Dental Fillings Fail More Often for People Who Drink or Smoke Regularly

failing tooth fillings and why

Research found in Frontiers in Medicine looked into composite and amalgam fillings as well as a number of the factors which might lead to their failure.

Among the variables looked at were smoking, alcohol consumption, age, sex, diabetes, periodontal health, and genetics. 4,856 individuals’ dental records from 5 years were examined for this study.

Highlights of the paper include:

Composite and amalgam dental fillings have similar durability

Composite fillings are the more recent, white fillings, whereas amalgam fillings are the familiar silver fillings which have been in use for over one hundred and fifty years. During the duration of the study, the team found that the failure rates for composite and amalgam filings were about the same, with the more modern composite fillings doing slightly better (about two percent better).

Male smokers and people who drink have fillings fail at a higher rate

Of the lifestyle variables examined, drinking and smoking displayed the greatest link with filling failures. After having dental fillings for 2 years, the failure rate was highest in individuals who were regular drinkers and in men who were smokers.

Genes could be a factor for failed dental fillings

A gene for matrix metalloproteinase (MMP2), an enzyme found in teeth, was looked into by the study. According to the researchers, MMP2 can degrade the bond between a filling and tooth. The research team suggested that a person’s genetic background may one day be a bigger factor in dentistry. “In the future, genetic information may be used to personalize dental treatments and enhance treatment outcomes,” said Alexandre Vieira, a member of the research team.

The study lends further credence that white composite fillings can be looked at as an alternative to the older amalgam fillings. The connection between lifestyle choices and the failure rate of fillings are something patients might like to think about also.

Make your next exam with Dr. Layman or Dr. Shirman, now, especially if you haven’t had your fillings checked lately.

Canker Sores – What Are They?

different kinds of canker sores and how to treat them

Approximately twenty percent of people suffer from canker sores.

Manifesting on the inside of the mouth only (unlike cold sores), aphthous ulcers (canker sores) are not contagious.

One can recognize canker sores by their oval shape with a red border, and usually a yellow, white or gray center. Though painful, most canker sores will heal without intervention in a short time.

Possible causes:

The true causes of canker sores are unclear, though a likely factor is heredity. Women are affected almost at double the rate of men by canker sores and they tend to afflict those who are ten to twenty years old. They often happen at the site where the mouth has been injured, and connections have been discovered between stress and canker sores. A chemical found in toothpaste, sodium lauryl sulfate (SLS), has been found to be connected with canker sores as well. Additionally, canker sores might be an indicator of an immune system problem.

Canker sores come in three varieties. While most canker sores are minor ones, the other types are major and herpetiform canker sores. The Mayo Clinic has more information on these other kinds on their website.

How to treat a canker sore

If are suffering from a minor canker sore, no treatment is usually needed. There are some things you can do to avoid additional pain, however.
– Avoid spicy foods as well as those that could be scratchy or hard. These will aggravate the wound.
– Don’t brush the wound with your toothbrush.
– Consider using a toothpaste that doesn’t have sodium lauryl sulfate.


– Don’t eat foods which can irritate your mouth.
– Be sure to have good nutrition—avoid vitamin deficiency
– Defend your mouth against cuts-Orthodontic wax can help with braces.
– Reduce or eliminate stress from your life.

Check with Dr. Layman, Dr. Shirman, or your doctor if you’re suffering from a canker sore which is larger than normal or painful or one that doesn’t seem to heal.

Enlarged Periodontal Regions Could Be An Indication Of Childhood Leukemia

enlarged gums could be a sign of leukemia in children

According to a newly published case report, enlarged periodontal regions in children could be a potential indicator for intense kinds of Leukemia (AML).

Diagnosing a patient can be difficult at times; especially when you are trying to figure out what is wrong with them based on what is going on in their mouth alone. When looking for a medical diagnosis for an oral issue, it remains important for every dental practitioner to think outside of the box for sources other than just the mouth. Every oral professional should check into their patients’ medical as well as family members’ backgrounds before deciding on a proper medical diagnosis.

What is Leukemia?

Leukemia is a form of cancer that attacks the blood cells. It impacts the formation of white blood cells which, in turn, prevent the body from being able to effectively deal with various infections. Rather than normal, healthy blood cells, Leukemia causes the person to create leukemic blood cells, which can result in death from of bleeding, infection, or both. According to the case report published on Dentistry Today, dental practitioners are responsible for initiating the diagnosis of 25% of individuals with acute myelogenous leukemia and 33% of myelomonocytic leukemia.

