Posts for category: Oral Health
If you’re in the habit of making New Year’s resolutions, perhaps you’ve made familiar promises like losing weight, running a 5k race or joining a gym. How about this one: “I resolve this year to take better care of my teeth.” Better yet, you needn’t wait for the next January 1st — you can begin better oral hygiene habits today.
Although maybe not as glamorous as other self-improvement habits, oral hygiene still promises huge benefits not only for your teeth and gums, but also for your general health and possibly your wallet. Daily brushing and flossing reduces your risk of tooth decay and periodontal (gum) disease, which can in turn reduce your long-term dental care costs. Besides, clean teeth just look better!
If brushing your teeth hasn’t been a regular habit for you, here are a few tips to get you on the right track:
Pick the right brush. For most people, a soft bristled, multi-tufted toothbrush is the best choice. If you’re not sure what kind of brush to use, ask us for recommendations.
Look for the basics in toothpaste. Store shelves are filled with toothpastes promising everything from teeth whitening to tartar control. Just be sure of two things: that the product contains fluoride (proven to reduce the risk of tooth decay) and it has the American Dental Association’s Seal of Approval. If you have sensitive teeth, ask us about toothpaste options that address this or other special situations.
Easy does it with the technique. Over-vigorous brushing can harm your teeth’s enamel and cause gum recession. Hold the brush handle between your fingertips with no more pressure than you would hold a pencil. Position the brush-head at the gum line at about a 45-degree angle and gently clean all your tooth surfaces. If you’re trying this approach for the first time, the task should take about two minutes.
Visit your dentist twice a year to keep on track. Think of your dental healthcare team as your “personal trainers” in oral hygiene. Besides monitoring your overall dental health and removing hard to reach plaque through semi-annual cleanings, they’ll also coach you on your new lifetime habit of better oral hygiene.
If you would like more information on oral hygiene, 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 Hygiene.”
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.”
Billions of bacteria live in each of our mouths, sharing a common environment with teeth and soft tissues. Most of the time, they coexist in symbiotic balance. But sometimes that balance becomes disrupted, leading to a destructive condition known as periodontal disease.
From the Latin peri (“around”) and the Greek odont (“tooth”), periodontal refers to the tissues that are around the teeth. When they become diseased, it's a serious matter; and not just because of potential tooth loss — there is evidence that periodontal disease has links to cardiovascular disease and, for pregnant women, low birth weights in pre-term babies.
There are a number of factors that can increase your risk of developing periodontal disease, like smoking, poor nutrition, and your systemic health. The biggest factor, however, is increased bacterial plaque due to poor oral hygiene practices.
Periodontal disease is progressive. As unhealthy bacteria levels increase, the bacteria eventually cause bone loss, the gums separate from the teeth and create what is referred to as periodontal pockets. As the pockets deepen around the teeth, plaque and tartar become extremely difficult to remove, even if you resume a proper hygiene routine. At this stage, treating the disease will require a different approach. And if left untreated, the teeth will most likely continue to lose bone and eventually be lost.
Through a dental exam, we can determine the presence and extent of the disease and recommend a treatment strategy. Besides lifestyle changes and better hygiene habits, this strategy might also include treatment with antibiotics, a thorough mechanical cleaning to remove tartar and plaque, surgical techniques to remove infected tissue, or occlusal bite therapy.
Above all, prevention is the key. Through proper dental hygiene and regular dental exams and cleanings, stopping periodontal disease from beginning in the first place is your best defense.
If you would like more information on the treatment of periodontal disease, 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 “Understanding Gum Disease.”