Wednesday, June 8, 2011

How many teeth are in a pack of cigarettes??

A one-pack-a-day smoking habit can cost you the loss of at least two teeth every 10 years, reports the Academy of General Dentistry (AGD).
 
Smokers are about twice as likely to lose their teeth than non-smokers, according to the results of two separate 30-year studies that investigated the relationship between smoking and tooth loss among males and females at Tufts University in Boston.

Tuesday, May 24, 2011

What are Mouth Rinses?


Mouth rinse or mouthwash is a product used for oral hygiene. Antiseptic and anti-plaque mouth rinse claims to kill the germs that cause plaque, gingivitis, and bad breath. Anti-cavity mouth rinse uses fluoride to protect against tooth decay. Mouth rinses are generally classified either as cosmetic, therapeutic, or a combination of the two. Cosmetic rinses are commercial, over-the-counter (OTC) products that help remove oral debris before or after brushing, temporarily suppress bad breath, diminish bacteria in the mouth, and refresh the mouth with a pleasant taste. Therapeutic rinses have all of the benefits of cosmetic rinses but also contain an added active ingredient that helps protect against some oral diseases. Therapeutic rinses also can be categorized according to use: anti-plaque/anti-gingivitis rinses or anti-cavity fluoride rinses, for example.
 
Dentists will prescribe special rinses for patients with more severe oral problems, such as cavities, periodontal disease, gum inflammation, and xerostomia (dry mouth). Therapeutic rinses also are strongly recommended for those who can't brush due to physical impairments or medical reasons.
 
Should I use a mouth rinse?
Whether or not you should use a mouth rinse depends upon your needs. Many dentists consider the use of fluoride toothpaste alone to be more than adequate protection against cavities. Although anti-cavity rinses with fluoride have been clinically proven to fight up to 50 percent more of the bacteria that cause cavities, and most rinses are effective at curbing bad breath
and freshening the mouth for up to three hours, initial studies have shown that most OTC anti-plaque rinses and antiseptics are not much more effective against plaque and gum disease than rinsing with water.
 
Most dentists are skeptical about the value of these anti-plaque products, and studies point to only a 20 to 25 percent effectiveness, at best, in reducing the plaque that causes gingivitis. Mouth rinses can cause harm by masking the symptoms of an oral health disease or condition.
 
How should I use a mouth rinse?
Before using mouth rinses, dentists suggest that you brush and floss your teeth well. Then, measure the proper amount of rinse as specified on the container or as instructed by your dentist. With your lips closed and the teeth kept slightly apart, swish the liquid around with as much force as possible. Many rinses suggest swishing for 30 seconds or more. Finally, thoroughly spit the liquid from your mouth. Teeth should be as clean as possible before applying an anti-cavity rinse to reap the full preventive benefits. Consumers should not rinse, eat, or smoke for 30 minutes after using rinses, as these practices will dilute the fluoride and rinse it away.
 
Are there any side effects?
Yes, and they can vary depending on the type of rinse. Habitual use of antiseptic mouthwashes that contain high levels of alcohol (18 to 26 percent) may produce a burning sensation in the cheeks, teeth, and gums. Many rinses with more concentrated formulas can lead to mouth ulcers, sodium retention, root sensitivity, stains, soreness, numbness, changes in taste sensation, and painful mucosal erosions. Most anti-cavity rinses contain sodium fluoride, which can lead to fluoride toxicity if taken excessively or swallowed. Because children tend to accidentally swallow mouthwash, they should only use rinses under adult supervision. If you experience any irritating or adverse reactions to a mouth rinse, discontinue its use immediately and talk to your dentist.

Monday, May 16, 2011

The Mystery of Burning Mouth Syndrome

Most people can relate to the uncomfortable feeling that occurs after scalding their mouth on hot soup or coffee. It's a relief when that burnt feeling subsides after several days. But imagine experiencing that burning sensation all day, every day. The condition is called burning mouth syndrome (BMS), and damage to the nervous system during menopause may be to blame, according to an article published in the May/June 2011 issue of General Dentistry, the peer-reviewed clinical journal of the Academy of General Dentistry (AGD).
 
BMS affects nearly 5 percent of Americans and causes a constant burning sensation, most commonly on the top of the tongue, lower lip, and roof of the mouth.
 
"The cause of BMS is currently unknown, but our findings support the theory that this is a neuropathic condition," says lead study author Gary D. Klasser, DMD. "For reasons unknown, it seems that the BMS patient's nerves are not sending and/or processing information correctly—there's a short circuit in the nervous system and the brain can't turn off the pain receptors."
 
Although BMS can affect both sexes, the study confirms by a 7:1 ratio that women in their menopausal and post-menopausal years are more likely to be affected by BMS.
 
"For a small percentage of women, it is these hormonal changes that may alter taste and the way in which a person interprets pain," says Dr. Klasser. "The alterations may be enough to start the cascade of events that lead to BMS."
 
With no physical signs, it is very difficult for many health practitioners to recognize, diagnose, and manage BMS. As with most BMS sufferers, the patients in this study experienced oral burning symptoms for several years and visited multiple health practitioners prior to receiving a definitive diagnosis of BMS.
 
