Toothaches and Abscesses

March 1st, 2023

With Dr. Meuselbach, emergency dental care is only a phone call away. Dental problems are uncomfortable and should always be treated as soon as possible to prevent them from getting worse.

Whether it’s an abscess or a toothache that you believe might be something more, it’s vital to pay attention to your body and give it the attention it needs. Below, you’ll find some more information about abscesses and toothaches that may clarify any doubts about the differences, whether you may be suffering from one of them … and what to do if you are.

Abscesses

What’s an abscess? It’s a bacterial infection: an accumulation of pus that can form inside a tooth or the gums and cause pain and swelling. It generally develops as a result of poor oral hygiene.

Bacteria lives in plaque so if plaque isn’t removed on a regular basis, it can build up and encourage bacteria to spread, which could ultimately result in an abscess. Antibiotics aren’t always needed for treatment, you should get this situation checked out as soon as possible. If left untreated, oral infections can lead to bigger complications.

Toothaches

Toothaches can happen for a number of reasons. The simplest, most common one is a piece of food that is stuck in your gum, which can cause a bit of swelling and discomfort.

To get rid of it, you can rinse your mouth with hot water and salt, every morning and evening. This helps kill bacteria and bring down the swelling. You can also gently floss the area to remove whatever is stuck there. If you experience bleeding while you’re flossing, and hot water with salt proves ineffective, it may be time to schedule an appointment.

If you’re especially sensitive to cold and heat, you may often experience toothaches. If this is the case, we can recommend a pain reliever to reduce the discomfort, but it’s worthwhile to come in for a check-up anyway to make sure the problem doesn’t get worse.

The last (and most obvious) reason for a toothache is a cavity. Depending on how bad it is, we might fill it or place a crown. The tricky thing with cavities is that sometimes you may not know you have one at all, especially when they’re just starting out. The best way to prevent them from getting worse and creating toothaches is by keeping up with your regular dental cleanings.

At Robert Scott Meuselbach DDS, we’re here to assist you through any and all your dental emergencies! We encourage you to make an appointment at our West Chester office if you notice any signs of discomfort, so we can provide the most efficient care for you.

How to Choose the Best Mouthwash

February 22nd, 2023

As we all know, or should by now, the key to maintaining great oral health is keeping up with a daily plan of flossing, brushing, and using mouthwash. These three practices in combination will help you avoid tooth decay and keep bacterial infections at bay.

At Robert Scott Meuselbach DDS, we’ve noticed that it’s usually not the toothbrush or floss that people have trouble picking, but the mouthwash.

Depending on the ingredients, different mouthwashes will have different effects on your oral health. Here are some ideas to take under consideration when you’re trying to decide which type of mouthwash will best fit your needs.

  • If gum health is your concern, antiseptic mouthwashes are designed to reduce bacteria near the gum line.
  • If you drink a lot of bottled water, you may want to consider a fluoride rinse to make sure your teeth develop the level of strength they need.
  • Generally, any mouthwash will combat bad breath, but some are especially designed to do so.
  • Opt for products that are ADA approved, to ensure you aren’t exposing your teeth to harmful chemicals.
  • If you experience an uncomfortable, burning sensation when you use a wash, stop it and try another!

Still have questions about mouthwash? Feel free to ask Dr. Meuselbach during your next visit to our West Chester office! We’re always happy to answer your questions. Happy rinsing!

Xerostomia: What does that mean anyway?

February 15th, 2023

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 Robert Scott Meuselbach DDS.

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. Meuselbach. 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 West Chester office today!

Root Cavities

February 8th, 2023

When we don’t keep up with our dental hygiene, plaque buildup can result in three kinds of cavities. Pit and fissure cavities are found on the tops of molars, where food particles get stuck in the irregular surfaces. Smooth surface cavities are located on the smooth sides of teeth.

Wait. Top, all around the sides—what’s left for plaque to attack?

Our roots. The roots of our teeth are generally protected by their concealed position in the jaw. Sitting securely in alveolar bone, held firmly in place by connective tissue, with gum tissue snugly surrounding them, roots are generally not cavity prone.

But these cozy conditions can change. Due to gum disease, abrasive habits, or simply the passage of time, gums can recede and expose root surfaces. And this exposure can lead to root cavities.

If you look at a complete tooth, it looks like enamel is covering the entire tooth surface. In fact, enamel, the strongest substance in the body, only covers the visible part of the tooth, called the crown. The roots are covered by a substance called cementum, which is softer than enamel. And if enamel can’t stop decay, cementum is even more vulnerable when it’s exposed to plaque, bacteria, and acidic foods.

How do we protect our roots from decay? Protecting our gums is the first line of defense.

  • Gum Disease

Receding gums caused by periodontitis can be treated by Dr. Meuselbach. Deep cleaning procedures such as scaling and root planing can remove accumulated plaque and tartar, and help gum tissue reattach to teeth. For serious recession, gum grafts can replace lost tissue.

Early treatment can prevent recession. If you notice any signs of early gum disease, including bleeding, swelling, tenderness, or persistent bad breath, it’s time for a visit to our West Chester office.

  • Gum Abrasion

It’s not just gum disease that can lead to gum recession. Some personal habits are hard on gums and teeth, and can leave roots exposed. If you bite your nails, grind your teeth, irritate your gums with oral piercings, you are at risk for gum recession. Talk to Dr. Meuselbach about preventing abrasive damage.

A surprising cause of receding gums? Over-vigorous brushing. Use a soft-bristled brush—and don’t use a heavy hand when brushing—to protect your delicate gum tissue.

  • Aging

As we age, our gums recede. So it’s no wonder that older adults are especially at risk for root cavities. That’s why it’s very important to keep up with brushing (at least two minutes twice a day) and flossing (once a day, or more often if needed) to prevent the buildup of plaque and tartar.

And it’s more important than ever to schedule regular dental exams and cleanings. Dr. Meuselbach can help stop small problems from becoming major ones, and suggest brushing and flossing techniques, fluoride treatments, or other procedures to encourage gum and dental health.

If a cavity develops, no matter what kind, it should be treated as soon as possible. And time is especially important for a root cavity.

Because cementum is weaker than enamel, cavities can progress more quickly in roots. A cavity which has reached pulp tissue might require a root canal and a crown to restore tooth function. Serious decay could lead to extraction.

Don’t let root cavities undermine your dental health. If you notice any sign of gum disease or recession, it’s time for a visit to our West Chester office. After all, even though they go unnoticed, strong roots are the foundation of a healthy, attractive, life-long smile.