producing bacteria that grow in your mouth. Certain foods, medications, smoking, sinus issues, or even gum disease can cause bad breath.

Besides proper brushing and flossing, bad breath can be prevented if you:

Stop smoking/chewing tobacco-based products: Ask Dr. Stephen C. Smith and our team for tips on kicking the habit.

Keep your mouth hydrated: Because a dry mouth typically leads to bad breath, drinking water or eating oranges or celery may help.

Visit our Carmel or Morgan Hill, CA office for regular dental checkups: By visiting Stephen C. Smith Periodontics, Laser and Implant Dentistry at least twice a year, you will keep bad breath at bay. Dr. Stephen C. Smith will conduct an oral exam and will be able detect and treat periodontal disease, dry mouth, or other problems that may be the cause of bad mouth odor.

How Crown Lengthening Can Improve Your Smile

October 14th, 2014

Crown lengthening, also known as a gum lift, is generally performed by Dr. Stephen C. Smith in order to improve the health of the gum tissue, or to prepare the mouth for restorative or cosmetic procedures. For instance, if you’re bothered by a “gummy” smile or teeth that you feel are too small, crown lengthening can be a great option.

For years, crown lengthening, which exposes more of your natural teeth by reshaping or recontouring bone and gum tissue, has been used by periodontists as a technique to improve oral health, but the procedure has gained notoriety as a way to improve our patients’ smiles cosmetically. Let’s take a look at three main reasons why Dr. Stephen C. Smith would recommend crown lengthening:

  • Restoring damaged teeth: Gum disease, tooth decay, and trauma can all cause severe damage to your teeth. Crown lengthening is used to prepare the area for a new restoration to treat the damaged teeth.
  • Dental crowns: Another purpose crown lengthening serves is to allow more space between your jawbone and dental crown. This technique prevents the new crown from damaging surrounding gum tissues and bone once Dr. Stephen C. Smith and our team put it in place.
  • Cosmetic purposes: The third reason why we provide crown lengthening is to remove excessive gum tissue that makes teeth look unnaturally short, as well as makes you vulnerable to periodontal infections. Reducing the amount of extra gum tissue can not only prevent periodontal disease, but also improve the aesthetic appearance of your smile.

To learn more about crown lengthening, or to schedule an appointment at our convenient Carmel or Morgan Hill, CA office.

October is National Dental Hygiene Month: A simple oral health routine for your busy lifestyle

October 7th, 2014

Adults are no strangers to feeling like there is never enough time in the day to get everything done. Your alarm clock rings and within minutes you ping pong around trying to spread peanut butter on sandwiches, answer your cell phone, remove the dog hair from your clothes, and make sure your child has completed his or her science fair project. Brushing your teeth can easily fall to the wayside. That is why our office promotes a simple, daily oral health regimen that you can easily incorporate into your busy lifestyle.

The American Dental Hygienists' Association (ADHA), in partnership with the Wrigley Jr. Company, is celebrating National Dental Hygiene Month (NDHM) during October. The ADHA encourages people to "Brush. Floss. Rinse. Chew...Keep it Clean, Keep it Healthy!" and offers some great tips for a quick and effective home oral health routine, below:

Oral Health Routine at Home

  • Brushing your teeth twice daily is the most important thing you can do to diminish the accumulation of plaque and the potential for other oral problems such as cavities and gingivitis.
  • Flossing once daily removes plaque and food from beneath the gums and between teeth that brushing alone cannot remove. Tooth decay and gum disease often begin in these areas.
  • Rinsing your mouth with an antibacterial, non-alcohol based mouthwash kills plaque and gingivitis germs that brushing and flossing do not catch. We recommend using a mouthwash with the ADA Seal of Acceptance.
  • Chewing sugar-free gum helps produce saliva, which battles cavities. The gum also neutralizes plaque, strengthens enamel, and removes remaining food. It is especially important to chew gum after eating or drinking.

It's easy to put the toothbrush down in order to take care of matters you feel are more urgent, but remember, a good oral health routine at home is the best way to prevent periodontal disease. "Periodontal disease is the most common cause of tooth loss in adults. An estimated 75 percent of Americans reportedly have some form of periodontal disease," said the ADHA. Periodontal disease also is linked to more serious illnesses such as diabetes and stroke.

Also, remember to keep regular visits with our office. Dr. Stephen C. Smith can help you learn more about proper care for your teeth and gums.

The Importance of Oral Cancer Screenings

September 30th, 2014

In our continuing efforts to provide the most advanced technology and highest quality care available to our patients at Stephen C. Smith Periodontics, Laser and Implant Dentistry, we proudly screen our patients for oral cancer. The fact is, every hour of every day in North America, someone dies of oral cancer, which is the sixth most common diagnosed form of the disease. The five-year survival rate is only 50 percent, and oral cancer is one of the few cancers whose survival rate has not improved.

Oral cancer can occur on the lips, gums, tongue, inside lining of the cheeks, roof of the mouth, and the floor of the mouth. Symptoms of oral cancer may include a sore in the throat or mouth that bleeds easily and does not heal, a red or white patch that persists, a lump or thickening, ear pain, a neck mass, or coughing up blood. Difficulties in chewing, swallowing, or moving the tongue or jaws are often late symptoms. While there is no way to predict exactly which individuals will get oral cancer, there are some potential causes we want you to know about. In some cases, it is possible to minimize these risk factors.

  • Age (most patients diagnosed with oral cancer are over the age of 40)
  • Tobacco use, either from cigarettes or smokeless chewing tobacco
  • Excessive alcohol consumption
  • Persistent viral infections, such as HPV16
  • A diet lacking or low in fruits and vegetables

Finding out you have oral cancer can be devastating news. If you are concerned that you might be at risk for developing oral cancer, talk to us about screenings and other things you can do to reduce your risk. Through a routine visual inspection, Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry can often detect premalignant abnormalities and cancer at an early stage, when treatment is both less expensive and more successful, and can potentially save your life. Ask Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry about a screening at your next appointment!

Teeth Grinding

September 23rd, 2014

If you are waking up with jaw pain, tension headaches, or facial pain, you may be suffering from a condition known as bruxism. This means you could be grinding or clenching your teeth while you sleep. Some people aren’t even aware they are grinding or clenching their teeth at night, until a visit to us reveals significant tooth enamel loss. Fortunately, there is a non-invasive and effective solution for teeth grinding, and the tooth enamel damage it can cause, in custom-fabricated nightguards.

Causes of teeth grinding

Tension, stress, and anxiety experienced during the daytime can carry over to an individual’s sleep, and lead the person to grind his or her teeth together or clench the teeth unknowingly. Sleep apnea is another condition that can result in bruxism. Regardless of the cause, however, frequent clenching and teeth grinding wears down the chewing surfaces of the teeth, reduces tooth enamel, and can result in a cracked or chipped tooth, crown, or filling.

Nightguards for teeth grinding

Custom nightguards are fabricated to fit like a glove and protect your teeth from the adverse effects of bruxism. Nightguards are created through a non-invasive process that simply takes an impression of the bottom and top rows of teeth. The result is a nightguard that is flexible, comfortable, and personalized to your mouth.

Benefits of nightguards

Nightguards are helpful to reduce or eliminate the symptoms of dental damage incurred as a result of teeth grinding. They can reduce the discomfort associated with a sore jaw, headaches, tooth sensitivity, ear pain, and facial pain that many patients experience as a result of clenching or grinding of their teeth. In severe cases of bruxism, patients can develop loss of hearing, jawbone misalignment, and TMJ. Therefore, customized nightguards can help prevent the progression of teeth grinding into these more serious conditions.

At-home tips to reduce or prevent teeth grinding

Although it’s important to wear your nightguard faithfully if you grind your teeth at night, you can follow a few self-care tips to help to prevent your teeth grinding from worsening.

  • Reduce tension and stress. Whether you take a warm bath before bed, listen to soothing music, or exercise, practice stress-relieving activities to wash away the tensions of the day.
  • Avoid alcohol. In some patients, alcohol increases teeth grinding tendencies.
  • Avoid caffeine. In some individuals, caffeine increases the likelihood of teeth grinding.
  • Focus on relaxing jaw muscles. Make a conscious effort to keep your jaw relaxed. A warm washcloth against your cheek, sticking your tongue between your teeth, and avoiding chewing pencils, pens, and gum are all ways to train the muscles of your jaw to stay relaxed.

If you suspect you may be grinding your teeth at night, visit Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry for an evaluation at our convenient Carmel or Morgan Hill, CA office.

Canker sores, cold sores, and mouth sores: What's the difference?

September 16th, 2014

At Stephen C. Smith Periodontics, Laser and Implant Dentistry, we know many people have experienced some form of mouth sores or irritation. Some mouth sores are harmless and go away on their own after a few days, while others are more serious and should not be ignored. Mouth sores occur for many different reasons, but bacterial infections, viruses, or funguses often trigger them. The best way to tell the difference between a canker sore and a cold sore is that canker sores occur inside the mouth while cold sores occur on the outside the mouth.

The most common mouth sores are:

Canker sores: A non-contagious, small, grayish ulcer with a red border, canker sores appear inside the mouth. While outside factors such as stress, fatigue, or allergies may increase the chances of developing a canker sore, most health experts believe they stem from bacteria or a virus that attacks the immune system. Canker sores typically heal within a week or two.

Cold sores: Also called fever blisters, cold sores are contagious groups of fluid-filled blisters that often erupt around the lips and sometimes under the nose or around the chin. Cold sores are the result of the herpes simplex virus, and once infected, the virus remains in the person’s blood stream.

Leukoplakia: A potential warning sign of oral cancer, leukoplakia is a premalignant lesion that appears as a white patch on the inside of the mouth, tongue, or gums. The lesions, which are caused by excessive cell growth, usually afflict those who smoke tobacco. Dr. Stephen C. Smith may choose to have the lesion biopsied if the outbreak appears severe.

Oral candidiasis: Also called oral thrush or moniliasis, this condition is caused by the overgrowth of a type of yeast called candida. Common symptoms of oral candidiasis include white spots inside the mouth and on the tongue, redness or discomfort in the mouth area, sore throat,difficulty swallowing, and cracking at the corners of the mouth. It is important to visit Dr. Stephen C. Smith if you have oral candidiasis. If left untreated, it may infect your bloodstream, which can be very dangerous. Healthy adults do not usually get thrush, and the condition is most often seen in infants, the elderly, patients undergoing chemotherapy, or people with AIDS or other diseases that are known to weaken the immune system.

Should you have a mouth sore that lasts a week or longer, we encourage you to give us a call and schedule an examination at our Carmel or Morgan Hill, CA office.

Restoring Your Smile and Dental Health with Bone Grafting

September 9th, 2014

For those of our patients who suffer from periodontal (gum) disease or those who have experienced moderate to severe tooth bone loss, Dr. Stephen C. Smith may suggest you undergo a procedure called a bone graft, which can help replace the bone destroyed by periodontitis, an advanced gum disease that is known to not only damage the gum tissue, but also the underlying bone which supports the teeth.

Dr. Stephen C. Smith may recommend you undergo a bone graft for reasons other than the presence of periodontal disease or tooth loss. These reasons include:

  • Treating fractures
  • Reconstructing chipped, broken, or shattered bones
  • Placing of a dental implant
  • Filling a gap in bones affected by cysts or tumors
  • Shrinkage or loss of bone due to trauma
  • Dentures that don’t fit properly

Bone grafting includes folding back part of the gum and cleaning out harmful bacteria that is making your gum disease worse. At that point, Dr. Stephen C. Smith will insert the bone graft, which will help spur bone growth, bridge a gap in a bone, and aid in healing. Bone grafts can repair damage from gum disease and boost the chances that you can keep your teeth for a lifetime. In addition to a bone graft, Dr. Stephen C. Smith may suggest a procedure called guided tissue regeneration, an advanced method used not only to help fight gum disease, but also to replace damaged or destroyed bone and tissue.

For more information on bone grafts, or to find out if you are a candidate for a bone graft, we invite you to give us a call at Stephen C. Smith Periodontics, Laser and Implant Dentistry or set up an appointment at our convenient Carmel or Morgan Hill, CA office. We will be happy to answer any questions you may have!

What was your favorite part of summer?

September 2nd, 2014

It's the end of summer, and fall is just around the corner. Soon the temperatures will cool down, the leaves will start to change, and Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry are sure that you’ll soon be thinking about Halloween costumes and Thanksgiving plans in no time. But wait! First, we want to know about your favorite parts of the summer! Did you go on a wonderful family trip? Did you pick up a new hobby? Did you try to spend as much time outside and in the sun as possible?

Share your favorite memories, stories, or photos with us by leaving a comment below or on our Facebook page.

Labor Day: Our favorite holiday to rest!

August 26th, 2014

Labor Day, celebrated on the first Monday each September here in the United States, is a holiday devoted to the American working community. The purpose of the holiday is honoring the country's workers and their contributions to the strength of our country as a whole.

How Labor Day Started

There is actually some debate as to the origins of Labor Day. It is uncertain whether Peter McGuire, a cofounder for the American Federation of Labor, or Matthew Maguire, who was the secretary of Central Labor Union of New York, had the great idea. However, the Central Labor Union's plans were what launched the first Labor Day in America.

The First Labor Day

The very first Labor Day was celebrated on September 5th, 1882. The Central Labor Union then held annual celebrations on September 5th for what they called a working man's holiday. By the year 1885, the Labor Day celebration had spread to many different industrial areas, and after that it began spreading to all industries in the United States.

Labor Day Today

Labor Day today is a huge United States holiday during which we honor the country's workers with a day of rest and relaxation or a day of picnics and parades. This holiday is truly one to honor the many people who work hard to contribute to the economic well-being of our great country!

Our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry hopes all of our patients celebrate Labor Day, and every holiday, safely and happily. Whether you stay in the Carmel or Morgan Hill, CA area, or travel out of town, have fun, and don't forget to brush!

