My Blog

Posts for: December, 2014

By Denise A. Perrotta DMD
December 29, 2014
Category: Oral Health
NoGleeinToothGrinding

Sure, it’s big news when celebs tweet selfies from the dental office… if you’re still living in the 20th century. But in Hollywood today, it’s harder to say who hasn’t posted snaps of themselves in the dentist’s chair than who has. Yet the pictures recently uploaded to Twitter by Mark Salling, the actor and singer who regularly appears as Noah “Puck” Puckerman on the popular TV series Glee, made us sit up and take notice.

“Getting my chipped tooth fixed. Also, apparently, I’m a big grinder,” read the caption. The photo showed a set of upper front teeth with visible chips on the biting surface. What’s so special about this seemingly mundane tweet? It’s a great way of bringing attention to a relatively common, but often overlooked problem: teeth clenching and grinding, also called bruxism.

Although bruxism is a habit that affects scores of people, many don’t even realize they have it. That’s because the condition may only become active at night. When the teeth are unconsciously ground together, the forces they produce can wear down the enamel, cause chipping or damage to teeth or dental work (such as veneers or fillings), or even loosen a tooth! While it’s common in children under 11 years old, in adults it can be a cause for concern.

Sometimes, mouth pain, soreness and visible damage alert individuals to their grinding habits; other times, a dental professional will notice the evidence of bruxism during an exam or cleaning: tooth sensitivity and telltale wear and tear on the chewing surfaces. Either way, it’s time to act.

Bruxism is most often caused by stress, which can negatively impact the body in many ways. It may also result from bite problems, the overuse of stimulating substances (caffeine, alcohol, tobacco, and illegal drugs), and as a side effect of certain medications. Sometimes, simply becoming aware of the habit can help a person get it under control. Common methods of stress reduction include exercise, meditation, a warm bath or a quiet period before bedtime; these can be tried while we monitor the situation to see if the problem is going away.

If stress reduction alone doesn’t do the trick, several other methods can be effective. When bruxism is caused by a minor bite problem, we can sometimes do a minor “bite adjustment” in the office. This involves removing a tiny bit of enamel from an individual tooth that is out of position, bringing it in line with the others. If it’s a more serious malocclusion, orthodontic appliances or other procedures may be recommended.

When grinding is severe enough to damage teeth or dental work, we may also recommend a custom-made night guard (occlusal guard), which you put in your mouth at bedtime. Comfortable and secure, this appliance prevents your teeth from being damaged by contacting each other, and protects your jaw joints from stresses due to excessive grinding forces.

Whether or not you have to smile for a living, teeth grinding can be a big problem. If you would like more information about this condition, call our office to schedule a consultation for a consultation.


By Denise A. Perrotta DMD
December 19, 2014
Category: Dental Procedures
Tags: dental implants  
NewYearNewSmile

In the winter months, when the daylight hours grow few, we celebrate the season with holiday lights and good cheer. This season of hope and renewal also gives us a chance to think about the future — to take stock of where we’ve been, and even plan for some changes in the new year.

Deciding to improve your overall health is one great way to start off the year. Of course, we know many resolutions that begin with crash diets and extreme fitness programs won’t be kept up for very long. But if there were one permanent change you could make, which would both enhance your appearance and improve your health… would you do it? If you are missing teeth — or if you’re wearing dentures that aren’t working the way you’d like — then perhaps we can offer a suggestion: Consider dental implants.

Besides being an obvious blemish on your appearance, missing teeth also create problems you can’t see. For one, it’s harder to eat a proper, balanced diet if you have trouble chewing certain foods, potentially leading to serious nutritional problems. For another, when teeth are lost, the bone in your jaw that used to surround them begins to deteriorate. This can cause you to have a prematurely aged look, and make you appear unhappy even when you’re not.

Unfortunately, dentures don’t solve these problems — in fact, they tend to compound them. Many denture wearers report they have problems eating; some even say they eat better without dentures. And dentures don’t stop bone loss; in many cases, especially when they don’t fit correctly, they actually accelerate it.

But there’s really no reason you have to get by with missing teeth. Since they were introduced some three decades ago, dental implants have offered people a better way to replace lost teeth. With implants, you can eat your favorite foods again, smile with complete assurance, and stop worrying about dentures that may fit poorly or slip out at the wrong times.

Fixed solidly in your jaw in a minor surgical procedure, dental implants function just like your natural teeth. Their natural look and “feel” makes it easy to forget they aren’t the teeth you were born with. Best of all, they can last the rest of your life… unlike bridges or dentures. Because they offer a permanent solution, implants can be quite cost-effective in the long run. But the way they can restore your confidence and make you feel good about yourself isn’t something you can put a price on.

