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There is no substitution for a natural healthy tooth. Dental fillings are intended to replace tooth structure and restore a tooth damaged by decay (a cavity) back to its normal function and shape. Silver (amalgam) and tooth-colored (composite) fillings last a long time, though they can develop decay when the integrity is compromised by open margins, fracture, or recurrent decay. In this blog, we discuss the signs and symptoms that indicate your filling may need to be replaced in order to prevent further complications.

Amalgam fillings are made of an alloy (mixed metals) that expands and contracts. They have no bonding properties, and so to place an amalgam filling, the hole in the tooth may need to be larger. Because of these two factors, fractures frequently occur. There are three types of cracks that are commonly associated. Craze lines are superficial with no treatment needed. Fractures extend along other parts of the tooth and may require a filling replacement or crown. Cracks extend toward the root and can require a root canal and crown or, if too severe, extraction.

A filing needs to be sealed to the tooth. If the seal between the tooth and the filling breaks down, food debris and bacteria can seep down under the filling and cause recurrent decay. If the decay is treated early, replacing the filling is adequate. If not, a crown and even a root canal may be needed. The biggest mistake you can make is waiting to do something about a broken or unsealed filling until it is painful. Doing this will only make the treatment more involved and often times more expensive.

Regular dental exams and X-rays are used to evaluate dental fillings. You will not be able to tell on your own when your fillings start to fail. Just as a car mechanic will change the oil, correct your alignment, or change your tires, a dental checkup will help you identify small concerns to fix as you go in order to avoid a critical emergency.

Pay attention to any bite or temperature sensitivity in teeth that have fillings. This can be an indicator for some of the problems listed above. You know your teeth better than anyone. Your observations are most valuable when evaluating a filling for replacement. If replacement is needed, know you are doing what is best to prevent future dental calamities and make an appointment to see Dr. Kozica.

Does your list of New Year’s resolutions for the coming months include reducing your ecological footprint? If so, let’s ring in the year with some basic—and some innovative—dental ideas to help you meet your goal.

• Conserve Water

This is probably the easiest –and most cost effective!—item on our list. If you leave the water running while you brush, you are watching gallons of water go down the drain every day. Luckily, toothbrushes rely on wrist power rather than water power. Wet your brush before you begin, and use water only as needed to rinse. You’ll save hundreds of gallons of water every year.

And while we’re near your sink, if you like to rinse after brushing and flossing with disposable plastic cups, consider using compostable paper products or a regular drinking glass that you can clean after using.

• Biodegradable/sustainable /recyclable toothbrushes

Some brushes promise to be completely compostable, with handles manufactured from sustainable woods or bamboo, and heads fitted with biodegradable boar bristles. Investigate before you buy, because boar bristles aren’t for everyone. Some users complain about the taste, and boar bristles are harsher than the soft bristles we recommend to protect your enamel and gums. Organic bristles are also more prone to bacteria growth.

If you prefer the consistency and texture of regular synthetic bristles, or wish to avid animal products, you can still opt for a brush with a handle of sustainable wood or bamboo. These brushes also offer PBA-free bristles, bristles made largely from castor oil, or bristles that use natural ingredients in combination with synthetics.

And don’t forget recycling as a possibility to cut down on your plastic use. Toothbrushes are available with handles made from recycled plastic. And once you’re finished with them, these brushes can be recycled again.

• Biodegradable dental floss

This is another innovative take on dental supplies, and one that offers lots of new options. Regular dental floss is usually made from waxed nylon. Biodegradable floss, on the other hand, can be made of silk or plant materials, and coated with beeswax or plant-based wax. Some of these biodegradable flosses even come in refillable or compostable packaging.

• Organic toothpaste

If you’re incorporating organic foods into your diet, you know that organic options are more easily available than ever before. And now there are more organic toothpastes available, as well. Natural toothpastes can be found which are vegan, fair-trade sourced, and preservative- and artificial ingredient-free.

Before you buy, though, do discuss your choices with Dr. Kozica. Why? Because many natural toothpastes are formulated without fluoride, a mineral shown to prevent cavities in study after study. Which leads us to . . .

• See Your Dentist Regularly for Checkups and Cleanings

Along with your daily dental hygiene routine, don’t forget to make regular appointments for examinations and professional cleanings at our Worcester office. Dr. Kozica can help you discover the best ideas for products and practices which are good for you and good for the planet, for a lifetime of natural, sustainable smiles.

We’ve been celebrating the new year for a really, really long time. It goes way back, but it started formally in 1582, when Pope George XIII made January 1^st the official holiday for ushering in the new year. The idea was to yell, cheer, and blow horns to scare away all the evil spirits of the previous year with the hope that the new one would be filled with happiness and opportunity.

While scaring away evil spirits isn’t what’s on our mind these days, we still ring in the New Year by cheering and hollering with friends and family. It’s a time to set new goals, refocus on old ones, and look forward to all the surprises the coming year will bring.

