Johns Family Dentistry

New Year Resolutions

Your dental health is an important part of your overall wellness, and the New Year is a great time to create resolutions for improving your health. Many people have dental health resolutions that range from improving their toothbrushing habits to completing delayed dental treatment. Understanding the benefits of your particular resolutions can be motivating and rewarding. Whatever your goals might be, it is important to take small steps to achieve them. Consistency is key with any resolution that you make.

new-years-dental-resolutions

Improving Oral Health Habits

Perhaps you would like to improve your oral health. Daily toothbrushing and flossing is a sure and simple way to improve your oral health. For successful bacterial plaque removal, it is important to brush at least twice a day using an appropriately sized, soft-bristle, manual or electric toothbrush and fluoridated toothpaste. When you brush your teeth, gently position the toothbrush bristles at a 45-degree angle toward the gumline and move the toothbrush across the teeth to effectively remove bacterial plaque. It is also important to floss or use a water pik at least once per day to remove bacterial plaque and food that has accumulated throughout the day. Your toothbrush should be replaced every 3 to 4 months, as well as after you have a cold or flu or if the bristles are frayed. Daily toothbrushing and flossing help to prevent gingivitis (gum disease), tooth decay and halitosis (bad breath). The daily use of antimicrobial and fluoride mouthrinses also helps to improve your oral health.

Healthier Food and Beverage Choices

An important part of achieving your dental health resolutions is making healthier food and beverage choices, especially for snacks. Frequent consumption of food and beverages containing carbohydrates and acids contributes to tooth decay, so it is important to brush after snacking. Using a Xylitol-containing gum or lozenge after a meal will also help to neutralize acids and reduce cavity-causing bacteria and plaque buildup.

Improving Your Smile

There are several smile-improving techniques that you can use while you brush and floss. In recent years, teeth whitening has acquired enormous popularity. It enhances the appearance of teeth by removing deep (intrinsic) or surface (extrinsic) stains. There are a number of tooth whitening products that can be purchased over-the-counter (OTC) for at-home use, administered by Dr. Johns at our office. Tooth whitening products are typically categorized into two major groups: Whitening toothpastes (dentifrices) and peroxide-containing bleaching agents. The following are different types of tooth whitening methods:

Whitening toothpaste.
Professionally applied bleaching products.
Peroxide-containing bleaching agents.
Dentist-dispensed and OTC home-use products.

Braces

Your New Year’s resolution may be to finally correct an abnormal bite caused by an injury, thumb sucking, tooth crowding or crooked teeth. Correcting any of these problems with braces not only enhances the look of your smile but also, and most importantly, improves your oral health. There are several options for straightening your teeth. Which orthodontic method you choose depends upon your preference and the types of appliances offered by your orthodontist.

Restorative Dentistry

The New Year may be the right time to start or complete deferred restorative dental work, such as crowns, implants or fillings. Completing these types of procedures will help you to preserve the tooth structure and to maintain proper tooth alignment, which could ultimately improve your oral health.

Quit Using Tobacco Products

Quitting cigarette smoking and smokeless tobacco use is important for improving your oral and overall health. There is no better time than the present to make a resolution to stop tobacco use. Consider free online tools, smoking cessation groups, progress-tracking apps and support from friends and family to assist you with tobacco cessation.

 

A resolution to make routine visits to the dentist may help prevent oral disease or reveal an existing disease in its early stage. Dental visits should take place every 6 months to allow your dentist and dental hygienists to monitor the condition of your oral cavity and develop an appropriate treatment plan to meet your wants and needs.