Periodontal Disease in Adolescents

August 19th, 2014

Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry know that periodontal disease isn't something exclusive to adults. It can affect adolescents as well. Gingivitis, which is a milder form of periodontitis, is a form of periodontal disease, and a warning that more serious problems may arise. Untreated gingivitis can develop into full-blown periodontitis.

The American Academy of Periodontology (AAP) explains that research proves that younger people may develop more severe forms of gingivitis. Gingivitis is linked to periodontal disease. Children and adolescents who have type 1 diabetes or immune deficiencies are more likely to suffer from periodontal disease.

There are three types of periodontal diseases Dr. Stephen C. Smith and our team see in children and adolescents.

Chronic gingivitis

Parents may suspect that their adolescent has chronic gingivitis if he or she shows or complains of symptoms such as redness, swelling, or bleeding gums. Early treatment may prevent gingivitis from developing into a more severe form of periodontal disease.

Aggressive and/or chronic periodontitis

Once called adult periodontitis, the term chronic replaces “adult” because periodontitis can occur in people in their early teenage years, and progress throughout their teens. Chronic and aggressive periodontitis primarily affects incisors and first molars. One of its distinguishing characteristics is bone loss. Curiously, patients who suffer from this form of the disease have minimal dental plaque on examination.

Generalized aggressive and chronic periodontal disease

This form of periodontal disease has many of the same characteristics of the chronic and aggressive form, but this more severe type of the disease affects the entire mouth. Symptoms include major plaque and calculus accumulation, and inflamed gums.

In both forms of more severe periodontal disease, the overall gum structure may change. The severity of these changes may alter gum strength enough to loosen teeth, or even worse, cause them to fall out.

The success of any treatment is largely contingent on early diagnosis. Dr. Stephen C. Smith should conduct a thorough periodontal exam as part of an adolescent’s twice-yearly complete dental examinations.

The mouth is full of bacteria. Some of it is necessary for food digestion. Diseases are more likely to develop if bacteria travel to open places in the mouth, such as exposed gum pockets or cavities. Proper dental hygiene is essential for a healthy mouth, and a healthy mouth offers greater protection against painful dental diseases.

Be sure every member of your family has a complete dental exam and cleaning twice a year, and contact Dr. Stephen C. Smith when you or your young kids or adolescents complain of pain, sensitivity, or other oral problems. Early detection at our Carmel or Morgan Hill, CA office leads to treatment of oral problems and prevents them from turning into serious periodontal disease and potentially irreversible problems.

Are you at risk for tooth erosion?

August 12th, 2014

Many people consume carbonated or sugary drinks and acidic foods every day but have no idea those beverages may be harming their teeth, making them vulnerable to tooth erosion. The acid in the foods we eat and drink can cause tooth enamel to wear away, making your teeth sensitive and discolored. Dr. Stephen C. Smith will tell you that in many cases, what’s important is not what you eat and drink, but rather how you consume it.

What is tooth erosion?

Tooth erosion is the loss of tooth structure caused by the weakening of dental enamel, which is the strongest substance in the human body. Enamel is the thin, outer layer of hard tissue that helps maintain the tooth’s structure and shape. When the enamel is weakened, it exposes the underlying dentin, causing your teeth to appear yellow.

What causes tooth erosion?

Tooth erosion may occur when the acids in the foods and beverages you eat and drink, as well as other factors we will discuss later, weaken the enamel on your teeth. Typically the calcium contained in saliva will help remineralize (strengthen) your teeth after you consume foods or drinks that contain some acid. However, the presence of a lot of acid in your mouth does not allow for remineralization to happen.

Acid can come from many sources, including the following:

  • Drinking carbonated or fruit drinks. All soft drinks (even diet varieties) contain a lot of acid and are capable of dissolving enamel on your teeth. Bacteria thrive on sugar and produce high acid levels that can eat away at enamel.
  • Eating sour foods or candies. All those sour candies may taste great, but these treats can be acidic to your teeth. Sour and fruity candy, such as Starburst and Skittles, are the worst for your teeth since these candies have a low pH value, which is known to ruin enamel.
  • Low saliva volume. Saliva helps prevent decay by neutralizing acids and washing away leftover food in your mouth.
  • Acid reflux disease. Acid reflux, or GERD, brings stomach acids up to the mouth, where the acids can erode enamel.
  • Bulimia or binge drinking. These conditions can cause tooth damage because they frequently expose teeth to stomach acids.
  • Wear and tear. Brushing your teeth too vigorously or grinding your teeth at night can erode enamel.

What are the symptoms of tooth erosion?

Acid wear may lead to serious dental problems. When your tooth enamel erodes, your teeth become more vulnerable to cavities and decay, and you may begin noticing the following symptoms:

  • Severe sensitivity or tooth pain when consuming hot, cold, or sugary foods or drinks
  • Tooth discoloration
  • Rounded teeth
  • Transparent teeth
  • Visible cracks in teeth
  • Cupping, or dents, that show up on the biting or chewing surfaces of the teeth

What you can do to prevent tooth erosion

  • Reduce or eliminate altogether your consumption of carbonated drinks. Instead, sip water, milk, or tea.
  • If you must consume acidic drinks, drink them quickly and be sure to use a straw so that the liquid is pushed to the back of the mouth. Don’t swish them around or hold them in your mouth for a long period of time.
  • Instead of snacking on acidic foods throughout the day, we suggest eating these foods just during meal times in order to minimize the amount of time the acid makes contact with your teeth.
  • After consuming highly acidic food or drinks, rinse with water to neutralize the acids.
  • Chew sugar-free gum to produce more saliva, as this helps your teeth remineralize.
  • Brush with a soft toothbrush and be sure your toothpaste contains fluoride.
  • Dr. Stephen C. Smith may also recommend daily use of a toothpaste to reduce sensitivity (over-the-counter or prescription strength) or other products to counter the effects of erosion.

It’s important to know that the majority of dental problems, such as tooth erosion, do not become visible or painful until they are advanced. And, unfortunately, serious oral issues are painful and expensive to treat. A deep cleaning twice a year by our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry is the best way to hit all the spots you may have missed with brushing and flossing and prevent any issues that may have gone unseen.

Make sure your teeth get the professional attention they deserve! If you are overdue for your next checkup or cleaning, please give us a call to schedule an appointment at our conv

Hypersensitive Teeth

August 5th, 2014

It is common to experience dentine hypersensitivity, with symptoms ranging from moderate to severe. Why does it happen and how do you know if this sensitivity is something to be concerned about? The first step is to determine the cause.

The most common cause of the sensitivity is exposure of the dentin. Dentin is the layer immediately surrounding the nerve of the tooth. It is alive and usually covered by the gum tissue. When gum recession is present hypersensitivity is common. Other contributors to temporary tooth hypersensitivity include teeth whitening and dental procedures such as fillings, periodontal treatment, and braces placement or adjustment. These are temporary and should be of no concern.

Permanent hypersensitivity, however, may require treatment. To understand the cause of sustained hypersensitivity, let us explain the structure of dentin and why it serves as a ‘hot spot’.

The dentin contains a large numbers of pores or tubes that run from the outside of the tooth to the nerve in the center. When dentin tubes are exposed, there is a direct connection between the mouth and dental pulp, which houses the nerve and blood supply of the tooth. External stimuli, such as mechanical pressure (tooth grinding or clenching - bruising the ligaments holding the teeth in place), temperature changes, as well as chemical stimuli (sweet–sour) are transmitted to the pain-sensitive dental pulp and activate nerve endings. A short and sharp pain is the result. These external stimuli cause fluid movement in the open tube that is transmitted as pain sensations. Something needs to be placed into the dentin tube to plug it and stop this fluid movement.

The first step in doing something about dental hypersensitivity is to determine the cause; our professional team at Stephen C. Smith Periodontics, Laser and Implant Dentistry can help you with this. Whether the sensitivity is due to exposed dentin or an underlying cause such as abscess or decay, corrective measures are needed. Contact us sooner rather than later so Dr. Stephen C. Smith can reduce the sensitivity, and provide you with some relief!

When should I see a periodontist?

July 29th, 2014

Dr. Stephen C. Smith and our team always tell our patients that if you value your overall health, not just your oral health, anytime is a good time to visit Stephen C. Smith Periodontics, Laser and Implant Dentistry for a periodontal evaluation. Sometimes the only way to identify periodontal (gum) disease is through a comprehensive periodontal evaluation. If you notice any of the following periodontal disease symptoms outlined by the American Dental Association, it may be time to give us a call to schedule an exam:

  • Gums that bleed easily or are swollen, red, or tender
  • Gums that bleed while brushing, flossing, or eating hard foods
  • Pus between your gums and teeth
  • Sores in your mouth
  • Gums that are receding or pulling away from the teeth, causing teeth to look longer than before
  • Frequent bad breath or a bad taste in your mouth
  • A change in the way teeth align when you bite
  • A change in the way partial dentures fit

It is also important to note that it’s possible to have gum disease and have no warning signs. While studies have indicated that older people have the highest rates of periodontal disease, we recommend being seen by Dr. Stephen C. Smith sooner rather than later when dealing with gum disease. An evaluation at our office can not only help catch gingivitis, the early form of gum disease in time, but can also give you peace of mind. Gingivitis, if detected early, can be treated and eventually reversed.

Not doing anything, however, can lead to periodontal disease, which can in turn lead to tooth loss. The best way to avoid gum disease is to visit our Carmel or Morgan Hill, CA office for an evaluation. To schedule your visit, please give us a call today! We look forward to seeing you!

Dr. Smith is Supporting the fight against Type 1 Diabetes

July 29th, 2014

In Dr. Smith’s continuing effort to give back to our community in effective and impactful ways, our office has teamed up with the amazing organization JDRF, to raise awareness and support for type 1 diabetes research. “As the largest charitable supporter of T1D research, JDRF is currently sponsoring $568 million in scientific research in 17 countries. In 2012 alone, JDRF provided more than $110 million to T1D research,” and we are honored to help them towards their goal of removing the impact T1D has on the lives of so many, even here in our own neighborhoods.

To aid JDRF’s efforts, Dr. Smith will be providing monetary donations for each and every new patient we see through the month of August!

To learn more about the incredible work JDRF is doing, please visit their website at www.jdrf.org.

Women's Hormones and Oral Health

July 22nd, 2014

At Stephen C. Smith Periodontics, Laser and Implant Dentistry, we know that hormones affect a woman's mood, but did you know they can also impact the health of a woman’s mouth? Women are susceptible to gum disease at different times in their lives, and research shows that hormonal highs and lows are part of the problem. According to studies, there are five situations in women’s lives during which hormone fluctuations make them more susceptible to oral health problems: puberty, their menstrual cycles, pregnancy, menopause, and birth control pill usage. So just what happens and how can you help protect your oral health? Dr. Stephen C. Smith and our team have outlined the five hormonal situations and provided a few tips and tricks to fending off potential issues.

Puberty - The surge of hormone production that occurs during puberty can increase the blood flow to the gums and change the way gum tissue reacts to irritants in plaque. As a result, a woman's gums may bleed during the act of brushing and flossing.

Monthly menstruation cycle - Hormonal changes (especially the increase in progesterone) occur during a woman’s menstrual cycle. These changes can lead to red swollen gums, swollen salivary glands, canker sores, or bleeding gums.

Pregnancy - Hormone levels tend to fluctuate during pregnancy. As a result, women are at greater risk to develop a condition called gingivitis, the early form of gum disease. Dr. Stephen C. Smith may recommend more frequent professional cleanings during your second or early third trimester to help reduce the chance of developing gingivitis. Please let us know if you are pregnant during your visit.

Menopause - Women are known to experience numerous oral changes as they age. These oral changes can include greater sensitivity to hot and cold foods and beverages, a burning sensation in your mouth, or dry mouth. Dry mouth, also known as xerostomia, can result in the development of tooth decay and gum disease because saliva is not available to moisten and cleanse the mouth. It is important to know that dry mouth can also result from many prescription and over-the-counter medications. The gradual loss in estrogen that occurs with menopause also puts older women at risk for loss of bone density, which can lead to tooth loss. Receding gums, which expose more of the tooth surface to potential tooth decay, can be a sign of bone loss in the jawbone.

Birth control pills - Some birth control pills contain progesterone, which increases the level of that hormone in the body. Women who take pills with progesterone may develop inflamed gum tissue due to the toxins produced from plaque. Be sure to tell us if you are taking an oral contraceptive during your visit.

To prevent gum disease, we recommend:

  • Brushing your teeth at least twice a day with a toothpaste containing fluoride
  • Flossing at least once a day
  • Eating a well-balanced diet
  • Avoiding sugary or starchy snacks

Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry encourage you to visit our Carmel or Morgan Hill, CA office and practice good oral health habits at home.

Are you at risk for sleep apnea?

July 15th, 2014

If you are one of the more than 12 million North Americans who suffers from sleep apnea, Dr. Stephen C. Smith and our team want you to know we can help. Sleep apnea, a disorder that causes frequent disruption to your body’s sleep patterns, is also potentially dangerous, as it causes abnormal pauses in breathing or very shallow breathing during the night.

For those who suffer from sleep apnea, it may seem impossible to wake up feeling rested and energized. You may, for example, sleep for eight hours, but your body might have only received three or four hours of quality sleep.

Besides losing a good night’s sleep, the risk of heart attack and stroke have been linked to sleep apnea. Other conditions associated with sleep apnea include depression, irritability, high blood pressure, memory loss, and sexual dysfunction.

Sleep apnea occurs when the muscles in the back of the throat relax to the point of inhibiting natural breathing. The muscles used to support the soft palate relax and the airway closes, causing breathing to stop for anywhere from ten to 20 seconds, which is dangerous because it lowers the oxygen level in the brain.

