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It is common to experience dentine hypersensitivity, with symptoms ranging from moderate to severe. Why does it happen and how do you know if this sensitivity is something to be concerned about? The first step is to determine the cause.

The most common cause of the sensitivity is exposure of the dentin. Dentin is the layer immediately surrounding the nerve of the tooth. It is alive and usually covered by the gum tissue. When gum recession is present hypersensitivity is common. Other contributors to temporary tooth hypersensitivity include teeth whitening and dental procedures such as fillings, periodontal treatment, and braces placement or adjustment. These are temporary and should be of no concern.

Permanent hypersensitivity, however, may require treatment. To understand the cause of sustained hypersensitivity, let us explain the structure of dentin and why it serves as a ‘hot spot’.

The dentin contains a large numbers of pores or tubes that run from the outside of the tooth to the nerve in the center. When dentin tubes are exposed, there is a direct connection between the mouth and dental pulp, which houses the nerve and blood supply of the tooth. External stimuli, such as mechanical pressure (tooth grinding or clenching - bruising the ligaments holding the teeth in place), temperature changes, as well as chemical stimuli (sweet–sour) are transmitted to the pain-sensitive dental pulp and activate nerve endings. A short and sharp pain is the result. These external stimuli cause fluid movement in the open tube that is transmitted as pain sensations. Something needs to be placed into the dentin tube to plug it and stop this fluid movement.

The first step in doing something about dental hypersensitivity is to determine the cause; our professional team at Robson Dentistry can help you with this. Whether the sensitivity is due to exposed dentin or an underlying cause such as abscess or decay, corrective measures are needed. Contact us sooner rather than later so Dr. James Robson can reduce the sensitivity, and provide you with some relief!

At Robson Dentistry, we see a lot of patients who are concerned about their bad breath, also known as halitosis. So today we thought we would educate our patients about what you can do to keep your pearly whites clean and your breath minty fresh!

Naturally, good oral hygiene on your part is the first step. With proper brushing and flossing you can keep halitosis in check. Even though you may have done an excellent job of brushing and flossing your teeth, if you fail to brush your tongue, you may still have bad breath. Bad breath is caused by odor-producing bacteria that grow in your mouth. Certain foods, medications, smoking, sinus issues, or even gum disease can cause bad breath.

Besides proper brushing and flossing, bad breath can be prevented if you:

Stop smoking/chewing tobacco-based products: Ask Dr. James Robson and our team for tips on kicking the habit.

Keep your mouth hydrated: Because a dry mouth typically leads to bad breath, drinking water or eating oranges or celery may help.

Visit our East Lyme, CT office for regular dental checkups: By visiting Robson Dentistry at least twice a year, you will keep bad breath at bay. Dr. James Robson will conduct an oral exam and will be able detect and treat periodontal disease, dry mouth, or other problems that may be the cause of bad mouth odor.

Adults are no strangers to feeling like there is never enough time in the day to get everything done. Your alarm clock rings and within minutes you ping pong around trying to spread peanut butter on sandwiches, answer your cell phone, remove the dog hair from your clothes, and make sure your child has completed his or her science fair project. Brushing your teeth can easily fall to the wayside. That is why our office promotes a simple, daily oral health regimen that you can easily incorporate into your busy lifestyle.

The American Dental Hygienists' Association (ADHA), in partnership with the Wrigley Jr. Company, is celebrating National Dental Hygiene Month (NDHM) during October. The ADHA encourages people to "Brush. Floss. Rinse. Chew...Keep it Clean, Keep it Healthy!" and offers some great tips for a quick and effective home oral health routine, below:

Oral Health Routine at Home

• Brushing your teeth twice daily is the most important thing you can do to diminish the accumulation of plaque and the potential for other oral problems such as cavities and gingivitis.
• Flossing once daily removes plaque and food from beneath the gums and between teeth that brushing alone cannot remove. Tooth decay and gum disease often begin in these areas.
• Rinsing your mouth with an antibacterial, non-alcohol based mouthwash kills plaque and gingivitis germs that brushing and flossing do not catch. We recommend using a mouthwash with the ADA Seal of Acceptance.
• Chewing sugar-free gum helps produce saliva, which battles cavities. The gum also neutralizes plaque, strengthens enamel, and removes remaining food. It is especially important to chew gum after eating or drinking.

It's easy to put the toothbrush down in order to take care of matters you feel are more urgent, but remember, a good oral health routine at home is the best way to prevent periodontal disease. "Periodontal disease is the most common cause of tooth loss in adults. An estimated 75 percent of Americans reportedly have some form of periodontal disease," said the ADHA. Periodontal disease also is linked to more serious illnesses such as diabetes and stroke.

Also, remember to keep regular visits with our office. Dr. James Robson can help you learn more about proper care for your teeth and gums.

Every year, over 50,000 North Americans are diagnosed with oral or throat cancer, which has a higher death rate than many other common cancers, including cervical cancer, testicular cancer, Hodgkin’s lymphoma, and thyroid or skin cancers. The high death rate results from the fact that most oral cancers go undiagnosed until the disease is well advanced and has spread to another part of the body, most often, the lymph nodes in the neck.

Because oral cancer is typically painless in its early stages and often goes undetected until it spreads, many patients aren’t diagnosed until they are already suffering from chronic pain or loss of function. However, if detected early, Dr. James Robson and our team at Robson Dentistry want you to know that early detection of oral cancer improves the survival rate to 80 percent or more.

If you visit our East Lyme, CT office regularly, you have probably received an oral cancer screening and didn’t even realize it. That’s because the exam is quick and painless; Dr. James Robson and our team check your neck and mouth for signs of oral cancer such as discolorations, lumps, or any changes to your tissue. Oral cancer is typically found on the tongue, lips, gums, the floor of the mouth, or tissues in back of the tongue.

Factors that may influence your risk for developing oral cancer include:

• Use of tobacco products. Smoking cigarettes, cigars, a pipe, or chewing tobacco all elevate risk for developing oral cancer. Tobacco use especially is a serious risk factor because it contains substances called carcinogens, which are harmful to cells in your mouth.
• Excessive consumption of alcohol. Those who drink alcohol regularly have an elevated risk of getting oral cancer. Alcohol abuse (more than 21 drinks in one week) is the second largest risk factor for the development of oral cancer, according to the Oral Cancer Foundation.
• Excessive sun exposure. Those who spend lots of time outdoors and do not use proper amounts of sunscreen or lip balm have a greater risk for developing lip cancer. Exposure to ultraviolet (UV) radiation from sunlight may also cause melanoma, the most serious type of skin cancer.
• Your age. Oral cancer is typically a disease that affects older people, usually because of their longer exposure to other risk factors. Most patients diagnosed with oral cancer are over the age of 40.
• Your gender. Oral cancer strikes men twice as often as it does women.
• A history with viral infections, such as human papillomavirus (HPV).
• A diet low in fruits and vegetables.

In between your visits to our office, it is critical for you to be aware of the following signs and symptoms, and give us a call if these symptoms don’t go away after two weeks.

• A sore or irritation that doesn’t disappear
• Red or white patches
• Pain, tenderness, or numbness in mouth or lips
• Difficulty chewing, swallowing, speaking, or moving your jaw or tongue
• A change in the way your teeth fit together when you close your mouth

During your next visit, Dr. James Robson will examine your mouth for signs of oral cancer. If you have been putting off a visit to our East Lyme, CT office for your regular checkup, now is an excellent time to schedule one. Regular visits can be the first line of defense against oral cancer because we can identify early warning signs of the disease. Give us a call today!