Your Teeth, Inside Out

This external view of your teeth is important, butAs part of your regular dental checkup, we may
what's inside your teeth is even more importanttake x-rays. Different types of x-ray images help
to your overall health and the attractiveness ofus to identify areas of decay, worn-out fillings,
your smile.cracks, tartar, periodontal disease, bone infections,
Many first impressions are formed by theimpacted wisdom teeth, long or crooked roots,
whiteness and straightness of your teeth. Thisabscesses or cysts, problems with sinuses, or
external view of your teeth is important, butanything else that may appear unusual or
what's inside your teeth is even more importantabnormal.
to your overall health and the attractiveness ofDepending on your age and your dental health
your smile.situation, we may use different kinds of x-rays,
Your teeth: A complex set of layersincluding:
From the outside, each tooth looks like a solid- Bitewing x-rays: These are the most common
white object, but teeth actually are complex livingtype of x-rays. They capture images of your
tissues made up of several layers:upper and lower teeth above the gumline (the
1. Enamelcrowns) simultaneously.
2. Dentin- Full series of x-rays: Using 18 different locations,
3. Pulpthese give us a complete picture of your mouth.
Enamel is the white, outermost layer of the toothWe often take a full series during your first visit
that covers the crown (the part of your toothwith us.
that you see, above the gumline). Enamel is the- Periapical x-rays: These give an excellent view
hardest substance in your body. It providesof your entire tooth, including the roots, any bone
strength for biting and chewing, and it protectsloss, and cysts or abscesses. We may use these
the inner layers from plaque and bacteria that leadx-rays as a followup measure for monitoring your
to decay.teeth and jaw.
Dentin is the second, yellowish layer inside your- Panographic x-rays: These give us a complete
tooth. This hard tissue contains millions of tubules.picture of your entire mouth in one image,
Dentin is softer than enamel and provides supportincluding wisdom teeth, the sinuses, and the
for it, acting like a shock absorber to take thejawbone.
impact of biting and chewing. When a cavityTo ensure an accurate view, we may ask you to
develops, it breaks through the enamel andtie back synthetic hair braids or remove jewelry,
attacks the dentin.especially nose rings, mouth jewelry, or earrings
Pulp is the innermost layer, which includes thewith large hoops. This is particularly important with
nerves and blood supply for a tooth. This softpanographic x-rays.
tissue reaches from the pulp chamber at the topDental x-rays are safe, because our sensitive
of the tooth, down through the root canals in thex-ray equipment quickly and accurately targets
tooth roots. If decay reaches the pulp or rootonly a specific area of your mouth. Our highly
canals, a filling may not be sufficient to protecttrained staff give you a lead apron and collar to
the strength and health of your tooth.provide additional protection. And our modern
The roots of your teeth (the parts of your teethtechnology effectively minimizes the amount of
below the gumline) also contain blood vessels andradiation and how long you are exposed to it.
nerves that connect your teeth to the nervesRadiation from a dental x-ray is very low, not
and blood vessels of your jawbone. The roots aremuch more than the normal background radiation
covered with cementum. This extremely thinof everyday life (household appliances, minerals in
layer of tissue "cements" your teeth to the bone.the ground, ultraviolet rays from the sun, airplane
Disease and decay that reach the roots aretravel or high altitudes, etc.). And the benefits of
extremely serious and painful. That's why it'susing dental x-rays far outweigh the risks.
important for us to examine both the outsidesNow that you've learned a bit about your teeth
and the insides of your teeth.from the inside out, we hope this will inspire you
X-rays: A safe view inside your teethto take good care of them from the outside in!