Do You Grind or Clench Your Teeth?

Do You Grind or Clench Your Teeth?

Occlusal disease better known as grinding or clenching your teeth is the most common and widespread problem we face today in dentistry.  Most people have one of these para-functional habits and suffer from related symptoms 

Because grinding often occurs during sleep, most people are unaware that they grind their teeth. However, a dull, constant headache, stiff neck, or sore jaw when you wake up is a telltale symptom of bruxism. Many times people learn that they grind their teeth by their loved one who hears the grinding at night.


Signs and symptoms of bruxism may include:

  • Teeth grinding or clenching, which may be loud enough to wake up your sleep partner
  • Teeth that are flattened, fractured, chipped or loose
  • Worn tooth enamel, exposing deeper layers of your tooth
  • Increased tooth pain or sensitivity
  • Tired or tight jaw muscles, or a locked jaw that won’t open or close completely
  • Jaw, neck or face pain or soreness
  • Pain that feels like an earache, though it’s actually not a problem with your ear
  • Dull headache starting in the temples
  • Damage from chewing on the inside of your cheek
  • Sleep disruption

What’s behind all that night-time gnashing

  1. Teeth Problems: Perhaps your teeth don’t line up correctly or you have teeth that are missing or crooked. The misalignment, which is also known as occlusion, means that the teeth don’t meet when the jaw opens and closes. This could be due to an issue with the temporomandibular joint or the muscles around the jaw. For example, if those facial muscles spasm during sleep, you could start grinding your teeth. To know if this is the cause of your tooth grinding, you’ll need to visit a dentist who can take X-rays and give you a proper diagnosis.
  2. Anxiety and Stress: When you are worrying excessively, you are likelier to clench your jaw and work it back and forth throughout the night, wearing your teeth down. Problems at work, in relationships, or due to finances don’t just go away because it’s nighttime. The more stress that you feel, the worse off your nights will be. And the more you try to ignore the stress, the likelier you are to be a heavy tooth grinder. 
  3. Other Medical Conditions: Certain medications, like some antidepressants, or disorders like Huntington’s disease or Parkinson’s disease, can cause bruxism. Even having too much stomach acid reflux or suffering from sleep apnea can lead to nighttime grinding.

What do I do if I think I grind my teeth?

If you have any of the listed symptoms, see your dentist.  Many patients go from doctor to doctor trying to find a cure, but never consult the dentist for the accurate diagnosis and treatment.  Just like all the other parts of your body wear out, like your hip, knee, elbow, shoulder and heart valve wear out and need replacement, so do your teeth. In 1950 most of the population accepted that a full denture is in their future.  Now that the future is here and we keep our teeth for life, we need to protect them and prevent destruction. That is the function of a night guard. PROTECT YOUR TEETH. It is like an insurance policy. Don’t ignore the diagnosis, and save your teeth today.  You will wish that you did in 30 or 40 years from now when you are told that all of your teeth will need replacement.  See Dr. Chanin at Diamond Dental Associates, LLC today to evaluate your mouth and determine if an occlusal guard will benefit you.  Minimal investment with tremendous value.

Diamond Dental Associates, LLC     908-838-0004

Do you want your teeth to look like this?
This is what grinding can do to you!!!!

Xylitol A Game Changer for Dentistry

A Game Changer for Dentistry

Tooth decay happens when bacteria in your mouth consume the sugars we eat. When you eat food containing ordinary sugar (sucrose), it gives bacteria on your teeth energy, allowing them to multiply and start making acids that can eat away the enamel on the teeth. This “acid attack” causes tooth decay and cavities to begin to form.

Xylitol is a natural sweetener derived from the fibrous parts of plants. It does not break down like sugar and can help keep a neutral pH level in the mouth. Xylitol also prevents bacteria from sticking to the teeth. This is how it protects the teeth from tooth decay. With the dental benefits of Xylitol, the acid attack that would otherwise last for over half an hour is stopped. Most people are not aware of this benefit because such a claim makes xylitol into a drug, crossing a boundary not allowed by the Food and Drug Administration.
Fewer Bacteria, Less Acid – Healthier Teeth!

