ALL-ON-4 Dental Implants with photos

Posts for tag: oral health

ProtectingYourselfFromInfectionisParamountDuringDentalCare

The odds are extremely low that you'll read or hear about an infection outbreak in a dental clinic anytime soon. That's no happy accident. The more than 170,000 dentists practicing in the U.S. work diligently to protect their patients and staff from infectious disease during dental care.

Spurred on by both high professional standards and governmental oversight, American dentists adhere to strict infection control measures. The primary purpose of these measures is to protect patients from bloodborne infections like Hepatitis B and C and HIV/AIDS.

The term bloodborne refers to the transmission of a virus from person to person via contact with blood. This can occur when blood from an infected person enters the body of another person through a wound or incision.

This is of special concern with any procedure that can cause disruptions to skin or other soft tissues. Oral surgery, of course, falls into this category. But it could also apply to procedures in general dentistry like tooth extraction or even teeth cleaning, both of which can cause tissue trauma.

Each individual dentist or clinic formulates a formal infection control plan designed to prevent person to person blood contact. These plans are a set of protocols based on guidelines developed by on the U.S. Centers for Disease Control (CDC).

Barrier protection is an important part of such plans. Dentists and their staff routinely wear gloves, gowns, masks, or other coverings during procedures to block contact between them and their patients.

Additionally, staff members also disinfect work surfaces and sterilize reusable instruments after each treatment session. They isolate disposable items used during treatment from common trash and dispose of them separately. On a personal level, dental staff also thoroughly wash their hands before and after each patient visit.

Because of these practices and the importance placed on controlling potential infection spread, you have nothing to fear in regard to disease while visiting the dentist. If you have any questions or concerns, though, let your dentist know—your safety is just as important to them as your dental care.

If you would like more information on infection control in the dentist's office, 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 “Infection Control in the Dental Office.”

NoClueWhyYourMouthFeelsScaldedItCouldBeThisOralCondition

It's common for people to sip freshly brewed coffee or take a bite of a just-from-the-oven casserole and immediately regret it—the searing heat can leave the tongue and mouth scalded and tingling with pain.

Imagine, though, having the same scalding sensation, but for no apparent reason. It's not necessarily your mind playing tricks with you, but an actual medical condition called burning mouth syndrome (BMS). Besides scalding, you might also feel mouth sensations like extreme dryness, tingling or numbness.

If encountering something hot isn't the cause of BMS, what is then? That's often hard to nail down, although the condition has been linked to diabetes, nutritional deficiencies, acid reflux or even psychological issues. Because it's most common in women around menopause, changes in hormones may also play a role.

If you're experiencing symptoms related to BMS, it might require a process of elimination to identify a probable cause. To help with this, see your dentist for a full examination, who may then be able to help you narrow down the possibilities. They may also refer you to an oral pathologist, a dentist who specializes in mouth diseases, to delve further into your case.

In the meantime, there are things you can do to help ease your discomfort.

Avoid items that cause dry mouth. These include smoking, drinking alcohol or coffee, or eating spicy foods. It might also be helpful to keep a food diary to help you determine the effect of certain foods.

Drink more water. Keeping your mouth moist can also help ease dryness. You might also try using a product that stimulates saliva production.

Switch toothpastes. Many toothpastes contain a foaming agent called sodium lauryl sulfate that can irritate the skin inside the mouth. Changing to a toothpaste without this ingredient might offer relief.

Reduce stress. Chronic stress can irritate many conditions including BMS. Seek avenues and support that promote relaxation and ease stress levels.

Solving the mystery of BMS could be a long road. But between your dentist and physician, as well as making a few lifestyle changes, you may be able to find significant relief from this uncomfortable condition.

If you would like more information on burning mouth syndrome, 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 “Burning Mouth Syndrome: A Painful Puzzle.”

WhileTreatingDentalDiseaseProtectingGoodBacteriaisaHighPriority

You can't rid your body of the trillions of bacteria that inhabit it—nor would you want to. Many of the thousands of species taking up residence in and around you are beneficial to you.

That includes the bacteria in your mouth living together in an invisible community known as a "microbiome." Our immune systems gradually learn to discern between those that mean us well and those that don't, and for the most part leave the former alone.

But although harmful bacteria are in the minority, they can still cause devastating infections like tooth decay and gum disease. Fortunately, we've identified their "base of operations"— a thin film of leftover food particles, that when joined with bacteria is referred to as dental plaque. Plaque buildup serves as the primary food source for harmful bacteria.

We can prevent disease by depriving bacteria of this food source—by brushing and flossing daily to remove plaque buildup. Oral hygiene, along with regular dental care, is the best way to reduce harmful oral bacteria and our risk for disease.

