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It really doesn’t happen very often. But sometimes you bite into something that is much harder than you anticipated. Sometimes you grind your teeth without realizing the pressure you’re putting on them. Sometimes you have a cavity that has stealthily developed beneath an earlier filling. And the result is—sometimes you lose a filling.

What to do when this happens? If you’re at a loss for ideas, we have some suggestions.

• Don’t panic

Usually, a cracked, broken, or lost filling is not an emergency situation. That being said, it’s still important to . . .

• Call us immediately

Dr. Vincent Cardinale and Dr. Chris Moody will be able to give you the best advice as to how to take care of your tooth until you can make an appointment. And if your dental problem might be a dental emergency, we can make sure you are seen as soon as possible.

• Take care of your tooth

Keep your tooth and the area around it clean. Brush gently to keep food particles away from the newly exposed tooth surface. You can (carefully) rinse around the area with a bit of water or salt water as recommended.

Your lost filling might not inconvenience you at all. But if you feel sensitivity when the tooth is exposed to air, or when you eat hot or cold foods, or if you feel pain when you bite down, let us know. We can recommend some over the counter medications and pain relievers that can help.

If you’re experiencing severe pain, call us at once.

• Diet

This might not be the time for sticky caramels, frozen treats, or extra-hot beverages. Make yourself comfortable by avoiding chewing with your compromised tooth, and postponing foods that could trigger sensitivity.

• Make a dental appointment as soon as you can

Don’t put off treatment, even if the filling was a small one, and even if the tooth is causing you no discomfort.

There might be further damage or decay that should be treated. A tooth that required a large filling is often more fragile than an intact tooth, and might need to be fitted with a crown in order to protect it. A missing filling might reveal deep decay which has exposed the pulp of the tooth to infection or damage, and a root canal might be necessary. A seriously damaged tooth might require extraction. Delaying treatment could result in a more complex restoration.

See us as soon as you discover a problem with your filling, and we will make sure not only that your tooth is treated appropriately, but that the reason for the lost filling is discovered. While no filling lasts forever, if the cause of your lost filling is tooth grinding or decay, it’s important to be proactive to prevent further problems.

Losing a filling? It really doesn’t happen very often. But that’s not a lot of comfort if you do happen to lose or break a filling. If you’re at a loss for what to do next, contact our Naples, FL office. You’ll find yourself smiling again in no time!

What do we know about osteoporosis? We may know that this disease makes the bones more brittle and vulnerable. We may know that osteoporosis is the cause of many a broken hip or curved spine as we age. We may even know that, for a number of reasons, women are far more likely to develop this disease. What we may not be aware of is the impact osteoporosis can have on our dental health.

“Osteoporosis” means “porous bones.” It is a disease that makes the bones more likely to fracture or break, as the body’s careful balance of absorbing old bone tissue and replacing it with new healthy bone tissue is disrupted. We lose bone tissue faster than we can create new, dense bone tissue. Why is this important for our dental health? Because the fitness of our teeth depends on the fitness of the bones surrounding and securing them in our jaws.

How does osteoporosis affect dental health?

• Osteoporosis reduces density in the bones and bone tissue that hold our teeth in place. Studies have shown that women with osteoporosis have significantly more tooth loss than women without the disease.
• Periodontitis, or gum disease, can also cause deterioration in the bone surrounding the teeth. This is a time to be proactive with gum health to avoid infections and further bone loss.
• Denture wearers may find that their dentures no longer fit properly due to changes in bone structure. Bone loss needs to be addressed promptly to avoid having to replace dentures.
• Rarely, bone-strengthening medications for osteoporosis can lead to serious jaw problems after dental procedures that involve the jawbone (such as extractions). Always tell us any medications you are taking before we schedule any dental treatment.

Unfortunately, osteoporosis often has no symptoms at all—until the first bone fracture. Checking our bone density is important as we age, and one way of discovering changes in bone density is through your regular dental checkups at our Naples, FL office. We can pinpoint changes in your X-rays through the years and will recommend that you see your physician if there is any indication of bone loss. If you have already been diagnosed with the disease, we have ideas to help maintain the health of your teeth and bones.

