Auburn AL Dentist Archives - Dental Care at Flint's Crossing

Why Do Kids Grind Their Teeth in Their Sleep?

Posted on May 16, 2022 by Athena Smiles.

I recently noticed that my youngest child seems to be grinding his teeth at night. He’s five, if that matters. At first, I thought it was a one-off thing or a fluke. He fell asleep in the car on the way home from a family function that ran late, and I caught his jaw moving when I looked back in the rearview mirror. I always pop in and check on him before I go to sleep, so the next few nights I paused to watch for a few minutes and realized he’s doing it all the time. He doesn’t remember doing it and doesn’t seem to be any worse off for it. The pediatric dentist hasn’t said anything while we’ve been in.

So, I’m wondering why do kids grind their teeth in their sleep and is this something he’s going to grow out of? I know it’s a problem for adults—his dad’s a grinder too—but I’ve never heard of children doing it.

Thank you,

Morgan

Dear Morgan,

This is a great question! Teeth grinding, formally known as “bruxism,” in children is more common than you might think. Studies show that up to 50% of kids do it, but that doesn’t necessarily make it a harmless habit. Let’s dig into the details a bit.

Why Do Kids Grind Their Teeth in Their Sleep?

Kids grind their teeth for many of the same reasons adults do.

Familial Links: Studies show teeth grinding tends to run in families, though researchers aren’t sure if it’s a genetic link or an environmental factor that causes it. Boys are more likely to grind their teeth than girls as well.
Stress and Anxiety: Yes! Kids get stressed out too. They worry about tests, things happening with the family, chores, and all sorts of other things.
Mental Health Issues: Grinding is linked to a multitude of sleep disorders as well as issues like ADHD.
Dental Issues: Kids with misaligned teeth, those who wear fixed orthodontic appliances, and those who breathe through their mouth tend to grind their teeth more.
Secondhand Smoke: Even moderate exposure to secondhand smoke increases the risk of grinding for kiddos.

What Happens When Kids Grind Their Teeth in Their Sleep?

Although you didn’t ask about potential complications, it’s important to recognize that sleep grinding isn’t a harmless habit. Kids with bruxism are at risk for a number of complications.

Fractured teeth
Receding gums
Teeth and jaw problems like temporomandibular joint disorder, sometimes referred to as TMJ or TMD (TMJ is actually shorthand for the jaw joint’s name rather than the disorder)
Mental health issues like anxiety and depression
Sleep problems
Eating disorders

Do Kids Grow Out of Teeth Grinding?

Generally speaking, kids do not grow out of bruxism. Remember, there’s an underlying cause, so although a contributing factor may end, and the child may seemingly stop grinding at night, they’ll probably resume if the trigger returns.

You mentioned that the dentist didn’t say anything at your last visit. It may be that it’s so early for your son that there are no outward symptoms yet. You should proactively bring it up so he or she can look specifically for signs of trouble and keep a close eye on your son as he continues to grow.

Treatment for Sleep Bruxism in Kids

Treatment for kids is much like that of adults and may vary depending on the trigger or underlying cause.

Dental Care: If misaligned teeth or other oral health concerns are contributing, the dentist will need to address them. Equally, if a child is displaying signs of grinding, such as broken teeth, the dentist will need to repair them.
Nightguards: Although nightguards don’t prevent grinding, they can protect teeth from damage and often reduce jaw strain.
Stress Relief: Talk to your kiddo to find out if he’s feeling anxious or stressed about anything. Sometimes just talking it out with you will be enough. If not, consider bringing in a mental health professional to help your kiddo learn ways to manage stress.
Bedtime Routines: If bedtime routines are inconsistent or chaotic, stress elevates and sleep issues may develop. Try to incorporate a winddown period before bed and set the stage for sleep by ensuring the room is quiet and dark. Limiting screens, especially close to bedtime, and making sure your child is eating well may help too.

As always, if you have concerns or your child develops symptoms that suggest they’re experiencing pain or discomfort, be sure to get him into the dentist for an evaluation right away.