Sleep apnea can affect anyone at any age, and CPAP devices (continuous positive airway pressure), among other treatments, are often prescribed for sleep apnea treatment. Another treatment option is an oral sleep apnea appliance, which positions your mouth in a way that brings your lower jaw forward and opens up your airway for unobstructed breathing.

At Stephen C. Smith Periodontics, Laser and Implant Dentistry, we truly care about the health and well-being of our patients. In fact, we regularly screen our patients for sleep disorders during their regular checkups, and we will refer you to a sleep apnea specialist if an issue is detected. Please don’t hesitate to give us a call at our Carmel or Morgan Hill, CA office if you think you have sleep apnea or if you have any questions or concerns!

Gum Disease Prevention

July 8th, 2014

Periodontal disease, also known as gum disease, is a chronic bacterial infection of the gums, periodontal ligament, and bone that surround and support the teeth. Gum disease includes gingivitis (the early stage of gum disease) and periodontitis (a more advanced stage of the disease). The condition, which studies have indicated afflicts nearly 80 percent of Americans at some point in their life, causes a chronic inflammation of the gums and surrounding tissue. You can prevent periodontal disease by brushing and flossing regularly, visiting your dentist twice a year for exams and cleaning, and sticking to a healthy, balanced diet.

Making sure that you practice good dental habits is one of the simplest things that you can do to avoid gum disease. These include:

  • Brushing your teeth twice a day with toothpaste containing fluoride. Make sure to brush all sides of your teeth, including brushing your tongue as plaque can cause bad breath, also known as halitosis. We recommend chewing sugar-free gum, especially one containing xylitol, a sugar substitute.
  • Using an electric toothbrush removes plaque more effectively than a regular toothbrush. Look for one that has the American Dental Association (ADA) Seal of Approval or ask Dr. Stephen C. Smith during your next visit.
  • Using an antiseptic mouthwash such as Listerine. Fluoride or antiplaque mouthwash is also helpful at killing off bacteria in the mouth.
  • Flossing once a day helps get rid of particles of food wedged in the crevices between your teeth. Simply curve the floss around each tooth into a U-shape, and slide it gently under the gum line. Move the floss firmly up and down several times to scrape off the plaque. If you’re not sure which floss to buy or how to floss, ask Dr. Stephen C. Smith during your next visit.

To learn more about preventing gum disease, or to schedule your next visit with Dr. Stephen C. Smith, please give us a call today!

Happy Fourth of July

July 1st, 2014

Every year, Americans all over the world celebrate the birth of the country and its independence on the Fourth of July. There are countless ways that people celebrate and they range from community parades and large scale gatherings to concerts, fireworks displays, and smaller scale celebrations among family and friends. For some people, July 4th is synonymous with baseball, while for others it is all about the beach of barbecues. However you celebrate, you can be sure that red, white, and blue is visible everywhere throughout the area.

The Beginnings of Fourth of July Celebrations

Although it wasn't officially designated as a federal holiday until 1941, the actual tradition of celebrating Independence Day goes back to the time of the American Revolution (1775 – 1783). At the time of the American Revolution, representatives from the 13 colonies penned the resolution that ultimately declared their independence from Great Britain. The continental congress voted to adopt the Declaration of Independence on July 2nd of 1776. Two days later, Thomas Jefferson's famous document that is now known as the Declaration of Independence, was adopted by delegates representing the 13 colonies.

First States to Recognize the Fourth of July

In 1781, Massachusetts became the first state (or commonwealth) whose legislature resolved to designate July 4th as the date on which to celebrate the country's independence. Two years later, Boston became the first city to make an official designation to honor the country's birth with a holiday on July 4th. In that same year, North Carolina's governor, Alexander Martin, became the first governor to issue an official state order stipulating that July 4th was the day on which North Carolinians would celebrate the country's independence.

Fun Facts About the Fourth of July

  • The reason the stars on the original flag were arranged in a circle is because it was believed that would indicate that all of the colonies were equal.
  • Americans eat over 150 million hot dogs on July 4th.
  • Imports of fireworks each year totals over $211 million.
  • The first “official” Fourth of July party took place at the White House in 1801.
  • Benjamin Franklin didn't want the national bird to be the bald eagle. He believed that the turkey was better suited to the coveted distinction. John Adams and Thomas Jefferson disagreed with him, and he was outvoted, so the bald eagle became the official bird of the United States.

For many, the tradition is something entirely different. Along the coastal areas of the United States, people may haul out huge pots to have lobster or other types of seafood boils. Others may spend the day in the bleachers at a baseball game, or at a park, cooking a great traditional meal over an open fire. No matter how or where you celebrate, one thing is certain: all Americans celebrate July 4th as the birth and independence of our country.

Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry wish you a safe and happy Fourth of July!

Is periodontal disease genetic?

June 24th, 2014

It can be. There is more and more evidence to suggest people may be genetically susceptible to periodontal (gum) disease. According to a study published in the Journal of Clinical Periodontology, as much as 30 percent of the U.S. population may be genetically vulnerable to gum disease.

Research has suggested that bacteria causing periodontal disease are passed via saliva. This means that when family members come into contact with each other’s saliva by activities such as sharing drinks, they put themselves at risk for contracting periodontal disease. Based on this research, experts at the American Academy of Periodontology strongly recommend that all family members receive a periodontal disease screening if one of their family members has gum disease.

Despite persistent oral care habits such as brushing twice daily, flossing, and going to the dentist twice a year, these people may be more likely to develop periodontal disease at some point in their lifetime. Luckily, Dr. Stephen C. Smith and our team can identify these patients by having them undergo a genetic test that analyzes genes and can help us identify an person’s risk for periodontal disease, as well as getting them into early intervention treatment.

Periodontal disease prevention starts with a visit to our Carmel or Morgan Hill, CA office. During your appointment, Dr. Stephen C. Smith and our professional team can identify whether you have gum disease or if you are at risk for developing gum disease. Together we can take the necessary steps to treat the disease or prevent it entirely.

To learn more about preventing gum disease, or to schedule your next visit at Stephen C. Smith Periodontics, Laser and Implant Dentistry, please give us a call today!

I don't brush while I'm at work. Should I?

June 17th, 2014

Yes, absolutely. A recent survey by Oral-B® reveals that despite knowing that a healthy, good-looking smile affects not only their personal wellness but their professional image as well, very few people (only 14 percent) brush and floss at the office regularly. What’s more, three quarters of people who responded to the survey said they ate twice or more a day at work.

Today, Dr. Stephen C. Smith and our team thought we would provide some tips for brushing at work.

  • Leave a toothbrush at work to increase your likelihood of brushing
  • Brush your teeth twice a day with fluoride toothpaste. Replace your toothbrush every three or four months, or sooner if the bristles are frayed. A worn toothbrush won’t do a good job of cleaning your teeth.
  • Clean between teeth daily with floss or an interdental cleaner; this helps remove plaque and food particles from between the teeth and under the gum line. Tooth decay-causing bacteria still linger between teeth where your toothbrush bristles can’t reach.

And remember to brush for 30 to 45 seconds across visible parts of the teeth. Brushing after breakfast or lunch will eliminate any remaining food particles and odors. We recommend people brush their teeth twice and floss once a day to remove plaque and other harmful bacteria.

To schedule your next appointment with Dr. Stephen C. Smith at our Carmel or Morgan Hill, CA office, please give us a call!

Join us in the fight against cancer on June 21st!

June 17th, 2014

On Saturday, June 21st, Dr. Stephen Smith and our team will be taking a stand and fighting back against cancer by participating in the Gilroy Relay for Life community event, and we're encouraging you to join us!

Relay for Life is a fantastic organization that supports the fight against cancer through community based fund raising efforts and participation in many fun events that move us all to celebrate, remember, and fight back in the battle against cancer. Dr. Smith and our team are honored to join the Gilroy Relay for Life event, and to date, the local fundraiser has raised over $72,000 dollars in money that will be used to help end cancer.

At the event, which promises to be a day full of family fun, we will have a large tent and will be raffling off a Sonicare Toothbrush or Waterpik. In addition, we will be there educating and answering questions about oral cancer and what you can do to help prevent the terrible disease. Our team captain, Renee, has been working hard to get our team ready for the big day, and we're all eagerly looking forward to this truly awesome event!

There are many ways you and your family can join our efforts, whether it is participating in the Relay or donating to our team, and we definitely encourage you to attend the event!

For more information about the Gilroy Relay for Life event, click here, and to learn more about the Relay for Life organization, be sure to visit the website at www.relayforlife.org!

"With the support of thousands of volunteers, the American Cancer Society is helping save more than 400 lives a day. The Relay For Life movement offers an inspiring opportunity to honor cancer survivors, promote how individuals can reduce their cancer risk, and raise money to help end cancer. And we won't stop until we finish the fight against cancer!"

Good Dental Hygiene Impacts Overall General Health

June 10th, 2014

There are many ways in which your oral health has an impact on your overall general health. There are naturally occurring bacteria in the mouth. Some of those bacteria, including strep and staph, are harmful, while other bacteria are essential for the balance of intestinal flora. The healthier your mouth is, the less likely it is the harmful bacteria will travel to other parts of your body to infect it and make you sick. There is much more to good dental hygiene than brushing and flossing.

Historical Methods of Maintaining Oral Health

Ancient civilizations relied on natural remedies for maintaining oral health. Around 250 AD, the Kemetic Egyptians used myrrh and other herbs as antiseptics for treating infected gums. Two centuries later, the Nubians, who lived in the Nile River valley, drank beer to ease the pain of infected teeth. That probably sounds crazy, but their beer was effective because they used grains that were contaminated with the same bacteria that produce the antibiotic tetracycline.

Today's Biggest Dental Hygiene Challenge

In the past, tooth decay was more of an issue because there was no routine dental care, and problems that are routinely treated today went untreated. Thanks to fluoridated water, and toothpastes containing fluoride, tooth decay is far less problematic than it was a century or more ago. Gum disease has replaced tooth decay as the most serious dental problem facing people today. According to the American Dental Association, a staggering 80 percent of Americans over age 65 suffer from some form of periodontal disease.

Ironically, if that infection attacked any other part of your body, especially in a place where it was clearly visible, you would head to your doctor for treatment immediately. People tend to ignore gum tenderness and bleeding. When the tenderness and bleeding aren't treated, the inflammation can turn into periodontitis. The longer you allow the inflammation to go untreated, the greater the likelihood that it will affect other body parts. Make sure to visit Dr. Stephen C. Smith at Stephen C. Smith Periodontics, Laser and Implant Dentistry regularly to be proactive about dental health!

Researchers are now discovering that untreated inflammation in the mouth acts as a driving force for multiple chronic illnesses, including clogged arteries, heart attacks, arthritis, and even cancer. That inflammation is one of many hypotheses that may explain how chronic infections can trigger systemic diseases, and even intensify existing ones. Bacterial overgrowth in the inflamed gum tissue can enter the bloodstream through the food you eat, and from daily brushing.

Caring for your mouth at home is just as important as visiting our office for exams!

June is National Smile Month: Show off your smile!

June 3rd, 2014

The community health awareness group Oral Health America has reported that 82 percent of adults are unaware of the role that infectious bacteria can play in tooth decay or cavities, and almost three out of five children aged 12 to 19 have tooth decay. Since June is National Smile Month, Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry thought we’d remind our patients about the importance of good oral hygiene visits between office visits.

To keep your family’s smiles healthy and beautiful for years to come, be sure to:

  • Brush at least twice a day with fluoride toothpaste
  • Floss every day to clean between your teeth
  • Eat a healthy, well-balanced diet
  • Reduce your intake of sugary foods and drinks
  • Visit Dr. Stephen C. Smith for scheduled appointments

If you want to know more about healthy home care habits, feel free to ask our team at your next appointment, or ask us on Facebook!

What makes a periodontist different from a dentist?

May 27th, 2014

“Dentists, periodontists … what’s the difference, anyway?” We hear our patients asking this question as they wonder about the difference between the two specialties. Periodontists like Dr. Stephen C. Smith are more than just oral health professionals. Unlike dentists, who act more like general practitioners, periodontists focus on treating the soft tissue (gums) and bones supporting the teeth, as well gum disorders. Sure, dentists can prevent the onset of gum disease through regular cleanings and prescribing medications. But it is periodontists who are required for more complex and advanced cases of gum disease called periodontitis, a gum infection that, if left untreated, can lead to tooth loss. Periodontitis is a condition that most dentists simply don’t treat. The most severe cases of periodontitis can even lead to serious health problems such as diabetes, heart disease, and cancers of the head, neck, and pancreas.

To make things simpler, we’ve come up reasons for when you should visit the dentist and when you should give us a call to book an appointment with Dr. Stephen C. Smith:

Visit your general dentist for:

  • Checkups and cleanings
  • X-rays
  • Filling cavities
  • Root canals
  • Tooth extractions
  • Crowns or bridges
  • Select cosmetic procedures such as veneers, bonding, and teeth whitening
  • Pediatric (children’s) care

Visit Dr. Stephen C. Smith for:

  • Deep pocket cleanings (to remove debris and infection-causing bacteria)
  • Bone grafts
  • Soft tissue removal
  • Scaling and root planing (deep cleaning)
  • Implant replacement
  • Crown lengthening
  • Osteoplasty (hard tissue recontouring)
  • Gingivoplasty (soft tissue recontouring)

To learn more about the differences between periodontists like Dr. Stephen C. Smith and your general dentist, or to schedule your next visit, please give us a call today! We look forward to seeing and treating you!

Memorial Day: Parades, remembrance, and the unofficial start of summer!

May 20th, 2014

“The purpose of all war is peace.” - Saint Augustine

Fire truck sirens, baton twirlers, marching bands covering patriotic tunes, colorful floats, costumes, and millions of red, white, and blue American flags being waved in the air on a beautiful day in late May, that is what Memorial Day is all about. It is a federal holiday celebrated with town parades, remembrance, and a sense of unity and community togetherness.