Without these measures disease can develop and advance quickly, damaging the teeth, gums and supporting bone. And in cases of advanced gum disease, dentists often turn to antibiotics to reduce bring rampant bacteria under control.

But we've learned the hard way that overused antibiotic therapy can cause more harm than good. For one, it can create resistance within the bacteria we're targeting that often render the antibiotics we're using impotent.

Furthermore, antibiotics can't always discern "good" bacteria from "bad." Beneficial strains may be destroyed in the process, leaving the rich bacterial "microbiome" in our mouths a wasteland. And as we're learning, our health could be worse for the loss.

To avoid this, we're beginning to use treatment applications that narrowly target malevolent bacteria while avoiding more benevolent strains. One helpful advance in this matter was the development of the Human Oral Microbiome Database HOMD, part of which has enabled us to precisely identify the individual bacteria that cause certain diseases. This has made it easier to target them with specific antibiotic drugs.

We still have much to learn about the microscopic world within our mouths. As we do, we can better cooperate with those "inhabitants" that help us maintain our health while fighting those that cause us harm.

If you would like more information on oral bacteria, 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 “New Research Shows Bacteria Essential to Health.”

EnjoyThatNibbleofCheese-ItsAlsoBenefittingYourOralHealth

Mystery writer Avery Aames once said, "Life is great. Cheese makes it better." Billions of people around the world would tend to agree. Humanity has been having a collective love affair with curdled milk for around 8,000 years. And, why not: Cheese is not only exquisitely delicious, it's also good for you—especially for your teeth.

No wonder, then, that "turophiles" have a day of celebration all to themselves—National Cheese Lovers Day on January 20th. In honor of the day cheese aficionados would definitely make a national holiday, let's take a closer look at this delectable food, and why eating it could do a world of good for your dental health.

As a dairy food, cheese contains a plethora of vitamins and minerals, many of which specifically benefit dental health. Every bite of velvety Gouda or pungent Limburger contains minerals like calcium and phosphate, which—along with the compound casein phosphate—work together to strengthen teeth and bones.

Cheese also helps tooth enamel defend against its one true nemesis, oral acid. Prolonged contact with acid softens the mineral content in enamel and may eventually cause it to erode. Without an ample layer of enamel, teeth are sitting ducks for tooth decay. A nibble of cheese, on the other hand, can quickly raise your mouth's pH out of the acidic danger zone. Cheese also stimulates saliva, the mouth's natural acid neutralizer.

Because of these qualities, cheese is a good alternative to carbohydrate-based snacks and foods, at home or on the go. Carbs, particularly sugar, provide oral bacteria a ready food supply, which enables them to multiply rapidly. As a result, the opportunity for gum infection also increases.

Bacteria also generate a digestive by-product, which we've already highlighted—acid. So, when oral bacterial populations rise, so do acid levels, increasing the threat to tooth enamel. By substituting cheese for sweets, you'll help limit bacterial growth and these potential consequences.

You may get some of the same effect if you also add cheese to a carbohydrate-laden meal or, as is common with the French, eat it as dessert afterwards. Often a tasty complement to wine or fruit, cheese could help blunt the effect of these carbohydrates within your mouth.

In a world where much of what we like to eat doesn't promote our health, cheese is the notable exception. And our enjoyment of this perennial food is all the more delightful, knowing it's also strengthening and protecting our oral health.

If you would like more information about the role of nutrition in oral health, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Nutrition & Oral Health.”

SomeOsteoporosisTreatmentsCouldImpactDentalCare

Millions of Americans live with osteoporosis, a degenerative bone disease that can turn a minor fall into a potential bone fracture. Literally meaning "porous bone," osteoporosis causes the natural marrow spaces in bone tissue to progressively grow larger and weaken the remaining bone.

Many osteoporosis patients take medication to slow the disease's process. But due to the dynamic nature of bone, some of these drugs can have unintended consequences—consequences that could affect dental care.

As living tissue, bone is literally "coming and going." Certain cells called osteoblasts continuously produce new bone, while others called osteoclasts remove older tissue to make way for the new. Drugs like bisphosphonates and RANKL inhibitors interrupt this process by destroying some of the osteoclasts.

As a result, more of the older bone remains past its normal lifespan, helping the bone overall to retain strength. But ongoing research is beginning to hint that this may only be a short-term gain. The older, longer lasting bone is more fragile than newer bone, and tends to become more brittle and prone to fracture the longer a patient takes the drug. This tissue can also die but still remain intact, a condition known as osteonecrosis.

The femur (the large upper leg bone) and the jawbone are the bones of the body most susceptible to osteonecrosis. Dentists are most concerned when this happens in the latter: Its occurrence could lead to complications during invasive procedures like oral surgery or implant placement.