Why We Give Back

“We make a living by what we get, but we make a life by what we give.”  – Winston Churchill

1393618100758871The Mission
Our mission on philanthropy is the same as our mission as a dental practice. We want to create positive change by doing the following:
– Building trustworthy, lasting relationships
– Creating a bond in our neighborhood as someone the community can rely on
– Supporting children, as they are our future
– Working together and inspiring others, other practices and our patients
How We Are Helping Lately
It is not just one place and it is not just one program. Here are just a few ways Johns Family Dentistry has been making a positive impact on our community lately.
– We worked in conjunction with Red Canoe Credit Union and Puyallup Communities is Schools and hosted a successful school supply drive for children in need.
– We have donated generous amounts of tooth brushes and tooth paste, to local charities in need as well as to oversea’s missions.
– We collected over 20 turkey’s that were donated to the Graham-South Hill Food Bank in time for Thanksgiving.
– Our office has donated lunch to both the Puyallup Police Department and the Pierce County Sheriff- South Hill Precinct.
– We delivered “Survival Bags” to the Pierce County Sheriff – South Hill Precinct.
– Currently we are hosting a Peanut Butter Drive.
– Currently we are working with the group, Puyallup Serves, and are collecting $5.00 Starbuck gift cards and thank you messages to deliver to the Puyallup Police Department.
– If we have available openings in our schedule, we will offer free dental care to a person in need.
Inspire
It feels good to work for a company that cares. As a small business, our staff all come from the same community. Local causes effect us all and are always close to our hearts. This makes giving back to the community a strong team-building and morale-boosting experience for everyone involved. It is not just employees who benefit from giving. Our patients appreciate it too. It is truly a win-win and when we can inspire another office to give, our entire community benefits.

Veterans Are National Treasurers

Veterans are National Treasures: 3 Ways to Honor Them This Veterans Day
The word “National Treasure” usually conjures up images such as Mount Rushmore, the Lincoln Memorial, or Yellowstone National Park. This Veterans Day, let’s also remember that some of our most precious national treasures are also people.free-veterans-day-quotes-images-2

To all Veterans who have served this wonderful country, we thank you, with all of our hearts.

Here are three ways to help you celebrate Veterans Day and help serve those who have served all of us in the United States.

Speak with a Veteran: Be a part of history by listening.

Chances are you either know a war Veteran personally, or know someone who does. Take the time today to speak with them. Learn about who they are as a person, and the experiences in their life that shaped who they are now. Seek to understand their struggles and their successes. These very important individuals have a lot to share that can and should help us to shape our own personal opinions, as well as our foreign and domestic local and national policies.

Do a Random Act of Kindness for a Veteran.

It could be something as simple as writing a letter to a veteran or an active-duty service member, or even just taking the time so personally thank a Veteran for their service, y
our time and care is invaluable. Doing kindness for others also feels wonderful! November 13th is World Kindness Day – wouldn’t you love to start early and have something extra to share with others to inspire them?

When WWII Veteran Harold “Tom” O’Brien came to our Chicago office and told us that the VA would not be covering the dentures that he needed, we knew that helping him would be the right thing to do, and we were happy that we could have a positive impact in Tom’s life, even if in a small way.

It is often our instinct to walk past a homeless person on the street, but according to the U.S. Department of Housing and Urban Development (HUD), 49,933 veterans are homeless on any given night. Taking the time to provide food, warm clothes, or other comfort to a homeless person could very well also be helping a Veteran in need.

Support our Veterans However You Can.

If you are able to donate money, goods, or services to help Veterans and their families, please consider doing so. Your time is also an invaluable resource, and many non-profits and programs geared towards helping Veterans rely on the time and effort of volunteers. Here are some active programs that are helping Veterans in our area:

Volunteers of America: Volunteers of America is a church without walls that answers God’s call to transform our communities through a ministry of service that demonstrates to all people that they are beloved.

The Wounded Warrior Project: To foster the most successful, well-adjusted generation of wounded service members in our nation’s history.

Veterans Administration (VA) Volunteers: VAVS is committed to engaging American citizens in service during the summer months and provide lasting benefits to the veterans and communities in which they live through volunteer service.

DAV (Disabled American Veterans): DAV is dedicated to a single purpose: empowering veterans to lead high-quality lives with respect and dignity. We accomplish this by ensuring that veterans and their families can access the full range of benefits available to them; fighting for the interests of America’s injured heroes on Capitol Hill; and educating the public about the great sacrifices and needs of veterans transitioning back to civilian life.

