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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 Cardinale Dentistry. 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. Vincent Cardinale and Dr. Chris Moody 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 Naples, FL 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. Vincent Cardinale and Dr. Chris Moody, 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 Naples, FL office right away whenever you hesitate to take another bite.

Over time, everyone’s teeth can naturally become dull, due to aging and consumption of staining foods such as chocolate and coffee. The good news is that teeth-whitening treatments can help you maintain white teeth that last a lifetime.

Get Regular Treatments

Regular treatments at Cardinale Dentistry are necessary to keep your teeth white for life, since whitening treatments are only temporary. Bleaching too frequently, however, can wear away your tooth enamel.

The effects of in-office bleaching are safe and can last for several months to a year. You may need to repeat your use of at-home bleaching kits every few months to maintain your white teeth. As far as day to day, whitening toothpastes are safe to use on a daily basis. The American Dental Association suggests you ask your dentist for advice on which treatment is best for you.

Have Realistic Expectations

Everyone’s teeth are different and, according to the American Dental Association, not all smiles can be turned bright white. Teeth can naturally be a light yellowish color that responds well to teeth-whitening procedures, but bleach is not likely to be effective for grayish teeth. Results for brownish teeth fall somewhere in between.

Practice Good Oral Hygiene

Good hygiene is imperative for teeth-whitening efforts. Visible fillings, implants, or bridges that are metallic can be visible against the white color you desire. These treatments can be prevented by maintaining a good oral hygiene routine.

In addition to brushing your teeth twice a day to remove dirt and potential staining agents, keep the following tips in mind:

• Floss every day
• Visit our Naples, FL office every six months
• Rinse your mouth with water after each meal and snack
• Limit sugary and starchy foods and beverages, especially between meals

What a milestone! The transition from bottle to sippy cup is one of baby’s first steps toward toddler independence. And like all first journeys, some helpful guideposts come in handy. That’s why Dr. Vincent Cardinale and Dr. Chris Moody and our team have several recommendations to help you navigate this transition, making sure your baby’s dental health is protected along the way.

Choosing a Sippy Cup

Sippy cups are often a parent’s first choice for this big step in baby’s development. While sippy cups offer a variety of child-safe materials, lively colors, and comfortable handle options, the feature of interest from a dental perspective is lid design.

Sippy cups curb spills because their lids don’t allow liquids to flow out freely, ensuring that drinks make it into baby’s mouth instead of onto furniture or floor. Cup lids might incorporate:

• Built-in straws
• A drinking edge around the rim of the cup which seals when your child isn’t drinking
• Soft spouts
• Hard spouts
• Spouts with valves to prevent liquids from leaking out. (Spouts with valves work like a nipple, which means baby is sucking instead of sipping.)

Which design is best? For short periods, any of these designs can work for you. Over long periods, spouted cups could have the same effects as prolonged thumb-sucking and pacifier use, potentially affecting a child’s tongue positioning, tooth alignment, bite, and speech development. Your dentist will be able to suggest which cups are best for your child’s dental health both short and long term.

What to Put in a Sippy Cup

Once your baby has begun drinking from a cup, it should only hold tooth-friendly drinks.

• Pediatricians generally recommend breast milk and/or formula until your child is 12 months old. You can switch to regular milk (or a healthy milk alternative) once your child is a year old with your doctor’s okay.
• Water can be introduced when your pediatrician thinks your child is ready, usually around the age of six months.
• Because even natural fruit juices have lots of sugar, dentists and pediatricians suggest giving your baby small amounts only—or feed your child fruit instead!
• Skip the sugared drinks, sports drinks, caffeinated drinks, and sodas. They aren’t healthy for little bodies or little teeth.

Help Prevent Tooth Decay

Just like adults, babies can suffer tooth decay, too—and for the same reasons. The bacteria in plaque use the sugars found in our diets to create acids, and acids erode tooth enamel.

When a toddler totes a sippy cup around all day, even filled with healthy drinks, those baby teeth are constantly exposed to the natural sugars found in breast milk, formula, and, for older children, milk. Drinks with more or added sugars, such as juices or sweetened drinks, cause more damage to tooth enamel. Use a sippy cup wisely:

• Offer the cup with meals and snacks, when increased saliva production can help wash away sugars and neutralize the acids which cause cavities.
• Offer water between meals.
• Don’t let your baby take a sippy cup to bed. Some spill-proof cups are designed to be sucked like bottles, and, like bottles, sugary liquids can pool in babies’ mouths as they sleep.
• Get into a tooth-cleaning routine as soon as your child’s teeth start to arrive.

And, while we’re talking about healthy teeth, please don’t let your child toddle around with a sippy cup. A fall while drinking can injure a baby’s mouth and teeth.

