My Blog

Posts for: April, 2019

By Dr. Steven L. Rattner DDS & Associates
April 28, 2019
Category: Oral Health
Tags: dry mouth  
3ThingsYoucanDotoEaseChronicDryMouth

Although not high on the glamour scale, saliva is nonetheless an important ingredient in a healthy life. This "multi-tasker" fluid helps break down your food for better digestion and supplies antibodies to thwart threatening microorganisms coming in through the mouth.

But perhaps its most important role is to neutralize mouth acid that can erode tooth enamel. Without this buffering action, you're at much greater risk for tooth decay and possible tooth loss.

That's why chronic dry mouth is much more than just an unpleasant feeling. If you're not producing enough saliva, your risk for developing tooth decay (and periodontal disease too) skyrocket.

Here are 3 things you can do to avoid dry mouth and promote healthier saliva flow.

Watch what goes in your mouth. Some foods, beverages and other substances can interfere with saliva production. Caffeine in coffee, sodas and other beverages can cause your body to lose water needed to produce adequate saliva. So can alcohol, which can also further irritate dry tissues. And any type of tobacco use can decrease saliva production and heighten the dry mouth effect, another good reason to kick the habit.

Drink more water. Water is the main ingredient in saliva, so keeping yourself hydrated throughout the day helps ensure a ready supply. Drinking water also helps dilute acid concentrations and washes away leftover food particles that could become a food source for oral bacteria, the main source for mouth acid.

Ask questions about your medications. Many medications can trigger chronic dry mouth including drugs to treat cancer, high blood pressure, depression or allergies. If you have chronic dry mouth, talk with your physician about the medications you're taking and ask if there are any alternatives that have less of an effect. If not, drink more water, especially while taking oral medication.

You can also reduce dry mouth symptoms by using a humidifier while you sleep or using products that boost saliva production. And be sure you're brushing and flossing daily to further reduce your risk of dental disease. Managing dry mouth won't just make your mouth feel better—it will help your teeth and gums stay healthier too.

If you would like more information on avoiding dry mouth, please contact us or schedule an appointment for a consultation.


By Dr. Steven L. Rattner DDS & Associates
April 19, 2019
Category: Dental Procedures
Tags: cosmetic dentistry  

How cosmetic dental services from your dentist in Gaithersburg, MD, can give you an outstanding smile

Do you have an outstanding smile? If not, you need to discover the world of cosmetic dentistry. Cosmetic dentistry combines the skills andSmile artistry of your dentist with state-of-the-art materials to give you the smile you deserve. Dr. Steven Rattner at Grove Dental Arts in Gaithersburg, MD, offers a full pallet of cosmetic dental treatments to give you an outstanding smile.

Did you know that there is a cosmetic dentistry procedure to correct nearly every problem you have with your smile? It’s true; you just need to choose the right procedure, and Dr. Rattner can help you do that. Just consider these popular cosmetic dentistry services available at Grove Dental Arts in Gaithersburg, MD:

Professional teeth whitening is the perfect answer to a dull, dingy, aging, yellowing smile. Professional teeth whitening allows you to whiten your smile up to 8 shades, and your fantastic results can last up to 5 years! You can choose from a speedy in-office treatment that takes about an hour, or a convenient take-home whitening kit containing everything you need to whiten your smile in the privacy of your home.

Cosmetic bonding is a great solution to repairing small cracks, chips, and tooth wear. This procedure uses composite, a versatile liquid resin. Composite can be matched to the color of your teeth, and sculpted to match the natural contours of your teeth. Once in place, the composite is hardened with a dental light. The end result is a tooth-colored repair that is virtually invisible. Your smile will look natural and beautiful again.

Porcelain veneers are a superb treatment to give you a picture-perfect smile. Veneers are thin laminates of pure, sparkling porcelain, which are cemented on to the front surfaces of your teeth. They can hide major and minor flaws including cracks, fracture lines, loss of tooth structure, and even some tooth alignment issues like gaps between teeth and tooth overlap. Veneer treatment is the conservative, easy way to ensure an outstanding smile.