Homes for Our Troops (HFOT) is a privately funded 501(c) (3) nonprofit organization building specially adapted, mortgage-free homes nationwide for the most severely injured Veterans from Iraq and Afghanistan.

Thank you in advance for taking the time to honor American Veterans as the national treasures they are. We are pleased to partner with the VA and proudly take care of many dental needs for our Veterans.

What is a canker sore?

If you have ever experienced a canker – or chancre – sore in your mouth, you know that they can be bothersome at the very least, and often quite painful. They seem to pop up out of the blue and immediately outstay their welcome. So, what are they exactly, and is there anything you can do to get rid of them? Read on to discover everything you need to know about canker sores.

Canker sore is the informal term used in North America for the medical condition referred to as Aphthous Stomatitis. Canker sores are generally small ulcers found only inside the mouth, usually along the cheeks, tongue, or lips. They can make it very uncomfortable to talk, eat, or drink and can be very painful when acidic foods come into contact with them. The flesh of the sore itself is usually white and very tender with red aggravated skin surrounding it, but they are not contagious.

Who do canker sores affect?

Women are twice as likely to get canker sores than men and usually occur between the ages of 10 and 20, although they can appear earlier in life. That being said, anyone can be affected by canker sores at any age. There have been cases of canker sores reported as early as two years old.

What causes canker sores?

Unfortunately, the true cause of canker sores is unknown. However, it has been proven that eating an excess of highly citrus fruits, such as lemons, oranges, pineapples, tomatoes, and strawberries, can trigger canker sores in many people.

Consuming a lot of sugary foods, such as candies, can also cause sores to pop up. Damage or irritation from dental appliances, accidental biting of the tongue or cheek, or ill-fitting dentures can also be a trigger for canker sores. There has also been evidence that suggests a diet lacking in vitamin B-12 can cause canker sores. This vitamin can be found in foods such as eggs, dairy products, and seafood.

What is the difference between a canker sore and a cold sore?

Canker sores occur exclusively inside the mouth and do not have any known cause. Cold sores, on the other hand, are caused by a viral infection and are highly contagious. Unlike canker sores, cold sores occur outside of the mouth and are filled with fluid, resembling blisters, and generally scab over before healing.

Are canker sores dangerous?

Generally, no, canker sores are not dangerous. They can be extremely uncomfortable, even very painful, but they usually disappear on their own after a week or two. However, canker sores should not occur more than four or five times in a year – so if you experience an excessive amount, it could point to a larger health issue. Consult your doctor if you believe this sounds like your experience.

How do you treat a canker sore?

Most of the time canker sores are best treated by leaving them alone until they disappear in a week or so. Canker sores can also be laser treated by your dentist which provides immediate relief and quicker healing time. If you are bothered by canker sores regularly, your dentist may recommend that you use a canker sore combating mouthwash.

Avoiding trigger foods, such as highly citrus fruits and extremely sugary treats, is essential when letting your canker sore heal as exposing it to these foods can further aggravate it. Being careful when using dental appliances such as retainers, dentures, and braces, is important to ensure further damage isn’t done to the affected area.

Be sure to thoroughly brush your teeth after meals to ensure that food particles or bacteria doesn’t get attached to the sore and possibly cause an infection. If your canker sore does not improve on it’s own after two weeks, consult your dentist or doctor for further diagnosis.

Can canker sores be prevented?

Because the exact causes of canker sores are not known, it is difficult to prevent them aside from avoiding foods and physical irritations that might trigger a canker sore. Ensuring that you don’t have an allergy that could trigger canker sores and including enough vitamin B-12 in your diet are great steps to take in preventing future a breakout.

Always be sure to clean your mouth properly at least twice each day and visit your dentist regularly for checkups and oral health monitoring.

To Floss or Not Floss

Last month the Associated Press published a report about the weak evidentiary basis for flossing as way to reduce plaque and tooth decay and to prevent gum disease. In response, the American Dental Association and the American Academy of Periodontology acknowledged the lack of evidence.

