How Smoking Impacts Teeth

Lately commercials have been highlighting the dangers of smoking. Occasionally there will be one which highlights the dangers of smoking on the health of the mouth. The dangers go beyond the surface. While I am comfortable with people walking their own paths, as I dentist I am vehemently against smoking. I know the havoc which can be inflicted on the mouth because I have seen it first hand. Hopefully, after knowing what can happen, people will be more informed and able to make an educated decision.

Leukoplakia isn’t heavily televised and most people have no idea what it is. But when it develops it is definitely a cause for concern. Smoking causes irritation to the mucous membranes around the mouth and tongue. The symptoms can range from mild to severe on a case-by-case basis. When this irritation is chronic, as is often the case with smokers, white and/or grayish patches can develop around in the mouth. Most frequently Leukoplakia is seen in senior citizens, but it can happen at anytime during the life of a person. Leukoplakia does have other causes, such as irritation from rough teeth or ill-fitting dentures and sun exposure but, smoking is towards the top of the list.

The risk of developing oral cancer increases tremendously when a person is a smoker. Oral cancer can affect the tongue, lips, gums, and throat, often spreading to incorporate more than one area. According to the Oral Cancer Foundation approximately 45,750 Americans are diagnosed with oral or pharyngeal cancer annually. Of those who are newly diagnosed, only about 57% will be alive in 5 years. On a worldwide scale, 450,000 cases of oral cancer are diagnosed every year.

Smoking is notorious for staining teeth. Those pearly whites will go to dark and dingy more and more as smoking continues. This not only affects the appearance of a person, but the stains get into the enamel and weaken it. Enamel is a very strong substance, but once erosion begins it is a hard process to stop. Once the enamel is gone, the rest of the tooth becomes vulnerable and open to decay. For this reason, smokers are as likely to develop cavities as people who do not brush. You can find out more information about whitening treatments at

Gum disease, also known as periodontal disease is one of the largest reasons for tooth loss.Smoking is one of the biggest risk factors for developing gum disease. Smoking encourages plaque to build up, This plaque build-up leads to gingivitis. When gingivitis does not get sufficient treatment in a timely manner, it advances to gum disease. When periodontal disease sets in, the gums begin to separate from the teeth, making them more vulnerable to infections and more likely to loosen or fall out.

Not only does smoking increase your chances of developing periodontal disease, it also hinders the effectiveness of treatments. Sometimes this can result in dry socket after having a tooth removed. The reasons available to motivate them to not smoke are numerous and apparent. The thing about our teeth is that once they are broken, cracked, chipped, or gone, it is forever. It is never too early to get a checked-up if you are concerned about your oral health.

Copyright Dr.Jean-Jacques Edderai – 2015

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The Dangers of Thumb Sucking

Not all children are thumb suckers. Some children will like to put their fingers in their mouth and while this doesn’t seem like a troublesome habit, it is as detrimental to the development of your child’s mouth as thumb sucking. It is safe to say that if your child is very attached to thumb sucking or pacifiers or their fingers, they are not alone. Most children go through a point of thumbsucking in their lives.

The reason children suck their thumbs is the same reason they will cuddle their blanket… it makes them feel safe. It is a very relaxing behavior and on an instinctive level they know that. It is also comforting in times of anxiety, fear, and boredom. For further information on children dentistry visit here.
Officially, the age which them sucking becomes a problem is after five. But prior to that, there can be indications of dental problems. Generally, unless the problem could be permanent, the baby teeth do not get much corrective care. Children who are voracious thumb suckers may have baby teeth which have gaps or grow in crooked. Most of the time though, prior to age 5, thumb sucking will not cause problems.

It is when the adult teeth begin to form that misalignments will have more severe effects. Children who do not stop sucking their thumbs on their own are more likely to carry the habit after the development of the adult teeth begins. Thumb sucking does not always lead to dental problems. The frequency and intensity of the sucking motion will both play large role in determining if dental problems develop and how severe they may be.

As the adult teeth form, thumb sucking can make the teeth tip forward so they lean towards the lips. There can also be gaps in between teeth and gum damage as a result of the improperly aligned teeth. Later, braces and/or other corrective methods, occasionally surgery, are required to restore the tooth position. This is not only costly monetarily, it can do damage to your child’s self esteem.

The adult teeth develop as children are becoming more comfortable with language and social interaction. Speech problems can result from having teeth in the incorrect place. Even after the position of teeth is restored, speech therapy may be required in order to remove these problems. If the problem is noticeable, it can lead to shyness, sometimes chronic shyness and inattentiveness in class.