These are just a few of the many cosmetic dentistry services available at Grove Dental Arts. For a complete listing of cosmetic dentistry services, please visit the Cosmetic Dentistry section on the website at http://www.grovedentalarts.com/cosmetic-dentistry.html

If you don’t like your smile, it’s time to remake it with cosmetic dentistry! To find out more, call (301) 987-5527 to schedule an appointment with Dr. Rattner at Grove Dental Arts in Gaithersburg, MD, today!


By Dr. Steven L. Rattner DDS & Associates
April 18, 2019
Category: Dental Procedures
CrazyLittleThingCalledHyperdontia

The movie Bohemian Rhapsody celebrates the iconic rock band Queen and its legendary lead vocalist, Freddie Mercury. But when we see pictures of the flamboyant singer, many fans both old and new may wonder—what made Freddie’s toothy smile look the way it did? Here’s the answer: The singer was born with four extra teeth at the back of his mouth, which caused his front teeth to be pushed forward, giving him a noticeable overbite.

The presence of extra teeth—more than 20 primary (baby) teeth or 32 adult teeth—is a relatively rare condition called hyperdontia. Sometimes this condition causes no trouble, and an extra tooth (or two) isn’t even recognized until the person has an oral examination. In other situations, hyperdontia can create problems in the mouth such as crowding, malocclusion (bad bite) and periodontal disease. That’s when treatment may be recommended.

Exactly what kind of treatment is needed? There’s a different answer for each individual, but in many cases the problem can be successfully resolved with tooth extraction (removal) and orthodontic treatment (such as braces).┬áSome people may be concerned about having teeth removed, whether it’s for this problem or another issue. But in skilled hands, this procedure is routine and relatively painless.

Teeth aren’t set rigidly in the jawbone like posts in cement—they are actually held in place dynamically by a fibrous membrane called the periodontal ligament. With careful manipulation of the tooth, these fibers can be dislodged and the tooth can be easily extracted. Of course, you won’t feel this happening because extraction is done under anesthesia (often via a numbing shot). In addition, you may be given a sedative or anti-anxiety medication to help you relax during the procedure.

After extraction, some bone grafting material may be placed in the tooth socket and gauze may be applied to control bleeding; sutures (stitches) are sometimes used as well. You’ll receive instructions on medication and post-extraction care before you go home. While you will probably feel discomfort in the area right after the procedure, in a week or so the healing process will be well underway.

Sometimes, dental problems like hyperdontia need immediate treatment because they can negatively affect your overall health; at other times, the issue may be mainly cosmetic. Freddie Mercury declined treatment because he was afraid dental work might interfere with his vocal range. But the decision to change the way your smile looks is up to you; after an examination, we can help you determine what treatment options are appropriate for your own situation.

If you have questions about tooth extraction or orthodontics, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Simple Tooth Extraction” and “The Magic of Orthodontics.”


By Dr. Steven L. Rattner DDS & Associates
April 08, 2019
Category: Dental Procedures
Tags: crown lengthening  
CrownLengtheningCouldHelpwithTreatingHardtoReachCavities

There is a primary principle dentists follow regarding tooth decay—treat it as soon as you find it. Something as simple and routine as filling a cavity could prevent future tooth loss.

But treating a cavity at or below the gum line could be anything but simple and routine. Older adults who may also be dealing with gum recession are more likely to have these kinds of cavities where the gums block clear access to it.

But there is a way to access gum-covered cavities with a minor surgical procedure known as crown lengthening. Crown lengthening is commonly used in cosmetic dentistry to expose more of the visible teeth when there's an overabundance of gum tissue or if the teeth are disproportionately small. We can use it in this instance to surgically relocate the blocking gum tissue out of the way of the cavity.

After numbing the area with local anesthesia, tiny incisions will be made in the gums to create a tissue flap. After reshaping the underlying bone to recreate normal anatomy but at a different level, this flap is then moved and sutured to a new position. This exposes enough tooth structure so that the cavity can be repaired after gum healing.

As with any minor surgery, there's a very slight risk of bleeding and/or infection with crown lengthening. If you undergo this procedure, you'll receive post-care instructions for the first few days afterward including avoiding strenuous activities, eating only soft foods and using an ice pack the day of surgery to help control swelling.

This versatile procedure can help save a tooth that might otherwise be lost due to decay. And, it might even improve your appearance.

If you would like more information on treatment options for tooth decay, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Crown Lengthening: This Common Surgical Procedure Restores Function and Improves Appearance.”