Our Blog

Sherlock Holmes, that most famous of fictional detectives, observed clues, analyzed them, and used his powers of deduction to arrive at the solution to his cases.

Dr. Cynthia Stephenson and our team are skilled in deduction as well! By examining your teeth and gums during your regular checkup, important clues can be discovered about your dental health—and perhaps your overall health as well. What might be deduced when you come in for an exam?

• You Haven’t Been Flossing

Even with some last-minute catchup flossing, it’s not hard to tell if you’ve been regularly skipping the flossing portion of your daily dental care. Plaque that your toothbrush just can’t reach on its own will be noticeable between your teeth and around the gum line. Your gums might be inflamed, swollen or bleeding—early signs of the gum disease plaque causes when it’s not removed with careful flossing.

These symptoms could arise because you’re neglecting to floss at least once a day, or it could be that your flossing skills could simply use some fine-tuning. A refresher in flossing technique takes no time at all. Or, you might discuss whether a water flosser would be a good investment for healthier teeth and gums if, for any reason, you have difficulty flossing effectively.

• You Haven’t Been Sleeping Well

Even if your roommate or partner hasn’t told you that your teeth and jaws have been grinding away while you were not-so-soundly asleep, your dentist might be able to. Shorter, flattened teeth are a common symptom of bruxism, or tooth grinding. Your exam might reveal cracked enamel or broken cusps caused by the force you’re placing on them at night. This condition can also lead to larger jaw muscles and jaw pain.

Since these symptoms are also caused by sleep apnea, it’s a very good idea to find out what’s causing this dental stress. Treatments are available to make your sleep safer for your teeth and jaws—and more restful and healthier for you!

• You Should Talk to Your Doctor

Conditions that seem to have nothing to do with your oral health can cause dental symptoms, alerting your dentist to a medical condition which you might not be aware of. Pale gums or a swollen tongue could be symptoms of anemia. Erosion on the inside of the teeth can be caused by GERD, or gastroesophageal reflux disease. Vitamin and mineral deficiencies can lead to ulcers, loose teeth, and gum disease.

 If Dr. Cynthia Stephenson and our team suggest that you make an appointment with your doctor to find the medical cause of your dental symptoms, it’s essential to follow up.

• Are You Left-Handed?

So, getting back to our original question, can your dentist deduce that you’re left-handed?

Probably not! It’s been suggested that left-handed people brush their teeth more firmly on the left side, and right-handed people brush harder on the right. And it’s also been suggested that left-handers don’t brush the left side of the mouth as thoroughly, while right-handers neglect their dominant side.

But Dr. Cynthia Stephenson can still tell you some important facts about your hand-brush coordination just by observing the state of your enamel. If you’re brushing too firmly, your tooth surfaces could show erosion and wear. A soft-bristled brush and a lighter hand will get your teeth just as clean without the abrasion.

If you’re having trouble reaching areas because of dexterity issues, Dr. Cynthia Stephenson can point out the areas where plaque buildup reveals the spots you need to concentrate on. An electric toothbrush might be just the answer to making all the surfaces of your teeth equally accessible.

A dentist is an expert in observing, analyzing, and solving dental problems. When you keep to a regular schedule of exams and cleanings at our Walnut Creek, California dental office, you’ll benefit from that expertise to discover oral health issues before they become more serious. That’s an easy and elegant solution to maintaining your dental health. In fact, it’s elementary!

There is no substitution for a natural healthy tooth. Dental fillings are intended to replace tooth structure and restore a tooth damaged by decay (a cavity) back to its normal function and shape. Silver (amalgam) and tooth-colored (composite) fillings last a long time, though they can develop decay when the integrity is compromised by open margins, fracture, or recurrent decay. In this blog, we discuss the signs and symptoms that indicate your filling may need to be replaced in order to prevent further complications.

Amalgam fillings are made of an alloy (mixed metals) that expands and contracts. They have no bonding properties, and so to place an amalgam filling, the hole in the tooth may need to be larger. Because of these two factors, fractures frequently occur. There are three types of cracks that are commonly associated. Craze lines are superficial with no treatment needed. Fractures extend along other parts of the tooth and may require a filling replacement or crown. Cracks extend toward the root and can require a root canal and crown or, if too severe, extraction.

