Bruxism

Bruxism refers to an oral parafunctional activity which occurs in most humans at some point in their lives.  The grinding of the teeth and the clenching of the jaw are the two main characteristics of this condition, which can occur either during the day or at night.

Bruxism is one of the most common known sleep disorders and causes most of its damage during sleeping hours.  The clenching and grinding which accompanies bruxism is symptomatic of a malfunctioning chewing reflex, which is turned off in non-sufferers when sleeping.  For sufferers, deep sleep or even naps, cause the reflex nerve control center in the brain to turn off, and the reflex pathways to become active.

Typically, the incisors and canines (front 6 upper and lower teeth) of opposing arches grind against each other laterally.  This side to side action puts undue strain on the medial pterygoid muscles and the temporomandibular joints.  Earache, depression, headaches, eating disorders and anxiety are amongst the most common symptoms of bruxism; which often accompanies chronic stress, Alzheimer’s disease and alcohol abuse.

Bruxism is frequently misdiagnosed or not diagnosed at all, because it is only one of several potential causes of tooth wear.  Only a trained professional can tell the difference between bruxing wear and wear caused by overly aggressive brushing, acidic soft drinks and abrasive foods.

A BiteStrip^® is an economical device used to diagnose bruxism at home.  The device itself is a small electromyography which senses and monitors any activity in the jaw muscles during sleep.  The frequency and severity of the condition can then be assessed and the best treatment plan can be formulated.

 Dr. Rice Periodontics

The Everyday Battle in Your Mouth

Fluoride is a naturally occurring mineral found in many foods and water. According to WEBMD,  every day, minerals are added to and lost from your tooth’s enamel layer. This happens through two processes – demineralization and remineralization. 

“Demineralization occurs when you eat and drink foods that are acidic,” says Dr. Denine Rice from her Riverside Periodontal andImplant Surgery Practice, “The foods and drink responsible are anything from blueberries, which have a health benefit to soft drinks or colas.”

Remineralization occurs when fluoride, calcium and phosphate are redeposited to the enamel layer. This also happens when eating and drinking. “The challenge today is that many patients are drinking bottled water and so more demineralization is occurring and less remineralization,” adds Dr. Rice. This is when tooth decay is found.

While fluoride is naturally occurring in foods and water, it can also be directly applied to the teeth when using fluoridated toothpaste or by using a mouth rinse. Your dentist can also apply fluoride directly to the teeth in the office using a gel, foam or varnish. The fluoride you can get from your dentist is a stronger concentration and it’s not just for kids.

Adults with certain conditions can also benefit from additional fluoride. Those with dry mouth, (also called xerostomia) from taking allergy medications, antihistamines, or antianxiety drugs are a great example. Also, adults with periodontal disease – when more of a tooth’s roots are exposed it creates a greater risk - and patients who have had significant previous dental treatment – crown and bridge work.

Ask your dentist if you could benefit from the additional protection fluoride provides.

Dr. Denine Rice, DDS

How Often Should I Replace My Toothbrush?

There are several factors in determining if it’s time for a new toothbrush. First, the American Dental Association (ADA) (link ADA: http://www.everydayhealth.com/dental-health/how-often-should-you-replace-your-toothbrush.aspx) recommends every three months.  “That’s appropriate as a worn out toothbrush is probably not keeping the plaque off your teeth and is not massaging the gum tissue as it should,” says Dr. Denine Rice from her Riverside Periodontal Practice.

A worn brush head has:

·      Bristles that splay (lean out in different directions)

·      Bristles coming out.

·      Discolored bristles or deposits at the bristles’ base.

You might also consider changing your toothbrush sooner if:

·      You’ve been ill and have taken antibiotics. While the germs have been killed in your body, they may still be alive on your toothbrush.

·      You’ve completed chemotherapy treatment. Your immune system may have been compromised during your care. It’s best and easy to quickly change your brush.

·      You store your brush in a closed case. Damp brushes hold onto bacteria.

·      You keep your brush near your toilet.

To keep your brush at its best rinse after using, store it upright and let it air dry.

Denine Rice, DDS

"Really masks the pain of the needle!"

For many, fear holds them back from seeking the dental care they need. "I see it everyday. The fear prevents them from coming in sooner and then suddenly they are driven by an even greater fear than that of pain, the fear of losing their teeth and the ability to eat and smile," says Dr. Denine Rice from her Riverside, CA periodontal practice.

Understanding her patient's concerns about fear is what led her to provide a new technology, the DentalVibe. "The DentalVibe provides vibrations that help block receptors from delivering the messages to your brain that your nerve endings feel pain," she adds. "And it really works!"

Don't believe? Here is what actual patients have reported:

  

 "I was skeptical at first but the DentalVibe actually worked. It really was a pain-free experience. Thanks for having this simple but effective tool that distracts you so you do not feel the injection."

"I do not numb up very well and I can always feel the needle when it goes in . . . but with this I now can feel comfortable when I go in, knowing I will not feel the needle."

"Was skeptical at first, couldn't believe it would work, but it did. This simple device really did make it a pain-free experience. Wish the DentalVibe had been available sooner."

 "I can usually handle needles since I donate blood every few months, but when it comes to getting shots at the dentist I get extremely freaked out. The vibrations definitely distracted me and it helped me a lot."

Because I visit my dentist 2 times a year, the use of the the instrument, my visit this time was really pain free. Much better that previous visits. Thanks for the new comfort system.

