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Posts for: July, 2014

AremouthguardsimportantJustaskFitnessExpertJillianMichaels

Protecting one's smile is important at any age. This is especially true for people who participate in contact sports or other activities where a trauma to the mouth can occur. While we all tend to believe that we are safe and that injuries “only happen to other people,” we could not be further from the truth. Take, for example, Jillian Michaels, an accomplished author, business mogul, wellness expert, trainer and star of The Biggest Loser. She learned this invaluable lesson after breaking her two front teeth as a child and having them repaired with crowns. As Jillian stated in her interview with Dear Doctor magazine, “Now, I generally wear a mouthguard if I am doing anything where my teeth have any chance of being knocked out.”

We feel obligated to educate our patients so that you can make informed decisions about your oral health. This is why we put together the following brief list of research findings.

Did you know?

  • According to the American Dental Association, an athlete is 60 times more likely to suffer harm to the teeth when not wearing a mouthguard.
  • The US Centers for Disease Control reports that sports-related dental injuries account for more than 600,000 visits to the emergency room each year.
  • People who do not have a knocked-out tooth properly reserved or replanted may face a lifetime cost of $10,000 to $20,000 per tooth, according to the National Youth Sports Foundation for Safety.
  • The Academy of General Dentistry estimates that mouthguards prevent more than 200,000 injuries each year.

If feel you and/or your children need a custom-fitted, professionally made mouthguard, contact us today to schedule an appointment. During your private consultation, we will conduct a thorough examination, listen to your concerns, and answer all of your questions as we discuss the best methods for protecting your investment — your own, or your children's, teeth.

To learn more about mouthguards, continue reading the Dear Doctor magazine article “Athletic Mouthguards, One of the most important parts of any uniform!” And to read the entire interview with Jillian Michaels, please see the article “Jillian Michaels — The Biggest Loser's health and wellness expert talks about her oral health, keeping fit and plans for the future.”


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When a permanent tooth has been injured, our first priority should be to save it. A root canal treatment (where the interior pulp of the tooth is removed and the pulp chamber and root canals are filled and sealed) is usually the best approach for tooth preservation.

An immature permanent tooth, however, presents a different challenge. While the pulp is less essential to a mature tooth’s vitality, it serves a critical purpose in the tooth’s early development before early adulthood. The pulp produces layers of dentin necessary for the tooth’s root system development. Completely removing the pulp at this stage may retard root development and cause the tooth to eventually weaken, and become brittle and darkened.

For younger teeth, we should therefore use alternative techniques that preserve as much healthy pulp as possible. One of these alternatives is Indirect Pulp Therapy, used when the pulp hasn’t been exposed by the trauma. With this technique we remove as much damaged dentin as possible while preserving the harder dentin closer to the pulp. After applying an antibacterial agent to protect against infection, and then filling and sealing the tooth, the pulp can continue to produce dentin in a normal way.

If pulp exposure has occurred, some form of pulpotomy — the partial removal of any damaged or infected pulp — would be in order. Our goal here is to leave as much of the pulp as possible, and then apply substances that stimulate the remaining pulp to create dentin. The most common type of growth substances are calcium hydroxide or mineral trioxide aggregate (MTA).

If the pulp isn’t at all salvageable, we may then turn to a procedure known as apexification. After removing the pulp we insert MTA at the root end of the tooth, then fill and seal the remaining interior as in a regular root canal treatment. The MTA will help the surrounding bone to heal and continue to grow around the root to further support the tooth.

Recent research into pulp stem cells promises further advances in this area. The regenerative qualities of stem cells could eventually help us “engineer” root development. Until then, there are still effective ways to give a young, damaged tooth a fighting chance to survive.

If you would like more information on preserving injured teeth, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Saving New Permanent Teeth After Injury.”