Though it may seem small in comparison, children who are fervent thumb suckers may develop thick callus’ on their thumbs. Though the risk is small, some children may have a more difficult time holding a pencil as it can be painful. This happens in very few children but the risk does exist.

There are countless websites which write about how to break the thumb sucking habit. Most experts will agree that until the age of five or six, thumb sucking and pacifiers are fine. It is not until the permanent formation of the mouth begins that thumb sucking can be harmful. Dental visits when teeth first develop will give your dentist a chance to stop bad habits before they start.


Thumbsucking topic overview

Oral Health problems with children

How thumb sucking affects teeth alignment

Sucking on pacifier true or false?

Copyright Dr.Jean-Jacques Edderai – 2015

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How to Choose a Dentist

Unless you use the same dentist you used as a child, there will be a point in your life when you will need to pick a new dentist. It may be because of a move or one of 1000 other reasons, but when you change dentists you want to make sure you are getting one that is qualified and professional. Luckily, there are 5 things to look for that will help you narrow down the list, making the process much less complicated.

5. Volunteer work and hobbies: It can be hard to pinpoint this while first looking at a site. Usually an “About page,” like the one at, will list some information about the dentists and what they like to do. A complete profile that lets you get to know the dentists outside the dental chair. Activities that include volunteer work show that the dentist cares about the community and the world. Which is a way better place to give your business to.

4. They have complete and maintained Website: A website that really answers all of your questions is invaluable ( It is important to know what you are getting into with a dentist. They should have definitions and discuss some of the most common ailments and diseases which may impact the mouth. The website should be maintained, new information at least every 30 days. This lets you know that they put effort behind their reputation.

3. Pictures and videos: The more pictures, videos, and tutorials a dentist has on their website, the more confident they are in their work. A dentist who has nothing to hide will not be intimidated when it comes to showing off their work. This is also how you know the legitimacy of their work. Face it, anyone can put anything they want online, a quality and professional dentist will show their work.

2. They offer warranties: It is almost common sense that a dentist who believes in their work and stands behind it will offer a warranty on dental work. Some dentists offer lifetime warranties (obviously these are the best) while other offer less lengthy warranties. If the dentists doesn’t offer a warranty or it is less than five years, just click away.

1. Education: It is true that a dentist needs training. After the DDS, what has come next? A dentist who has gone on to get a specialized degree or has continued training speaks volumes about their goals and why they became a dentist ( A dentist who goes the extra mile to learn more must be passionate about the health of mouths, including yours. When some of this study takes place in other countries, you can be sure that they have the best range of techniques and methods in their repertoire.

When it comes down to the final choice, always use your better judgment. Look for a clean office and a happy staff. All the little things that show that a dentist cares about what they do will set them apart. Then you can feel confident that your visits will go smooth.

Copyright Dr.Jean-Jacques Edderai – 2015

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How Stress Impacts Oral Health

The body may be comprised of separate parts, but all of these parts work as one unit. Your mental and spiritual well being have just as much impact on health as the physical body. Stress is dangerous to all the parts of ourselves. As it flows into the brain, the brain changes the chemicals it secretes. These chemicals then enter the blood stream and spread throughout your organs. It can especially impact your teeth and gums if proper precautions are not taken.

Unfortunately, stress is a part of life. Failure to properly manage stress will manifest, and when it does so in your mouth, the consequences can be disastrous. Depending on your previous oral health, it can even lead to gum loss and dental deterioration.
One of the most common ways in which stress finds an outlet is through teeth grinding. When caused by stress this is known as Bruxism. It may be either conscious or subconscious and it may happen during the day, at night, or some combination of the two. This is a bad habit to pick up. For people who already have a teeth grinding condition, the addition of stress can worsen the grinding into the development of TMJ. The good news is that teeth grinding is treatable and often curable. This may mean a mouth guard at night and becoming more conscious during the day.

Stress makes us more likely to develop canker sores, which are essentially mouth ulcers. Canker sores are produced by biting your cheek, jabbing your gum, and other activities which are traumatic to mouth tissue. These are all more likely to happen when a person is stressed or tense. More testing is being done to discover if canker sores are caused by stress or just increased by the presence of stress. Early tests have shown a lower rate of canker sores among college students when school was on break.