"Besides reporting oral burning, patients describe experiencing a dry, gritty feeling in the mouth, as well as alterations in taste," says AGD Spokesperson Eugene Antenucci, DDS, FAGD. "But because many health practitioners are not familiar with BMS and cannot see any physical symptoms, patients often leave the doctor's office frustrated and untreated."
 
Although no cure currently exists, health practitioners who have an understanding of the syndrome can help patients manage their symptoms.
 
"BMS is not a matter of life or death, but it is a matter of quality of life," says Dr. Antenucci. "Patients who believe they suffer from any of these symptoms should speak with their general dentist and seek out a health practitioner who has experience with this condition."
 
Medications, both topical and systemic, are available to treat BMS. Patients should consult their doctor to determine the medication that is best for them.
 
Some helpful ways for patients to alleviate the symptoms of BMS without taking medication are to drink water regularly to keep the mouth lubricated; avoid spicy, hot, acidic foods that can amplify symptoms; chew sugarless gum to increase saliva flow; and avoid tobacco and alcohol products that can cause irritation to the oral tissue.
 

Monday, May 2, 2011

Have a heart to heart with your dentist

Congestive heart failure (CHF), a condition in which the heart cannot pump enough blood to the body's organs, affects more than 3 million people in the United States, with approximately 400,000 new cases each year.
 
People with a history of an untreated or poorly managed CHF, may be at high risk during a dental treatment for infection, cardiac arrest, stroke and heart attack, according to the lead author of a new study that appears in the May/June 2002 issue of General Dentistry, the clinical, peer-reviewed publication of the Academy of General Dentistry (AGD).
 
"Bacteria released during a dental cleaning travels through the bloodstream and to the areas that help pump blood to other organs," says Nelson L. Rhodus, DMD, MPH, lead author of the study. "Patients with untreated CHF are at high risk for infections because the bacteria released can trigger blood clots that may exacerbate the existing condition."
 
Dr. Rhodus hopes his findings help increase patient awareness about getting CHF under control so patients can receive dental treatment.

Thursday, April 28, 2011

What is Gum Disease?


Gum disease, or periodontal disease is a chronic inflammation and infection of the gums and surrounding tissue. It is the major cause of about 70 percent of adult tooth loss, affecting three out of four persons at some point in their life. Periodontal diseases include gingivitis and periodontitis.
 
What causes gum disease?
 
Bacterial plaque – a sticky, colorless film that constantly forms on the teeth – is recognized as the primary cause of gum disease. If plaque isn't removed each day by brushing and flossing, it hardens into a rough, porous substance called calculus (also known as tartar).Toxins produced and released by bacteria in plaque irritate the gums. These toxins cause the breakdown of the fibers that hold the gums tightly to the teeth, creating periodontal pockets that fill with even more toxins and bacteria. As the disease progresses, pockets extend deeper, and the bacteria moves down until the bone that holds the tooth in place is destroyed. The tooth eventually will fall out or require extraction.
 
Are there other factors?
 
Yes. Genetics is also a factor, as are lifestyle choices. A diet low in nutrients can diminish the body's ability to fight infection. Smokers and spit tobacco users have more irritation to gum tissues than non-tobacco users, while stress can also affect the ability to ward off disease. Diseases that interfere with the body's immune system, such as leukemia and AIDS, may worsen the condition of the gums. In patients with uncontrolled diabetes, where the body is more prone to infection, gum disease is more severe or harder to control. Pregnant women experience elevated levels of hormones that cause the gums to react differently to the bacteria found in plaque, and in many cases can cause a condition known as "pregnancy gingivitis."
 
What are the warning signs of gum disease?
 
Signs include red, swollen or tender gums, bleeding while brushing or flossing, gums that pull away from teeth, loose or separating teeth, pus between the gum and tooth, persistent bad breath, a change in the way teeth fit together when the patient bites and a change in the fit of dentures. While patients are advised to check for the warning signs, there might not be any discomfort until the disease has spread to a point where the tooth is unsalvageable. That's why patients are advised to get frequent dental exams.
 
What does periodontal treatment involve?
 
In the early stages of gum disease, most treatment involves a special cleaning called scaling and root planning, which removes plaque and tartar around the tooth and smoothing the root surfaces. Antibiotics or antimicrobials may be used to supplement the effects of scaling and root planing. In most cases of early gum disease, called gingivitis, scaling and root planing and proper daily cleaning achieve a satisfactory result. More advanced cases may require surgical treatment, which involves cutting the gums – sometimes with the assistance of a laser – and removing the hardened plaque build-up and recontouring the damaged bone. The procedure is also designed to smooth root surfaces and reposition the gum tissue so it will be easier to keep clean.

How do you prevent gum disease?
 
Removing plaque through daily brushing, flossing and professional cleaning is the best way to minimize your risk. Your dentist can design a personalized program of home oral care to meet your needs.
 
What is the role of the general dentist?
 
The general dentist usually detects gum disease and treats it in the early stages. Some general dentists have acquired additional expertise to treat more advanced conditions of the disease. If the general dentist believes that the gum disease requires treatment by a specialist, the patient will be referred to a periodontist. The dentist and periodontist will work together to formulate a treatment plan for the patient.
 
How can I maintain treatment at home?
 
