My Blog

Posts for: January, 2018

By Michael J. Tisdelle DDS
January 17, 2018
Category: Oral Health
Tags: oral hygiene  

Most people who come to the dentist with serious oral ailments have challenges maintaining good oral hygiene. Dental decay and gum oral hygienedisease is so prevalent because patients don't always do a great job of cleaning their teeth and gums. Think about whether you have proper oral hygiene habits and learn how you can improve them so that your next appointment with Dr. Michael Tisdelle in Charlottesville, VA will be a good one.

Why Oral Hygiene Is Important
It's important to keep every part of your body clean for hygienic and health reasons, but it is particularly important to keep your mouth as clean as possible. The oral cavity is the perfect place for bad bacteria to live, feed, and multiply because it is dark and warm. You also eat and drink throughout the day, which leaves food particles and liquid film behind for the bacteria to feed on. The cleaner you keep your mouth throughout the day, the less likely it is that bad bacteria will thrive.

What Are Good Oral Hygiene Habits?
Oral hygiene is about more than just brushing your teeth—it's also caring for your gums, tongue, and the other soft tissues in your mouth. These are considered good oral hygiene habits:

- Brushing for at least two minutes in the morning and at night (including your tongue).
- Flossing thoroughly before going to sleep at night.
- Making the decision to drink a lot more water and less sugary beverages.
- Eating foods that are high in calcium and other necessary nutrients.

Seeing Your Dentist for Checkups and Cleanings
In addition to keeping good oral hygiene habits at home, it's also important to get help from your dentist. You may be effective at removing dental film and food particles from around your teeth, but only a dentist can find and properly remove hardened calculus and tartar. At checkups, your dentist can also suggest necessary treatments to keep your teeth and gums healthy.

Call Today for a Professional Cleaning
Now that you know how to modify your daily oral hygiene habits, set up an appointment for a cleaning with Dr. Michael Tisdelle at his Charlottesville, VA dentist office so that you can get a fresh start. Call (434) 977-4101 today to schedule a visit.


By Michael J. Tisdelle DDS
January 17, 2018
Category: Dental Procedures
DontBreakItLikeBeckham

During his former career as a professional footballer (that's a soccer star to U.S. sports fans) David Beckham was known for his skill at “bending” a soccer ball. His ability to make the ball curve in mid-flight — to avoid a defender or score a goal — led scores of kids to try to “bend it like Beckham.” But just recently, while enjoying a vacation in Canada with his family, “Becks” tried snowboarding for the first time — and in the process, broke one of his front teeth.

Some fans worried that the missing tooth could be a “red card” for Beckham's current modeling career… but fortunately, he headed straight to the dental office as soon as he arrived back in England. Exactly what kind of treatment is needed for a broken tooth? It all depends where the break is and how badly the tooth is damaged.

For a minor crack or chip, cosmetic bonding may offer a quick and effective solution. In this procedure, a composite resin, in a color custom-made to match the tooth, is applied in liquid form and cured (hardened) with a special light. Several layers of bonding material can be applied to re-construct a larger area of missing tooth, and chips that have been saved can sometimes be reattached as well.

When more tooth structure is missing, dental veneers may be the preferred restorative option. Veneers are wafer-thin shells that are bonded to the front surface of the teeth. They can not only correct small chips or cracks, but can also improve the color, spacing, and shape of your teeth.

But if the damage exposes the soft inner pulp of the tooth, root canal treatment will be needed to save the tooth. In this procedure, the inflamed or infected pulp tissue is removed and the tooth sealed against re-infection; if a root canal is not done when needed, the tooth will have an increased risk for extraction in the future. Following a root canal, a tooth is often restored with a crown (cap), which can look good and function well for many years.

Sometimes, a tooth may be knocked completely out of its socket; or, a severely damaged tooth may need to be extracted (removed). In either situation, the best option for restoration is a dental implant. Here, a tiny screw-like device made of titanium metal is inserted into the jaw bone in a minor surgical procedure. Over time, it fuses with the living bone to form a solid anchorage. A lifelike crown is attached, which provides aesthetic appeal and full function for the replacement tooth.

So how's Beckham holding up? According to sources, “David is a trooper and didn't make a fuss. He took it all in his stride." Maybe next time he hits the slopes, he'll heed the advice of dental experts and wear a custom-made mouthguard…

If you have questions about restoring damaged teeth, please contact our office to schedule a consultation. You can read more in the Dear Doctor magazine articles “Trauma and Nerve Damage to Teeth” and “Children's Dental Concerns and Injuries.”


By Michael J. Tisdelle DDS
January 02, 2018
Category: Dental Procedures
Tags: dental implants  
YourHealthCouldAffecttheLongevityofaDentalImplant

There’s a lot to like about dental implants for replacing missing teeth. Not only are they life-like, but because they replace the root they also function much like a natural tooth. They also have another unique benefit: a track record for long-lasting durability. It’s estimated more than 95% of implants survive at least ten years, with a potential longevity of more than 40 years.

But even with this impressive record, we should still look at the few that didn’t and determine the reasons why they failed. We’ll soon find that a great number of those reasons will have to do with both oral and general health.

For example, implants rely on adequate bone structure for support. Over time bone cells grow and adhere to the implant’s titanium surface to create the durable hold responsible for their longevity. But if conditions like periodontal (gum) disease have damaged the bone, there might not be enough to support an implant.

We may be able to address this inadequacy at the outset with a bone graft to encourage growth, gaining enough perhaps to eventually support an implant. But if bone loss is too extensive, it may be necessary to opt for a different type of restoration.

Slower healing conditions caused by diseases like diabetes, osteoporosis or compromised immune systems can also impact implant success. If healing is impeded after placement surgery the implant may not integrate well with the bone. An infection that existed before surgery or resulted afterward could also have much the same effect.

Oral diseases, especially gum disease, can contribute to later implant failures. Although the implant’s materials won’t be affected by the infection, the surrounding gum tissues and bone can. An infection can quickly develop into a condition known as peri-implantitis that can weaken these supporting structures and cause the implant to loosen and give way. That’s why prompt treatment of gum disease is vital for an affected implant.

The bottom line: maintaining good oral and general health, or improving it, can help keep your implant out of the failure column. Perform daily brushing and flossing (even after you receive your implant) and see your dentist regularly to help stop dental disease. Don’t delay treatment for gum disease or other dental conditions. And seek medical care to bring any systemic diseases like diabetes under control.

If you would like more information on dental implants, 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 “Dental Implants: A Tooth-Replacement Method that Rarely Fails.”