Jul 2, 2018
Perhaps the Tooth Fairy should start looking for a new job! Researchers have had success in locating stem cells in dental tissue and in regenerating new dental tissue. Dental stem cells have the potential to grow not just teeth, but also show promise in the repair of bone tissues and optic neurons. In fact, there are now companies that will extract stem cells from wisdom and baby teeth and store them for you until needed, a process similar to cord-blood banking. This is an exciting discovery with enormous potential, but is it worth the expense to invest your child’s teeth now? We decided to look in to this further.
What’s so Special About a Stem Cell?
Stem cells have the remarkable potential to grow into many different types of cells as well as aid the body’s internal repair system. For example, a stem cell can become another type of cell with a more specialized function, such as a muscle cell or a brain cell. Stem cells have been found in bone marrow and in umbilical cord blood, and in 2003 were also found in teeth.
Scientists at the National Institute of Dental and Craniofacial Research noticed that when a tooth gets a cavity, it also produces something called reparative dentin to protect itself. This led researchers to hypothesize that stem cells were within teeth activating the dentin when needed. Having the ability to create dentin could allow a dentist to grow replacement teeth as needed, rather than rely on implants or bridges. Even more potential lies in the stem cells that have been found in baby teeth, known as SHED (stem cells from human exfoliated deciduous teeth). SHED cells also seem to be able to make something similar to bone.
Enter tooth banks, which promise to safely extract the SHED cells from your child’s baby teeth and store them for later use.
How do Tooth Banks Work?
Extracting SHED cells from baby teeth is a process that involves the cooperation and expertise of your dentist. Rather than wait for a child’s loose baby tooth to fall out, it’s best to extract the tooth when there’s about one-third of the root remaining to ensure there are viable stem cells. According to the former American Academy of Pediatric Dentistry (AAPD) President Dr. Jade Miller, “It really requires some planning, and so parents need to make this decision early on and be prepared and speak with their pediatric dentist about that.” Tooth banks offer a dental kit for the dentist with all the necessary components to collect the SHED cells.
From there, the tooth bank extracts the stem cells from the dental pulp inside the tooth, and then processes and tests the cells before they are cryogenically preserved.
What do the Experts Say?
Currently, the scientific community is divided as to whether or not storing teeth is worthwhile. The AAPD released an official statement saying it “recognizes that harvested dental stem cells is an emerging science which may have application for oral health care but at present there are no treatments available using harvested dental stem cells from a tooth or follicle. As the technology continues to evolve, the process of procurement of dental stems should be accomplished only with deliberate integrity and appropriate informed consent to assure the highest ethical standards and quality of outcomes.”
Meanwhile the AAPD’s former president, Dr. Miller has decided, as a grandparent, to use a tooth bank. “It’s really in its infancy, much of this research. There’s a very strong chance there’s going to be utilization for these stem cells, and they could be life-saving. There’s going to be a significant application and I want to give my grandkids the opportunity to have those options.”
Says Dr. Brunacini: “Stems cells are exciting in their potential to help a lot of people with multiple ailments, including missing teeth. Here at FDA, we are excited to see how the technology progresses to hopefully provide an all-natural approach to replacing missing teeth.”
If you would like to learn more about Tooth Banks or the potential of dental stem cells, we are here to answer your questions!
*Image courtesy of www.toothbank.com
Jun 28, 2018
Losing a tooth is an exciting rite-of-passage when you are young, but as an adult it is a cause for concern. It is also common: most adults will lose teeth to decay, gum disease or injury. Losing teeth not only affects your smile but also impacts your bite and your jawbone. Fortunately, there are options! Here at Falmouth Dental Arts, we can address tooth loss with a dental implant or with bridges. We aim to make every process as comfortable and safe as possible, and we will help you to determine which choice is right for you. Here is some more general information about these two options.
Implants
The American Dental Association (ADA) recommends implants as the standard replacement for missing teeth. Implants look and feel like natural teeth and are designed to last a lifetime. However, you do need a healthy jawbone and soft tissue to be a candidate for dental implants.
If an implant is right for you, the first step is to place a titanium implant in your jaw. The implant replaces your tooth root and will naturally fuse to your jawbone over the course of several weeks. Once that is firmly in place, a titanium post will be added to serve as an anchor for a crown.
Bridges
A bridge is a good option for replacing a few teeth. It involves fusing artificial teeth to a metal frame. The frame is then cemented to supports, which are either implants or healthy teeth covered with crowns. There are limits, however, to how many teeth a bridge can replace. Generally, a bridge is a less-invasive procedure but does not last as long as an implant. The average life of a bridge is 10 years.
The Future
There is also an exciting third option on the horizon! Researchers have found a way to grow teeth from dental tissue stem cells. We will delve in to this possibility in our next blog post…stay tuned!
As always, the best way to prevent tooth loss is to practice good oral hygiene and visit your dentist regularly. However, tooth loss happens. If you have lost a tooth or have concerns about your teeth, please give us a call at 207.781.5900. We are happy to discuss your options as we truly believe that having healthy teeth is an integral part of comprehensive health care.
*Image courtesy of www.health.harvard.edu
Jun 7, 2018
In recent years, oil pulling has gained a lot of attention as a natural alternative to traditional oral hygiene. Proponents claim that it will whiten teeth, reduce inflammation, and help cure gingivitis. As with our exploration of activated charcoal last month, we support natural and holistic approaches to oral hygiene, so we decided to give this practice a closer look.
What is Oil Pulling?
