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We’re all trying to find a healthy balance in our lives. Balancing work and home life. Eating a well-balanced diet. Balancing our budgets. Maintaining the right pH balance in our mouths for better dental health. Wait, what was that last one?

You probably don’t spend a lot of time thinking about your pH levels, but if your oral pH is out of balance it can affect the health of your teeth.

What do we mean by pH levels? In biology and chemistry, the pH scale is a tool used to measure the concentration of hydrogen (H⁺) ions and hydroxide (OH⁻) ions in a solution.  

The higher the concentration of hydrogen atoms, the more acidic a solution. The higher the concentration of hydroxide ions, the more alkaline. The pH scale goes from 0 to 14, with the most acidic reading possible rating a 0, and the most alkaline, a 14.

You don’t have to be a biochemist to use the information provided by pH samples. We use pH readings to discover the ideal acid/alkaline conditions in many everyday applications. Azaleas grow best in very acidic soil. Swimming pools should be just a bit alkaline. Brewers test pH throughout the beer-making process for optimal fermentation—and taste.

When it comes to saliva, a neutral pH range of around 6.2 to 7.6 is generally considered normal. High alkalinity in saliva is rare. High acidity levels? Unfortunately, much more common. And an acidic environment has real-world consequences for teeth.

Plaque contains bacteria, which produce acids. Calcium and phosphate, the minerals that help make enamel the strongest substance in the body, are leached out by these acids. The weak spots left behind make enamel vulnerable to further erosion and, eventually, decay. When saliva has a normal, neutral pH, it helps neutralize plaque acids to reduce the risk of cavities.

But it’s not just bacteria that expose our teeth to acidic conditions—we do it ourselves with our choice of food and drink.

Acidic foods can directly lower the pH level in saliva. Lemon juice, for example, has a pH between 2 and 3. Red wine has a pH between 3 and 4. Blueberries? Around a 3.2. When the pH level in saliva becomes 5.5 or lower, the minerals in our teeth start to “demineralize,” or lose the minerals which keep enamel strong and intact—just the way enamel is demineralized by acids from plaque. This process is known as acid erosion.

Many of our favorite foods are acidic to some degree. Citrus and other fruits, pickled foods, vinegar, wine, coffee, tea—all of them can lower the optimal pH level of saliva. And sports drinks, energy drinks, and sodas? Check the labels and you’ll often find citric acid, phosphoric acid, and/or carbonation, all of which combine to create extremely erosive conditions.

So, no more soda? Or fruit? No. You don’t have to give up acidic foods altogether for healthy teeth. True, you won’t give up much eliminating soda from your diet. But fruits, vegetables, dairy foods, and meats are the source of essential vitamins, minerals, and proteins, and many of these healthy food choices have an acidic pH. How to eat nutritiously while protecting your enamel? Again, it’s a balancing act.

• Enjoy acidic foods sparingly, or as part of a meal. Saliva can neutralize acids more effectively when they aren’t washing over your teeth all through the day.
• Use a straw when you drink something with a low pH to reduce your enamel’s exposure to acids.
• Balance high-acid foods with low-acid choices to help neutralize the acids in your diet. Add a banana to your blueberry smoothie. Pair your wine with some cheese.
• Rinse with water after eating or drinking. When it comes to balanced pH, pure water is a 7.0 on the scale, a perfect neutral.
• Chew sugarless gum to increase saliva production.
• Use fluoride toothpaste—it not only helps prevent cavities, it helps remineralize teeth.

Even with your best efforts, acid erosion can be a problem. You might be experiencing enamel damage if you notice any of these symptoms:

• Tooth pain or sensitivity.
• Teeth that appear discolored. This happens as the whiter enamel thins, revealing the yellowish dentin underneath.
• Changes in the shape of your enamel—your teeth become rounded or have little dents or pits, known as cupping.
• White spots on your teeth, which could be a sign of demineralization.

If you think you could be suffering from enamel erosion, it’s a good idea to talk to Dr. Carl Meyers when you visit our West Bend, WI office. We can diagnose conditions causing acid erosion, treat you if enamel damage has occurred, and offer suggestions for diet and eating habits to make sure your oral pH—and your dental health—is always in balance.

Diastema is a medical term meaning “space between”—or what Dr. Carl Meyers and our team less formally call a gap between the teeth. Such gaps are common for children as they make the transition from baby teeth to adult teeth, and usually close when all the permanent teeth arrive. But not always!

