Posts for: December, 2014

By Cesar Acosta, DMD, Family Dentistry
December 29, 2014
Category: Oral Health
WhatDentalDeviceDoesTVHostVannaWhiteKeeponherNightstand

Here's an interesting tidbit of information on Wheel of Fortune host Vanna White: like many people, she grinds her teeth at night. In a detailed interview with Dear Doctor magazine, Vanna explained how she had to replace a filling in a back tooth several times because of her grinding habit. Eventually, she had her dentist make her a nightguard to protect her famous smile.

“I really try to sleep with it every night,” Vanna told the magazine. “I try to keep it on my nightstand so when I go to bed, I remember to put it in. Or I will put it by my toothbrush so I can put it in after brushing my teeth at night.”

The habit of teeth grinding or clenching is often associated with stress and/or sleep deprivation. It is referred to as “parafunctional” (“para” – outside, “function” – normal), meaning it can generate biting forces well outside the normal range — perhaps 10 times normal. This excessive force can affect many areas of the oral system. Teeth may become worn, chipped or loose; jaw joints or muscles can go into spasm; and some grinders (or “bruxers” as they are also called) may even experience discomfort of the head, ears, neck or back. Many times, a person with a grinding habit does not become aware of it until it is pointed out by a sleep partner or dental professional.

Like Vanna White's dentist, we often recommend a nightguard to those with nocturnal bruxing habits. It is made of a very thin, wear-resistant plastic that fits over the biting surfaces of the upper teeth only. The lower teeth are then free to glide or skate over the guard, which prevents them from biting into the upper teeth. Some people wear their guards during the day if they tend to clench their teeth when under stress.

If you are concerned about teeth grinding or interested in learning more about nightguards, please contact us today to schedule an appointment for a consultation. If you would like to read Dear Doctor's entire interview with Vanna White, please see “Vanna White.” Dear Doctor also has more on “Stress & Tooth Habits.”


By Cesar Acosta, DMD, Family Dentistry
December 26, 2014
Category: Oral Health
Tags: orthodontics   retainer  
TheTop5ReasonsWhyYouShouldWearYourOrthodonticRetainer

OK, so you've been getting orthodontic treatment for what seems like a long time, and finally, your braces are about to come off! Now you're home free, right?

Well, almost… but now comes the final part of your treatment: the retention phase. That means you'll need to wear a retainer. Most people find that a retainer is more comfortable than braces — but because it is often removable, there's the temptation to just leave it off. Don't do it! Here are the top five reasons why you should always wear your retainer as instructed:

1) A retainer helps to make your teeth stable in their new positions.

Your teeth aren't rigidly set in stone (or in bone) — instead, they are held in place by a hammock-like set of ligaments, and the bone that surrounds them is somewhat pliable. That's a good thing… because, otherwise, they would be even harder to move! But it means that it will take some time for the bone and ligament around the teeth to re-form and stabilize in its new position. A retainer holds them in position while that is happening.

2) If you don't wear it, your brand-new smile may not stay looking the way it should.

Did you know that your bone and gum tissue have some “memory?” Unfortunately, it's not the kind that could help you on a science quiz — but teeth can “remember” where they used to be located… and, if you leave them alone, they may try and go back there! A major goal of the retainer is to keep your new smile looking great! If you don't wear it, and your teeth shift back, you risk losing all the time (and money) you invested.

3) There are different types of retainers available; one of them might be just right for you.

At one time, all retainers were made of pink plastic and silvery wire, and were removable. That kind is still available, but now you may have a choice of different colors or patterns — you might even be able to customize yours! Another alternative that may be appropriate is a clear retainer that fits over your teeth, making it nearly invisible. In some cases, you can have a thin wire bonded to the inside of the teeth instead of a removable retainer. It doesn't show, and you don't have to worry about taking it out.

4) As time goes on, you'll probably need to wear your retainer less and less.

At first, you'll probably need to wear your retainer all the time, but after a while you may only have to wear it at night — a lot easier to manage! Think of it as a way of easing yourself out of orthodontic treatment — and into a brand-new smile. The retention stage also helps your teeth avoid damage by allowing the process to end slowly and gently.

5) Lots of celebrities wear them.

If we know who, we aren't telling — but let's just say that several young entertainers and a recently married British Prince have worn retainers, or are still wearing them. So, you're in good company!

If you would like more information about orthodontic retainers, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine articles “Why Orthodontic Retainers?” and “The Importance of Orthodontic Retainers.”


