Posts for tag: oral health
Millions of people are currently caring for an elderly family member. If that describes your family, then you know how overwhelming that responsibility can be at times.
A part of that responsibility is making sure they have healthy teeth and gums, a critical part of their overall well-being. But as with the rest of the body, teeth and gums can wear and become disease-prone as a person gets older. To further complicate things, an older adult may not be able to take care of their own oral health due to physical and cognitive decline.
Maintaining an older loved one's oral health is difficult, but not impossible. Here are 4 areas on which you should focus to ensure they have the healthiest teeth and gums possible.
Oral hygiene. It's important for all of us to avoid tooth decay and gum disease by brushing and flossing daily to remove bacterial plaque, the prime cause for dental disease. You can switch an older adult who is having trouble performing these tasks because of physical impairment to large handled toothbrushes or a water flosser to make things easier. In some cases, you may have to perform these tasks for them.
Dental visits. Dental cleanings at least twice a year further lower the risk of disease, especially in older adults. Regular dental visits are also important to monitor an older person's oral health, and to initiate treatment when the need arises. Catching dental disease early at any age improves outcomes.
Dental work. An older person may have various forms of dental work like fillings, crowns, bridges or dentures. Keeping them in top shape helps them maintain their oral health and protect any of their remaining teeth. Have their dental work checked regularly by a dentist, especially dentures that can lose their fit over time.
Oral cancer. Although not as prevalent as other forms, this deadly cancer does occur in higher rates among people over 65. Be sure, then, that an oral cancer screening is a component of your older family member's regular dental evaluations. And any time you notice a sore or other abnormality in their mouth, have it evaluated by their dentist as soon as possible.
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.”
Your tooth enamel is often under assault from oral acid produced by bacteria and certain foods. Unless neutralized, acid can erode your enamel, and lead to destructive tooth decay.
But there's another type of acid that may be even more destructive—the acid produced in your stomach. Although important for food digestion, stomach acid outside of its normal environment can be destructive. That includes your teeth, if stomach acid finds its way into your mouth. And that can happen if you have gastroesophageal reflux disease (GERD).
GERD, a chronic condition affecting 1 in 5 adults, is caused by the weakening of the lower esophageal sphincter, a ring of muscle at the intersection of the esophagus and the stomach that prevents stomach acid from traveling back into the digestive tract and damaging the esophageal liner.
It's also possible for stomach acid to travel as far up as the mouth. With a pH of 2.0 or less, stomach acid can lower the mouth's normal pH level of 7.0 well below the 5.5 pH threshold for enamel softening and erosion. This can cause your teeth, primarily the inside surfaces of the upper teeth, to become thin, pitted or yellowed. Your teeth's sensitivity may also increase.
If you have GERD, you can take precautions to avoid tooth damage and the extensive dental work that may follow.
- Boost acid buffering by rinsing with water (or a cup of water mixed with a ½ teaspoon of baking soda) or chewing on an antacid tablet.
- Wait about an hour to brush your teeth following a reflux episode so that your saliva has time to neutralize acid and re-mineralize enamel.
- If you have chronic dry mouth, stimulate saliva production by drinking more water, chewing xylitol gum or using a saliva supplement.
You can also seek to minimize GERD by avoiding tobacco and limiting your consumption of alcohol, caffeine or spicy and acidic foods. Your doctor may also prescribe medication to control your GERD symptoms.
Preventing tooth decay or gum disease from the normal occurrences of oral acid is a daily hygiene battle. Don't let GERD-related acid add to the burden.
If you would like more information on protecting your teeth from acid reflux, 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 “GERD and Oral Health.”
Knowing what to do—and what not to do—when your child is sick can greatly affect their health and well-being. That's especially true with dental problems.
Here then are some Dos and Don'ts for 3 common problems children experience with their teeth and gums.
Teething. An infant's first teeth breaking through the gums is a normal but often unpleasant experience. Fortunately, teething episodes only last a few days. And, there's usually no need to see the dentist unless they have a fever or diarrhea while teething. In the meantime:
- Do: provide them chilled (not frozen) cloth or plastic items to bite and gnaw, and massage their gums to relieve painful pressure. You can also give them an age-appropriate dose of a mild pain reliever.
- Don't: rub any medication on their gums, which can irritate them and other soft tissues. Never use alcohol or aspirin to alleviate teething discomfort. And avoid using anything with benzocaine, a numbing agent which can be hazardous to young children.
