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There are some things we just don’t miss about being a kid. Getting grounded? A thing of the past. Curfew? Not happening. Confiscating our cell phones? As if. Cavities? While we’d like to think those are also a part of childhood we can happily leave behind, unfortunately, the potential for cavities is one thing we never outgrow.

If you are keeping up a healthy dental routine, you know that two minutes careful brushing and flossing twice a day, a sensible diet, and regular checkups and cleanings are the best way to keep cavities from ever developing. But adults face other challenges that children might not. What else should we look out for?

• Over-Enthusiastic Brushing

Brushing too vigorously, or using a brush with hard or even medium bristles, can actually damage our teeth over the years. Enamel, as hard as it is, can erode, leading to the potential for decay, and gums can be pushed away from the lower part of our teeth, which are not covered by enamel. Talk to us about the gentle way to clean bacteria and plaque from your teeth while protecting your enamel and gums.

• Receding Gums

Whether due to gum disease, improper brushing, genetic factors, or other causes, we often see gum recession as we age. This is not just an aesthetic problem—gum recession leaves the root area of our tooth exposed to plaque and bacteria. Because this part of our tooth is not protected by enamel, there is a greater risk for decay in this newly exposed area. Also, pockets between the teeth and gums can be home to infections which lead to more serious problems. We will examine the condition of your gums at every checkup, and are happy to suggest the best solutions for keeping your gums their healthiest.

• Our Fillings Age, Too

Over time, fillings can become loose or damaged, allowing the bacteria that cause cavities to enter spaces within the tooth you cannot brush or floss. This is a problem we can catch at a regular checkup, but if you notice a damaged filling, lose a filling, feel sensitivity around a filled tooth, or have any other concerns, call us. Prompt replacement will stop decay before it leads to a more serious problem.

• Life Is Unpredictable

A busy schedule can lead to unhealthy diet choices. Not just sugars, but acidic foods (like sodas, coffee, and wine) and carbs (which break down into sugars) can leave teeth more vulnerable to decay. Physical changes (working out, new medications and medical conditions) can lead to dry mouth, which creates a bacteria-friendly environment that can lead to tooth decay. Stress can have consequences such as weakened immune systems, tooth grinding, and unhealthy eating habits, all of which can lead to a higher risk of cavities.

Call our Marrero office if you have any dental concerns. And talk to Dr. Keith J. Fabre Jr. about the changes in your life that might leave you more vulnerable to cavities or impact your overall dental health. We have suggestions and solutions for this phase of your life to protect and preserve that wonderful smile you had as a child. And that’s a great result at any age!

There are certainly situations when going to an emergency room is the best response for your problem. A severe injury to your mouth, jaw, or face would qualify.

However, when it comes to long-term solutions for other dental problems, an emergency room visit may fall short. If you suffer from a major toothache, cavity, a broken tooth, crown, or veneer, it’s better to go straight to the dentist for treatment.

Dr. Keith J. Fabre Jr. can provide you with a treatment plan that will be long lasting. When you visit an ER for a common dental problem, more likely you’ll only be given temporary relief for a serious and ongoing problem.

In many cases, the emergency room will give you pain medication to mask the symptoms until you can schedule an appointment at our Marrero office. That results in a lot of wasted time, as well as two separate medical bills. The ER may give you a temporary crown or filling, but you will still need a follow-up appointment for a permanent restoration.

We recommend you find the nearest emergency dental clinic, or even try a home remedy to relieve the pain until you can schedule an emergency appointment at Fabre Family Dental Care of Marrero. A warm salt-water rinse or cold compress can be used to sooth tooth and gum pain in the meantime.

If you experience a dental emergency and are unsure about what to do, feel free to contact our Marrero office at any time. We will fit you into our schedule right away and figure out the best course of treatment for your problem.

That ache in your head may stem from your jaw. If your jaw falls out of alignment, you could have temporomandibular joint disorder, or TMD.

It's not clear what causes TMD. Obesity may factor in. Stress and pressure on the jaw may also contribute. A misaligned bite (that is, where your upper and lower teeth don't fit together when you close your mouth) may cause TMD symptoms, too.