Sticking to a regular oral hygiene regimen is crucial for patients who want to sustain the results of periodontal therapy. Patients should visit the dentist every three to four months (or more, depending on the patient) for spot scaling and root planing and an overall exam. In between visits, they should brush at least twice a day, floss daily and brush their tongue. Manual soft nylon bristle brushes are the most dependable and least expensive. Electric brushes are also a good option, but don't reach any further into the pocket than manual brushes. Proxy brushes (small, narrow brushes) and other interdental cleaners are the best way to clean between the recesses in the teeth and should be used once a day. Wooden toothpicks and rubber tips should only be used if recommended by your dentist.

Tuesday, April 19, 2011

Mouthguard Warrior Kids

Most people, kids included, have experienced the "weekend warrior" syndrome, where you think your body is invincible to injury and that you do not need protective gear such as helmets for your head and pads for your knees, shins and elbows. In particular, teeth are often forgotten. Although the dental profession unanimously supports the use of mouthguards in a variety of athletic and recreational activities, consumers remain resistant to and ill-informed of the importance and advantages of wearing a mouthguard during their weekend activities.
 
"There are three reasons most people don't wear mouthguards: cost, the ‘headache factor‘ and image," says David Kumamoto, DDS, FAGD. "What people fail to realize is how many serious injuries such as concussions, jaw fractures and neck injuries are prevented by mouthguards."
 
It is estimated that mouthguards prevent more than 200,000 injuries each year. Although orofacial injuries are traditionally associated with contact sports such as football and hockey, findings show that soccer players are more likely than football players to sustain an orofacial injury and basketball players have a risk up to 15 times that of football players. These statistics do not include the number of people participating in leisure sports such as flag football and pick-up basketball games with friends. And, more people currently participate in organized soccer than those participating in competitive football, where mouthguards and face masks are mandatory.
 
"Pick-up games prove more of a risk than supervised sports because there are no officials to enforce game rules," says Dr. Kumamoto. "But even supervised sports have their share of serious injuries due to the lack of protective equipment. Sudden falls and accidental collisions during a game or athletic activity can cause dental injuries."
 
"Of the three types of mouthguards that are currently available, a custom-made mouthguard by your dentist offers the best protection, fit and comfort level because it is made from a cast to fit your teeth," says Dr. Kumamoto. "Mouth-formed guards are available at sporting goods stores and are less expensive than custom-made guards, however the fit is not as good and it will not last as long. A stock mouthguard, the least expensive choice, offers the least protection since little can be done to adjust the fit. However, even the least expensive mouthguard is better than none."
 
The Academy of General Dentistry recommends that players participating in basketball, softball, wrestling, soccer, lacrosse, rugby, in-line skating and martial arts, whether for an athletic competition or leisure activity, wear mouthguards while competing.

Wednesday, April 13, 2011

Dental Sealants: Is My Child a Candidate?

  By age 19, tooth decay affects nearly 70 percent of America's children, according to the Centers for Disease Control and Prevention (CDC). Left untreated, tooth decay, also known as cavities, may result in pain and infection.
 
One highly effective option to help prevent cavities is dental sealants – a thin plastic film painted on the chewing surface of teeth.
 
Dental sealants have been proven a safe and cost-efficient dental procedure for patients prone to cavities. Even health care task forces are recognizing the benefits of dental sealants, recommending school-based programs.
 
However, an article in the February 2006 issue of AGD Impact, the Academy of General Dentistry's (AGD) monthly newsmagazine, cites several reports that explain dental sealants are still underused, despite their advantages in averting tooth decay for an average of five to seven years.
 
"Studies show that many children are exceptional candidates for dental sealants.," says AGD spokesperson Mark Ritz, DDS, MAGD. "Parents should consider sealants as a preventive measure in their child's oral health and discuss this option with their dentist."
 
Surveys show the majority of all cavities occur in the narrow pits and grooves of a child's newly erupted teeth because food particles and bacteria are not easily cleaned out. A risk assessment by a dentist best determines if a child is a candidate for dental sealants.
 
Dental sealants act as a barrier to "seal-off" space between the tooth surface and any small food particles or bacteria that may otherwise cause a cavity in an "unsealed" tooth.
 
Paired with twice-daily brushing with a fluoridated toothpaste, a healthy diet and visiting the dentist twice a year to monitor the sealants' placement or bond on the tooth, properly applied dental sealants are 100-percent effective in preventing cavities.
 
"Remember that dental sealants do not protect against gum disease such as gingivitis, oral cancer or many common dental conditions," says Dr. Ritz. "Regular dental checkups are vital to monitor overall oral health."
 

Benefits of dental sealants:

 
  • Paired with good oral health care, sealants are 100-percent effective against cavities in teeth that are sealed and properly maintained.
  • Minimally invasive, safe and effective preventive procedure.
  • Costs less than getting a cavity filled.

Monday, April 11, 2011

Taking Herbal Supplements? Tell Your Dentist


Alternative medicine isn't so alternative anymore. Once dismissed as a fad or fringe movement, alternative medicine has become an increasingly popular component of mainstream health care, including dentistry.
 
But patients need to use caution when using any alternative, "natural" treatments, including herbal supplements.
 