A filing needs to be sealed to the tooth. If the seal between the tooth and the filling breaks down, food debris and bacteria can seep down under the filling and cause recurrent decay. If the decay is treated early, replacing the filling is adequate. If not, a crown and even a root canal may be needed. The biggest mistake you can make is waiting to do something about a broken or unsealed filling until it is painful. Doing this will only make the treatment more involved and often times more expensive.

Regular dental exams and X-rays are used to evaluate dental fillings. You will not be able to tell on your own when your fillings start to fail. Just as a car mechanic will change the oil, correct your alignment, or change your tires, a dental checkup will help you identify small concerns to fix as you go in order to avoid a critical emergency.

Pay attention to any bite or temperature sensitivity in teeth that have fillings. This can be an indicator for some of the problems listed above. You know your teeth better than anyone. Your observations are most valuable when evaluating a filling for replacement. If replacement is needed, know you are doing what is best to prevent future dental calamities and make an appointment to see Dr. Cynthia Stephenson.

You already know that taking care of your teeth can help prevent tooth decay and the need for extensive work such as root canals or implants, which can be inconvenient and expensive. But the benefits of good teeth can go far beyond having an attractive smile and being able to crunch carrots and chew meat.

The American Dental Association explains that healthy teeth are linked to a lower risk for heart disease and diabetes. Furthermore, recent research published in the British Journal of Sports Medicine states that good teeth can improve athletic performance among elite athletes.

Researchers examined the oral health of nearly 300 athletes in 25 sports at the 2012 Olympics in London. They looked for conditions such as dental caries, gingivitis, dental erosion, and periodontal disease, and asked about recent visits to a dentist.

Study investigators also asked athletes whether their oral health interfered with quality of life or athletic training and performance. The study concluded that poor oral health and fewer dental visits led to interference with preparation for competition.

This can happen for a few reasons. Tooth pain can disrupt sleep, which leads to slower reaction times. Oral health conditions can indicate chronic inflammation in the body, which means suboptimal performances on an elite level. Tooth pain can interfere with focus during training and competition.

Unfortunately, merely taking good care of your teeth won’t turn you into an Olympic gold medalist. However, the benefits can still be worthwhile. Even if healthy teeth provide little if any detectable gain in your athletic abilities, the potential benefits of maintaining a healthy mouth clearly go far beyond an attractive smile.

Practicing good oral hygiene and seeing Dr. Cynthia Stephenson regularly can promote your physical health, and maybe – just maybe – you will start to achieve an advantage over your weekend athletic opponents.

At Cynthia Stephenson, DDS, we understand that getting high-quality sleep is vital to maintaining your overall health. Insufficient sleep can lead to an inability to concentrate, motor vehicle accidents, and difficulty performing at work. Since approximately 18 million Americans suffer from sleep apnea, this poses a significant public health problem. If you think you may have sleep apnea, talk to Dr. Cynthia Stephenson and our team about devices that can help you get a good night’s rest.

What is sleep apnea?

Sleep apnea is a relatively common disorder in which breathing stops or becomes very shallow during the night. These bouts of paused breathing may last a few seconds or as long as several minutes. When 30 or more breathing interruptions occur per hour, sleep apnea leads to dramatic reductions in sleep quality. In many cases, this condition is caused by your airway becoming blocked or collapsed during sleep.

Anyone can get sleep apnea, but there are certain factors that increase your risk. Having small airways, being overweight, being male, or having a family history of sleep apnea increases the likelihood that you will develop the disorder. If you think you have sleep apnea, visit highly encourage you to visit our Walnut Creek, California office for a thorough physical exam, comprehensive medical history, and a sleep study.

Treatment Options

Several treatment avenues are available for people with sleep apnea. One popular option is to wear an oral appliance. For example, a mandibular advancement device (MAD) looks like a sports mouthguard and slightly repositions your jaw, to keep your airway unobstructed. Another option is a tongue-retraining device (TRD), which holds your tongue in place to ensure that your airway stays open during the night.

For individuals with mild-to-moderate sleep apnea, dental devices are a smart option. Many patients enjoy improved sleep, reductions in snoring, and less fatigue during daytime hours. If you’re curious about getting an oral appliance to help with your sleep apnea, please consult our team at Cynthia Stephenson, DDS. After a consultation and examination, we can fit the type of device that works best for your condition.