TMD can affect your life and your health by making it painful to eat and hard to sleep. Some people find the nagging pain difficult to bear.

Symptoms of TMD include:

• Recurring headaches with no other cause
• Pain along and behind your ears
• Pain in your cheeks or lower face
• Clicking noises when you talk or chew
• Tired or sore jaw muscles after eating
• Limited jaw movement

If you experience the symptoms listed here, make an appointment with our office. We’ll take an X-ray to look at your bite, and determine if TMD could be the culprit. If you have TMD we can offer a number of treatments, including:

• Relaxation and stress reduction techniques
• Pain reduction recommendations, which might involve visualization or medication
• Jaw joint exercises that can help reduce stress and improve your alignment

Left untreated, TMD headaches and other symptoms can become quite severe. If you suffer the symptoms of TMD, you do not have to live in pain. Make an appointment at our Marrero office to learn how we can reduce your pain and restore comfort to your life.

There are lots of ads out there for toothpastes that claim to repair damaged tooth enamel.

Can you treat cavities and tooth decay at home? Well, mostly, no, you can’t.

Can you strengthen your enamel at home? Very possibly—in some circumstances. Let us explain!

Cavities and tooth decay start forming when the enamel on the tooth’s surface breaks down. To discover what causes this breakdown, we need to see how chemistry works with our biology.

Tooth enamel is mainly made from calcium and phosphate ions. These minerals combine to form hydroxyapatite, crystals which make up around 95% of our enamel. Hydroxyapatite crystals are so strong that tooth enamel is the hardest part of our bodies. What can weaken a substance this strong?

Acids. Acidic foods and drinks, as well as acids created by the bacteria in plaque, strip away calcium and phosphate ions in enamel, weakening the surface of the tooth. This is a process called demineralization, and it’s the first stage of tooth decay. Left alone, weak spots will become bigger and deeper until they form cavities.

And tooth enamel, unlike the rest of your body, isn’t living tissue. It can’t regenerate. Once bacteria and acids have created a deep enough cavity, only Dr. Keith J. Fabre Jr. can repair it by removing decay and filling the tooth.

Wait, this sounds a lot more like “No, you can’t repair your enamel” and much less like “It’s possible to strengthen your enamel.” But we’re not through!

Demineralization doesn’t equal cavities—yet. Careful attention to your habits and your diet can make a difference in whether your enamel continues to weaken or becomes stronger.

Our body’s first defense against demineralization is saliva. Calcium and phosphate ions in saliva bathe the teeth throughout the day, restoring the minerals which have been lost. This is called remineralization. Saliva also helps neutralize acids from the foods we eat. But with a diet heavy in acids, or a lot of plaque buildup, saliva just can’t keep up with the damage.

That’s where “enamel-repair” toothpastes come in. Toothpastes are available that contain hydroxyapatite to restore calcium and phosphates to weakened enamel. But for many of the most common enamel-repair toothpastes, the not-so-secret secret to their effectiveness is fluoride.

Dentists recommend fluoride toothpastes for several very good reasons. Fluoride is attracted to the minerals in tooth enamel and bonds with them. Once bonded, fluoride attracts the calcium and phosphate ions in saliva, helping restore lost minerals to the enamel. Even better, when fluoride bonds with the calcium and phosphate in our enamel, fluorapatite is created. This is a crystal even stronger and more acid-resistant than hydroxyapatite.

If you’re concerned about the strength of your enamel, and especially if you notice any signs of acidic erosion, talk to our Marrero dental team right away. Dr. Keith J. Fabre Jr. can:

• Recommend over-the-counter toothpastes or professional fluoride applications to help reverse early demineralization
• Provide dental bonding, a crown, or a veneer to protect a tooth with serious erosion
• Treat a cavity caused by more advanced tooth decay.

Keeping your enamel healthy at home can take many forms. By careful brushing and flossing to remove plaque, by watching the acids in your diet, by making sure you’re properly hydrated, and by using fluoride toothpaste, you can both reduce the risk of demineralization and help restore weak spots in your tooth enamel.

So, can enamel-repair toothpastes effectively repair your teeth? Yes, they can be effective—if demineralization is in its early stages and if you make them a regular part of your daily dental routine.