Stress links to other physical ailments and conditions as well. These include chronic dry mouth, burning mouth syndrome, gum disease, and lichen planus. The list goes well beyond the development of physical sores and bleeding. The emotional and mental sides of ourselves also feel the affects of stress.

We each have an energy field. When that energy field gets corrupted, as can happen with high levels of stress, the tense energy flows throughout the body. Remember, all things are matter. On some level, this means our thoughts are matter as well. When people are stressed, it tends to cause negative thought patterns to develop in the mind.

Not to sound cliché, but what we think becomes reality. So, if you start thinking ideas such as “I’ll never get that promotion” or “We can’t afford the house” then it challenges our very sense of self worth. When we start to feel low about our lives or ourselves, we become less likely to brush and floss everyday. This, once again leads to oral hygiene problems.

We must begin to realize that all of our vital systems are one integral part of one another. When you take care of the physical, mental, and spiritual sides of yourself, they will start to work in symbiosis and communicate to keep your body healthy. If one is out of whack, complete health can not be as readily achieved.

Copyright Dr.Jean-Jacques Edderai – 2015

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Periodontal Disease Detection

A study conducted in 2012 estimates that 47% of all adults over the age of 30 have some degree of periodontal disease. This can range from mild to serious. Periodontal disease starts with plaque. Plaque comes from the bacteria which resides in our mouths. Bacteria love the mouth because it is wet, warm, and has a food source.

When plaque is not removed from the teeth it hardens and forms tartar which can only be removed with a professional dental cleaning. When plaque stays on the teeth, it becomes slowly more detrimental to the mouth. Eventually this plaque build-up, which is full of bacteria, causes an inflammation of the gums known as gingivitis.

Though gingivitis can be treated and reversed with proper dental care, if it is not treated it will turn into Periodontitis. This causes the gums to pull away from the teeth and form pockets. These pockets are prone to infections. Since the body is treating the infection with its natural defenses, the connections the teeth have get destroyed. The connective tissues, bones, and gums all get broken down and loose teeth need to be removed.

Of course, anyone who has been diagnosed with gingivitis is at a high risk for developing Periodontal disease, but even without a diagnosis there are warning signs that could indicate periodontitis is present. Having bad breath or a bad taste in your mouth could be an indication that there is an abundance of bacteria building up in the mouth. Bacteria produce endotoxin which is part of their own metabolism. This is the cause of gum inflammation. These pockets full of endotoxin burrow deeper into the gum line and eventually the jaw. If too much of the jaw bone is lost then teeth have no stability and will either be lost or need to be removed.

Changes to the gum line can indicate the presence of periodontal disease. This is especially true if gums are swollen, bright red, purple, tender to the touch or if they recede down making the teeth look longer than normal. Sometimes these symptoms are dramatic and obvious, in milder cases though, they may appear in a less severe manner.

Because the gum line is physically pulling away from the teeth, new spaces and gaps may appear in between existing teeth. This is usually accompanied by loose teeth, a change to the bite pattern or the way teeth fit together. When the area is infected there will often be a pus build up between the teeth or between the gums and teeth.

Do not make the mistake of thinking that these symptoms will go away on their own. If left untreated, tooth loss and other serious symptoms can occur at an alarming rate. Aside from having gingivitis, periodontitis has other risk factors. Poor oral hygiene, a hereditary predisposition, diabetes, tobacco use, medications, substance abuse, hormonal changes, and poor fitting restorations can all increase a persons odds of getting periodontal disease. Do not take chances with your teeth. If you have any risk factors and/or symptoms of periodontal disease, see your dentist, sooner rather than later.

Copyright Dr.Jean-Jacques Edderai – 2015

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Experimental Dental Procedures

We live in a world where new breakthroughs in technology, medicine, and dentistry are being made everyday. One hundred years ago, the world of dentistry was very limited. Teeth were either pulled or filled with toxic substances. A formula has not yet been devised which will regrow teeth, but there are advancements which can fix almost any smile. Some of these procedures have not been perfected yet, but the possibilities are definitely exciting.

The process of installing zygomatic implant may prove an option for those who want implants, but have insufficient jawbone structure to support them. These implants would be installed into the cheek bone. This procedure was first done by Dr. Maria Papageorge and was made possible through a grant from Tufts University.

The studies need to be continued to determine the longevity of the implants, but the university is offering it to a select few patients for roughly $11,000. This is less than 25% of the tradition $45,000 price tag which comes with implants. It is too early to say if this will become a less expensive solution for tooth loss. But, since it requires fewer connection, this may become the case.