Toothache. Whether a momentary sensitivity to hot or cold or a sharp, throbbing pain, a child's toothache often signals tooth decay, a bacterial disease which could eventually lead to tooth loss.
- Do: make a dental appointment at your child's first complaint of a toothache. Ease the pain with a warm-water rinse, a cold compress to the outside of the jaw, or a mild pain reliever.
- Don't: rub medication on the teeth or gums (for similar reasons as with teething). Don't apply ice or heat directly to the affected tooth or gums, which can burn them.
Bleeding gums. Gum bleeding from normal brushing or flossing, along with red or swollen gums, may indicate periodontal (gum) disease. Although rare in children, it can still happen—and it can put an affected tooth in danger.
- Do: see your dentist if bleeding continues for a few days. Continue to brush gently with a soft-bristled toothbrush around the gums to remove plaque, a thin-biofilm most responsible for gum infection.
- Don't: brush aggressively or more than twice a day, which could unnecessarily irritate and damage the gums. And don't stop brushing—it's important to remove plaque buildup daily to lessen the gum infection.
Despite momentous strides in recent years in the fight against cancer, treatments can still disrupt normal life. Both radiation and chemotherapy have side effects that can cause problems in other areas of health—particularly the teeth and gums.
If you or a loved one are undergoing cancer treatment, it's important to get ahead of any potential side effects it may have on dental health. Here are 4 things that can help protect teeth and gums while undergoing cancer treatment.
Get a preliminary dental exam. Before beginning treatment, patients should have their dentist examine their teeth and gums to establish a baseline for current dental health and to treat any problems that may already exist. However, patients should only undergo dental procedures in which the recovery time can be completed before starting radiation or chemotherapy.
Be meticulous about oral hygiene. Undergoing cancer treatment can increase the risks for developing tooth decay or gum disease. That's why it's important that patients thoroughly brush and floss everyday to reduce bacterial plaque buildup that causes disease. Patients should also reduce sugar in their diets, a prime food source for bacteria, and eat “teeth-friendly” foods filled with minerals like calcium and phosphorous to keep teeth strong.
Keep up regular dental visits. The physical toll that results from cancer treatment often makes it difficult to carry on routine activities. Even so, patients should try to keep up regular dental visits during their treatment. Besides the extra disease prevention offered by dental cleanings, the dentist can also monitor for any changes in oral health and provide treatment if appropriate.
Minimize dry mouth. Undergoing cancer treatment can interfere with saliva production and flow. This can lead to chronic dry mouth and, without the full protection of saliva against dental disease, could increase the risk of tooth decay or gum disease. Patients can minimize dry mouth by drinking more water, using saliva boosters and discussing medication alternatives with their doctor.
It may not be possible to fully avoid harm to your oral health during cancer treatment, and some form of dental restoration may be necessary later. But following these guidelines could minimize the damage and make it easier to regain your dental health afterward.
If you would like more information on dental care during cancer treatment, 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 “Oral Health During Cancer Treatment.”
If you're among the estimated 14 million families with a healthcare flexible spending account (FSA), New Year's Eve has an added meaning—that's typically the deadline for using any current year funds. Since any remaining money in your FSA could go poof at the stroke of midnight on December 31st, you might be looking for a way to spend it. If so, consider a dental health boost for you and your family.
FSAs were created in the 1970s by the U.S. Government as a salary benefit that employers could offer employees. Instead of receiving all of their pay as taxable income, employees could designate a portion of it (currently up to $2,650) in a non-taxable account to use for certain medical and dental expenses. An FSA thus provides families a way to pay for uncovered healthcare costs while saving on their taxes.
But because most FSAs expire by the end of the year and then restart with a fresh balance in the new year, there's a natural concern that you will “use or lose” remaining money. People thus begin looking for eligible expenses like treatments, prescribed medications or eyeglasses. They can't, however, use them for items like over-the-counter medical products (though some pain relievers get a pass this year because of COVID-19), as well as most things cosmetic.
The same generally holds true for dental expenses—you won't be able to use FSA funds for procedures like teeth whitening or veneers. Toothbrushes and other routine oral care products are also ineligible, although you may be able to buy items like a water flosser if your dentist issues you a Letter of Medical Necessity (LMN).
Still, there's a wide range of eligible dental items you could pay for with remaining FSA funds.
Prevention measures. Any procedures or treatments intended to prevent disease are typically FSA-eligible. These can include measures like regular dental cleanings, sealants or fluoride applications.
Disease treatment. FSAs cover procedures like fillings, extractions, gum surgery or root canals. This could include repairing damage from disease through dental bonding or crowns, which might also improve your smile.
