New Port Richey and Trinity, FL Dentist
James C. Lewis, DMD
4101 Little Rd
New Port Richey, FL 34655
(727) 372-7887
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4101 Little Road
New Port Richey, FL 34655

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Posts for category: Oral Health

YourSmileCanBeYourPassporttotheWorld-TakeCareofItWithTheseTips

Bonjour! Hola! Shalom! December is National Learn a Foreign Language Month, and learning to say “Hello” in different tongues is a good place to start. You could then move on to another set of wonderful words like sonrisa, lächeln and sourire, the Spanish, German and French words for “smile.”

But then again, smiling itself doesn’t need a translation—it’s common to every culture on earth. It’s one of our best assets for interacting with people, both at home and abroad. So, make sure your smile is the best it can be by taking care of the “stars of the show”: your teeth and gums.

Here are a few tips for keeping your teeth and gums healthy and your “international” smile attractive.

Brush and floss daily. It takes just 5 minutes a day to perform one of the most important things you can do for your long-term oral health. Brushing and flossing clean away dental plaque, a sticky bacterial film that causes tooth decay and gum disease. A daily oral hygiene practice helps keep your teeth shiny and clean and your gums a healthy shade of pink.

Get regular dental cleanings. Even the most diligent hygiene habit may not clear away all plaque deposits, which can then harden into a calcified form called calculus. Also known as tartar, calculus is an ideal haven for disease-causing bacteria—and it can’t be removed by brushing and flossing alone. Dental cleanings at least twice a year remove stubborn plaque and calculus, further reducing your disease risk.

Don’t ignore dental problems. While your dentist will check your mouth for disease during your regular cleanings, you should also be on the lookout for signs of problems between visits. Watch for odd spots on the teeth and swollen, reddened or bleeding gums. If you see any abnormalities like these, don’t ignore it; make an exam appointment as soon as possible. The sooner we identify and begin treating a potential dental issue, the less your oral health—and your smile—will suffer.

Consider cosmetic improvements. Keeping teeth clean and healthy is one thing, but what can you do about existing dental blemishes that detract from your smile? Fortunately, there are numerous ways to cosmetically enhance teeth and gums, and many are quite affordable. Teeth whitening can brighten up yellow, dingy teeth; bonding can repair minor chips and other tooth defects; and veneers and other restorations can mask tooth chips, stains or misalignments.

Like the ability to speak another language, a confident, joyful smile can open doors to new cultures, places and friends. Let us partner with you to make your smile as attractive as possible.

If you would like more information about improving and maintaining your smile, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “10 Tips for Daily Oral Care at Home.”

By James C. Lewis, DMD
October 23, 2019
Category: Oral Health
Tags: teeth grinding  
DontPanicOverYourChildsTeethGrindingbutDoKeepanEyeonIt

First the bad news: Those nightly hair-raising sounds are indeed coming from your child’s bedroom—from your child. It’s the result of them grinding their teeth while they sleep.

But here’s the good news: the only likely harm is a lack of sleep members of your household might experience because of it. Teeth grinding is so prevalent among pre-teen children that many healthcare professionals consider it normal. But that doesn’t mean it can’t become a problem, so it’s worth monitoring.

Teeth grinding is part of a family of dental habits known as bruxism. It involves any involuntary movement of the teeth and jaws outside of their intended functions not associated with chewing, speaking or swallowing. Our main concern with any bruxism is the possibility for generating stronger biting forces than normal that could damage teeth and gums and contribute to jaw joint problems.

Teeth grinding can occur in adulthood, with stress seeming to be the major trigger for it. With children, though, it’s believed to be mainly caused by an immaturity of the child’s neuromuscular process that controls chewing. As this matures, most children will tend to outgrow the habit none the worse for wear.

But there are pediatric cases in which the generated biting forces are strong enough to cause damage. Teeth grinding is also prevalent in children who snore or breathe through their mouths, which could be a sign of a serious health condition called obstructive sleep apnea. And certain medications used to treat depression and attention deficit disorder (ADHD) may also contribute to teeth grinding.

Most of the time we can simply let the habit run its course. If, however, the child begins to experience abnormal tooth wear, headaches, jaw pain or other issues believed caused by teeth grinding, we may need to intervene. This could include a plastic night guard the child wears during sleep that prevents the teeth from making solid contact during grinding episodes. And children with signs of airway obstruction should be evaluated by an ear, nose and throat specialist.

It can be irritating or even distressing. But your child’s teeth grinding doesn’t mean you should be alarmed—only that you should keep your eye on it.

If you would like more information on teeth grinding and similar habits, 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 “When Children Grind Their Teeth.”

By James C. Lewis, DMD
September 23, 2019
Category: Oral Health
Tags: gum disease  
PeriodontalMaintenanceCanHelpYouAvoidAnotherEpisodeofGumDisease

To keep a healthy smile, brushing and flossing your teeth every day should be at the top of your to-do list, along with regular dental visits. Dental visits are usually scheduled every six months when your dental professional will remove any built-up plaque and tartar (hardened plaque deposits) missed during everyday hygiene.

If you've experienced periodontal (gum) disease, however, these dental visits may become even more important toward preventing a re-infection. For one thing, your dentist may want to see you more frequently.

Gum disease is caused by bacteria living in dental plaque, which first infect the superficial layers of gum tissue. Even though the body initiates an inflammatory response to fight it, the infection continues to grow as long as there is plaque present to fuel it. The problem isn't just plaque on the visible tooth surface—hidden plaque beneath the gum line can create deep pockets of infection that can be difficult to treat.

To stop the infection, dentists must manually remove plaque through procedures known as scaling and root planing. Any and all plaque and tartar deposits must be removed, even those deep around the roots, to arrest the infection. This often requires several treatment sessions and sometimes gum surgery to access areas below the gum line.

