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We get it. You’re working out and could use a boost. It’s 2 a.m. and that essay won’t write itself (darn it). You’re in the middle of a rehearsal that goes on and on and . . . 

It’s easy to reach for an energy drink when you’re feeling a bit low on, well, energy. These drinks are loaded with caffeine, and, like coffee or tea, can help you feel more alert. But before you pop that top, let’s look at how energy drinks affect your dental health.

• Energy drinks are very acidic.

Acid levels are measured using the pH scale, which ranges from 0 (most acidic) to 14 (most alkaline). Saliva has a normal pH somewhere between 6.2 and 7.6, which helps neutralize any acidic conditions in the mouth and promotes a healthy oral environment. But saliva’s neutralizing effect can be overwhelmed by highly acidic foods and drinks.

Why are higher levels of acids bad for our teeth? Acids strip away minerals like calcium from tooth enamel, minerals which make enamel the strongest substance in the body. This demineralization weakens the enamel’s protective outer structure and can lead to enamel loss, sensitivity, tooth discoloration, and decay.

Many energy drinks are among the most acidic beverages on the market. Mineral loss in your enamel starts to occur when the pH balance in the mouth falls to 5.5 or less. Lemon juice has a pH between 2 and 3. White vinegar has a pH of 2.5. Energy drinks can range from 1.5 to 3.5 on the pH scale! Studies show that regular consumption of energy drinks greatly increases the risk and severity of dental erosion.

• Most energy drinks are full of sugar.

Sugar is easily metabolized, or broken down, by the body. When our bodies break down food, energy is released. That’s why companies add sugar as well as caffeine to their energy drinks. 

The plaque bacteria which create cavities also use sugars in these drinks as an energy source, converting sugars into acids. Just like acidic foods and drinks, bacterial acids break down the mineral structure in tooth enamel. You might notice small white spots when the enamel starts to erode—and a cavity starts to develop. 

• Energy drinks aren’t just bad for your dental health. 

The temporary burst of energy you get from all the sugar in energy drinks is followed by a sugar crash when blood sugar levels go down again, and you can feel tired, weak, or shaky. 

Even worse, one energy drink might contain three to four times the amount of caffeine found in a cup of coffee. Excess caffeine interferes with healthy sleep. It can cause changes in heart rate, blood pressure, and anxiety levels. 

Children and teens are especially vulnerable to the effects of large amounts of caffeine while their brains and bodies are still developing. That’s why the American Academy of Pediatrics recommend no energy drinks at all for children and teenagers. The FDA suggests that adults should not take in more than 400 milligrams per day of caffeine, while energy drinks can range from around 80 to 400 mg per can. 

If you do have the occasional energy drink, what’s the best way to protect your teeth and gums?

• Don’t linger over your drink. Sipping slowly over time just bathes your teeth and gums in sugar and acids over a longer period. 
• Drink water when you’re done. Water helps wash away sugars and acids, hydrates, and promotes healthy saliva production.
• If the team at Mancini Orthodontics gives gum a thumbs up, chew a piece of sugarless gum after downing an energy drink to increase saliva flow and help neutralize acids in the mouth. 
• Wait at least 30-60 minutes to brush after finishing an energy drink. Acids in the drink weaken enamel, and brushing immediately can be abrasive to the tooth surface.
• Eat a healthy diet rich in proteins, complex carbs, vitamins, and minerals to feel more energetic.
• Keep up with good dental hygiene. Brush twice each day for two minutes and floss daily, or more often as recommended by Dr. Kevin Mancini.

If you notice signs of enamel erosion—sensitivity, front teeth which are becoming transparent or rough around the edges, yellowish discoloration, or white or brown spots on your enamel—it’s time for a talk with your dentist. When caught early enough, treatment is available which can stop further erosion from harming your teeth.

