Posts for tag: oral health
There’s been a growing awareness about the effects of gluten, a protein found in grains like wheat, rye and sometimes oats, on certain people. An estimated 1 in 133 Americans have Celiac Disease (CD), a gluten-related disorder that causes the body’s immune system to work against itself. And if you have CD, you could eventually face dental problems like enamel pitting and erosion.
When a person with CD consumes gluten, their immune system mistakenly identifies the protein as malicious and attacks it. The attack occurs in the membranes that line the digestive system, which in the process destroys cilia, tiny hair-like structures that aid in food absorption. This disrupts the body’s normal absorption of nutrients, which can lead to a number of systemic conditions including intestinal cancer.
Because of the lack of nutrients, your teeth’s enamel may develop defects. You may begin to see dull spots or pitting, or chalky grooves in its normally shiny surface: this is a sign you’ve lost surface enamel crystals (decalcification). You may also be more susceptible to outbreaks of aphthous ulcers (canker sores).
Because symptoms can be misdiagnosed or go unnoticed, it may be years before you know you have CD. You can, however, get a definitive diagnosis through a blood test for gluten antibodies, which is then confirmed with a biopsy of a tissue specimen from the intestine.
While there’s ongoing research for CD-related medication, there’s currently only one recognized treatment for it — remove gluten from your diet. This is much harder than it sounds, and requires knowing what you can and can’t eat, along with strict monitoring of food package labeling. Thankfully, the world is becoming better educated in this respect as more food manufacturers are clearly labeling products containing gluten and restaurants are providing gluten-free menu options.
Once you have dietary controls in place, your dental issues can be treated as any other person, with one exception: none of the products used in treatment like polishing paste or fluoride gels should contain gluten, and must be verified before using.
CD is a serious condition that could even become life-threatening. Knowing you or someone in your family has it will help you protect both your overall health and your teeth.
If you would like more information on the gluten’s 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 “Gluten & Dental Problems.”
Want to give your kids the best start possible for a lifetime of good dental health? The most important thing you can do is train them in effective brushing and flossing. It's more than having a nice smile and fresh breath: these hygiene tasks remove the daily buildup of bacterial plaque, the primary cause for both tooth decay and periodontal (gum) disease, which are most responsible for poor oral health.
But those aren't the only habits they should be cultivating. Here are 3 tips for helping your child develop great dental health habits.
Encourage healthy eating. Teeth and gums are like other parts of the body: they need the "building blocks" found in nutritious foods to help grow strong, healthy tissues. By focusing on a diet leaner on processed items and richer in whole, less-processed vegetables, meats and dairy products, you'll be helping your child build strong defenses against dental disease.
Keep sugary snacks under control. Of all the items in your child's diet, sugar could have the greatest impact on their teeth. Disease-causing bacteria thrive on this particular carbohydrate, multiplying and producing mouth acid—the main enemy of tooth enamel—as a byproduct. So, limit sugary snacks as much as possible, opting instead for more nutritional between-meal treats. In fact, try to make sure they only consume sugary treats at mealtime, not in between.
Encourage an end to thumb-sucking or pacifiers by age 3. Most infants and very young children suck their thumbs or, alternatively, a pacifier. There's no harm in this habit unless it extends into later childhood where it could affect their bite. You can avoid this outcome by encouraging your child with mainly positive reinforcement to stop sucking their thumbs or other objects before their third birthday. Your dentist can also help with tips and support in those efforts.
If you would like more information on dental care for your child, 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 “Help your Child Develop the Best Habits for Oral Health.”
As dentists, we often see other mouth problems besides those with teeth and gums. One of the most common is cracking around the corners of the mouth. Although usually not serious, it can be irritating and uncomfortable.
Medically known as angular cheilitis (literally “an inflammation of the angles of the lip”), it’s also called perleche, derived from the French lecher, “to lick.” The latter moniker aptly describes the tendency of sufferers to compulsively lick the sores to relieve irritation, which actually can make things worse.
Perleche has a number of possible causes, mostly from in or around the mouth (although systemic diseases or medications can cause it on rare occasions). It’s often found among younger people who drool during sleep or older people with deep wrinkles along the sides of the mouth that increase the chances of dryness and cracking. Long-term wind or cold exposure, ill-fitting dentures or a lack of back teeth (which help support facial structure) may also contribute to the condition.
Patients with perleche can also develop yeast infections from a strain called candida albicans. The infection can spread through the whole mouth, significantly increasing the chances of physical discomfort.
Treating perleche often involves topical ointments with inflammation-reducing steroids and zinc oxide, which has antifungal properties, to provide an environmental barrier during the healing process. If a yeast infection occurs, we may treat it with oral or topical antifungal medication like Nystatin for the whole mouth and chlorhexidine rinses, which has antibacterial properties.
It also helps to adopt a few preventive measures that can minimize the occurrence of perleche. If you wear dentures, for example, cleaning them often (including, if necessary, with chlorhexidine) and leaving them out at night reduces bacterial and fungal growth. We can also see if your dentures are fitting properly. Replacing missing teeth provides better facial support and could minimize wrinkling around the mouth. And, of course, keeping up daily brushing and flossing helps ensure a healthy and disease-free mouth.
If you’re experiencing cracked mouth corners, let us know at your next appointment. With our help and of other medical professionals we may be able to give you relief from this irritating condition.
If you would like more information on gaining relief from 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 article “Cracked Corners of the Mouth.”
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.”
A new school year is right around the corner.Â Here's something to add to your back-to-school list: Schedule a dental visit for your child. There are several good reasons for this:
1. Hidden Problems
Nearly 1 of 5 school-age children has untreated tooth decay. If decay progresses, it can interfere with eating, speaking, sleeping and learning. A checkup at the dental office can uncover a small problem before it turns into a much bigger issue.
2. Oral Hygiene
A back-to-school appointment is the ideal opportunity to get a professional cleaning. In addition, we can check on whether your child's oral hygiene efforts are up to par — and give pointers where needed.
3. Mouth Protection
Will your children be playing sports? If so, ask us about a custom mouthguard to help protect their teeth. If your child already has a mouthguard, we can check that the condition and fit are still adequate, given that your child is still growing.
4. Preventive Treatment
Speaking of protecting your child's teeth, an end-of-summer appointment is a good time to ask about preventive measures like tooth-strengthening fluoride treatments or protective dental sealants.
Make sure your child starts the new school year with strong, healthy teeth that will sparkle in school pictures. Please contact us to schedule a back-to-school dental appointment today!