Our Blog

How does a tooth decay?

August 14th, 2024

When acids are allowed to erode tooth enamel long enough to leach calcium and other minerals from your enamel and dentin, a process called demineralization occurs. This rapidly leads to tooth decay unless reversed by good oral hygiene and professional dental cleanings at our Ashland office. Acids responsible for tooth decay come from the wastes of mutans streptococci and lactobacilli bacteria that thrive in dental plaque, a substance that is the leading cause of periodontitis.

Where do demineralizing acids come from?

Dietary sugars comprise the bulk of tooth-decaying acids, including table sugar, cooked starches, fructose, glucose, and lactose. In fact, as soon as you bite down on a sugary cookie or into a French fry, bacteria start digesting sugars, breaking them down and eventually excreting them as demineralizing acids. As this bacteria colony grows and becomes organized, plaque develops and forms that tough, yellowish coating you often see on the tops of teeth at the gumline.

Plaque is the Problem

Dental plaque is a filmy type of nesting place for bacteria that also keeps acids pressed against tooth enamel. Since plaque cannot be removed by brushing, it is important that a person who suffers tooth decay visit Ashland Dental Care immediately so we can use special tools to scrape and thoroughly clean teeth.

Signs of Tooth Decay

Early tooth decay and cavities remain asymptomatic until demineralization creates a hole deep enough to reach the tooth’s inner tissues and nerve endings. Eventually, tooth decay will cause tooth sensitivity, toothache, vague pain when biting down on the affected tooth, and possibly pus seeping around a tooth’s gum line if the decay creates an infection. If treatment is delayed long enough, a decaying tooth may loosen, crumble, and ultimately fall out, which leaves an empty or partially empty socket.

Preventing Tooth Decay

Getting regular checkups with our doctor, brushing and flossing twice a day, and eating fruits or crunchy vegetables at snack time instead of a candy bar or doughnut are the three best ways to keep your teeth healthy, white, and where they should be: in your mouth.

Does Your Child Need Endodontic Treatment?

August 7th, 2024

Baby teeth come with a built-in expiration date. That charming first smile is meant to make way for a healthy, beautiful adult smile. Unfortunately, before they are ready to make way for permanent teeth, primary teeth can be affected by decay, trauma, or infection—problems which can lead to damage to the pulp within the tooth. If your dentist tells you that your child’s tooth needs specialized endodontic treatment, is treatment really that much better for your child than losing a baby tooth prematurely?

Quite often, the answer is yes!

Baby teeth do much more than serve as temporary stand-ins for adult teeth. They are essential for:

  • Biting and chewing—a full set of baby teeth helps your child develop proper chewing, which leads to healthy digestion. And chewing also helps build face and jaw muscles.
  • Speech development—primary teeth help guide speech production and pronunciation.
  • Spacing—a baby tooth serves as a place holder for the adult tooth waiting to arrive. If a primary tooth is lost too early, the remaining baby teeth may drift from their proper location. This, in turn, can cause overcrowding or misalignment of the permanent teeth when they do erupt.

Baby teeth, like adult teeth, contain living pulp tissue. The pulp chamber inside the crown (the visible part of the tooth) and the root canals (inside each root) hold nerves, blood vessels, and connective tissue. When the pulp is damaged by trauma or infected, a baby tooth can still be saved with endodontic treatment. Endodontic treatment in baby teeth can take two forms.

  • “Vital” pulp is pulp that can be saved. Vital pulp therapy uses procedures to deal with damaged pulp inside the crown, or visible part, of the tooth. Pulp therapy can be used on teeth when only the top of the pulp has been affected by decay, limited exposure, infection, or trauma, but the root pulp remains healthy. Specific treatment will depend on the nature of the pulp injury, and a crown will usually be placed over the tooth after treatment to protect it.
  • With non-vital pulp, your dentist will probably recommend a traditional root canal procedure. All of the pulp tissue will be removed from inside the crown and the roots, and the pulp chamber and root canals will then be cleaned, disinfected, shaped, and filled. Finally, because the treated tooth will be more fragile, a crown will be used to protect the tooth from further damage.

There can be good reasons for extracting a seriously damaged baby tooth, and there are situations where preserving the tooth is the best and healthiest option for your child. Discuss your options with our doctor when you visit our Ashland office for the safest, most effective way to treat your child’s compromised tooth.

The Five Most Common Reasons for Emergency Visits

July 31st, 2024

An emergency usually evokes panic, and for good reason. Emergencies don’t discriminate when it comes to time or place. They’ll happen during your vacation, at home, while you’re shopping for groceries, at the movies … whenever they can.

We’ve identified the five most common reasons for emergency visits to our office, so if you ever find yourself in one of these situations, don’t hesitate to reach out and schedule an appointment with us!

  1. Getting a piece of food stuck where it doesn’t belong. This might sound trivial, and even comical, but a piece of food stuck and left unattended can cause inflammation, pain, and a serious infection.
  2. Losing a filling. If this happens to you, it’s crucial that you receive care immediately. The purpose of a filling is to shut off a space where bacteria can enter. If that barrier is breached, your tooth becomes more vulnerable to decay.
  3. A chipped tooth. Even if the chip is small, it’s essential to get it repaired before it grows bigger. Unless chips are affecting a nerve, they are usually easy to repair with a crown, bonding, or veneers.
  4. A broken tooth. This can result from a small, hidden chip in the tooth. It’s clearly something to address quickly, because the pain will be much more severe than what you’ll feel with just a chip.
  5. Losing the entire tooth. This is the worst of the list. When you lose a tooth, you should not delay in seeking emergency care. Usually, you have a window of one to two hours during which the original tooth can be salvaged and successfully reattached.

Though any of these scenarios can be nerve-wracking, our doctor and our team are here to assist you with any and all dental emergencies. Don’t wait; give our Ashland office a call!

My gums are inflamed. What can I do?

July 24th, 2024

Inflamed gums are a fairly common dental issue, but unfortunately, many people don't take the problem seriously enough. If you ignore inflamed gums and continue your usual routine, you could be encouraging a much more severe inflammation problem, and the pain that goes along with that. Fortunately, it is quite easy to relieve inflamed gums if you use the tips below.

Use Soft Bristles

A soft-bristle toothbrush - the softest you can buy - is a must for anyone with inflamed gums. Anything that makes contact with your gums can cause you pain, so fine and soft bristles are always the best choice.

Use Sensitive Formula Toothpaste

The toothpaste marketed as “Sensitive Teeth Formula” contain special ingredients to help relieve sensitivity. When your gums are inflamed, even light brushing can cause some pain. Using a special toothpaste will help reduce that pain and make it easier to brush your teeth effectively. The effect becomes stronger as you use the toothpaste more, so use it for each brushing.

Visit Our Office

If your gums remain swollen for more than a few days or a week, set up an appointment with our doctor. There is a long list of conditions that could be causing your swollen gums, everything from gum disease to pregnancy, so you need to find out where your issue is coming from. Most of the time, our doctor can easily treat the swollen gum issue at our Ashland office, or can give you an effective treatment to take home.

footer ashland office
(508) 881-4550
300 Eliot St Suite 5, Ashland, MA 01721

Office Hours

Monday: 9:00am to 5:00pm
Tuesday — Thursday: 9:00am to 6:00pm
Every Other Friday: 8:00am to 4:00pm
Every Other Saturday: 8:00am to 2:00pm