"'Stop, look and listen' applies to the health-food counter as much as the intersection," says Academy of General Dentistry spokesperson Eric Z. Shapira, DDS, MAGD. Most patients neglect to include vitamins and herbal remedies when listing their medications for their dentist or physician. But even the most common herbs, such as St. John's wort and ginkgo biloba, can cause serious health problems if taken in combination with other drugs or taken in extreme dosages.
 
"People think herbs are harmless because they are considered 'natural,' and they think, if one is good, 10 are better," said Dr. Shapira. But overdoing it with supposedly safe herbs can cause health problems as serious as internal bleeding and heart arrhythmia, Dr. Shapira warns.
 
He also points out that all drugs are natural. "Almost all medicines start out as plants, but established drugs have the benefit of being standardized and regulated by the Food and Drug Administration," he says. Herbal medications are not standardized or regulated in any way.
 
Dr. Shapira urges patients to be well informed before taking any herbal concoction or embarking on an alternative therapy such as acupuncture, chiropractic or even aromatherapy. That means more than reading the manufacturers' promotional material or Internet sites.
 

 

 
Recommendations for some natural remedies for oral health:
 
Fluoride – This naturally occurring mineral has been proven to protect teeth from decay. Many municipal water supplies contain fluoride. Other sources are fluoride toothpaste, mouthwash and topical rinses and pastes applied in the dental office.
 
Alcohol-free mouthwash – Some common mouthwashes contain alcohol to cover up the smell of plaque. But alcohol dries out the mouth, which can cause discomfort and create an environment for more plaque to thrive.
 
Tea – A folk remedy that works, wet tea bags can provide relief from canker sores, swollen gums and toothache.
 
Zinc – This mineral is widely available in lozenges that can relieve the pain of a sore throat, but use sparingly. As with any herb, vitamin or mineral, patients need to follow directions and inform their dentist of its use.

Wednesday, April 6, 2011

The importance of x-rays

Radiographic, or X-ray, examinations provide your dentist with an important tool that shows the condition of your teeth, its roots, jaw placement and the overall composition of your facial bones. X-rays can help your dentist determine the presence or degree of periodontal (gum) disease, abscesses and many abnormal growths, such as cysts and tumors. X-rays also can show the exact location of impacted and unerupted teeth. They can pinpoint the location of cavities and other signs of disease that may not be possible to detect through a visual examination.

Your radiographic schedule is based on your dentist's assessment of your individual needs, including whether you're a new patient or a follow-up patient, adult or child. In most cases, new patients require a full set of mouth X-rays to evaluate oral health status, including any underlying signs of gum disease, and for future comparison. Follow-up patients may require X-rays to monitor their gum condition or their chance of tooth decay.

Wednesday, March 30, 2011

See a Baby Tooth? See a Dentist

 
Baby teeth are worth more than just a dollar under the pillow. Providing proper care and oral hygiene during a child's first year of life can mean a lifetime of good oral health.
 
Traditionally, parents have waited to bring their children to the dentist until primary teeth begin to appear. A 2002 consumer poll by the American Academy of Pediatric Dentistry shows that nearly 70 percent of parents wait until their children are 3 years old before taking them to the dentist. But a dental visit by age 1 – or within six months of the eruption of the first baby tooth – is crucial, says Academy of General Dentistry (AGD) spokesperson Cynthia E. Sherwood, DDS.
 
Dr. Sherwood says this early visit gives a dentist the opportunity to see potential problems such as early-childhood caries (also known as baby bottle tooth decay); educate the parent on proper oral hygiene for the child; and give the toddler a positive experience in a dental setting. This can do wonders in allaying fears and boosting the child's future attitude toward visiting the dentist, Dr. Sherwood says.
 
Education is the heart of the age-1 exam. "When we see a toddler, we primarily talk to the parents about growth, development, thumb sucking, bottle and breast feeding, oral hygiene and nutritional issues, use of fluoride and why baby teeth are important," Dr. Sherwood said.
 
During this first visit, the dentist usually will sit knee-to-knee with the parent, with the child nestled in the parent's lap, and the dentist will ask the parent to demonstrate how she or he brushes the child's teeth. Then, if parent and tot are comfortable, the dentist will turn the child around onto his or her lap, so the dentist can get a good look at the child's teeth and gums. This "pleasant, painless visit" should take no more than 15 minutes, Dr. Sherwood said.
 
"Sitting knee-to-knee with the parent, playing with the baby and talking with the parent, I can get a very good sense of the child's oral health care, and this position gives us a good opportunity to get a good look at the child's teeth," says Dr. Sherwood. "It's a great experience for everyone involved."
 
Toddler dos and don'ts:
 
DO:
 
  • Take your child to the dentist within six months of the eruption of the first baby tooth, definitely by age 1.
  • Follow your dentist's advice regarding nutrition, hygiene routine, fluoride and dental-visit schedule.
  • Teach your child how to brush around age 3, and brush your teeth with your children to model good technique and spot problems.
DON'T:
 
  • Think baby teeth don't matter "because they'll just fall out anyway."
  • Allow children to have continual access to a bottle or "sippy cup" filled with anything other than water.
  • Give your children the impression that visiting the dentist is unpleasant.

