My Blog

Posts for: May, 2018

By Ronald L. Schoepflin, D.D.S.
May 23, 2018
Category: Oral Health
Tags: gum recession  
WatchOutforSignsofGumRecession

Your gums aren’t just for show—they also play an important role in supporting and protecting your teeth. Healthy gums are essential for healthy teeth.

Your gums can take a lot from daily chewing or other environmental factors. Unfortunately, disease or trauma can weaken their resilience. This weakening could lead to gum recession.

Gum recession occurs when the tissues covering a tooth begin to lose their attachment and shrink back (recede). As a result, the tooth appears “longer” as more of it that’s normally below the gum line becomes visible. Not only is gum recession unattractive, it also exposes more of the tooth to disease-causing bacteria.

The most common cause for gum recession is periodontal (gum) disease, an infection arising from the accumulation of a thin bacterial biofilm on the teeth called plaque. Infected gums become inflamed, a normal defensive response to isolate diseased or damaged tissues from the rest of the body. Chronic inflammation, however, weakens affected tissues over time and results in bone loss.

Other factors can also contribute to gum recession. A tooth that didn’t erupt properly and has come in away from the center of its protective bony housing can impede adequate gum coverage. Your gum tissue thickness, which you genetically inherit, can also increase the risk of gum recession. People with thinner gum tissues are more susceptible to recession than with thicker tissues.

You can also damage your gums (ironically) while trying to care for them. Over-aggressive brushing over time may traumatize the gums to the point that they recede. While it’s essential in removing disease-causing dental plaque, brushing only requires a gentle scrubbing action covering all portions of tooth surfaces. The brush bristles and mild abrasives in the toothpaste do most of the work of plaque removal.

To minimize the chances of gum recession, you should practice proper oral hygiene and visit your dentist regularly for professional cleanings and checkups. And you might also consider orthodontics for improperly positioned teeth that could not only improve your smile, but also your gum health.

And by all means see your dentist if you notice any signs of gum infection like swollen, reddened or bleeding gums. The sooner you begin gum disease treatment, the less likely your gums will recede in the future.

If you would like more information on recognizing and treating gum recession, 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 “Gum Recession: Getting Long in the Tooth.”


By Ronald L. Schoepflin, D.D.S.
May 13, 2018
Category: Dental Procedures
AnswerstoCommonQuestionsAboutRootCanalTreatments

A root canal treatment is a commonly known but often misunderstood procedure. Contrary to popular belief, these treatments aren't painful — in fact, they often stop a toothache. More importantly, a “root canal” can give a tooth on the verge of loss another lease on life.

Still, if you've never experienced a root canal treatment before, you probably have questions. Here are the answers to a few of the most common.

Why do they call it a “root canal”? This is the popular shorthand term for a procedure that removes diseased tissue from a decay-infected pulp, the innermost part of a tooth and the actual root canals themselves. Root canals are the narrow, hollow channels that run from the tip of the root to the pulp and are also involved in the procedure.

Why do I need one? Once infected, the pulp's bundles of blood vessels, nerves and other tissues become diseased. This often results in a painful toothache that can also suddenly disappear once the nerves within the pulp die. But there's still a problem: If we don't clean out the diseased and dead pulp tissue, the infection could spread through the root canals to the bone and endanger the tooth's survival.

What happens during the procedure? After deadening the tooth and surrounding gums with local anesthesia, we enter the pulp through an access hole we create. Using special instruments we remove the diseased tissue and shape the root canals to seal them with a filling material called gutta percha. Sealing the access hole is then necessary to prevent re-infection. Later we'll cap the tooth with a porcelain crown to restore its appearance and add further protection against fracture or cracking of the tooth.

Who can perform a root canal treatment? In many cases a general dentist can perform the procedure. There are some complex situations, however, that require a root canal specialist with additional training, expertise and equipment to handle these more difficult cases. If your tooth is just such a case it's more than likely your general dentist will refer you to an endodontist to make sure you get the right kind of care to save it.

If you would like more information on root canal treatment, 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 “Root Canal Treatment: What You Need to Know.”


