Posts for tag: oral health
Each part of the human body is an intricate wonder. Take your teeth, for example: they’re so woven into everyday life we don’t notice them, yet they each work seamlessly with the jaws and mouth so we can eat, speak and even smile.
Here, then, are a few facts to help you understand — and appreciate — these tiny, amazing wonders we call teeth.
Layer Upon Layer. Rather than one solid mass, teeth are composed of different layers of slightly different tissues each with a unique role in protecting and enabling a tooth to function. Innermost is the pulp filled with connective tissue encasing blood vessels and nerves that transmit sensations to the brain. The next layer out is the dentin, a bone-like material sensitive to touch and other stimuli, which also absorbs some of the forces generated when biting or chewing. The outermost layer is enamel, the hardest material in the body and the tooth’s first defense against infection and other dangers.
Front and Center. Teeth perform different functions depending on their type and location. Front teeth are our “onstage performers” — they help us to speak and enunciate words clearly and, of course, contribute to our smile. They’re also adept at cutting through food when it first enters our mouths.
The Support Team. In keeping with our theater analogy, back teeth are our “backstage crew”: they help support our facial height, provide balance for the jaws as we swallow and protect the front teeth from too much vertical force. They’re also able to crush food before we finally swallow, which aids in the digestive process.
Intended for a Lifetime. If you consider all the environmental factors our teeth face — acidic foods, biting forces and temperature swings to name a few — you then can appreciate their resiliency. Of course, teeth have their enemies: decay, infection and trauma. With daily brushing and flossing and at least a couple of visits a year to our office for cleanings and checkups, you can help thwart many of those enemies. With both our efforts we can make sure your teeth really do last a lifetime.
Regular dental visits are an important part of maintaining healthy teeth and gums. But it’s what goes on between those visits — daily hygiene and care — that are the real ounce of prevention.
Here are 4 things you should be doing every day to keep your mouth healthy.
Use the right toothbrush and technique. Brushing with fluoride toothpaste at least once every day is a must for removing plaque, a thin film of bacteria and food particles which is the main cause of dental disease. Your efforts are more effective if you use a soft-bristled, multi-tufted brush that’s replaced often, especially when bristles become splayed and worn. To remove the most plaque and avoid damaging your gums, brush with a gentle, circular motion for at least two minutes over all tooth surfaces.
Don’t forget to floss. Your toothbrush can get to most but not all the plaque on your teeth. Flossing — either with flossing string, pre-loaded flossers or a water irrigator — helps remove plaque from between teeth. Don’t rely on toothpicks either — they can’t do the job flossing can do to remove plaque.
Mind your habits. We all develop certain behavioral patterns — like snacking, for instance. Constant snacking on foods with added sugar (a major food source for bacteria) increases your disease risk. Consider healthier snacks with fresh fruits or dairy, and restrict sugary foods to mealtimes (and the same for sports and energy drinks, which have high acid levels). Stop habits like tobacco use, excessive alcohol consumption or chewing on hard objects, all of which can damage your teeth and gums and create a hostile environment in your mouth.
Watch for abnormalities. If you pay attention, you may be able to notice early signs of problems. Bleeding, inflamed or painful gums could indicate you’re brushing too hard — or, more likely, the early stages of periodontal (gum) disease. Tooth pain could signal decay. And sores, lumps or other spots on your lips, tongue or inside of your mouth and throat could be a sign of serious disease. You should contact us if you see anything out of the ordinary.
If you would like more information on how to care for your teeth and gums, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “10 Tips for Daily Oral Care at Home.”
We’re all familiar with “naughty” and “nice” lists for food: “nice” items are beneficial or at least harmless; on the other hand, those on the “naughty” list are not and should be avoided. And processed sugar has had top billing on many people’s “naughty” list for some time now.
And for good reason: it’s linked to many physical ills including obesity, diabetes and heart disease. As a favorite food for oral bacteria that cause dental disease, sugar can also increase your risk for tooth decay or periodontal (gum) disease.
Most people agree that reducing sugar in their diet is a great idea health-wise. But there’s one small problem: a great many of us like sugar—a lot. No matter how hard we try, it’s just plain difficult to avoid. Thanks perhaps to our ancient ancestors, we’re hard-wired to crave it.
But necessity is the mother of invention, which is why we’ve seen the development over the past half century of artificial sweeteners, alternatives to sugar that promise to satisfy people’s “sweet tooth” without the harmful health effects. When it comes to dental health, these substitute sweeteners won’t contribute to bacterial growth and thus can lower disease risk.