Sometimes a gap, usually between the upper front teeth, stays with you into adulthood, but doesn’t affect your perfectly heathy teeth. Sometimes a diastema develops due to medical conditions or trauma. Whether you would like to close a gap for cosmetic reasons, or need to address gaps that have developed because of dental problems, your treatment will depend on the causes of the diastema.

• The Relationship of Jaws and Teeth

Most of the time, we think of braces as straightening crooked teeth. For many braces wearers, the jaw can’t accommodate all of the adult teeth without crowding. But it’s also possible to have too much space for incoming teeth, and this can lead to a gap between two or more teeth. Orthodontic treatment is a common choice to close this kind of gap, using braces or clear aligners to move the teeth closer together.

• Prominent Labial Frenulum

The labial frenulum is a band of muscular tissue that connects the upper lip and the top of the gums. If it is too large, tissue can extend beyond the top of the front teeth. A gap develops when the front teeth simply can’t meet because of the tissue between them.  Oral surgery can reduce the size of the frenulum, if necessary, and often orthodontic treatment is the go-to option to close the diastema.

• Small Teeth or Small Gap

Occasionally, a few teeth are noticeably smaller than their neighbors. Bonding, veneers, and crowns can be used to enlarge these teeth, making them proportionate to the teeth around them. These treatments can also be successful in reducing a gap between the front teeth.

• Missing Teeth

Sometimes people are born missing a tooth. Sometimes people lose a tooth to injury or decay. And while the space left by a missing or lost tooth is a noticeable gap in itself, the remaining teeth can shift to fill the void, causing other gaps to develop as well. A dental implant or bridge can both replace a missing tooth and maintain the normal spacing of the teeth that surround it.

• Gum Disease

Left untreated, periodontitis (gum disease) can damage or even destroy the bone tissue which holds and supports the teeth. This, in turn, leads to “tooth mobility,” or loose teeth. Spaces between the teeth become more noticeable and larger over time. After the gum disease is treated, patient and dentist can explore options for reducing or eliminating spaces between the teeth.

• Harmful Oral Habits

Tongue thrusting and thumb sucking are two habits that can affect the alignment of the front teeth. Both behaviors pressure the teeth to move forward, which can cause separations between them. Learning how to change these behaviors will help prevent or stop the expansion of a diastema and potentially serious malocclusions (bad bites).

If you would like to discuss your diastema for aesthetic reasons, talk to Dr. Carl Meyers for ways to reduce or eliminate the gap. If your diastema is the result of a medical condition, we will be able to recommend treatment options available at our West Bend, WI office. If you’re teeth and gums are healthy, and you enjoy the individuality of your diastema . . .

• Embrace the Space!

A diastema can be a signature look for you and your smile. Normal brushing, flossing, and regular dental care will keep your smile bright, healthy, and uniquely you. And if you’re happy, healthy, and confidant, why, there’s no reason to mind the gap at all!

Our teeth perform several vital roles for us. We use them to bite and chew, to help form words, to support our facial structure. And never underestimate the power of a smile!

But once you try to expand that job description, you are asking for trouble. Using your teeth for tasks they were not designed for is a game no one wins. What are some of the worst moves you can make? Putting your teeth into play as:

• Ice Crushers

Crunching hard objects like teeth and ice cubes together can have one of two results—the ice will give, or your tooth will. If your tooth is the loser, you can expect cracks, fractures, worn enamel, and even dislodged crowns and fillings. If you’re tempted to chew on the ice in your drinks, try asking for a straw or using slushy ice instead. (The craving for ice can also be a symptom of other medical conditions—check with your doctor for more on that subject.)

• Bottle Openers

If ice vs. teeth is a bad idea, metal vs. teeth must be a really bad idea. Those sharp hard metal caps can be difficult to remove even with a bottle opener. Don’t take a chance on chipped, fractured teeth and lacerated gums to get to that beverage faster/work around a lost opener/impress your friends.

• Nut Crackers

Just because nuts offer more protein than ice doesn’t make their shells any safer to crack with your teeth. Besides the danger of fractured teeth and eroded enamel, biting on whole nuts can produce sharp splinters of shell that can damage delicate gum tissue. By all means, enjoy nuts—they pack a lot of nutrition in a small package. But buy them already shelled, or invest in a nutcracker.