Because the bacteria in the mouth that are causing cavities are unable to digest xylitol, their growth is greatly reduced. The number of acid-producing bacteria may fall as much as 90%. No acid is formed because the pH of saliva and plaque does not fall. After taking xylitol, the bacteria do not stick well on the surface of the teeth and as a result, the amount of plaque decreases.
Repairing damaged enamel

Research has shown that the use of xylitol also helps repair damage to the enamel. Saliva in itself protects the mouth and teeth. Stimulated saliva, in particular, contains all the components needed to repair early cavities. If sugar is only taken a couple of times a day, the saliva can do the job alone. But most people take sugar so often that the mouth’s own defensive tools are not enough.
The dental benefits of xylitol also include saliva. Saliva that has xylitol is more alkaline than saliva stimulated by other sugar products. After taking xylitol products, the concentration of basic amino acids and ammonia in saliva and plaque may rise, and plaque pH rises as well. When pH is above 7, calcium and phosphate salts in saliva start to move into those parts of enamel that are weak. Therefore, soft, calcium-deficient enamel sites begin to harden again.

If you have acid reflux, dry mouth, diabetes, have had radiation treatment, chemotherapy, are on many prescription medications, Xylitol can be a good answer for you. Call Dr. Chanin at 908-838-0004 today to find out how Xylitol in combination with other home care recommendations can help you prevent your teeth from decaying. Call Diamond Dental Associates today for a healthier more beautiful smile.

Why Do You Get Cavities The Newest Research

Why Do You Get Cavities The Newest Research

We always thought that decay was due to lack of or improper tooth brushing. We now know there is a lot more to decay than just tooth brushing.  It has to do with your saliva, diet, sugar intake, how often you eat and how you protect your teeth.

   Acid reflux, commonly called heart burn, is a major causing factor.  Acid reflux causes acid to come up into your mouth and lower the PH of your saliva, resulting in your saliva becoming more acidic.  The bacteria that cause decay, thrive and multiply in a more acidic, lower PH environment. These bacteria stick to your teeth due to the presence of plaque and cause the teeth to decalcify.  The bacteria produce acid by eating the plaque and that acid is what causes the teeth to decay. Fluoride is a one of the most important things you can do to help strengthen your teeth. Fluoride tooth paste with Stannus fluroride, fluoride rinse and in office fluoride treatments are essential to keep your teeth healthy.

  Here are some top tooth decay causes you might not know about

Are Only Sugary Foods to Blame? Avoiding candy doesn’t mean you’re off the hook for getting decay. Most cavities come from hidden sugars like those in sports drinks, juices, sodas (even the diet ones) and diets high in carbohydrates (like crackers, bread, or other common snack foods.) 

Bad Nutrition: Harmful to Your Body and Your Teeth

If it’s “bad” for your body, it’s probably “bad” for your teeth. Remember, you are what you eat! Fresh foods are best. Fibrous fruits and vegetables clean your teeth while you eat them, and give your body plenty of nutrients to ward off infection. Omega 3 fatty acids can treat periodontist, as well as help with inflammation. Additionally, there is a possibility that cheese can prevent cavities while improving your overall oral health.

“But I Don’t Have Poor Oral Hygiene!”

What is good oral hygiene? Brushing twice a day? Flossing every now and then? Check to see that you’re using a soft toothbrush and brushing slowly, focused on the gum lines and only brushing one or two teeth at a time. Fast, rigorous brushing can leave large areas of biofilm behind. Always follow up with floss at least once a day — because tooth brushing can’t clean between — to remove the germs that cause cavities. Don’t forget to use a fluoridated toothpaste. If necessary you can come to our office and we can write a prescription for one that’s stronger.

Are Cavities or Teeth Grinding to Blame?

Maybe your teeth are starting to look broken, worn, or feel sharp to your tongue. It might not be cavities that are the cause — but bruxism — a teeth grinding habit that causes your enamel to break itself apart. Old fillings may even start to fracture and fall out, even if you have great oral hygiene. Wearing a protective guard at night or when you’re driving home from work can reduce the tension to your enamel, extending the investment of your restorative dental treatment and the life of your teeth.  Your teeth were not designed to last 100 years without being protected.

