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Time to brush! So, you make sure you gently brush the plaque off the outside surfaces of your teeth. You want to present a gleaming smile to the world, after all. And you make sure to brush the inside surfaces as well, because who wants to feel a fuzzy patch of plaque every time their tongue hits their teeth? And, naturally, you remember to clean the tops of your molars, because those crevices make them more cavity-prone than any other surface.

Done? Not quite!

You might be surprised to learn that no matter how well you’ve brushed all the visible surfaces of your teeth, you’ve left quite a bit of enamel untouched—the adjoining, or touching, surfaces of the teeth which sit next to each other.

You’ve probably noticed that your bristles can’t . . . quite . . . reach all the enamel between your teeth (especially between your molars!) when you’re brushing. This means that food particles and plaque have an easier time sticking around. And when the bacteria in plaque are left undisturbed, especially with a banquet of food particles available, they produce acids which gradually eat away at the enamel covering our teeth, creating a cavity.

Here’s where we work in some specific dental vocabulary. “Interproximal” means between the adjoining, or touching, surfaces of the teeth. And an interproximal cavity is a cavity which develops on one of those side surfaces of your teeth.

• Discovering Interproximal Cavities

Clearly, a cavity between the teeth won’t be as obvious as other cavities. How will you know if a dental appointment is in order?

There are typical symptoms which can show up when you have a cavity. Chewing might be painful. You might feel pain or sensitivity when you eat or drink something which is hot, or cold, or sweet. But pain and/or sensitivity aren’t always present, especially when a cavity is just beginning to develop.

Regular exams are important so you can catch small cavities before they become more serious. That’s why, at your regular dental exams, Dr. Melissa Dennison Newman will always check for any signs of decay on every surface of each tooth, including those places which aren’t easily visible. And that’s why X-rays can be an important tool for locating these tricky cavities.

• Treating Interproximal Cavities

If Dr. Melissa Dennison Newman and our team finds a cavity between your teeth, there are different treatment options available depending on the size of the cavity:

• A typical cavity will require a filling. The decay will be removed, and then the area will be cleaned and filled. You’ll probably choose a filling material which can be matched to your enamel color if the restoration will be noticeable.
• If decay has spread to the pulp chamber inside the tooth, a root canal is often the best treatment option, with a crown applied afterward to protect the tooth.
• A tooth so decayed or infected that it cannot be saved might require extraction.

Dealing with any weakness in a tooth as quickly as possible is always better than waiting until a more complicated treatment option is needed. Of course, the best treatment is prevention, and, luckily for us, it’s not a complicated process at all.

• Preventing Interproximal Cavities

In fact, it’s about as basic as it can be—brush and floss effectively. We recommend brushing for two minutes at least twice a day and flossing once each day. While most of us are good about keeping up with brushing, sometimes that daily flossing is more a goal than a reality.

But it’s flossing which really does the trick when it comes to interproximal cleaning. If you floss correctly, food particles and plaque are removed from between the teeth and around the gumline—places where bristles just can’t reach. The next time you get your teeth cleaned at our Plaistow, New Hampshire office, ask for tips on how to perfect your technique. And, if you have difficulty flossing, ask about alternatives such as water flossers and interproximal brushes.

Preventing cavities on the exterior surfaces of your teeth is probably pretty much automatic by now, but don’t forget the potential for stealth decay! If Dr. Melissa Dennison Newman and our team find signs of erosion on the sides of your teeth, or if your hygienist lets you know that you’ve got a lot of interproximal plaque buildup, work with us to make sure “interproximal cavity” doesn’t become a working part of your dental vocabulary.

Sports are great for children for a variety of reasons. Children can develop their motor skills, learn how to solve conflicts and work together, and develop their work ethics. As a parent, you may recognize the benefits of sports, but also naturally worry about your child’s health and safety. Your job goes beyond providing a water bottle and making sure your child follows the rules of the game.

Although you may not think of your child’s teeth first when you think about sports, accidents can happen that affect your children’s teeth. A stray hockey stick, an errant basketball, or a misguided dive after a volleyball are examples of ways a child could lose a tooth. In fact, studies show that young athletes lose more than three million teeth each year.

Becoming a Better Athlete to Protect Teeth

Becoming a better athlete involves refining skills, learning the rules of the game, and being a good sport. These components are not just about winning. They are also about safety. Young athletes who are better ball-handlers and who are careful to avoid fouls and penalties are less likely to have harmful contact with the ball, teammates, or opponents. Children who are better roller-bladers are less likely to take a face plant into the blacktop, and more likely to save their teeth. Being a good sport and avoiding unnecessary contact is one way to protect teeth.