Dentistry is usually associated with the painful and loud sound of dental drill. A new technique called Air Abrasion may change that. Instead of using a metal drill, a stream of particles is aimed at the decaying area of a tooth. In this particle mixture is aluminum oxide, baking soda, and silica, these are run through a blast of air which exits out of the hand piece.

The Air Abrasion technique is a lot quieter than a drill and does not produce pressure or vibration. It can still cause pain though, especially in patients who are sensitive to pressure. This technique reduces the amount of anesthesia needed for shallow cavities. The metal drill will still have its place because fittings for crowns can not be prepared using air abrasion. It also cannot be used for root canals. Some dentists ultimately believe that the use of air abrasion will reduce the risk of chipping and dental fractures as well.

Think about the countless times that the use of anesthesia has left you numb for hours afterwards. It is awkward to eat and drink until that numbness goes away. In fact, in some cases it can take up to five hours for the effects to be completely gone. A new medication called OraVerse reverses the effects of the anesthesia and can take the time for the numbness to wear off down to about an hour.

This is great news for those who scheduled dental visits before picking kids up from school, between errands, or any other time when full oral function will be necessary. The phentolamine which is in OraVerse works by opening up blood vessels to restore blood flow to the mouth. The medication is injected immediately after the procedure is over. Since the numbness in effect, there is no need to be concerned over pain.

All of these techniques have the potential to change how we think about modern dentistry. Making it more convenient and less painful should encourage more people to tend to their teeth properly and no longer fear those dental check ups.

Copyright Dr.Jean-Jacques Edderai – 2015

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Oral Hygiene Tips for Camping

The return of the summer months brings about camping, amusement parks, and vacations. It also brings with it a plethora of ice cream, s’mores, and sweet summer treats. Going on vacation does not mean that oral health goes on vacation too. Simple steps can be taken to ensure that you and your family are all tending to your teeth.

While thinking of snacks for the family, thing not only healthy, but healthy and crunchy. Carrot and celery sticks are not only full of vitamins, but their texture simulates a brushing motion when they are chewed. Juices are a good choice to wash those down, but only those that have no added sugar. Keep in mind that many rest areas and gas stations have little that passes for healthy. By having snacks prepared and ready in a cooler, not only do healthy snacks stay an option, but it will save on travel expenses.
On extra-long trips, anything where the family will be stuck in a car for a couple days, it is wise to have scheduled brushing breaks. So, every time you pull over to stretch your legs or use a restroom, pull out the brushes, toothpaste, and mouthwash. Think about how morning breath develops… a warm, wet mouth which is a breeding ground for bacteria. The same thing happens in the car. Especially when snacks and beverages are used to help tame restless children.

Get a dental checkup before the trip. Even if it is a week or two before the trip, it gives you a chance to get a full cleaning and treat any unexpected dental problems. Getting one for every family member can help you have a trip which is safe from those tooth pains and more fun for everyone.
There are special toothbrushes which are designed for camping. They have a plastic lid and are available in many colors. Even better, they each come with a tube of paste. Because they are color coded, each family member will know which one is theirs. The lid keeps dirt and bacteria off of the brush and the family toothbrushes can be left at home where they won’t get lost or dirty. Some even have a hole for a clip. Most are available for a buck or two.
While you are away, assume it will not be easy to find a dentist if an emergency occurred. This means you should avoid opening packages with your teeth or crunching ice. These are bad practices anyway, but on vacation they can open you up to a whole world of pain. So avoid these at all costs.

Do not vacation on the health of your mouth. Unlike sharks, we only get one row of teeth. Once the adult teeth are gone, they are gone for good. When in doubt, brush, rinse, and/or floss and have your family do the same. This will keep teeth healthy, now and in the future, which means you will be free to enjoy all the road trips to come.

Copyright Dr.Jean-Jacques Edderai

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Ways to Keep Kids Brushing

Kids want to have fun. From the time they wake up until nap time, they are playing, learning, and growing. Scientists say that the vast majority of learning which will take place in our lifetime happens before puberty. This makes it a perfect time in the life of your child to institute great oral hygiene habits.

Using a kids imagination can help make brushing teeth into an exciting adventure. Having your kids open their mouth like a hippopotamus or a roaring lion encourages them to brush those back teeth. Kids tend to focus on their front teeth, the teeth that they can see. This means improper bushing of the molars. Tell them to get all of their “lion teeth” when they brush.

