Posts for category: Oral Health
Although dental care is our primary focus, we dentists are also on the lookout for other health problems that may manifest in the mouth. That's why we're sometimes the first to suspect a patient may have an eating disorder.
Eating disorders are abnormal dietary patterns that can arise from mental or emotional issues, the most common being anorexia nervosa and bulimia nervosa. Each has different behaviors: Anorexics abnormally restrict their food intake (“self-starvation”), while bulimics typically eat heavily and then induce vomiting (“binge and purge”).
Although bulimics are more likely to binge and purge, anorexics may also induce vomiting. That practice in particular can leave a clue for dentists. While vomiting, powerful stomach acid enters the mouth, which can then soften and erode tooth enamel.
It's the pattern of erosion a dentist may notice more than the erosion itself that may indicate an eating disorder. A person while vomiting normally places their tongue against the back of the lower teeth, which somewhat shields them from acid. The more exposed upper teeth will thus tend to show more erosion than the bottom teeth.
A dentist may also notice other signs of an eating disorder. Enlarged salivary glands or a reddened throat and tongue could indicate the use of fingers or objects to induce vomiting. Lack of oral hygiene can be a sign of anorexia, while signs of over-aggressive brushing or flossing may hint of bulimia.
For the sake of the person's overall well-being, the eating disorder should be addressed through professional counseling and therapy. An excellent starting point is the website nationaleatingdisorders.org, sponsored by the National Eating Disorders Association.
The therapy process can be lengthy, so patients should also take steps to protect their teeth in the interim. One important measure is to rinse out the mouth following purging with a little baking soda mixed with water. This will help neutralize oral acid and reduces the risk of erosion. Proper brushing and flossing and regular dental visits can also help prevent dental disease.
An eating disorder can be traumatic for both patients and their families, and can take time to overcome. Even so, patients can reduce its effect on their dental health.
If you would like more information on eating disorders and dental care, 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 “Bulimia, Anorexia & Oral Health.”
After a year of lockdowns and other COVID-19 restrictions, people are itching this summer to get back out into the great outdoors. The good news is that quite a number of national and state parks are open. But there may still be some restrictions, and you might need reservations in busier parks. The key is to plan ahead—and that includes for normal contingencies like dental emergencies.
Anyone who's physically active can encounter brunt force to the face and jaws. A tumble on a hike or a mishap with a rental bike could injure your teeth and gums, sometimes severely. But if you're already prepared, you might be able to lessen the damage yourself.
Here's a guide for protecting your family's teeth during that long-awaited summer vacation.
Locate dental and medical care. If you're heading away from home, be sure you identify healthcare providers (like hospitals or emergency rooms and clinics) in close proximity to your vacation site. Be sure your list of emergency providers also includes a dentist. Besides online searches, your family dentist may also be able to make recommendations.
Wear protective mouth gear. If your vacation involves physical activity or sports participation, a mouthguard could save you a world of trouble. Mouthguards, especially custom-made and fitted by a dentist, protect the teeth, gums and jaws from sudden blows to the face. They're a must for any activity or sport with a risk of blunt force trauma to the face and jaws, and just as important as helmets, pads or other protective gear.
Know what to do for a dental injury. Outdoor activities do carry a risk for oral and dental injuries. Knowing what to do if an accident does occur can ease discomfort and may reduce long-term consequences. For example, quickly placing a knocked out tooth back into its socket (cleaned off and handled by the crown only) could save the tooth. To make dental first aid easier, here's a handy dental injury pocket guide (//www.deardoctor.com/dental-injuries/) to print and carry with you.
And regardless of the injury, it's best to see a dentist as soon as possible after an accident. Following up with a dentist is necessary to tidy up any initial first aid, or to check the extent of an injury. This post-injury dental follow-up will help reduce the chances of adverse long-term consequences to the teeth and gums.
Your family deserves to recharge after this tumultuous year with a happy and restful summer. Just be sure you're ready for a dental injury that could put a damper on your outdoor vacation.
If you would like more information about preventing or treating dental injuries, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “An Introduction to Sports Injuries & Dentistry.”
Two important practices boost your protection from dental disease: twice-a-year dental visits; and daily brushing and flossing. Of the two, that second one could be the most important.
Personal oral hygiene cleans the teeth of dental plaque, a thin film of bacteria and food particles that accumulates on them each day. This plaque buildup is the number one cause for both tooth decay and periodontal (gum) disease, so removing it reduces your risk of an infection.
But it's not just a matter of doing these tasks—it's also doing them well. A quick once-over isn't going to have the same preventive power as a more thorough job.
Here then are 4 tips for improving your daily oral hygiene efforts.
Time yourself brushing. It usually takes about two minutes to thoroughly brush all tooth surfaces. So, set a timer for two minutes, focusing on methodically brushing the front, back and biting surfaces of each tooth.
Easy does it. Brushing teeth requires only a gentle bit of manual force as the mild abrasives and detergents in your toothpaste provide most of the action of loosening plaque. In fact, aggressive brushing can lead to enamel and gum damage. Practice gentle scrubbing action when you brush.
Don't neglect flossing. While brushing gets most of the hygienic attention, it can't effectively get to areas between teeth where over half of built-up plaque can accumulate. Be sure then to floss at least once a day to remove plaque between teeth that brushing can miss.
