Posts for: February, 2018
It’s been widely established for decades that cigarette smoking contributes to cancer and heart disease. But did you know smoking will also increase your risk of tooth decay and periodontal (gum) disease, as well as nuisance problems like tooth staining, bad breath and diminished taste perception?
Its effects on your teeth and mouth are all the more reason to quit smoking. But deciding and following through are two different things: many smokers find it painfully difficult to quit due to their addiction to nicotine, tobacco’s active ingredient.
But while difficult, it can be done. Here are 4 tips to help you follow through on your decision to quit smoking.
Change Your Response to Stress. Cigarette smoking is closely tied to the pleasure and reward areas of your brain. With its “hit” of nicotine, you sub-consciously identify smoking as a way to relieve the unpleasant feelings of stress. Instead, substitute other stress relievers when it occurs: going for a walk, talking to a friend or taking a few deep breaths. In time, this substitution will wear down the trigger response to stress you’ve developed with smoking.
Gradually Reduce Nicotine. You don’t have to quit abruptly or “cold turkey”: over the course of a few weeks, try switching to brands with decreasing levels of nicotine. Each week change to a brand with 0.2-0.4 milligrams less nicotine yield than the brand you were smoking the previous week. When you reach the lowest nicotine yield you can find, begin reducing the number of cigarettes you smoke each day. You can find a list of nicotine yields by brand at www.erowid.org/plants/tobacco/tobacco_nic.shtml.
Quitting Loves Company. While you’re responsible for quitting, you may also benefit from the support of others. Usually eight to ten weeks of peer group sessions, a cessation support group provides instruction and ample structure with others engaged in the same struggle. You can usually locate one of these support groups by asking your healthcare provider.
Talk to Your Doctor or Dentist. Next to you or your family, no one wants you to quit more than we do! We can provide you information, treatment and encouragement as you take this big step toward improving your life and health.
If you would like more information on how to quit smoking, please contact us or schedule an appointment for a consultation. You can also learn more about this topic and more tips for quitting by reading the Dear Doctor magazine article “10 Tips to Help You Stop Smoking.”
Learning you’re pregnant can be a joyous moment. But it also means life is about to change as you focus on protecting you and your child from anything that endangers your health.
Because of these new concerns you might even hesitate about receiving dental care, especially involving anesthesia. But several medical organizations representing doctors, OB-GYN physicians and dentists wholeheartedly recommend continuing regular dental visits during pregnancy.
In fact, you should continue them because you’re pregnant: physical and hormonal changes during pregnancy could increase your risk of dental disease.
For, example, your consumption of carbohydrates (like sugar) could increase, which in turn increases your risk of tooth decay. You’ll also need to be more concerned about dental plaque, a thin bacterial film on your teeth that can cause disease. Hormonal changes during pregnancy may make you more sensitive to plaque, and thus more susceptible to disease — especially periodontal (gum) disease.
In fact, a specific form of gum disease called pregnancy gingivitis affects around 40% of expectant women at some point in their pregnancy. And if you already have gum disease, pregnancy could worsen it. Left untreated the disease could develop into more severe periodontitis, which may significantly damage your teeth’s support structures far below the gum line, leading to bone loss, which could result in the eventual loss of your teeth. Daily brushing and flossing, regular cleanings and checkups and, if your dentist prescribes it, antibacterial mouth rinses can help you stay ahead of it.
But what about other procedures while you’re pregnant? It may be best to wait on elective treatments for cosmetic purposes until after the baby is born. But some situations like deep tooth decay that could require a root canal treatment may become too serious to postpone.
Fortunately, several studies have shown it’s safe for pregnant women to undergo many dental procedures including tooth fillings or extractions. And receiving local anesthesia doesn’t appear to pose a danger either.
The important thing is to remain diligent with your own personal hygiene — brushing and flossing — and making other healthy choices like eating a nutritious diet. And be sure to let your dentist know about your pregnancy to help guide your dental treatment over the next few months.
The next time you visit your dentist you might see an item quite different from the other dental instruments and equipment in the office: a blood pressure cuff. Checking blood pressure is becoming a more common occurrence in dental offices across the country.
Abnormal blood pressure and some of the medications used to treat it are often a factor in some dental procedures, particularly if anesthesia is involved. But your dentist may also check your blood pressure for another reason: dental visits represent another avenue to screen for this condition that increases the risk of serious health problems.
Undiagnosed high blood pressure is a prevalent but often “silent” problem because the early stages of the condition may not display any symptoms. Many people first become aware they have an issue only after a blood pressure check at their family doctor, pharmacy or a health fair, for example. Otherwise, they could go months, even years without this vital knowledge about their health.