It can be harder to brush and floss as effectively when you wear braces, so it’s more important than ever to make healthy choices in your diet and to keep up with your dental hygiene. The team at Mancini Orthodontics in Hampstead, NC and Jacksonville, NC is always happy to give hygiene tips! Talk to your dentist or doctor to discover healthy ways to stay focused and energetic. Your workout, your essay, your rehearsal, and, above all, your healthy body and healthy smile will thank you!

It seems like the ads are everywhere these days—repair your enamel and reverse tooth decay with a tube of toothpaste! Are these claims too good to be true? Let’s dive into the science of tooth decay—how decay develops and how (and if!) it can be reversed.

Teeth can stand up to the powerful pressures of biting and chewing because over 95% of our enamel is made up of minerals. Calcium and phosphate ions in our teeth bond to form a crystal structure called hydroxyapatite. Because of the strength of this crystalline design, tooth enamel is the hardest substance in our bodies, even stronger than our bones. 

But bones, like most other parts of our bodies, are living tissue, which means that they can create new cells to replace old or damaged cells. Tooth enamel can’t regenerate new cells to repair itself. This means that when a cavity has made a hole in the tooth, the enamel can’t grow back. And, while enamel structure is very strong, it’s also vulnerable to damage—specifically, damage from acids. 

Our teeth are exposed to acids throughout the day, whether they are acids created by plaque bacteria or the acidic foods and drinks we consume. Acids dissolve mineral bonds, stripping calcium and phosphate minerals from the enamel and leaving weak spots in the tooth surface. This process is called demineralization. Demineralization is the first stage of tooth decay.

The good news? Our bodies are designed with a built-in defense mechanism to prevent demineralization from causing lasting damage. All through the day, saliva helps wash away acids in the mouth and bathes our teeth with new calcium and phosphate ions. These ions bond with the calcium and phosphate in our enamel, restoring enamel strength. This protective repair process is called remineralization. 

Now for the bad news. In the tug of war between demineralization and remineralization, saliva can only do so much. If your diet is heavy with acids, if you don’t brush away acid-producing plaque bacteria regularly, if you eat a lot of the sugars and starches which feed plaque bacteria, the remineralizing effects of saliva can’t keep up with the demineralizing effects of acids.

The first visible sign of demineralization is often a white spot on the tooth where minerals have been stripped from enamel. Studies have shown that enamel-strengthening toothpaste can be effective in this very first stage of tooth decay. Toothpastes which advertise enamel repair generally contain one or more of these ingredients:

• Calcium Phosphate
• Hydroxyapatite
• Fluoride 

Toothpastes with calcium phosphate or hydroxyapatite contain calcium and phosphate minerals, the building blocks of tooth enamel. Studies have suggested that these minerals can replace the calcium and phosphate ions stripped from enamel. These toothpastes may or may not contain fluoride, which is something you should discuss with your dentist before deciding on a specific toothpaste.

Fluoride toothpastes remineralize enamel—and more! Fluoride ions are attracted to the tooth’s surface, and, when fluoride ions join with the calcium and phosphate ions there, they form fluorapatite. Fluorapatite crystals are larger, stronger, and more resistant to acids than hydroxyapatite crystals. And, once bonded with tooth enamel, fluoride attracts the calcium and phosphate ions in saliva to remineralize the teeth more quickly. 

Why consider enamel-repair toothpaste? 

Once enamel is gone, it’s gone for good. If excess demineralization isn’t treated, a weak spot on the tooth surface will continue to erode, growing bigger and deeper until it becomes a hole in the enamel. This is a cavity, and your dentist will need to treat and repair your tooth to prevent the cavity from growing and potentially exposing the tooth’s pulp to bacteria and infection. 

If you wear braces, you want to be especially careful about excess demineralization. Because it can be hard to brush and floss effectively with braces, white spots and discolored patches are a common concern for those with braces, especially on the enamel around brackets.  