Because of this possibility, you should keep your dentist informed regarding any treatments you're undergoing for osteoporosis, especially when planning upcoming dental procedures like oral surgery or implant placement. You might be able to lower your risk by taking a "drug holiday," coming off of certain medications for about three months before your dental work.

As always, you shouldn't stop medication without your doctor's guidance. But research has shown drug holidays of short duration won't worsen your osteoporosis. If you're already showing signs of osteonecrosis in the jaw, a short absence from your prescription along with antiseptic mouthrinses and heightened oral hygiene could help reverse it.

Fortunately, the risk for dental complications related to osteoporosis medication remains low. And, by working closely with both your dentist and your physician, you can ensure it stays that way.

If you would like more information on osteoporosis and your 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 “Osteoporosis Drugs & Dental Treatment.”

AlthoughItSoundsExoticThisMouthSoreIsntaBigConcern

Most of what goes on inside our mouths—good or bad—is fairly predictable. But every now and then, people encounter something out of the ordinary. A good example is lichen planus.

Lichen planus are rare skin lesions that can occur on various parts of the skin, including inside the mouth. The name comes from their lacy appearance, which resembles a fungus that grows on rocks or trees called lichen.

Being similar in appearance, though, is all that lichen planus has in common with its fungal namesake. It's believed that the sores are caused by a reaction of the immune system mistaking some of the body's cells as foreign.

But don't let the exotic sounding name alarm you—true lichen planus is considered a benign mouth sore. You may not even realize you have it until your dentist notices and points it out. But the lesions can sometimes cause mild pain or burning, especially if they occur near the gums or if you indulge in spicy or acidic foods.

As we said, these lesions aren't considered dangerous. But in a small number of cases, oral cancer was found to develop later. It's unclear whether the lesions were related to the cancer, or if what were diagnosed as lichen planus lesions were actually pre-cancerous cells mimicking the appearance of the benign sore.

In any event, your dentist will probably continue to monitor the lesions and possibly conduct regular oral cancer screenings to be on the safe side. You may also want to stop using tobacco or alcohol products to further decrease your risk of oral cancer.

As to managing lichen planus, it starts with a daily habit of brushing and flossing. You'll also want to avoid spicy or acidic foods like citrus fruits, tomatoes, peppers or caffeinated drinks, especially during flareups. If the lesions are causing discomfort, your dentist may also prescribe a topical steroid to apply to them.

Since it's quite possible you won't know if you have lichen planus (as well as other types of mouth sores) unless your dentist observes them, you should keep up regular dental visits. Having your dentist check your entire mouth, not just your teeth and gums, will help both of you stay on top of your oral health.

If you would like more information on mouth sores, 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 “Lichen Planus.”

SupermodelAshleyGrahamsUnpleasantDentalEncounterWithaFrozenCookie

Ashley Graham has a beautiful and valuable smile—an important asset to her bustling career as a plus-size model and television host. But she recently revealed on Instagram a “confrontation” between one of her teeth and a frozen oatmeal cookie. The cookie won.

Holding her hand over her mouth during the video until the last moment, Graham explained how she sneaked a cookie from her mom's freezer and took a bite of the frozen treat. Taking her hand from her mouth, she revealed her broken tooth.

Okay, maybe it wasn't an actual tooth that was broken: the denticle in question appeared to have been previously altered to accommodate a porcelain veneer or crown. But whatever was once there wasn't there anymore.

Although her smile was restored without too much fuss, Graham's experience is still a cautionary tale for anyone with dental work (and kudos to her for being a good sport and sharing it). Although dental work in general is quite durable, it is not immune to damage. Biting down on something hard, even as delicious as one of mom's frozen oatmeal cookies, could run you the risk of popping off a veneer or loosening a crown.

To paraphrase an old saying: Take care of your dental work, and it will take care of you. Don't use your teeth in ways that put your dental work at risk, tempting as it may be given your mouth's mechanical capabilities.

 Even so, it's unwise—both for dental work and for natural teeth—to use your teeth and jaws for tasks like cracking nuts or prying open containers. You should also avoid biting into foods or substances with hard textures like ice or a rock-hard cookie from the freezer, especially if you have veneers or other cosmetic improvements.

It's equally important to clean your mouth daily, and undergo professional cleanings at least twice a year. That might not seem so important at first since disease-causing organisms won't infect your dental work's nonliving materials. But infection can wreak havoc on natural tissues like gums, remaining teeth or underlying bone that together often support dental enhancements. Losing that support could lead to losing your dental work.

And it's always a good idea to have dental work, particularly dentures, checked regularly. Conditions in the mouth can change, sometimes without you noticing them, so periodic examinations by a trained dental provider could prevent or treat a problem before it adversely affects your dental work.