But while people may only visit their doctor once a year (or less) many see their dentist much more often, even twice a year, for routine cleanings and checkups. Including blood pressure screenings as a routine part of dental treatment could alert patients to a potential issue much earlier than their next doctor’s visit.
In fact, one study published in the Journal of the American Dental Association looked at a group of dental patients with no reported heart disease risk and who had not seen a doctor in the twelve months before their dental visit. During their visit their blood pressure was checked. Of those then referred to a physician for an abnormal reading, 17% learned for the first time they had an increased risk of cardiovascular disease.
It’s estimated about 80 million Americans have some form of cardiovascular disease and many don’t even know it. Diagnosing and controlling high blood pressure is a key factor in treating these life-threatening conditions. And many dentists are joining the fight by making this simple screening method a part of their dental care services.
If you would like more information on blood pressure screening, 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 “Monitoring Blood Pressure: What you don't know can hurt you.”
Can you have healthy teeth and still have gum disease? Absolutely! And if you don’t believe us, just ask actor David Ramsey. The cast member of TV hits such as Dexter and Arrow said in a recent interview that up to the present day, he has never had a single cavity. Yet at a routine dental visit during his college years, Ramsey’s dentist pointed out how easily his gums bled during the exam. This was an early sign of periodontal (gum) disease, the dentist told him.
“I learned that just because you don’t have cavities, doesn’t mean you don’t have periodontal disease,” Ramsey said.
Apparently, Ramsey had always been very conscientious about brushing his teeth but he never flossed them.
“This isn’t just some strange phenomenon that exists just in my house — a lot of people who brush don’t really floss,” he noted.
Unfortunately, that’s true — and we’d certainly like to change it. So why is flossing so important?
Oral diseases such as tooth decay and periodontal disease often start when dental plaque, a bacteria-laden film that collects on teeth, is allowed to build up. These sticky deposits can harden into a substance called tartar or calculus, which is irritating to the gums and must be removed during a professional teeth cleaning.
Brushing teeth is one way to remove soft plaque, but it is not effective at reaching bacteria or food debris between teeth. That’s where flossing comes in. Floss can fit into spaces that your toothbrush never reaches. In fact, if you don’t floss, you’re leaving about a thirdÂ to half of your tooth surfaces unclean — and, as David Ramsey found out, that’s a path to periodontal disease.
Since then, however, Ramsey has become a meticulous flosser, and he proudly notes that the long-ago dental appointment “was the last we heard of any type of gum disease.”
Let that be the same for you! Just remember to brush and floss, eat a good diet low in sugar, and come in to the dental office for regular professional cleanings.
If you would like more information on flossing or periodontal disease, please contact us today to schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “Understanding Gum (Periodontal) Disease.”
So, you’ve just acquired an attractive restoration with dental implants. You may be thinking at least with these teeth you won’t have to worry about dental disease.
Think again. While the implants and their porcelain crowns are impervious to decay the surrounding gums and bone are still vulnerable to infection. In fact, you could be at risk for a specific type of periodontal (gum) disease called peri-implantitis (inflammation around the implant).
Bacterial plaque, the thin bio-film most responsible for gum disease, can build up on implant crowns just as it does on natural tooth surfaces. If it isn’t removed with daily brushing and flossing and regular dental cleanings the bacteria can trigger an infection in the gums.
Besides weakening gum tissues, gum disease can also cause bone loss, of critical importance to dental implants. An implant depends on the bone they’re inserted in to hold them in place. If the bone around an implant becomes infected it could begin to be lost or dissolve (resorb), which could lead to loss of the implant.
That’s why it’s critical to keep the natural tissue structures supporting your implants infection-free. Not only is daily hygiene a must, but your implants and any remaining natural teeth should undergo professional cleaning at least twice a year or more if your dentist recommends it.
Cleanings involving implants will also be a bit different from natural teeth. While the dental materials used in the crown and implant post are quite durable, regular cleaning instruments can scratch them. Although tiny, these scratches can become hiding places for bacteria and increase your risk of infection.
To avoid this, your hygienist will use instruments (known as scalers and curettes) usually made of plastics or resins rather than metal. The hygienist may still use metal instruments on your remaining natural teeth because their enamel can tolerate metal without becoming scratched creating a smoother surface.
While keeping implants clean can sometimes be a challenge, it’s not impossible. Implants on average have a long-term success rate above 95%. With both you and your dentist caring and maintaining these state-of-the-art restorations, you may be able to enjoy them for decades.
If you would like more information on caring for dental implants, 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 “Dental Implant Maintenance: Implant Teeth must be Cleaned Differently.”