By Cesar Acosta, DMD, Family Dentistry
December 11, 2014
Category: Dental Procedures
BracesAreNoHurdleforOlympicTrackStar

Lashinda Demus holds the U.S record in the 400 meter hurdles, with a time of 52.47 seconds, the third fastest ever recorded. While her twin 5-year-old boys cheered her on, she brought home a silver medal from the 2012 London Olympics. But when it comes to her full set of upper and lower braces, there's no silver to be seen!

Demus is a top-ranked competitor, a wife and a mom — and an adult who is currently in orthodontic treatment. With her orthodontist's approval, she chose clear ceramic braces. These are just one of the treatment options available to adult patients, many of whom prefer a less noticeable style of orthodontic appliance.

As many as three-quarters of adults are thought to have some form of orthodontic problem. Common issues include teeth that are crowded too closely together, or ones that have drifted too far apart after an extraction or other tooth loss. It is believed that straightened teeth are easier to clean and better for chewing — they can also improve an adult's social life, and even his or her career prospects!

Some grown-ups may hesitate to consider orthodontic treatment because they remember the “railroad tracks” they saw in junior high school. In fact, there have been many changes in orthodontic appliances in the past few years. Two popular choices for adults are colorless braces (the kind Demus wears) and clear orthodontic aligners.

Colorless ceramic braces are made of high-tech composite materials. They resist staining, and are less noticeable because their translucent appearance blends with the teeth. Often, a single wire is the only part that's plainly visible. Sometimes it's even possible to place them on the lingual (tongue) side of the teeth.

Clear aligners are an alternative to braces that are available to adults and teens. Instead of wires and attachments, these consist of a series of transparent, removable trays that are placed over the teeth and worn 20 hours per day. Over a period of six months to two years, the teeth are gradually straightened as you progress from one computer-designed tray to the next. Best of all, you can remove the trays completely to clean your teeth, and for important occasions.

Which one is right for you? It depends. While aligners have been successful in treating mild to moderate spacing issues, more difficult problems with the bite may require a more traditional form of braces. Also, there are a few health problems which might need to be attended to before orthodontic treatment is begun. The best way to learn about your options is to come in for a consultation. But remember: if you want a better smile, it's never too late.

If you would like more information about orthodontic choices, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Orthodontics For The Older Adult” and “Clear Orthodontic Aligners.”


By Cesar Acosta, DMD, Family Dentistry
December 04, 2014
Category: Oral Health

Your Turlock dentist Cesar Acosta tells you how to prevent germs from lingering on your toothbrush.

Hopefully everyone out there is spending enough time taking care of their smiles even when they aren’t sitting in their dentist’s chair. While brushing and flossing is a normal part of most people’s day, do you ever consider the state and health of your toothbrush? After all, how clean can it really get your smile if it’s not that clean itself? Here are some of the best ways to keep your toothbrush clean and lasting for months.

  • After each use, be sure to thoroughly rinse your toothbrush with water. This will help to remove any toothpaste and germs that are lingering. When not in use, always store the toothbrush upright so that it can air dry. If there is more than one toothbrush in your bathroom, be sure to store them separately from one another so as not to cross-contaminate.
  • Do not cover your toothbrushes! While some of the electric toothbrush heads come with little plastic covers, you don’t want to cover your toothbrush after use. Moist environments will only increase the production of bacteria and other germs on your toothbrush, which could even cause illness. Therefore, stick to open air when it comes to storing your toothbrush.
  • Know when to replace your toothbrush. Most of the time it will need to be replaced every three or four months. You will know when it’s time for a new toothbrush, as the old one will have worn out and frayed bristles. Keep in mind that children’s toothbrushes often need to be replaced more frequently than adults.
  • Don’t share! While this might seem rather obvious, sharing toothbrushes also means you could be sharing bacteria, which leaves you prone to infection. Therefore, it’s always best to play it safe and keep your toothbrush for your mouth only.
  • While some patients do opt for toothbrush sanitizers, no studies have found any positive or negative effects from using this product on oral health.


At-home dental care is extremely important to maintaining healthy teeth and gums; however, it doesn’t just stop there. You also need to be seeing your dentist regularly. If it’s time to schedule your routine cleaning, then give Cesar Acosta, your Turlock dentist, a call today. After all, your biannual checkups are a great way to ensure that your oral care regime is up to par.




Contact Us

Cesar Acosta DMD, Family Dentistry

(209) 250-2560
1065 Colorado Avenue Ste 3 Turlock, CA 95380