Posts for tag: oral health
Chewing tobacco is as much a part of our sports culture as the national anthem. What once began as an early 20th Century baseball player method for keeping their mouths moist on dusty fields has evolved into a virtual rite of passage for many young athletes.
But the persona of “cool” surrounding smokeless tobacco hides numerous health threats — including disfigurement and death. What isn’t as widely recognized is the degree to which chewing tobacco can adversely affect your teeth, mouth and gums.
Need more reasons to quit? Here are 4 oral health reasons why you should spit out smokeless tobacco for good.
Bad breath and teeth staining. Chewing tobacco is a prime cause of bad breath; it can also stain your teeth, leaving your smile dull and dingy, as well as unattractive from the unsightly bits of tobacco between your teeth. While these may seem like superficial reasons for quitting, a less-than-attractive smile can also have an impact on your self-confidence and adversely affect your social relationships.
The effects of nicotine. Nicotine, the active ingredient in all tobacco, absorbs into your oral tissues and causes a reduction in blood flow to them. This reduced blood flow inhibits the delivery of antibodies to areas of infection in your mouth. This can cause…
Greater susceptibility to dental disease. Tooth decay and gum disease both originate primarily from bacterial plaque that builds up on tooth surfaces (the result of poor oral hygiene). The use of any form of tobacco, but particularly smokeless, dramatically increases your risk of developing these diseases and can make treatment more difficult.
Higher risk of oral cancer. Besides nicotine, scientists have found more than 30 chemicals in tobacco known to cause cancer. While oral cancer constitutes only a small portion of all types of cancer, the occurrence is especially high among smokeless tobacco users. And because oral cancer is difficult to diagnose in its early stages, it has a poor survival rate compared with other cancers — only 58% after five years.
The good news is, you or someone you love can quit this dangerous habit — and we can help. Make an appointment today to learn how to send your chewing tobacco habit to the showers.
If you would like more information on the effects of chewing tobacco on general and oral 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 “Chewing Tobacco.”
Sports drinks have been widely touted as an ideal way to replenish carbohydrates, electrolytes and, of course, fluids after a strenuous event or workout. But the mixtures of many popular brands often contain acid and added sugar, similar to other types of soft drinks. This can create an acidic environment in the mouth that can be damaging to tooth enamel.
Of course, the best way to replenish fluids after most strenuous activities is nature’s hydrator, water. If, however, you or a family member does drink the occasional sports beverage, you can help reduce the acid impact and help protect tooth enamel by following these 3 tips.
Avoid sipping a sports drink over long periods. Sipping on a drink constantly for hours interferes with saliva, the bodily fluid responsible for neutralizing mouth acid. But because the process can take thirty minutes to an hour to bring the mouth to a normal pH, saliva may not be able to complete neutralization because of the constant presence of acid caused by sipping. It’s best then to limit sports drinks to set periods or preferably during mealtimes.
Rinse your mouth out with water after drinking.Â Enamel damage occurs after extended periods of exposure to acid. Rinsing your mouth out immediately after consuming a sports drink will wash away a good amount of any remaining acid and help normalize your mouth’s pH level. And since water has a neutral pH, it won’t add to the acid levels.
Wait an hour to brush after eating. As mentioned before, saliva takes time to neutralize mouth acid. Even in that short period of time, though, acid can soften some of the mineral content in enamel. If you brush during this “soft” period, you may inadvertently brush away some of the minerals. By waiting an hour, you give saliva time not only to neutralize acid but also restore mineral strength to the enamel.
If you would like more information on sports and energy drinks and their effect on 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 “Think Before you Drink.”
When things get unpleasant in your mouth, it’s most often related to some underlying cause. In fact, the discomfort you’re feeling is often a call to action to have it checked and treated.
The American Dental Association recently surveyed approximately 15,000 U.S. adults about their oral problems. If you have any of the top 3 problems found in this survey, it could be a “warning bell” sounding in your mouth right now.
Here, then, are the top 3 dental problems in America, what they mean and what you should do about them.
#3: Tooth Pain. About a third of respondents (more among those younger or from lower-income households) indicated pain as a problem. As a warning sign of something wrong, tooth pain could be telling you that you have a decayed tooth, a gum abscess or something similar. The best thing to do is get a checkup as soon as possible. It’s unlikely that whatever is causing the pain will go away on its own and procrastination could make ultimate treatment more complex and difficult.
