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writeradmin writes blog posts on behalf of Dr. Kevin Peck
Oral Hygiene

Does marijuana cause tooth decay?

I just found out my son is taking marijuana. I know it is a horrible thing for his brain and that he can get addicted to other drugs becuase of it. I’m trying to deal with all that. But, I was wondering if it affects his teeth as well? I’m trying to get everything taken care of at once.

B.C.- Wisconsin

B.C.,

Your head must be spinning right now. I can’t imagine the worry you are going through. You didn’t mention how old he is. You’ll have a little more control if he is a minor. There are several things to factor in to his oral health knowing that he is smoking marijuana.

All smoking, no matter what kind, contributes to tooth decay for several reasons. First, it hinders saliva production. Many people do not know that saliva production is an important factor in preventing tooth decay. There are minerals in our saliva that fight bacteria in our mouths. Smoking also decreases the oxygen in our bloodstream, which will lead to gum disease.

Additionally, marijuana contributes some additional problems. Not only does marijuana lower our immune system, but the THC in marijuana interferes with the way calcium moves about it our bodies. Calcium is a key ingredient in healthy tooth structure.

Because of the staining on the teeth, you may also be interested in looking into teeth whitening.

This blog is brought to you by Phoenix Denitst Dr. Kevin Peck.

Teeth Whitening

White spots after braces

My daughter had braces and now she has white spots on her teeth. Our dentist had recommended whitening her teeth, but my friend said that whitening won’t help because the teeth will be whiter but still be uneven in color. I know she isn’t a dentist, but is really quite bright and doesn’t usually say something she isn’t knowledgeable in. Is it possible my friend is right and my dentist is wrong?

Donna M.- Mississippi

Donna,

I’m am really frustrated to say that your friend knows more than your dentist. When you have uneven tooth color, using teeth whitening just makes the difference in color more obvious.  The white spots on her teeth are decalcification that occured while wearing her braces. This happens when there are some oral hygiene issues.

There are a couple of ways to treat this. There is something called Tooth Mousse that was specifically designed for this issue. Another possible treatment is tooth bonding. The softened and decalcified enamel will be removed and then replaced with composite materials that will be bonded onto her teeth. It goes without saying that I would go to a different dentist to do this procedure.

This blog is brought to you by Phoenix Dentist Dr. Kevin Peck.

 

Root Canal Treatment

Sensitivity after root canal

I had a root canal treatment. The procedure itself wasn’t too bad and everything seemed fine until a few days ago. Now all of a sudden my tooth is sensitive to cold. I can’t figure out why. Do you have an idea?

Brooke- maryland

Brooke,

If you’ve had a tooth canal and then the tooth becomes sensitive to cold, it means there was a hidden canal that didn’t get cleaned out and needs to be re-treated.  Fortunately, most dentists charge for root canal treatment by the tooth, so there would not be an additional fee for the re-treatment.  If, however, your dentist treats by the canal, there would be an additional fee.

These canals can be tricky and it is not unusual for the best dentists to miss one.  If it is a difficult canal, your dentist may decide to send you to a root canal specialist.

This blog is brought to you by Phoenix dentist Dr. Kevin Peck.

Pediatric Dentistry

Help for stopping thumbsucking

I’m a little embarrassed to be asking this. I’m 12 and still suck my thumb. I want to stop because I have a slumber party in a month. Can you help?

name withheld

First, I want you to know that you are not the only girl your age who still sucks her thumb. There are many teenagers who are still trying to break this habit. The part that will help is you are motivated to quit. Here are some suggestions:

  • You could wear a sock on your hands when you sleep at night. The good part about this process is it doesn’t cost any money.
  • There are liquids you can purchase to put onto your thumb that taste absolutely horrible.
  • You could also purchase a thumb guard. This is a plastic appliance that goes over your hand and protects your thumb so you will no longer be able to suck it.
  • If there is enough time, I recommend you visit a pediatric dentist, who will also have ways to help.

I hope this helps and have fun at your slumber party.

This blog is brought to you by Phoenix Dentist Dr. Kevin Peck

Root Canal Treatment

Crown prep pain

I’ve gotten one of my teeth prepped for a crown. At first there was some normal tenderness. That went away, but for some reaason now my lower left jaw (the side where the crown is being placed) is having a lot of pain. The pain is to the point that I have to take medicine. Is that normal?

Anthony H.- Cincinnati, OH

Anthony,

The type of pain you are describing is not normal after a dental crown preparation. It is possible the pain is coming from the tooth itself. If your tooth has already been through a significant amount of trauma, such as large fillings, the inflammation may not be reversible.