Dental restorations. Missing teeth restorations like bridgework, dentures or dental implants are also covered. These may improve your appearance, but they primarily restore disrupted dental function.
Out-of-pocket expenses. Although you can't pay for dental insurance premiums, an FSA may be able to help in other ways. You can use FSA funds for co-pays or any remaining out-of-pocket expenses.
If you're not sure what dental expenses might be eligible for FSA funds, give our office a call and we can provide you guidance. If FSA funds can help, you'll be able to improve your dental health—and possibly your appearance—before you ring in 2021.
If you would like more information about managing your dental care, please contact us or schedule a consultation.
During this time of year, many of us dust off traditional family recipes and make our favorite holiday treats. There is, however, a small price to pay for all that nostalgic goodness in the shape of a few extra pounds to deal with in the new year. We may also be increasing the risk for something even more unpleasant: tooth decay.
The main cause, of course, is a certain carbohydrate integral to many holiday goodies: sugar. We humans love it, but so do oral bacteria that readily devour any sugar lingering in our mouth after eating. This fuels bacterial reproduction, which in turn increases the production of acid that softens tooth enamel.
There are a number of strategies you can follow to reduce this effect. You can remove sugar completely from your holiday preparations—and risk family and friends “voting you off the island.” Or, you can try these tips for easing the impact of holiday sugar on your dental health.
Look for ways to reduce sugar. Just because you're not throwing the sugar bowl out the window doesn't mean you have to go all out using it. Instead, try to modify older recipes (or look for newer versions) to decrease the amount of sugar in candies and baked goods. You may also consider alternative sweeteners like sucralose that tolerate high baking temperatures.
Balance savory with sweet. Not all holiday treats need to be sweet—you can add items that take advantage of more savory seasonings. For example, try offering up popcorn with a sprinkling of cinnamon or other holiday spice, or a creative assortment of cheeses (which in turn promote saliva flow to neutralize acid).
Combine treats with mealtimes. Continuous snacking may be part of the holiday tradition, but it can also raise the risk for tooth decay. Acidity increases when we eat, but saliva normally neutralizes it within thirty minutes to an hour. However, saliva can get overwhelmed during continuous snacking, resulting in longer periods of high acidity that damages tooth enamel. Instead, try to combine snack times with mealtimes.
Don't neglect your oral hygiene. Even though things can get hectic during the holidays, make a point of keeping up daily brushing and flossing. Regular hygiene keeps dental plaque, a thin film of harmful bacteria and food particles (including sugar), from building up on your teeth. Reducing plaque lowers your overall decay risk. Attention to oral health through your day-to-day dental hygiene routine along with regular professional cleanings and checkups is the best thing you can do to avoid dental disease.
The holidays should be a joyous time for you and your family. They can also be a healthy time for your teeth and gums, if you minimize the role of sugar in your holiday treats.
If you would like more information about boosting your dental health, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Nutrition & Oral Health” and “The Bitter Truth About Sugar.”
Brushing and flossing daily, and dental visits at least twice a year: These are the essential things you should be doing to protect your teeth and gums against dental disease. But you're also getting an automatic assist from your body through saliva, that humble fluid swishing around in your mouth, to protect your oral health.
It's more than simply “mouth water”: Without saliva and its various components, your risk for tooth decay or periodontal (gum) disease would be much higher. Here are 4 ways saliva helps you keep your teeth and gums healthy.
Cleansing. Chewing prepares your food for digestion, but in the process produces tiny particles of food debris. Settling on tooth surfaces, these bits become part of the dental plaque that forms on your teeth and develops the ideal breeding ground for disease-causing bacteria. Saliva helps rinse away much of this debris—particularly sugar, the primary food source for bacteria.
Protection. Saliva is the first line defense against disease-causing microorganisms entering the mouth. The primary source of this protection is a protein-based antibody called Immunoglobulin A (IgA), which directly fights infection-causing organisms. Another protein in saliva, lactoferrin (also found in tears), interferes with bacterial growth.
Buffering. The main enemy of tooth enamel is mouth acid, produced by oral bacteria and the foods that we eat. Saliva neutralizes acid to help the mouth maintain its normally neutral pH range. And it works fast: Saliva can buffer acid and restore balance within thirty minutes to an hour after eating.
Re-mineralization. It's normal for acid to build up after eating, and for it to quickly remove minerals from surface enamel, a process called de-mineralization that can soften and weaken the enamel. But saliva helps restore some of these lost minerals as it's neutralizing acid. This re-mineralization re-strengthens enamel against tooth decay.
