Nadine Hutchins, DDS

What is dental erosion?

Enamel is the hard outside layer of the tooth. Acidic food or liquids over time can diminish the thickness of this layer or remove it completely. Drinking soda, fruit juice, or sport drinks daily are common causes of erosion. Acid reflux, and repeated vomiting can also erode teeth. Enamel does not grow back. If you do drink something acidic or vomit, rinse your mouth with water and wait one hour before brushing your teeth with a soft toothbrush and a fluoride containing toothpaste. Sucking lemons or drinking pickle juice is not recommended. Teeth that have eroded can become quite sensitive and dark. If you have any questions call Dr. Nadine Hutchins at 970-242-7373.

Facial Esthetics – Botox, Dermal Fillers and Dentistry

I, at age 53, found myself not looking in the mirror any longer than necessary to put my hair in a ponytail. Having taken 3 American Academy  of Facial Esthetics (AAFE) courses, I now take a moment to appreciate my smile in the mirror. I smile at myself! I have given myself Botox, and dermal fillers. I have pretty teeth due to orthodontics and veneers. I had dark enamel and crooked teeth growing up. Enhancing my lips and smoothing some deeper lines in my skin has made me feel happier and less grim. I still have aches and pains – but I smile more! If you have any questions about facial esthetics please call my office, Dr. Nadine Hutchins at 970-242-7373.

Can diabetes affect my oral health?

People with diabetes are at a higher risk of experiencing oral health problems such as gum disease, dry mouth, cavities, and thrush. People with diabetes are at increased risk of developing gum disease, in part, because of the way their bodies react to infections. When an infection develops in people with diabetes, the swelling that occurs is greater than in people who do not have diabetes. This swelling can damage the gums and jaw bone beneath.

When you have diabetes, you may take a number of medications. Any of these medications may cause dry mouth. In addition to being uncomfortable, dry mouth can cause bad breath, sore tongue or throat, and trouble chewing, speaking, or swallowing. Reduced saliva is unable to wash away food debris so you may develop cavities. Brushing your teeth twice a day with fluoride and cleaning between teeth once a day may lower your risk of getting cavities. Fluoride is important. It strengthens teeth.

Thrush is a type of yeast infection which appears as white and red patches on tongue and the inside of cheeks. It may cause a painful burning sensation. Antifungal medication can be prescribed.

Visit the dentist regularly since any sores or problems will be slow to heal. Please call Dr. Hutchins at 970-242-7373 if you have any questions.

Young Children and Tooth Grinding

Tooth grinding or bruxism in children is common. Rarely will a child wear down a tooth enough to cause pain, interrupt sleep, or awaken parents. Currently the literature does not support an occlusal guard for young children. Some noninvasive therapies include: no gum chewing, sleeping without a pillow, wet heat, and no television before bedtime.  If you have any questions please contact Dr. Nadine Hutchins at 970-242-7373 or find the article “Treating Bruxism In Children” in

Gun Control

Are you concerned about the high suicide rate in Western Colorado? Are you concerned about children’s safety? Are you more concerned with finding solutions than blaming past or present politicians for our problems? I am. I am concerned about the health and safety of all our citizens. Ideas for solutions include: no military style assault guns, limit high capacity magazines, have inspections for gun safes, and rigorous training for gun safety.









PEACEFUL. Let’s contact our politicians and let them know our concerns. Thanks, Dr. Nadine Hutchins.


Flossing Under Implants

Flossing under implants can feel differently than flossing around your natural teeth. You may have to curve your floss under the crown to remove plaque and food debris. The crown may feel like it has an angle to get under. Small seeds will need to be flossed out. Ask Dr. Hutchins to demonstrate how to use the floss around your implant. Call 970-242-7373.

Are E-Cigarettes Safe?

