My Blog

Posts for: October, 2014

By Julie R. VanHoose, DMD, PC
October 20, 2014
Category: Oral Health
KristinCavallariandtheMysteryoftheBathroomSink

While she was pregnant with her son Camden Jack Cutler, 25-year-old Kristin Cavallari noticed an odd occurrence in her bathroom sink: “Every time I floss, my sink looks like I murdered somebody!” the actress and reality-TV personality exclaimed. Should we be concerned that something wicked is going on with the star of Laguna Beach and The Hills?

Before you call in the authorities, ask a periodontist: He or she will tell you that there's actually no mystery here. What Cavallari noticed is, in fact, a fairly common symptom of “pregnancy gingivitis,” a condition that affects many expectant moms in the second to eighth month of pregnancy. But why does it occur at this time?

First — just the facts: You may already know that gingivitis is the medical name for an early stage of gum disease. Its symptoms may include bad breath, bleeding gums, and soreness, redness, or tenderness of the gum tissue. Fundamentally, gum disease is caused by the buildup of harmful bacteria, or plaque, on the teeth at the gum line — but it's important to remember that, while hundreds of types of bacteria live in the mouth, only a few are harmful. A change in the environment inside the mouth — like inadequate oral hygiene, to use one example — can cause the harmful types to flourish.

But in this case, the culprit isn't necessarily poor hygiene — instead, blame it on the natural hormonal changes that take place in expectant moms. As levels of some female hormones (estrogen and/or progesterone) rise during pregnancy, changes occur in the blood vessels in the gums, which cause them to be more susceptible to the effects of bacterial toxins. The bacteria produce toxic chemicals, which in turn bring on the symptoms of gingivitis — including painful and inflamed gums that may bleed heavily when flossed.

Is pregnancy gingivits a cause for concern? Perhaps — but the condition is generally quite treatable. If you've noticed symptoms like Kristen's, the first thing you should do it consult our office. We can advise you on a variety of treatments designed to relieve the inflammation in your gums and prevent the harmful bacteria from proliferating. Of course, your oral health (and your overall health) are prime concerns during pregnancy — so don't hesitate to seek medical help if it's needed!

How did things work out with Kristen? She maintained an effective oral hygiene routine, delivered a healthy baby — and recently appeared on the cover of Dear Doctor magazine, as the winner of the “Best Celebrity Smile” contest for 2012. And looking at her smile, it's no mystery why she won.

If you would like more information about pregnancy gingivitis, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Expectant Mothers” and “Kristen Cavallari.”


By Julie R. VanHoose, DMD, PC
October 20, 2014
Category: Dental Procedures
Tags: braces   orthodontics  
FiveThingstoKnowaboutOrthodonticTreatment

A beautiful smile has been proven to enhance your confidence and self-esteem. However, not everyone was born with the perfect smile. If you have an overbite, crowding of the teeth, too much space in between your teeth or missing teeth, then you may be a candidate for orthodontic treatment. With orthodontic treatments, teeth are moved into proper alignment by placing continuous, gentle forces in a carefully controlled direction with an orthodontic appliance.

Here are a few things you should know about malocclusions (bad bites) and orthodontics:

  1. Causes. In many cases, bad bites are simply inherited. Malocclusions can also be caused by skeletal growth problems, and in these cases, early intervention with orthodontics can make a big difference. Acquired bite problems can be caused by trauma, thumb sucking and any premature loss of teeth.
  2. Options. Nowadays, there are many different options available for those that require orthodontic treatment. In addition to traditional braces, which are applied to the front of the teeth, there are now braces that can be attached to the back of your teeth. Another popular option is clear orthodontic aligners, an alternative system to traditional braces that use a sequence of clear, removable and custom-fitted trays to gradually straighten your teeth.
  3. Age. The American Association of Orthodontists recommends that children should be evaluated for orthodontic problems no later than age seven, as early detection and action helps to avoid more difficult treatment later in life. One out of every five orthodontic patients today is an adult, so remember that it is never too late.
  4. Time. While treatment time will vary, you can expect it to range from one to three years, depending on the severity of the problem. However minor tooth movement may take as little as six months.
  5. Maintenance. Remember that once your treatment has concluded, the work is not done. We will often recommend that you wear a retainer for a prescribed period of time to maintain your new, straight smile.

If you would like more information about orthodontics, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “The Magic of Orthodontics.”