Our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry wants to take this time to wish you and your family a happy Memorial Day, as well as pause for a moment to reflect on what this holiday means and how it has changed over time. No, this is not a history lesson, but just a couple of thoughts and observances for you to take with you on your way to the next barbecue.

On the last Monday in May, America observes Memorial Day as a time to remember and celebrate the men and women who have lost their lives while serving our country in the Armed Forces. The holiday originated after the Civil War; at that time it was known as Decoration Day. While holidays like Thanksgiving, Christmas, and Easter remain the same from year to year, Memorial Day has changed over time, and in the 21st century we observe a far different holiday than what Americans did after the Civil War, or even the World Wars.

While many people place flags at cemeteries and visit national memorials in order to honor those who have passed away serving the country, Memorial Day is also a time for family barbecues, pool parties, trips to the beach, blockbuster movies, long weekend getaways, and fireworks. In America, Memorial Day has come to represent the unofficial start of the summer – a long, sunny, warm weekend devoted to family togetherness, outdoor events, and community.

It is time to load up the potato salad and the apple pie and head over to the neighbor’s house for their annual barbecue. And yes, contrary to popular belief, we do eat sweets, especially homemade apple pie! Everything in moderation, of course.

So whether you’re in the Carmel or Morgan Hill, CA area or beyond, Happy Memorial Day to you and yours from Dr. Stephen C. Smith!

The Effects of Biting Your Nails

May 13th, 2014

Also known as onchophagia, the habit of nail biting is one of the so-called “nervous habits” that can be triggered by stress, excitement, or boredom. Approximately half of all kids between the ages of ten and 18 have been nail biters at one time or another. Experts say that about 30 percent of children and 15 percent of adults are nail biters, however most people stop chewing their nails by the time they turn 30.

Here are four dental and general reasons to stop biting your nails:

1. It’s unsanitary: Your nails harbor bacteria and germs, and are almost twice as dirty as fingers. What’s more, swallowing dirty nails can lead to stomach problems.

2. It wears down your teeth: Gnawing your nails can put added stress on your pearly whites, which can lead to crooked teeth.

3. It can delay your orthodontic treatment: For those of our patients wearing braces, nail biting puts additional pressure on teeth and weakens roots.

4. It can cost you, literally: It has been estimated that up to $4,000 in extra dental bills can build up over a lifetime.

Dr. Stephen C. Smith and our team recommend the following to kick your nail biting habit:

  • Keep your nails trimmed short; you’ll have less of a nail to bite.
  • Coat your nails with a bitter-tasting nail polish.
  • Ask us about obtaining a mouthguard, which can help prevent nail biting.
  • Put a rubber band around your wrist and snap it whenever you get the urge to gnaw on your nails.
  • Think about when and why you chew your nails. Whether you are nervous or just bored, understanding the triggers can help you find a solution and stop the habit.
  • If you can’t stop, behavioral therapy may be an effective option to stop nail biting. Ask Dr. Stephen C. Smith and our team for a recommendation.

Summer is Almost Here: Tips for a bright, white smile!

May 6th, 2014

Summer is almost here, which means a season full of vacations, adventures and great memories is just around the corner for our patients at Stephen C. Smith Periodontics, Laser and Implant Dentistry.

Everyone wants a glowing and radiant white smile when the sun comes around and we have a few reminders to keep your pearly whites healthy and beautiful over the summer! Try to stay away from drinks that will stain your teeth like coffee, soft drinks, or dark colored juices. Not only will drinks like this weaken your enamel but they will also darken that fabulous smile you're working on! Another tip is to try and focus on brushing your teeth; everyone knows that when busy schedules start picking up, getting a good brushing session in tends to take the backseat! A good tip for keeping your mouth safe from staining and other possible pitfalls is to rinse your mouth with water after any meal you can’t fully brush your teeth after. Your teeth, inside and out, will benefit!

And remember, whether you are headed to a barbecue, a camping trip, or just having fun in the backyard this summer, we want to hear all about it! Make sure to let us know what you’re up to below or on our Facebook page! We also encourage you to post any photos from your adventures!

Adults Can Get Cavities Too

April 29th, 2014

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, Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry 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 Dr. Stephen C. Smith, please give us a call at our convenient Carmel or Morgan Hill, CA office!

Earth Day

April 22nd, 2014

The idea for Earth Day was the brainchild of Gaylord Nelson, a senator from Wisconsin. He envisioned an Earth Day that would be a kind of environmental teach-in. The first Earth Day celebration took place on April 22, 1970, and a surprising 20 million people participated on that day. Ultimately, it became the largest organized celebration in US history.

Earth Day Over the Years

Over the years, the recognition of the day, and the number of people celebrating it all over the world, turned Earth Day into an international celebration. Because it is celebrated throughout the world, it is not only the largest international environmental observation, but it is also more widely celebrated than any other environmental event in the world. Today, Earth Day is celebrated in 175 countries where over 500 million people participate in celebrations.

The Earth Day Movement

The Earth Day movement is credited with developing the idea that people should “think green”. It encouraged congress to enact laws, including one that resulted in the creation of the Environmental Protection Agency. It also inspired the passage of the Endangered Species Act.

The Five R's and Their Importance

  • Reduce – Reduce by avoiding unnecessary purchases. Reduce your use of materials that wind up in landfills. Reduce the use of chemicals around your house. Reduce your use of disposable bags, plates, cups, eating utensils, and batteries.
  • Reuse – Instead of using plastic bags for your groceries or purchases, bring your own reusable bags. When you go to buy coffee at Starbucks, take a travel mug so you don't have to get your coffee in a disposable paper cup. Instead of storing food in disposable refrigerator containers, buy containers that can be washed and reused. Don't use regular batteries. Whenever possible, opt for rechargeable batteries that you can reuse.
  • Recycle – Most cities offer a recycling program to collect used bottles, cans, and newspapers. Recycling includes collecting recyclable materials that would otherwise be considered waste, sorting and processing recyclables into raw materials such as fibers and manufacturing raw materials into new products.
  • Re-buy – Make an effort to purchase things that are made through recycling. When purchasing furniture, look for items that are made from reclaimed wood. When buying paper for kids school work, computer printer paper, holiday cards, or anything else, make a point of purchasing recycled paper products. Instead of buying clothing at full retail price, shop for second hand clothing. You will save a lot of money by doing so!
  • Rethink – Rethink the way you do things so that you do them in an eco-conscious way at all times. Instead of driving to work alone, consider taking the bus or going in a carpool. Walk or ride your bike when you're only going a short distance. Plan your shopping trips and errand runs so that you can do everything on one day, and do it in a way where you can save time and gas.

Other ways to "think green" include growing your own food, composting yard waste and food scraps, or by participating in local recycling programs. Join a group like Freecycle so you can share your unneeded and unwanted possessions with people who can use them. Likewise, you'll be able to get things you need or want for free.

Earth Day teaches people that the planet belongs to everyone, so everyone is equally responsible for protecting it. Although Earth Day is an environmental celebration, our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry wants to remind you that you don't have to wait until then to make changes that will allow you and your family to live a greener life.

Happy Earth Day from the team at Stephen C. Smith Periodontics, Laser and Implant Dentistry.

Early Detection is Key to Treating Oral Cancer

April 15th, 2014

Every hour of every day, someone in North America dies of oral cancer, the sixth most common diagnosed form of the disease. The five-year survival rate is only 50 percent, and oral cancer is one of the few cancers whose survival rate has not improved.

This grim statistic may make you think that oral cancer is a particularly deadly form, when in fact the high death rate has more to do with how late in its development oral cancer is detected. Routine screening is the key to early detection and survival, and in our continuing efforts to provide the most advanced technology and highest quality care available to our patients at Stephen C. Smith Periodontics, Laser and Implant Dentistry, we proudly screen our patients for oral cancer.

So, who’s at risk for oral cancer?

Anyone can develop oral cancer, but some people are at a higher risk. These high-risk groups include those over the age of 50 and men, who are twice as likely as women to develop the disease. Smoking or chewing smokeless tobacco products, consuming alcohol excessively, and constant exposure to the sun at a young age are also risk factors.

How is oral cancer detected?

Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry suggest our patients perform a monthly self-examination to check for unusual red or white patches, sores, lumps, or thickenings anywhere inside the mouth, on the lips, or in the throat and neck area.

We encourage you to give us a call at our convenient Carmel or Morgan Hill, CA office if you find any of these symptoms or if you have trouble swallowing or experience a chronic sore throat and hoarseness. During your visit, Dr. Stephen C. Smith will inspect the oral tissues and neck to determine if abnormalities are present.

What happens if oral cancer is detected?

If we discover abnormal tissues during your visit, a biopsy will be required. The results from the biopsy will be sent to a laboratory to determine if the cells are cancerous or precancerous. If a diagnosis of cancer is made, surgery, as well as treatment such as chemotherapy or radiation may be necessary. Dr. Stephen C. Smith and our team will work closely with your oncologist and other members of your medical team to ensure that you achieve the best possible oral health care both during and after treatment.

Finding out you have oral cancer can be devastating news. If you are concerned that you might be at risk for developing oral cancer, talk to us about screenings and other things you can do to reduce your risk. Through a routine visual inspection, Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry can often detect premalignant abnormalities and cancer at an early stage when treatment is both less expensive and more successful, and can potentially save your life. Ask us about a screening during your next visit!

Common Emergency Visits: From lost fillings to broken dentures

April 8th, 2014

You never know when you're going to experience a dental emergency, but if you do, it should give you peace of mind to know that emergency dental care is available at our office 24/7. Whether you chip your front tooth playing softball, or your child knocks out a couple of teeth in a playground fall, receiving the emergency dental treatment you need is accessible and convenient.

If you're experiencing a dental emergency, our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry is here to help you any time of the day or night. Dental emergencies should not be taken lightly, so don't delay. Contact our office as soon as possible. Common dental emergencies include the following:

Lost Fillings and Crowns

Fillings are used to repair cavities. Crowns, on the other hand, are used to cover broken or damaged teeth. Over time, it’s possible for both of these items to loosen and fall out. A lost filling or crown can be painful, because the exposed tissue may be sensitive. Hot and cold temperatures will cause discomfort. While a lost filling or crown might not be as severe a dental emergency as a broken or chipped tooth (most people respond quicker to pain than self-consciousness about their looks), you need to get it fixed as soon as possible.

Broken Dentures

If your dentures are broken, everyday tasks may become trying and arduous. If you can’t chew, swallow, or eat properly, the situation calls for emergency care. Depending on how damaged your dentures are, Dr. Stephen C. Smith may need to send out a mold of your mouth in order to have the manufacturer make a new pair. On the other hand, if the dentures are not damaged too badly, then we may be able to fix them in-house. If you're having problems with your dentures, you should give us a call as soon as possible.

From chipped and cracked teeth to lost fillings and broken dentures, dental emergencies come in all shapes and sizes. Emergencies are unexpected, but we want you to know that treatment is available, day or night. When your dental health is at risk, we are here to help. In the case of a dental emergency, don't wait; contact our Carmel or Morgan Hill, CA office at your earliest convenience.

Implants: Why it's important to replace missing teeth

April 1st, 2014

The average adult has 32 teeth, a combination of molars, canines, and incisors. By middle age, however, most adults are missing at least one tooth due to an injury, decay, or gum disease. Though many people choose to forgo tooth replacement, Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry will tell you that every tooth is important. Each plays a vital role in the structure of the mouth and in relationship to the remaining teeth. Leaving the space where a tooth once stood can have serious consequences. There are many reasons why severely decayed or missing teeth should be replaced as quickly as possible.

  • Speech: A missing tooth can negatively affect the way you speak, depending on its location.
  • Bite changes: The loss of one or more teeth can cause the redistribution of bite pressure onto other teeth. Over time, this can cause the teeth to shift and move into the space the tooth once held.
  • Gum disease: Shifting teeth can make it easier for plaque to accumulate in hard-to-reach places. This can increase the risk of gum disease, which can lead to additional tooth loss.
  • Bone loss: The teeth are place-holders in the jaw. When one falls out and is not replaced, the bone that once surrounded it begins to deteriorate and wear down.
  • Aesthetics: A missing tooth leaves a visible gap between the teeth and can be a source of embarrassment and insecurity.

Advancements in modern dentistry have made it easy to replace missing teeth using natural-looking and functioning prosthetics. Dental implants are permanent solutions for replacing missing teeth with the use of special rods that are anchored in the jaw bone. These implants serve as artificial tooth roots that fuse with the jaw over time. When cared for properly, most dental implants can be fitted to last a lifetime.

To learn more about dental implants, or to schedule an appointment with Dr. Stephen C. Smith, please give us a call at our convenient Carmel or Morgan Hill, CA office!

Can children be at risk for developing periodontal disease?

March 25th, 2014

Dr. Stephen C. Smith and our team hear this question a lot. While many people believe periodontal disease is an adult problem, studies have indicated that periodontal disease, also known as gum disease, as well as other serious infections such as gingivitis and periodontitis, are prevalent among kids and adolescents. First, let’s identify the differences between gingivitis, periodontitis, and periodontal disease.

Gingivitis

Gingivitis is a type of periodontal disease in which only your child’s gums are affected. Characterized by swollen and red gums that bleed easily, gingivitis causes an inflammation of the gums, and is the first stage and mildest form of periodontal disease. The good news is that gingivitis is often reversible. Treatment for gingivitis includes having your child come in for a professional teeth cleaning. It also includes daily brushing, which will help eliminate plaque from the surfaces of your child’s teeth. Your child should also get in the habit of flossing daily to remove plaque and food particles wedged in the crevices between his or her teeth.