Tuesday, March 15, 2011

Does a Smaller Waist Mean Smelly Breath?

 
Many people wanting to slim down are jumping on the low-carbohydrate diet trend in an attempt to lose weight. However, as dieters shed pounds, many are saying goodbye to carbs and hello to halitosis. 
 
Low-carb diets work by limiting the amount of carbohydrates ingested, which allows the body to burn stored fat instead of carbohydrates. When the body burns fat as fuel, chemicals called ketones are produced. These ketones are released in the breath and urine and may result in halitosis. Ketones aren't the only bad breath culprit for this diet. The types of foods ingested also play a role.
 
"Most cases of bad breath originate from the breakdown of food particles that produce sulfur compounds, and from bacteria on the gums and tongue," says Academy of General Dentistry spokesperson Bruce DeGinder, DDS, MAGD. " High-protein foods can produce more sulfur compounds, especially overnight on the surface of the tongue when saliva production is diminished."
 
Tips to combat halitosis:
 
1. Drink water to wash away germs
 
Drinking plenty of water can help dilute the concentration of ketones, but that isn't the only benefit. Drinking water throughout the day can help cleanse teeth of excess bacteria and food debris. Bad breath can sometimes be caused by food particles caught in the teeth, and drinking water will help rinse away odor-causing particles.
 
2. Chew sugarless gum with xylitol
 
Chewing sugarless gum after meals can help keep bad breath away. Saliva production increases during chewing and this can help neutralize acid production and rinse food particles from the mouth. Chewing parsley can have the same effect because it also increases saliva production.
 
Sugar-free gum with xylitol can also help prevent cavities. Xylitol is a natural sweetener found in plants and fruits, and research shows it inhibits the growth of Streptococcus mutans, the oral bacteria that cause cavities.
 
3. Keep a toothbrush handy and brush after all meals
 
Brushing and flossing at least twice a day can help keep your mouth healthy and prevent odors. An AGD survey found that 75 percent of people eat at the office but less than 15 percent of them brush their teeth after eating. Cleaning the tongue with a toothbrush or tongue scraper after meals can also help alleviate odors.
 
If halitosis continues, a general dentist or doctor can help determine the source of the odor. Halitosis can sometimes have more serious causes. "Ketone breath is also used to describe a fruity smell on the breath that can be an indication that a person may have diabetes," says Dr. DeGinder. "This can originate when the body is breaking down fat particles because there is not sufficient glucose present as fuel for energy."
 

Tuesday, March 8, 2011

The Tooth about Zinc

From its involvement in a healthy immune system to its role in cell growth, zinc is an essential mineral for the human body. Zinc deficiency is a worldwide problem that affects approximately 4 million people in the U.S. alone.
 
Consumed naturally in the human diet, zinc can be found in food sources, such as beef, yogurt, eggs, and fish. Furthermore, zinc is widely used in dental products, specifically denture adhesives.
 
However, as with any herb, vitamin, or mineral, excess intake of zinc could pose a potential health hazard. Denture wearers are advised to pay special attention to the amount of zinc they consume, according to an article published in the March/April 2011 issue of General Dentistry, the peer-reviewed clinical journal of the Academy of General Dentistry (AGD).
 
"If a patient wears dentures, it is essential that he or she follows the instructions and recommended dosages on the product label," advises J. A. von Fraunhofer, MSc, PhD, co-author of the article. "Many times, patients will overuse the adhesive and, although it happens rarely, they can ingest toxic levels of zinc, with adverse neurologic effects."
 
The optimal use of denture adhesive involves placing a thin film or a series of dots across the denture surface, which will ensure that a patient is not overusing the adhesive. A single tube should last three to 10 weeks with daily use, although actual usage depends on the number of applications per day.
 
"An ill-fitting denture is one reason that a patient could be overusing adhesive," says AGD spokesperson Manuel A. Cordero, DDS, MAGD. "With age, your mouth will continue to change as the bone under your denture shrinks or recedes. If the denture doesn't fit correctly, the patient tends to use more adhesive to try to get the denture to stay in place."
 
To maintain a proper fit over time, patients should be evaluated by a dentist every six months.
 
"Abusing denture adhesive could cause nausea, stomachache, and mouth irritation," says Dr. Cordero. "Over time, toxic levels of zinc could cause a copper deficiency, which has been linked to neurological damage."
 
Currently, the FDA has issued no warnings regarding the use of denture adhesives, but patients should limit their usage of adhesive in accordance with the manufacturers' instructions and speak with their dentist if they have additional questions or concerns.

Monday, March 7, 2011

Baby's first dental visit

Parents are a child's first teachers in life and they play a significant role in maintaining their child's overall health. In observance of National Children's Dental Health Month, the Academy of General Dentistry (AGD) encourages parents to introduce good oral health habits to their children during infancy.
 
According to the U.S. Centers for Disease Control and Prevention, tooth decay affects children in the United States more than any other chronic infectious disease, highlighting the need for thorough oral care and regular dental visits. The ideal time for a child to visit the dentist is six months after the child's first teeth erupt. During this initial visit, a dentist will be able to examine the development of the child's mouth.
 
