Dental Emergency

Accidents happen, and knowing what to do when one occurs can mean the difference between saving and losing a tooth.

Here are some tips for common dental emergencies: 

• For a knocked-out permanent or adult tooth, keep it moist at all times. If you can, try placing the tooth back in the socket without touching the root. If that’s not possible, place it in between your cheek and gums, in milk, or use a tooth preservation product that has the ADA Seal of Acceptance. Then, get to your dentist’s office right away. 
• For a cracked tooth, immediately rinse the mouth with warm water to clean the area. Put cold compresses on the face to keep any swelling down. 
• If you bite your tongue or lip, clean the area gently with water and apply a cold compress. 
• For toothaches, rinse the mouth with warm water to clean it out. Gently use dental floss to remove any food caught between the teeth. Do not put aspirin on the aching tooth or gum tissues. 
• For objects stuck in the mouth, try to gently remove with floss but do not try to remove it with sharp or pointed instruments. 

When you have a dental emergency, it’s important to visit your dentist or an emergency room as soon as possible.

Here are some simple precautions you can take to avoid accident and injury to the teeth:   

• Wear a mouthguard when participating in sports or recreational activities. 
• Avoid chewing ice, popcorn kernels and hard candy, all of which can crack a tooth. 
• Use scissors, NEVER your teeth, to cut things. 

Most dentists reserve time in their daily schedules for emergency patients. Call your dentist and provide as much detail as possible about your condition.

The above article is from mouthhealthy.org

de Bruin Dental Center   

Tomas G. de Bruin, DDS   
631 Sierra Rose Drive, Suite A  

Reno, NV 89511   
(775) 826-1838   
deBruinSmiles.com

New Year, Healthier Mouth

Below is an excerpt from an article found on mouthhealthy.org

What does ringing in the new year have to do with being mouth healthy? 

More than you may think. Did you know that you should replace your toothbrush every three to four months? Bristles that become frayed and worn are less effective at cleaning your teeth. That means, celebrating the new year with a brand new toothbrush is actually smart dental hygiene.

Here are MouthHealthy resolutions:

• Start brushing 2min2x. Always brush twice a day for two minutes for healthier teeth, good breath, fewer cavities, and to avoid painful dental problems. 
• Floss daily. Flossing is part of being mouth healthy.
• Chew sugarless gum. Chewing sugarless gum for 20 minutes following meals can help prevent tooth decay.
• Eat a healthy diet. Eat a balanced diet and limit between-meal snacks.
• Drink fluoridated water. Fluoride helps prevent cavities by making teeth more resistant to the acid attacks that cause cavities.
• See your dentist. Regular dental visits will help you be Mouth Healthy for Life.  

To read the entire article visit mouthhealthy.org

de Bruin Dental Center   

Tomas G. de Bruin, DDS   

631 Sierra Rose Drive, Suite A  

Reno, NV 89511   
(775) 826-1838   

deBruinSmiles.com

Finding A Dentist

Below is an excerpt from an article found on colgate.com

How Do I Look for a Dentist? 

A good place to start is by asking for a referral from people you trust — your friends, family, acquaintances, work associates, pharmacist or family doctor. Ask them how long they've gone to their dentist, how comfortable they feel asking questions, what type of dentist they go to (general or specialist). It is important that you find a dentist with whom you feel comfortable.

Other ways to find a dentist include:

• Calling your local dental society for a list of recommended dentists in your area. Your local dental society can be found in the Yellow Pages under "dentist."
• Searching online for dentists in your area. More and more dentists have websites explaining their approach and treatment methods.

What Kind of Dentist Should I Look for?

General dentists are trained to do all types of treatment. If you have difficult or unusual problems, your dentist may refer you to one of the following specialists:

• Pediatric Dentists/Pedodontists specialize in pediatric (children's) dentistry.
• Endodontists diagnose and treat diseased tooth pulp and perform root canal work (many general dentists also perform root canals).
• Prosthodontists specialize in crowns, bridges and dentures.
• Oral pathologists use laboratory procedures to diagnose diseases of the mouth. They also specialize in forensic dentistry.
• Oral/Maxillofacial surgeons perform surgical treatments, such as removing cysts, tumors and teeth. They can correct fractures or other jaw problems that require surgery, including temporomandibular joint (TMJ). They also use methods similar to those of plastic surgery to treat cosmetic problems of the jaw and face.
• Orthodontists correct improperly positioned teeth, using braces and other appliances to move teeth into a better position.
• Periodontists specialize in the diagnosis and treatment of gum disease.

How do You Become a Practicing Dentist?

