Signature Smiles Dental Care
1128 Lake Street Suite 1
Oak Park, IL 60301
(708) 386-6190

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Posts for: January, 2014

By Signature Smiles Dental Care, Ltd
January 28, 2014
Category: Oral Health
Tags: oral health  
TakingCareofThatAnnoyingBumpinYourMouth

Your mouth’s biting and chewing function is an intricate interplay of your teeth, jaws, lips, cheeks and tongue. Most of the time everything works in orderly fashion, but occasionally the soft tissues of the tongue or cheeks get in the way and are accidentally bitten. The resultant wound creates a traumatic fibroma, an overgrowth of tissue that develops to cover the affected area.

A fibroma consists of fibrous tissue made up of the protein collagen; this traumatized tissue functions much like a callous on a tender spot of skin by binding together the new tissues forming as the wound heals. But because the fibroma is raised on the surface of the cheek more than normal tissue, the chances are high it will be bitten again and reinjured, even multiple times. If this occurs the fibroma becomes tougher and more pronounced.

As it becomes raised and hardened in this way, it becomes more noticeable. More than likely, though, it poses no danger other than as an inconvenience. If it becomes too much of a nuisance, or you have concerns that it’s more than a benign growth, it can be removed with a simple fifteen-minute procedure. An oral surgeon, periodontist or dentist with surgical training will first anesthetize the area with a local anesthetic; the fibroma is then completely excised (removed) and the wound opening sutured with two or three small sutures. Any post-procedure discomfort should be mild and easily managed by pain medication like aspirin or ibuprofen.

Although it’s highly unlikely the fibroma is cancerous, the excised tissue should then be sent for biopsy. Viewing the tissue microscopically is the only definitive way to determine the true nature of the tissue and confirm any diagnosis that the tissue is benign. This is no cause for alarm as it’s a standard healthcare procedure to biopsy this particular kind of excised tissue.

“Bumps and lumps” are common occurrences in the mouth. It’s a good idea to point them out to us during your regular checkups or at any time if you have a concern. In either case, this bothersome problem can be easily treated.

If you would like more information on traumatic fibromas, 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 “Common Lumps and Bumps in the Mouth.”


By Signature Smiles Dental Care, Ltd
January 24, 2014
Category: Oral Health
Tags: gum disease  
WhenShouldYouSeeAPeriodontist

Periodontal (gum) disease is sometimes called a “silent” malady — meaning that its symptoms don’t generally announce themselves with great fanfare (or pain, as conditions like tooth decay and root canal issues often do). Yet this disease is estimated to affect almost half of the adult population in the United States, causing deterioration of the gums and the bone surrounding the teeth… and possibly leading to bacterial infections, loss of teeth, and even systemic (whole-body) problems.

So what exactly is periodontal disease? Actually, it’s the broad name for a group of related diseases which attack the soft tissue of the gums and the tooth-supporting bone. Most periodontal diseases are caused by the buildup of harmful bacteria in a biofilm (thin, sticky layer), which coats teeth in the absence of effective oral hygiene. And yes, that means if you don’t brush and floss daily, you’re much more likely to develop gum disease.

Even the most attractive smile could have gum disease lurking beneath it. How do you know if you may be affected? Some early warning signs include redness or inflammation of the edges of the gums, a bad taste in your mouth or bad breath, plus any degree of bleeding when you brush your teeth (brushing should never cause gums to bleed). As the disease progresses, you may develop painful inflammation or a pus-filled abscess, bone loss, loose teeth… and eventually tooth loss.

But don’t wait until then to seek treatment! If you see your general dentist regularly, and if he or she notices signs of gum disease, you may be referred to a periodontist. But you don’t need a referral — you can simply make an appointment and come in for a check-up. That may be wise if you have noticed any warning signs — especially if it has been a while since you’ve had an exam. Periodontal disease may be a silent malady, but that doesn’t mean you have to let it affect your oral health.

