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Posts for: December, 2016

By John Sartorio, D.M.D.
December 22, 2016
Category: Oral Health
LifeIsSometimesaGrindforBrookeShields

Ever since childhood, when her career as a model and actress took off, Brooke Shields has enjoyed worldwide recognition — through advertisements for designer jeans, appearances on The Muppet Show, and starring roles in big-screen films. But not long ago, that familiar face was spotted in an unusual place: wearing a nasal anesthesia mask at the dentist's office. In fact, Shields posted the photo to her own Instagram account, with the caption “More dental surgery! I grind my teeth!” And judging by the number of comments the post received, she's far from alone.

In fact, researchers estimate that around one in ten adults have dental issues that stem from teeth grinding, which is also called bruxism. (Many children also grind their teeth, but it rarely causes serious problems, and is often outgrown.) About half of the people who are teeth grinders report problems like persistent headaches, jaw tenderness and sore teeth. Bruxism may also result in excessive tooth wear, and may damage dental work like crowns and bridges; in severe cases, loosened or fractured teeth have been reported.

Researchers have been studying teeth grinding for many years; their findings seem to indicate that it has no single cause. However, there are a number of factors that play a significant role in this condition. One is the anatomy of the jaw itself, and the effect of worn or misaligned teeth on the bite. Another factor relates to changes in brain activity that occur during the sleep cycle. In fact, nocturnal (nighttime) bruxism is now classified as a sleep-related movement disorder. Still other factors, such as the use of tobacco, alcohol and drugs, and a high level of stress or anxiety, can make an individual more likely to experience bruxism.

What can be done for people whose teeth grinding is causing problems? Since this condition may have many causes, a number of different treatments are available. Successful management of bruxism often begins by striving to eliminate the factors that may cause problems — for example, making lifestyle changes to improve your health, creating a soothing nighttime environment, and trying stress-reduction techniques; these may include anything from warm baths and soft music at bedtime, to meditation and mindfulness exercises.

Several dental treatments are also available, including a custom-made occlusal guard (night guard) that can keep your teeth from being damaged by grinding. In some cases, a bite adjustment may also be recommended: In this procedure, a small amount of enamel is removed from a tooth to change the way it contacts the opposite tooth, thereby lessening the biting force on it. More invasive techniques (such as surgery) are rarely needed.

A little tooth grinding once in a while can be a normal response to stress; in fact, becoming aware of the condition is often the first step to controlling it. But if you begin to notice issues that could stem from bruxism — or if the loud grinding sounds cause problems for your sleeping partner — it may be time to contact us or schedule an appointment. You can read more about bruxism in the Dear Doctor magazine article “Stress and Tooth Habits.”


By John Sartorio, D.M.D.
December 19, 2016
Category: Dental Procedures

What your dentist in Pittsburgh wants you to know about dental implants

If you know someone who has had dental implants, you already know how natural they look. Natural beauty is only one of the benefits of dental implantsdental implants. Dr. John Sartorio in Pittsburgh, PA wants to share the facts about dental implants.

Dental implants are a state-of-the-art solution to replace missing teeth; they have many advantages when compared to conventional tooth replacement methods like partials, dentures or bridgework. A few of the reasons why people choose dental implants is that:

  • They are virtually indistinguishable from natural teeth.
  • They are convenient because you can brush and floss them just like your natural teeth; in contrast, you need to remove dental appliances to clean them, and you need floss threading tools for bridgework.
  • They are stable because they are fixed in bone; in contrast, removable dental appliances can move around when you speak and eat.
  • They are a long-term solution because with proper care, they can last a lifetime; in contrast, dental appliances often have to be adjusted, relined, or remade.
  • They help retain the bone in your jaw.

Dental implants have many advantages, but there are some risks too. Dental implants can fail due to medical and lifestyle issues. It’s important to tell Dr. Sartorio if you smoke, or have any medical conditions like diabetes, which can impact your ability to heal and the health of the implant.

Dental implant problems are rare, in fact, dental implants have a 95% success rate, according to the American Academy of Oral and Maxillofacial Surgeons; so don’t let the potential risks keep you from getting dental implants. Dental implants are the high-tech, permanent solution to tooth loss you’ve been waiting for. Call Dr. John Sartorio in Pittsburgh, PA to find out more about what dental implants can do for your smile. Call today!


By John Sartorio, D.M.D.
December 07, 2016
Category: Oral Health
Tags: oral hygiene  
4TipsforAchievingBetterHygiene

You know the basics of great oral hygiene: Brush and floss daily; see your dentist at least twice a year for cleanings and checkups; and watch your diet, especially sweets.

While these are the basics for maintaining healthy teeth and gums, there are a few lesser known things you can do to enhance your hygiene efforts. Here are 4 extra tips for better hygiene.

Use the right toothbrush. As the old saying goes, “There's a right tool for every job.” Brushing your teeth is no exception. Most people do well with a soft-bristled, multi-tufted toothbrush with a head small enough to maneuver easily in their mouth. Toothbrushes wear out, so switch to a new one every three to six months or if the bristles become too soft or worn.

…And the right brushing technique. Hard scrubbing might apply to housework, but not your teeth. Over-aggressive brushing can lead to gum recession. A gentle, sustained effort of about two minutes on all tooth surfaces is sufficient to remove plaque, the bacterial film most responsible for dental disease.

Wait a while to brush after eating. Before hopping up from the meal table to brush, consider this: eating many foods increases mouth acid that can erode your teeth enamel. Fortunately, your body has a solution — saliva, which neutralizes mouth acid and helps restore minerals to your enamel. But saliva takes thirty minutes to an hour to complete the buffering process. If you brush before then you could brush away miniscule amounts of softened minerals from your enamel. So wait about an hour to brush, especially after consuming acidic foods or beverages.

Drink plenty of water. Your mouth needs a constant, moist environment for optimal health. But smoking, alcohol and caffeine can cause dry mouth. Certain drugs, too, can have mouth dryness as a side effect. A dry mouth is more susceptible to plaque formation that can cause disease. To avoid this, be sure you drink plenty of water during the day, especially as you grow older.

If you would like more information on taking care of your teeth and gums, 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 “10 Tips for Daily Oral Care at Home.”