Lansing's Dental Discussion

Posts for: March, 2016

By Holly A. Scott-Hetchler DDS, PC
March 24, 2016
Category: Oral Health
Tags: Family Dentist  

How to organize your family’s dental visits

It’s important for you and your entire family to visit the dentist, but it may seem like a daunting task. Preventive dental care is so important because poor dental health has been linked to systemic diseases like heart disease and diabetes in adults. In children, conditions like Family Dentist baby bottle syndrome can lead to severe tooth decay and tooth loss. It’s time to coordinate your efforts so you and your family have any easy time taking care of your oral health. Dr. Holly Scott-Hetchler, in Lansing, Michigan, wants to help you take care of your family.

Ideally, you and your family should visit your Lansing dentist at regular intervals every six months. Typically, Dr. Scott-Hetchler will take x-rays and perform a comprehensive exam every year, and you will receive a thorough cleaning every six months. If you have dental conditions such as periodontal disease, you will need to come in more often, depending on the severity of the disease.

The best way to organize your family’s dental visits is to make them all at once, so you don’t overlook a member of your family. Try to plan for a certain time of year, and put it on the calendar so you remember.

If you have a toddler, try to bring your child in within six months of eruption of the first tooth, because decay can happen fast. In any case, bring your child in within the first year, so your child can get used to Dr. Scott-Hetchler and she can look for any problems.

It’s best not to wait until you have pain or a dental emergency to seek Dr. Scott-Hetchler’ help. Dental problems can escalate. For example:

  • Untreated decay can turn into the need for a root canal or tooth extraction
  • Untreated gum infection can turn into periodontal problems
  • Untreated periodontal problems can turn into a tooth extraction
  • Tooth removal leads to a need for tooth replacement with implants, partials or dentures

You should do all you can to protect your family’s dental health, and an important part of that is organizing your family’s dental visits into a schedule that works. Find a schedule that works for you, and stick to it because the health of your mouth is vital to your overall health. Call Dr. Holly Scott-Hetchler in Lansing, Michigan and find out more about family dentistry. Call today; your family will thank you!


Teeth can take a lot of force over a lifetime of biting and chewing, thanks to enamel, their outer layer made of the strongest substance in the human body. Unfortunately, they’re not invincible: it’s even possible for you to break or “fracture” a tooth while biting or chewing normally.

Although such a fracture might seem to occur out of the blue, it’s usually related to a condition known as cracked tooth syndrome. It usually occurs in three stages: in the first, miniscule cracks in the outer enamel known as craze lines develop. They’re not immediately dangerous since they only involve the enamel surface; but left untreated they could deepen and progress to the next stage, a larger crack that penetrates the tooth’s underlying dentin.

If allowed to grow, this crack in turn can lead to the third stage, a full fracture that could extend down to the root. A fracture can put the tooth in danger of loss, especially if its inner pulp becomes exposed. To avoid this worst case, it’s best to treat the tooth at the earliest stage possible when craze lines are just developing.

There is a difficulty, though, with detecting craze lines — they’re small, too small to detect normally with x-rays. We, therefore, rely on other methods such as using an instrument called an explorer to feel for cracks, having the patient bite on a stick or rubber pad to replicate pain symptoms or using fiber-optic lighting with special dye stains to highlight possible cracks. Endodontists, specialists in root canals, can use microscopic equipment that’s quite adept at detecting craze lines.

There are also some signs you can be on alert for that might indicate a craze line or crack. If you feel a short, sharp pain — a “wince” — when chewing and releasing food, you could have a crack that hasn’t yet affected the nerves. If a true fracture occurs, the pain will intensify and you may notice pieces of the tooth coming off. If the crack extends to the root, the pain will become greater and more chronic.

It’s important then that you see us for any recurring pain symptoms as soon as possible. If it’s a crack, the sooner it’s treated the better your tooth’s chances for survival.

If you would like more information on cracked tooth syndrome, 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 “Cracked Tooth Syndrome.”

By Holly Scott-Hetchler DDS
March 04, 2016
Category: Oral Health

Sure, it’s big news when celebs tweet selfies from the dental office… if you’re still living in the 20th century. But in Hollywood today, it’s harder to say who hasn’t posted snaps of themselves in the dentist’s chair than who has. Yet the pictures recently uploaded to Twitter by Mark Salling, the actor and singer who regularly appears as Noah “Puck” Puckerman on the popular TV series Glee, made us sit up and take notice.

“Getting my chipped tooth fixed. Also, apparently, I’m a big grinder,” read the caption. The photo showed a set of upper front teeth with visible chips on the biting surface. What’s so special about this seemingly mundane tweet? It’s a great way of bringing attention to a relatively common, but often overlooked problem: teeth clenching and grinding, also called bruxism.

Although bruxism is a habit that affects scores of people, many don’t even realize they have it. That’s because the condition may only become active at night. When the teeth are unconsciously ground together, the forces they produce can wear down the enamel, cause chipping or damage to teeth or dental work (such as veneers or fillings), or even loosen a tooth! While it’s common in children under 11 years old, in adults it can be a cause for concern.

Sometimes, mouth pain, soreness and visible damage alert individuals to their grinding habits; other times, a dental professional will notice the evidence of bruxism during an exam or cleaning: tooth sensitivity and telltale wear and tear on the chewing surfaces. Either way, it’s time to act.

Bruxism is most often caused by stress, which can negatively impact the body in many ways. It may also result from bite problems, the overuse of stimulating substances (caffeine, alcohol, tobacco, and illegal drugs), and as a side effect of certain medications. Sometimes, simply becoming aware of the habit can help a person get it under control. Common methods of stress reduction include exercise, meditation, a warm bath or a quiet period before bedtime; these can be tried while we monitor the situation to see if the problem is going away.

If stress reduction alone doesn’t do the trick, several other methods can be effective. When bruxism is caused by a minor bite problem, we can sometimes do a minor “bite adjustment” in the office. This involves removing a tiny bit of enamel from an individual tooth that is out of position, bringing it in line with the others. If it’s a more serious malocclusion, orthodontic appliances or other procedures may be recommended.

When grinding is severe enough to damage teeth or dental work, we may also recommend a custom-made night guard (occlusal guard), which you put in your mouth at bedtime. Comfortable and secure, this appliance prevents your teeth from being damaged by contacting each other, and protects your jaw joints from stresses due to excessive grinding forces.

Whether or not you have to smile for a living, teeth grinding can be a big problem. If you would like more information about this condition, call our office to schedule a consultation for a consultation.

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