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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. Meuselbach and our team at Robert Scott Meuselbach DDS 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. Meuselbach for routine dental checkups and cleanings during pregnancy. However, it is very important to inform Dr. Meuselbach 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 West Chester 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.

If you play a contact sport, you know about mouthguards. You know about the cushioning protection they provide for your teeth. And not just your teeth—mouthguards also help protect your lips, tongue, and jaw, helping you avoid or minimize many of the injuries caused by collisions.

But you don’t have to be part of the defensive line or face off on center ice to wear a mouthguard. It pays to be proactive with your oral health in any activity where impact is a possibility. Whether you play a team sport, practice gymnastics, ride a bike, ski, skateboard, or participate in other athletic pastimes, there’s almost always the risk of impact—with a ball, with the mat, with the sidewalk, with another person.

So, how do mouthguards protect your teeth and mouth? It’s a combination of materials and design. Mouthguards are made of a strong, cushioning material such as plastic or silicone, which helps absorb and distribute the force of impact, usually in the form of a horseshoe-shaped piece that fits over your upper teeth. The specific design can be tailored to the sport or activity you’ll be using it for.

And now that you’re wearing braces? Working toward an attractive, healthy smile doesn’t mean you can’t be active or find a mouthguard that will work for you. In fact, when you wear braces, mouthguards do double duty—they protect your mouth and teeth, and they protect your braces, too!

Even minor impacts can damage wires and brackets, and damaged braces means more time at the orthodontist and lost treatment time. More important, your guard not only helps protect your brackets and wires from impact injury, it protects your delicate mouth tissue from trauma caused by impact with your brackets and wires.

Because you probably have braces on both upper and lower teeth, the usual mouthguard design might not work for you. To make sure you’re completely protected, you may need a guard that covers both upper and lower arches.

There are over-the-counter mouth guards designed for braces, and even for covering both your upper and lower teeth. These might be one-size-fits-all or fit-it-yourself guards, or models which should be used only after a fitting at our West Chester dental. While some of these guards are better than others, the best option for your teeth—and your braces—might be a custom mouthguard.

What are the benefits of a custom guard for orthodontic patients? They:

• Provide a perfect fit around teeth and braces
• Protect better because they fit better
• Are designed for easy breathing and speaking
• Are less bulky
• Are more durable
• Fit more comfortably
• Can accommodate orthodontic adjustments
• Can be tailored to your specific sport or activity.

Custom mouthguards are more expensive, because they are individually crafted for your teeth and braces, but in terms of effectiveness, they are the best guards out there—because they are individually crafted for your teeth and braces. If cost is an issue, Dr. Meuselbach can let you know whether an over-the-counter option might work for you.

An active life should mean proactive dental care. Wearing a mouthguard when you’re wearing braces protects both your body and your orthodontics. Whichever guard option you choose, it’s a good idea to check out the fit with Dr. Meuselbach to make sure you’re getting all the protection you need for both when your mouthguard is doing double duty.

You’re getting ready for a night out, or you’re checking to make sure you removed every bit of spinach after eating, or you’re practicing your best selfie smile . . . and suddenly, you see something alarming in the mirror—tiny cracks in your tooth enamel! Is this a dental emergency?

Almost always, the answer will be no.  Cracks like this are most likely “craze lines,” and craze lines are not serious cracks in your teeth. These diminutive flaws are shallow vertical cracks in the enamel which don’t go all the way through the tooth and don’t affect the tooth’s structural integrity. Like the crazing on a piece of glazed pottery, these tiny cracks are superficial, and the only reason for concern is cosmetic.

• Cause for Crazing?

Time and normal wear on our enamel are the most common culprits. Years of biting and chewing are stressful.

But you can help prevent additional craze lines by avoiding bad habits which can put external stress on your teeth: nail biting, knocking on teeth with oral jewelry, crunching down on ice cubes, using your teeth to open bottle caps—in fact, using teeth for anything other than chewing food.

Grinding your teeth is also hard on your enamel. If you suffer with bruxism (the medical term for tooth grinding), ask Dr. Meuselbach about a mouthguard or night guard. Eliminating the extra stress of unconscious grinding and clenching reduces the chances of craze lines. Even better, getting treated for bruxism can reduce the risk of serious pain and damage to your teeth and jaws.

• Staining Can Make Craze Lines More Visible

Craze lines are often invisible unless the light is just right. However, you can make craze lines more noticeable if you drink coffee, tea, red wine, or dark sodas regularly. And if you need another reason to give up tobacco products, smoking, chewing, or any other use of tobacco can also darken craze lines.