After this report hit the news, we have been bombarded with questions from our patients….”Do I have to floss?”

how-to-floss

As always in our practice, what we recommend for a patient, is very patient specific. We
hat everyone, do every and anything; brush, floss, have x-rays, have cleanings, etc. Some patients need to only be seen once per year for hygiene. While other patients may need to be seen 4-5 times per year.do not recommend that everyone, do every and anything; brush, floss, have x-rays, have cleanings, etc. Some patients need to only be seen once per year for hygiene. While other patients may need to be seen 4-5 times per year.

Studies can help us understand what works best for a certain segment of the population. Only careful attention to conditions and changes in their mouth will tell us what works best for them.

At Johns Family Dentistry, whether a patient is being seen for either an initial or periodic examination, they can expect three things from us:

We look for health. We want patients to know that we look for what they are already doing to support health that is working well for them. We start with the belief that you have been trying to take care of yourself the best you can, and we will look for evidence to support this.

Look for disease. We want to assure patients that we will carefully check their teeth and surrounding structures for any active disease. We will look for dental decay, gum and bone disease, oral cancer and other soft tissue lesions and joint disease. We want the patients perspective on any changes that you may be observing and we will continue to pay attention to your concerns.

Look for risk factors. We believe it is easier and more economical to prevent a problem than to fix it. Patients need to know that changes in your overall health frequently show up first in your mouth.

Patients have a right to expect our thoroughness, our perspective and our honest counsel in the context of your unique set of circumstances.

With all this being said, will some patients still be encouraged to floss? Absolutely. Will some patients still be shown the flossing technique? Sure. Will Dr. Johns still walk in to the exam and declare he has never had a cavity and does not floss? You can bet on it.

To floss or not to floss? That is not the true question. The true questions/answers are the communication and decisions that you as a patient has with our team in deciding and recommending the best care and results for you.

How to Handle Tooth Trauma

How to Handle Tooth Trauma

As children head back to school, it is important to remember that dental emergencies can happen any time, any place. According to the 2013 Delta Dental Children’s Oral Health Survey, 1 one out of 10 children ages 10 or 11 have had a tooth emergency such as a knocked-out tooth, chipped tooth or a loosened permanent tooth at home or at school.

A knocked-out permanent tooth is a true dental emergency, and there’s a good chance it can be saved if you know what to do and act quickly. The primary concern should be getting the child in to see a dentist. Time is crucial if you want the dentist to be able to reinsert and salvage the natural tooth. Ideally, a child needs to be seen within 30 minutes of the accident. (1)

Whether a tooth is knocked out at school or home, here are several steps to ensure it is saved – or at least in optimal condition – by the time the child can see the dentist.

First, check to make sure the child doesn’t have a serious head, neck or other orofacial injury (i.e., a concussion, broken jaw, etc.).
Don’t worry about replacing a displaced baby tooth. Trying to reinsert it could damage the permanent pearly white coming in behind it.
To avoid infection, the tooth should be held by the crown, not the root. The crown is the part of the tooth visible to the naked eye. You want to leave the root intact, and touching First-toothit with bare hands could pass bacteria. (2)
Rinse any debris off of the tooth under room temperature water. Don’t scrub the root! Once the tooth is free of loose dirt and debris, try to reinsert it, asking the child to hold it in place using a piece of gauze if necessary. (3)
If the tooth cannot be successfully reinserted, it needs to stay moist until the child can visit a dentist. Store the tooth in a clean container and cover it with milk or room temperature water to prevent it from drying out. (4) These liquids aren’t ideal but are often the only ones readily available. If you are a school nurse or your child frequently plays contact sports, purchase an emergency bag handy with a save-a-tooth kit in it (available at most drugstores.) These contain a solution that is better at preserving any live cells on the tooth root until the dentist can put the tooth back into the socket.
In most cases, tooth injuries are not life threatening. But they can have long-lasting effects on the child’s appearance and self-confidence, so it is important to act quickly in the event of a dental emergency.

(1) Morpace Inc. conducted the 2013 Delta Dental Children’s Oral Health Survey. Interviews were conducted nationally via the Internet with 926 primary caregivers of children from birth to age 11. For results based on the total sample of national adults, the margin error is ±3.2 percentage points at a 95 percent confidence level.