Finding an Out for Your Enamel Issues

“My parents had bad teeth. I’m bound to as well. ”This concept seems like an easy out, but it’s no excuse for neglecting your teeth. Working with a great dentist and hygienist can help you focus on areas that are more at-risk for cavities, such as demineralized surfaces or exposed roots. Even adding in extra fluoride can keep cavities at bay, when you would otherwise be looking at a future filled with dental work.

What Does Age Have to Do With Anything?  

There are a few factors at play when it comes to tooth decay causes. One of which is age. Take children for instance; their primary (baby) teeth are far less dense than the permanent counterparts. As such, cavities can spread far more rapidly, involving more than just one tooth.

Older adults see an increase in decay as well, usually because of aging fillings, gum recession, and dry mouth (due to medications.) As such, it’s vital for people of all ages to receive routine checkups so that decay can be intercepted at its earliest stage.

These top tooth decay causes can be the gateway to more severe issues with your dental health. By just tweaking your daily routine you can improve smile and your oral hygiene.  It is essential that you have regular dental checkup and discuss these issues with your dentist. At Diamond Dental Associates, we will help you prevent these problems and keep a beautiful sparkling smile.  Contact us at 908-838-0004.

“Changing lives one smile at a time”

Dental Sealants Reduce Decay

Dental Sealants Reduce Decay

In the latest surveys of the American Dental Association, if 100 children were looked at and not have sealants applied to their teeth, 50 would get decay.  If sealants were applied to the children’s teeth, only 18 of the group would get decay. Clearly, dental sealants are an extremely beneficial procedure for children to have performed on their teeth.

Dental sealant is a thin, plastic coating painted on the chewing surfaces of teeth — usually the back teeth (the premolars and molars) — to prevent tooth decay. The sealant quickly bonds into the depressions and grooves of the teeth, forming a protective shield over the enamel of each tooth.

Although thorough brushing and flossing can remove food particles and plaque from smooth surfaces of teeth, they cannot always get into all the nooks and crannies of the back teeth to remove the food and plaque. Sealants protect these vulnerable areas from tooth decay by “sealing out” plaque and food.

Who Should Get Sealants?

Because of the likelihood of developing decay in the depressions and grooves of the premolars and molars, children and teenagers are candidates for sealants. However, adults without decay or fillings in their molars can also benefit from sealants.

Typically, children should get sealants on their permanent molars and premolars as soon as these teeth come in. In this way, the sealants can protect the teeth through the cavity-prone years of ages 6 to 14.

In some cases, dental sealants may also be appropriate for baby teeth, such as when a child’s baby teeth have deep depressions and grooves. Because baby teeth play such an important role in holding the correct spacing for permanent teeth, it’s important to keep these teeth healthy so they are not lost too early.

How Are Sealants Applied?

Applying sealant is a simple and painless process. It takes only a few minutes for your dentist or hygienist to apply the sealant to seal each tooth. The application steps are as follows:

  1. First, the teeth that are to be sealed are thoroughly cleaned.
  2. Each tooth is then dried, and cotton or another absorbent material is put around the tooth to keep it dry.
  3. An acid solution is put on the chewing surfaces of the teeth to roughen them up, which helps the sealant bond to the teeth.
  4. The teeth are then rinsed and dried.
  5. Sealant is then painted onto the tooth enamel, where it bonds directly to the tooth and hardens. Sometimes a special curing light is used to help the sealant harden.

How Long Do Sealants Last?

Sealants can protect teeth from decay for up to 10 years, but they need to be checked for chipping or wearing at regular dental check-ups. Your dentist can replace sealants as necessary.