If you would like more information about periodontal disease, call our office for a consultation. You can learn more in the Dear Doctor magazine articles “When To See A Periodontist” and “Warning Signs of Periodontal (Gum) Disease.”


By Signature Smiles Dental Care, Ltd
January 16, 2014
Category: Oral Health
Tags: teething  
HelpingYourBabyCopeWiththeDiscomfortofTeething

When your baby’s first teeth erupt in the mouth, it’s a big step in their development. Unfortunately, you may not have much opportunity to celebrate — you’re too busy tending to your infant whose experience is anything but pleasant.

Commonly known as teething, the eruption process usually begins between six and nine months of age, although some children may begin as early as three months or as late as twelve. Not all teeth come in at the same time: it usually begins with the two lower front teeth, then the two upper front teeth, followed by the molars and then the canines (eye teeth). By age three, most children have all twenty of their primary teeth.

Each child’s teething experience is different and may vary in length of time and intensity. The usual signs are heightened irritability, biting and gnawing accompanied by gum swelling, ear rubbing, drooling and sometimes facial rashes. Babies also may have disturbed sleeping patterns and a decreased appetite. Occasionally, this discomfort can be intense.

There are some things you can do to ease this discomfort. Provide your baby a clean, chilled (not frozen) rubber teething ring, chilled pacifier or wet washcloth to gnaw on. Cold foods, like popsicles for older children can also be soothing, though you should limit sugary foods to lower the risk of tooth decay. You can also finger massage swollen gums to counteract the pressure coming from the erupting tooth, or administer pain relievers like baby acetaminophen or ibuprofen. You can use products with Benzocaine®, a numbing agent, for children two years or older — but you should never use alcohol for children of any age for inflamed gums.

Be sure to also set up a Year One dental examination around their first birthday. This is an important first step in your child’s long-term dental care, and a good opportunity to check their teething progress. And, by all means, if you have concerns about your child’s experience with teething, don’t hesitate to call our office.

Teething is a normal part of your child’s development. There’s much you can do to help make it as comfortable and pain-free as possible.

If you would like more information on teething, 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 “Teething Troubles.”


By Signature Smiles Dental Care, Ltd
January 08, 2014
Category: Oral Health
Tags: oral hygiene   oral health  
TechniqueJustasImportantWithPoweredToothbrushesasWithManual

Electric-powered toothbrushes have been in use for decades, and continue to enjoy wide popularity. But since their inception in the 1950s, there’s been a continuous debate not only about the best choice among powered toothbrushes, but whether powered toothbrushes are as effective in removing plaque as manual toothbrushes.

These debates are fueled by a large body of research over many years on powered toothbrushes. For instance, an independent research firm known as the Cochrane Collaboration has evaluated over 300 hundred studies of powered toothbrushes (over a thirty-year span) using international standards to analyze the data.

Surprisingly, they found only one type of powered toothbrush (using a rotation-oscillation action) that statistically outperformed manual toothbrushes in the reduction of plaque and gingivitis. Although from a statistical point of view the difference was significant, in practical terms it was only a modest increase in efficiency.

In all actuality, the most important aspect about toothbrushes in effective oral hygiene isn’t the brush, but how it’s used — or as we might say, “it’s not the brush so much as the hand that holds it.” The fact remains, after first flossing, a manual toothbrush can be quite effective in removing plaque if you brush once or twice a day with a soft-bristle brush using a gentle brushing motion.

Although a powered toothbrush does much of the work for you, it still requires training to be effective, just as with a manual toothbrush. We would encourage you, then, to bring your toothbrush, powered or manual, on your next cleaning visit: we would be happy to demonstrate proper technique and give you some useful tips on making your brushing experience more effective.

Remember too: brushing your teeth and flossing isn’t the whole of your oral hygiene. Although a critical part, brushing and flossing should also be accompanied with semi-annual professional cleanings to ensure the removal of as much disease-causing plaque as possible.

If you would like more information on types of toothbrushes, 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 “Manual vs. Powered Toothbrushes.”