"Thank you everyone at Rice Periodontics & Implant Surgery for exceeding my expectations. Your entire staff was prompt, friendly and comforting. The treatment you provided me was top quality and unparalleled to others. Thank you!"

   

Don’t let fear stop you from getting the oral health care you deserve. Call Dr. Rice today and set up that essential appointment with ease of mind. Or still need more information check out http://www.dentalvibe.com/patients/dentist-locator/usa/california/riverside/riverside/denine-rice.html to learn more about this new technology.

Denine Rice, DDS

Gum Contouring

Every person has a unique smile made up of the size, shape and color of their teeth, but your smile is also enhanced by the frame - your gum tissue. "The frame of a picture can turn it from something so-so to a work of art. Your gum tissue can do the same for your smile," says Dr. Denine Rice from her Riverside, California dental practice.

Healthy pink tissue is a good place to start. This can happen by seeing your dentist on a regular basis, and by brushing and flossing at home. But for some people the gum line is uneven, higher in some areas and lower in others. When this occurs, your gums can give your teeth the appearance of being too large or too small. And uneven gums can create a crowded, messy look. That type of framing does nothing to enhance your smile.

An uneven smile line can be caused by hereditary factors or from decay or periodontal disease. Your dentist can determine the cause and make suggestions on how to improve the appearance. "The good news is, many times gum contouring can easily give you a more even gum line in one appointment," Dr. Rice adds. "Re-shaping gum tissue can be performed at your periodontist's office, many times using a laser which allows for quicker healing and less discomfort." To learn more about how we can help design your unique smile, visit www.riceperiodontics.com

Link:

Gum contouring: http://www.webmd.com/oral-health/guide/gum-contouring-procedure

Denine Rice, DDS

The Dentist as a Member of Your Healthcare Team

Sure your dentist asks about medications and health conditions, but isn’t that just so they can have it for their records? Dentists just focus on teeth and gums, right?

Wrong. “For many patients a trip to the dentist happens much more frequently than a trip to the doctor,” says Dr. Denine Rice from her Riverside Periodontal Practice. “Which is why we check your blood pressure regularly. We are also able to see a lot in your mouth.” In fact, according to the American Dental Association, Your mouth is a windowinto the health of your body. (MouthHealthy.org)

“Many health issues show up first in the mouth. They may be easy for you to dismiss, but they are evident to us.” Your mouth can show signs of nutritional deficiencies, general infections, systemic diseases – those that affect the entire body - and other oral health problems.

For example: Bad breath that can’t be eliminated by brushing and flossing can be a sign of not only periodontal disease, but also of diabetes. Radiographs show what is happening to teeth, but also might show evidence of bone loss or the first signs of osteoporosis. “There are also oral symptoms for leukemia, pancreatic cancer and auto-immune diseases that your dentist can spot,” Dr. Rice adds. 

So its important to find a dentist you can trust, because it’s not just about your teeth and mouth, it’s about your overall well-being.

Five Tips For Dental Patients

1.    Don’t be embarrassed. We understand that the fear of dentists and dentistry may have kept you away. We also understand that sometimes a lack of home care may have contributed to the dilemma. “What we want patients to know is that we are pleased they have trusted us now and have made the decision to help themselves course correct and get healthier,” Dr. Denine Rice says from her Riverside Periodontal and Implant Surgery practice. “So be honest with us about your challenges with home care. We may have some suggestions that will help you achieve your desired oral health.”

2.    Bring a list of your current medications with you. Medications that you are taking, including vitamins and herbal remedies can play a significant role in your oral health. “It’s important for us to know the names of each medication as well as the dose,” Dr. Rice adds.

3.    Brush and floss your teeth before your dental visit. Often patients come and inform the hygienist that they didn’t brush and floss because they were coming in and would have the professional do it, but having your hygienist spend time removing food particles should not be the reason you are there. “When you come in for your visit, we want to focus on the areas you can not gain access to – those below the gum line or in hard to reach areas. This is where you will receive the greatest benefit,” Dr. Rice advises.

4.    Ask questions. “Please let us know if you have any questions, whether its regarding treatment, your oral health or home care, we want to help.”

5.    Be comfortable. “Wear comfortable clothing, and let us know if we can provide you with a pillow for your head or knees or a throw to keep you warm. Do not suffer, or worry you might inconvenience us. We are here for you!”

Dental Hygienists Rock!

For many, a trip to the dentist means a visit to the hygienist. These well-educated men and women are there to help answer questions, reduce your fear and keep you healthy.

First off, they receive training not only in how to use their specialized tools and equipment, but also in nutrition, anatomy and home care. Another part of their education deals with how to calm patient fears and answer questions related to dentistry. And their education continues in the dental practice setting where they may learn about laser periodontal therapies, implants (links)and how to maintain them and a host of other more specialized concepts. They are a wealth of knowledge.

While your dentist will be the one to diagnose any treatment, many times you may feel more comfortable turning to your hygienist to explain what to expect. Or if you have been informed you are missing an area of your mouth when brushing or flossing, they may have ideas to help. “Patient interaction is one of the most enjoyable parts of our work,” says Nick Rossi, the hygienist for Rice Periodontics and Implant Surgery in Riverside, California says. “Most of us come into hygiene because we love to work with people.”

“Hygienists are part of the team that hopes to keep you healthy,” Dr. Denine Rice adds. “So make sure you ask any questions. We want to help improve your quality of life. When that happens, it puts a smile on all our faces.”