Periodontitis

If left untreated, gingivitis can progress to periodontitis, the advanced stage of gum disease that can not only damage your child’s gum tissue, but also destroy the underlying bone which supports the teeth. Eventually, teeth can become loose and may have to be removed. In some cases, the bacteria from the ensuing infection may also be distributed to other areas of the body via the bloodstream.

Periodontal Disease

Periodontal disease is a chronic bacterial infection of the gums, periodontal ligament, and bone that surround and support your child’s teeth. Periodontal disease causes gums to become red, swollen, and tender, and can even cause the gums to recede (pull away) from the teeth. If left untreated, periodontal disease can lead to tooth loss.

Having persistent at-home oral care regimen is a critical step in your child’s fight against periodontal disease. But sometimes brushing and flossing are simply not enough. Having your child’s teeth cleaned twice a year, or as recommended, is crucial.

Early diagnosis of gingivitis, periodontitis, and periodontal disease can give you and your child peace of mind. If you are concerned your child is suffering from gum disease, we recommend that you give us a call at our Carmel or Morgan Hill, CA office. We look forward to working with you and giving your child a smile to last a lifetime!

Oral Health Concerns Specific to Pregnant Women

March 18th, 2014

A lot of changes occur in a woman's body during pregnancy. Hormone fluctuations are responsible for many of those changes, including the need for additional attention to the teeth and gums. Women who are expecting are at an increased risk for oral health complications, including gingivitis and tooth decay, which can lead to irreversible damage. Fortunately, there are steps pregnant women can take to keep their teeth and gums in optimal health from the first trimester to delivery day. Today, Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry thought we would share them.

At-home dental care

At-home dental care should not vary much from what you did prior to pregnancy. The American Dental Association recommends brushing at a minimum of twice per day using fluoridated toothpaste. Follow up with floss to keep bacteria from accumulating in hard-to-reach spaces.

Dental checkups

It is safe and recommended to continue visiting Dr. Stephen C. Smith for routine dental checkups and cleanings during pregnancy. However, it is very important to inform Dr. Stephen C. Smith about an existing pregnancy. Special steps must be taken to protect pregnant women from certain medications or X-ray radiation that could be harmful to a growing baby. On the other hand, avoiding teeth cleanings during pregnancy can lead to serious consequences, including advanced tooth decay and infection.

Food and cravings

It is no secret that pregnancy can cause a woman to crave specific foods. Sugary treats like candy, cookies, or sodas may satisfy a sweet tooth, but they can also cause serious dental problems when consumed frequently or without brushing afterward. Trade out these treats for naturally sweet fruits when possible, and never forget to brush and floss thoroughly after eating sugar-filled foods.

Signs of complications

It is important to know and recognize the signs of oral health problems during pregnancy; an early diagnosis usually translates to an easier, less-invasive treatment. Symptoms of potential problems include gums that easily bleed or are swollen, reddened, or painful. These are symptoms of gingivitis, which can lead to a receding gum line and tooth loss if left untreated.

Call our Carmel or Morgan Hill, CA office if you experience any of these symptoms or pain in a tooth, loss of a tooth, a broken tooth, or bad breath that does not go away with brushing.

St. Patrick's Day

March 11th, 2014

On March 17, everyone has a little Irish in them. St. Patrick’s Day is a joyous celebration of Irish heritage. The holiday originated as a commemoration of Saint Patrick, who brought Christianity to Ireland. The saint arrived in Ireland in 432 and earned the reputation of a champion of Irish Christianity. March 17th, the day of St. Patrick’s death, has been commemorated by the Irish for over 1,000 years. St. Patrick’s Day is still observed as a religious feast day by several Christian denominations, but it is better known in the public imagination as a rich celebration of Irish culture.

St. Patrick’s Day has been an official public holiday in Ireland since 1903. Each year, the Irish celebrate with a several-day festival that includes theater performances, music, fireworks, and festive parades. The celebration is also a public holiday in Northern Ireland, Montserrat, and Newfoundland and Labrador. In other parts of the world with heavy Irish populations, it is an unofficial celebration of Irish heritage. Parts of Great Britain, Canada, Argentina, South Korea, Switzerland, New Zealand, the United States, and Australia commemorate the holiday each year. Typical celebrations in these countries include drinking green beer, wearing green, eating traditional Irish foods, parades, and shamrock decorations.

Many people, Irish and non-Irish alike, take part in the “wearing of the green” on St. Patrick’s Day. In fact, the color originally associated with Saint Patrick was blue. His use of shamrocks to explain the Holy Trinity to the Irish made the green clover emblematic of the holiday, leading to the traditional green attire worn by thousands on St. Patrick’s Day. Other little-known facts about St. Patrick’s Day include the following:

  • Each year, the United States and Ireland face off in a rugby competition called the “St. Patrick’s Day Test.”
  • Montreal celebrates the holiday with an annual parade, which has been held each year since 1824. The Montreal city flag even features a shamrock in its corner, as a nod to its Irish heritage.
  • The Guinness World Records named St. Patrick’s Day the “Friendliest Day of the Year.”
  • Along with Valentine’s Day, St. Patrick’s Day is one of the most widely celebrated saint’s day in the world.

No matter your cultural heritage, St. Patrick’s Day is a great time to let loose and celebrate your inner Irish-ness! Don your greenest attire and exclaim “Erin go Bragh!” (Ireland forever!) to everyone you meet. From Dr. Stephen C. Smith - have a great St. Paddy’s day!

March is National Nutrition Month!

March 4th, 2014

While you don’t have to wait to start eating right, March is the month the Academy of Nutrition and Dietetics asks everyone to pay special attention to what goes into our bodies. The Academy has designated the month of March for focusing the public’s awareness on what they eat.

What Not to Eat

The academy points out that the foods you eat have a direct effect on the health of your teeth and specifically on tooth decay. Bacteria rely on carbohydrates to thrive. That is why Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry tell our patients to cut back on both candy and sweets. They consist of simple sugars that feed the bacteria in your mouth and enhance tooth decay.

It’s the hidden sugars that will cost you, though. Get in the habit of reading labels on food and looking for products with added sugar. This includes ingredients that end with the suffix “ose.” When it comes to nutrition, these foods offer little value beyond satisfying that sweet tooth.

What You Should Eat

Turn to foods that not only taste good but are good for your teeth too. Dairy products, for example, provide the body with nutritional items that support tooth enamel. Foods high in protein feature phosphorus, a nutrient critical to oral health.

You can’t really go wrong by adding color to your diet, either. Fruits and vegetables make for a colorful plate and a healthy meal. Use some caution with acidic fruits like oranges or even tomatoes, because the acid can erode tooth enamel. It is better to include these foods in a meal instead of eating them by themselves.

Remember, good nutrition is something you should worry about all year long, not just when celebrating National Nutrition Month. March just serves as a fun reminder that eating right is a proactive step in managing your dental health.

We encourage you to give us a call at our Carmel or Morgan Hill, CA office to learn more!

Good Oral Health Habits When You’re Pregnant

February 25th, 2014

Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry 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 Carmel or Morgan Hill, CA 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.

Diabetes and Dental Care

February 18th, 2014

When most people think of complications of diabetes, they think of an increased risk of blindness, limb amputation, heart disease, and neuropathy. However, Dr. Stephen C. Smith and our team want you to know that emerging research is revealing a possible connection between uncontrolled diabetes and dental problems. Whether you have type 2 diabetes or type 1, uncontrolled high blood glucose level increases the risk of certain oral health conditions, including:

  • Cavities
  • Tooth decay
  • Gingivitis (early gum disease)
  • Periodontal disease (advanced gum disease)

Diabetes and proper dental care

If you have diabetes, it is more important than ever to take your dental care seriously and practice excellent oral hygiene. These recommendations will help:

  1. Manage your diabetes. First and foremost, it is vital to control your high blood sugar in accordance with your physician’s instructions — not only for the sake of your oral health, but your overall health. With properly controlled blood sugar, you reduce your risk of developing gingivitis and other oral health issues.
  2. Practice good at-home oral hygiene. This means brushing at least twice a day AND flossing. At a minimum, brush your teeth in the morning and at night, but after meals and snacks if you can. Use a soft toothbrush to avoid injuring your gums. Don’t neglect flossing, because it helps to remove plaque below the gumline and between teeth.
  3. Visit the dentist regularly. While it is important to see the dentist every six months even if you don’t have diabetes, it is even more crucial to have a professional teeth cleaning and dental exam if you have the disease. As dental professionals, our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry is able to detect early dental conditions before they develop into something more serious and costly.
  4. Tell your dentist that you have diabetes. If you were recently diagnosed with diabetes, be sure to let us know as soon as possible, and remind us at every appointment.
  5. Be conscientious about examining your own gums and teeth. By looking for early signs of gum disease, which can include bleeding gums, irritated gums, gums that are red (versus a healthy pink), or swelling, we can get started on treatment right away.

Managing diabetes takes effort, not only in watching your diet, exercising, monitoring your blood sugar levels, and taking your medication, but obtaining proper dental care.

To learn more about the link between diabetes and oral health, or to schedule an appointment with Dr. Stephen C. Smith, please give us a call at our convenient Carmel or Morgan Hill, CA office!

February is Heart Month

February 4th, 2014

The American Academy of Periodontology stresses the importance of good oral health since gum disease may be linked to heart disease and stroke. Thus far, no cause-and-effect relationship has been established, but there are multiple theories to explain the link between heart disease and periodontal disease. One theory suggests that oral bacteria may affect heart health when it enters the blood and attaches to the fatty plaque in the heart's blood vessels. This can cause the formation of blood clots. Another theory suggests the possibility that inflammation could be a contributing link between periodontal disease and heart disease. Gum disease increases plaque buildup, and inflamed gums may also contribute to the development of swollen or inflamed coronary arteries.

What is coronary artery disease?

Coronary artery disease is caused in part by the buildup of fatty proteins on the walls of the coronary arteries. Blood clots cut off blood flow, preventing oxygen and nutrients from getting to the heart. Both blood clots and the buildup of fatty proteins (also called plaque) on the walls of the coronary arteries may lead to a heart attack. Moreover, periodontal disease nearly doubles the likelihood that someone will suffer from coronary artery disease. Periodontal disease can also worsen existing heart conditions, so many patients who suffer from heart disease need to take antibiotics before any dental procedures. This is especially true of patients who are at greatest risk for contracting infective endocarditis (inflammation of the inner layer of the heart). The fact that more than 2,400 people die from heart disease each day makes it a major public health issue. It is also the leading killer of both men and women in the United States today.

What is periodontal disease?

Periodontal disease is a chronic inflammatory disease that destroys the bone and gum tissues around the teeth, reducing or potentially eradicating the system that supports your teeth. It affects roughly 75 percent of Americans, and is the leading cause of adult tooth loss. People who suffer from periodontal disease may notice that their gums swell and/or bleed when they brush their teeth.

Although there is no definitive proof to support the theory that oral bacteria affects the heart, it is widely acknowledged better oral health contributes to overall better health. When people take good care of their teeth, get thorough exams, and a professional cleaning twice a year, the buildup of plaque on the teeth is lessened. A healthy, well-balanced diet will also contribute to better oral and heart health. There is a lot of truth to the saying "you are what you eat." If you have any questions about you periodontal disease and your overall health, give our Carmel or Morgan Hill, CA office a call!

Dr. Stephen Smith and Team Won the World Treatment Planning Championship!

January 31st, 2014

Towards the end of January, we told you all about our trip to Scottsdale, AZ, for the Seattle Study Club’s 21st Annual Symposium. For the annual conference, our team prepared for a fantastic competition where teams consisting of individual club chapters pitted against each other to present the best possible treatment plan for a given case. There were many teams of highly skilled and experienced offices putting their best efforts forward. Each team’s proposed treatment plan was then assessed by an esteemed group of judges as well as the audience. We are thrilled to announce that our team won the competition and earned the title of World Treatment Planning Champions!

Of course, the competition was a unique and fun opportunity to interact with all of the various offices that make up the Seattle Study Club, but our win means more than just that. Winning the World Treatment Planning Championship is a testament to Dr. Smith and our team’s skill, expertise, and experience when it comes to providing the best possible treatments for our patients. When it comes to our patients’ care, we always strive to offer the most effective, beneficial, and rewarding treatment plan that promotes the healthiest outcome. We are proud to say that now the whole world knows!

How do I know when I have a cavity?

January 28th, 2014

Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry frequently field questions about cavities and what causes them. Patients will typically ask, “I brush twice a day and floss regularly, as well as rinse with hydrogen peroxide, so a cavity is unlikely, right?”

Not quite.

When cavities, also known as caries, are in their initial stages, people often will feel no symptoms, and they won’t experience any pain or discomfort. It’s not until the tooth decay has reached a certain level that patients begin to notice the signs. If you are experiencing any of the following symptoms, you may want to consider scheduling an appointment with Dr. Stephen C. Smith as soon as possible:

  • Dull or sharp toothache
  • Tooth sensitivity or mild to sharp pain when eating or drinking something sweet, hot, or cold
  • Persistent bad breath or a bad taste in the mouth
  • The presence of a sticky, tarry feeling when biting down
  • Puss or discharge around a tooth, especially when pressing on your gums
  • Visible holes or discoloration in your teeth (usually black or brown)

Cavities can happen at any time, to anyone, no matter how old you are. Routine dental care is important to prevent cavities or the onset of tooth decay, so it is important to visit Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry for regular cleanings. If you are overdue for a checkup or think you may have a cavity, please give us a call at Carmel or Morgan Hill, CA office to schedule an appointment.

Dr. Stephen Smith and Team at the Seattle Study Club Symposium

January 22nd, 2014

This week, Dr. Stephen Smith and our team will be in Scottsdale, AZ, attending the 21st Annual Seattle Study Club Symposium. The Seattle Study Club, consisting of over 250 skilled and experienced dental specialists all across the world, is dedicated to innovating and improving care and treatment for patients. The Seattle Study Club is comprised of smaller, local clubs or chapters. These annual meetings allow many different specialists, like Dr. Smith, and their teams to come together and discuss the latest trends and techniques in order to improve the already high level of care each office has committed to provide!