By Ronald L. Schoepflin, D.D.S.
May 10, 2018
Category: Oral Health
Tags: oral hygiene  

Caring for your smile really shouldn’t be that challenging.oral hygiene

Do you remember the last time you flossed? How about brushed your teeth? How long did you brush your teeth the last time you did? When was the last time you visited our Port Orchard, WA, dentist, Dr. Ronald Schoepflin, for a routine checkup? While it might sound like this is an interrogation, these questions shed some light on whether or not you are doing what you need to, to keep your smile healthy.

Here are some helpful hints to follow.

Brush At Least Twice a Day

How you brush and how often are key to whether or not you are giving your teeth the thorough cleaning they need to remove plaque buildup and bacteria. It’s important that you brush your teeth twice a day, in the morning when you first get out of bed and at night before bedtime. Make sure you are brushing for a full 2 minutes (something most people don’t do!). Set a timer to hold yourself accountable for brushing for the full amount of time.

Replace Your Toothbrush Head

Your toothbrush head isn’t meant to last forever. No matter whether you have an electric toothbrush or a manual one, they will need to be replaced eventually. How can you tell when it’s time to ditch that old toothbrush head? When the bristles fray out and look worn. Once the bristles fray they are too rough on teeth enamel and could wear them away over time. A good rule of thumb is to replace your toothbrush head every 3-4 months or immediately after an illness.

Flossing is Crucial

You need to also spend time flossing your teeth. Luckily, you really only have to do this once a day in order to reap the benefits of clean, plaque-free spaces between teeth. Brushing alone just won’t cut it. You need to turn to floss to be able to get into these hard-to-reach spots that bristles just can’t go. Once you make flossing part of the routine it will take no time at all. If you need help figuring out how to floss your teeth properly don’t hesitate to ask our Port Orchard general dentist for advice on proper technique.

Eat a Healthy Diet

What you eat doesn’t just impact your overall health, it also affects the health of your teeth and gums. Avoiding sugar, white starches and processed food will go a long way to protecting your smile and reducing your risk for cavities. A healthy diet should be rich in lean proteins, whole grains, fruits and vegetables and low-fat dairy. Also, alcohol should be consumed in moderation.

Do you have questions about the best oral hygiene practices? Need to schedule your next routine cleaning with our Port Orchard, WA, dental team? Whether you have questions or need to schedule your next checkup, never hesitate to reach out to Schoepflin Dental Excellence.


By Ronald L. Schoepflin, D.D.S.
May 03, 2018
Category: Dental Procedures
Tags: tooth loss  
ToothLossAHealthRiskforOlderAdults

Tooth loss is a problem that affects many seniors—and since May is Older Americans Month, this is a good time to talk about it. Did you know that more than a quarter of adults over age 75 have lost all of their natural teeth? This not only affects their quality of life, but poses a significant health risk.

According to a study in The Journal of Prosthodontics, significant tooth loss is associated with increased risk for malnutrition—and also for obesity. If this seems like a contradiction, consider that when you have few or no teeth, it’s much easier to eat soft, starchy foods of little nutritional value than it is to eat nutritious fresh fruits and vegetables.

That’s just one reason why it’s important to replace missing teeth as soon as possible. There are several ways to replace a full set of missing teeth including removable dentures, overdentures, and fixed dentures.

Removable dentures are the classic “false teeth” that you put in during the day and take out at night. Dentures have come a long way in terms of how convincing they look as replacement teeth, but they still have some disadvantages: For one thing, they take some getting used to—particularly while eating. Also, wearing removable dentures can slowly wear away the bone that they rest on. As that bone gradually shrinks over time, the dentures cease to fit well and require periodic adjustment (re-lining).

Overdentures are removable dentures that hook onto a few strategically placed dental implants, which are small titanium posts placed in the bone beneath your gums. Strong and secure, implants prevent the denture from slipping when you wear it. Implants also slow the rate of bone loss mentioned above, which should allow the denture to fit better over a longer period of time. But overdentures, too, are not meant to be worn all of the time.

Fixed dentures are designed to stay in your mouth all the time, and are the closest thing to having your natural teeth back. An entire row of fixed (non-removable) replacement teeth can usually be held in place by 4-6 dental implants. Dental implant surgery is an in-office procedure performed with the type of anesthesia that’s right for you. After implants have been placed and have integrated with your jaw bone—generally a period of a few months—you can enjoy all of your favorite foods again without worry or embarrassment.

If you would like more information about tooth-replacement options, please contact us or schedule an appointment for a consultation.