A general practitioner or specialist can be degreed as either a D.D.S. (Doctor of Dental Surgery) or a D.M.D. (Doctor of Dental Medicine), depending on the school from which he/she graduated. The requirements for each degree are identical: four years of post-graduate study for general practice plus one to two years of advanced study for a particular specialty. A graduate must then pass a state licensing examination in order to begin practice.

To read the entire article visit colgate.com

de Bruin Dental Center   

Tomas G. de Bruin, DDS   

631 Sierra Rose Drive, Suite A  

Reno, NV 89511   
(775) 826-1838   

deBruinSmiles.com

Root Canals: FAQs About Treatment That Can Save Your Tooth

If you have a severely damaged, decaying tooth or a serious tooth infection (abscess), your dentist may recommend a root canal treatment. Root canals are used to repair and save your tooth instead of removing it. 

What’s Involved in Root Canal Repair?

The pulp is soft tissue inside your tooth that contains nerves, blood vessels and provides nourishment for your tooth. It can become infected if you have: 

• A deep cavity
• Repeated dental procedures that disturb this tissue
• A cracked or fractured tooth
• Injury to the tooth (even if there’s not a visible crack or chip)

If untreated, the tissues around the root of your tooth can become infected. When this happens, you will often feel pain and swelling and an abscess may form inside the tooth and/or in the bone around the end of the root of the tooth. An infection can also put you at risk of losing your tooth completely because bacteria can damage the bone that keeps your tooth connected to your jaw.

Can I Get This Treatment Done During My Regular Check-up Visit?

Your dentist will need to schedule a follow up appointment, or you may be referred to a dentist who specializes in the pulp and tissues surrounding the teeth. This specialist is known as an endodontist.

What Should I Expect?

A root canal treatment usually takes 1 or 2 office visits to complete. There is little to no pain because your dentist will use local anesthesia so you don’t feel the procedure. Once the procedure is complete, you should no longer feel the pain you felt before having it done. 

Before treatment begins, your dentist will:

• Take X-rays to get a clear view of your tooth and the surrounding bone. 
• Numb the area around and including your tooth so you are comfortable during the treatment. 
• Put a thin sheet of latex rubber over your tooth to keep it dry, clean and protected from viruses, bacteria and fungus that are normally in the mouth.

During treatment, your dentist will:

• Create an opening in the top of your tooth.
• Remove the tooth’s nerve from inside the tooth and in the areas in the root, known the root canal. 
• Clean inside the tooth and each root canal. Your dentist may treat the tooth with germ-killing medicine.
• Fill the root canals with a rubber-like material to seal them against future infection.
• Place a temporary filling on the tooth to protect it until a definitive restoration like a permanent filling or crown can be placed at the earliest opportunity.

After root canal treatment:

• Your tooth and the area around it may feel sensitive for a few days. You can talk with your dentist about how to relieve any discomfort you may have.
• Your dentist may prescribe antibiotics if the infection spread. Use as directed, and follow up with your dentist if you have any problems taking it.

You will need a follow-up visit after the root canal treatment. At this visit, your dentist will remove the temporary filling on the tooth and replace it with a regular filling or a crown to protect your tooth from further damage. A metal or plastic post may also be placed in the root canal to help make sure the filling materials remain in place. This helps support a crown if you need one.

How Long Will a Root Canal Filling Last?

With proper care, your restored tooth can last a lifetime. Make it a point to brush twice a day for two minutes with fluoride toothpaste, clean between your teeth once a day and see your dentist regularly to make sure your teeth are strong and healthy.

To read the entire article visit mouthhealthy.org

de Bruin Dental Center   
Tomas G. de Bruin, DDS   
631 Sierra Rose Drive, Suite A  
Reno, NV 89511   
(775) 826-1838   
deBruinSmiles.com

Warning Signs & Factors of a Gum Disease

Gum disease is an infection of the tissues that surround and support your teeth. It is a major cause of tooth loss in adults. Because gum disease is usually painless, you may not know you have it. Also referred to as periodontal disease, gum disease is caused by plaque, the sticky film of bacteria that is constantly forming on our teeth.

Here are some warning signs that can signal a problem: 

• gums that bleed easily
• red, swollen, tender gums
• gums that have pulled away from the teeth
• persistent bad breath or bad taste
• permanent teeth that are loose or separating
• any change in the way your teeth fit together when you bite
• any change in the fit of partial dentures

Some factors increase the risk of developing gum disease. They are:

• poor oral hygiene
• smoking or chewing tobacco
• genetics
• crooked teeth that are hard to keep clean 
• pregnancy 
• diabetes 
• medications, including steroids, certain types of anti-epilepsy drugs, cancer therapy drugs, some calcium channel blockers and oral contraceptives

See your dentist if you suspect you have gum disease because the sooner you treat it the better. The early stage of gum disease is called gingivitis. If you have gingivitis, your gums may become red, swollen and bleed easily. At this stage, the disease is still reversible and can usually be eliminated by a professional cleaning at your dental office, followed by daily brushing and flossing. 