This year, our team has prepared and geared up for a great Symposium! Much of our preparation was dedicated to getting ready for the World Team Treatment Planning Competition. This will be a unique and exciting opportunity for Dr. Smith’s office to compete against other teams in creating outstanding treatment plans. Here’s how it works:

A specific issue is presented to the various smaller clubs, and then each club is charged with developing the most effective and beneficial treatment plan within a certain amount of time. Once completed, a group of esteemed judges and the audience will decide which club’s plan is the best. We can’t wait for the competition!

We look forward to informing you about our great trip and implementing all of the great information and improvements that we will be taking away from the Symposium!

Restore Your Gums to a Healthier State with Osseous Surgery

January 21st, 2014

Osseous surgery, or bone surgery, is a procedure that involves reshaping the bone that holds one or more teeth in place, as well as removing or reshaping deformities and irregularities under the gum. By performing osseous surgery, Dr. Stephen C. Smith can look at the root of the affected tooth and clean the decayed area affected by periodontal (gum) disease.

It is common for patients suffering from periodontitis to experience defects such as holes in the bone around their teeth. Osseous surgery, also known as gingivectomy or flap surgery, removes those defects. This procedure can be recommended by Dr. Stephen C. Smith not because periodontal disease is present, but because most of the damage that has occurred is located in the underlying bone.

Depending on your unique situation and the extent of the defects, the bone in question is removed during the procedure, and the rest is reshaped. Once the bones are back to their original state, Dr. Stephen C. Smith will stitch the gums back into place. We want to assure you that osseous surgery is a routine procedure, and one with a high success rate.

Typically used to treat advanced periodontal diseases such as periodontitis, osseous surgery is recommended for those patients whose periodontal pockets have not responded to more conservative methods of therapy such as regular cleanings and deep scaling and root planing.

After your procedure, Dr. Stephen C. Smith will monitor you closely, and will examine you often during the next few months. The procedure you undergo will depend entirely on your condition. Dr. Stephen C. Smith will be happy to meet with you and discuss whether or not you are a candidate for osseous surgery. To learn more about this procedure, or to schedule your appointment at Stephen C. Smith Periodontics, Laser and Implant Dentistry, please give us a call today!

Periodontal Health During Pregnancy

January 14th, 2014

If you are expecting, it is critical to maintain a healthy lifestyle to ensure both your health and the health of your little one. This includes maintaining your regimen of brushing twice per day and flossing. It also includes regular visits to our Carmel or Morgan Hill, CA office, as recommended by the American Academy of Periodontology (AAP), who suggest that women who are pregnant or considering pregnancy undergo a periodontal evaluation.

Women who are pregnant are particularly susceptible to gingivitis, a mild form of periodontal disease that is characterized by reddening, swelling, and bleeding of the gums. It is a condition that is not to be overlooked and can be treated and reversed by Dr. Stephen C. Smith.

Research at the University of North Carolina has indicated a connection between periodontal disease and an increased risk of low birth weight, a serious issue that affects roughly one in ten babies born in the United States. Low birth-weight babies may be at risk to have respiratory, intestinal, and heart issues. They also face long-term health problems such as vision and hearing loss, delayed motor skills, and potential learning disabilities, according to the Center for Disease Control and Prevention.

Besides the possibility of leading to low birth weight of your baby, gingivitis, if left undetected and untreated, can also lead to periodontitis, a much more serious gum disease that attacks the gum tissue and the bone supporting the teeth. Periodontal diseases can lead to tooth loss and are associated with other serious conditions such as diabetes and cardiovascular disease.

Maintaining periodontal health is an important part of a healthy pregnancy. Seeking timely treatment for gum disease is important not just for your personal health, but also for the health of your baby. Early diagnosis of periodontal disease can give you peace of mind that both you and your baby will be healthy. To learn more about preventing gum disease, or to schedule your periodontal evaluation or cleaning at Stephen C. Smith Periodontics, Laser and Implant Dentistry, please give us a call today!

I’m on a diet and getting MORE cavities!

January 7th, 2014

Health gurus rave about replacing unhealthy food choices with healthy ones in your diet. If you want to maintain your beautiful smile as well as your waistline, choose foods that are good for your teeth and good for losing weight. This article will discuss some of the worst healthy foods for your teeth and gums, and what you can do to continue to enjoy them.

When watching your weight, snacks heavy in sugar and starch are the first target for elimination. You want to trade those empty calories for something with more nutritional value. A healthier snack is fruit and vegetables. When you are substituting empty calories with whole foods such as fruits and vegetables, consider a few implications for your dental health.

The most acidic fruits are grapes, grapefruit, and strawberries. Want to know the number-one worst healthy food for your tooth enamel? Apples! An apple a day may keep the doctor away but you may soon be calling your dentist.

Another healthy food often incorporated into dieting is salads. But consider what you put in those salads. Salad dressings are filled with vinegar and sweeteners. These make a salad very acidic and can change the pH of your mouth from alkaline, which is good for your teeth and gums, to acidic, which puts your smile at risk for erosion and decay.

Last but not least is diet soda. You might be cutting down on the calories but you are still putting your teeth at risk for decay. Though calories are reduced, the acid is not.

You do not need to eliminate any of these foods from your diet. Simply alter what you do after eating these foods to decrease the amount of acid your teeth are exposed to.

During your next visit to Stephen C. Smith Periodontics, Laser and Implant Dentistry in our Carmel or Morgan Hill, CA office, we can discuss your diet. We may recommend using certain products to fortify your teeth or change the way you routinely care for your teeth.

Please enjoy the wonderful whole foods that are great for a healthy waistline. A healthy waistline and a healthy smile have a positive influence on your general health. A healthier you is a happier you. The happier you are, the more you smile. Keep your smile brilliant and beautiful with the care your teeth deserve at the practice of Dr. Stephen C. Smith.

New Year's Day Around the World

December 31st, 2013

New Year’s Day marks the beginning of the calendar year in most parts of the world. The holiday is celebrated on January 1st of each year. Customs and celebrations vary by country, religion, and even individual desires. Whether celebrated quietly or with gusto, the day brings the start of new opportunities for those that observe it.

United States and Canada

In both the US and Canada, celebrations begin on New Year’s Eve. At midnight on January 1st the New Year is welcomed with bells, horns, whistles, and other noisemakers. Fireworks are often part of the celebrations. In New York City, Times Square comes alive with revelers. In Toronto, there are large celebrations which may feature concerts, late-night partying, sporting events, and fireworks, with free public transit service during peak party times. Many individuals in North America greet the year by making resolutions for improvements in their lives.

China

In China, many people celebrate two forms of a new year. They may observe January 1st, but the traditional Chinese New Year is based on a lunar calendar. Parades with paper lanterns and dragons made from silk are a significant part of the festivities. Legends say that the dragon spends most of its time in hibernation so fireworks are used to keep the dragon awake.

Jewish Celebration

Jewish New Year’s observances begin with Rosh Hashanah, the first day of the New Year, and end with Yom Kippur, the Day of Atonement. This ten-day celebration is held in September or October, based on the Hebrew calendar. The New Year is not marked as much with loud celebrations as with personal insight to mend wrongs and resolve to better oneself.

Other countries and cultures also have different dates for New Year’s Day observances:

  • Vietnam observes the New Year in February
  • In Iran, the day is celebrated on March 21st
  • Islamic cultures often observe the tenth day of the month of Muharram
  • Russian Orthodox observers use the Julian calendar and celebrate on January 14th
  • Buddhist celebrations are held from April 13th through 15th

If you observe New Year’s Day by making healthy resolutions, include dental care in your plans with Dr. Stephen C. Smith. The health of your teeth and gums contributes to your overall health. Caring for your mouth now can prevent many dental problems later in life. Stephen C. Smith Periodontics, Laser and Implant Dentistry wishes you a healthy, prosperous, and happy New Year!

Do you suffer from sleep apnea?

December 30th, 2013

At Stephen C. Smith Periodontics, Laser and Implant Dentistry, we know our patients love a good amount of rest each night in order to be energized for the day and week ahead. After all, without enough sleep, exhaustion during the day is the most immediate consequence.

Sleep apnea is a sleep disorder that could be an indicator of serious health problems. The most common symptom is loud snoring, but the condition is characterized by breathing that repeatedly starts and stops throughout the night, leaving you feeling tired in the morning. Other serious effects from sleep apnea could be potentially dangerous to your health if left unaddressed, a great reason to visit Dr. Stephen C. Smith.

Besides losing precious hours of sleep, sleep apnea also elevates the risk of heart attack and stroke, and may cause other conditions such as depression, irritability, high blood pressure, memory loss, and sexual dysfunction.

Anyone can develop sleep apnea, but it is more common among middle aged adults who are overweight. Dr. Stephen C. Smith can help you determine the cause and suggest possible treatment.

A common treatment for sleep apnea is an oral device that is designed to help keep the airway open. By bringing the jaw forward, the device opens the airway and discourages snoring. Dr. Stephen C. Smith and our team are experienced in sleep apnea appliances, and can prescribe a fitted device, as well as monitor its success each time you visit.

A continuous positive airway pressure mask, also known as a CPAP, is among the other treatment options you may opt for. A mask is fitted over the mouth and forces oxygen through the throat while you sleep, and the pressure holds the soft tissue and throat muscles open.

If you think you may be suffering from sleep apnea, visit our Carmel or Morgan Hill, CA office. Our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry can help you return to getting a better night’s sleep.

What causes tooth loss?

December 18th, 2013

When children lose baby teeth, it’s a time to rejoice. But when adults suffer from tooth loss, it may be a sign of a serious problem. That’s when it’s time to give us a call at Stephen C. Smith Periodontics, Laser and Implant Dentistry.

What are the reasons for missing teeth?

The loss of permanent teeth can occur for a variety of reasons, ranging anywhere from hereditary factors to tooth decay to traumatic injury. Here are the following reasons why adults suffer tooth loss:

  • Gum disease: The number one cause of lost teeth in adults is gum disease, also known as periodontal disease, an infection of the structures that support the teeth. Once gum disease reaches and destroys the alveolar bone, the teeth begin to loosen and will eventually fall out or need to be extracted.
  • Tooth decay: If cavities are left untreated, they can destroy tooth structure as well as cause infection in the supporting bone.
  • Tooth injury: An injury can either knock out a tooth immediately or cause damage to the root or pulp that will later require extraction. We recommend using a mouthguard if you play sports.
  • Tooth fracture: A fracture in a tooth is often caused by teeth grinding, or what Dr. Stephen C. Smith and our team call bruxism. A crown may be the answer, but depending on the location of the crack or fracture and how deeply it extends, the tooth may not respond well to repair with a crown and may need to be extracted instead.

What are the risk factors for tooth loss?

  • Poor oral hygiene: Patients who only occasionally brush or floss their teeth are more likely to develop tartar, plaque buildup, and other bacteria that cause decay.
  • Not visiting the dentist: Seeing Dr. Stephen C. Smith every six months for a cleaning and checkup prevents any developing oral health issues, as well as ensures that plaque and tartar do not build up over time.
  • Smoking: Smokers and users of smokeless tobacco are more likely to develop periodontal disease that can cause tooth loss. If you are a smoker it is crucial to visit us on a timely schedule.
  • Various health conditions: Patients with high blood pressure, diabetes, rheumatoid arthritis, and other chronic health issues are more likely to suffer from gum disease.

Scheduling an appointment with Dr. Stephen C. Smith at our Carmel or Morgan Hill, CA office will give you an accurate diagnosis and a variety of treatment options. It’s important to know that periodontal disease is “silent,” meaning you will not always experience pain as a signal of infection. When caught early, treatments are usually successful.

Give us a call today to schedule your next visit!

Relax with Sedation Dentistry

December 10th, 2013

Dr. Stephen C. Smith and our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry understand that many of our patients have a fear of dentistry. You may be concerned about experiencing pain from sensitive teeth or routine procedures. General anxiety is also common. Do not put off visiting our Carmel or Morgan Hill, CA office; we offer various types of sedation to take the pain and fear out of your dental procedure.

Nitrous Oxide Sedation

For many patients, nitrous oxide, combined with local anesthetics, will both provide pain relief and reduce anxiety. Nitrous oxide is beneficial because the dosage can be regulated during treatment and patients are normally capable of driving shortly after the procedure is completed.

Oral or Injected Sedation

With oral sedation, you may be given a pill or liquid to consume several hours before your procedure. You will not be able to drive yourself to the appointment. An oral liquid is often given to children before any shots or intravenous anesthesia. An intramuscular injection may be given at the office that provides relaxation benefits for 20 to 30 minutes.

Nitrous Oxide with an Oral Sedative

If you experience higher levels of anxiety, an oral or injected sedative can be offered before nitrous oxide is started. This is also effective for reducing anxiety regarding the injection of local anesthetics. A liquid medication followed by nitrous oxide is beneficial for children. This combination can produce a deep sedation level.

General Anesthesia

This type of anesthesia can be offered as an inhaled gas or intravenous liquid. If no oral sedative is given before the general anesthesia is administered, you should wake up quickly after your procedure is complete. An injection, pill, or liquid medication can be offered to reduce anxiety before intravenous sedation begins. Intravenous sedation can also be used at moderate-to-deep sedation levels without complete loss of consciousness.

Do not hesitate to ask Dr. Stephen C. Smith about receiving sedation or pain prevention when you visit. We will be glad to explain the options we have available and answer all your questions to ensure that your exam is pleasant for you.

What are dental implants?

December 3rd, 2013

Do you have a space where a tooth used to be? Were you born with a missing tooth? Are you getting ready for dentures? You may be a good candidate for a dental implant. Metal dental implants were invented in 1965. Technology continues to advance with millions of implants placed in the United States and Canada. Placing implants has become mainstream and a common practice for offices like ours.