With regards to gum-related leukemia (AML), hemorrhaging and gingivitis can be seen in instances of the enlarged gum tissue. Ulcerations and the before-mentioned hemorrhaging are much more typical in the acute forms of leukemia than in chronic cases of leukemia.

What are the solutions?

While having bigger gum tissues does not exactly imply your child has leukemia, it is essential to be conscious of the possibility when trying to find causes. Enlarged periodontal regions might also be the result of various forms of gingivitis such as puberty-based gingivitis, menstruation cycle-associated gingivitis, Crohn’s illness, lymphoma, ascorbic acid deficiency, neurofibromatosis, and many more causes.

Give Dr. Layman and Dr. Shirman a call if your kid appears to have unusually large gum regions so an appropriate diagnosis can be determined.

Chemotherapy is still considered the very best means for fighting leukemia. Individuals with bigger gum tissues as an outcome of AML and AML’s subtypes found a reduction in gum swelling as a result of radiation therapy. Blood transfusions, and also bone marrow transplants, are additionally known to be valuable combatants in children affected with leukemia.

Here Are A Few Reasons To Start Using CBCT 3D X-Rays

Cone beam 3d imaging technology

Even some of the most seasoned general dentists and find anatomical surprises in their patients’ mouths that give them pause.

Today’s progress in technology like CBCT 3D machines can make difficult cases easier to spot and deal with.

With the use of this 3D X-ray technology, Dr. Layman and Dr. Shirman can be prepared to handle any case that comes our way.

What exactly is a CBCT 3D machine?

Dental cone beam computed tomography, or CBCT 3D machines, are 3D X-ray imaging devices for teeth which allow our dentists to get a good look at the tooth (as well as the rest of your mouth) as a whole, inside and out.

Making use of CBCT 3D technology allows us to discover canals we couldn’t already see in your previous examinations, catch hairline fractures that we may not have detected while examining a tooth, and see pulp stones we couldn’t spot with basic X-rays. The use of the 3D technology on this machine makes planning and efficiency a whole lot easier.

CBCT 3D machines make endodontic treatments easier to deal with.

CBCT 3D machines take a bunch of 2D radiographs that are then turned into a 3D set of data that allows our dentists to examine the entirety of the tooth. With these devices, they can examine the anatomy of a tooth on several planes—specifically the sagittal, coronal, and axial. This provides them with the power to create a far more complete plan for endodontic treatment.

They also make referrals to your favorite endodontist less of a hassle.

Prior to this technology, a dentist could begin a root canal only to discover that the patient’s situation requires a dental specialist (typically an endodontist) to resolve.

With the 3D features of the cone beam machines, both dentist and patient can avoid the extra procedure, as the dentist can spot the problem and make the referral without ever having to use a drill. We’re certain our patients can appreciate the benefit this provides.

At Layman, Shirman & Associates, our goal is to give our patients the very best dental care, as efficiently and effectively as possible. With CBCT 3D technology, we can.

Sweet E-Cigarettes Increase Risk Of Cavities, New Study Shows

E-cigarettes may cause cavities

Sweet e-cigarettes more than just taste like candy, they’re just as bad for you.

People have been switching over from standard cigarettes to e-cigarettes, both for supposed health benefits and for the varieties in flavor. Well, according to a new study recently reported by the ADA Foundation Volpe Research Center, they might not be as healthy of an alternative as some previously thought.

The study “Cariogenic Potential of Sweet Flavors in Electronic-Cigarette Liquids,” took a look at the potential for tooth decay to occur when exposed to the smoke from various sweet flavored e-cigarettes. The results showed the potential for an increased risk of the development of cavities due to a combination of the liquid’s thickness and of the chemicals found in certain sweet e-cig liquids.

If that weren’t bad enough, sweet e-cigarettes were also found to have some of the same properties as the ones found in acidic drinks like sodas; gelatin, like in gummy candies; and high-sucrose products—all of which mean trouble for your teeth.

Thomas Hart, DDS, PhD, senior director of the ADA Foundation Volpe Research Center, had this to say about the purpose of the e-cigarette study:

“This study will give dentists further information to help educate patients that using e-cigarettes can have detrimental effects on their mouths.”

The results of this study mean e-cigarettes may not be as healthy of an alternative to regular cigarettes like some would have you believe. Not only do they pose a risk for your respiratory system, but now your oral cavity as well. Cavities are a serious problem in need immediate attention; give us a call if you feel you could be at risk of developing cavities.