Electronic cigarettes are small refillable devices that use batteries to vaporize nicotine solutions so they can be inhaled. Although they do not contain tobacco, they do have health and safety risks. The nicotine in e-cigarettes is highly addictive and can harm brain development in teens and young adults. The aerosol from e-cigarettes can contain cancer causing agents. Defective batteries have caused e-cigarettes to catch fire or explode. For more information contact Dr. Nadine Huchins at 970-242-7373 or

Fluoride Toothpaste and Young Children

The American Academy of Pediatric Dentistry (AAPD) recommends the use of fluoride containing toothpaste for children with teeth. Using fluoridated toothpaste is very important because some people do not have fluoridated water or do not drink tap water. Children younger than two should only have a smear of toothpaste while children ages 2 -5 should receive a pea-sized amount. Brushing with fluoridated toothpaste and using floss regularly are the most effective habits to reduce cavities. For more information contact Dr. Hutchins at 970-242-7373 or

Baking Soda Toothpaste

The safety of baking soda toothpastes has been well studied. They are low in abrasiveness, do not contribute to tooth sensitivity, and are safe to use by patients on a low salt diet. Baking soda toothpastes have stain-reducing and whitening properties which can motivate patients to brush. Baking soda can neutralize the acids that contribute to cavities. Unless a patient needs a desensitizing toothpaste or a high fluoride content toothpaste, a toothpaste containing baking soda and fluoride is a wise choice. For more information call Dr. Nadine Hutchins at 970-242-7373 or

Oral Cancer is Not Common

If you have a sore in your mouth that does not go away in 3 weeks, or a red/white patch, or a lump you should get it checked. There are risk factors for oral cancer. Tobacco, alcohol, tobacco and alcohol in combination, and human papilloma virus (HPV). HPV is sexually transmitted and it is recommended that girls and boys between the ages of 11 and 12 get the vaccine, regardless of whether or not they are sexually  active. Although oral cancer is not common, picking up on something unusual in your mouth and having a biopsy, if necessary, are important ways you can catch cancer early, which can double the 5-year survival rate. If you have any questions please call Dr. Nadine Hutchins 970-242-7373.

Picking Out Power Toothbrushes

As with other dental products, look for the American Dental Association (ADA) seal of acceptance. Oral B powered toothbrushes have earned the ADA seal. There are 5 different models to choose from. To see the complete list of ADA Seal accepted over the counter products, visit, ADA’s consumer website, is another resource available to patients for evidence-based information about dental care products. For a more personalized evaluation of your dental products needs please call Dr. Nadine Hutchins at 970-242-7373.

Dental Calculus DNA Analysis of Neanderthals Reveals Behavior, Diet and Disease

Two Neanderthals found in a cave in Belgium indicated that their diet included wooly rhinoceros and wild sheep characteristic of a steppe environment. Cave-dwelling Neanderthals in Spain indicated a diet of mushrooms, pine nuts, and moss that was typical of a forest environment. One Neanderthal, who had a dental abscess, consumed a plant that is known to contain salicylic acid, which is an active ingredient in aspirin. The calculus of this Neanderthal also contained genetic sequences of the natural antibiotic producing Penicillium from herbaceous material. These Neanderthals are smarter than we thought!

Why are baby teeth important?

Baby teeth help a child speak and chew. They direct boney growth for the shape of the face and make room for the adult teeth. Tooth decay can begin when a child is put to bed with a bottle filled with milk, juice or soda. Even watered down juice or milk can do damage if a child is frequently sipping from a bottle or sippy cup. If a baby is eating solid foods, she may have a bottle of water at fussy times.

Why does a cracked tooth hurt?

Sometimes, a crack in the enamel travels through to the nerve in the center of the tooth. This type of cracked tooth may hurt when you bite down or when you stop biting. The crack may be to small to see, but when it opens, the pulp inside the tooth may become irritated. The pulp is soft tissue inside the center of the tooth that contains the nerves and blood vessels. If the crack extends into the pulp, the tooth may become sensitive to extreme heat and cold. A root canal treatment may be needed in addition to a crown to save the tooth. For more information about taking care of your mouth and teeth, visit or call Dr. Hutchins at 1-970-242-7373.

Dental Fears

Are you afraid of the dentist? Please let the staff know. Tell the receptionist, the assistant, the hygienist, and especially the dentist. We can help you take care of your teeth and deal effectively with your fears.  Find music you like and headphones to bring to the office. Practice breathing techniques. Breathe in for a count of 5, hold, breathe out for a count of 5 and repeat 5 times. Your heart rate should decrease and you will feel calmer. Visualize a place that feels peaceful to you and keep returning to it when your mind wanders. If you like to know exactly what is happening and when, tell the staff. If you prefer to close your eyes and go to your quiet peaceful place, tell the staff.  Keep the dental team aware of how you are doing, so each visit keeps you coming back for check-ups instead of emergencies.  Call Dr. Hutchins with any questions 970-242-7373.