Stains in craze lines don’t usually respond to brushing. You might be able to lighten stains with home or professional whitening. Ask Dr. Meuselbach for the options which are best for your staining.

• Repairing Craze Lines

Don’t let tiny flaws keep you from smiling! If you are unhappy with the appearance of your enamel, talk to us about possible treatments, including bonding and porcelain veneers.

• When It’s More Than a Craze Line

While a craze line is generally nothing to be concerned about, a deep line, or a line which is getting bigger, might suggest a crack in the tooth. Cracks need to be assessed and treated to avoid damage not only to the exterior of the tooth, but to the pulp of the interior as well.

How can you tell the difference? Craze lines are not painful; a cracked tooth might be. Sensitivity to hot and cold foods, painful chewing, gums swollen around a tooth, pain when you bite down, a crack that is getting larger—any of these symptoms could be a sign that you have a cracked tooth. These are reasons to visit our West Chester dental office ASAP.

Craze lines might be medically harmless, but if they impact your confidence, that’s a problem. Our team can help you change habits that are causing craze lines, remove staining, or repair cosmetic damage. If you’re not crazy about those craze lines, ask us for solutions that will bring back your confidant smile.

We mark special times throughout the year to encourage better oral health, like Dental Hygiene Month, and Children’s Dental Health Month, and even National Root Canal Day! This July 21st is National Junk Food Day, and we couldn’t let it pass without some healthy ideas to help you make the best of this not-so-dentally-healthy day.

What makes junk food unhealthy? Most of the foods in this category have high levels of sugars, starches, salts, or fats, which aren’t good for your body in large quantities. When it comes to your dental health in particular, some junk foods are worse than others because they are actively destructive to your tooth enamel.

Foods like candy, cookies, doughnuts, chips, energy drinks, sports drinks, and sodas can have large amounts of sugar, starch, and acid. And a diet filled with sugars, starches, and acids puts your tooth enamel under constant attack. 

The bacteria in plaque make acids from the sugars and starches (which break down into sugars) in our diets. These acids then erode the mineral crystals which give our enamel its strength, leaving weak spots which can deepen and become cavities. A steady diet of sweet and starchy foods for you creates a steady diet of sugar for cavity-causing bacteria. 

Just like the acids produced by bacteria can erode tooth enamel, acids in food can also strip away the minerals which keep your enamel strong. Sodas, sports drinks, energy drinks, and many fruit juices are often both sugary and highly acidic, making them very damaging to tooth enamel.

So, let’s spend a few moments today to discuss how you can enjoy a bit of junk food every now and then and still take good care of your teeth.

• Limit Sugars, Starches, and Acids

We don’t just mean limiting the number of treats you eat in a day. It’s also a good idea to limit treats to certain times as well. Eat desserts with meals, when saliva production is higher, to help wash away sugary and starchy food particles. Acidic drinks, when sipped throughout the day, are like bathing your teeth in acids. Better to drink a soda or sports drink in one sitting and drink or rinse with water after! 

• Brush after Eating Sticky Sugary and Starchy Foods

Sticky foods filled with sugars and starches are double jeopardy for your tooth enamel. Not only are they the foods of choice for plaque bacteria, they also tend to stick to your enamel and between your teeth, giving cavity-causing bacteria more time to work. An after-treat brushing will get rid of any sugary or starchy leftovers as well as removing built up plaque.

• —But Don’t Brush Too Soon After Acidic Foods and Drinks

When you eat or drink something acidic, your enamel is more vulnerable to damage immediately afterward because acids remove minerals from tooth enamel. If you brush right away, even soft bristles can be abrasive. Wait about 60 minutes to brush, which gives your tooth surface time to get strong again with the enamel-building minerals found in saliva. 

• Make Water Part of Your Healthy Diet

Easy, available, inexpensive—what’s not to like about water? Oh, and it’s also healthy for your teeth! Rinsing with water after a treat helps remove lingering food particles and acids. And drinking water when you’re thirsty helps you produce saliva. Saliva not only rinses our teeth, it helps neutralize acids and helps replace calcium and phosphate minerals which may have been stripped away by acids.

This July 21st, we’re not really celebrating junk food—we’re celebrating all the things you do to protect your oral health. So, whether you’re indulging today or not, keep your teeth their healthiest by making junk food a rare treat, keeping up with your daily brushing and flossing, and seeing your dentist regularly for checkups and cleanings. Let’s make National Junk Food Day just another day in a year filled with healthy smiles!