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We’re not talking post-holiday “I can’t eat another bite” discomfort. No, we’re here to talk about the discomfort caused by bite pain.

Usually, our teeth and jaws work so harmoniously that we don’t even think about biting and chewing. But when a sharp jolt or a dull ache accompanies any sort of pressure on your tooth, it’s time to call hartstone dental. Let’s look at a few of the possible causes.

• Tooth Decay

When a cavity reaches below the enamel and into the dentin, the middle part of the tooth, you might feel discomfort and sensitivity. If a cavity reaches the inner pulp, which contains the tooth’s blood supply and nerves, it’s not only very painful, it can lead to a serious infection called an abscess.

Root canal treatment can help save a tooth when decay has reached the pulp, but prevention is always the best option! Good dental hygiene, regular checkups, and prompt treatment of small cavities will help prevent deep cavities from forming.

• Damaged Dental Filling

A loose or damaged filling can be uncomfortable. Even worse, bacteria can get under a damaged filling where your toothbrush and floss can’t reach, causing decay which can eventually reach the pulp if undetected.

During your regular checkups, Dr. Joel Hartjes and Dr. Jon Szewczyk will look for any signs of decay around and under your fillings, and will find any fillings which need replacing. If you notice a loose filling, or suffer discomfort when you bite down on a filling, don’t wait until your next checkup to visit our Middleton, WI office.

• Malocclusion

When your teeth and jaws aren’t aligned properly, you can’t bite comfortably. And that can be just one of the troubles caused by a malocclusion, or poor bite. Alignment problems can include difficulty eating, speaking, and sleeping, tooth damage, headaches and jaw pain, and facial asymmetry.

If your bite pain is the result of tooth and/or jaw misalignment, we can refer you to an orthodontist to evaluate the way your teeth and jaws are working together.

• Bruxism (Tooth Grinding)

Your jaws can provide more than 20 pounds of pressure to your teeth when you need to chew food. When you grind your teeth, your jaws can produce hundreds of pounds of pressure on your teeth all night long. It’s no wonder you wake up with tooth or jaw pain. Over time, nightly grinding will damage enamel and can chip and even crack teeth.

Your dentist can create a custom-made nightguard that will protect your teeth from grinding pressure—relieving tooth and jaw pain, preventing more serious damage, and giving you a better night’s sleep!

• Cracked Tooth

A cracked cusp or a crack in your tooth needs to be treated as soon as possible. Some cracks can be treated by Dr. Joel Hartjes and Dr. Jon Szewczyk, some might require a referral to an endodontist or an oral surgeon, and some cracked teeth are so badly damaged that they require extraction.

A painful cracked tooth can be obvious after a trauma, or it might not be obvious at all. So whenever you suffer dental trauma, call our office immediately for instructions. Speedy medical attention might be the difference between a repaired tooth and a lost tooth. (And save yourself from avoidable trauma by wearing your mouthguard whenever it’s appropriate!)

• Infection/Abscess

When the pulp inside a tooth is infected or inflamed, the result can be a painful abscess. Abscesses are pockets of pus caused by bacterial infection. An abscess isn’t just painful, it’s dangerous, because it can cause bone loss around the tooth and further infection if it’s not treated promptly.

Continuous severe pain, a swelling in the gums near your tooth, redness, fever, chills, a bad taste in your mouth, or bad breath can all be signs of a tooth abscess. See your dentist as soon as possible if you have any symptoms of an abscess. Your dentist may recommend a root canal procedure or refer you to an endodontist for root canal treatment or endodontic surgery.

Pain is an important signal that something is wrong, and you need to get to the root of the problem. Conditions which cause you pain often become more serious over time. For your comfort and your health, make an appointment at our Middleton, WI office right away whenever you hesitate to take another bite.

Dr. Joel Hartjes and Dr. Jon Szewczyk and our team know it can be easy to underestimate the significance of baby teeth. At hartstone dental, we sometimes meet parents who assume that since their child's baby teeth, also known as primary teeth, eventually fall out and are replaced, they are less important. But did you know baby teeth serve purposes other than biting, chewing, and digesting food properly?

Baby teeth are essential not only for your child’s language development, but they also serve other important functions, like contributing to the normal development of your child’s jaw bones and facial muscles. Baby teeth also reserve space for your child’s future permanent teeth.

So, when do baby teeth fall out?

A baby tooth is intended to remain in your child’s mouth until the permanent tooth underneath it is ready to take its place. Sometimes, either due to a tooth being knocked out accidentally or being removed because of tooth decay, kids lose baby teeth before the permanent teeth are ready to erupt. If a tooth is lost, the teeth on either side of the open space may possibly push into the open space. The result? There may not be enough room for the permanent tooth when it is finally ready to erupt.

If you have any questions about your toddler’s teeth, or if your child is experiencing issues that concern you, please give us a call to set up an appointment at our convenient Middleton, WI office.

Today, Dr. Joel Hartjes and Dr. Jon Szewczyk and our team at hartstone dental thought we would talk about mouthguards, what they are, where to get them, and when to use them.

Q: What is a mouthguard?

A: A mouthguard, which is made of soft plastic, is a flexible, removable device that fits in your mouth and is adapted to fit comfortably to the shape of your upper teeth. A mouthguard will protect not only the teeth, but also your jaws, lips, tongue, cheeks, and gums, and should be worn anytime you are participating in full-contact athletic or recreational activities that may result in injury.

Q: How do mouthguards work? Why are mouthguards important?

