Advanced Cosmetic & General Dentistry of DC – Arousha Jahangiri DDS

Mesial Surface

Mesial” refers to the surface of the tooth that is toward the front of the mouth

Overall, there are five surfaces to each tooth:

Occlusal – the chewing or grinding surface of the bicuspid and molar teeth
Mesial – surface toward the front of the mouth
Distal – behind towards the back of the mouth.
Buccal – the tooth surface which is next to your cheeks.
Lingual – the tooth surface next to your tongue

Dental Sealants

The deep grooves of teeth present the an ideal environment for bacterial growth, which can gradually lead to decay. Even if you are vigilant with your dental hygiene habits, bacteria can hide in the recesses where your tooth brush is unable to adequately reach. 

Dental sealants have become a popular way of blocking tooth pits and grooves to prevent bacterial decay. If you are concerned about the possibility of decay or if you have already developed some small cavities, applying dental sealants may be an ideal solution.

Taking preventative steps now to maintain good dental health can help prevent the need for costly dental treatments and procedures later on.

Sealants are thin liquid coatings that can be applied to the top of a tooth to seal off deep grooved areas. They help to prevent bacteria or other debris from becoming trapped in pitted areas that cannot be easily cleaned. 

This type of dental procedure has become increasingly popular, and has been shown to be a safe and effective way of stopping tooth decay before it begins. 

Children are ideal candidates for sealants, because the protective layer can be applied before bacterial decay begins.

Should I Brush Before Flossing?

The age-old question – should you floss before you brush or after? If you asked any one of our
team members, you just might get a different answer on this one!
Before you report them for not knowing their stuff, each response can be right! As long as you’re
doing a thorough job, we don’t care when you floss!
The Case for Flossing Before Brushing
Theoretically, flossing first dislodges the gunk between your teeth, letting the fluoride in your
toothpaste reach those crevices better.
Also, behavioral scientists say since most people don’t like to floss, it’s better to get the
least-pleasant half of your dental routine out of the way first – you’ll be less likely to skip it. Once
you have a minty, fresh mouth from brushing, you might be less inclined to feel the need to floss
afterward.
The Case for Flossing After Brushing
Some say flossing last is better because it clears your mouth from extra food and debris that
could otherwise be carried by the floss into the very spaces you’re trying to clean out.
Plus, it might be more pleasant to put those flossing hands into a clean mouth versus an
unbrushed one.
Should I Brush Before Flossing?
Bottom Line
Floss when it works for you. But make it a habit! Choose the same time every day, floss once a
day, and floss thoroughly.
And don’t forget to use the right flossing method: for each new set of teeth, use a new section
of floss, and hug each side of the tooth by dragging the floss upward in the shape of a “C.”
Want us to show you how? Just ask!

Share these fun facts about animal teeth with your little ones to get them more excited about their own oral health!

Can you imagine having 20,000 teeth? What if you had to help your kiddo through that much teething?

Imagine all the heavy lifting the poor tooth fairy would have to do!

And how much you’d have to spend on toothpaste!

Lucky for us, we humans only have 32 teeth. But there’s an animal out there that has many, many more. Can you guess which one? Read on to find out!

10 Fun Facts about Animal Teeth

  1. There are species of snails that can have upwards of 20,000 teeth! They use their teeth to scrape or cut food. No utensils needed!
  2. An elephant’s tusks are actually teeth! The longest tusk ever recorded was 11 feet. Elephants use their tusks kind of like hands, to maneuver items around, and they tend to be dominant in either their right or left tusk (just like humans are right or left-handed!).
  3. narwhal has only two teeth, and one of them grows really long into the unicorn-like tusk. This tusk is porous, and is thought to be able to taste the water around them!
  4. Some animals’ teeth never stop growingZebras, beavers, and rodents are just a few. They must constantly gnaw on bark, leaves, and grass to shave down their teeth.
  5. A rattlesnake’s front teeth inject deadly venom into its prey. When a rattlesnake closes its mouth, these teeth fold up like a pocketknife to protect the inside of its mouth.
  6. Giraffes have the same number of teeth as humans: 32.
  7. Mosquitoes have teeth that help them saw into your skin. Ew!
  8. Sharks don’t get cavities, and their teeth are protected with a layer of fluoride. No need for them to spend money on toothpaste!
  9. Blue whales, some of the largest and loudest animals on earth, have no teeth! Because they can’t chew their food, they can only eat small prey. Imagine having to swallow all your food whole!
  10. You can tell the age of a dolphin by counting the numbers of rings on its teeth – just like a tree!

Why Your Child Needs A Mouthguard

A six-year-old missing their two front teeth can be quite the cause for celebration. Just think of all the tooth fairy visits and all relatives marveling at the new, hip look.

Now if it’s a teenager without those teeth, well that’s a different story with much less celebration. And such tooth loss happens all the time – particularly if your child participates in sports.

In fact, the American Dental Association suggests that athletes are 60 times more likely to experience harm to their teeth if they’re not wearing a properly fitting mouthguard.

Why Your Child Needs A Mouthguard

If your child is active in sports – even the backyard variety – please consider investing in one.

The American Dental Association estimates that “a full third of all dental injuries are sports related … and that the use of a mouthguard can prevent more than 200,000 oral injuries to the mouth each year”.

The risks of playing sports without protection aren’t just related to teeth loss: a harsh impact to the jaw can even affect the growth of facial features or cause a concussion that could have otherwise been avoided.

