If you were asked to identify the number one mouth problem affecting dental health, what would you name? Toothaches? Poor hygiene? Jaw joint issues?
Believe it or not, the top issue among 15,000 respondents in a recent American Dental Association (ADA) survey was dry mouth. A full one-third of the respondents had experienced chronic lack of normal saliva flow; difficulty biting and tooth pain, took second and third place, respectively.
We’ve all experienced the discomfort of temporary dry mouth when we first wake up in the morning or after eating certain foods. But chronic dry mouth is much more serious with long-term effects on a person’s teeth and gum health. This is because among its other important properties, saliva helps neutralize enamel-softening mouth acid and restores minerals to enamel after acid contact. Without sufficient saliva flow you’re much more susceptible to dental disease.
While there are several causes for dry mouth, perhaps the most common is as a side effect to at least five hundred known medications. Because older people tend to take more medications than other age groups, dry mouth is an acute problem among people over 60 (a major factor for why dry mouth took the survey’s top health problem spot).
You can help ease dry mouth from medications by first asking your doctor about switching to alternative medications that don’t affect saliva production. If not, be sure to drink more water during the day and especially when you take your oral medication (a few sips before and after).
You can help your dry mouth symptoms from any cause by drinking more water, limiting your consumption of alcohol or caffeine, and avoiding tobacco products. You can also use substances that stimulate saliva flow—a common one is xylitol, an alcohol-based sugar that’s used as a sweetener in certain gums and candies. Not only does xylitol boost saliva flow it also inhibits the growth of bacteria and thus decreases your risk of disease.
And speaking of reducing bacteria and their effects, don’t neglect daily brushing and flossing. These habits, along with regular dental cleanings and checkups, will benefit you just as much as your efforts to reduce dry mouth in avoiding dental disease.
When they’re introducing a new movie, actors often take a moment to pay tribute to the people who helped make it happen — like, you know, their dentists. At least that’s what Charlize Theron did at the premiere of her new spy thriller, Atomic Blonde.
"I just want to take a quick moment to thank my dentists," she told a Los Angeles audience as they waited for the film to roll. "I don’t even know if they’re here, but I just want to say thank you."
Why did the starring actress/producer give a shout-out to her dental team? It seems she trained and fought so hard in the action sequences that she actually cracked two teeth!
“I had severe tooth pain, which I never had in my entire life,” Theron told an interviewer from Variety. At first, she thought it was a cavity — but later, she found out it was more serious: One tooth needed a root canal, and the other had to be extracted and replaced with a dental implant — but first, a bone grafting procedure was needed. “I had to put a donor bone in [the jaw] to heal,” she noted, “and then I had another surgery to put a metal screw in there.”
Although it might sound like the kind of treatment only an action hero would need, bone grafting is now a routine part of many dental implant procedures. The reason is that without a sufficient volume of good-quality bone, implant placement is difficult or impossible. That’s because the screw-like implant must be firmly joined with the jawbone, so it can support the replacement tooth.
Fortunately, dentists have a way to help your body build new bone: A relatively small amount of bone material can be placed in the missing tooth’s socket in a procedure called bone grafting. This may come from your own body or, more likely, it may be processed bone material from a laboratory. The donor material can be from a human, animal or synthetic source, but because of stringent processing techniques, the material is safe for human use. Once it is put in place your body takes over, using the grafted material as a scaffold on which to build new bone cells. If jawbone volume is insufficient for implants, it can often be restored to a viable point in a few months.
Better yet, when grafting material is placed in the tooth socket immediately after extraction, it can keep most of the bone loss from occurring in the first place, enabling an implant to be placed as soon as possible — even before the end of a movie’s shooting schedule.
Will Atomic Blonde prove to be an action-movie classic? Only time will tell. But one thing’s for sure: When Charlize Theron walks down the red carpet, she won’t have to worry about a gap in her smile.
If you have questions about bone grafting or dental implants, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Dental Implant Surgery” and “Immediate Dental Implant.”
Halloween means loads of fun for kids everywhere: a chance to put on fanciful costumes and have some safe, spooky enjoyment. But the reward for all that trick-or-treating — bags full of sugary candy — can create monstrous problems for young smiles, in the form of tooth decay. Short of taking all those treats away, are there any ways to lessen the impact on your children’s teeth?
According to the American Dental Association (ADA), the answer is: Yes!
As long as kids are brushing twice and flossing once a day, it’s okay for them to enjoy a few sweet treats on Halloween. But starting that same night, or the next day, you can help protect them from cavities. Here’s how:
Sort It Out:
Some treats are potentially more damaging to teeth than others. For example, candy that’s sticky and clings to teeth — like gummy bears and taffy — takes longer to get cleared away by saliva. Lengthier contact with the teeth increases the risk of tooth decay. The same is true for sweets that stay in the mouth for a long time, like hard candy. Sour candy is often acidic, and that acid can weaken the hard enamel coating of teeth, making them more prone to decay. But there’s some good news: Chocolate, a favorite treat, washes off the teeth relatively quickly — and dark chocolate has less sugar than milk chocolate.
Give It Away:
You can always give away some or all of your candy stash to people who will appreciate it: first responders or troops serving overseas, for example. Some organizations sponsor donation (or even buyback) programs. Try searching the web for programs like “Operation Gratitude,” among others.