This blog is sponsored by Auburn, AL dentist, Dr. Raymond Bolt.

Should the Pediatric Dentist Remove My Son’s Baby Teeth?

Posted on April 15, 2022 by Athena Smiles.

I’m wondering if I should make an appointment with a pediatric dentist to have my son’s baby teeth removed. He just turned seven and hasn’t lost a single one yet. For a while, I thought the centermost teeth on the bottom were loose, but if they ever were, they’re not now. My sister’s son is six and he’s already lost four, so I’m starting to get concerned.

Thank you,

Mariana

Dear Mariana,

This is a great question! Let’s dig into it a bit.

It’s Normal to the First Baby Teeth Between Ages 6-7

Your son isn’t off track yet. Most kiddos lose their bottom center teeth first somewhere between ages six and seven and then their top middle teeth shortly thereafter. Even though he hasn’t lost any teeth yet, it’s still too soon to say he isn’t developing perfectly normally.

It’s also worth noting that sometimes baby teeth loosen up and then tighten up again. This usually happens because the adult tooth below pushes on the baby tooth enough to stretch the ligaments (make it loose), but then stops, and the ligaments tighten up again. Some kiddos can go through several rounds of on-again, off-again looseness before a baby tooth finally gives in and goes.

But, Staying on Track is Important

There are some things that can stop kids from losing their baby teeth. For example, if no adult tooth is present, people can retain baby teeth. Sometimes a baby tooth can be particularly stubborn and refuse to let go too. In these cases, it can delay the eruption of the adult tooth or the adult tooth will try to come in anyway, but come in behind or in front of the baby tooth.

There are times when it’s beneficial to have baby teeth removed, especially if the latter is true for your son, but he’ll need an exam and probably some x-rays to be sure.

Your Kiddo Should See a Pediatric Dentist Regardless

Even though he might not be experiencing an issue, your son should be on a regular cleaning and checkup schedule now. That way, the dentist can catch potential issues before they become a problem and provide preventative services like fluoride treatments and sealants to help make sure your son’s teeth stay healthy and cavity-free. It’s important to keep up with these visits regardless because they can save a lot of heartache with little ones in the long run, but if you have dental insurance, these kinds of visits are often totally covered, so you probably won’t have to pay anything out-of-pocket for them either.

You can touch base with your dental insurance company for confirmation and a referral or connect with a local family or pediatric dentist and they’ll usually check into your benefits for you as a courtesy prior to your first visit. Best of luck to you and your little guy!

This blog is sponsored by Dr. Raymond Bolt, an Auburn, AL pediatric dental services provider.

Will Toothpolish Ruin My Teeth?

Posted on March 15, 2022 by Athena Smiles.

I’m 15 and have good teeth. We go to the dentist and I’ve only ever had one cavity. There’s this thing called Toothpolish trending on TikTok and I want to try it. It’s like nailpolish but for your teeth. It comes in lots of different colors and I really want to try the white so I can get brighter teeth.

Because you can only get it online and I don’t have a credit card, I asked my mom to order it for me and told her I’d give her money from my allowance. She said no because she thinks it’ll ruin my teeth – that I’ll start getting cavities or that it will somehow cause permanent damage.

Everything I’m seeing says it’s safe and everyone I see using it says it’s fine. What can I tell my mom to get her to let me get it?

Thank you,

Storm

Dear Storm,

It sounds like you’re referencing CHRŌM. Your mom’s probably being overly cautious here, but you may want to hold off on placing an order. Let’s dig into it a bit.

What’s “Toothpolish?”

To get others up to speed who may not be on TikTok, CHRŌM is a temporary paint-on colorant similar to nail polish that’s become popular with specific demographics, especially teens and those in their 20s. This is largely because the company has been doing a whole lot of influencer marketing. They seem to be paying people with large social media followings to demonstrate how their product is used.

Is Toothpolish Safe?