#2: Difficulty Biting. A slightly higher number of people named difficulty chewing and biting as their main oral problem. As with tooth pain, chewing difficulty causes could be many: cracked, loose or decayed teeth, ill-fitted dentures, or a jaw joint disorder (TMD). Again, if it hurts to chew or bite, see a dentist. Besides the underlying problem, chewing difficulties could also affect the quality of your nutrition.
#1: Dry Mouth. Chronic dry mouth garnered the highest response in the survey, especially among older adults. This is more serious than the occasional “cotton mouth” feeling we all experience—with chronic dry mouth the salivary glands aren’t producing enough saliva to neutralize mouth acid or fight disease, thus increasing your risk for tooth decay or periodontal (gum) disease. It’s most likely caused by medications or systemic conditions, so talk with your dentist or physician about boosting saliva flow.
Cancer treatment can consume all of your focus to the exclusion of other health issues. But these other issues still need attention, especially how treating cancer could affect other parts of your body. That definitely includes your teeth and gums.
Treatments like radiation or chemotherapy eradicate cancer cells disrupting their growth. Unfortunately, they may do the same to benign cells — “collateral damage,” so to speak. This could cause a ripple effect throughout the body, including in the mouth. Radiation, for example, could damage the salivary glands and result in reduced salivary flow. Because saliva neutralizes acid and diminishes bacterial growth, your risk for tooth decay as well as periodontal (gum) disease could increase.
While you may be able to recover from reduced salivary flow after treatment, your health could suffer in the meantime, even to the point of tooth and bone loss. Fortunately, there are some things we can do before and during your treatment.
If you can, have any necessary dental work performed well before you begin cancer treatment. You’ll be more resistant to side effects if you can start treatment with as healthy a mouth as possible.
Keep up your regular dental visits if at all possible, or see us if you begin seeing signs of dental disease. By staying on schedule, we’ll have a better chance of detecting and treating problems before they advance too far; we may also be able to provide preventive measures like topical fluoride applications to help keep your teeth resistant to disease. If you need more extensive treatment like tooth extraction or surgery we may need to coordinate with your cancer treatment provider.
Above all, continue to practice daily brushing and flossing to remove plaque, the main cause of dental disease. Drink plenty of water or take substances that boost salivation. And be sure to eat a nutritious diet while also reducing or eliminating tobacco or alcohol from your lifestyle.
Taking these steps will help protect your teeth and gums during cancer treatment. As a result, you have a better chance for maintaining your dental health during this critical time in your life.
If you would like more information on dental care during cancer treatment, 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 Health During Cancer Treatment.”
We’ve all had physical ailments that were more irritating than serious. The problem of skin cracking at the corners of the mouth fits into that category.
Both dentists and dermatologists encounter this condition often and have a name for it: perleche, derived from the French word lecher, meaning “to lick.” The term arises from patients’ tendency to excessively lick the broken skin to soothe the itching or burning.
Perleche most often arises from certain mouth conditions, although systemic problems like anemia or diabetes may also cause it. Children or younger adults, especially those with orthodontic braces or a tendency to drool as they sleep, often develop perleche; older adults with wrinkling around the mouth are also susceptible. Mouth dryness caused by reduced saliva flow may also irritate the skin and cause discomfort.
As the skin becomes irritated, the person may begin to lick the corners of the mouth to soothe them. This sets up conditions for an infection, most often caused by yeast known as candida albicans. The infection may become more acute and begin to affect the entire inside of the mouth or throat.
If you’ve developed perleche, our primary treatment goal is to reduce any infection with the aid of oral or topical antifungal drugs. One drug, Nystatin, is often taken as a lozenge that dissolves in the mouth and works its way from there through the rest of the body. You can also apply antifungal ointments several times a day to the corners of the mouth, often in combination with steroid ointments that reduce redness and swelling. You can also apply antifungal zinc oxide paste to the cracked skin, which also serves as a barrier between the skin and outer contaminants.
To reduce the chance of future outbreaks, we may recommend you rinse with Chlorhexidine, as well as replace missing teeth or refit loose dentures — these too are contributing factors to erupting yeast infections. You might also need to undergo dermatologic treatment for wrinkles if they’ve proven to be a factor in developing perleche.
Although not a major problem, perleche can be exceedingly uncomfortable and embarrassing. Thanks to a number of treatment options, you don’t have to put up with that discomfort for long.
If you would like more information on perleche (angular cheilitis), 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.”