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When most patients ask Dr. Welmilya Francis-Davis this question, they're thinking strictly about sugar content — cut out the bacteria-feeding sugar that's present in regular soda by opting for a diet soda and it will be better for your teeth. That seems logical, right? Well, there's a bit more to it than that. Let's take a closer look at how any kind of soda can affect your dental health.

Diet Soda – Why it can also lead to tooth decay

The main culprit in these drinks that leads to decay is the acid content. Diet sodas and other sugar-free drinks are usually highly acidic, which weakens the enamel on your teeth and makes them more susceptible to cavities and dental erosion. The level of phosphoric acid, citric acid, and/or tartaric acid is usually high in sugar-free drinks so it's best to avoid them.

Some patients also enjoy drinking orange juice or other citrus juices. These drinks are high in citric acid and have the same effect on the enamel of your teeth.

So what about regular soda?

We know the acidity of diet sodas and sugar-free drinks contributes to tooth decay, so what about regular soda? Like we alluded to earlier, regular soda is high in sugar — a 12 ounce can contains roughly ten teaspoons of sugar — and sugar feeds the decay-causing bacteria in the mouth. This also includes sports drinks and energy drinks, which are highly acidic and loaded with sugar too. So these drinks are a double-whammy of sugar and acidity your teeth and body simply don't need.

The problems caused by both diet and regular soda is exacerbated when you sip on them throughout the day. If you drink it all in one sitting, you won't be washing sugar and/or acids over your teeth all day long and your saliva will have a chance to neutralize the pH in your mouth.

The best beverages to drink and how to drink them

Drinking beverages that are lower in acid is a good step to take to keep your enamel strong. According to a study conducted by Matthew M. Rodgers and J. Anthony von Fraunhofer at the University of Michigan, your best bets are plain water, black tea or coffee, and if you opt for a soda, root beer. These drinks dissolved the least amount of enamel when measured 14 days after consumption of the beverage.

If you still choose to drink soda, diet soda, sugar-free drinks, or juices here are some other tips to lessen tooth decay:

• Drink your soda or acidic beverages through a straw to minimize contact with teeth
• Rinse with water immediately after consumption of the beverage
• Avoid brushing your teeth between 30 minutes to an hour after drinking the beverage as this has been shown to spread the acids before your saliva can bring your mouth back to a neutral pH
• Avoid drinks that have acids listed on the ingredients label

Still have questions about soda, sugar, and acid? Give our Nassau office a call and we’d be happy to help!

Many people consume carbonated or sugary drinks and acidic foods every day but have no idea those beverages may be harming their teeth, making them vulnerable to tooth erosion. The acid in the foods we eat and drink can cause tooth enamel to wear away, making your teeth sensitive and discolored. Dr. Welmilya Francis-Davis will tell you that in many cases, what’s important is not what you eat and drink, but rather how you consume it.

What is tooth erosion?

Tooth erosion is the loss of tooth structure caused by the weakening of dental enamel, which is the strongest substance in the human body. Enamel is the thin, outer layer of hard tissue that helps maintain the tooth’s structure and shape. When the enamel is weakened, it exposes the underlying dentin, causing your teeth to appear yellow.

What causes tooth erosion?

Tooth erosion may occur when the acids in the foods and beverages you eat and drink, as well as other factors we will discuss later, weaken the enamel on your teeth. Typically the calcium contained in saliva will help remineralize (strengthen) your teeth after you consume foods or drinks that contain some acid. However, the presence of a lot of acid in your mouth does not allow for remineralization to happen.

Acid can come from many sources, including the following:

• Drinking carbonated or fruit drinks. All soft drinks (even diet varieties) contain a lot of acid and are capable of dissolving enamel on your teeth. Bacteria thrive on sugar and produce high acid levels that can eat away at enamel.
• Eating sour foods or candies. All those sour candies may taste great, but these treats can be acidic to your teeth. Sour and fruity candy, such as Starburst and Skittles, are the worst for your teeth since these candies have a low pH value, which is known to ruin enamel.
• Low saliva volume. Saliva helps prevent decay by neutralizing acids and washing away leftover food in your mouth.
• Acid reflux disease. Acid reflux, or GERD, brings stomach acids up to the mouth, where the acids can erode enamel.
• Bulimia or binge drinking. These conditions can cause tooth damage because they frequently expose teeth to stomach acids.
• Wear and tear. Brushing your teeth too vigorously or grinding your teeth at night can erode enamel.

What are the symptoms of tooth erosion?