Dry Mouth A Common Problem and Commonly Undetected

Dry Mouth A Common Problem and Commonly Undetected
Scott Chanin, DMD, FAGD,FASDA

Dry Mouth, commonly known as Xerostomia, is a medical condition that occurs
when your mouth doesn’t produce enough saliva or there is a change in the
quality of the saliva. It can have a significant impact on the quality of your life and
oral health if it is not discovered early and managed effectively.
Up to 65 percent of the population suffer from dry mouth. The causes are
numerous, from everyday medications to common health conditions, and people
who take multiple medications are more likely to suffer from it.

If you have the following symptoms it is time to talk to your dentist and discuss
treatment of dry mouth.
1. My mouth is and throat feel dry and sticky
2. I have an ongoing need to drink water to quench my thirst with temporary
3. It is difficult to speak or swallow
4. My lips are dry and cracked
5. I have been told I have bad breath
6. There is a burning sensation in my mouth
7. My tongue is dry and rough
8. I am getting more cavities

Dry mouth makes it difficult to chew, taste, swallow and speak. It also increases
the risk of cavities. Dry mouth can silence you from speaking. If you have the
symptoms listed, talk to your dentist and hygienist about your symptoms. They
can help you fight back and get effective and convenient relief.

Dr. Chanin at Diamond Dental Associates can help you evaluate your dry mouth
conditions and symptoms. Then we can discuss treatment solutions and options
to relieve your dry mouth and protect your teeth from cavities. Don’t put it off,
get a solution today.

Do You Have Sensitive Teeth?

    Is the taste of ice cream or a sip of hot coffee sometimes a painful experience for you? Does brushing or flossing make you wince occasionally? If so, you may have sensitive teeth.

Possible causes include:

  • Tooth decay (cavities)
  • Fractured teeth
  • Worn fillings
  • Gum disease
  • Worn tooth enamel
  • Exposed tooth root

    In healthy teeth, a layer of enamel protects the crowns of your teeth—the part above the gum line. Under the gum line, a layer called cementum protects the tooth root. Underneath both the enamel and the cementum is dentin.

    Dentin is less dense than enamel and cementum and contains microscopic tubules (small hollow tubes or canals). When dentin loses its protective covering of enamel or cementum these tubules allow heat and cold or acidic or sticky foods to reach the nerves and cells inside the tooth. Dentin may also be exposed when gums recede. The result can be hypersensitivity. In addition clenching and grinding your teeth can cause gum recession that can result in increased sensitivity. Clenching and grinding can cause tremendous forces on your teeth which causes sensitivity.

Sensitive teeth can be treated. The type of treatment will depend on what is causing the sensitivity. Your dentist may suggest one of a variety of treatments:

  • Desensitizing toothpaste. This contains compounds that help block transmission of sensation from the tooth surface to the nerve, and usually requires several applications before the sensitivity is reduced.
  • Fluoride gel. An in-office technique which strengthens tooth enamel and reduces the transmission of sensations.
  • A crown, inlay or bonding. These may be used to correct a flaw or decay that results in sensitivity.
  • Surgical gum graft. If gum tissue has been lost from the root, this will protect the root and reduce sensitivity.
  • Root canal. If sensitivity is severe and persistent and cannot be treated by other means,         we may recommend this treatment to eliminate the problem.
  • Occlusal Guard.  The occlusal guard or night guard, will prevent the consequences of grinding and clenching and distribute forces more evenly and prevent enamel and dentin wear.

    Proper oral hygiene is the key to preventing sensitive-tooth pain. Call Dr. Chanin at 908-838-0004, if you have any questions about your daily oral hygiene routine or concerns about tooth sensitivity. We have a solution for you that will make you SMILE.

Dr. Chanin is awarded the distinguished honor of Fellowship in Aesthetic Dentistry.

Dr. Chanin is awarded the distinguished honor of Fellowship in Aesthetic Dentistry.

The American Society for Dental Aesthetics was established more than forty years ago by Dr. Irwin Smigel,” the Father of Aesthetic Dentistry”. This was the first aesthetic dental society of its kind. Members of this organization, are committed to excellence in the field of aesthetic dentistry through continuing education. For decades the ASDA has facilitated exchange of best practices and innovations in cosmetic and restorative dentistry through engaging learning events.

