Posts for tag: oral health
As our profession advances, we dental professionals continue to find the biggest factor for successful outcomes is an informed patient. The more you know about your own teeth and gums, the greater your chance for a healthy outcome.
Regular dental care is fundamental to becoming informed. Your regular office visits and cleanings are an opportunity for us to “get real” — for you to learn the unvarnished truth about your dental issues and the reasons why you need to consider some options regarding your oral health. We also need to be just as realistic about what can or can’t be done to improve your situation and the cost involved.
The best way to approach this is to develop a plan based on managing risk. Risk is essentially weighing anything we may potentially lose against the solutions for not losing it. In dentistry, we look at risk in four basic areas: periodontal, the threats to structures like gums, ligaments and bone that support the teeth; biomechanical, the threats to the structural integrity of teeth such as decay, enamel erosion or fracture; functional, problems that can arise with how the teeth, muscles and jaw joints work together; and aesthetic, the impact of all these threats to the outward appearance of your smile.
Once we know the risks you’re facing, we then determine the best treatment approach for managing the risk based on costs and potential outcomes. For example, if you’re diagnosed with gum disease, you’re at risk for losing supporting bone and, ultimately, the affected teeth. Our primary goal is to prevent that loss from occurring through plaque and calculus removal that slow or stop the disease and allow affected tissues to heal. But if the disease has advanced and you’ve already experienced bone or even tooth loss, we may then need to modify our treatment goal by including gum surgery or tooth replacement options like dental implants.
Using a risk management approach helps us identify what needs to be treated and the most reasonable and achievable options for treating it. The foundation for this approach is prevention — stopping problems before they start or progress. Developing and maintaining this kind of action plan will help reduce your ultimate costs — emotional, social and financial.
If you would like more information on dental treatment planning, 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 “Successful Dental Treatment.”
There’s no question that x-ray imaging has transformed how we diagnose and treat dental problems. But traditional x-rays have at least one limitation — they are two-dimensional portraits that can only provide a portion of the information available. If you could view the interior of teeth or other mouth structures in three dimensions, you would have access to more detail about their conditions.
Computerized axial tomography (CAT) scanning has brought that third dimensional view to physicians generally and, in more recent years, to dentists. The latest development in this technology is known as Cone Beam Computed Tomography (CBCT). A CBCT emits a spiral of x-rays that form a cone-shaped beam that is caught on detectors. Using digital geometry, the CBCT then generates a three-dimensional image by precisely “layering” this large series of two-dimensional images caught by the detectors on top of each other.
CBCT is already making a significant impact in dentistry and its related specialties. Dentists now can visualize with amazingly precise detail the three-dimensional anatomy of the teeth, jaws, facial bone and other structures in the head and neck area. Orthodontists can examine the growth stages of a patient’s teeth eruption to better prepare treatment strategies. Oral surgeons can determine the precise location of impacted teeth and their exact proximity to nerves and sinuses. And, periodontists who specialize in gum disease and treatment can better determine the level of bone loss and gum attachment for more accurate diagnoses and effective treatment.
While a CBCT delivers a higher dose of x-rays than a traditional panoramic radiograph, it actually delivers a lower dosage than a digital standard 18 film full mouth series or than conventional medical CT scanners. The field of view also determines the level of x-ray exposure — the smaller the field of view (and more concentrated the x-rays) the higher the dosage and the better detail of anatomy.
The good news, though, is that a low dosage CBCT scan can still provide a level of detail that can provide dentists with a very accurate view of anatomical features, including bone density and mass, in three dimensions. That capability can vastly elevate the accuracy of diagnoses and lay the groundwork for effective dental treatment.
If you would like more information on the uses of CBCT scanning to help you maintain 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 “CAT Scans in Dentistry.”
Olivia Newton-John, now in her early 60's, is still a fresh-faced picture of health — with a radiant smile to match. How does she do it? She does it with healthy habits learned from her German-born mother, Irene.
“I love greens, and as many organic vegetables as possible,” Olivia recently told Dear Doctor magazine. “From spinach to salads to beets — pretty much any and all greens!”
Olivia credits her mom with instilling her lifelong love of healthy foods. Irene used dark bread rather than white bread for sandwiches and even made her own yogurt — which she used as a topping on baked fruit for dessert.
“Growing up, my mum really taught us some great eating habits,” Olivia told the magazine. “When I was a girl in school, all of my friends would have cakes and cookies and fun foods but my mum was all about teaching us to eat healthy foods and to be very aware of what we were putting into our bodies. At the time I was annoyed about it, but looking back now I thank her for teaching me at an early age to eat healthily.”
Irene paid particular attention to her children's oral health. “My mum always made us brush and floss after every meal so, once again, like the foods we ate, she taught us early about the importance of great dental hygiene,” said Olivia, who has an older brother and sister.
