Posts for tag: oral health
One of our primary goals in dentistry is to deliver effective treatment to patients with the least amount of discomfort. This is especially true after a procedure — controlling pain and inflammation will actually help reduce recovery time.
There are many strong pain relievers available, including prescription opiates like morphine or codeine. It has been shown, however, that healing and comfort are enhanced with non-steroidal anti-inflammatory drugs (NSAID) because they not only minimize pain, but they also reduce inflammation after a procedure. One common NSAID is Ibuprofen, which works by blocking prostaglandins, a substance released by inflamed, damaged tissues. NSAIDs are very popular with dentists and other health professionals because they act primarily on the inflammation site and don’t impair consciousness like opiates. They’re also usually less expensive than pain medication requiring a prescription.
While relatively safe, NSAIDs do have side effects that could cause serious problems for some patients. The most common caution regards NSAID’s tendency to thin blood and reduce the natural clotting mechanism, especially if taken habitually over a period of time. They can damage the kidneys and the stomach lining (causing ulcers or dangerous bleeding), and they’ve also been linked to early miscarriages and heart attacks.
For these reasons, NSAIDs are not recommended for pregnant women, patients with a history of stomach or intestinal bleeding, or patients being treated for heart disease. In the latter case, NSAIDs may interfere with the effectiveness of low-dose aspirin therapy (another type of NSAID) to prevent future heart attacks or strokes.
Health officials recommend all patients limit their dosage of a NSAID to no more than 2400 milligrams a day for short term pain relief, unless otherwise advised by a doctor. For the most part, a single 400 mg dosage is usually sufficient for pain control during a post-procedure recovery.
Your dentist will typically obtain your medical history before you undergo a dental procedure, including the medications you’re taking. Depending on your current health status and the type of procedure you’re undergoing, your dentist will recommend a pain control regimen to follow after the procedure is over.
Following those recommendations, and alerting your healthcare provider if you encounter any side effects from pain medication, will help assure your recovery period after dental work is short, safe and uneventful.
If you would like more information on the use of NSAIDs to control discomfort after a dental procedure, 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 “Treating Pain With Ibuprofen.”
As our profession advances, we dental professionals continue to find the biggest factor for successful outcomes is an informed patient. The more you know about your own teeth and gums, the greater your chance for a healthy outcome.
Regular dental care is fundamental to becoming informed. Your regular office visits and cleanings are an opportunity for us to “get real” — for you to learn the unvarnished truth about your dental issues and the reasons why you need to consider some options regarding your oral health. We also need to be just as realistic about what can or can’t be done to improve your situation and the cost involved.
The best way to approach this is to develop a plan based on managing risk. Risk is essentially weighing anything we may potentially lose against the solutions for not losing it. In dentistry, we look at risk in four basic areas: periodontal, the threats to structures like gums, ligaments and bone that support the teeth; biomechanical, the threats to the structural integrity of teeth such as decay, enamel erosion or fracture; functional, problems that can arise with how the teeth, muscles and jaw joints work together; and aesthetic, the impact of all these threats to the outward appearance of your smile.
Once we know the risks you’re facing, we then determine the best treatment approach for managing the risk based on costs and potential outcomes. For example, if you’re diagnosed with gum disease, you’re at risk for losing supporting bone and, ultimately, the affected teeth. Our primary goal is to prevent that loss from occurring through plaque and calculus removal that slow or stop the disease and allow affected tissues to heal. But if the disease has advanced and you’ve already experienced bone or even tooth loss, we may then need to modify our treatment goal by including gum surgery or tooth replacement options like dental implants.
Using a risk management approach helps us identify what needs to be treated and the most reasonable and achievable options for treating it. The foundation for this approach is prevention — stopping problems before they start or progress. Developing and maintaining this kind of action plan will help reduce your ultimate costs — emotional, social and financial.
If you would like more information on dental treatment planning, 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 “Successful Dental Treatment.”
If you occasionally notice mildly irritating red patches on the top surface of your tongue, you may be one of the three percent or less of the population with a condition called benign migratory glossitis. It’s also known as “geographic tongue” because the red patches often resemble land masses on a world map.
While the symptoms may be discomforting, geographic tongue isn’t a cause for serious concern. The red patches are caused by the temporary loss of papillae, tiny bumps that grow on the surface of the tongue, which may appear and disappear repeatedly over a short time period (ranging from hours to days). As its medical name implies, this form of glossitis isn’t cancerous or contagious; it’s referred to as “migratory” because the red patches often appear to move around while changing size and shape. An outbreak can cause a mild burning or stinging sensation, and some people also encounter numbness in the patchy areas.