Advanced gum disease is called periodontitis. Chronic periodontitis affects 47.2% of adults over 30 in the United States. It can lead to the loss of tissue and bone that support the teeth and it may become more severe over time. If it does, your teeth will feel loose and start moving around in your mouth. This is the most common form of periodontitis in adults but can occur at any age. It usually gets worse slowly, but there can be periods of rapid progression.

Aggressive periodontitis is a highly destructive form of periodontal disease that occurs in patients who are otherwise healthy. Common features include rapid loss of tissue and bone and may occur in some areas of the mouth, or in the entire mouth.

Research between systemic diseases and periodontal diseases is ongoing. While a link is not conclusive, some studies indicate that severe gum disease may be associated with several other health conditions such as diabetes or stroke.

It is possible to have gum disease and have no warning signs. That is one reason why regular dental checkups and periodontal examinations are very important. Treatment methods depend upon the type of disease and how far the condition has progressed. Good dental care at home is essential to help keep periodontal disease from becoming more serious or recurring. Remember: You don’t have to lose teeth to gum disease. Brush your teeth twice a day, clean between your teeth daily, eat a balanced diet, and schedule regular dental visits for a lifetime of healthy smiles.

To read the entire article visit mouthhealthy.org

de Bruin Dental Center   
Tomas G. de Bruin, DDS   
631 Sierra Rose Drive, Suite A  
Reno, NV 89511   
(775) 826-1838   
deBruinSmiles.com

Smile Makeovers

Maybe you remember that TV show, Extreme Makeovers?

They took people who were unhappy with their appearance and let surgeons and dentists perform cosmetic miracles on their bodies and teeth.

Well, a complete smile makeover like that can be done by many dentists, And often it only takes two visits!



de Bruin Dental Center   
Tomas G. de Bruin, DDS   
631 Sierra Rose Drive, Suite A  
Reno, NV 89511   
(775) 826-1838   
deBruinSmiles.com

Your Dental Hygienist!

Normally we think of a teeth cleaning as just that. Our tongues love the smooth and clean feeling we get after visiting our dental hygienist.

But there's another huge benefit to regular teeth cleaning. Hygienists spend time in your mouth. That give them the opportunity to spot suspicious tissue or other possible signs of oral cancer.

Oral cancer has a fantastically high cure rate - but only if it's detected early.

Another reason to love your dental hygienist!

de Bruin Dental Center   
Tomas G. de Bruin, DDS   
631 Sierra Rose Drive, Suite A  
Reno, NV 89511   
(775) 826-1838   
deBruinSmiles.com

How To Limit The Effects Of Sugar On Teeth

Cookies, cakes, candies and sodas – everywhere you go, there are sugary treats to tempt you and your kids. The effects of sugar on teeth may not be noticeable right away, but too much can lead to tooth decay if you don't stay on top of it. Here's how sugar can harm your family's dental health and what you can do to prevent it.

Acid Attacks

When you eat or drink sugary foods – refined, processed or in the form of carbohydrates – you're feeding the beast. Bacteria in your mouth digest the foods you eat and specifically feed on the sugar, producing acids that can slowly dissolve tooth enamel and cause tooth decay. According to the National Institute of Dental and Craniofacial Research (NIDCR), these acids do the most damage to your teeth for 20 minutes after eating; this is what is known as an "acid attack." So the more sugary foods you eat throughout the day, the more your teeth are exposed to decay-causing acids.

Sensible Food Choices

What can you do to protect your family from these ubiquitous acid attacks? Eliminating sugars completely from your family's diet is unrealistic, because most of your foods contain some form of sugar or starch. However, you can still control the amount of sugar you and your family consumes and reduce the total time your teeth are susceptible to bacterial acids. Consider the following dietary adjustments:

• Eat a nutritious and balanced diet of grains, fruits, vegetables, protein and low-fat dairy.
• Check food labels for "hidden" sugars.
• Limit between-meal snacks.
• Avoid sugary foods that stay in your mouth for a long time, like hard, sticky or chewy varieties of candy.
• Offer healthy snacks, such as cheese, fruits, yogurt, peanut butter, chocolate milk and sugarless gum.
• Save your sugary treats for the end of a meal or before a tooth-brushing session, rather than throughout the day.
• Substitute water for sugar-laden sodas and fruit juices.