A: A mouthguard works as a shock absorber to cushion your mouth from the effects of a blow to the face, head, or neck. Mouthguards protect teeth from not only fractures, but also hold the tongue, lips, and cheeks away from the teeth to avoid lacerations. Using a mouthguard as instructed by Dr. Joel Hartjes and Dr. Jon Szewczyk can lessen the possibility of concussion and temporomandibular joint (TMJ) dislocation while you are out on the court or field. Increasingly, organized sports are requiring mouthguards to prevent injury to athletes, and research shows most mouth injuries occur when athletes are not wearing mouth protection.

Q: When should I wear a mouthguard?

A: Whenever you are participating in an activity that involves a risk of falling or head contact with other players. This includes football, baseball, basketball, soccer, hockey, and other competitive sports.

Q: How do I choose a mouthguard?

A: Dr. Joel Hartjes and Dr. Jon Szewczyk and our team encourage you to choose a mouthguard that you can wear comfortably. There are several options of mouthguards you may choose from. First, preformed or what we call “boil-to-fit” mouthguards are found in sports stores. But your best choice is asking us for one during your next visit as we can fabricate a custom mouthguard for you at our Middleton, WI office. A custom mouthguard will be more comfortable to wear and more effective in preventing injuries.

If you have any additional questions about mouthguards, please give us a call or ask us during your next visit!

If you’ve been following a vegetarian or vegan diet, you know that there’s much more to living a healthy life than simply avoiding meat products. Making sure your diet includes enough protein, as well as any nutrients that are primarily available in animal products, takes planning, and there’s no one-menu-fits-all solution.

Why? Because there’s no one menu that will suit all vegetarians. Specific vegetarian diets can allow for many different options:

• Vegan—a plant-based diet which excludes meat, fish, dairy, and egg products
• Ovo-vegetarian—includes eggs as a dietary option, but no dairy
• Lacto-vegetarian— includes dairy as a dietary option, but no eggs
• Lacto-ovo-vegetarian—a meat-free diet which allows both dairy products and eggs

If you are a pescatarian, who eats fish on occasion, or a flexitarian, who sometimes includes meat in a meal, your menu options are even broader.

So let’s look at the big picture—a healthy vegetarian diet is really more concerned with the foods you do eat for nutrition rather than the foods you don’t. You can create a meal plan rich in all your essential nutrients with a little research, no matter which type of vegetarian diet is your go-to choice.

And while you’re constructing your ideal menu guidelines, don’t forget about your dental nutrition!

In terms of keeping your teeth and gums their healthiest, what important vitamins and minerals are often missing from vegetarian and vegan diets? Let’s look at three of them.

• Calcium

Calcium is essential for maintaining strong bones and tooth enamel. Without enough calcium, a weakened jawbone leads to loose, and even lost, teeth. The acids in our food and the acids created by oral bacteria also weaken the minerals in enamel, including calcium. These weak spots can eventually become cavities. A diet rich in calcium not only supports the bones holding our teeth, but can even help repair, or remineralize, enamel which has been weakened by acidic erosion.

For vegetarians who include dairy in their diets, dairy products are a great way to include calcium. Milk, cheese, and yogurt are traditional and rich sources of this mineral.

For vegans, it’s a bit more challenging, but still doable! Non-dairy foods providing calcium include dark green vegetables (kale, broccoli, spinach), certain types of tofu, and fortified cereals, juices, and non-dairy milks.

• Vitamin D

Now you’re ready to put that calcium to work by making sure you have enough vitamin D in your diet. Vitamin D not only helps keep our bones healthy, it also enables our bodies to absorb calcium. Bonus—it’s been linked to better gum health in several studies.

So how to get more vitamin D? If you eat dairy, most dairy products have been fortified with vitamin D. If eggs are a part of your diet, egg yolks are a great source. Pescatarians can enjoy the benefits of vitamin D from fatty fish such as tuna and salmon.

Because we get most of our vitamin D from sun exposure or foods derived from animals, plant-based foods are not a practical way to obtain the vitamin D you need. But, just as non-vegetarians can get plentiful vitamin D from fortified dairy products, vegans also have options. Try adding cereals, juices, and non-dairy milks fortified with this essential nutrient to your diet, or take a vegan vitamin D supplement.

• Vitamin B12

Vitamin B12 is essential for healthy red blood cells, nerve cell development, brain function, and DNA production. (This is why it’s especially important for pregnant and nursing women.) Vitamin B12 can also impact your oral health. A B12 deficiency can cause a swollen, sore, or inflamed tongue, loss of taste, and gum, tongue, and mouth ulcers.

Unfortunately, vitamin B12 is reliably found only in animal foods and nutritional yeasts. If you would prefer an egg-free and dairy-free diet, look to B12 supplements or B12-fortified cereals, plant-based milks, energy bars, and other vegan options. This is a good subject to discuss with your physician, because even supplements and fortified foods might not provide enough B12.

In fact, Dr. Joel Hartjes and Dr. Jon Szewczyk can be vital resources when you’re planning your healthiest vegetarian diet. The next time you visit our Middleton, WI office, ask for recommendations for supplements if you’re concerned that diet alone can’t provide for all of your nutrition essentials. Finally, care should be taken to ensure that, even with supplements, you get the proper amount of the vitamins and minerals you need.

As a vegetarian, you are used to the concept of care. Whether it was concern for nutrition, the planet, the animal world, or another reason that drew you to a vegetarian diet, be sure to care for your body as well as your dietary choices. Careful planning can ensure a diet which supports not only your general health, but your oral health, for a lifetime of nourishing—and well-nourished—smiles.