The big question you’re asking is whether toothpolish is safe. There are no long-term studies that show it, which is usually a red flag when it comes to healthcare/ cosmetic products. Very much a buyer beware type situation.

The company notes that it’s not suitable for people with certain pre-existing conditions. For example, if you wear braces, have Invisalign, have cavities, or have sensitive gums, it’s a no-go. If you have sensitive teeth, it may cause some issues during application and while drying because of the alcohol content. That should also be a red flag. If you’re constantly applying it and causing pain/ irritating your tooth, you can permanently damage the nerve, which would ultimately require a root canal and usually a crown to repair and can sometimes result in the loss of the tooth. It would be unlikely for this to happen, and even harder to trace it back to the toothpolish, but it’s something to be aware of.

With all that said, it’s probably safe for most people based on the ingredients listed, but it’s also not something you should try without talking to your dentist first.

Covering Up Issues is Not a Good Idea

The big concern dentists are reporting with it is that people may use it to cover up what they think are “cosmetic issues,” when, really, they’re covering up issues like cavities that will get worse over time if left untreated. If you’re unsatisfied with the look of your teeth, tell your dentist what’s bothering you. You’ll learn what all your options are so you can make an informed decision.

Toothpolish as a Whitening Solution Would be Expensive!

Bear in mind, toothpolish is temporary and you remove it by scratching it off or brushing. You’ll need to plan to reapply it anytime you eat something that could scrape, brush, or rub it off.

When you’re using colored varieties to accessorize or to achieve a certain look occasionally, that’s not necessarily a problem. It’s like having to reapply a colorstay lipstick throughout the day. When you’re trying to use it to make your teeth look whiter on an ongoing basis, that’s going to add up.

The company says you’ll get 10 applications per bottle if you’re applying it to all your visible teeth, and each bottle is around $20. Let’s say, conservatively, you’re only applying it twice per day—at the start of the day and after you eat lunch, since you’re probably going to chip some off or scratch it up while you eat. It’s only going to last you a week. You’d spend $80 per month just having it for school. Assuming you’re in school 10 months of the year, that’s $800 per year.

A professional whitening solution provided by your dentist would come out less expensive in the long run, would give you lasting results, and would be way way way less hassle. And, yes, you could potentially whiten your teeth at your age, but it’s something you need to discuss with your mom and dentist.

Now, if you’re just talking occasional use, like maybe you want a pop of white when you’re filming your own TikTok clips or having school pictures taken, it’s probably going to be suitable for something like that as long as your dentist and mom approve.

Bottom Line: Your Mom is NOT Wrong – Sorry!

Your mom is right. You’re young and it’s important to protect your teeth. If you take good care of them now, you’ll likely still have them when you’re 80. So, it’s just not a good idea to be trying products that could potentially cause an issue, especially when finding out if you have any of the contraindications is so easy.

You sound like a mature child—you’re able to save up and pay for your own products at this point. And, you also say your mom takes you to the dentist. Instead of jumping in with this, why bring it up with your dentist and/or hygienist next time you go in for your checkup and cleaning?

That’s not to say you should go against your mother’s wishes—you shouldn’t. But, handle this with the same maturity you‘d handle the money with. Let your mom know that you’re respecting her wishes and not using it, but that you’d like to run it past the dental team when you go in to get their feedback on the safety. That way, you’ll settle the dispute and, even if you don’t get the green light, you’ll leave knowing why and what your options are.

This blog is sponsored by Dr. Raymond Bolt, an Auburn, AL dentist providing general dentistry, pediatric, and emergency care services.

Will a Root Canal Make My Son’s Front Tooth Whiter?

Posted on February 28, 2022 by Athena Smiles.

My son almost knocked one of his front teeth out while horseplaying in the pool a few summers ago. Back then, he was seeing a pediatric dentist who suggested we take a “wait and see” approach. She thought it would heal up on its own and it seemed to have, but it’s turning a grayish color now. He graduated to seeing the family dentist who says the next step is getting a root canal because the tooth is dying, and that it’s up to us whether we want to do it right away or wait until the tooth starts hurting. I’ve never heard of a root canal whitening a tooth. Has the process changed over the years?