Since its inception, the ASDA has been a catalyst for increasing national awareness of dental aesthetics and advancements in the field. ASDA provides the most up to date and comprehensive teaching programs on the art and science of cosmetic dentistry. It is also the goal to educate its members on cosmetic advancements that can be integrated into the traditional aspects of dental care.

In order to become a member, cases demonstrating cosmetic excellence must be submitted and accepted by the board of the ASDA. Dr. Chanin has been attending the ASDA conference since 1984. He is a member of the organization. During this year’s meeting, in Nashville on October 25, Dr. Chanin was awarded the highest honor the organization bestows on one of its members. Dr. Chanin has been awarded a Fellowship in the American Society for Dental Aesthetics. Three members of the organization, were awarded this honor at the national meeting last month. He is one of the few members that have been awarded the title of Fellow of the American Society for Dental Aesthetics in the country.

Diamond Dental Associates is proud to acknowledge Dr. Chanin for this outstanding achievement and congratulates him on this honor. In Addition, Dr. Chanin is also a Fellow of the Academy of General Dentistry, a Fellow of the International College of Dentists, a Fellow of the American Academy of Dento-Facial Esthetics and a member of the American Academy of Cosmetic Dentistry. Dr. Chanin is excited to provide excellence in cosmetic dentistry at Diamond Dental Associates and continue “to Change Lives one Smile at a Time.”

How Can Dental Fluoride Help Protect Teeth From Decay?

How Can Dental Fluoride Help Protect Teeth From Decay?

Dental fluoride combines with the minerals in your teeth to form a stronger, more acid resistant enamel. When the acids produced by plaque on your teeth start to break down the minerals in your tooth enamel, a process called demineralization begins. Demineralization starts by weakening the enamel and leads to small cavities at first but can progress into large areas of decay and eventual tooth loss. The very early stage of demineralization can be reversed by re-mineralizing the enamel. This can occur by introducing dental fluoride into the enamel.

There are two ways that fluoride works to protect tooth enamel – systemically and topically.

Systemically, fluoride works when teeth are developing in babies and children – replacing some of the crystals in developing enamel with more decay resistant crystals containing fluoride. Systemic fluoride is ingested in fluoridated water, foods or supplements prescribed by a dentist or pediatrician. These systemic sources of fluoride help to assure that a child’s teeth come in strong and decay resistant.

Topical fluoride is contained in fluoride toothpaste and fluoride mouthwash and work from the outside of the tooth when you brush and rinse. Topical fluoride treatments can also be administered at your dental office, less frequently and in higher concentrations. When you use topical fluoride daily at home, in low concentrations, you can re-mineralize weakened enamel and strengthen the structure of your enamel. It’s important to brush thoroughly twice a day and rinse daily with fluoride containing products that have been clinically proven to prevent tooth decay. Fluoride toothpastes and mouthwashes should be used throughout your life. Talk to your child’s dentist about how to help them brush with very small amounts of fluoride toothpaste until they are old enough to spit rather than ingest the toothpaste.

Other Ways That Dental Fluoride Can Help Prevent Cavities

Saliva contains a very low level of fluoride as a result of drinking fluoridated water and using products with fluoride and can therefore help with remineralization as it bathes the teeth – in addition to acting as a natural method for cleansing the teeth.

Besides re-mineralizing teeth systemically and topically, fluoride also helps prevent cavities by affecting the bacteria in plaque, making it less able to produce the acids that cause decay.

We now know that fluoride is effective for adults also. Fluoride varnish helps re-mineralize the enamel and especially when you have enamel erosion from acid relux, recession, decalcification and defective enamel. Fluoride varnish applied at your examination and cleaning appointment is greatly effective in preventing decay.

If you have any questions please contact Dr Scott Chanin at Diamond Dental Associates. 908-838-0004. We will help your beautiful smile stay beautiful.

