Posts for category: Oral Health
One in ten Americans has diabetes, a serious condition that may increase the development and severity of other health problems—including gum disease. Because of this latter connection, dental providers join other health professionals during November's National Diabetes Month to call attention to this chronic disease and its effect on health and well-being.
There's another health condition with a diabetes connection that isn't as well known: obstructive sleep apnea (OSA). It's also of keen interest to dental providers, as dentists are often involved in the discovery and treatment of this common sleep disorder.
OSA is the temporary blockage of the airway during sleep by the tongue or other anatomical structures. The subsequent drop in oxygen awakens the body to remove the obstruction. People with OSA may not realize they have the condition, but their bed partner can often attest to their snoring, snorting and gasping for breath during the night. Such episodes can occur several times per night, depriving the person of sufficient sleep.
Chronic OSA can contribute to the development of other health problems, among them Type 2 diabetes. It can do this first by interfering with the metabolization of glucose (blood sugar). It may also increase the body's resistance to insulin, the primary hormone regulating glucose.
Fortunately, properly managing OSA can lower your risk for diabetes, and that's where dentists may be able to help. For one thing, we dentists are often the first to notice early signs of OSA—sometimes even before our patients do.
According to the American Sleep Apnea Association, as many as 80% of the estimated 22 million Americans with OSA may not know they have it. But dentists often identify OSA indicators while examining patients: signs like an enlarged tongue or tonsils, or patients falling asleep in the exam chair. While we can't formally diagnose OSA, we often refer symptomatic patients to a sleep specialist.
Dentists also offer an alternative to the most common OSA therapy, which is continuous positive airway pressure (CPAP). This therapy employs a motorized pump that delivers pressurized air into the throat via face mask to keep the airway open during sleep. Although effective, some people find a CPAP machine noisy and uncomfortable to use.
Alternatively, dentists can provide an oral device that can often help patients with mild to moderate OSA that's worn in the mouth during sleep. Most of the various types of these appliances either reposition the lower jaw with a hinge mechanism to keep the throat open or pull the tongue away from the airway through a suction effect.
Diabetes is one part of a chain reaction that can bring unexpected challenges to your health, including to your teeth and gums. You can slow or even stop its development with proper diet, exercise and good, restful sleep. Dealing with OSA is often part of that equation—and we may be able to help.
If you would like more information about the prevention and treatment of diabetes, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Oral Appliances for Sleep Apnea.”
Fluoride is an important part of your child's dental development. But if children take in too much of this important mineral, they could experience enamel fluorosis, a condition in which teeth become discolored with dark streaking or mottling.
That's why it's important to keep fluoride levels within safe bounds, especially for children under the age of 9. To do that, here's a look at the most common sources for fluoride your child may take in and how you can moderate them.
Toothpaste. Fluoridated toothpaste is an effective way for your child to receive the benefits of fluoride. But to make sure they're not getting too much, apply only a smear of toothpaste to the brush for infants. When they get a little older you can increase that to a pea-sized amount on the end of the brush. You should also train your child not to swallow toothpaste.
Drinking water. Most water systems add tiny amounts of fluoride to drinking water. To find out how much your water provider adds visit “My Water's Fluoride” online. If it's more than the government's recommendation of 0.70 parts of fluoride per million parts of water, you may want ask your dentist if you should limit your child's consumption of fluoridated drinking water.
Infant formula. Many parents choose bottle-feeding their baby with infant formula rather than breastfeed. If you use the powdered form and mix it with tap water that's fluoridated, your baby could be ingesting more of the mineral. If breastfeeding isn't an option, try using the premixed formula, which normally contains lower levels of fluoride. If you use powdered formula, mix it with bottled water labeled “de-ionized,” “purified,” “demineralized” or “distilled.”
It might seem like the better strategy for preventing fluorosis is to avoid fluoride altogether. But that can increase the risk of tooth decay, a far more destructive outcome for your child's teeth than the appearance problems caused by fluorosis. The better way is to consult with your dentist on keeping your child's intake within recognized limits to safely receive fluoride's benefits of stronger, healthier teeth.
If you would like more information on fluoride and your baby's dental health, 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 “Tooth Development and Infant Formula.”
We're all tempted occasionally to use our teeth in ways that might risk damage. Hopefully, though, you've never considered anything close to what singer, songwriter and now social media persona Jason Derulo recently tried in a TikTok video—attempting to eat corn on the cob spinning on a power drill. The end result seemed to be a couple of broken front teeth, although many of his followers suspected an elaborate prank.
Prank or not, subjecting your teeth to “motorized corn”—or a host of other less extreme actions or habits—is not a good thing, especially if you have veneers, crowns or other dental work. Although teeth can withstand a lot, they're not invincible.
Here, then, are four things you should do to help ensure your teeth stay healthy, functional and intact.
Clean your teeth daily. Strong teeth are healthy teeth, so you want to do all you can to prevent tooth decay or gum disease. Besides semi-annual dental cleanings, the most important thing you can do is to brush and floss your teeth daily. These hygiene tasks help remove dental plaque, a thin biofilm that is the biggest culprit in dental disease that could weaken teeth and make them more susceptible to injury.