Thanks,

Tyra

Dear Tyra,

Did the dentist say the tooth was dying or that it was already dead? That’s an important distinction. True, it can take months or years for a tooth to turn gray after trauma. The coloring is a common symptom of the blood flow being cut off or nerve being severed. But, most people do have other symptoms and, for the dentist to indicate the tooth is presently dying with no symptoms beyond a color shift, it’s a bit unusual. You wouldn’t want a root canal if the tooth is vital and not infected and there are other things that can cause gray discolorations. Let’s go over this a bit.

Many Things Can Cause Teeth to Go Gray

While trauma is perhaps the likely culprit here, it’s important to remember there are lots of potential causes of gray teeth. Although some of the following won’t apply to your son, a detailed list is provided below for others following along too.

Decay: Cavities can cut off blood flow just like trauma can.
Dentinogenesis Imperfecta: Although rare, this hereditary disorder weakens teeth and can turn them a bluish-gray color.
Tetracycline: When children under 8 receive this antibiotic or expectant mothers take it, it can turn developing teeth gray.
Restorations: Metal tooth restorations, such as amalgam fillings and crowns, can discolor teeth too.
Aging: Sometimes teeth take on a blue-gray hue as a person ages.
Root Canal Medications and Materials: Certain medications used to disinfect during root canal treatment can turn the tooth a brownish-gray color. Sometimes the inert filling used to fill empty chambers after a root canal, or cement used, can cause discolorations as well.

Get Clarification from Your Dentist or a Second Opinion

Color alone does not signify the tooth is dead or dying. Find out what he’s seeing beyond the coloration and what condition he thinks the tooth is presently in. It may be a good idea to get a second opinion before starting treatment too.

A Root Canal Will NOT Whiten a Tooth

A root canal is the next step if the tooth’s nerve is dead or the tooth is infected, but that’s only because a dead tooth will eventually develop an infection. Think of it like a stagnant pool of water. Bacteria gets in there and thrives until you have a raging infection. It’s no fun at all! You don’t want to let it get to that point, so if your son has other signs the nerve is no longer vital, it’s best to move forward with the root canal as soon as possible.

With that said, a root canal won’t do anything about the color of the tooth. For that, you’ll want to explore cosmetic options, such as internal bleaching (performed by a dentist) or a veneer. Best of luck to you and yours.

This blog is sponsored by Dr. Raymond Bolt, an Auburn, AL dentist providing pediatric dental services and emergency dental care.

Did My Dentist Place Crowns I’m Allergic To?

Posted on January 31, 2022 by Athena Smiles.

A couple of years ago, my dentist did some crowns for me across my four front teeth. I’d chipped them in my early 20s and, although the fillings that had been placed served me well for many years, they were starting to fail and cause some issues.

Anyway, I mentioned that I had a metal allergy at the time of placement and the doctor assured me it wouldn’t be a problem with these. I probably should have asked more questions but I didn’t. I just took him at his word.

Lately, I’ve noticed that the spot right between my two front teeth is quick to bleed. It often bleeds when I’m eating and, I’m embarrassed to say, one of my coworkers pointed it out to me the other day when I hadn’t done anything at all that could have triggered it.

I’m told that most crowns are metal. Is it possible these are or that metal was somehow used and that’s what’s triggering the bleeding? If so, will I need to have them replaced or is there another fix?

Thank you,

Fatima

Dear Fatima,

It’s probably not a metal issue, but let’s break down why that can be ruled out and go over some potential causes.

The Bleeding Between Your Crowns is Likely Not Related to Metal

Generally speaking, dentists try to avoid using metal on anterior crowns. Front teeth don’t usually need the additional strength afforded by metal and it’s harder to get the aesthetics right with a metal layer underneath.

Moreover, if this was a metal allergy you were dealing with, it would likely be impacting all the surfaces of all the crowns done at that time, versus just between the middle two, and it probably wouldn’t have taken so long to manifest.

