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PreventWhiteSpotsonTeethWhileWearingBraceswithDiligentOralHygiene

After months of wearing braces it's time for the big reveal: your new and improved smile! Your once crooked teeth are now straight and uniform.

But a look in the mirror at your straighter teeth might still reveal something out of place: small chalky-white spots dotting the enamel. These are most likely white spot lesions (WSLs), points on the enamel that have incurred mineral loss. It happens because mouth acid shielded by your braces contacted the teeth at those points for too long.

Most mouth acid is the waste product of bacteria that thrive in dental plaque, a thin film of food particles that can build up on tooth surfaces. High levels of acid are a definite sign that plaque hasn't been removed effectively through brushing and flossing.

But normal hygiene can be difficult while wearing braces: it's not easy to maneuver around brackets and wires to reach every area of tooth surface. Specialized tooth brushes can help, as well as floss threaders that help maneuver floss more easily through the wires. A water irrigator that uses pulsating water to remove plaque between teeth is another option.

However, if in spite of stepped-up hygiene efforts WSLs still develop, we can treat them when we've removed your braces. One way is to help re-mineralize the affected tooth surfaces through over-the-counter or prescription fluoride pastes or gels. It's also possible re-mineralization will occur naturally without external help.

While your teeth are sound, their appearance might be diminished by WSLs. We can improve this by injecting a liquid tooth-colored resin below the enamel surface. After hardening with a curing light, the spot will appear less opaque and more like a normal translucent tooth surface. In extreme cases we may need to consider porcelain veneers to cosmetically improve the tooth appearance.

In the meantime while wearing braces, practice thorough dental hygiene and keep up your regular cleaning visits with your general dentist. If you do notice any unusual white spots around your braces, be sure to see your dentist or orthodontist as soon as possible.

If you would like more information on dental care during orthodontic treatment, 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 “White Spots on Teeth during Orthodontic Treatment.”

By Golden Dental
April 23, 2018
Category: Dental Procedures

In addition to a professional dental cleaning, your dentist will also check for cavities at your bi-yearly appointments. If one is detected, a fillingsfilling could be all you need to protect that tooth for many years into the future. Have a dentist at Golden Dental in Lancaster, CA, check your smile for cavities and if necessary, have a cavity treated with a filling.

How Do Fillings Help?

Unfortunately, tooth enamel does not regenerate or grow back after tooth decay or damage. The enamel must be replaced with a substance called a filling. For many years, amalgam (metal) material was used for fillings, but nowadays patients ask for tooth-colored fillings that are made of composite resin or porcelain. It forms a protective layer on the surface of the tooth so that bacteria and food particles can’t irritate the inner pulp. Fillings last for up to a decade or longer.

Signs You May Need a Filling

A sharp sensation of pain is one of the first signs that you should look out for when trying to determine if you need a filling. If the pain becomes consistent and you avoid chewing on one side of your mouth, that is an even more urgent sign that you need treatment by a Lancaster dentist. Dark holes or marks on the top of a tooth may also be a sign of a cavity. Generally, if you eat a lot of candy and sweets or don’t have the best dental hygiene, you should have your teeth checked soon.

Keeping Your Teeth Healthy

To avoid having to come back to the dentist again for a cavity filling, you must take on new dental hygiene habits. Here are a few simple tips to follow:

  • Brush while you are doing other tasks in the morning instead of staring at the mirror. Make sure you get at least two minutes of brushing in per session.
  • Replace sugary treats with healthier sweets, like apples or pears.
  • Rinse your mouth thoroughly after eating a meal.
  • Eat calcium-rich foods that will help remineralize your enamel, reducing the chance of cavities.

Schedule a Checkup Today

Watch for the signs you may need a filling and go to your dentist for an exam and treatment as needed. Call (661) 948-8100 today to set an appointment with Dr. Roland Markarian at his office in Lancaster, CA.

RemovingTeethCouldImprovetheOutcomeforaCrowdedBite

The primary goal of dental care is to preserve teeth. But there are circumstances in which removing a tooth, even a relatively healthy one, could prove best in the long run.

A malocclusion (poor bite) related to crowding might fit such a circumstance. Crowding occurs when the size of the jaw is too small for the teeth coming in. With not enough space, some teeth could erupt out of their proper positions. Removing certain teeth frees up space to eventually allow braces or other orthodontic devices to re-align the teeth.

The teeth most frequently removed are the first bicuspids, located between the cuspid (the "eyeteeth" directly under the eyes) and the back teeth, and the second premolar. Removing these won't normally affect appearance or functionality once orthodontic or cosmetic treatments are complete.

Because of the mechanics of jaw development it might be necessary to perform these extractions several years before orthodontic treatment. This could create another potential problem: the time lag could adversely affect bone health.