"Parents are surprised when I tell them that their infants can develop tooth decay and cavities soon after their teeth first appear," says AGD spokesperson Steven A. Ghareeb, DDS, FAGD. "We usually call this baby bottle tooth decay, which is caused by the long-term exposure to liquids containing sugars like milk, formula, and fruit juice."
 
In addition to tooth decay, other dental problems, such as teething irritations, gum disease, and prolonged thumb or pacifier sucking, often start early. The sooner the child visits a dentist, the better.
 
There are many things that parents can do with their child at home to maintain good oral health:
 
  • Clean your infant's gums with a clean, damp cloth twice a day.
  • Ask your dentist when you may begin to rub a tiny dab of toothpaste on your child's gums. Doing so will help your child become accustomed to the flavor of toothpaste.
  • As soon as the first teeth come in, begin brushing them with a small, soft-bristled toothbrush and a pea-sized dab of fluoride toothpaste.
  • Help a young child brush at night, which is the most important time to brush, due to lower salivary flow during sleep and higher susceptibility to cavities and plaque.
  • By approximately age 5, your child can learn to brush his or her teeth with proper parental instruction and supervision.
 
"The best way to teach a child how to brush is to lead by your good example," says Dr. Ghareeb. "Allowing your child to watch you brush your teeth teaches the importance of good oral hygiene."
 
 
Children, like adults, should see the dentist every six months. Some dentists may schedule interim visits for every three months when the child is very young to build the child's comfort and confidence levels or for treatment needs.
 

Wednesday, March 2, 2011

What to Do in a Dental Emergency

People risk breaking their teeth or otherwise injuring their mouths while eating, playing, exercising, and participating in other seemingly harmless activities. It's important to understand what to do in case of a dental emergency so that your tooth can be repaired when you are able to see a dentist.
 
What are dental emergencies and how can I avoid them?
Dental emergencies can occur when your tooth breaks, cracks, becomes loosened, or is knocked out completely. Sometimes dental crowns come off of teeth. Lips, gums, or cheeks can be cut.

Dental emergencies can be avoided by taking simple precautions, such as wearing a mouthguard during sports activities to prevent teeth from breaking or being knocked out, and avoiding hard foods that may crack or break your teeth—whether you have your natural teeth or you wear dentures. Oral injuries often are painful and should be treated by a dentist as soon as possible.
 
What should I do if a tooth is knocked out?
If your tooth is knocked out, immediately call a dentist for an emergency appointment. It is important to see your dentist within an hour of when your tooth is knocked out for the best chance of the tooth surviving the trauma. Handle the tooth by the crown (the top), not by the root (the pointed part on the bottom).
 
Touching the root of the tooth can damage cells that are necessary to reattach the tooth to the bone. Gently rinse the tooth in water to remove dirt. Do not scrub the tooth! Place the clean tooth in your mouth between the cheek and gum to keep it moist. It is important not to let the tooth dry out. If it is not possible to store the tooth in the mouth, wrap the tooth in a clean cloth or gauze and immerse it in milk or saline solution (the solution used for contacts). If a baby tooth is knocked out, the tooth should not be replanted. The patient should be seen as soon as possible to make sure there are no remaining pieces of the tooth.
 
What should I do if my tooth is pushed out of position?
If your tooth is loosened and pushed out of position, call your dentist right away for an emergency appointment. In the meantime, attempt to reposition it to its normal alignment using very light finger pressure—but don't force it!
 
How should I handle a chipped or fractured tooth?
There are different types of tooth fractures. Chipped teeth are minor fractures. Moderate fractures include damage to the enamel, tissue, and/or pulp. Severe fractures usually mean that a tooth has been traumatized to the point that it cannot be recovered.
 
If you fracture a tooth, rinse your mouth with warm water and use an ice pack or cold compress to reduce swelling. Take ibuprofen, not aspirin, for pain. Your dentist can smooth out minor fractures with a sandpaper disc. Alternatively, restorative procedures may be needed to fix the tooth.
 
If you wear dentures and a tooth breaks or chips, wear your spare dentures until you can visit your dentist. If you do not have a spare set or cannot get to the dentist's office soon, use cyanoacrylate (heavy-duty, quick-drying "super" glue) to glue the tooth or the piece of the tooth back into place. Remember—this is only a temporary measure until your dentist can properly repair your tooth and should only be used for dentures! Never attempt to glue a natural tooth or part of a natural tooth back into place!
 
What should I do if the tissue of my mouth is injured?
Injuries inside the mouth include tears or cuts, puncture wounds, and lacerations to the cheek, lips, or tongue. The wound should be cleaned immediately with warm water, and the injured person should be taken directly to an oral surgeon for emergency care. If you can't get to an oral surgeon, the patient should be taken to the hospital. Bleeding from a tongue laceration can be reduced by pulling the tongue forward and using gauze to place pressure on the wound.
 
Can I somehow prepare for dental emergencies?
Yes, by packing an emergency dental care kit including:
  • Dentist's phone numbers (home and office)
  • Saline solution
  • Handkerchief
  • Gauze
  • Small container with lid
  • Ibuprofen (Not aspirin. Aspirin is an anti-coagulant, which may cause excessive bleeding in a dental emergency.)

