All Coast Dental

Friday, July 26, 2019

Sensitivity to Cold

Teeth may be sensitive for all sorts of reasons, but if you frequently feel sharp pains after ingesting something cold, you may be suffering from enamel erosion. We at All Coast Dental hope that our patients’ teeth are in good health and serving them well. If you dread a cold glass of water or biting into a Popsicle, read on.

The outer layer of a dental crown is made of enamel. It is the hardest substance in the human body, being made up mostly of minerals, but is unable to regenerate lost material. Below the gum line, the outer layer of a tooth is made of a substance called cementum. It is sticky but thin and provides little insulation. The middle layer of a tooth is made of dentin, a yellow-brown porous substance made up of mini tubules that lead to the dental pulp. The pulp is made up of blood vessels, connective tissue, and nerves, and heat is easily transferred out of it through dentin when a tooth is not sufficiently insulated, resulting in a shooting pain.

If a tooth is only sensitive when it comes into contact with something cold, the problem is likely thin enamel or recession of gum tissue around the root. These can be caused by oral bacteria secreting acid, or possibly from acid reflux. Brushing and flossing are crucial to preventing acidic erosion. A patient may also need a night guard to stop themselves from damaging their enamel by grinding their teeth in their sleep. We can help patients to obtain custom-fitted oral appliances and provide remineralization therapy for enamel that is in the process of eroding. Patients may also want to switch to extra-fluoridated toothpaste.

Drs. Julie and Joseph Boulos operate All Coast Dental at 2180 Garnet Ave, Suite 1-K, Pacific Beach, California, 92109. To schedule an appointment, call 858-270-4904 or visit All Coast Dental and fill out a contact sheet.


Thursday, July 18, 2019

Dental Avulsion

July 15-21 is National Youth Sports Week, and we at All Coast Dental in Pacific Beach want to do our part to inform families about what to do in a dental emergency. It may be possible for us to save a permanent tooth that gets knocked out, but only if patients know the right protocol.

We use the term “dental avulsion” to describe when a tooth gets knocked out of its socket. Every first aid kit should contain one of the American Dental Association’s approved emergency tooth containers. The tooth should be lifted by its crown, not its root, rinsed in a saline solution, and placed in the container. If no container is available, the next best option is to place it back in its socket. If that’s too painful, the tooth may be held in the cheek or moved in a jar of milk or saltwater, but remember that open wounds on the face should take priority over saving a tooth.

It is important to note that only permanent teeth can be replanted. A replanted baby tooth could prevent its permanent counterpart from emerging later. If a baby tooth does get knocked out, we may recommend that an orthodontic spacer be used to keep the gap open until a permanent tooth emerges. If a tooth does prove too damaged to save, we can replace it with a partial denture or fixed crown, but if your children wear mouthguards, it is much less likely you will have to make that choice.

Drs. Julie and Joseph Boulos operate All Coast Dental at 2180 Garnet Ave, Suite 1-K, Pacific Beach, California, 92109. To schedule an appointment, call 858-270-4904 or visit All Coast Dental and fill out a contact sheet.


Friday, July 12, 2019


Dentists commonly recommend the removal of wisdom teeth. While our goal at All Coast Dental is to preserve a patient’s natural teeth whenever possible, we recognize that wisdom teeth sometimes cause particular complications. Among these is an increased risk of pericoronitis, inflammation around a dental crown.

Wisdom teeth are the largest teeth and the last to erupt. They often push through in the late teen years, after the patient’s jaws have solidified and the rest of their teeth are no longer as mobile. Consequently, wisdom teeth tend to get stuck. A tooth that is unable to push fully through the gum line is called “impacted” and wisdom teeth tend to get stuck half-emerged. They are often partially covered by a flap of gum tissue, called an operculum, that becomes a trap for food debris, resulting in pericoronitis.

Although a pericoronitis infection may be cleaned, it will likely recur. An operculum can be cut away, but as long as the impacted tooth remains, it will contribute to misalignment problems and be difficult to brush. We offer safe, efficient extractions and will carefully monitor pediatric patients to determine whether their wisdom teeth will become problems.

Drs. Julie and Joseph Boulos operate All Coast Dental at 2180 Garnet Ave, Suite 1-K, Pacific Beach, California, 92109. To schedule an appointment, call 858-270-4904 or visit All Coast Dental and fill out a contact sheet.


Thursday, July 11, 2019

Alzheimer's Disease and Gum Infections

If you want to protect yourself from Alzheimer’s disease, one of the most important things you can do is brush and floss. That’s the conclusion that’s emerging from new research into the connection between oral bacteria and the formation of plaque on the brain’s neurons. We’ve always been interested in the overall health implications of periodontal disease at All Coast Dental in Pacific Beach. We want our patients to have a fuller understanding of what gum disease does, too.

There are several species of bacteria that contribute to tooth decay and gum disease, but one called Porphyromonas gingivalis, is especially interesting to researchers. P. gingivalis produce enzymes called gingipains to defend themselves against white blood cells. Although gingipains are common, they are found at elevated levels in the brains and spinal fluid of people who displayed symptoms of Alzheimer’s disease. They also trigger the production of neural plaque and can travel to the brain in animals.

Another study, released just a few months ago, proved that P. gingivalis travels between the mouth and the brain in living human test subjects. Although gum disease is probably not the only causative factor in Alzheimer’s disease, we can confidently say it plays a major part. Patients should take care to brush and floss twice a day. If they are still experiencing gingivitis, we can provide them with a deep cleaning.