Test yourself. Your dentist may be the ultimate judge for the quality of your hygiene, but you can check your effectiveness between visits. For instance, run your tongue across your teeth—it should feel smooth, not rough or gritty. Using a plaque disclosing agent periodically can also reveal missed plaque.
And don't forget to keep up your regular dental visits, which are necessary for removing plaque you might have missed or tartar that may have formed. They're also a great time to get advice from your dentist or dental hygienist on how you can further improve your own efforts in daily dental care.
If you would like more information on best oral hygiene practices, 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 “Daily Oral Hygiene: Easy Habits for Maintaining Oral Health.”
Fermented and distilled beverages have been a part of human culture for millennia. They help us celebrate the joys of life and the companionship of family and friends. But alcohol also has a darker side, if over-consumed: a cause for many social ills, a vehicle for addiction and a contributor to “unwell” being. The latter is particularly true when it comes to oral health.
April is National Alcohol Awareness Month, a time when advocates, public officials and healthcare providers call attention to the negative effects that alcohol can have on society at large and on individuals in particular. In regard to oral health, here are a few ways alcohol might cause problems for your mouth, teeth and gums.
Bad breath. Although not a serious health problem (though it can be a sign of one), halitosis or bad breath can damage your self-confidence and interfere with your social relationships. For many, bad breath is a chronic problem, and too much alcohol consumption can make it worse. Limiting alcohol may be a necessary part of your breath management strategy.
Dry mouth. Having a case of “cottonmouth” may involve more than an unpleasant sensation—if your mouth is constantly dry, you're more likely to experience tooth decay or gum disease. Chronic dry mouth is a sign you're not producing enough saliva, which you need to neutralize acid and fight oral bacteria. Heavy alcohol consumption can make your dry mouth worse.
Dental work. Drinking alcohol soon after an invasive dental procedure can complicate your recovery. Alcohol has an anticoagulant effect on blood, making it harder to slow or stop post-operative bleeding that may occur with incisions or sutures. It's best to avoid alcohol (as well as tobacco) for at least 72 hours after any invasive dental procedure.
Oral cancer. Oral cancer is an especially deadly disease with only a 57% five-year survival rate. Moderate to heavy alcohol drinkers have anywhere from 3 to 9 times the risk of contracting cancer than non-drinkers—and generally the higher the alcohol content, the higher the risk. As with other factors like tobacco, the less alcohol you drink, the lower your risk for oral cancer.
Given its risks to both health and well-being, many people refrain from alcohol altogether. If you do choose to drink, the American Cancer Society and other health organizations recommend no more than two drinks per day for men and one per day for women. Being responsible with alcohol will enhance both the overall quality of your life and your oral health.
If you would like more information about the effect of alcohol and other substances on oral health, please contact us schedule a consultation. To learn more, read the Dear Doctor magazine article “Diet and Prevention of Oral Cancer.”
The NBA's reigning MVP Giannis Antetokounmpo may seem unstoppable, but he proved no match for a troubled tooth. Antetokounmpo, the self-proclaimed “Greek Freak,” missed one of the final three 2020 regular season games for a dental issue that resulted in last-minute oral surgery. According to a Milwaukee Bucks spokesperson, the star underwent “a root-canal like procedure.”
Root canal therapy, often simply called “a root canal,” may be needed when there is an infection inside the tooth. When dental pulp becomes inflamed or infected, excruciating pain can result. Pulp is the soft tissue that fills the inside of the tooth. It is made up of nerves, blood vessels and connective tissue. During root canal treatment, the pulp is removed, the space inside the tooth is disinfected, it is filled with a special material, and then the hole is sealed up.
A root canal is nothing to fear. It relieves pain by getting rid of infection and is so effective that over 15 million of them are performed in the U.S. each year. This routine procedure generally requires only local anesthetic, and your mouth should be back to normal within a day or two after treatment. Antetokounmpo can attest to that, as he returned to play the next day.
However, delaying root canal treatment when you need it can have serious consequences. If left untreated, an infection inside the tooth continues to spread, and it may move into the gums and jaw and cause other problems in the body. So, how do you know if you may need a root canal? Here are some signs:
Lingering sensitivity to hot or cold temperatures. One sign of nerve damage inside your tooth is pain that is still there 30 seconds after eating or drinking something hot or cold.
Intense pain when biting down. You may feel pain deep within your tooth, or in your jaw, face or other teeth. The pain may be hard to pinpoint—and even if it improves at times, it usually comes back.
A chipped, cracked or discolored tooth. A chip or crack can allow bacteria to enter the tooth, and the tooth may darken if the tissue inside is damaged.
A pimple on the gum. A bump or pimple on the gum that doesn't go away or keeps coming back may signify that a nearby tooth is infected.
Tender, swollen gums. Swollen gums may indicate an infection inside the tooth or the need for periodontal treatment.
And sometimes there is no pain, but an infection may be discovered during a dental exam.
Tooth pain should never be ignored, so don't put off a dental visit when you have a toothache. In fact, if a bad toothache goes away, it could mean that the nerves inside the tooth have died, but the infection may still be raging. Also, be sure to keep up with your regular dental checkups. We may spot a small problem that can be addressed before it becomes a bigger problem that would require more extensive treatment.
Remember, for dental issues both large and small, we're on your team! If you would like more information about tooth pain, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Tooth Pain? Don't Wait!” and “Root Canal Treatment: What You Need to Know.”