But are they safe? Yes, according to the U.S. Food and Drug Administration (FDA). The agency has approved six types of artificial sweeteners for human consumption: acesulfame K, saccharin, aspartame, neotame, sucralose and rebaudioside A. According to the FDA any adverse effects caused by artificial sweeteners are limited to rare conditions like phenylketonuria, which prevents those with the disease from safely digesting aspartame.
So, unless you have such a condition, you can safely substitute whatever artificial sweetener you prefer for sugar. And if dental health is a particular concern, you might consider including xylitol. This alcohol-based sweetener may further deter tooth decay—bacteria can’t digest it, so their population numbers in the mouth may actually decrease. You’ll find xylitol used as a sweetener primarily in gums, candies and mints.
Reducing sugar consumption, couple with daily oral hygiene and regular dental visits, will certainly lower your risk of costly dental problems. Using a substitute sweetener might just help you do that.
If you would like more information on sweetener alternatives, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Artificial Sweeteners.”
Many people have questions about the proper use of antibiotics — especially today, as the overuse of these medications has become a concern. It isn’t necessary for most people to take antibiotics before having a dental procedure. But for a few — notably, those with particular heart conditions and, in some cases, joint replacements — pre-medication is advisable. The question may be even more confusing now, because the standard recommendations have recently changed — so let’s try and sort things out.
First, why would anyone need antibiotics before dental treatment? Essentially, it’s because of the chance that an open wound could allow bacteria from the mouth to enter the bloodstream. For people in good health, the body is capable of quickly containing and neutralizing the bacterial exposure. But people with some types of heart disease, heart transplants, and/or total joint replacements have a greater likelihood of developing a bacterial infection, which can be dangerous — or even life-threatening. The same may be true of people whose immune systems are compromised.
At one time, people with a broad range of heart problems and artificial joints were advised to pre-medicate; today, new research indicates that fewer people need to take this step. Antibiotics are currently recommended before dental procedures if you have:
- An artificial heart valve, or a heart valve repaired with artificial material
- A history of endocarditis
- A heart transplant with abnormal heart valve function
- Cyanotic congenital heart disease (a birth defect where blood oxygen levels are lower than normal) that hasn’t been fully repaired — including children with surgical shunts and conduits
- A congenital heart defect that has been completely repaired with artificial material or with a device — but only for the first six months after the repair procedure
- Repaired congenital heart disease with residual defects, such as leakage or abnormal flow
In addition, not everyone who has an artificial joint needs antibiotic premedication. Instead, your health care providers will rely on your individual medical history to determine whether this step is required in your situation. However, having a compromised immune system (due to diabetes, cancer, arthritis, chemotherapy and other factors) is still an indication that antibiotics may be needed.
The question of whether or not to pre-medicate is an important one — so it’s vital that you share all relevant medical information with your doctors and dentists, and make sure everyone is in the loop. That way, the best decisions can be made regarding your treatment.
Like many people, you might be caring for an elderly parent or family member. That care should include a focus on their teeth and gums — a healthy mouth is vitally important to their overall health, nutrition and well-being. Because of the aging process, this can be challenging.
Here are 4 areas where you should focus your attention to assure the senior adult in your life has the healthiest mouth possible.
Make adjustments for hygiene. As we grow older, arthritis and similar conditions make brushing and flossing difficult to perform. You can help your senior adult keep up these vital tasks by switching to a powered toothbrush or refitting their brush with a bike handle or tennis ball to make gripping easier. Pre-loaded floss holders or water irrigators are effective alternatives to manual flossing if it becomes too difficult.
Have dentures or other appliances checked regularly. Many older people wear full or partial dentures. Due to the nature of these appliances, the risk of bone loss over time is greater, which can eventually affect their fit. Their dentist should check them regularly and reline or repair them if possible. Eventually, they may need a new appliance to match any changing contours in the mouth.
Be aware of age-related dental issues. Age-related conditions of both the mouth and the body (like osteoporosis, which can affect bone density) can impact dental health. For example, an older person can develop lower saliva flow, often due to medications they’re taking. This, as well as gastric reflux common in older people, increases acidity and a higher risk of tooth decay. Past dental work like fillings, crowns or bridges may also make hygiene and additional treatment more difficult.
Keep up regular dental visits. In light of all this, it’s crucial to keep up with regular dental visits for continuing teeth and gum health. Besides cleanings, these visits are also important for monitoring signs of tooth decay, periodontal (gum) disease and oral cancer. It’s also a good opportunity to gauge the effectiveness of their hygiene efforts and suggest adjustments.
If you would like more information on dental care for older adults, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Aging & Dental Health.”