We're glad Ashley Graham's trademark smile wasn't permanently harmed by that frozen cookie, and yours probably wouldn't be either in a similar situation. But don't take any chances, and follow these common sense tips for protecting your dental work.

If you would like more information on care and maintenance of cosmetic dental work, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Porcelain Veneers: Strength & Beauty as Never Before” and “Dental Implant Maintenance.”

4TipsforHelpingaSeniorAdultKeepTheirOralHealth

By the time a person passes the half-century mark, they've done quite a bit of living: their share of ups and downs, successes and failures, and joys and sorrows. But while aging can take its toll on their physical and cognitive health, older adults still have much to offer from their life experience. It often falls to other family members to keep them in the best health possible—including their oral health.

Helping an older adult maintain healthy teeth and gums is crucial to their overall well-being. So in recognition of Older Americans Month in May, here are 4 tips for helping an older family member keep a healthy mouth.

Support their daily hygiene. Age-related physical and cognitive impairment can make the simple tasks of brushing and flossing much more difficult. You can help by providing an older family member with tools that make it easier for them to clean their teeth, like larger handled toothbrushes or water flossers. In some cases, you may have to perform their hygiene tasks for them, but it's worth the effort to reduce their risk of dental disease.

Watch for "dry mouth." If an older person complains of their mouth being constantly dry, take it seriously. Chronic dry mouth is a sign of not enough saliva, which could make them more prone to dental disease. The likely culprits, especially for older adults, are prescription medications, so speak with their doctor about alternatives. You can also encourage them to use saliva boosters or to drink more water.

Ask for oral cancer screens. Ninety percent of oral cancer occurs in people over the age of 40, with the risk increasing with age. Be sure, then, to ask for an oral cancer screen during their dental visits, presuming it's not already being done. Screenings usually involve visual and tactile examinations of the inside of the mouth and the sides of the neck, looking for unusual lesions, swelling or discolorations. The sooner oral cancer is found, the better the chances of a successful treatment outcome.

Have dental work checked. An older person may have acquired various forms of dental work like bridges, implants or removable dentures. Because these play an important role in their oral health, you should have their dental work checked routinely. This is particularly true for dentures, which can lose their fit and comfort over time. Dental work in need of repair makes dental function more difficult and can increase their risk of disease.

Given the depth of responsibility in caring for an older adult, it's easy to let some things slip by the wayside. Their oral health shouldn't be one of them—giving it the priority it deserves will pay dividends in their health overall.

If you would like more information about oral care for an older adult, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Aging & Dental Health” and “Dry Mouth.”

ANewDentalPainManagementApproachReducestheNeedforNarcotics

Narcotics have long played an important role in easing severe pain caused by disease, trauma or treatment. Healthcare professionals, including dentists, continue to prescribe them as a matter of course.

But narcotics are also addictive and can be dangerous if abused. Although addictions often arise from using illegal drugs like heroin, they can begin with prescriptive narcotics like morphine or oxycodone that were initially used by patients for legitimate reasons.

As a result, many healthcare providers are looking for alternatives to narcotics and new protocols for pain management. This has led to an emerging approach among dentists to use non-addictive non-steroidal anti-inflammatory drugs (NSAIDs) as their first choice for pain management, reserving narcotics for more acute situations.

Routinely used by the public to reduce mild to moderate pain, NSAIDs like acetaminophen, ibuprofen or aspirin have also been found to be effective for managing pain after many dental procedures or minor surgeries. NSAIDs also have fewer side effects than narcotics, and most can be obtained without a prescription.

Dentists have also found that alternating ibuprofen and acetaminophen can greatly increase the pain relief effect. As such, they can be used for many more after-care situations for which narcotics would have been previously prescribed. Using combined usage, dentists can further limit the use of narcotics to only the most severe pain situations.

Research from the early 2010s backs up this new approach. A study published in the Journal of the American Dental Association (JADA) concluded that patients receiving this combined ibuprofen/acetaminophen usage fared better than those only receiving either one individually. The method could also match the relief power of narcotics in after care for a wide range of procedures.

The NSAID approach is growing in popularity, but it hasn't yet displaced the first-line use of narcotics by dental professionals. The hesitancy to adopt the newer approach is fueled as much by patients, who worry it won't be as adequate as narcotics to manage their pain after dental work, as with dentists.

But as more patients experience effective results after dental work with NSAIDs alone, the new approach should gain even more momentum. And in the end, it promises to be a safer way to manage pain.

If you would like more information on dental pain management, 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 “Are Opioids (Narcotics) the Best Way to Manage Dental Pain?



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