So if you have ever thought about making a New Year’s resolution that will really improve your health and well-being — consider dental implants. Just call our office to schedule a consultation. You can learn more in Dear Doctor magazine’s in-depth guide, “Dental Implants.”


TVsNateBerkusDiscussesDentalSealantsFluorideTreatmentsandFlossing

Nate Berkus, author, interior designer and host of his own television program, The Nate Berkus Show, is a consummate professional who has always focused on “helping others love the way they live,” as he puts it. Berkus is known as one of America's most beloved go-to-guys for inspiration on the latest design trends. And then there is his captivating smile.

In an exclusive interview with Dear Doctor magazine, Berkus discusses his trademark smile. Unlike most people in Hollywood, his smile is totally natural — he never wore braces or had any cosmetic work. However, Berkus does give credit to his childhood dentist for the preventative healthcare he received as a young boy. Berkus states, “I'm grateful for having been given fluoride treatments and sealants as a child. Healthy habits should start at a young age.”

As for his oral hygiene routine today, Berkus says he brushes his teeth at least two times a day, and sometimes three times a day. Berkus is also an avid “flosser” and follows the important flossing advice he learned from his dentist: “Floss the ones you want to keep.”

In addition to his design expertise, Berkus is right on the mark with his opinions on oral hygiene. In fact, he inspired our office to put together the following list of facts and oral health tips:

  • The first step in improving your oral health is to learn good oral hygiene behavior. Simply put, to maintain optimal oral health, you must brush and floss properly so that you thoroughly remove the dental plaque.
  • The second step is a thorough evaluation system. We are a key part of this step. During your next office visit, we can conduct a thorough examination, review your brushing and flossing techniques, examine the health of your tongue and discuss any questions you have. We can also clean your teeth and ensure that you leave our offices confident with your new oral hygiene routine. And if you don't have an appointment, contact us today to schedule one.

To learn more about improving your oral hygiene, you can continue reading the Dear Doctor magazine article “Oral Hygiene Behavior - Dental Health For Life.” And to read the entire interview with Nate Berkus, please see the article “Nate Berkus.”


By Denise A. Perrotta DMD
December 03, 2014
Category: Dental Procedures
Tags: cosmetic dentistry  

Your Winston Salem dentist offers cosmetic dentistry to enhance and improve your smile.

People put a lot of stock in a healthy smile. The American Academy of Cosmetic Dentistry found that almost half of Americans believe that a smile is the most attractive feature and a whopping 85 percent believe that those with good teeth are actually more attractive.

However, not everyone is lucky enough to be born with the perfect set of teeth. Most of us deal with common flaws that keep us from the most ideal smile. The same holds true for celebrities, in which appearance tends to be vitally important to their career. By opting for cosmetic dentistry in Winston Salem, you could join the growing list of celebrities who have greatly benefited from cosmetic dentistry.

Tom Cruise

Before this A-list celebrity was gracing the red carpet and the big screen, he was dealing with a less-than-ideal smile. Tom Cruise suffered from crooked and yellowing teeth. After whitening and straightening treatments, Cruise had enough and finally opted for dental veneers to cover all the problem areas for good. Now his millions of fans can enjoy watching him flash that brilliant, straight smile for the camera.

George Clooney

This Hollywood heartthrob might seem completely perfect, but he’s just as human as the rest of us. In fact, he’s an avid teeth grinder, which he reports is brought on by stress. Over time, the constant teeth grinding has actually worn down his teeth. In order to protect his smile from additional wear and tear, Clooney opted for a full set of dental veneers.

Ben Affleck

Ben Affleck has been in the tabloid limelight since his Good Will Hunting days, and his good looks and charming smile have led him to play the romantic lead in a variety of films. However, Affleck didn’t always have that romantic smile. In fact, teeth whitening and a variety of other cosmetic procedures are to thank for his straight pearly whites.

If you are interested in getting a smile that could rival your favorite celeb, then it’s time to consider your cosmetic dentistry options in Winston Salem. Call us today to schedule a consultation! What do you have to lose?




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Monday: 08:00 AM - 05:00 PM
Tuesday: 08:00 AM - 05:00 PM
Wednesday: 08:00 AM - 05:00 PM
Thursday: 08:00 AM - 05:00 PM
Friday: By appointment
Saturday: Closed
Sunday: Closed

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