Oral Hygiene Is a Good Defense

Brushing your teeth thoroughly after eating cleans recent sugary foods and existing bacteria off of your teeth, and flossing once a day will clean between your teeth – a prime spot for bacteria to hide. For those times when you aren't at home to brush off an acid attack, disposable toothbrushes like the Colgate® Wisp™ mini-brush can be taken to work or packed with your kids' lunches. Have your family use fluoride toothpaste as an added defense to strengthen their teeth, making them more resistant to harmful acids in the future.

Preventive Care and Early Detection

Schedule regular dental checkups and cleaning appointments for your family; this way, any signs of tooth decay can be taken care of early. The Academy of General Dentistry's (AGD) George McLaughlin, DMD, recommends placing sealants on children's permanent first molars as soon as they appear in the mouth. This thin coating acts as a barrier on the chewing surface of the tooth, and protects it from decay-producing acids. Other preventive measures for children include fluoride treatment and varnishes.

There is no denying that people love their sugar. In fact, the NIDCR suggests the average person in the U.S. eats about 147 pounds of it a year – that produces an enormous potential for tooth decay. Make the necessary changes in diet and dental hygiene now, so the effects of sugar on teeth don't come when your family is preoccupied with bigger life events.

To read the entire article visit colgate.com

de Bruin Dental Center   
Tomas G. de Bruin, DDS   
631 Sierra Rose Drive, Suite A  
Reno, NV 89511   
(775) 826-1838   
deBruinSmiles.com

Plaque

Your teeth are covered with a sticky film called plaque that can contribute to tooth decay and gum disease. Plaque contains bacteria, which following a meal or snack containing sugar can release acids that attack tooth enamel. Repeated attacks can cause the enamel to break down, eventually resulting in cavities. Plaque that is not removed with thorough daily brushing and cleaning between teeth can eventually harden into calculus or tartar. This makes it more difficult to keep your teeth clean.

When tartar collects above the gum line, the gum tissue can become swollen and may bleed easily. This is called gingivitis, the early stage of gum disease. You can prevent plaque buildup and keep your teeth cavity-free by regularly visiting the dentist, brushing twice a day with a fluoride toothpaste and cleaning between your teeth with dental floss daily.

To read the entire article visit MouthHealthy.org

de Bruin Dental Center   
Tomas G. de Bruin, DDS   
631 Sierra Rose Drive, Suite A  
Reno, NV 89511   
(775) 826-1838   
deBruinSmiles.com

Dentist: Doctors of Oral Health

Learn more about what the American Dental Association has to say about the role played by Dentists!

The above video is found on the American Dental Association YouTube Channel.

de Bruin Dental Center   
Tomas G. de Bruin, DDS   
631 Sierra Rose Drive, Suite A  
Reno, NV 89511   
(775) 826-1838   
deBruinSmiles.com

Top Dental Symptoms: Cracked or Broken Teeth

A cracked or broken tooth can happen for a variety of reasons- brittle teeth, teeth grinding, injury. The crack may be invisible to the naked eye and even X-ray, but they can be incredibly painful and create bigger problems if left untreated. If you experience pain when chewing see your dentist. They can diagnose the cause and develop a plan for treatment.

Above article from: MouthHealthy.org

de Bruin Dental Center   

Tomas G. de Bruin, DDS   
631 Sierra Rose Drive, Suite A  

Reno, NV 89511   
(775) 826-1838   
deBruinSmiles.com

Our Reno NV Dentist

Tom G. de Bruin, DDS, was born and raised in Livermore, CA, and is a second-generation dentist. He received his bachelor's degree in biology and chemistry from CSU Sacramento and is a graduate of the highly regarded program at the University of the Pacific School of Dentistry in San Francisco. He maintains professional membership in the American Dental Association, Nevada Dental Association, Northern Nevada Dental Society, and Academy of General Dentistry.

Because he is passionate about perfecting beautiful smiles, Dr. de Bruin invests extensive time each year in ongoing education so he can help you achieve the smile of a lifetime with the best, most comfortable techniques possible. He has received advanced training at the Las Vegas Institute for Advanced Dental Studies (LVI) and several other prestigious institutes, with a concentration on cosmetic dentistry, orthodontics, and the treatment of myofacial pain, TMJ/TMD, snoring/sleep apnea/compromised breathing, and related disorders. He is one of the few dentists in the Reno/Tahoe area with this select area of training. He has most recently engaged in continuing education on the topic of ideal facial development for kids and adults, so he can help his patients obtain a better airway and optimal facial esthetics.

Dr. de Bruin enjoys spending time with his wife Tricia and their three children in the beautiful Reno/Tahoe area. They are active outdoor enthusiasts, participating in watersports, mountain biking, snowboarding, and beach volleyball.

de Bruin Dental Center
Tomas G. de Bruin, DDS
631 Sierra Rose Drive, Suite A
Reno, NV 89511
(775) 826-1838
deBruinSmiles.com