Dr. Noah's Dentistry Blog

Questions About Dentistry Answered

My Mother’s Teeth are Falling Out

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We recently moved my 82 year old mother across the country to live with us. We didn’t realize how bad things were, even though we skyped with her every week. We purchased a house that had an extra room for her and moved her in. The other day one of her teeth fell out. I’ve scheduled a dental appointment for her, but today another one fell out. Have you heard of this? We’ve spent all of our money on this house and my mother has even less money. Can you give me an idea of what we’re looking at? Because she is a new patient, our appointment is still a few weeks out.

Belinda

Dear Belinda,

Older woman smiling

First, I will say that I am glad your mother has you. It is wonderful that you are willing to take care of her. If your mother’s teeth are just falling out, then she is in the advanced stages of periodontal disease. It is very likely that the remainder of her teeth are not far behind these two.

Under normal circumstances, I would suggest dental implant retained dentures. However, these are very expensive. While they do prevent facial collapse, given your mother’s advanced age I don’t believe that will be something you will have to plan for or worry about.

In her circumstance, your most affordable option would be to get her completely removable dentures. This is something any dentist can do. If the advanced periodontal disease turns out to be accurate, given the financial situation, I suggest you just go to an affordable dentist to have her treatment done. As long as the denture fits well, that is all she will need.

This blog is brought to you by Tulsa Dentist Dr. Ryan Noah.

Is Smile Care Club a Good Option?

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I recently saw an advertisement for Smile Care Club on Facebook. It seemed like the people are really happy with the results they received, though they could be just paid actors. It is cheaper than Invisalign so I was wondering if it is as good a deal as I am hoping?

Drake

Dear Drake,

Smile Direct Club Ad

I’m glad you wrote. This company was founded in 2013 as an inexpensive alternative to Invisalign. Like Invisalign, they use clear aligners to straighten your teeth. It is cheaper than Invisalign. For some people, it works out. When it does, you can save a lot of money. However, there is a lot that can go wrong with their method.

Before Invislaign treatment, you have an examination to make certain your gums are healthy. If you have gum disease and have orthodontics done, it will exacerbate the condition and you risk losing your teeth. The way Smile Care Club is so much less expensive is they eliminate regular visits with the dentist. You will send in a picture and a dentist will look at it and “determine” whether or not you have gum disease. I have little confidence that they can tell this from an image.

Two other issues that require a dentist are overcrowding and possible problems. One of the major reasons people need orthodontics, to begin with, is overcrowding. That can mean you will need some teeth extracted or shaved to make room for the teeth to move into their correct position. How Smile Care Club handles this is by sending you to a dentist to whom they pay a straight fee. This dentist will not be invested in you or your case. Shaving teeth takes some skill and if it is not done right you will end up with a weird-looking smile. You want a dentist who cares about how your smile ends up.

If your teeth don’t cooperate, which happens more than you would think, a dentist can restructure the treatment. With Smile Care Club, you won’t even really know that it is not going according to plan because no one is regularly examining you.

As for the people praising them, that would be the people where it worked out, which does happen. However, Smile Care Club has a reputation for squelching negative reviews by only offering a refund if they do not say anything negative about the company.

In my opinion, while you could save money with Smile Care Club, you want to be careful because you could end up with a disaster.

This blog is brought to you Tulsa Dentist Dr. Ryan Noah.

Can a Toothache Cause Chest Pain?

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I want to know if chest pain can be caused by a toothache. My mother is 75 and is a tad stubborn. She periodically has toothaches I have to try to convince her to get checked, but this morning she mentioned chest pain too. I started to panic but she says it has happened before and it ended up being nothing. I wanted to take her to the hospital but she said no. Now, I’ve been fretting about it all day. Could that just be referred pain from her tooth or should I have taken her to the hospital?

Karen

Dear Karen,

blonde woman holding the side of her jaw in need of an emergency dentist

ANY time someone has chest pain it is important to get them to the hospital!

Heart attacks can have multiple symptoms and often vary by person. Orofacial pain happens in about 10% of heart attacks. However, it isn’t generally localized to a single tooth, but radiates across the jaw. That doesn’t mean your mother shouldn’t get checked out because as mentioned earlier, everyone manifests a heart attack slightly differently. This is especially true of women.

Toothaches Should be Taken Seriously

Even if her heart is fine, a toothache needs to be taken seriously. Often, they are a sign of a tooth infection. These should be considered a dental emergency. When the infection is not physically removed by a dentist in a procedure known as a root canal treatment, the infection will spread. Antibiotics alone won’t help. Even in the 21st century, people still die from tooth infections.

The Link Between Bodily Health and Oral Health

There are increasing studies that show dental health has a direct link to someone’s general health. This is especially true with gum disease. Patients with gum disease have an increased chance of heart attacks, diabetes, high blood pressure, and stroke. Helping your mother get in front of her dental issues will have an overall positive impact on her health.