Creating a New Smile with a Smile Makeover or Smile Upgrade

Creating a New Smile with a Smile Makeover or Smile Upgrade

Transforming less-than-perfect teeth into a stunning, superstar smile is a source of immense gratification for the cosmetic dentist and the patient. Cosmetic and restorative dentistry restores and improves the health and integrity of the patient’s teeth and, just as importantly, can improve the patient’s self-image. Today, to be truly cosmetic, dentists must be clinicians, artists, and communicators. To achieve success in all of these areas, the dentist must pay close attention to every detail, from initial patient consultation through treatment planning, treatment, and follow-up care. Consider a smile makeover to change the entire appearance of your smile. A smile upgrade is a way to change some aspects of the smile to improve the appearance.

In the past, failures of cosmetic cases were frequently due to inadequately meeting the patient’s expectations. By utilizing new technology such as smile selection guides, cosmetic imaging, and temporization techniques — thus creating a “trial smile” or prototype smile, can reduce this problem and greatly increase patient satisfaction.

In both the esthetic and restorative aspects of dentistry. The dentist is responsible for the patient’s functional and appearance-related needs. However, successful treatment planning first involves listening to the patient’s desires and concerns as you evaluate his or her needs, be it color, shape, or tooth position. To move toward building a successful case, you must identify the patient’s expectations during your diagnosis and treatment planning.

A pleasing, attractive smile can be attributed to the harmony of color, contour, size, bite, incisal edges, and teeth midline with the patient’s facial features. Often, this harmony can be achieved by treating just the four incisors, the key players in the smile zone. By enhancing their length, width, shape, and alignment, many times you can create a dazzling smile from imperfect teeth. The key to treatment success is creating the smile that the patient wants. I have found that showing patients photographs of other patients smiles and the before and after result, tremendously helps patients understand and visualize what can be accomplished with cosmetic dentistry. This generates enthusiasm and excitement in obtaining a new smile, which increases case acceptance, and facilitates the communication necessary to build a successful case right from the start.

We would love to talk to you about a smile makeover or smile upgrade. Call Dr. Chanin at 908-838-0004 to discuss you concerns and hear how he can give you the superstar smile that you have always wanted.


Don’t Let Dry Mouth Ruin Your Beautiful Smile

Don’t Let Dry Mouth Ruin Your Beautiful Smile

We Can Help You Keep Your Mouth Healthy

People are living longer and healthier lives. We see this in their dental health. Long gone are the assumptions that people will lose teeth as they age. That simply doesn’t have to be true. What is true is that your overall health, including your teeth, need to be a focus. Eating healthy, exercising, and taking care of your body is important to help ward off the illnesses and conditions that are associated with (but not limited to) aging. Poor dental health may also be associated with serious medical conditions such as heart disease, stroke, diabetes, pneumonia and other health problems common in older adults. While certain medications and health problems may affect your dental health by causing dry mouth, which may result in extensive decay.

Dry mouth is more common than you think. 3 out of 5 adult patients that we see in our office, suffer from dry mouth. Common causes of dry mouth are alcohol consumption, amphetamine use, chemotherapy, radiation to head and neck, HIV/AIDS, prescription medications, Mouth breathing, Pain medications, tobacco use and many more.

More than 500 medications cause dry mouth, from antibiotics, antidepressants, decongestants, diuretics, muscle relaxants, antipsychotic drugs, and blood pressure drugs.

We can help you treat dry mouth. There is a new treatment for dry mouth that is called SalivaMAX. It is a supersaturated calcium phosphate powder that when dissoved in water, creates a solution with a high concentration of electrolytes (ions) similar to that of natural saliva. SalivaMAX is an artificial saliva that is used to relieve acute and chronic forms of Dry mouth. It is clinically proven to reduce dry mouth due to medications, salivary disfunction, Sjogrens syndrome. SalivaMAX is intended to moisten, lubricate and clean the oral cavity including the tongue, mouth and throat.

If you have dry mouth, this is a great solution for you. Call our office and we can evaluate if SalivaMAX is indicated for your condition. SalivaMAX is a prescription medication that can help restore your oral health and prevent decay and further destruction of your beautiful smile. It is easy to use and is the first of a new generation of dry mouth solution. Call Dr. Chanin today to determine if SalivaMAX is right for you.