If that is the case, the best solution would be a root canal treatment. Your dentist will know best if that is the case. Either way, you’ll want to let your dentist know. He’ll probably coat your tooth with some type of desensitizer sealant on the surface of the dentin to try to get the pain to go away. Hopefully that is the solution.

This blog is brought to you by Phoenix Dentist Dr. Kevin Peck.

Teeth Whitening

Teeth whitening troubles

Can you tell me the secret to getting really white teeth. I’ve been wearing some teeth whitening trays with gel for a week and they aren’t very white yet.

Melissa- Detriot

Melissa,

The only secret to teeth whitening is persistence. The gel has to be in contact with your for extended periods of time. Wear the gel for as long as you’re able each day. You may even want to sleep with it. In just a few weeks, your teeth should be significantly whiter.

If you’re in a hurry to have your teeth whitened, some offices do a Zoom whitening, which will whiten your teeth in just one appointment.

This blog is brought to you by Phoenix Dentist Dr. Kevin Peck.

Pediatric Dentistry

Baby Tooth Eruption

Hi, I’m a first time mom and was wondering when I should expect my daughter’s teeth to start coming in.

Cammie Anne S.- Atlanta, GA

Cammie Anne,

Below is a chart to show  you the location of the teeth and a list to give you some general guidelines. Bear in mine that each child is different, so don’t panic if your child doesn’t follow the schedule exactly.  It will be important that you find a good dentist. Look for someone who does pediatric dentistry.

.

6 to 10 months:  Lower Central Incisors

8 to 12 months:  Upper Central incisors

10 to 16 months:  Lower Lateral Incisors

9 to 13 months: Upper Lateral Incisors

17 to 23 months:  Lower Canine

16 to 22 months:  Upper Canine

14 to 18 months:  Lower First Molar

13 to 19 months:  Upper First Molar

23 to 31 months:  Lower Second Molar

25 to 33 months:  Upper Second Molar

This blog is brought to you by Phoenix Dentist Dr. Kevin Peck.

Tooth Extraction

Teeth shifting

Is it common for your teeth to shift after getting a tooth extracted? My front teeth seem to have moved and I find it a little embarrassing. I have to get another tooth extracted and I want to prevent it from happening again if that is the cause.

Lindsey G.- Benton, AR

Lindsey,

Once a tooth is extracted your body begins to reabsorb the bone. That combined with the occlusion (how your teeth come together) of your teeth can lead to shifting. Everyone’s teeth behave a little differently when  it comes to occlusion. The ideal treatment is to replace your teeth whenever they are distracted.

The best tooth replacement is a dental implant, because it will place a prosthetic root into your gums, which will prevent any further bone loss. Depending on your budget, this might not be possible, but their are other tooth replacements that will prevent any lateral movement of your teeth.

This blog is brought to you by Phoenix Dentist Dr. Kevin Peck.

Pediatric Dentistry

Extensive Decay in a six year old

There is extensive decay in my six year old’s mouth. He needs six teeth worked on that have deep cavities. It has gotten to the point that it is painful for him to eat. I’m assuming he’ll need some root canal treatments as well. The problem I have is no matter what dentist I bring him to, he throws too much of a fit for them to do any work on him. What do you recommend?

BreeAnn- Utah

BreeAnn,

You need to look for a pediatric dentist who also does sedation dentistry. The sedation will keep your child from panicking and allow the dentist to do the necessary work.

You also need to do something much more difficult. The way a child of six gets that much decay is from frequent eating. You are going to have to say no to your child’s snacking. Get him to not eat for 3-4 hours in a row so that he’ll be thoroughly hungry and eat sufficiently to not need to snack so much.

This blog is brought to you by Pediatric Dentist Dr. Hilary Peck.

Pediatric Dentistry

What is a pulpotomy?

I’ve been told my daughter needs a pulpotomy, but I’m unclear what it is. I know it has to do with her infected tooth, but its just a baby tooth so won’t it fall out anyway?

Serina- Detroit, MI

Serina,

Think of a pupotomy as a root canal for baby teeth. With this procedure, most of the pulp of the baby tooth is removed. Then the tissue inside the roots is daubed with a disinfectant. The tooth is then sealed and covered with crown. Unless you’re talking about a molar, it is unnecessary.

I know that her teeth are falling out anyway, but you want to keep her molars until she is about 10 or 12 years old, when her adult molars come in. If you don’t her teeth will become bunched together.

There is an alternative treatment of extracting her tooth and placing a space maintainer.

You may be interested in reading about pediatric dentistry.

This blog is brought to you by Phoenix Dentist Dr. Hilary Peck.