Thursday, February 24, 2011

Dental Products for Home Use

Even savvy shoppers can be baffled by the seemingly endless variety of dental care products. That includes the hundreds of manual and powered toothbrushes that are available. Choose products that carry the American Dental Association Seal of Acceptance—an important symbol of a dental product's safety and effectiveness. Your dental office can also suggest toothbrushes that would be right for your needs.
A toothbrush should be replaced every three or four months, or sooner if the bristles become frayed. A worn toothbrush does not do a good job of cleaning your teeth.
Children should have a child-sized toothbrush for ease of use. The variety of colors and designs can provide extra fun and motivation to keep children brushing.
People who have hand, arm, or shoulder problems that limit movement may find that a powered toothbrush is the best choice for them. Or they may find that by modifying a manual toothbrush, they can brush without assistance from others. A few tips:
  • Attach the toothbrush handle to the hand with a wide elastic band.
  • Enlarge the toothbrush handle with a sponge, rubber ball, or bicycle handle grip.
  • Lengthen the toothbrush handle with a piece of wood or plastic, such as a ruler or wooden tongue depressor.
  • Bend the toothbrush handle. To do this, try running hot water over the handle (not the head) of the brush to soften it.

Wednesday, February 23, 2011

The Cost of Dentisrty

Advances in dentistry have made it possible for people to keep their teeth for a lifetime, and to achieve the beautiful, healthy smiles they’ve always wanted. As in other fields, advances in technology and new procedures have boosted the cost of dental treatment, commensurate with the level of care available.
Dental insurance benefits, on the other hand, have remained at about the same level for more than two decades, leaving patients with higher out-of-pocket costs. On the plus side, patients today have more payment options than ever before.
Most dental practices now accept most major credit cards, as well as cash and personal checks. Most also offer outside monthly financing programs, which are gaining popularity. Ask your dentist about the practice’s financial policy and what programs the practice offers—and don’t let cost keep you from having the best possible oral health and a beautiful smile.

Tuesday, February 22, 2011

Meth Mouth

Methamphetamine Use and Oral Health (Meth Mouth)

IMAGE: Example of "Meth Mouth"
Courtesy of
Robert D. Thomas, D.D.S
.
Methamphetamine is a cheap, easy-to-make illicit drug. It’s known by several street names: Meth, Speed, Ice, Chalk, Crank, Fire, Glass, and Crystal. It is highly addictive and its use is on the rise in the U.S. even though it produces devastating effects on users’ health.
Methamphetamine is a potent central nervous system stimulant that can cause shortness of breath, hyperthermia, nausea, vomiting, diarrhea, irregular heart beat, high blood pressure, permanent brain damage and rampant tooth decay. Some users describe their teeth as "blackened, stained, rotting, crumbling or falling apart." Often, the teeth cannot be salvaged and must be extracted.
The extensive tooth decay is probably caused by a combination of drug-induced psychological and physiological changes resulting in dry mouth and long periods of poor oral hygiene,IMAGE: tooth decay resulting from methamphetamine use
Courtesy of
Robert D. Thomas, D.D.S
.
some reports have speculated that the acidity of the drug also damages teeth. A methamphetamine “high” lasts much longer than that produced by crack cocaine (12 hours versus one hour for cocaine). This can lead to long periods of poor oral hygiene. And while they are high, users often crave high-calorie, carbonated, sugary beverages or they may grind or clench their teeth, all of which can harm teeth.
Heavy users may appear malnourished because methamphetamine acts as an appetite suppressant.
According to the 2008 National Survey on Drug Use and Health, methamphetamine use is declining (from an estimated 731,000 past month users in 2006 to 314,000 past month users in 2008). However it is still a concern, particularly in rural areas and in the western, southwestern, and midwestern U.S.
Provided by ADA.com

Monday, February 21, 2011

Sensitive Teeth

Are Your Teeth Sensitive?

Is a taste of ice cream or a sip of hot coffee sometimes a painful experience for you? Does brushing or flossing make you wince occasionally? If so, you may have a common problem called "sensitive teeth."

What Causes Sensitive Teeth?

Cavities and fractured teeth can cause sensitive teeth. But if your dentist has ruled these problems out, then worn tooth enamel, a cracked tooth (PDF) or an exposed tooth root may be the cause.
A layer of enamel, the strongest substance in the body, protects the crowns of healthy teeth. A layer called cementum protects the tooth root under the gum line. Underneath the enamel and the cementum is dentin, a part of the tooth that is less dense than enamel or cementum.
The dentin contains microscopic tubules (small hollow tubes or canals). When the dentin loses its protective covering, the tubules allow heat and cold or acidic or sticky foods to stimulate the nerves and cells inside the tooth. This causes hypersensitivity and occasional discomfort. Fortunately, the irritation does not cause permanent damage to the pulp. Dentin may be exposed when gums recede. The result can be hypersensitivity near the gum line.
Proper oral hygiene is the key to preventing gums from receding and causing sensitive-tooth pain. If you brush your teeth incorrectly or even over-brush, gum problems can result. Ask your dentist if you have any questions about your daily oral hygiene routine. For more tips on caring for your teeth, see "Cleaning Your Teeth and Gums."