Avoid biting on hard objects. Teeth's primary purpose is to break down food for digestion, not to break open nuts or perform similar tasks. You should also avoid habitual chewing on hard objects like pencils, nails or ice to relieve stress. And, you may need to be careful eating apples or other foods with hard surfaces if you have veneers or composite bonding on your teeth.
Wear a sports mouthguard. If you or a family member are regularly involved with sports like basketball, baseball/softball or football (even informally), you can protect your teeth from facial blows by wearing an athletic mouthguard. Although you can obtain a retail variety in most stores selling sporting goods, a custom-made guard by a dentist offers the best protection and comfort.
Visit your dentist regularly. As mentioned before, semi-annual dental cleanings help remove hidden plaque and tartar and further minimize your risk of disease. Regular dental visits also give us a chance to examine your mouth for any signs of decay or gum disease, and to check on your dental health overall. Optimizing your dental health plays a key part in preventing dental damage.
You should expect an unpleasant outcome involving your teeth with power tools. But a lot less could still damage them: To fully protect your dental health, be sure you practice daily oral care, avoid tooth contact with hard objects and wear a mouthguard for high-risk physical activities.
If you would like more information on caring for your cosmetic dental work, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Porcelain Veneers” and “An Introduction to Sports Injuries & Dentistry.”
Ever have a paper cut or an irritated hangnail? They're not considered major health problems, but, boy, can they sting!
Something similar can occur in the corners of your mouth called angular cheilitis. It's also known as perleche, from the French word “to lick” (a common habit with this type of sore). It can occur at any age, with children or young adults developing it from drooling during sleep or orthodontic treatment.
Older adults, though, are more prone than younger people for a variety of reasons. Age-related wrinkling is a major factor, especially “marionette lines” that run from the mouth to the chin. Dried or thinned out skin due to exposure from cold, windy weather may also contribute to perleche.
Perleche can also develop from within the mouth, particularly if a person is experiencing restricted salivary flow leading to reduced lubrication around the lips. Poorly cleaned dentures, weakened facial supporting structure due to missing teeth, vitamin deficiencies and some systemic diseases can all lead to perleche. And if an oral yeast infection occurs around the cracked mouth corners, the irritation can worsen and prolong the healing process.
To clear up a case of cracked mouth corners, you should promptly see your dentist for treatment. Treatment will typically include some form of antifungal ointment or lozenge applied over a few days to clear up the sores and prevent or stop any infection. You might also need to apply a steroid ointment for inflammation and other ointments to facilitate healing.
To prevent future episodes, your dentist may ask you to use a chlorhexidine mouthrinse to curb yeast growth. If you wear dentures, you'll need to adopt a regular cleaning routine (as well as leaving them out at night). You might also wish to consider updated dental restorations or orthodontics to improve dental support, and help from a dermatologist if wrinkling might be a potential cause.
Cracked mouth corners won't harm you, but they can make for a miserable experience. Take steps to relieve the irritation and any future occurrence.
If you would like more information on angular cheilitis or similar oral conditions, 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 “Cracked Corners of the Mouth.”
It's September—and that means football season is underway. Whether you're playing, spectating or managing a fantasy team, the action is about to ramp up. Unfortunately, increased “action” also includes injury risk, especially for a player's teeth, mouth and jaws.
Injury prevention is a top priority for all players, whether the pros or the little guys in Pee Wee league. For oral injuries, the single best way to avoid them is by wearing an athletic mouthguard. This soft but durable plastic appliance helps cushion the force of a direct blow to the face or mouth. Wearing one can help prevent tooth and gum damage, as well as lessen the risk for jaw or facial bone fractures.
Mouthguard use is fairly straightforward—a player should wear one anytime there's player-to-player contact. That's not only during game time, but also during practice and informal play. But what's not always straightforward is which type of mouthguard to purchase. That's right: You'll have to decide from among a variety of mouthguards on the market.
Actually, though, most fall into one of two categories: the “Boil and Bite” found in most retail stores with a sports gear department; or the custom mouthguard fashioned by a dentist.
The first are called Boil and Bite because the mouthguard must first be softened with hot water and then placed in the intended wearer's mouth to bite down on in its softened state. When the mouthguard cools and re-hardens, it will retain the bite impression to give it somewhat of an individual fit. These retail guards are relatively inexpensive and reasonably effective in cushioning hard contact, but they can also be on the bulky side and uncomfortable to wear.
In contrast, custom mouthguards are formed from an accurate impression of the wearer's bite taken in the dental office. Because of the individualized fit, we can create a guard with less bulk, greater comfort and, due to their precision, better effectiveness in preventing injury.
A custom guard is more expensive than a retail mouthguard, and younger players may need a new upgrade after a few seasons to accommodate fit changes due to jaw development. But even so, with its higher level of protection and comfort (making it more likely to be worn during play), a custom mouthguard is a worthwhile investment that costs far less than a devastating dental injury.
So, if you or a family member will be hitting the gridiron this fall (or, for that matter, the basketball court or baseball diamond later in the year), be sure you invest in a mouthguard. It's a wise way to ensure this football season will be a happy one.