Timing Is Everything:
If you do allow candy, limit it to mealtimes. That’s when saliva production is at its peak — and saliva helps neutralize acids and wash away food residue that can cause cavities. Whatever you do, don’t let kids snack on sweet treats from the candy dish throughout the day: This never gives your mouth a chance to bounce back from the sugary saturation.
Get Healthy Hydration:
For quenching thirst, water is the best choice. It helps your body stay properly hydrated and is needed for healthful saliva production. Sugary or acidic beverages like sodas (regular or diet), so-called “sports” or “energy” drinks, and even fruit juices can harm teeth. Fluoridated water (like most municipal tap water) has been shown to help prevent tooth decay. If you drink bottled water, look for a fluoridated variety.
Following these tips — and making sure your kids maintain good oral health with brushing, flossing, and routine dental office visits — will help keep them safe from cavities, not only at Halloween but all year long. If you have questions about cavity prevention or oral hygiene, please contact our office or schedule a consultation. You can learn more in the Dear Doctor magazine articles “Tooth Decay — How to Assess Your Risk” and “How to Help Your Child Develop the Best Habits for Oral Health.”
Your teeth and gums have a highly sensitive network of nerves. But while it can signal even the most subtle discomfort we may not be able to identify the cause with pinpoint accuracy. As a result, tooth pain could indicate more than one kind of problem including a decayed tooth, root sensitivity, infected gum tissues (like an abscess) or a dying pulp signaled by diseased nerve tissue inside the tooth.
On the other hand, not all tooth pain is the same: it can be dull or sharp, continuous or intermittent. It can feel like a constant, throbbing ache or a sharp wince when you eat or drink something cold or hot, or when you bite down. These differences could point our diagnostic examination in the right direction.
For example, sharp, throbbing pain could indicate deep tooth decay, especially if it suddenly stops. That would likely mean the nerves within the tooth pulp under attack by the infection have died and can no longer transmit pain. The infection, on the other hand is still very much active — this usually requires a root canal treatment (cleaning out the pulp and root canals of diseased and dead tissue and filling the empty spaces) if we’re to save the tooth.
If, however, you’re experiencing sensitivity from temperature or pressure, we could be facing at least a couple of scenarios. For one, your tooth could be fractured. More likely, though, periodontal (gum) disease triggered by bacterial plaque has caused the gum tissues to shrink back (recede) from the affected teeth so that the sensitive dentin layer is exposed and no longer protected by the gum tissue.
If we diagnose gum disease, we’ll need to aggressively remove bacterial plaque from all tooth and gum surfaces. This procedure might require more than one appointment and the possibility of surgery if we encounter deep pockets of infection, especially around the roots. If gum recession is severe you may also need grafting surgery to replace the missing gum tissue or to re-cover the exposed areas of your teeth.
So, knowing the source of tooth pain will direct the course of treatment to follow. With proper treatment, though, the chances are good we can not only restore your teeth and gums to optimum health but we can end the pain.
If you would like more information on treating tooth pain, 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 “Confusing Tooth Pain.”
Have you put off gum surgery because you're worried that it will be a painful experience? Laser gum surgery offers a better way to treat periodontal disease. Our Orange County, CA, periodontist, Dr. Ramyar Elyassian of Dental Implant and Laser Surgical Specialists, discusses the advantages of the surgery.
Why should I choose laser gum surgery?
Laser surgery eliminates scalpels and sutures, reducing pain and shortening the recovery period. Traditional gum surgery involves cutting your gums to reach tartar that has accumulated on teeth roots. The surgery involves scraping off tartar from the roots, reshaping bone affected by the disease and removing diseased portions of your gums. At the end of the surgery, your gums are sutured tightly against your teeth.
Not surprisingly, recovering from traditional gum surgery can be painful. In addition to taking pain medication, you will also need to stock up on soft foods, as you'll be unable to eat anything else for a few weeks.
Laser gum surgery involves removing tartar with an ultrasonic scaler, then using laser light to kill bacteria and remove diseased gum tissue. A tiny laser fiber placed between your teeth and gums delivers the laser light that targets diseased tissue without damaging healthy tissue. A blood clot, rather than sutures, secures your gums to your teeth at the conclusion of the surgery.
Laser treatment offers several important benefits, such as:
- Reduced Pain: After your treatment, you may only need over-the-counter medications to control pain and swelling.
- No Bleeding: Because your gums aren't cut during laser surgery, you won't experience bleeding.
- Fewer Diet Restrictions: You'll need to follow a liquid diet for a few days after laser surgery and a soft diet for an additional three days. Thanks to laser gum surgery, you can return to your regular diet much sooner.
- Faster Healing: Using a laser rather than a scalpel means that you'll heal much faster than people who have had traditional gum surgery. In fact, you can resume your normal activities immediately after your treatment.
- Fewer Treatments: Laser gum surgery usually only requires one or two treatments in our Orange County office.
Laser gum surgery makes treatment of gum disease a much more pleasant experience. If you're concerned about gum disease, call our Orange County, CA, periodontist, Dr. Elyassian of Dental Implant and Laser Surgical Specialists, at (714) 730-3746 to schedule an appointment.
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