Something Else is Causing Gum Irritation

Odds are, something else is causing irritation there. If you’re not getting in there and flossing, that should be a priority.

It could also be that there are issues with the margins of those crowns or perhaps a small amount of cement was left. In these cases, food can easily be trapped or plaque can build up; the latter of which you may not be able to remove on your own.

Focus on Homecare and See the Dentist for an Exam

If you’ve been keeping up with your dental cleanings, it’s ok to work on this a bit at home. Work on flossing. You can use floss picks or similar if you’re not a fan of floss or it’s hard to use there. You can also use salt water rinses to try to speed up the healing, but avoid alcohol-based mouthwashes that can dry out your gums and make the problem worse.

If you start to notice signs of infection or it begins to hurt, go get it checked out right away. Otherwise, you can work on your homecare for a couple of weeks to see if that improves things and then have it checked out at your next cleaning. And, of course, if it doesn’t start to improve with extra TLC, have it checked out sooner. Best of luck to you.

This blog is sponsored by Dr. Raymond Bolt, an Auburn, AL dentist.

Failed the #YellowTeeth Challenge: Can the Dentist Help?

Posted on December 29, 2021 by Athena Smiles.

Is the whitening a dentist does different than the strips you can get at the store?

I did the #YellowTeeth challenge on TikTok around a month ago—the one where you use the yellow filter to check and see if your teeth are white or yellow. I was honestly surprised because they did come back yellow. Not real yellow like those ones where you can tell people did something to their teeth to make them show up, but I could definitely tell the yellow was there.

Ever since then, I’ve been doing those whitening strips at home. I started wearing them for a while before bed for about two weeks and didn’t see any change, so for the past two weeks, I’ve been wearing them overnight. Still no change.

So, what I want to know is if this will eventually fix it? Or is it something only a dentist can fix? Or are they always going to be somewhat yellow?

Thanks,

Renee

Dear Renee,

Ah, the infamous Yellow Teeth Challenge. There are things your local dentist can do to help get you to a shade you’re happier with. Let’s break this down.

Your teeth are made up of layers.

First, it’s important to understand the basic components of your teeth. In the very center of a tooth, you have the pulp. It’s the vital part of your tooth made up of connective tissue, blood vessels, and cells, so it’s soft and when something happens to it, you really feel it! Then, you have dentin. It’s normally a pale-yellow color but can even have a gray or blueish hue. It’s made up of calcified living tissue, so it’s tougher than the pulp, but it’s also full of microscopic holes called tubules. On the outside, you have the hardest parts of your tooth: cementum below the gumline and enamel above. Enamel’s made up of non-living minerals and it’s largely translucent.

Natural teeth are not white.

You may have already had an aha moment. Yes, natural, healthy teeth can be a bit yellow. In fact, when researchers measured natural teeth, they discovered the most common shade was something called 3M1, followed by 1M1.5. You can see them against a white backdrop here. Nope, they’re not even close to white.

Stop using whitening strips so much!

But, here’s where it gets worrisome. You’re using whitening strips way too much and that’s bad for your teeth and gums. Researchers have found that the active ingredient in whitening strips can damage your dentin. Excessive use can also lead to tooth sensitivity, irritated gums, and other issues.

Your dentist may be able to help you achieve a brighter smile.

There are lots of reasons teeth might have a yellower hue. If you have thinner enamel, more of the dentin’s color will show through. Teeth will pick up extrinsic stains too. Tobacco as well as foods and drinks like teas or coffee are common culprits.

Oftentimes, a good cleaning from your hygienist will power those away, but more stubborn ones respond well to professional whitening treatments. Yes, the whitening your dentist offers is different than the kind you purchase at the store. It’s stronger and works much faster.

That said, sometimes whitening is not the answer. For example, if age or thin enamel are the cause, your path to a brighter smile may include other forms of cosmetic dentistry, such as veneers. Your best bet is to schedule a consultation with your dentist, so he can evaluate the cause of your yellow teeth and let you know your options.