When choosing a mouthguard, it’s important to remember that custom-made guards are far superior to the “boil and bite” variety at local sporting goods stores.

They are designed using a process similar to that used when making an orthodontic retainer, and guarantee a perfect fit to your child’s mouth. The fit is the most important aspect of a protective mouthguard.

Variations in the preparation and specifications of custom guards depend on the type of sport your child plays, as well as their age and overall dental health.

Is Gum Recession Normal?

Gum recession is often considered a normal part of aging. Even the expression “long in the tooth” stems from our gum line receding and exposing more of our teeth as we age.

However, there is nothing normal about gum recession. Luckily, for most of us it can be prevented.
Though there are a host of factors that contribute to the erosion of your gumline, a vast majority are preventable.

The Biggest Offenders

  • Clenching or grinding your teeth
  • Over-vigorous, or improper brushing
  • Aggressive flossing
  • Exposure to acids in sports and energy drinks
  • Tobacco use
  • The frequent use of whitening products

All the above causes of gum loss can be prevented.

Bicuspids

Bicuspids are the two smaller teeth in front of the molars that are used for chewing.

Instead of having four cusps (pointed areas) like a molar, bicuspids only have two cusps. 

Adults have a total of eight bicuspids – two on the lower right, two on the lower left, two on the upper right, and two on the upper left.

Why a Root Canal is Sometimes Necessary

Why a Root Canal is Sometimes Necessary 

Root canal treatment is required when the nerves within a tooth’s root have been damaged by either trauma or decay. To repair this damage, the tooth would need to be treated in almost the exact same manner as a filling, except that treatment would extend to the tooth’s roots.

The biggest misconception about root canal treatment is that the procedure is painful. In truth, the pain comes from ignoring an aching tooth for so long that the trauma or decay progresses to such a degree that the pain becomes overwhelming.

So, it’s not the procedure that hurts, it is the patient’s decision to avoid dental visits and early treatment when experiencing tooth discomfort. 

Some Good Things to Keep in Mind to Avoid a Root Canal

  • Pay Attention to Pain: When your teeth bother you, your body is saying something isn’t right in your mouth. For example, if you experience hot and cold sensations on a regular basis, or pressure sensitivity that comes when eating or closing your mouth completely, these could be signs that the nerve in your tooth is traumatized or damaged. Don’t ignore these signals, and contact your dentist. 
  • Address Anxiety and Stress: It has been said that grinding and clenching your teeth is the rough equivalent of having a 250-lb. linebacker sitting on your teeth at night. That doesn’t sound good, right? Well, it’s not, and it can severely damage your teeth, aggravate the nerve, and cause bone loss and headaches. See the dentist if you wake up with headaches in the morning, and ask whether they believe you might be a grinder. They can tell simply from looking at your teeth and your X-rays.

You’d be surprised at what can be done by your dentist to arrest nerve trauma when caught early. Don’t delay!

Full Mouth Debridement for Periodontal Evaluation – Dental Procedure Code Description

Periodontal disease affects the gums and bone to which a tooth is attached. It is a bacterial infection that causes tooth loss and gum recession, and is often the result of infrequent visits to the dentist for routine adult prophylaxis.

The disease is also marked by excessive amounts of plaque and tartar that make evaluation of your oral health difficult. As a result, a full mouth debridement is often necessary to complete a proper evaluation and subsequent cleaning.

The American Dental Association describes a full mouth debridement as the “gross removal of plaque and calculus that interfere with the ability of the dentist to perform a comprehensive oral evaluation.”

Quite simply, this code covers the removal of plaque and tartar that is so prominent in the mouth that removing it will take a considerable amount more effort and time than in a typical cleaning.

Furthermore, after removal, additional procedures such as scaling and root planing (SRP) may be necessary, or specifically, scaling and root planing (SRP) for one to three teeth, as well as a prophylaxis (prophy).

Neither are included within this code’s description, and come subsequent to full mouth debridement.

The procedure for full debridement is like any other prophy, with the exception of the time involved and the fact that some form of anesthetic may sometimes be used to numb the area. This can be necessary if you experience sensitivity due to recessed gums that have exposed the tooth’s cementum, or because you anticipate a degree of anxiety during the procedure.

It is worth nothing that this dental procedure code covers the debridement of materials from above the gumline only, and if buildup exists below the gumline, other dental codes such as those related scaling and root planing are used instead.

What is plaque?

Most people have heard of the word “plaque,” and know it’s not something you want on your
teeth. Yet, they don’t know what exactly plaque is or how it contributes to dental decay.
Plaque is a sticky, colorless film of bacteria that lives on the surface of your teeth and along the
gumline. It accumulates from normal daily activities such as eating and drinking, especially if
you’ve been consuming a lot of sugars and starches.
Ever had that fuzzy feeling on your teeth that goes away after you give them a good brush?
Yep, that’s plaque.
Plaque is what contributes to dental decay, as bacteria like to consume the sugars in your mouth
and excrete acids that wear away at your tooth enamel.
When you don’t regularly brush and floss away plaque, it forms tartar. Tartar is the calcified
substance on your teeth that only a professional cleaning can remove.

To regularly remove plaque:
1. Brush thoroughly with fluoride toothpaste at least twice a day.
2. Floss at least once a day to remove plaque that your brush can’t reach.
3. Visit us for your regular dental cleanings.