Picking a fun toothbrush makes kids more excited to brush their teeth. Whether it is Nemo, Elsa, dinosaurs, or My Little Ponies, picking a toothbrush your kids will enjoy makes the brushing process more like a game. More fun = more likely to do. Kids toothbrushes need to have a smaller head for their little mouths and will have soft bristles.

There are many apps and websites which are specially geared to help kids want to brush their teeth. Two of the largest toothpaste companies have “sing-a-long” videos which play for two minutes. When the song is over the child is done brushing. The videos have animated characters making them fun for kids of many ages. Similar apps are available through app stores. They will play a song or keep a musical timer to keep your kid on track.
Adults and kids have different taste buds. Your toothpaste may taste refreshing to you, but to a seven year old it is “icky.” Kids toothpaste comes in many different flavors, often with beloved characters on the tube. By letting your kids pick their own toothpaste, they get to be grown up and make a decision. They relive the excitement when they use the toothpaste they picked out by themselves. Keep in mind, the toothpaste they pick should still be approved by the American Dental Association.

Having oral hygiene occur at the same time everyday creates consistency. Set it at a time that will be convenient throughout the week. If bedtime is 8pm, teeth brushing could be at 7:30. Or, it could be right before story time and it could be right after potty time in the morning.

Kids love to imitate their parents. Whatever mommy and daddy do, kids will want to do too. If you take good care of your teeth, they are more likely to take care of their own. Teach your kids how to make sure they got all of their teeth and help them out until they are able to brush on their own.
Just like potty training, oral hygiene skills need to be taught. It takes patience, but is infinitely valuable in life. Remember that kids teeth, especially baby teeth, do not need to be brushed hard, just thoroughly. Do not skip days, bad patterns are more easily picked up than positive ones.

Copyright Dr.Jean-Jacques Edderai 2015

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All about toothpaste: Which one is best for you?

Everyday people are bombarded with decisions: Where to eat? What to wear? What to order at the coffee place? The sad part is that one of the most important choices gets less that a fraction of a second’s thought… what toothpaste to get.

Many people buy the brand their mom used or whatever is on sale. With all of the toothpaste out there, making a choice may seem like a moot point but when it comes to toothpaste they are all designed for specific needs and have different purposes. All toothpaste are not created equal.

All the terms floating around like “whitening,” “For sensitive teeth,” “cavity fighting” makes a person feel like they have to choose just one of these for their smile. The main ingredient in toothpaste is some type of fluoride. With children’s toothpaste, the concentration of fluoride is usually lower than in paste designed for adults.

Any adult toothpaste with a level of 1,000 ppm or higher of fluoride is effective in cavity protection. A whitening toothpaste contains a mild abrasive which scrubs the discoloration from teeth. This is not the best choice for those who already have cavities as the abrasives can ultimately expand the area of the cavity. There is still some controversy about the long term effects of whitening toothpaste.

Those who smoke will often find their dentition taking on a darker hue than normal. The stains on a smokers teeth require a stronger abrasive for removal. The tar which deposits is thicker than coffee stains. Smoker’s toothpaste should be used with a cavity-fighting toothpaste.

While anti-plaque toothpaste removes plaque, it also reduces the damage done by existing plaque. There are several ingredients which are active in plaque reducing pastes. Most will use Zinc Citrate or Triclosan. Since plaque is responsible for forming cavities and is one of the reasons that teeth fade, it is a good general choice if you don’t have a purpose beyond a healthy mouth.

Weak enamel and the forming of cavities can both lead to teeth sensitivity. Teeth may be sensitive to heat, cold, and/or pressure. Since these issues have a root cause (pun intended) it is important to consult a dentist to determine or more work is needed.

Elderly people should consider a toothpaste designed to fight receding gums. If gums recede the patient can experience sensitivity and risk exposing the roots of their teeth to food and bacteria. There are toothpaste which are specially designed for almost any dental condition.
Triple action toothpaste is the trifecta, they whiten, fight cavities, and will aid in the freshening of breath. Still, when the focus of the patient is on just one of these, it is beneficial to use a specific toothpaste-type between regular brushings.

Always remember that once teeth are gone, they are gone forever. Proper care in every stage of life is the best way to ensure that teeth remain intact for a lifetime. It is much easier to prevent it than to try to fix the damage later. Before changing an existing dental care regimen be sure to consult with a dentist.

Copyright Dr.Jean-Jacques Edderai 2015 ©

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