This is because bone, as living tissue, has a life cycle with cells forming, functioning and then dissolving, and new cells taking their place. When teeth are chewing or in contact with each other they generate force that travels through the tooth roots to the bone and stimulates cell growth at a healthy replacement rate.

But when a tooth is missing, so is this stimulation. This slows the replacement rate and eventually leads to decreased bone volume. Too much bone loss could create obstacles for orthodontic treatment or a future dental implant.

To avoid this, the dentist will often place a bone graft with processed bone mineral within the empty tooth socket right after extraction. The graft serves as a scaffold for bone cells to grow upon. The graft (plus any other added growth boosters) can help maintain a healthy level of bone volume to facilitate future orthodontic or restorative treatments.

Since targeted extraction for orthodontics is time-sensitive, you should have your child's bite evaluated by an orthodontist by age 7 to see if any action is necessary. The earlier a malocclusion is detected, the more likely a more attractive and healthy smile will be the ultimate outcome.

If you would like more information on correcting poor bites, 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 “Tooth Removal for Orthodontic Reasons.”

By Golden Dental
April 02, 2018
Category: Dental Care
Tags: Night Guard  

Up to 10% of adults are affected by nighttime bruxism, or teeth grinding or clenching. Since this condition takes place primarily at night, nigth guardmany people’s partners recognize the symptoms before the patient themselves. Luckily, your dentist can help you control your bruxism symptoms and get your sleep on track with a night guard. Find out more about night guards and when they become necessary with Dr. Roland Markarian at Golden Dental in Lancaster, CA.

What is a night guard? 
A night guard is a customized, thin piece of acrylic or plastic. A dental laboratory creates the night guard based on a mold of the mouth taken by your dentist. The laboratory technician carefully forms the guard to ensure that it fits perfectly into your smile. In addition to a good fit, a customized night guard is less bulky and more comfortable than over-the-counter “boil-and-bite” variety night guards.

Can a night guard help me? 
Bruxism can cause some symptoms which may not immediately correlate to grinding your teeth. Chronic headaches and TMJ disorder are often linked to teeth clenching or grinding. Additionally, a toothache, cracked tooth, or weakened tooth can also be attributed to bruxism. A night guard helps manage or even prevent these issues from happening in the first place, meaning that if you suffer from these problems, you may benefit from a night guard.

Custom Night Guards in Lancaster, CA
If you think you may suffer from bruxism, a night guard may be able to help you overcome your symptoms and enjoy a good night’s sleep free from grinding or clenching. Your dentist will require that you have an appointment to assess the state of your smile and whether or not this treatment option is your best option. Your dentist will also need to take an impression of your mouth to send to the dental laboratory creating your night guard.

For more information on night guards, please contact Dr. Roland Markarian at Golden Dental in Lancaster, CA. Call 661-948-8100 to schedule your consultation for a custom night guard with Dr. Markarian today!

By Golden Dental
March 30, 2018
Category: Oral Health
Tags: shingles  
3ThingsYourDentistRecommendsYoudoifYouHaveShingles

It may begin as an itching or burning feeling on your skin, followed by numbness or sensitivity to touch. But then you develop a painful red rash that forms crusty lesions. Fever and fatigue may follow.

These are the common symptoms for a form of chicken pox called shingles, a contagious disease from the human herpes group of viruses. While anyone can contract the shingles virus, it most often lies dormant in a person’s nervous system for decades after an earlier bout of chicken pox. It then breaks out (sometimes repeatedly), usually in patients over fifty.

A shingles outbreak can be miserable. It could also affect your dental care, especially if you have a rash on your face and neck. Here are 3 things you should do if you have shingles in regard to your dental care and overall health.

Tell your dentist you have shingles. A shingles outbreak is highly contagious in its early stages and can spread from direct contact with blisters or through airborne secretions from the infected person’s respiratory system. Even a simple teeth cleaning (especially with an ultrasonic device) at this stage could spread the virus to staff and other patients. So inform your dentist if your appointment coincides with an outbreak—it may be necessary to re-schedule your visit.

Start antiviral treatment as soon as possible. If you’re diagnosed with shingles, more than likely your doctor or dentist will recommend immediate antiviral treatment (typically acyclovir or famciclovir) within 3 days of symptom onset. This can help speed up healing, alleviate pain and possibly prevent more serious complications.

Get the shingles vaccine. Of course, you don’t have to wait for shingles to occur—there is an effective vaccine that could help prevent an outbreak. If you’ve had chicken pox (over 90% of American adults have) or you’re over sixty with or without previous chicken pox, the U.S. Centers for Disease Control recommends you get vaccinated.

If you would like more information on shingles and how it may affect your dental health, please contact us or schedule an appointment for a consultation.





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Dentist - Lancaster
803 West Avenue J
Lancaster, CA 93534
661-948-8100

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