This blog is sponsored by Dr. Raymond Bolt, an Auburn, AL dentist.

Dentist Grilled Me About Pain Meds: Is That Normal?

Posted on November 30, 2021 by Athena Smiles.

I see a local dentist here in Auburn fairly regularly but fell out of schedule because of COVID. Prior to that, I had no issues and got my cleanings as needed. I recently visited family in Florida and, of course, came down with a terrible toothache. I couldn’t see anything wrong with the tooth, but it absolutely killed me to eat just about anything and it was somewhat tender just from breathing. In any case, I had to visit a dentist there to get it checked out. He said he couldn’t see anything wrong with it on the x-ray but that, based on my symptoms, it was probably a cracked tooth.

The first problem was that he said only a crown would fix it. Well, that apparently meant I’d have to return to his office to finish it in two weeks… not realistic since I was only supposed to be there for a week. I asked him about possibly just getting some pain medication and having it fixed by my dentist when I got back home. That’s when it went from bad to worse.

The next thing I know, he’s looking me up in some database and telling me that I already have a strong pain prescription and he can’t give me anything else. Yes, I had another pain prescription. I received it a month ago when I went in for a medical procedure. I was fine and recovered and that medication was here at home, not something I took with me. I’m not some addict and I was in serious pain. Is it normal for doctors to behave like this over prescriptions now? I didn’t have any issue when I came home. My doc patched me up right away and didn’t bat an eye when I asked for something for the pain, but I’m not sure if it was because he knows me or what.

Thanks,

Gerry

Dear Gerry,

That sounds like a nightmare! Sorry to hear you went through all that. It sounds like the practice you visited could have handled it better, but let’s go over what happened and why.

All Prescribers (Including Dentists) in Many States Are Subject to New Prescribing Laws

Around three-quarters of the country now has very strict laws about how prescriptions are handled. Some states even extend the new laws to any prescription, while others simply have stringent requirements when it comes to controlled substances or opioids. This is necessary and vital. You spoke about not being an “addict,” but the unfortunate truth is that the country’s opioid crisis is largely driven by prescription medications. Without more oversight on how potentially habit-forming medications are handled, it’s historically been very easy for the average person to unintentionally get hooked on pain medicine… in much the same way you could have. One prescription from a doctor after surgery, another from an emergency dental visit, another after dental treatment, another down the line from a physician, and so forth.

Compounding the problem, 21-29% of people who are prescribed opioids for chronic pain misuse them, according to the NIH Between 8-12% will develop an opioid use disorder. It has exploded into a widespread epidemic with 50,000 opioid-involved overdoses per year.

To address this, most states now require prescribers to send prescriptions for controlled substances electronically. Some also have mandates that doctors check a database and assess a patient’s risk before prescribing.

Florida Has Stringent Prescribing Laws

Florida is one of the many states with advanced laws for prescribing controlled substances. Doctors need to submit prescriptions electronically and check a database to assess risk of addiction. This isn’t because the doctor thinks you’re an addict, but rather because it’s his job to ensure you’re not placed at risk. Prescribers can get in legal trouble for not following these new mandates.

Alabama Does Not Have Stringent Laws

Alabama is presently one of the very few holdout states that isn’t implementing similar laws just yet. This may be why your regular office didn’t respond in a similar manner. You could also be right in that, because you’re an established patient, they didn’t worry that you might be shopping for medications. Or, maybe it was because you were getting treatment right away. In all likelihood, all these factors probably played a role. Hope this helps clear things up a bit. Glad you’re feeling better now!

This blog is sponsored by Dr. Raymond Bolt, an Auburn, AL dentist.

Does My Dentist Have to Tell Me if My Hygienist Had COVID?

Posted on October 15, 2021 by Athena Smiles.

My acquaintance and I both see the same local dentist and we’re generally booked with the same hygienist too. I ran into my acquaintance last week and she told me that her appointment had been canceled a couple of months back because someone on the team had COVID and she believed it was the hygienist we both see.