These types of treatments, especially in the disease's early stages, have a good chance of restoring health to your gums. But because of the high possibility of reinfection, your dentist will need to step up your regular dental maintenance from now on. This could mean visits as frequent as every few weeks, depending on your particular case of gum disease and your dentist's recommendation.

Your dental visits after gum disease may also become more involved than before. Your dentist will now monitor you closely for any signs of reinfection and at the first sign initiate a new round of treatment. You may also need surgical procedures to make some areas around your teeth more accessible for future cleaning and maintenance.

Periodontal maintenance after gum disease helps ensure another infection doesn't rise up to undermine your progress. To paraphrase a well-known quote, eternal vigilance is the price of continuing good dental health.

If you would like more information on professional dental health maintenance, please contact us or schedule an appointment for a consultation.

By James C. Lewis, DMD
September 13, 2019
Category: Oral Health
Tags: oral health   gum disease  
HeresWhatYouCanDotoAvoidGumDisease

Here's an alarming statistic: Nearly half of adults over 30—and 70% over 65—are affected by periodontal (gum) disease. It's sobering because if not caught and treated early, gum disease can lead to not only tooth loss but also an increased risk of heart attack or stroke.

Gum disease most often begins with dental plaque, a thin film of bacteria and food particles that builds up on tooth surfaces mainly from poor oral hygiene. Undisturbed plaque can become a breeding ground for bacteria that cause gum infections.

Daily brushing and flossing can remove most of this plaque buildup, but you also need to get professional dental cleanings at least twice a year. This is because any plaque you missed brushing and flossing can interact with saliva and harden into calculus or tartar. This hardened plaque can't be dislodged through brushing and flossing alone, but requires special instruments used by dental professionals to remove it.

You should also be aware of other risk factors you may have that increase your chances of gum disease and take action to minimize them. For instance, you may have a higher genetic propensity toward gum disease. If so, you'll need to be extra-vigilant with personal hygiene and watch for any signs of disease.

Tobacco use, especially smoking, can double your chances of gum disease as well as make it difficult to notice any signs of disease because your gums will not bleed or swell. Quitting the habit can vastly improve your odds of avoiding an infection. Your disease risk could also be high if you have a diet heavy in sugar, which feeds bacteria. Avoiding sugary foods and eating a more dental-friendly diet can lower your disease risk.

Oral hygiene and managing any other risk factors can greatly reduce your risk for gum disease, but it won't eliminate it entirely. So, be sure you seek professional dental care at the first signs of swollen, reddened or bleeding gums. The sooner you undergo treatment for a possible gum infection, the better your chances of avoiding extensive damage to your teeth, gums and supporting bone.

The risk for gum disease goes up as we get older. But by following good hygiene and lifestyle practices, you can put yourself on the healthier side of the statistics.

If you would like more information on gum disease care and treatment, 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 “How Gum Disease Gets Started.”

By James C. Lewis, DMD
September 03, 2019
Category: Oral Health
Tags: tmj disorders   jaw pain  
TwoMouthandFacePainDisordersandWhatYouCanDoAboutThem

Chronic pain affects the quality of life for an estimated 50 million adults in the U.S. alone. The American Chronic Pain Association designates September as “Pain Awareness Month” to highlight the many conditions that cause chronic pain and strategies to manage them. Among these are conditions that can involve your oral or facial health. Here are two painful mouth and face disorders and what you can do about them.

Temporomandibular Joint Disorder (TMD). TMD is a common condition often seen in the dental office. The temporomandibular joints connect the lower jaw to the skull and facilitate activities like eating or speaking that require jaw movement. If they and their associated muscles become inflamed, this can trigger debilitating chronic pain. If you suffer from TMD symptoms, make sure we know about it so we can make your dental visits as comfortable as possible.

When possible, avoid irreversible and invasive treatments for TMD that may permanently change your bite, such as surgery or having teeth ground down. Instead, most healthcare professionals recommend a more conservative approach. Try the following tips to alleviate TMD pain:

  • Eat soft foods so you do not aggravate the jaw joint.
  • Avoid extreme jaw movements like suddenly opening your mouth very wide.
  • Use ice packs and moist heat to relieve discomfort.
  • Ask us about jaw exercises to stretch and relax the jaw.
  • Practice stress-reduction techniques, such as meditation, yoga, tai chi or taking short walks to clear your mind.

Burning Mouth Syndrome. The sensation that the mouth has been burned or scalded without an obvious cause is most common among women during menopause. While researchers can’t yet pinpoint clear causes for it, the list of suspects includes hormonal changes, neurological or rare autoimmune disorders or medication-induced dry mouth.

The first step to treatment is an oral exam along with a complete medical history to identify any possible contributing factors. Depending on the results, we can offer recommendations to manage your symptoms. The following tips often help:

  • Keep your mouth moist. We can recommend an artificial saliva product or medication to increase saliva flow if needed.
  • Change your toothpaste if it contains irritating ingredients.
  • Identify and avoid foods and beverages that seem to precede an episode. These may include spicy foods, coffee and alcoholic beverages.
  • Quit smoking, as this is often linked to burning mouth episodes.

The pain and discomfort caused by these and other oral conditions can put a dent in your life. A visit to your dentist, though, could be the first step to finding relief.

If you would like more information about oral conditions that produce chronic pain, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Seeking Relief From TMD” and “Burning Mouth Syndrome.”



Dentist New Port Richey FL James Lewis DMD

James Lewis, DMD

Dr. James Lewis prides himself on establishing personal relationships with his patients so he can help make their dreams of having a beautiful, healthy smile come true...

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