While there isn’t a firm consensus as to geographic tongue’s exact cause, there do appear to be triggers for it including stress, hormonal changes and mineral or vitamin deficiencies (particularly zinc and Vitamin B). There also seems to be a connection with psoriasis, a skin ailment characterized by redness and scaling — a number of people will experience both conditions. Geographic tongue appears more often in middle-aged, non-smoking adults, particularly women during hormonal fluctuations (as during pregnancy or ovulation). Individuals with deep grooves on their tongues called fissures are more susceptible as well.
There’s no cure for the condition, but there are some treatments that can help alleviate any accompanying irritation. Depending on what we find during examination, we may prescribe anesthetic mouthrinses, antihistamines, steroid ointments or other treatments to help manage discomfort. It may also be helpful to limit your intake of foods during outbreaks that may increase irritation, including high acidic foods like tomatoes or citrus fruit, as well as eggplant, mint, spicy foods and alcohol (including certain mouthwashes).
If you experience these occasional patchy outbreaks on your tongue, please schedule a visit with us for a full examination. We may be able to reduce your discomfort and certainly put your mind at ease.
If you would like more information on geographic tongue, 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 “Geographic Tongue.”
Although sometimes controversial, body piercing has exploded in popularity, especially among young people. Aside from the social debate about such practices, there are health risks to consider. Oral piercings, in particular — especially of the tongue — could have an adverse effect on your dental health.
The trouble begins with the piercing procedure itself. The tongue is composed of a number of muscle groups that given its wide range of function require a lot of energy. To supply this energy the tongue has a large network of blood vessels; during a piercing it's not uncommon for profuse bleeding to occur. The tongue also contains a lot of nerve fibers — a piercing may result not only in severe pain, but in possible nerve damage too.
The tongue bolt, the most common tongue piercing, can cause a lot of damage in the mouth during wear, such as tooth chipping and increased sensitivity. It can also interfere with oral hygiene and contribute to the growth of tooth decay and gum disease. And, as with any cut or abrasion to soft tissue, piercings increase the risk of infection.
There are also issues if and when you decide to give up the tongue bolt — fortunately, though, not to the same degree as during wear. Cuts to the tongue tend to heal quickly, so the piercing hole may fill in spontaneously. In some circumstances, however, a surgical procedure (similar to one performed on large ear piercings) may be required to repair the piercing hole.
For the long-term sake of your oral health, we would advise against having your tongue or lips pierced. And, if you already have a piercing, please consider giving it up — in the long run you'll be doing your teeth, gums and other tissues in your mouth a favor.
If you would like more information on oral piercing and its effects, 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 “How to Help Your Child Develop the Best Habits for Oral Health.”
Next to brushing and flossing, a regular dental checkup is the single most important thing you can do for a healthy mouth. It’s also one of the best lifetime habits you can instill in your child, a task that’s a lot easier if your child sees visiting the dentist as a normal, even enjoyable part of life. Here are some things you can do to help make that happen.
First, if you’re not in the habit of taking your child for regular dental checkups, the sooner you start the better. We recommend you schedule your child’s first checkup around their first birthday. This will help your child become better accustomed to visiting the dentist, and get both of you on the right track with proper hygiene techniques. And by identifying and treating dental problems early, you may be able to avoid more stress-prone treatments in the future.
Who you see is just as important as making the visit. It’s important to find a practice that strives to create a comfortable, home-like atmosphere for their patients, especially children. Pediatric dentists (and many general dentists) are trained in child behavior and understand the importance of relating to a child first (pleasant chatting and upbeat explanations of what they’re going to do) to put them at ease before beginning examination or treatment.
Perhaps the most important factor in getting your child accustomed to dental care is you — your attitude toward not only visiting the dentist, but caring for your own teeth. Children tend to follow the lead of their parents: if you have developed healthy habits regarding oral hygiene and a nutritious, “tooth-friendly” diet, your children are more likely to follow suit. As for dental visits, if you’re calm and pleasant in the dentist’s office, your child will then see there’s nothing for them to be nervous about.
Going to the dentist at any age shouldn’t be an ordeal. Following these steps will go a long way in making dental visits something your child looks forward to.
If you would like more information on dental treatment for children, 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 “Taking the Stress Out of Dentistry for Kids.”