Proper Protective Equipment for Teeth

If your child is in a sport that poses a high threat to teeth, it is essential for your child to wear a mouthguard. Mouthguards fit your child’s mouth and consist of soft plastic. Dr. Melissa Dennison Newman can custom fit a mouthguard if generic ones are uncomfortable. While children may resist wearing a mouthguard initially, your persistence in insisting that they wear it should be enough to convince them. A helmet or face mask provides additional protection.

While prevention is best, rapid treatment can improve the situation if your child does happen to lose a tooth during sports. Rapid implantation can work in about ten percent of cases. To learn about ways to save a lost tooth, contact our Plaistow, New Hampshire office.

Fear of going to the dentist is more common than you may think. That’s why Dr. Melissa Dennison Newman and our team want to make your visit as relaxing as possible.

Your anxiety about pain or routine procedures doesn’t have to stop you from visiting our Plaistow, New Hampshire office; we offer various types of sedation to remove the pain and stress from your dental procedure.

Nitrous Oxide Sedation

Nitrous oxide combined with local anesthetics ensures both pain relief and reduced anxiety for many patients. It’s useful because the dosage can be regulated during treatment, and patients are usually able to drive shortly after the procedure is completed.

Oral or Injected Sedation

With oral sedation, you may be given a pill or liquid to consume several hours before your treatment. Make sure someone will be available to drive you to your appointment, because you will not be able to drive yourself.

An oral liquid is often given to children before any shots or intravenous anesthesia. An intramuscular injection may be given at the office to provide relaxation benefits for 20 to 30 minutes.

Nitrous Oxide with an Oral Sedative

For patients with higher levels of anxiety, an oral or injected sedative can be offered before nitrous oxide begins. This can also be effective for reducing anxiety about the injection of local anesthetics itself. A liquid medication followed by nitrous oxide is beneficial for children to produce a deep sedation level.

General Anesthesia

This type of anesthesia can be offered as an inhaled gas or intravenous liquid. If no oral sedative is given before the general anesthesia is administered, you should wake up quickly after your procedure.

To reduce your anxiety, we can offer a pill or liquid medication before intravenous sedation starts. Intravenous sedation can also be used at moderate-to-deep sedation levels without complete loss of consciousness.

Dr. Melissa Dennison Newman and our team are happy to go over your sedation or pain prevention options when you visit. We’re here to ensure all your questions are answered and your procedure is a relaxing one.

You’ve heard people tell you to say “cheese” when you’re having your picture taken, probably more times than you can count. There is another reason you should be saying “cheese” … or “YES” to eating cheese.

Although Dr. Melissa Dennison Newman and our staff routinely encourage our patients to brush their teeth after eating, the one time you don’t want to do that, at least not immediately, is after eating cheese.

Study Finds Important Benefit From Eating Cheese

CBS News reported on the results of a study that was published in the May/June 2013 issue of General Dentistry, a publication of the Academy of General Dentistry. The study showed that cheese increases dental plaque pH, but in this case, the plaque increase isn’t a bad thing. When you eat cheese, you increase the pH of the plaque on your teeth, and create a protective coating that may lower your risk of getting dental caries -- more commonly known as cavities.

An analysis of the story from the General Dentistry journal, including the details of the study and its participants, was published in Science Daily. The study looked at 68 children between the ages of 12 and 15. A similar study was conducted by British researchers who reported their findings in the British Dental Journal in 1999.

How the Study Worked

For the 2013 study, researchers divided kids into three groups. Participants in group one ate cheddar cheese. Participants in group two drank milk, while participants in group three ate sugar-free yogurt. All participants were told to eat or drink their assigned foods for three minutes, after which they swished water in their mouths.

Researchers tested every participant’s mouth at ten, 20, and 30-minute intervals. They found no changes in the mouths of participants in the milk drinking and sugar-free yogurt eating groups, but every time they tested the pH levels in the mouths of the ones who had eaten cheese, researchers saw the levels quickly increased.

They concluded that cheese has anti-cavity properties. That isn’t the only benefit, however. Another study, in which related findings were reported, appeared in the Journal of Contemporary Dental Practice in the summer of 2000. In that study, researchers found that cheese may give teeth a protective coating that helps lessen enamel erosion caused by acidic foods, particularly from sugar-sweetened soft drinks.

So don’t just say cheese for pictures. If you want to have a happy, healthy and long-lasting smile, go for cheese. It’s good for your bones, too!