This blog is brought to you by Tulsa Dentist Dr. Ryan Noah.

I Need Affordable Help For My Mom, Fast!

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I went to visit my mother who lives in a different state. We’re trying to talk her into moving in with us. She’s 85 and her health is declining. While we were having dinner one of her teeth fell out, right there on the plate. She said she lost two others as well. I don’t know how much money she has. What is an affordable way to take care of this? I’m worried sick about her. I’ve heard both dental implants and bridges are good. What’s your opinion?

Elizabeth E.

Dear Elizabeth,

Tulsa Affordable Dentist

It’s lovely that you’re there to care for your mother. When we’re children we rely on them. As they age, it is sometimes hard for them to allow us to look after them. I hope she allows you to help.

If your mother has teeth just falling out, that means she has incredibly advanced gum disease. That needs to be treated right away. She’s going to continue losing teeth until it is under control. Because of the gum disease, neither dental implants or a bridge will work. She doesn’t have anything strong enough to maintain them.

Affordable Tooth Replacement Options

However, once her gum disease if dealt with, dental implants are the top of the line treatment. But, you asked for affordable and I would not call them that.

The most affordable dental treatment for her will be complete dentures. Generally, it wouldn’t be something I’d recommend because of the facial collapse which results from bone resorption, but your mother’s 85. I don’t think it will be an issue for her.

Cu-Sil denture Affordable dental treatmentIf there are teeth which can be saved, don’t switch her treatment to removable partial dentures. Her teeth have been through a lot and that particular treatment (along with a dental bridge) puts too much stress on the remaining teeth for her situation. Instead, you could get her a denture which makes room for her remaining teeth without putting stress on them. It’s called a Cu-Sil Denture. I’ve put a picture of it to the left.

Best of luck with your mother.
This blog is brought to you by Dr. Ryan Noah.

Smile Club or Professional Orthodontics

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I’ve been trying to do save up for orthodontics for a long time. I’m getting close, but just read something about Smile Care Club. It’s a lot less expensive than the orthodontics. Is it okay for me to use that and then save the rest of the money for something else?

Lisa A.

Dear Lisa,

The best thing about the Smile Club is the cost savings. I just want you to think about it ahead of time. They have you send x-rays, but there are some things, such as gum disease, which is very hard to discern by x-rays alone. It usually takes a physical exam as well.

Gum disease is serious and can creep up on you silently. If you get this type of orthodontics while having gum disease, it will make the situation significantly worse. That puts you at risk of losing your teeth. In that case, instead of spending a little extra money up front, you’ll end up spending thousands to replace lost teeth.

The other thing to bear in mind is things which can go wrong during the treatment. Sometimes, as teeth are brought together, there needs to be some mild shaving to ensure they come together well. In that case you’d need to see a dentist. You’d want it to be a dentist invested in your case, but you won’t have one of those.

Smile Club keeps up with you by photos and phone. I feel one on one monitoring in person is the safest way to go, especially for the patient. This is designed to be a mail order substitute for Invisalign. You’d be better served getting actual Invisalign and the personal attention you both need and deserve during your treatment.

This blog is brought to you by Dr. Ryan Noah.

How do you treat a deep pocket?

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I’m concerned about a problem I have with two back molars. They are spreading apart and the dentist told me a deep pocket now exists in that area. While I had the appointment, deep cleaning was performed and I was told the dentist would review my situation at the next appointment. I’m concerned.
I’m wondering if I can do anything else besides brushing and flossing, to reduce the pocket. Do you have any suggestions?
– Cathy from Oklahoma

Dear Cathy,
It’s quite likely your dentist will schedule you for a three to four month periodontal cleaning schedule to keep your gums healthy and maintain the bone levels around your teeth. Many times, deep cleaning may reduce pockets to the point where a patient can keep the area clean and free from disease. In fact, the disease process may be stopped so no more treatment may be necessary. This is why it’s vitally important to have this cleaning program done regularly and you must also practice proper brushing and flossing as this will help the pocket reduce in size. It sounds like you’re doing all the right things.

If pockets do not reduce enough with periodontal cleaning and other recommended activities, and if the patient is having a challenge keeping the pockets clean, there is another alternative. The dentist will recommend crown lengthening. This procedure is generally performed by a periodontist, a specialist who knows how to treat periodontal disease. There are some dentists who are trained in this procedure as well.  The process of crown lengthening is a fairly simple surgical procedure performed using a local anesthetic. What happens is that excess tissue around the tooth is removed so more tooth structure is exposed and contoured closer to the bone. The procedure minimizes the distance from the top of the gums to the bone, thus reducing the pocket and enabling the patient to keep the area cleaner. When you see your dentist, you’ll be able to get more information on how to proceed.

This blog brought to you by Tulsa dentist, Dr. Noah.