Oil pulling is an ancient Ayurvedic practice that involves swishing a tablespoon of oil (usually coconut or sesame) in your mouth for 20 minutes every morning. Afterwards, one spits out the oil as one would mouthwash.
Does it Work?
While there are few scientific studies on the efficacy of oil pulling, swishing with oil for twenty minutes a day will certainly do no harm.
“Oil pulling is a good adjunct to regular brushing and flossing to reduce staining on the teeth. We have had a number of patients that have benefitted from adding oil pulling to their home care routine,” says Dr. Brunacini.
Bottom Line
Oil pulling is a practice worth exploring if you are interested in trying something other than mouthwash. However, it should not be a replacement for your regular oral hygiene practices. The American Dental Association (ADA) recommends that to maintain good dental health you should brush twice a day for two minutes with fluoride toothpaste, floss between your teeth once a day, and abstain from using tobacco products.
If you find yourself exploring options for teeth whitening or have questions about your oral health care regimen, please give us a call at 207.781.5900 and we’ll be happy to arrange an appointment!
May 29, 2018
Oral care is important and with ever-changing technology, there are more and more options to help make it just a bit easier. In the early ‘90s, the electric toothbrush entered the market, helping to improve oral care for millions of Americans. But in 2018, inventors are setting out to create even more options to make brushing your teeth effortless. We found three toothbrushes that can help make your daily routines faster, cleaner, and more convenient…and can make you feel like you are one of the Jetsons!
Image from http://www.unico-smartbrush.com
Ever heard of Unico? Invented in Italy, this toothbrush looks like a mouthguard and claims to completely clean your teeth in just three seconds! While this might sound crazy, the inventor’s logic isn’t wrong. As you’ve heard since you were a child, we recommend brushing your teeth for at least two full minutes. If you do the math, that comes to spending 3.75 seconds per tooth, or 1.25 seconds for each of the three exposed surfaces of your tooth. The unique design of this futuristic toothbrush allows each surface of every one of your teeth to be cleaned at the same time…meaning your teeth can be brushed in the same amount of time it takes you to spray on cologne or put on mascara.
Aura Clean is the smartphone of the toothbrush world. While it may just seem like a standard sonic toothbrush, this brush delivers up to 40,000 strokes per minute to safety remove food particles and polish your teeth. Like many electric toothbrushes, it has a two minute timer, but what is unique about this brush is that it also features an interval alert every 30 seconds, letting you know when to change “zones.” The Aura Clean Brush also comes with a pod that, using a UV light, cleans your toothbrush head after every use. It also has drying capabilities to get make sure no germs settle in between your bristles.
Quip is another cool toothbrush we have found that can make taking care of your teeth easier. While the technology isn’t quite considered “futuristic” the concept definitely is. We recommend changing your toothbrush or toothbrush head every three months. However, it is easy to forget. With Quip, you don’t have to remember! Every three months, a new toothbrush head (and a new tube of toothpaste) is delivered straight to your door automatically! This ensures your bristles are fresh and working effectively.
Whether you use a “smart” brush or the tried and true manual brush, what we care about here at Falmouth Dental Arts is that you are taking the time to brush your teeth at least twice a day. Due for a new brush? Schedule an appointment today to see your hygienist and get a free manual brush on us!
Apr 24, 2018
Recently we’ve been hearing more questions about activated charcoal and its potential to whiten teeth. It’s an intriguing phenomenon in the whitening category and we wanted to share our findings and our verdict on whether it actually helps or harms oral health.
To begin, activated charcoal capsules & toothpaste are part of a larger movement toward natural healthcare. We support natural healthcare, and even recommend certain applications when in patients’ best interests, but our blanket philosophy that we’d like to share is to look at all trends – all-natural or not! – with a discerning eye.
Of course, our eye is drawn to the dental side of things! Here are a few things to keep in mind before jumping on the charcoal bandwagon.
- It can be messy – Using an activated charcoal capsule instead of the toothpaste could be off-putting to sticklers for cleanliness because the method is messier, requiring you to break a capsule full of the powder open and put it on your toothbrush or straight into your mouth. If you choose charcoal toothpaste, you will find the process more like what you experience now.
- It’s different from normal toothpaste – Charcoal toothpaste is probably not what you’re used to: in most cases it is black or grey in appearance and may have a gritty texture.
- It could be abrasive – The ADA is concerned that activated charcoal is abrasive to tooth enamel, which is not good because when enamel is gone it is gone. In addition to that, once your enamel wears down dentin may appear below, and dentin has more of a yellow-white color, which would really put a dampener on whitening!
- Less fluoride – Generally charcoal toothpastes tend to be formulated with less fluoride content than other toothpastes on the market, and a complete switch to charcoal toothpaste could impact your oral health situation.
With these things in mind, the most important point is that there is no scientific evidence that charcoal toothpaste whitens teeth. Could it? Perhaps, but findings have not been conclusive. Then the question is whether the payoff is worth it. FDA Hygienist Kelly summarizes our thoughts on charcoal well: “We recommend use of charcoal toothpaste for adults only and it is not recommended for daily use due to its abrasiveness.” While charcoal does have a naturally purifying quality, that alone doesn’t mean that we should use it daily, especially when it could roughen tooth surfaces and potentially offer more opportunity for bacteria to grow and cavities to form.
If you catch yourself weighing the options, remember there are many whitening methods on the market that are proven to work! We recommend our professional whitening service because the results are immediate and it’s done professionally, so you can be assured of the best result possible. Just give us a call at 207.781.5900 and we’ll be happy to arrange an appointment.