Many factors can increase your chance of developing osteoporosis. Age, illness, personal habits, medications, diet, genetics—any number of conditions can affect our bone health. Talk to us about osteoporosis. Dr. Vincent Cardinale and Dr. Chris Moody would like to work with you to provide prevention and treatment to keep your teeth and bones strong and healthy for a lifetime of beautiful smiles. And that’s certainly good to know!

What to do to prevent gum disease? If left untreated, gum disease can lead to discomfort, infection, and even tooth loss. Bacteria in our mouths form a film called plaque. Plaque sticks to our teeth and can lead to gum inflammation. This inflammation can cause our gums to pull away from the teeth creating “pockets” which are home to infection and result in tooth and bone loss. Since the early stages of gum disease are often invisible, what is the secret to keeping our gums healthy?

Luckily, there is no secret to it at all! Preventing most gum disease is a simply a matter of following well-known guidelines, at home and in our Naples, FL office.

 Healthy Habits at Home

• Regular brushing and flossing

At least two minutes of careful brushing twice a day will help reduce bacteria and plaque. Use floss, picks, and other interdental tools to remove plaque from tight areas between the teeth that your brush might miss.

• If you smoke, now is the time to quit!

Smoking weakens your immune system, making it harder to fight infections and to heal. If you need another reason to quit, improving your oral health is a great one. Talk to us about ways to stop.

• Eating well

We all know sugar is no friend to dental health, and encourages bacterial growth. But eating apples, carrots and other crunchy vegetables can help remove food particles and stimulate the production of saliva, which fights bacteria production. Vitamins and minerals help strengthen bones and build healthy gum tissue. And a balanced diet supports not just your oral health, but the health and well-being of your entire body. Ask us for suggestions for a dental-healthy diet.

Regular Checkups and Cleanings

• We recommend a visit to our Naples, FL office every six months for a checkup. Dr. Vincent Cardinale and Dr. Chris Moody can discover and treat gingivitis (early periodontal disease) and recommend a periodontal exam if there are signs of more severe gum disease. There are some individuals who develop gum disease even with great brushing and flossing habits, so it’s important to have a dentist’s evaluation.
• Having your teeth cleaned every six months will remove plaque that brushing alone can’t handle. If there are signs of more serious gum disease, a periodontal cleaning will remove plaque and tartar from both above and below the gumline.

Brushing, flossing, avoiding smoking, eating well, seeing Dr. Vincent Cardinale and Dr. Chris Moody regularly—there’s no secret here! Talk to us about what you can do and what we can do to keep your gums healthy for a lifetime of beautiful smiles.

You make sure your daughter wears her mouthguard to every soccer practice. Your son doesn’t step on the basketball court without his. Why not protect your smile as well?

Athletes of all ages in team or recreational sports can help prevent dental injuries with a protective mouthguard. If you bike or ski, play racquetball or squash, skate, or sky dive, a mouthguard will help keep your teeth and gums healthy as you keep fit.

Mouthguard Options

Our office will be happy to talk to you about whether a mouthguard is a practical addition to your workout gear. There are many options available to you, including:

Stock: Preformed appliances available at sporting goods stores and drugstores. These are the most affordable, but are a one-size-fits-all option and may not be a comfortable fit for you.

Boil-and-Bite: Also available at sports shops and drugstores. This guard is formed by placing it in hot water and then biting down to allow it to conform to the shape of your mouth.

Custom: Our Naples, FL office can create a personalized mouthguard just for you. Individual mouthguards are the most durable and comfortable option, in general, and provide the best fit for ease of talking and breathing while exercising. You may also have special dental conditions, such as the placement of crowns or braces, which could be a factor in your decision.

Whichever option you choose, remember to wear your mouthguard regularly while exercising. A proper mouthguard cannot only help prevent injuries to your teeth, but to your face and jaw as well. A healthy smile and a healthy body are a winning combination. The next time you visit Dr. Vincent Cardinale and Dr. Chris Moody, let’s talk sports!