(2) “Saving a Knocked-Out Tooth.” American Association of Endodontists. http://www.aae.org/patients/patientinfo/references/avulsed.htm. Accessed 2010.

(3) “Medical Encyclopedia: Broken or Knocked Out Tooth.” U.S. National Library of Medicine and the National Institutes of Health, February 22, 2010. www.nlm.nih.gov/medlineplus/ency/article/000058.htm. Accessed 2010.

(4) “Dental Emergencies.” American Dental Association. http://www.ada.org/370.aspx Accessed 2010.

Top 10 Reasons for Tooth Pain

close-up of a young woman holding her cheek in pain

Tooth pain can range from mild and fleeting to throbbing and constant but the mechanism behind what you’re feeling is often the same: the nerves in the pulp chamber at the center of your affected tooth or teeth are responding to stimuli and sending out a warning in the form of a disagreeable sensation that something’s not right. Here are the top 10 reasons your teeth might be causing you discomfort:

  1.  Dental Caries (Cavity). Certain oral bacteria feed on food particles trapped in your mouth and produce acid that over time can eat through the protective tooth enamel into the sensitive dentin below.
  2. Enamel Erosion. Acids in your diet and gastric acids from acid reflux (GERD) and vomiting can wear away tooth enamel.
  3. Gum Recession. Gums can recede over time, exposing the sensitive tooth roots. Brushing too vigorously and/or using a toothbrush that’s too hard can contribute to gum recession.
  4. Recent Dental Work. Dental work can inflame pulp tissues and cause temporary sensitivity that should subside as the pulp heals.
  5. Loose, old, or lost fillings. Fillings seal off areas of past decay. If they don’t fit right or are dislodged, air, food particles and bacteria can infiltrate and irritate exposed nerve endings.
  6. Chip, Crack or Fracture. Teeth may be weakened over time due to pressure caused by biting and chewing as well as teeth grinding (bruxism) and jaw clenching. What starts as thin lines in the enamel can evolve into chips, cracks and fractures that expose nerve endings.
  7. Periodontal Disease. This is an infection of the tissues that support the teeth caused by a buildup of bacterial biofilm (plaque) along the gum line that triggers inflammation. In severe cases, the infection can travel to the end of a tooth root or through accessory canals and gain entrance into the dental pulp.
  8. Abscess. An abscess is a pus-filled sac caused by an infection. It can occur at the base of the tooth root or in the space between the tooth and gum.
  9. Tooth Grinding (bruxism)/Jaw Clenching. Referred to as parafunctional habits, these behaviors exert extreme stress on teeth and wear them down, causing increased tooth sensitivity and jaw soreness.
  10. Referred Pain. Sometimes pain originating in another tooth or outside the dental area — sinus congestion or infection for example — may radiate around the mouth and give the impression of pain for a specific tooth.

As you can see, pain is a warning of all sorts of threats to your oral health. Your dental professional can help you identify the cause and appropriate treatment so you can feel better and protect your smile.

Conscious Sedation Dentistry

Oral sedation dentistry allows appropriately trained dentists to create a safe and comfortable dental experience for patients who have avoided the dentist out of fear or who might have time restrictions.

A dentist who has been trained to implement sedation can effectively helping a patient become as comfortable and relaxed as possible using well established and proven protocols with a variety of sedation medications administered orally and sublingually (under the tongue). These protocols can be customized for the patient’s individual emotional and physical needs.

Sometimes referred to as ‘relaxation’, ‘sleep’ or ‘anxiety free’ dentistry, this comfortable care is now offered by thousands of trained dentists all over the US and Canada.slide-sedation-dentistry

“Oral conscious sedation has provided access to care for hundreds of thousands of Americans who otherwise would have been without the dental care they need. Dentists who have received comprehensive training from the Dental Organization for Conscious Sedation have an amazing tool to treat patients safely and comfortably, often correcting years of professional neglect in just a few visits. No longer does fear, or the inconvenience of having multiple visits, have to be the overwhelming obstacle that it has been in the past. When it comes to the impact on the dental health of the United States, conscious sedation dentistry stands as one of the most meaningful advances of the past century.” —Anthony S Feck, DMD; Dean DOCS Faculty

Why Xylitol? The Dental Benefits of Xylitol.