Talk to Dr. Kevin Mancini at our Hampstead, NC and Jacksonville, NC office about which toothpastes can help restore a healthy balance between the ongoing cycles of demineralization and remineralization when you have braces. While tooth-repair toothpaste can’t fix cavities, these products can often strengthen demineralized enamel and reverse this earliest stage of tooth decay.

It’s the littlest month of the year, so what better time to think about the dental health of our littlest family members? February is National Children’s Dental Health Month, and we’re here to suggest some of the best dental habits for healthy childhood smiles.

Babies 

• Even before your baby cuts her first adorable tooth, you can start proactive dental care by gently wiping little gums with a clean, moist gauze pad or soft cloth twice a day. This removes bacteria and food particles and helps prepare your baby for brushing.
• When that first tooth does appear, or by age one if it hasn’t yet erupted, it’s time to schedule a visit to the dentist. At this first visit, your child’s dentist will check jaw and tooth development and can give expert guidance on teething, brushing, how much and which kind of toothpaste to use, and topics like thumb-sucking and pacifier use.
• When baby teeth arrive, use a small soft-bristled toothbrush designed to fit comfortably in tiny mouths.
• Use toothpaste as recommended. Children under the age of three who use paste should use a very small amount, no larger than a grain of rice.
• Prevent “baby bottle tooth decay”—don’t put your baby to bed with a bottle. This allows the sugars in formula or, when your child is 12 months or older, milk, to bathe the teeth throughout the night. And babies and toddlers never need sugary juices or sodas in those bottles!

Toddlers 

• Help your child develop a positive relationship with his dental team. Read books or watch videos to help your child learn what to expect. Practice with him by having him open his mouth while you count his teeth. Plan visits when your child isn’t hungry or tired. Be positive yourself—your child will take his cues from you!
• Schedule regular appointments for exams and cleanings. Your child’s dentist will check tooth and jaw development, look for any signs of decay, and evaluate potential problems such as prolonged thumb sucking or pacifier use. 
• By age three, children have most or all of their baby teeth. Use a soft bristled brush to clean your child’s teeth twice each day. As she grows, demonstrate how to brush properly. Your dentist and hygienist will have some great ideas on technique!
• Daily flossing should begin as soon as your child has two teeth which touch. 
• Around age six, your child may be transitioning to solo brushing and flossing—but your oversight is still needed. Make sure all the surfaces of the teeth, including the tops of new molars, are brushed thoroughly. You might provide a timer or a two-minute song or video to make sure your child spends enough time brushing. Flossing can be tricky for young hands, so you’ll need to help with that task for a few years more.

School-Aged Children

• Orthodontists and dentists recommend a first visit to the orthodontist by age seven, or earlier if you notice your child has trouble chewing or biting, if the teeth don’t seem to fit together properly, or if you have any concerns about bite and alignment. When potential problems are discovered right away, early intervention can prevent more serious orthodontic issues from developing later. The team at Mancini Orthodontics in Hampstead, NC and Jacksonville, NC is happy to answer any questions you might have about early interventions!
• If your child is beginning orthodontic treatment, you can help make the journey easier: 
  • Keep up with appointments and adjustments—missed appointments can delay your child’s progress. 
  • Braces can make brushing and flossing more difficult, so try special brushes and floss designed just for braces. 
  • If needed, remind your child to wear bands or aligners for the recommended number of hours each day. 
  • Be encouraging! Remind your child that these months in braces or aligners will lead to years of healthy, attractive smiles.
• Talk to your dentist about sealants. Permanent molars usually erupt between the ages of six and 12. Sealants are thin coatings which protect the chewing surfaces of these molars from food particles and cavity-causing bacteria which would otherwise collect inside grooves in the enamel.
• Children who play sports and engage in activities with a chance of physical contact should have a well-fitted mouthguard to protect their teeth. Be ready to replace it as often as recommended by Dr. Kevin Mancini or if it’s damaged.
• Increases in hormones during puberty can lead to puberty gingivitis, and swollen, red, and bleeding gums can be the result. Proactive dental hygiene will prevent gum disease from developing. Make sure your child brushes two minutes, twice a day, and flosses once per day. If symptoms persist, it’s time to see the dentist.
• A nutritious diet is essential for healthy teeth and gums. Give your child solid nutritional building blocks with a diet rich in proteins, vitamins, and minerals. If your child wears braces, have a variety of appealing, braces-friendly foods on hand. 