Whether you’re saying hello to the New Year snuggled up at home on your couch in the Worcester area or by gathering your friends for a social celebration, here are some tips to help ensure you welcome this new chapter with a smile.

Tips for a great New Year’s Eve celebration from Kozica Dental

• Stay safe. This one’s vital, because nothing puts a damper on your party like an emergency trip to the hospital. Stay responsible and try to plan ahead, whether that means taking a taxi, staying with a friend, or recruiting a designated driver. Do what you have to do to keep yourself and everyone around you safe.
• Spend time with the people you love most. The way we see it, the whole point of the holiday season is to cherish your family and friends. Regardless of what you’re doing, make sure there’s something for everyone. It’s essential to do something the whole group will enjoy!
• Smile! Whether you get all dressed to go out or have a quiet gathering with family and friends, make sure you accessorize with a smile. There’s always something to smile about!

We can all agree that change can be scary sometimes, but ringing in the New Year is an observance we all welcome with open arms. We hope you’ll enjoy this transitional holiday in a fun, healthy, and safe way. You have endless possibilities ahead of you!

From Dr. Kozica, have a fantastic New Year!

Imagine that you’re only going to brush your teeth once tomorrow. Don’t worry, we know you would never skimp on your dental hygiene like that, but let’s just pretend for a moment. When would be the best time to brush? When you wake up? During the day? Or perhaps before you go to bed?

Actually, whenever you choose to brush, you’ll receive important overall dental benefits as well as specific benefits tied to the time of day. Let’s explore your daily schedule to see why.

Brushing in the Morning

Brushing when you first jump out of bed produces several positive results.

• Cleaning plaque from your teeth

Plaque is a sticky film made up of oral bacteria, food particles, and saliva. As you sleep, these oral bacteria multiply and produce acids which attack the minerals in your enamel, leaving weak spots which, over time, can become cavities. Brushing removes these bacteria and acids from your enamel before they cause serious harm.

Moreover, plaque hardens if it’s left undisturbed, turning into tartar in a relatively short time. And once plaque becomes tartar, it must be removed by a dental professional. Brushing first thing in the morning removes this plaque buildup and helps prevent tartar from forming.

• Fresh breath

That bacterial growth we mentioned? It’s also responsible for morning breath. If nothing else, brushing when you wake up means greeting a fresh day with fresh breath, and that’s reason enough to pick up your brush in the morning.

Brushing During the Day

Brushing after meals and snacks also has a lot to recommend it.

• “Leftovers” lead to cavities

Foods, especially foods rich in sugar and carbohydrates, are converted by oral bacteria into acids which weaken enamel and lead to cavities. When food particles remain in the mouth after a meal, bacteria have more time and more fuel to manufacture these acids.

• Acidic foods also affect your teeth

If you have eaten something acidic, such as citrus fruits, sodas, or pickled anything, the acids from these foods can temporarily weaken the mineral strength of your enamel. But brushing immediately after eating or drinking acidic foods can damage weakened enamel. Better to rinse well with water and brush after half an hour or so.

Brushing at Night

Growing up, you probably received regular reminders to brush before bedtime—for several really good reasons:

• Saliva production slows while you sleep

During the day, saliva helps to wash away food particles and neutralize acidity in our mouths. It also contains proteins and minerals which help keep tooth enamel strong. But as we sleep, saliva production slows dramatically, and our bodies can’t remove bacteria and acids as effectively.

• Food particles fuel bacterial growth

If you haven’t brushed since morning, you’ve accumulated a whole day’s worth of food particles from meals and snacks. Remember, oral bacteria use the sugars and carbs we eat as fuel to produce the acids which attack our tooth enamel throughout the night.

• Brushing helps prevent both of these problems

Brushing your teeth before bed not only cleans away the accumulated food particles of the day, but also eliminates the plaque and bacteria which would have a much easier time sticking to your teeth without that daytime saliva flow to wash them away.

So, When’s the Best Time to Brush?

In the morning, during the day, at night —there are solid advantages to brushing any time of day. The question isn’t so much when to brush as how often you should brush.

While many dental professionals consider brushing before bedtime as the most important brush of the day, brushing at least two full minutes, at least twice during a 24 hour period, is a necessity for basic dental hygiene. (And don’t forget to floss at least once each day.)

If you wear orthodontic appliances, if you’ve been eating sugary snacks, if you’re showing signs of gingivitis or getting more than your share of cavities, if you want to reduce the chance of plaque and tartar buildup, or if you simply want to make sure you’re doing everything you can to maintain your overall dental health, brushing after meals is also highly recommended.

Talk to Dr. Kozica about your brushing habits the next time you visit our Worcester office. No need to use your imagination to plan your best brushing schedule. We have all the answers you need to help you brush your way to your best—and healthiest—smile!