In my daily practice, I often find infected teeth that the patient is entirely unaware of. Most often, I find asymptomatic infections on radiographs (x-rays). Sometimes, I can see what appears to be a pimple on the gums adjacent to the tooth, usually at the level of the root tip. The pimple is usually on the cheek side (buccal). However, they are occasionally found on the tongue side (known as the palatal on the upper and lingual on the lower). Technically a pimple around a tooth is known as a dentoalveolar fistula. I will talk about what they are, how they form, what to do if you have one, and how to prevent them.
Read MoreThis is the presentation I am giving today at PaleoFx in Austin Texas.
Read MoreMany of you may have experienced painful teeth while suffering from a sinus infection. Dentists frequently encounter this phenomenon. Because the roots of some teeth touch the floor of the maxillary (cheek) sinuses or even protrude into them, sinus infections can often cause the teeth to hurt, even though they have no pathology. This post will discuss some of the unique aspects of the tooth-sinus connection.
Read MoreMany of us have bony lumps either on our palates, on the tongue side of the lower jaw, or both. The growth is called a torus when singular or tori when plural. They are classified as tori palatinus or palatal tori when on the palate. When they are on the tongue side of the mandible, they are classified as tori mandubularis, mandibular tori, or lingual tori. They can also appear on the gums opposite the lips on the upper and lower jaws. When they appear there, they are called buccal tori or exostoses. They are usually nothing to be concerned about from a medical, dental, or esthetic perspective. However, sometimes they can be problematic and require removal. This post will discuss tori, what they are, how to get them properly diagnosed, and, finally, how to treat them if they are problematic.
Read MoreTooth wear is considered a bad thing in the modern era. It can be painful and unsightly. Furthermore, a 2019 analysis of 706 studies involving tooth wear associated it with sleep disorders, oro-facial pain, oral dryness, GERD, and sleep bruxism (tooth grinding). However, several lines of research conclude that tooth wear, even in childhood, may be an evolutionary survival strategy. Especially as it pertains to proper jaw growth. The story is a little complicated, so I want to give you a little background and then explain how tooth wear may have been beneficial during our evolution.
Read MoreI have written articles about systemic fluoride before, but today I want to focus on one manifestation of excess fluoride called fluorosis. Fluorosis means fluoride toxicity and its manifestations. The symptoms range from mild to severe and typically show up in teeth and bones but include other aspects of the body. Today, dental fluorosis has been trivialized, yet 8 to 51% of children in fluoridated communities suffer from dental fluorosis, and 3 to 26% of children in non-fluoridated communities suffer from dental fluorosis due to its presence in much of our food supply. In 2010, the Centers for Disease Control reported 41 % of American adolescents now have dental fluorosis. In this post, I will show you how to identify it, and talk about what you can do to prevent and cope with it.
Read MoreI have written numerous posts on the plight of our small jaws over the years. So I thought it might be a good idea to share the story of mine, and what I have done about it. Maternal smoking, lack of breastfeeding, soft food, swollen tonsils, sinus problems, a deviated septum, and attractive orthodontics all played a role. The good news I was able to correct every problem. I will tell you how at the end of this post.
Read MoreI want to share a shocking brief digital simulation showing how our faces have been drastically shrinking over several hundred years. I got it from Dr. Michael Gelb DDS in NYC, who got it from best-selling author James Nestor. Please concentrate on the lower face; you will see how the jaws are shrinking and moving back toward the throat. This causes the tongue to partially or fully occlude the airway, especially when we sleep. You should also notice how the face is less attractive now. In fact, it is rare to see someone who has realized their potential for full facial development. People with properly developed faces will always have straight teeth, room for their wisdom teeth, superior beauty, and better health. Whatever they do for a living, they appear to be actors and models. Since most of us have underdeveloped faces, this epidemic has gone primarily unnoticed by us, including most physicians and dentists. This needs to change because, as you will see in this post, it is one of the major contributing factors for many, if not most, of our modern health problems.
Read MoreBefore the advent of farming, our jaws were larger; our faces were broader, our teeth were straight, we had adequate room for our wisdom teeth, larger brains, and more space in our throats to breathe. It is a virtual certainty that our changing diets contributed to crooked teeth and a lack of adequate space for wisdom teeth and constricted airways. SMALL JAWS CAUSE BIG PROBLEMS. Heart disease, cancer, Alzheimer's disease, ADHD, depression, and anxiety are a few. In this post, I am going to cover how our lifestyles have changed leading to our current problems, and what we can do about it.