My next appointment is coming up in a couple of weeks and I’ve been waiting for some sort of notification about the situation. Nothing came, so I reached out to the office on my own and asked if it was true. Instead of getting a solid answer, I was told they can’t tell me because of HIPAA.

Isn’t that specific to a doctor/ patient relationship and doesn’t the dentist have an obligation to tell me she had it so I can take precautionary measures or postpone the appointment?

Thanks,

Paula

Dear Paula,

It sounds like you’ve gotten some misinformation. Let’s clear it up.

If the Hygienist Had COVID, She’s Not Contagious Now

You may want to familiarize yourself with the latest CDC guidelines. Those who have an active infection need to stay away from those who are not infected. The key word here is “active.” There’s typically about a ten-day window after symptoms appear in which someone can spread it. The CDC gives three rules someone must meet before returning to public after contracting COVID. All three must be met.

It must be ten days since the person’s first symptoms appeared.
The person must be fever-free for 24 hours without using any fever-reducing medications.
All the person’s other COVID symptoms must be improving.

In other words, if someone at your dental clinic did indeed have COVID months ago, they should be fine to be in public now based on CDC guidelines. Moreover, they now have some degree of immunity to it and aren’t likely to pose any risk to you.

HIPAA Guidelines Prevent Dentists from Giving Names

Imagine if you unknowingly went into the office with an active infection and the doctor shared your name with everyone. First, knowing your name wouldn’t help them in any way. Second, you’d probably be upset your personal information was shared—and you’d have every right to be. Health professionals can’t share protected information like that. They have a legal obligation to keep identifying information private outside of specific situations, such as with other professionals providing care or when billing insurance.

Similar rules apply to employers. The dentist has a right to know his employee has been sick so he can take precautionary measures and know when it’s safe for a hygienist to return to work. However, if he shares that hygienist’s personal health information with others without her consent, he would be violating the law. He genuinely can’t tell you if any of his staff has had COVID or recovered from it. But, the bottom line is that he shouldn’t have to. It sounds like they did take appropriate measures when there was an active infection and are taking appropriate actions now. If you need further assurance or want to open dialogue with them, try asking about their policies and procedures rather than asking about specific employees. Best to you and yours.

This blog is sponsored by Auburn, AL dentist, Dr. Raymond Bolt.

Want Teeth Like Aaron Judge—What Should I Ask the Dentist For?

Posted on September 15, 2021 by Athena Smiles.

I have a consult with a dentist next week and I want to go in with a better idea of my options to be sure I don’t get taken for a ride. What I’m looking for is something similar to what Aaron Judge had done to his teeth. He’s a Yankee’s outfielder, if you’re not familiar.

His front teeth always looked a little different. Kind of peg-like with a gap between them. When he came back this year, the gap was gone and his teeth look fuller. Mine are sort of like his used to be but the upside-down V-shaped gap is a bit more pronounced. I always thought I’d need to get braces to fix it, but his transformation was fast, so I don’t think he did that. Any insights would be appreciated.

-Yankees Fan in Auburn

Dear Yankees Fan,

Aaron Judge has a great smile! Let’s dig into what dental work he had done and also why you might not want to specifically ask for the same treatment.

Take a Closer Look at Older Pictures of Aaron Judge

If you take a closer look at older photos of Aaron Judge’s teeth, you’ll note that there’s more going on than just the gap and what you describe as “peg-shaped” teeth. The photo shown here gives a better view across his smile line going back a few more teeth. See anything?

Yes, he didn’t just have gap between his front teeth. He had gaps between all the teeth that show when he smiles.

How Did Aaron Judge Fix His Teeth?

Now, Aaron Judge’s teeth have a fuller, straighter appearance, and that gap you noted is gone, as are the gaps between his other teeth. In other words, this was more than likely a total smile makeover rather than a single cosmetic fix.