Acid wear may lead to serious dental problems. When your tooth enamel erodes, your teeth become more vulnerable to cavities and decay, and you may begin noticing the following symptoms:

• Severe sensitivity or tooth pain when consuming hot, cold, or sugary foods or drinks
• Tooth discoloration
• Rounded teeth
• Transparent teeth
• Visible cracks in teeth
• Cupping, or dents, that show up on the biting or chewing surfaces of the teeth

What you can do to prevent tooth erosion

• Reduce or eliminate altogether your consumption of carbonated drinks. Instead, sip water, milk, or tea.
• If you must consume acidic drinks, drink them quickly and be sure to use a straw so that the liquid is pushed to the back of the mouth. Don’t swish them around or hold them in your mouth for a long period of time.
• Instead of snacking on acidic foods throughout the day, we suggest eating these foods just during meal times in order to minimize the amount of time the acid makes contact with your teeth.
• After consuming highly acidic food or drinks, rinse with water to neutralize the acids.
• Chew sugar-free gum to produce more saliva, as this helps your teeth remineralize.
• Brush with a soft toothbrush and be sure your toothpaste contains fluoride.
• Dr. Welmilya Francis-Davis may also recommend daily use of a toothpaste to reduce sensitivity (over-the-counter or prescription strength) or other products to counter the effects of erosion.

It’s important to know that the majority of dental problems, such as tooth erosion, do not become visible or painful until they are advanced. And, unfortunately, serious oral issues are painful and expensive to treat. A deep cleaning twice a year by our team at Comfort Smiles is the best way to hit all the spots you may have missed with brushing and flossing and prevent any issues that may have gone unseen.

Make sure your teeth get the professional attention they deserve! If you are overdue for your next checkup or cleaning, please give us a call to schedule an appointment at our conv

Do you have a space where a tooth used to be? Were you born with a missing tooth? Are you getting ready for dentures? You may be a good candidate for a dental implant. Metal dental implants were invented in 1965. Technology continues to advance with millions of implants placed in the United States and Canada. Placing implants has become mainstream and a common practice for offices like ours.

A dental implant is a small titanium post, which resembles a screw with threads. The post also has holes for bone to integrate. A dental implant is placed into the jawbone during a short dental procedure. It is relatively painless with very little post-operative pain. The threads on the implant post allow for the bone to fill in and integrate. To facilitate this process the implant is re-covered with gum tissue and allowed to heal and integrate for nearly three months. The implant acts as the root for the tooth to provide solid and stable support for the crown that’s yet to be placed.

The next step in the dental procedure is to uncover the implant and place a healing cap to allow the gum tissue to heal. After a short period of healing, an impression is taken to fabricate a crown to fully restore the missing tooth. The crown is then cemented on top of the post, at which point you can resume normal eating activities.

Dental implants do require some special care, but that is easily managed when you follow the directions outlined by Dr. Welmilya Francis-Davis. During your regularly scheduled cleaning, special instruments are used to clean implants. While a dental implant cannot get a cavity, a condition known as peri-implantitis can occur. This is very similar to periodontal disease as the end result is dental implant loss and loss of bone structure. Be sure to floss the dental implant daily and run the floss under the implant crown as far as it can go to remove food and plaque. If you use any picks or small brushes to go in between your teeth, make sure they are plastic. Metal will scratch the implant making it more susceptible to infection. Be sure to keep your regular dental visits and cleanings to monitor the implant and help preserve your investment.

Today’s crowns, veneers, and tooth colored fillings are very natural looking compared to early counterparts. There was a time when dentists placed silver fillings exclusively. This material is still used, however the most common material used today in fillings is composite, tooth-colored fillings. Composite fillings can be made to match any shade of tooth and even let light travel through them like natural enamel.

Composite fillings are great in many different scenarios. The most obvious reason is when a cavity is present. This is an excellent way to seemingly erase the imperfection that once was. It is almost as if the cavity was never there.

Placing composite fillings to reshape teeth can also minimize excessive spacing. In the case of a diastema, (a large space between the two front teeth) composite material is a non-invasive and cost-effective choice that provides instant results. It can be an alternative to braces.

Mottled enamel is a symptom of fluorosis, which causes discoloration and imperfections in the enamel. Composites are the material of choice for masking this condition.

Composite fillings are easy to place, easy on the eyes, and easily repaired. With skill and good composite material, a filling can be easily disguised. This look is desired most in our society today, where dental perfection is now standard.

In conclusion, your smile is in good hands with composite fillings. There are some great materials that give a near perfect match to the appearance of natural tooth enamel. Smile with confidence knowing no one ever has to know. Your secret is safe with us at Comfort Smiles!