Read MoreWe are in the midst of heated times. The implication that unvaccinated people are dangerous is misguided, and I need to speak up. I present facts and ideas that you may not be aware of. I have nothing against vaccines personally and went out of my way to get certified by my state to provide them for anyone wanting one. I deem the matter a personal choice, and the law and medical ethics support this. I believe the risk from receiving the Covid-19 vaccination is probably minimal. The vast majority of us should take it without fear of harm. Like everything in life, individuals must weigh the pros and cons. The views expressed in this post are my opinions only. You should address concerns about the Covid-19 vaccination only with qualified medical professionals.
Read MoreEvery workday, I review my patients' medical histories. It is usual for most of them to have health issues. Upon reviewing their medical problems with them, I find that their lifestyles are frequently partially and sometimes wholly responsible for their poor health. Today I thought it would be good to do some statistics, and I want to share my results with you. You will probably be surprised how unhealthy we are. Before we continue, let me ask you a few questions. What percentage of Americans have an illness? What percent are on prescription medication? What percentage of us have allergies? What percent are overweight? How many missing teeth does the average person have? Ready for the answers? Make sure you are sitting down. The figures are not pretty.
Read MoreAlmost two years ago, I wrote a piece on lip incompetence. Surprisingly, it has gotten more consistent attention than any other blog I have done. It is a condition where the lips cannot form a seal when your jaw is at rest without straining. It can cause a variety of dental, health, and social problems. For these reasons, it should be diagnosed and correct as soon as possible. If you suspect you may have this condition, consult with your dentist as soon as you can. There is very good research that shows a simple exercise you can do right now can help immensely until you get definitive treatment. Read on…
Read MoreYou have 8760 hours each year to work on your health. You don’t need to be a goody-two-shoes all of the time, just most of it. Spending 2 hours a year with the hygienist will not negate spending the other 8758 hours eating processed carbs. It is up to you to learn what you need to do to be healthy. Luckily, when you eat the foods good for your mouth, you are also eating the exact foods that are good for the rest of you. For a quick list of the other things you need to be doing, read on.
Read MoreMore commonly known as canker sores, recurrent aphthous stomatitis (RAS) can be quite a nuisance. Because the sores are associated with systemic inflammation, I believe that they can be preventable, and I have seen this first-hand in patients. Today I want to cover three important ways you can help prevent them. I also want to tell you about a surprising at-home treatment that has proven to be more effective than prescriotion medication.
Read MoreAre there people who just don’t chew enough to absorb enough nutrients to be healthy, even though they could if they wanted to? How do we know when we have safely masticated food enough to safely swallow? Are all of the recommendations to chew more based on legitimate science? Let’s find out…
Read MoreIn the history of the human race, eating was regarded with the highest priority. The taste was unimportant. Today, overly tasty foods act on the brain the same way alcohol, meth, cocaine, heroin, and many other drugs do. They cause a dopamine hit that will stimulate reward-seeking behaviors that are difficult to control. Flavorful foods are hijacking our brains. Drugs and hyper-palatable/highly processed foods are precisely the same. In both cases, the immediate short-term pleasure overtakes long-term health and wellness. I will cover this unfortunate shift and what we can do about it in this post.
Read MoreI am a proponent of using botanicals to help treat numerous conditions. Allicin from garlic and sulforaphane from cruciferous are two great examples of botanicals that are effective in treating a variety of illnesses. Many websites cite them as home cures for dental abscesses. I did a quick search on the web and found 27 home cures for dental infections. I searched PubMed for studies supporting claims that any of the 27 could cure dental infections. The research, sadly, did not support these claims. Today I am going to give a short primer on the three types of dental infections to explain why I was not surprised by the fact that, in most instances, they will have little to no effect.
Read MoreEver hear of saving face? Myofunctional therapy does just that. In today’s guest post, myofunctional therapist, Brittny Sciarra talks about how improper tongue posture, mouth breathing, and other problems can lead to improper facial development, difficulty breathing, and even swallowing. Brittny works with patients to establish proper lip seal, nasal breathing, and tongue posture to help them develop healthy beautiful faces and airways.
Read MoreI had the idea for a post about the different kinds of teeth we have a few weeks ago and thought it might be too simple. But then I had a patient that was asking me about the different kinds of teeth and their functions in chewing, so I am going forward with the post. Maybe this is not a very exciting topic, but knowledge of the functions of the different kinds of teeth we have could help patients who are experiencing problems because they are not correctly using them.
Read MoreOn March 18th, I discussed how Coronavirus is more likely to kill the elderly. In that post, I highlighted the fact that many older individuals have more underlying diseases, including heart disease, high blood pressure, diabetes, cancer, pulmonary disease, obesity, etc. We now have statistics regarding deaths from Coronavirus that demonstrate that trend. I would like to share them with you today.
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