Saliva is so important for maintaining a healthy mouth, it's worth your efforts to protect it. Diminished saliva production not only produces an unpleasant dry mouth, it may increase your risk for disease. If this is a constant problem, speak to your dentist about causes and remedies. You'll be doing your teeth and gums a favor.
If you would like more information on the role of saliva in maintaining oral health, 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 “Saliva: How it is Used to Diagnose Disease.”
It's normal for people to breathe through their nose. And for good reason: Nasal breathing filters contaminants, warms and humidifies incoming air, and helps generate beneficial nitric oxide. Chronic mouth breathing, on the other hand, can trigger a number of harmful effects, especially for the teeth and gums.
Because our survival depends on continuous respiration, our bodies automatically seek out the air flow path of least resistance, normally through the nose. But if our nasal passages become obstructed, as with enlarged adenoids or sinus congestion, we may involuntarily breathe through the mouth.
This can lead to oral problems like chronic dry mouth, which not only creates an unpleasant mouth feel, it also produces the ideal environment for dental disease. And, it could cause an even more serious problem for children during jaw and teeth development.
This is because the tongue rests along the roof of the mouth (palate) while breathing through the nose. In this position, the tongue serves as a mold for the upper jaw and teeth while they're growing during childhood. During mouth breathing, however, the tongue moves away from the palate, depriving the jaw and teeth of this molding effect, and possibly resulting in a poor bite.
You can prevent these and other oral problems by seeing a healthcare professional as soon as you notice your child regularly breathing through their mouth. The best professional for this is an ENT, a medical specialist for conditions involving the ears, nose and throat. ENTs provide treatment for diagnosed obstructions involving the tonsils, adenoids and sinuses.
Even so, persistent mouth breathing may already have affected your child's bite. It may be prudent, then, to also have their bite evaluated by an orthodontist. There are interventional measures that can help get jaw development back on track and minimize future orthodontic treatment.
Finally, a child who has undergone treatment to remove nasal breathing obstructions usually reverts to nasal breathing automatically. But sometimes not: To “relearn” normal breathing, a child may need to undergo orofacial myofunctional therapy (OMT) with a certified therapist to retrain their facial muscles and tendons to breathe through the nose.
Your child's tendency to mouth breathing may not seem like a major problem. But prompt attention and treatment could prevent it from interrupting their dental development.
If you would like more information on correcting mouth breathing, 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 “The Trouble With Mouth Breathing.”
Do you still feel tired or unfocused even after a full night’s sleep? Do others complain about your snoring? It’s possible these are signs that you may have sleep apnea.
Sleep apnea is a condition in which you stop breathing while you sleep. Your brain will awaken you to breathe, although you may not consciously realize it since the waking period can be less than a second. But it does disrupt your sleep rhythm, especially during the all-important deep sleep period called Rapid Eye Movement (REM). These disruptions don’t allow your body to receive the full benefit of sleep, hence your lack of energy and focus during the day.
One of the most common causes for sleep apnea is the collapse of soft tissues near the throat as they relax during sleep that restrict the airway. Snoring is an indication this may be occurring: air vibrates rapidly (and loudly) as it passes through this restriction when you breathe in.
As your dentist, we’re well-trained in the anatomy and function of the entire oral structure, and qualified to offer solutions for sleep apnea. If you’ve been diagnosed with sleep apnea (after a complete examination, including an observation session at a sleep laboratory), we can then help you decide on a treatment approach. The following are three such options, depending on the severity of your sleep apnea.
Oral Appliance Therapy. An oral appliance you wear while you sleep is a first line treatment for mild or moderate sleep apnea. The appliance, which we custom design for you, helps hold the lower jaw in a forward position: this moves the tongue and other soft structures away from the back of the throat, thereby opening the airway.
Continuous Positive Airway Pressure (CPAP). Intended for more moderate to severe forms of sleep apnea, a CPAP machine produces continuous air pressure to the throat through a mask you wear during sleep. This forces the tongue forward and the airway open.
Surgical Intervention. These procedures remove excess tissue that may be obstructing the airway. Due to its invasiveness and permanent alteration of the throat area, surgery is reserved for patients who haven’t responded to other therapies in a satisfactory manner.
Whether mild or severe, it’s possible to effectively treat sleep apnea. If successful, not only will you benefit from better sleep and greater alertness, you’ll also improve your long-term health.
If you would like more information on treating sleep apnea, 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 “Sleep Disorders & Dentistry.”