• Cutting Tools

Teeth aren’t meant to be scissors or utility knives. Even if you are trying to bite through the top of a relatively soft bag of chips, or a piece of duct tape, or a tag that just won’t come off your new clothes, you are putting pressure on your teeth in ways that they are not meant to handle. Don’t take a chance on chips and fractures.

• A Helping Hand

Using your teeth to hold the straps of your heavy bag, or the leash of your well-trained pet—what could go wrong? How about an awkward fall? Or a squirrel? Or something that might possibly be a squirrel? Any fall or force that applies violent pressure to your teeth and jaw is a potential for dental disaster.

• Stress Relief

You might grind your teeth or bite your nails whenever you feel nervous. Please find another form of stress relief! Grinding and clenching the teeth can lead to worn enamel, jaw pain, broken teeth and restorations, and a host of other problems. Biting fingernails is not only hard on your nails, but also introduces bacteria into your mouth and can cause damage to your tooth enamel.

If you grind your teeth at night, ask Dr. Carl Meyers about a nightguard during your next visit to our West Bend, WI office.

This is real life, and you really don’t want to be playing “Tooth or Dare” with your dental health. Use your teeth for what they were designed for, and you’ll take home the grand prize—a lifetime supply of beautiful, healthy smiles.

You and your dentist are essential partners in making sure you have the best dental care. You do your part by eating a tooth-healthy diet, brushing and flossing as recommended, and seeing Dr. Carl Meyers regularly for checkups and cleanings.

And one more essential step you can take for your dental health? Let Dr. Carl Meyers know which prescriptions and over the counter medications you’re taking.

Medications Have Oral/Dental Side Effects

We’ve all grown used to hearing “Possible side effects include . . .” at the end of every pharmaceutical commercial. That’s because those unintended side effects can affect our health in any number of unexpected ways—and this includes oral health.

For example, a common side effect of many medications is xerostomia, or “dry mouth.” Because saliva helps keep our teeth and gums healthy by washing away food particles and oral bacteria and by reducing acidity in the mouth, a reduction in saliva production means a greater risk of cavities, gum disease, oral infections, denture discomfort, and bad breath.

Knowing a patient is taking one of the hundreds of medications which cause xerostomia allows Dr. Carl Meyers to both monitor the condition and suggest the most effective treatment options to control unpleasant symptoms.

Medications can cause not only dry mouth, but excessive gum tissue growth, oral sores, tooth discoloration, and changes in taste, among other side effects, so knowing which medications you’re taking can provide essential information for the diagnosis and treatment of these conditions.

Medications Interact

Medication might be needed for your dental treatment. Because certain drugs, supplements, and even some vitamins and foods can affect the way our bodies metabolize, absorb, and respond to other medications, we need to know which medicines you’re taking to arrive at your best treatment options.

• There are different classes of antibiotics used to treat oral infections. Knowing your medical history enables Dr. Carl Meyers to choose an antibiotic option which won’t interact with your other medications.
• Local anesthetics such as lidocaine, which numb the area to be treated, can also interact with certain medications. Dr. Carl Meyers can prescribe an alternative local anesthetic or adjust the dosage as needed.
• If you will be using sedation during your procedure, you have several options, including nitrous oxide gas, oral sedation, or IV sedation. Be sure we know about all of your medications beforehand because of possible interactions. Changes can be made to the type of sedation and/or the dosage as needed.

Medications Impact Treatment

It’s important for Dr. Carl Meyers to know if any of your medications will affect standard treatments.

Anticoagulants, for example, are a necessary medication for preventing blood clots from forming, and are often prescribed for certain heart conditions, after joint replacement surgery, or for anyone at risk for developing blood clots. Because these medications prevent the blood from clotting, it’s important to let us know if you are taking such drugs before any kind of oral surgery.

If needed, Dr. Carl Meyers can work with you and your doctor to create a treatment plan which will be safe, effective, and designed to work with any of your medications. You should never discontinue taking your prescribed medications before dental work without medical approval, as this can be dangerous.

We need the most up to date information about your health to provide you with the best care possible. Knowing which medications you take and why you take them can help us:

• Diagnose and treat any side effects from non-dental medications which have affected your oral health,
• Prevent drug interactions from occurring, and
• Tailor your treatment to your specific medical needs.

Your prescriptions, over the counter medications, and even herbal supplements and vitamins are essential information. It’s a good idea to make a list before your next appointment at our West Bend, WI office so you have specific medications and their dosages at hand. It’s one small—but vital—step you can take to work with Dr. Carl Meyers for your best dental health!