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Part of presenting our best faces to the world is making sure our smiles are bright and our breath is fresh. Sure, we’ve all been embarrassed by an occasional pungent reminder of that garlic bread we just couldn’t pass up, but with daily brushing and flossing, fresh breath is the norm. Until it isn’t.

If you’ve been carefully avoiding strong foods in your diet, if you’ve started brushing a lot more often, if you’re relying on mints and mouthwash to get you through the day, and you still have bad breath, it’s time to see your dentist or doctor.

Chronic bad breath can be a symptom of tooth decay, dry mouth, oral infections, diabetes, kidney disease, and many other medical or dental problems. It can also be a red flag for serious gum disease, or periodontitis.

How does gum disease cause persistent bad breath? The bacteria and plaque that we are careful to brush away from the surface of our teeth can also stick below the gum line. These bacteria irritate the tissues around them, and the area becomes inflamed. Pockets form around the teeth where bacteria collect and multiply, becoming the source of that unpleasant odor.

And, while bad breath is an embarrassing consequence of gum disease, there are other consequences that are far more serious. Infection causes inflammation, and untreated infection and inflammation lead to the breakdown of gum and bone tissue and, eventually, even tooth loss.

If your dentist discovers signs of advanced gum disease, it’s time to give a periodontist like Dr. Robee Bailey Jr., DMD a call! Because this dental specialty requires three additional years of study after dental school, focusing on the treatment of periodontal disease and cosmetic restorations, periodontists have the knowledge and experience to treat the cause of your gum disease and to restore your gum and bone health.

What can your periodontist do for you? Periodontists are skilled in many procedures that can be used to save gums and teeth, including:

• Antibiotic therapy, which can be used alone or with other procedures to treat periodontitis.
• Non-surgical treatments, such as scaling and root planing, which remove plaque and tartar from areas of the teeth above and below the gum line and clean and smooth tooth surfaces.
• Flap surgery, which allows the periodontist to remove tartar, smooth any irregular tooth surfaces, and then reposition the gum tissue snugly around the teeth to eliminate pockets where bacteria can multiply.
• Bone and gum grafts, bone surgery, and surgical tissue regeneration, to replace and repair damaged bone and gum tissue.

If you are experiencing persistent bad breath, talk to your dentist or doctor about the possible causes, and whether a visit to our Concord, NC office is in order. Periodontal treatment can stop the progression of gum disease, and even restore damaged tissue and bone to make sure you keep your teeth for a lifetime. And one additional bonus? The return of your bright smile and fresh breath. Let your periodontist help you breathe easy once again!

When you get braces as a child, you usually present the orthodontist with a blank canvas—newly erupted, perfect permanent teeth, just waiting to be aligned. But if you are a bit older, your canvas might already be a bit busy, with fillings, crowns, perhaps even a missing tooth. Can Dr. Robee Bailey Jr., DMD still work with that more complicated picture? Yes!

• Fillings

Many of us have acquired a filling or two. Normally, an old filling shouldn’t interfere with new braces. Large fillings, however, might call for spacers. These small rubber bands are inserted between two teeth as needed to create enough room for bands and brackets, and are generally put in place a week or two before you get your braces. They frequently fall out on their own as the space between the teeth gets a bit wider.

• Crowns

If you have had a root canal or any other dental treatment that left you with a crowned tooth, no need to be concerned. A special dental adhesive can be used to adhere brackets to crowns.

• Implants

If you have or would like to get an implant, this is a time to coordinate with your orthodontist and dentist or oral surgeon. Sometimes an implant can anchor your appliance, and sometimes it’s best to keep the spot open until your orthodontic work is completed. Once in place, an implant will not have the mobility of a tooth, so it’s always best to make sure your doctors can create a schedule that will work for both the installation of the implant and the positioning of your braces.

• Healthy Teeth and Gums

Before you begin orthodontic work, talk to your dentist. If you need a filling or crown, are considering a dental implant, have symptoms of gum disease, or are looking at any other dental concerns, you should work with your dentist first. Healthy teeth and gums are the very best foundation for orthodontic treatment at any age.

If you are wondering whether Dr. Robee Bailey Jr., DMD can help you achieve the smile you’ve always wanted, talk to us when you visit our Concord, NC office! Your past dental work will be just one of the many variables we take into consideration when we’re planning your future of picture-perfect smiles.

“Crown lengthening”? Probably not an expression most of us are familiar with! In fact, this is a common periodontal procedure designed to improve both the health and the appearance of our smiles by revealing more of the tooth surface usually hidden by our gums.

What is Crown Lengthening?