Treating Sensitive Teeth

Sensitive teeth can be treated. Your dentist may suggest that you try a desensitizing toothpaste, which contains compounds that help block transmission of sensation from the tooth surface to the nerve. Desensitizing toothpaste usually requires several applications before the sensitivity is reduced. When choosing toothpaste or any other dental care products, look for those that display the American Dental Association's Seal of Acceptance–your assurance that products have met ADA criteria for safety and effectiveness.
If the desensitizing toothpaste does not ease your discomfort, your dentist may suggest in-office techniques. A fluoride gel, which strengthens tooth enamel and reduces the transmission of sensations, may be applied to the sensitive areas of the teeth.
If receding gums cause the sensitivity, your dentist may use agents that bond to the tooth root to "seal" the sensitive teeth. The sealer usually is composed of a plastic material.
In cases where hypersensitivity is severe and persistent and cannot be treated by other means, your dentist may recommend endodontic (root canal) treatment to eliminate the problem.

Thursday, February 17, 2011

Wise up about your Wisdom Teeth

Wisdom teeth are a valuable asset to the mouth when they are healthy and properly positioned. Often, however, problems develop that require their removal. When the jaw isn't large enough to accommodate wisdom teeth, they can become impacted (unable to come in or misaligned). Wisdom teeth may grow sideways, emerge only part way from the gum or remain trapped beneath the gum and bone.
Extraction of wisdom teeth is generally recommended when:
  • Wisdom teeth only partially erupt. This leaves an opening for bacteria to enter around the tooth and cause an infection. Pain, swelling, jaw stiffness and general illness can result.
  • There is a chance that poorly aligned wisdom teeth will damage adjacent teeth.
  • A cyst (fluid-filled sac) forms, destroying surrounding structures such as bone or tooth roots.
Patients should ask the dentist about the health and positioning of their wisdom teeth. The dentist may make a recommendation for removal or send the patient to an oral surgeon for further evaluation.

Contact Branham Dental Arts for an evaluation 248-474-5572.

Wednesday, February 16, 2011

"Grillz"

Teeth That Go Bling

Some celebrities have been flashing more than clean, white teeth at their fans. Under the spotlight, the glint from their mouths comes from “grills” or “grillz”—decorative covers often made of gold, silver or jewel-encrusted precious metals that snap over one or more of their teeth.
Grills, sometimes called “fronts,” generally are removable but some wearers have had their teeth altered with gold crowns to permanently resemble a grill. And some have tried to attach their grill with permanent cement—something that is not meant for internal use and can damage the teeth and tissues!
At present there are no studies that show that grills are harmful to the mouth—but there are no studies that show that their long-term wear is safe, either. Some grills are made from non-precious (base) metals that may cause irritation or metal-allergic reactions.

Boy Meets Grill

The trend toward tooth coverings was boosted in recent years by hip-hop icons and rappers such as Nelly and Paul Wall. Although wealthy musicians and some athletes have spent thousands of dollars to decorate their teeth with grills made of gold and platinum, most teenagers and young adults who want to emulate these celebrities do so by purchasing inexpensive do-it-yourself kits online or purchasing them from local jewelers. Some jewelers and other “grill” vendors are unaware that, in some states, taking an impression of someone's mouth is considered dentistry, which requires a license.
Wearers should be especially careful about brushing and flossing to prevent potential problems. Food and other debris may become trapped between the teeth and the grill allowing bacteria (PDF) to collect and produce acids. The acids can cause tooth decay and harm gum tissue. Bacteria may also contribute to bad breath. There also is the potential for grills to irritate surrounding oral tissues and to wear the enamel away on the opposing teeth.
To prevent problems, wearers should limit the amount of time spent wearing removable grills.
If you already wear a grill, you should remove it before eating. It should be cleaned daily to remove plaque bacteria and food debris. Avoid using jewelry cleaners or any products that are dangerous to ingest.
If you are considering getting a dental grill, make sure you talk to your dentist first. Find out exactly what materials the grill is made of and avoid creating a breeding ground for bacteria. Grills might be trendy for the moment, but “pearly whites” will never go out of style.

Tuesday, February 15, 2011

Are You Biting Off More Than You Can Chew?

In our fast-paced lives, many of us may be eating in a hurry, taking giant bites of our food to get done quickly and on to the next task. Fast-food restaurants advertise giant burgers and sandwiches as a selling point, but often those super-sized delicacies are larger than a human mouth.
 
Taking bites that are too big to chew could be bad for your jaw and teeth, says the Academy of General Dentistry (AGD), an organization of general dentists dedicated to continuing education. At particular risk are people with temporomandibular joint disorder (TMD), which can restrict the range of acceptable bite size. "People with TMD need to avoid opening their mouths too wide," says AGD spokesperson Barbara A. Rich, DDS, FAGD. "Taking large bites of food can aggravate their condition." So, smoosh that hoagie before taking a bite.
 
Dr. Rich also cautions against biting into hard candies, which can chip teeth. Even apples can cause problems. "If you need to open your mouth more than feels comfortable to take a bite, then you should cut the item into smaller portions that are easy to chew," Dr. Rich says.
 
People should always avoid chewing ice, popcorn kernels and opening nuts with their teeth, which can lead to chipping and breakage of natural teeth and restorations.