Help your child enjoy a future of healthy, confident smiles by working in partnership with your child’s dentist and the orthodontic team at Mancini Orthodontics. They are ready every month of the year with advice and expertise to make that healthy dental future a reality!

Bite problems are so common that most of us know someone who’s worn braces. So perhaps you’re already familiar with the terms “overbite” and “underbite”—but if you’ve been diagnosed with an “overjet,” that just might be an orthodontic diagnosis that is new to you. If so, here are a few questions and answers to help promote overjet understanding.

Just what is an “overjet”?

An overjet is a type of malocclusion, which means that there’s a problem with your bite, the way your jaws and teeth fit together when you bite down. In a healthy bite, the front top teeth project slightly beyond, and slightly overlap, the bottom teeth. The key word here is “slightly.”

An overjet is a Class II malocclusion, which means that the upper front teeth project further beyond the lower teeth than they should. Overjets and overbites are both Class II malocclusions, and the words are often used interchangeably, but there’s a notable difference between the two conditions.

An overbite occurs when the top teeth overlap the bottom teeth too far vertically, and you can’t see as much of the lower teeth as you should when you bite down.

An overjet is considered more horizontal in nature, where the top teeth project at an outward angle toward the lips instead of pointing straight down toward the bottom teeth. This condition is sometimes called protruding or buck teeth.

What causes an overjet?

The reason for your overjet might be dental (caused by tooth alignment), or skeletal (caused by bone development), or a combination of both.

Overjets can run in families. They can also be caused by the size and position of your jaws and the shape and position of your teeth, all of which affect your bite alignment. But early oral habits, such as prolonged and vigorous thumb-sucking or pacifier use, can also contribute to overjet development.

How do we treat an overjet?

There are many types of treatment available. Dr. Kevin Mancini will recommend a treatment plan based on the cause and severity of your overjet. Because some treatments are effective while bones are still growing, age plays a part as well.

• Braces and Aligners

If you have a mild overjet, and minor dental issues are the main cause of the malocclusion, braces or clear aligners can effective.

• Functional Appliances

If the overjet is caused by a problem with upper and lower jaw development, devices called functional appliances can be used to help guide the growth of the jawbones while a child’s bones are still forming.

For young patients, there are several appliances which can help correct an overjet. Some, such as the Twin Block and the Forsus Spring appliances, work inside the mouth, while others, like headgear, are worn externally. Your orthodontist will recommend the most effective appliance for your needs.

• Surgical treatment

In some cases, where the malocclusion is skeletal in nature as well as dental, surgical treatment might be necessary to reshape the jawbone itself.

If we recommend surgery, oral and maxillofacial surgeons are experts in surgical procedures designed to create a healthy and symmetrical jaw alignment. Dr. Kevin Mancini will work with your surgeon to design a treatment plan, which will usually include braces or other appliances following surgery.

Why treat your overjet?

A serious, moderate, or even mild overjet can lead to many dental and medical problems, including:

• Concerns about facial and dental appearance
• Front teeth which are more at risk for injury
• Difficulty closing the lips
• Problems speaking or chewing
• Headaches, facial, and temporomandibular (jaw) joint pain

When you work with our Hampstead, NC and Jacksonville, NC team to correct your overjet, you’re not just correcting a problem. You’re also creating something—a healthy, comfortable bite, and an attractive, confident smile. We can talk about general answers to your overjet questions, but when it comes to understanding your very individual smile, Dr. Kevin Mancini will have all the answers you need to make that healthy bite and that confident smile a reality!