Partner with Your Child’s Dentist

The journey from baby to toddler can seem overwhelming sometimes for both you and your child, but you have expert help available! It's a good idea to make a first dental appointment at our Naples, FL office sometime between the appearance of the first baby tooth and your child’s first birthday. This initial visit is an opportunity for Dr. Vincent Cardinale and Dr. Chris Moody to:

• Check your child’s overall dental health and development.
• Look for signs of early decay.
• Talk about proactive dental care, including how and when to clean your child’s teeth.
• Answer questions about how you can support your child’s dental health, including the advantages and disadvantages of sippy cups.

Used properly, sippy cups can be a helpful transition on your child’s journey from bottle to cup, and from baby-who-relies-on-you-for-everything to take-charge-toddler. Dr. Vincent Cardinale and Dr. Chris Moody and our team are an ideal guide as you and your child chart this path together.

Your beaming smile makes a sunny day even brighter—and that sunny day can return the favor! How does the sun affect your dental health? Let’s shine some light on the subject.

You may have heard how important calcium is to your body. Over 99% of the calcium in our bodies is used to form teeth and bones, providing strength and structure to the hardest parts of the body. But that’s not the only task on the calcium to-do list. Calcium is also necessary for:

• muscles to work
• nerves to carry messages
• blood to deliver nutrients and oxygen
• the release of hormones

When we don’t get enough calcium in our diets, our bodies start to draw the calcium they need for these critical functions from our teeth and bones. Over time, a severe calcium deficiency can lead to teeth that are brittle, or more vulnerable to decay, or loose due to weakened bone density in the jaw.

We can get the calcium we need from a balanced diet. Dairy products are our most common source of calcium, and several servings of milk, cheese, or yogurt each day supply most of our needs. If dairy’s not on your menu, though, you can get calcium from other foods like broccoli, kale, collard greens, canned salmon, or sardines. Because calcium is so essential to our health, many foods are fortified with it, including fortified juices, bread, cereals—even tofu!

But there’s a snag here, and it’s a big one. We can’t really benefit from our careful consumption of calcium without the help of vitamin D. If calcium is the doorway to strong teeth and bones, vitamin D is the key that unlocks all of calcium’s benefits.

Without enough vitamin D, our bodies can’t absorb and make use of calcium. However, getting enough of this essential vitamin can be a problem. While we can get most of the vitamins we need from a balanced diet, there aren’t a lot of foods which are naturally rich in vitamin D.

So, how do we get this vital vitamin? The original option comes from nature.

• Sunlight

Vitamin D is called “the sunshine vitamin” because of the unique chemical reaction that creates it. When the ultraviolet B rays of the sun reach special cells in our skin, they convert cholesterol in these cells to a basic form of vitamin D. These vitamin molecules travel through the body, picking up hydrogen and oxygen molecules in the liver and kidneys to become active vitamin D.

Since sunlight exposure is easy, available, and free, it seems like a simple solution to getting the vitamin D we need.

But we’ve understandably moved away from the days of basking in the sun for hours at a time. Over-exposure to UV rays damages the skin, causing premature aging and, worse, a much greater risk of skin cancer. If you enjoy time in the sun, talk to your doctor about safe sun exposure, which can depend on the part of the country you live in, the time of year, and your individual skin type.

And, if you need to avoid sun exposure, there are other opportunities for getting the vitamin D you need.

• Diet

While there aren’t a lot of foods which are naturally rich in vitamin D, there are still a few options on the menu. Oily fish like salmon, tuna, and herring—and old-fashioned cod liver oil—are good sources of the vitamin. But most of us don’t live on a strict fish diet!

Instead, we can get the vitamin D we need from fortified foods. Vitamin D is commonly added to cow’s milk, soy milk, orange juice, and cereals to make sure the calcium in our diet is working effectively to keep our teeth and bones strong. Check out nutritional labels to discover whether your favorite grocery products contain vitamin D.

• Supplements

For hundreds of years, people who lived in climates and cities without a lot of sunshine suffered from the effects of vitamin D deficiency. Diseases like rickets, where the teeth and bones don’t form properly, were common in children. Adults who couldn’t absorb enough calcium suffered from weak teeth and bones.

Today, depending on age, allergies to sun or food products, dietary choices, and health conditions, some people are still at risk for vitamin D deficiency. If you’ve been diagnosed with this deficiency, your doctor might recommend a vitamin D supplement. (It’s important to take any supplement as directed, because taking too much vitamin D can be harmful, too.)

So, which form of vitamin D is best? Fortified foods? Supplements? Or is it that radiant original source—the sun? No need to worry. With any form of vitamin D, you’re getting the key you need to unlock the benefits of the calcium in your diet—benefits which make healthy teeth and bones possible.

If you have any concerns, talk to Dr. Vincent Cardinale and Dr. Chris Moody at our Naples, FL office about whether you’re getting the vitamin D you need. Your sunny smile will thank you!