A dental implant is a small titanium post, which resembles a screw with threads. The post also has holes for bone to integrate. A dental implant is placed into the jawbone during a short dental procedure. It is relatively painless with very little post-operative pain. The threads on the implant post allow for the bone to fill in and integrate. To facilitate this process the implant is re-covered with gum tissue and allowed to heal and integrate for nearly three months. The implant acts as the root for the tooth to provide solid and stable support for the crown that’s yet to be placed.

The next step in the dental procedure is to uncover the implant and place a healing cap to allow the gum tissue to heal. After a short period of healing, an impression is taken to fabricate a crown to fully restore the missing tooth. The crown is then cemented on top of the post, at which point you can resume normal eating activities.

Dental implants do require some special care, but that is easily managed when you follow the directions outlined by Dr. Stephen C. Smith. During your regularly scheduled cleaning, special instruments are used to clean implants. While a dental implant cannot get a cavity, a condition known as peri-implantitis can occur. This is very similar to periodontal disease as the end result is dental implant loss and loss of bone structure. Be sure to floss the dental implant daily and run the floss under the implant crown as far as it can go to remove food and plaque. If you use any picks or small brushes to go in between your teeth, make sure they are plastic. Metal will scratch the implant making it more susceptible to infection. Be sure to keep your regular dental visits and cleanings to monitor the implant and help preserve your investment.

Thanksgiving Trivia

November 26th, 2013

At Stephen C. Smith Periodontics, Laser and Implant Dentistry we love learning trivia and interesting facts about Thanksgiving! This year, Dr. Stephen C. Smith wanted to share some trivia that might help you feel a bit smarter at the holiday dinner table and help create some great conversation with friends and family.

The Turkey

There is no historical evidence that turkey was eaten at the first Thanksgiving dinner. It was a three-day party shared by the Wamponoag Indians and the pilgrims in 1621. Historians say they likely ate venison and seafood.

According to National Geographic, the dinner at the Plymouth colony was in October and included about 50 English colonists and 90 American Indian men. The first Thanksgiving dinner could have included corn, geese, and pumpkin.

Today, turkey is the meat of choice. According to the National Turkey Association, about 690 million pounds of turkey are consumed during Thanksgiving, or about 46 million turkeys.

The Side Dishes

The green bean casserole became popular about 50 years ago. Created by the Campbell Soup Company, it remains a popular side dish. According to Campbell’s, it was developed when the company was creating an annual holiday cookbook. The company now sells about $20 million worth of cream of mushroom soup each year, which is a major part of the recipe.

While there were likely plenty of cranberries for the pilgrims and Indians to enjoy, sugar was a luxury. What we know today as cranberry sauce was not around in those early Thanksgiving days. About 750 million pounds of cranberries are produced each year in the US, with about 30 percent consumed on Thanksgiving.

The Parade

Since Thanksgiving did not become a national holiday until Lincoln declared it in 1863, the annual parades were not yearly events until much later. The biggest parade that continues to draw crowds is the Macy's Thanksgiving Day Parade. Beginning in 1924 with about 400 employees, they marched from Convent Avenue to 145th Street in New York City. Famous for the huge hot-air balloons today, it was actually live animals borrowed from the Central Park Zoo that were the stars of the show then.

However you choose to spend your Thanksgiving holiday, we wish you a safe, happy and healthy holiday with those you love.

Xerostomia: What does that mean anyway?

November 19th, 2013

Does your mouth always feel like it’s dry? If it does you may be suffering from xerostomia. Xerostomia is defined as dry mouth resulting from reduced or absent saliva flow. There are various medical conditions that can cause this type of dry mouth, which you can ask more questions next time you visit us at Stephen C. Smith Periodontics, Laser and Implant Dentistry.

Xerostomia can factor into both minor and more serious health problems. It can affect the ability to eat and enjoy food and it can jeopardize one’s dental health. Some of the more common symptoms can include sore throat, burning sensation in the oral cavity or tongue, and difficulty swallowing.

One of the more serious problems associated with dry mouth is an increased risk of tooth decay. Decrease in saliva causes more plaque to form and there is less saliva to act as a buffer to the things we eat and drink. Less saliva also means more food debris is retained in the mouth. These things can lead to an increase in tooth decay.

So, what causes xerostomia?

There are several things that may cause xerostomia. Among the biggest culprits are prescription medications. Some examples are antihistamines, antidepressants, anti-hypertensives, anti-anxiety agents, anti-diarrheals, bronchodilators, and muscle relaxers.

Certain diseases can also cause dry mouth. The more common ones include rheumatoid arthritis, lupus, diabetes, hypertension, and thyroid disease. Xerostomia is also common in patients being treated for cancer. Head and neck radiation as well as certain chemotherapy drugs can cause severe dry mouth.

What should you do if you are experiencing dry mouth symptoms? First make sure to hydrate with plenty of water. If you are taking medications that cause xerostomia, make sure to drink water before taking the medication as well as a full glass of water with the medication. Be diligent with brushing and flossing and discuss your condition at your next appointment with Dr. Stephen C. Smith. We can recommend specific products to help moisten the oral cavity and reduce your symptoms such as saliva substitutes, xylitol products, and certain toothpastes. Another option may be a prescription home fluoride treatment to help prevent new cavities. You may want to try gum or candies to stimulate saliva flow but make sure they are sugar free! Avoid food and beverages that dehydrate such as caffeine and alcohol.

Xerostomia is a common problem that is currently on the rise. Our team can help you to reduce any symptoms and improve your comfort while living with a dry mouth. Contact our Carmel or Morgan Hill, CA office today!

What’s an intraoral camera?

November 12th, 2013

One of the greatest features our team at Stephen C. Smith Periodontics, Laser and Implant Dentistry offers is the ability to see first-hand how we can help our patients. While X-rays help us detect any problems in your mouth and give us valuable information on what is bothering you, they often don’t give Dr. Stephen C. Smith a complete view of everything that is going on inside your mouth. With the use of an intraoral camera, we can see every aspect of your teeth and mouth with incredible detail, uncovering cracked or fractured teeth, excessive wear, carious lesions, cavities, or other issues that may be hidden. When we can discover oral problems early on, your treatment is much less invasive and often saves you money down the road.

An intraoral camera allows Dr. Stephen C. Smith to view clear, precise images of your mouth, teeth, and gums and allows us to make an accurate diagnosis.  With clear, defined, enlarged images, Dr. Stephen C. Smith and our team see details that standard mirror examinations may miss. It’s much easier to understand what is happening in your mouth if you can see the problem on a computer monitor, and it means faster diagnosis and less chair-time for our patients!

Intraoral cameras are small, about the size of a dental mirror, and emit a light onto the tooth. The tooth will emit a color that lets Dr. Stephen C. Smith determine if the tooth is healthy or diseased. Intraoral cameras also allow us to save your images on our office computer to provide a permanent record of treatments. These treatments can be printed for you, other specialists, and your lab or insurance companies.

For any questions about the intraoral camera, we encourage you to ask Dr. Stephen C. Smith or our team during your or your child’s next visit or by giving us a call at our convenient Carmel or Morgan Hill, CA office.

November Marks National Diabetes Awareness Month

November 5th, 2013

Diabetes is a chronic disease that increases the risk for many serious health problems, including severe gum disease. November is Diabetes Awareness Month, and it’s a great time for us at Stephen C. Smith Periodontics, Laser and Implant Dentistry to remind our patients that the way you care for your teeth at home doesn’t just affect your oral health; keeping your mouth healthy is vital to your overall health, too.

Diabetes is the result of a deficiency, or lack of the hormone insulin to properly transport glucose (blood sugar) to the cells throughout the body. According to the American Diabetes Association, the most common types of diabetes are Type One (90-95 percent of cases), Type Two (five percent), and gestational or pregnancy diabetes. Women who have had gestational diabetes have a 35 to 60 percent chance of developing diabetes, mostly Type Two, in the ten to 20 years following their pregnancy.

In the past decade, researchers have found links between periodontal (gum) disease and diabetes. Not only are people with diabetes more vulnerable to gum disease, but diabetes may also have the potential to affect blood glucose control, as well as contribute to the advancement of diabetes.

Nearly 26 million Americans currently live with the disease, with an additional 79 million in the pre-diabetes stage. There is some good news we want you to know, however; you can protect your gums and teeth from the effects of diabetes by visiting our Carmel or Morgan Hill, CA office for an exam. Patients who are living with diabetes may require more often visits to ensure their dental health remains in tip-top shape. Many insurance plans provide expanded benefits for diabetic patients, and Dr. Stephen C. Smith can tell you how often you need to come in for an appointment.

For more information on how we can help, please do not hesitate to give us a call at our Carmel or Morgan Hill, CA office.

St. Patrick's Day: Celtic Pride, Green Shamrocks and Lucky Charms

March 15th, 2013

“St. Patrick's Day is an enchanted time -- a day to begin transforming winter's dreams into summer's magic.” Adrienne Cook

Lucky green shamrocks, leprechauns, and pots of gold: It must be St. Patrick’s Day! If you’re not Irish, how do you go about celebrating St. Patrick’s Day? It’s easy: You just put on one of those tall leprechauns hats, dress in green from head to toe, and wear one of those carefree pins that say “Kiss Me, I’m Irish”. On St. Patrick’s Day, everyone is Irish, and that is the universal beauty of the holiday. Celtic pride does not discriminate.

St. Patrick’s Day is an important cultural and religious holiday. There are lavish parades and church services across Ireland on March 17th. Over time, however, the holiday has developed into a day to observe Irish culture in general. In places like England and the United States, where there is a large Irish Diaspora, the holiday has greater significance than other countries. From the streets of Boston to St. Patrick’s Cathedral in New York, it is a day of celebration, and many Americans of Irish descent will cook up a traditional meal of corned beef and cabbage.

So, to all of you with Irish ancestry, and to all of you who have decided to be Irish for the day, our office wishes you a Happy St. Patrick’s Day. Good luck looking for a pot of leprechaun gold, which is said to exist at the end of the rainbow. However, keep away from those sugary Lucky Charms; sweet cereals might taste good, but your kids’ teeth might not be feeling too lucky if they eat it for breakfast every day. Have a great St. Paddy’s day and remember to call your favorite dental office soon to keep your oral health in check!

Spring into Spring with a New Smile!

March 3rd, 2013

It’s almost spring! Tulips are blooming and the world is awakening from its winter sleep. We thought today we would remind our patients about the need to visit our office for your cleaning. After all, studies have shown there could a link between proper oral and dental care and heart disease, diabetes and even stroke. Regular visits to our office can keep harmful bacteria from entering your body by removing plaque build up.

Another great benefit to scheduling your 6-month visit is the opportunity for us to screen for other potential health hazards. During your visit, we can not only clean and whiten your teeth, but potentially identify other signs or symptoms.

Get your beautiful smile today! Give us a call to schedule an appointment!

Patient question: "How do I prevent gum disease?"

February 24th, 2013


Great question. It’s usually easy to tell when you have a cavity, but unfortunately, gum disease can exist in your mouth without you even knowing. In fact, you can have the beginning stages of gum disease without even noticing any pain or discomfort. Since gum disease can be undetectable, it’s imperative to watch for warning signs in order to prevent the disease from worsening.

Here are the signs to watch for:

• Gums that appear red or swollen
• Gums that feel tender
• Gums that bleed easily (during brushing or flossing)
• Gums that recede or pull away from the teeth
• Persistent bad breath (halitosis)
• Loose teeth
• Any change in the way teeth come together in the biting position
• Any change in the way partial dentures fit

If you or someone in your family is showing these signs, schedule an appointment at our office. We can diagnose the problem and begin treatment to save your teeth and give you back a healthy mouth!

What's on your mind?

February 17th, 2013


By now, you’re probably familiar with our blog-writing process: Each week, we write about important dental topics and your well-being, including the treatments we proudly offer.

This week, though, we thought we’d step back and ask you, our amazing patients: what’s on your mind? What would you like to know about the always-changing and exciting field of dentistry? What would you like us to focus on our blog? Perhaps there’s something you’ve wanted to ask us for a while now? Here’s your chance! Let us know by posting here or on our Facebook page! Give us your best shot, and we’ll try to answer any question you may have!

February is also Heart Month!

February 10th, 2013

You may remember our post from last week, when we discussed February being National Dental Health Month and the benefits of visiting our office every six months (or as recommended). But did you know February also marks American Heart Month?

It’s a great time to take notice of the health of your heart as cardiovascular disease remains the leading cause of death in the world, according to the American Heart Association.

Studies have shown a correlation between gum disease and heart disease, underscoring the importance of good oral health care. Visiting our office on a regular basis can help prevent gum disease or at least catch it in its early stages. In observance of Heart Month, it’s also important to know your numbers: blood pressure (less than 120/80), cholesterol (less than 200) and BMI (less than 25).

A healthy mouth begins with a visit to our office! If you have any questions about your heart health, or to schedule your next appointment, please give us a call today!

February Marks National Dental Health Month!

February 3rd, 2013

Did you know February is National Dental Health Month? It’s a great time of the year to renew those resolutions about continuing to practice great dental hygiene. Today, we thought we would discuss the importance of preventative oral care. While most folks are familiar with traditional healthy-conscious practices such as eating well and exercising regularly, lesser-known are the benefits that great oral hygiene provides to your cardiovascular health.

Here are a few tips to help you continue taking care of those pearly whites and in the process, your heart.

*Brush and floss every day to remove the plaque that can lead to cavities. Flossing daily removes food debris that your toothbrush simply cannot reach.

*Replace your toothbrush on a regular basis. You should replace your toothbrush every three to four months or after a cold to prevent re-infection. Please remember to use a soft toothbrush so that you don’t wear off the enamel of your teeth.