As a mom herself, Olivia passed those healthy habits down to her daughter, Chloe.
“I always insisted on regular dental checkups and limited sugar, especially in soft drinks — they were never in our fridge,” she said.
Parents do play an important role in developing healthy oral habits from the very beginning, starting with proper tooth-brushing techniques. By age 2, a brushing routine should be established using a smear of fluoride toothpaste. For older toddlers, parents can use a child's size soft toothbrush with water and a pea-sized amount of fluoride toothpaste. Children need help brushing until at least age 6, when they can generally take over brushing by themselves and also learn to floss.
The point of a good daily oral hygiene routine is to remove the film of bacteria that collects daily along the gum line, and in the nooks and crannies of teeth. Effective daily removal of this biofilm will do more to prevent tooth decay and promote lifelong dental health than anything else.
If you would like to learn more about preventing tooth decay or teaching your child to brush and floss correctly, please contact us or schedule an appointment for a consultation. If you would like to read Dear Doctor's entire interview with Olivia Newton-John, please see “Olivia Newton-John.” Dear Doctor also has more on “How to Help Your Child Develop the Best Habits for Oral Health.”
If you or your family has an active sports lifestyle, you probably already know the importance of food and liquids for energy and hydration. But what you eat and drink (and how often) could unintentionally increase your teeth’s susceptibility to tooth decay. With that in mind, you should plan your nutrition and hydration intake for strenuous exercise to maximize energy and reduce the risk of tooth decay.
On the general health side, carbohydrates are your main source of energy for sports or exercise activity. You should eat a substantial carbohydrate-based meal (such as pasta, cereal or sandwiches) a few hours before a planned event. An hour before, you can snack on something easily digestible (avoiding anything fatty) to prevent hunger and as additional energy fuel.
It’s also important to increase your liquid intake before strenuous activity to avoid dehydration, usually a couple of hours before so that your body has time to eliminate excess fluid. During the activity, you should drink three to six ounces of water or sports drink every ten to twenty minutes to replace fluid lost from perspiration.
While water is your best hydration source, sports drinks can be helpful — they’re designed to replace electrolytes (sodium) lost during strenuous, non-stop activity lasting more than 60 to 90 minutes. They should only be consumed in those situations; your body gains enough from a regular nutritional diet to replace lost nutrients during normal activity.
In relation to your oral health, over-consumption of carbohydrates (like sugar) can increase your risk of tooth decay. The acid in most sports drinks also poses a danger: your teeth’s enamel dissolves (de-mineralizes) in too acidic an environment. For these reasons, you should restrict your intake of these substances — both what you eat and drink and how often you consume them. You should also practice regular oral hygiene by brushing and flossing daily, waiting an hour after eating or drinking to brush giving your saliva time to wash away food particles and neutralize the acid level in your mouth.
Knowing what and when to eat or drink is essential to optimum performance and gain in your physical activities. Along with good oral hygiene, it can also protect your oral health.
If you would like more information on the best sports-related diet for both 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 “Nutrition for Sports.”
Your mouth’s biting and chewing function is an intricate interplay of your teeth, jaws, lips, cheeks and tongue. Most of the time everything works in orderly fashion, but occasionally the soft tissues of the tongue or cheeks get in the way and are accidentally bitten. The resultant wound creates a traumatic fibroma, an overgrowth of tissue that develops to cover the affected area.
A fibroma consists of fibrous tissue made up of the protein collagen; this traumatized tissue functions much like a callous on a tender spot of skin by binding together the new tissues forming as the wound heals. But because the fibroma is raised on the surface of the cheek more than normal tissue, the chances are high it will be bitten again and reinjured, even multiple times. If this occurs the fibroma becomes tougher and more pronounced.
As it becomes raised and hardened in this way, it becomes more noticeable. More than likely, though, it poses no danger other than as an inconvenience. If it becomes too much of a nuisance, or you have concerns that it’s more than a benign growth, it can be removed with a simple fifteen-minute procedure. An oral surgeon, periodontist or dentist with surgical training will first anesthetize the area with a local anesthetic; the fibroma is then completely excised (removed) and the wound opening sutured with two or three small sutures. Any post-procedure discomfort should be mild and easily managed by pain medication like aspirin or ibuprofen.
Although it’s highly unlikely the fibroma is cancerous, the excised tissue should then be sent for biopsy. Viewing the tissue microscopically is the only definitive way to determine the true nature of the tissue and confirm any diagnosis that the tissue is benign. This is no cause for alarm as it’s a standard healthcare procedure to biopsy this particular kind of excised tissue.
“Bumps and lumps” are common occurrences in the mouth. It’s a good idea to point them out to us during your regular checkups or at any time if you have a concern. In either case, this bothersome problem can be easily treated.
If you would like more information on traumatic fibromas, 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 “Common Lumps and Bumps in the Mouth.”