Dentists address in-depth smile makeovers in a variety of ways. As you noted, braces or Invisalign are sometimes involved. Given that options like Invisalign can be taken out, it’s possible he did go through some form of orthodontics as part of his care and simply removed the appliance while in public.

However, it’s more likely he jumped right into an option like porcelain veneers. These can be thought of as “shells” that hug the front surface of the tooth and wrap around the edges a bit, but don’t fully enclose the tooth. With veneers, you can make teeth look straighter, brighter, and fuller, plus close gaps or fix chips instantly.

Ask Your Dentist What He Recommends

The problem with going in and asking for veneers is that you may need something else done to achieve a similar look or the dentist you’re consulting may not be particularly skilled when it comes to placing veneers. They’re an art form. It takes quite a bit to make them look natural and aesthetically pleasing.

Instead, ask the dentist what he recommends and why he recommends that treatment. You can still use Judge as a point of reference to indicate the end result you’re hoping for though. It’s also a good idea to ask for before and after photos of the dentist’s real patients so you can get a better feel for his abilities. If you don’t love the photos you see or you aren’t confident about his recommendations, get a second opinion. Best of luck to you.

This blog is sponsored by Dr. Raymond Bolt, an Auburn, AL dentist.

Can My Dentist Dismiss Me for Refusing to Vaccinate?

Posted on August 15, 2021 by Athena Smiles.

I’ve been seeing the same family dentist for nearly 20 years. I genuinely respect and trust him, but I recently received an email from his practice that has me quite upset. The notice indicated that, going forward, he was requiring all staff and patients to have the COVID vaccine. The letter indicated that, if I chose not to comply, he would continue treating me on an emergency basis for the next month and then I needed to find a new provider. The letter made no allowances for age or medical reasons, let alone philosophical ones.

The problem is, my primary care physician has told me that I should not vaccinate due to a pre-existing health condition. And, the real kicker is, I’ve already had COVID. I am, for all intents and purposes, immune.

I phoned the office thinking they’d make an exception. Nope. They promised to send my records to my new dentist when I found one and wished me well. After 20 years. I’m heartbroken and, honestly, a little dumbfounded. Can they really do this?

Thanks,

No Vax in Alabama

Dear No Vax,

So sorry to hear this! These are definitely challenging times and everyone is trying to navigate a new normal. Unfortunately, the news here is not positive for you.

Vaccinations are a Great Ethical Debate

The American Dental Association (ADA) recently released a detailed report called “Ethics of Vaccination.” Throughout the 16-page document, experts weigh in on various aspects of the debate. On one hand, it notes that refusing to treat an unvaccinated patient could indeed violate ethical standards.

“The dentist has a legal and ethical obligation to treat patients who may have a disability, which may include those unable to be vaccinated,” the report reads. It goes so far as to say the dentist may need to communicate with a patient’s physician if the patient cannot vaccinate due to disability and suggests a variety of ways practices can help reduce risk.

With that said, if your vaccination status hinges on a disability or because you belong to a protected class, it could potentially be considered unethical to dismiss you. The ADA nudged doctors in the direction of lawyers if they’re making decisions such as this.

The California Dental Association published similar remarks, saying “Dental practitioners are obligated to protect their patients’ health, but that obligation extends to those who may be exposed to a communicable disease — and unvaccinated patients are the most at risk.”

But, Yes, Your Dentist Can Dismiss You for Not Being Vaccinated

In the end, though, the ADA gave tips for dentists on how to address this concern with patients if they decided not to see unvaccinated patients. There is no official ruling on this, and so dentists have to do what they feel is right.

Request to Speak Directly with Your Dentist

Your dentist may have reasons he didn’t list for his new policy. For example, if he’s unable to be vaccinated and is afraid of catching and spreading COVID, his response would be understandable.

Equally, he may not know your situation and he may be able to make an exception for you given the circumstances. Give the practice a call back and ask to speak directly to the doctor when he has time. You may still not get the answer you want, but perhaps you’ll get some closure. Best of luck to you.

This blog is sponsored by Auburn, AL dentist Dr. Raymond Bolt.