Drs. Julie and Joseph Boulos operate All Coast Dental at 2180 Garnet Ave, Suite 1-K, Pacific Beach, California, 92109. To schedule an appointment, call 858-270-4904 or visit All Coast Dental and fill out a contact sheet.


Thursday, June 20, 2019

What Are Canker Sores?

They’re some of the most dreaded and feared mouth-related problems: Canker Sores. These are small yellow or white sores that appear on your lips and gums. They can make it hard to go about your everyday life, including eating, speaking, and drinking. Drs. Joseph and Julie Boulos of All Coast Dental have put together a guide for treating canker sores. Learn more by contacting our office in Pacific Beach, CA.


Before we discuss treatment, it’s important to understand what exactly canker sores are. They come in three types: herpetiform, minor, and major. Minor sores are small, healing between a week or two. Major is extensively bigger. These take up to six weeks to heal. Herpetiform come in clusters of ten to one hundred. They are tiny, about the size of a pinprick. It’s important to visit your Pacific Beach dentist if this is your first time experiencing a canker sore. Severe or recurring sores should also be checked out by a medical professional.


Many patients find relief in home remedies or holistic treatments. With all injuries, applying ice to the corresponding area of the face reduces swelling. You can also try placing a wet tea bag on the sore. Of course, you can’t go wrong with salt water or a baking soda rinse. Combine a mixture of water and either substance. Swish that around your mouth for one to two minutes. Nutritional deficiencies may cause outbreaks. Your diet should include foods that are rich in iron and B vitamins.


Over-the-counter treatments yield positive results. Most grocery stores or supermarkets sell a variety of canker sore treatments. Many offer numbing agents that contain Benzocaine. Dabbing a small amount of the gel on the sore provides temporary relief. Canker sore patches create a gel-based barrier on top of it. Invest in some antibacterial mouthwashes that target canker sores. These clean the ulcer while soothing it.


Schedule an appointment at All Coast Dental if you or a loved one are struggling with canker sores. Drs. Joseph and Julie Boulos are here to help. Our office is located in Pacific Beach, CA. To schedule an appointment, visit our website or call 858-270-4904.

Thursday, June 13, 2019

Dry Mouth Treatment

Does your mouth or throat feel dry all the time? Do you always feel thirsty, no matter how much you drink? Is it impossible to eat, speak, or even chew? If any of these symptoms ring a bell, schedule an appointment with All Coast Dental in Pacific Beach, CA. You might be experiencing a condition known as Dry Mouth or Xerostomia. Drs. Joseph and Julie Boulos can help you get the treatment you need.


Saliva is needed for eating and speaking. It keeps your mouth clean and free of bacteria. Besides a lower quality of life, a salivary shortage leads to extensive dental issues like plaque and decay. Your Pacific Beach dentists need to determine the cause before they can treat you. Discuss any medications that you take daily or frequently. There are over five-hundred medications that cause dry mouth. Even something as simple as allergy medication may be at fault. Autoimmune disorders, like Sjögren's syndrome, results in dryness. This systematic disease attacks your salivary glands. Other medical treatments may be at blame. Chemotherapy or cancer treatments create such side effects. Not only is smoking bad for your health, but it’ll dry out your mouth too.


Treatments vary greatly from patient to patient. It all depends on the root of your dryness. Eliminating sugary foods and drinks reduces symptoms. Sugar naturally dries out the mouth. This means cutting back or even avoiding drinks like tea, coffee, soda, and alcohol. Meet with your doctor to discuss alternative medications. Increase your water intake exponentially as well. This should help moisten your mouth. Most stores sell over-the-counter dry mouth treatments. There are dry mouth gels for symptom relief, along with certain brands of toothpaste and mouthwash.


Don’t wait to reach out when experiencing dry mouth. All Coast Dental is here to help. Contact our office in Pacific Beach, CA. To schedule an appointment with Drs. Joseph or Julie Boulos, visit our website or call 858-270-4904.

Thursday, June 6, 2019

Choosing the Right Toothbrush

When it comes to your dental health, every decision is important. Even the ones that may not seem like it. Take your toothbrush, for example. Picking a toothbrush that’s either too large or too small makes it nearly impossible to use. Same goes for the hardness of the bristles. That’s why Drs. Joseph and Julie Boulos of All Coast Dental in Pacific Beach have provided this toothbrush guide.


The majority of dentists agree that soft-bristled toothbrushes are the best. Your Pacific Beach dentists are no exception. Continually using a harder bristled brush can actually do more harm than good. It can irritate the gums, affect the enamel, and cause teeth sensitivity. Soft-bristled toothbrushes are perfect for removing plaque and food debris.


Try to find a toothbrush head that works best with your teeth. It’s important that bristles are large enough to clean all teeth surfaces. The smaller the head, the easier it can maneuver around your mouth. Make sure you can comfortably reach your back molars.


Electric or powered toothbrushes are just as good if not better than manual toothbrushes. They provide an even and thorough level of brushing. If you struggle to reach certain areas of your teeth or brush the whole two minutes, an electric toothbrush can curve your bad habits.


Remember to replace your toothbrush every 3 months. Do so sooner if the bristles begin to deteriorate. Also, invest in a new toothbrush after you’ve recovered from a cold or illness. Bacteria can linger within the bristles.


All Coast Dental is located in Pacific Beach, CA. To schedule an appointment with Drs. Joseph Boulos and Julie Boulos, visit our website or call 858-270-4904.