The “crown” is the part of our tooth covered by enamel, while the “lengthening” is actually the result of revealing more of the tooth. Usually, Dr. Robee Bailey Jr., DMD will use a local anesthetic to numb the area, and remove gum tissue from the base of a specific tooth or teeth. If necessary, a small amount of bone tissue might be removed from the base of the tooth as well. This process exposes more tooth surface. When the ideal tooth length is visible, the tissue around it is then shaped for an even appearance and the repositioned gum tissue is often sutured in place. We will always tailor this treatment to your specific needs, so talk to us about our treatment plan for you. We will explain the surgery, after care, and follow-up visits.

Why Consider Crown Lengthening?

• To Repair an Injured Tooth

Sometimes a tooth suffers an injury that makes it impossible to repair without crown lengthening. If a tooth is broken off at the gumline, or suffers a fracture that extends to the gumline, more of the tooth will need to be exposed so that there is enough remaining natural tooth to support a crown. Similarly, this procedure might also be necessary for a filling if decay has affected the tooth near the gumline. Crown lengthening can enable us to perform a restoration and save a tooth where an extraction might otherwise take place.

• For Cosmetic Improvement

An excess of gum tissue can lead to a “gummy” smile. Crown lengthening can reduce extra gum tissue and, if needed, bone tissue, to provide you with a well-proportioned smile. The gum tissue will be contoured for an even, attractive gumline. This process is carefully designed to create a balance of lips, teeth, and gums for your most appealing smile. Crown lengthening might also be advisable if more tooth surface is needed for veneers.

Call our Concord, NC office if you have any questions about this procedure, whether for restorative or cosmetic reasons. “Crown lengthening” might be a term you’ve never heard before. But it might be exactly the procedure you need to ensure healthy teeth and a beautiful smile.

Have you been having trouble getting a good night’s rest?

Sometimes the reason for a poor night’s sleep is obvious. A midnight horror movie. A bedtime espresso. That anchovy and pineapple pizza you had for dinner. Not much we can do about these problems.

Sometimes, though, the cause of your sleep difficulties is dental in origin, and that is something Dr. Robee Bailey Jr., DMD can help with.

Teeth grinding, or bruxism, is a very common dental problem. When people with this condition sleep, their jaws clench and their teeth grind against each other throughout the night. When to suspect you might suffer from bruxism?

• You wake with a sore jaw, or you hear pops or clicks when you move your jaw
• You suffer from frequent headaches or facial pain
• Your teeth are chipped, cracked, flattened, worn down, or sensitive
• You wake up tired, because grinding affects the quality of your sleep
• Partners, siblings, or roommates complain about nocturnal grinding noises affecting the quality of their

Pain and fatigue are unpleasant enough, but there are additional serious consequences for those who suffer from bruxism. Our jaws are extremely powerful, and clenching and grinding can put hundreds of pounds on pressure on teeth and jaws over hours of sleep. These forces can lead to:

• Damaged teeth. Cracked, chipped, and worn down teeth can mean veneers, crowns, and root canals. Seriously compromised or broken teeth might need to be extracted.
• Damaged dental work. Bruxism can lead to fractured veneers and damaged fillings and crowns. If the damage is too serious for repair, replacement might be necessary.
• Damaged jaw joints. Severe cases of bruxism can lead to injury to the temporomandibular joint, or TMJ, the complex hinge that allows our jaws to move up and down, back and forth, and side to side.

Why are periodontists concerned about bruxism? Because tooth grinding, over time, can also cause problems for your gums. Grinding your teeth doesn’t cause periodontitis, or advanced gum disease, but it can make the effects of the disease worse.

Periodontitis, left untreated, breaks down the bones and ligaments which support our teeth and hold them firmly in place. The extreme forces generated by tooth grinding put even greater pressure on these already compromised support structures, which can accelerate their breakdown.

While tooth, jaw and periodontal damage can be treated with restorations, or root canals, or implants, or surgical procedures, prevention is clearly a much better option for a healthy smile. And one of the simplest and most effective treatments for preventing the damage caused by bruxism is a night guard.

Night guards fit over the affected teeth to prevent them from touching directly, saving tooth and enamel from injury and wear. Not only do night guards prevent contact, they spread the biting forces of the jaw over the surface of the guard to greatly reduce their impact. And because they also stop the jaw muscles from clenching tightly, there’s no excess stress placed on the temporomandibular joint.

While over-the-counter products are available, a dental professional is the best person to see for the most effective night guard. A custom night guard is designed to fit your individual teeth and mouth perfectly. Impressions or 3D scans are taken in our Concord, NC office, and a guard is fabricated with the precise shape, strength, and thickness you need to protect your teeth. And, as a bonus, custom night guards offer the most comfortable fit for the most comfortable night’s sleep.

Scary movies, late night caffeinating, creative food combinations—not much we can do about those! But if you’re suffering lost sleep and painful mornings because of tooth grinding, give your dentist a call. In many cases, a night guard just might be the key to sweet dreams.