Tooth decay happens when bacteria in your mouth consume the sugars we eat. When you eat food containing ordinary sugar (sucrose), it gives bacteria on your teeth energy, allowing them to multiply and start making acids that can eat away the enamel on the teeth. This “acid attack” causes tooth decay and cavities to begin to form.

Xylitol is a natural sweetener derived from the fibrous parts of plants. It does not break down like sugar and can help keep a neutral pH level in the mouth. Xylitol also prevents bacteria from sticking to the teeth. This is how it protects the teeth from tooth decay. With the dental benefits of Xylitol, the acid attack that would otherwise last for over half an hour is stopped. Most people are not aware of this benefit because such a claim makes xylitol into a drug, crossing a boundary not allowed by the Food and Drug Administration.

Less Bacteria, Less Acid – Healthier Teeth!

Because the bacteria in the mouth that are causing cavities are unable to digest xylitol, their growth is greatly reduced. The number of acid-producing bacteria may fall as much as 90%. No acid is formed because the pH of saliva and plaque does not fall. After taking xylitol, the bacteria do not stick well on the surface of the teeth and as a result, the amount of plaque decreases.

img-tooth-sparkleRepairing damaged enamel

Research has shown that the use of xylitol also helps repair damage to the enamel. Saliva in itself protects the mouth and teeth. Stimulated saliva in particular contains all the components needed to repair early cavities. If sugar is only taken a couple of times a day, the saliva can do the job alone. But most people take sugar so often that the mouth’s own defensive tools are not enough.

The dental benefits of xylitol also include saliva. Saliva that has xylitol is more alkaline than saliva stimulated by other sugar products. After taking xylitol products, the concentration of basic amino acids and ammonia in saliva and plaque may rise, and plaque pH rises as well. When pH is above 7, calcium and phosphate salts in saliva start to move into those parts of enamel that are weak. Therefore, soft, calcium-deficient enamel sites begin to harden again.

While reversing a rising trend of negative health and high health-care costs won’t happen overnight, improving your own health can begin sooner than later, and the dental benefits of xylitol can have a significant influence on that trend.

Recommended Xylitol Products

Our office recommends several products that include Xylitol.  You can find most of these at any local drugstore or on Amazon.  XyliMelts – Orahealth, Biotin Dry Mouth Oral Rinse, Oasis Mouthwash, Clean and Gentle Toothpaste – Tom’s of Maine, Ice Chips – Ice Chips Candy, Spry Gum.

 

Why Does Food Taste Different After Brushing Your Teeth?

Ever brush your teeth and then take a sip of orange juice? Yep, it doesn’t taste very good. In fact, this can happen with certain foods and drinks after brushing.

The culprit: One specific ingredient in toothpaste is responsible for altering your taste buds: sodium laureth sulfate. Sodium laureth sulfate sometimes appears on toothpaste labels as sodium laureth sulfate (SLES) or sodium lauryl sulfate (SLS).

What it does for your toothpaste: Sodium laureth sulfate is a surfactant, or foaming agent, that is commonly used in toothpaste and other products. Sodium laureth sulfate makes it easier to uniformly spread the toothpaste around your mouth. It is also has an emulsifying action which helps the toothpaste remove surface stains and dissolve debris.

What it does to your taste buds: While SLES and SLS makes brushing your teeth a little easier, it also affects your taste buds in a couple different ways. First, it suppresses the receptors that pick up on the sweetness in foods and drinks. It also enhances bitter tastes, so anything sour that you eat or drink will taste really bitter.

Why it doesn’t last: Luckily, food and drinks start to taste normal again about 30 minutes after brushing, when your saliva has diluted and washed away all the leftover SLS. So now you know – don’t rush to drink your orange juice right after brushing!

toothpaste-orange-juice