*Visit our office regularly. The American Dental Association recommends you visit us every six months (or as recommended) for regular checkups and cleanings. Fluoride treatments twice a year will help prevent tooth decay.

Each February, we focus on the preventive oral care of our patients. Have you visited us in the past six months? If not, it’s time to give us a call and schedule an appointment!

What do you love about our office?

January 27th, 2013


From your very first visit to our office, we strive to provide superior treatment in a pleasant, friendly atmosphere. We are always updating our office with the most advanced and up-to-date dental technologies and methods and are here to get to know you personally and find out how we might make your dental visit a wonderful one!

We thought we’d ask you, our wonderful patients: Have you been especially impressed by our work? Did our team go out of their way to make your day? Are you in love with your smile?

Whether you’ve just come in for a one appointment or your family has been visiting our office for years, we’d love to hear your feedback below. Or, you can tell us by posting on our Facebook page!

The importance of wearing a mouthguard

January 20th, 2013

With winter sports underway, we wanted to remind our patients about the importance of wearing a mouthguard while you’re on the court or the field. Here are some frequent questions we hear from our patients about mouthguards.

Q: What are mouthguards?

A: Mouthguards are a flexible, removable device made of soft plastic, and they are adapted to fit comfortably with the shape of the upper teeth.

Q: Why are mouthguards so important?

A: Mouthguards protect not just the teeth, but the lips, cheeks, and tongue, and they also help protect athletes from head and neck injuries, as well as concussions and jaw fractures. Increasingly, organized sports are requiring mouthguards to prevent injury to their athletes, and research shows us that most oral injuries occur when athletes are not wearing mouth protection.

Q: When should I wear my mouthguard?

A: Whenever you are in an activity with a risk of falls or head contact with other players or equipment. This includes football, baseball, basketball, soccer, wrestling, hockey, and even gymnastics.

Q: How do I choose a mouthguard that is right for me?

A: We encourage you to choose a mouth guard that you can wear comfortably. You can select from several options in mouthguards. First, preformed or “boil-to-fit” mouthguards are found in sports stores. Otherwise, we can talk about your options for a custom mouthguard, which will be more comfortable to wear and more effective in preventing injuries this winter. Please give us a call if you have any other questions, or ask us on Facebook!

Foods for healthy gums and healthy hearts

January 13th, 2013

It’s that time of the year again, when we try to stick to our New Year’s Resolutions. If you look around, you’ll notice many ads are about fitness and exercise equipment. However, the best place to start is with smart nutrition.

A healthy diet is very important. If we all followed recommended guidelines for the proper daily intake of foods -- foods that include fruits, dairy, vegetables and meat -- we would see a huge decrease in deadly diseases such as heart disease, cancer and high blood pressure. We recommend you to try to add an extra piece of fruit or an extra vegetable to your diet each day until you achieve the correct number of daily servings.

Water is also a vital component to an overall healthy diet. If you make water your primary beverage of choice, you will ensure you are drinking a zero-calorie, no chemical drink instead of a high-calorie or high-chemical alternative such as soda. Fruits such as berries are a great source of antioxidants, as well as other chemicals your body uses to repair and prevent some of the damage caused by aging. Like fruit, fish and nuts are healthy as they are great sources of Omega 3s and improve your good cholesterol.

If you try to change one thing about your diet each week, you will begin to view these changes as habit over time, and start taking steps to a healthier lifestyle.

Do germs really live on my toothbrush?

January 7th, 2013

The dreaded cold and flu season is here again! After recovering from your cold, one of the most important steps you can take to avoid becoming reinfected is replacing your toothbrush!

Germs can linger on the bristles, and you risk prolonging your sickness by continuing to use the same toothbrush. Be smart - keep a spare, just in case! To protect your toothbrush from bacteria all year long, consider the following tips:

• Wash your hands before and after brushing
• Allow the brush to air dry after each use, harmful bacteria dies after being exposed to oxygen
• Store the toothbrush in an upright position to allow water to drain and dry faster
• Replace your toothbrush every 3-4 months. Worn bristles are less effective in properly cleaning your teeth, and can actually be damaging to teeth if used too long!

We hope these tips help! Feel free to give us a call or ask us on Facebook if you have any questions!

Happy New Year!

December 30th, 2012

With the year almost over, we thought we would ask you, our dear patients: what was memorable about 2012 for you, and what are you looking forward to in 2013? Do you have a new year's resolution, or any exciting plans for the coming year?

We want to wish all our patients, friends, family and all our dental and medical colleagues a happy and healthy New Year!

End of the year tooth tips!

December 23rd, 2012

Today we thought we would remind our patients to practice good oral hygiene to keep those pearly whites shining and happy! This includes brushing and flossing on a regular basis, brushing after consuming foods that can stain your teeth and visiting our office every six months or as recommended.

We also recommend the following for ideal oral hygiene at home:

• Brush your teeth twice a day with fluoride toothpaste. Replace your toothbrush every three or four months, or sooner if the bristles are frayed. A worn toothbrush won't do a good job of cleaning your teeth.

• Clean between teeth daily with floss or an interdental cleaner. Tooth decay-causing bacteria still linger between teeth where your toothbrush bristles can’t reach. This helps remove plaque and food particles from between the teeth and under the gum line.

• Eat a balanced diet and limit between-meal snacks.

• Visit our office on a regular basis for professional cleanings and oral exams.

Lastly, a great reason to smile is this: smiling can actually help you live longer according to recent studies! Have you visited our office lately for a cleaning or checkup? If not, give us a call to set up an appointment! The beginning of the year is a great time for a visit!

Season's greetings!

December 17th, 2012

In this season given to tidings of comfort and joy, and as we reflect on the year that was, we’d like to ask you, our wonderful patients: What do you love about the holidays this year? Being with your loved ones? Hitting the slopes? A clean slate for 2013? Opening presents by the fireplace? All the delicious food?

Also, what gift are you most looking forward to getting this year? We’d love if you shared with us all the things you love about the holidays. Stay warm, and don’t forget to stay away from those sweets!

When you have a dental emergency, we are here for you

December 13th, 2012


We know dental emergencies are never convenient nor timely. If you are a patient of record, we are committed to your dental health and are happy to see you.

When your dental health is at risk, we will do everything we can to make sure that you’re treated as soon as possible. While dental emergencies are certainly rare, we know they can happen at any moment, and it’s important to know how to deal with them.

Common dental emergencies may include:

• A bitten lip or tongue
• Broken or cracked tooth/teeth
• Permanent tooth that has been knocked out
• Object caught between teeth
• Severe toothache

If you have a dental emergency after regular office hours, please give us a call.

We hope you’re all having a great holiday season!

Fun fact time! Human and animal teeth

December 2nd, 2012

Looking for ways to motivate your child to brush his or her teeth? Why not compare their teeth to those of their favorite animals? After all, everyone loves fun facts. Like people, some animals have several different kinds of teeth, while others have only one kind. Others don't have any teeth at all! Animals’ teeth also give us clues about what they eat. Here are some fun facts comparing human teeth and animal teeth we thought you might enjoy, courtesy of the American Student Dental Association!

- Humans form two sets of teeth over the course of a lifetime, with baby teeth being replaced by adult teeth between the ages of 6 and 12.

- An average human being has around 32 teeth. This includes four wisdom teeth, eight incisors, four canines, twelve molars and eight premolars.

- When you see a hippopotamus opening its mouth, it seems as though they have only four teeth! But they actually have 40 pearly whites.

- Dogs rarely get cavities because their saliva has an extremely high pH, which prevents demineralization.

- An elephant’s molars can weigh up to 10 lbs.

- The teeth of the pocket gopher grow up to 15 inches a year!

- The blue whale is the largest mammal on earth, but it dines exclusively on tiny shrimp because it has no teeth

- Armadillos, common in the southwest, have 104 teeth.

- Snails can have more than 25,000 teeth, which are located on the tongue.

- Dolphins only get one set of teeth to last a lifetime!

- And here’s one from prehistoric times! The Tyrannosaurus Rex, or T-Rex, had more than 60 thick, conical, bone-crunching teeth that were up to 9 inches long. Its jaws were up to 4 feet long.

We hope you enjoyed these fun facts! Stay tuned for more soon!

Two Thanksgiving Recipes For You!

November 20th, 2012

Cranberry and Cinnamon Tart

Ingredients

  • 1 1/2 cups (5 1/4 ounces) fresh cranberries
  • 1/2 cup plus 1/3 cup granulated sugar, plus more for sprinkling
  • 1 tablespoon water
  • All-purpose flour, for dusting
  • Pate Sucree
  • 1 large egg white, lightly beaten
  • 8 ounces cranberry jam or preserves
  • 10 tablespoons unsalted butter, room temperature
  • 3 large eggs
  • 1/2 teaspoon pure vanilla extract
  • 6 ounces (about 1 1/4 cups) whole almonds, finely ground in a food processor
  • 1 teaspoon ground cinnamon
  • 1/4 teaspoon salt

Directions

  1. Put fresh cranberries, 1/3 cup sugar, and the water into a saucepan over medium heat and cook, stirring to dissolve sugar, until cranberries have just softened, about 3 minutes. Remove from heat, and let cool completely.
  2. On a lightly floured work surface, roll out dough to a 12-inch circle, 1/8 to 1/4 inch thick. Transfer to an 8-by-2-inch springform pan, pressing crust into bottom and up sides. Trim excess flush with rim. Refrigerate for 30 minutes.
  3. Preheat oven to 350 degrees. Prick tart crust all over with a fork. Cut a 12-inch round of parchment, and place on top of chilled crust. Fill with pie weights or dried beans. Bake for 10 minutes. Remove weights and parchment, and brush crust lightly with egg white. Return to oven, and bake until pale golden, about 25 minutes. Refrigerate remaining egg white. Let crust cool in pan on a wire rack for 10 minutes.
  4. Raise oven temperature to 375 degrees. Spread jam over bottom of tart crust.
  5. Beat butter and remaining 1/2 cup sugar with a mixer on medium-high speed until pale and fluffy, about 3 minutes. Add eggs, 1 at a time, beating well after each addition. Beat in vanilla. Reduce speed to medium. Slowly add ground almonds, cinnamon, and salt, and beat until just combined. Spread mixture over jam-covered crust.
  6. Bake tart until filling is set and has darkened slightly, 45 to 50 minutes. (If top darkens too quickly, cover loosely with foil.) Remove tart from oven, brush top with egg white, and sprinkle with sugar. Return to oven, and bake for 5 minutes more. Let cool on a wire rack for 15 minutes. Remove from pan, and top with candied cranberries. Serve warm.

Pumpkin Cream Pie


Ingredients

For the Gingersnap Crust

  • 1 1/4 cups ground gingersnaps (from about 25 cookies)
  • 2 tablespoons sugar
  • Salt
  • 4 tablespoons unsalted butter, melted and slightly cooled

For the Pumpkin Cream Filling

  • 2 cups whole milk
  • 1/2 teaspoon pure vanilla extract
  • 1/4 teaspoon ground cinnamon
  • 1/4 teaspoon freshly grated nutmeg
  • Pinch of ground cloves
  • 1/2 cup sugar
  • Salt
  • 4 large egg yolks
  • 1/4 cup cornstarch
  • 1 1/4 cups solid-pack pumpkin (from one 15-ounce can)
  • 1 tablespoon unsalted butter, room temperature
  • 1 1/4 cups heavy cream, whisked to medium peaks
  • Garnish: freshly grated nutmeg

Directions

  1. Make the gingersnap crust: Preheat oven to 350 degrees. Combine gingersnaps, sugar , and a pinch of salt in a bowl. Stir in melted butter. Press mixture into bottom and up sides of a 9-inch metal pie dish. Refrigerate until set, about 15 minutes. Bake until crust is golden brown, about 15 minutes. Let cool.
  2. Make the pumpkin cream filling: Bring milk, vanilla, cinnamon, nutmeg, cloves, 1/4 cup sugar , and a pinch of salt to a simmer in a medium saucepan over medium heat. Meanwhile, whisk egg yolks with cornstarch and remaining 1/4 cup sugar in a medium bowl.
  3. Gradually whisk about 1/2 cup milk mixture into yolk mixture. Gradually whisk in remaining milk mixture. Return entire mixture to saucepan. Cook over medium heat, whisking constantly, until bubbling in center, about 2 minutes. Remove from heat. Immediately whisk in pumpkin. Whisk in butter.
  4. Strain filling through a fine sieve into a clean bowl. Pour into gingersnap crust, smoothing the top with an offset spatula. Refrigerate until set, at least 4 hours. When ready to serve, top with whipped cream, and garnish with nutmeg.

Happy Thanksgiving!

November 19th, 2012

With Thanksgiving right around the corner, we would like to wish you a safe and happy Thanksgiving. Enjoy a day filled of friends, family, and great food.

We are very thankful for all of our patients and their families. We’d like to know, what are you most thankful for this year? Leave us a comment, or if you have any stories, photos or recipes to share with us, we encourage you to share them below or on our Facebook page!

November is National Diabetes Awareness Month!

November 15th, 2012

Our team knows the way you care for your teeth at home doesn't just affect your oral health – it can impact your overall health as well. In recent years, researchers have found clear links between the mouth and other parts of the body, and the evidence is especially impactful for people with diabetes.

November marks Diabetes Awareness Month, and a great time to learn about how keeping your mouth healthy is vital to your overall health, too. If you are one of the nearly 26 million Americans currently living with diabetes, there is some good news: you can protect your gums and teeth from the effects of diabetes by visiting our dental office for regular check-ups and cleanings. Most people should have at least two dental appointments per year, but those folks living with diabetes may require additional visits to make sure their dental health remains in top shape. Many insurance plans provide expanded benefits for diabetic patients. We are the experts and can definitely tell you how often you need to come in for your dental visits!

For more information on how we can help, please give us a call or ask us on Facebook!

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