Posts for tag: oral health
In a little over a century, antibiotics have changed the face of healthcare. We no longer fear cholera, strep throat or even a small cut as our forebears did a hundred years ago. Antibiotics are also an essential weapon against infection in dental situations.
But evidence is mounting that we're overusing these miracle drugs. Besides continued growth in antibiotic prescriptions, sometimes to preempt a possible infection rather than treat an existing one, food producers are increasingly adding them to animal feed and other products as a preventive measure.
The problem with expanding our uses of antibiotics is the ability of targeted microorganisms to develop defenses against our most common drugs. Some may even mutate into a kind of "super bug" like Methicillin-resistant Staphylococcus aureus (MRSA), which no longer responds to a particular antibiotic.
As older antibiotics become less effective, we must develop newer drugs to overcome the strengthened defenses of targeted microorganisms. But this takes time—meanwhile, as antibiotic options dwindle, more than 2 million people each year encounter an antibiotic-resistant infection that results in around 20,000 deaths according to the Centers for Disease Control (CDC).
But there are hopeful signs that the world is now rising to meet the threat of antibiotic resistance. For example, support is growing within the U.S., Canada and the EU to ban the use of antibiotics in animal feed except for treating actual infections.
Many healthcare organizations are also exploring ways to reduce unnecessary antibiotic prescriptions. One way is to make better use of testing, especially to identify the precise bacteria causing an infection so that it can be targeted with a specific antibiotic that will best respond to it.
We're also seeing modifications in the use of antibiotics as a preventive measure. For example, people with certain conditions like congenital heart problems or joint prosthetics have routinely received antibiotics before dental procedures to preempt infection. In recent years that list of conditions has been trimmed substantially.
The move toward a more conservative use of antibiotics will have an impact on healthcare, including dentistry. But whatever the changes, dentists and other health professionals will continue to place their patient's health at the forefront.
If you would like more information on the use of antibiotics in dentistry, 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 “Antibiotics: Use and Abuse.”
The mouth is a crowded place with nerves, blood vessels and sinus cavities sharing common space with the teeth and gums. Although important in their own right, these structures can also hinder treatment for complex dental situations like dental implant surgery or impacted teeth.
Treating these and similar situations depends on getting an accurate depiction of “what lies beneath.” Conventional x-rays help, but their two-dimensional images don't always give the full picture. There's another way—cone beam computed tomography (CBCT).
Similar to CT scanning, CBCT uses x-ray energy to take hundreds of “sliced” images that are then re-assembled with special software to create a three-dimensional model viewable on a computer screen. CBCT is different, though, in that it employs a scanning device that revolves around a patient's head, which emits a cone-shaped beam of x-rays to capture the images.
A dentist can manipulate the resulting 3-D model on screen to study revealed oral structures from various angles to pinpoint potential obstacles like nerves or blood vessels. The detailed model may also aid in uncovering the underlying causes of a jaw joint disorder or sleep apnea.
CT technology isn't the only advanced imaging system used in healthcare. Another is magnetic resonance imaging (MRI), which excites hydrogen atoms in water molecules. This produces different vibration rates in individual tissue structures, which are then translated into detailed images of these structures. Unlike CT or CBCT, MRI doesn't use x-ray energy, but rather a magnetic field and radio waves to produce the atomic vibrations.
But while providing good detail of soft tissues, MRI imaging doesn't perform as well as CBCT with harder tissues like bone or teeth. As to the potential risks of CBCT involving x-ray radiation exposure, dentists follow much the same safety protocols as they do with conventional x-rays. As such, they utilize CBCT only when the benefits far outweigh the potential x-ray exposure risks.
And, CBCT won't be replacing conventional x-rays any time soon—the older technology is often the more practical diagnostic tool for less invasive dental situations. But when a situation requires the most detailed and comprehensive image possible, CBCT can make a big difference.
If you would like more information on advanced dental diagnostics, 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 “Getting the Full Picture With Cone Beam Dental Scans.”
As they mature, your child's teeth, gums and jaws develop—if all goes well, they'll all be healthy and functioning normally when they enter adulthood. But tooth decay and other problems could derail that development and cause lingering oral health issues later in life.
Following these 4 guidelines now during your child's early years will help ensure their teeth and gums have a healthy future.
Start oral hygiene early. There's no need to wait for their first teeth to come in to begin your child's regular oral hygiene. Start with wiping their gums right after feeding with a clean wet cloth to minimize bacterial development. Then, start brushing as soon as teeth appear—to begin with, use a slight smear of toothpaste on the brush. As they mature, teach them to brush and later floss for themselves.
Check your water. Most utilities add tiny traces of fluoride to their drinking water supply. If your water supplier does, it can make a big difference (along with fluoride toothpaste) in helping your child avoid tooth decay. If your system doesn't, then speak to your dentist about whether your child could benefit from topical fluoride applied directly to their teeth.
Keep a check on sugar. Decay-causing bacteria thrive on the sugar added to processed foods, candies and many beverages. Even milder forms of sugar like lactose found in milk or formula can stimulate bacterial growth. So, in addition to daily brushing and flossing, do your best to minimize sugar in your child's diet. And don't put infants or toddlers to bed with a bottle filled with any liquid other than water.
See the dentist. Starting around their first birthday, regular dental visits can help keep your child's dental development on track. Dental visits are also an opportunity for preventive treatments against decay like sealants or topical fluoride. Your dentist may also detect the early signs of bite problems that if addressed now, could lessen their impact later in life.
Your child's dental health could get off course before you even realize it. But partnering with your dentist, you can help make sure your child's teeth and gums have a bright and healthy future.
If you would like more information on how best to care for your child's 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 “Top 10 Oral Health Tips for Children.”
Despite momentous strides in recent years in the fight against cancer, treatments can still disrupt normal life. Both radiation and chemotherapy have side effects that can cause problems in other areas of health—particularly the teeth and gums.
If you or a loved one are undergoing cancer treatment, it's important to get ahead of any potential side effects it may have on dental health. Here are 4 things that can help protect teeth and gums while undergoing cancer treatment.
Get a preliminary dental exam. Before beginning treatment, patients should have their dentist examine their teeth and gums to establish a baseline for current dental health and to treat any problems that may already exist. However, patients should only undergo dental procedures in which the recovery time can be completed before starting radiation or chemotherapy.
Be meticulous about oral hygiene. Undergoing cancer treatment can increase the risks for developing tooth decay or gum disease. That's why it's important that patients thoroughly brush and floss everyday to reduce bacterial plaque buildup that causes disease. Patients should also reduce sugar in their diets, a prime food source for bacteria, and eat “teeth-friendly” foods filled with minerals like calcium and phosphorous to keep teeth strong.
Keep up regular dental visits. The physical toll that results from cancer treatment often makes it difficult to carry on routine activities. Even so, patients should try to keep up regular dental visits during their treatment. Besides the extra disease prevention offered by dental cleanings, the dentist can also monitor for any changes in oral health and provide treatment if appropriate.
Minimize dry mouth. Undergoing cancer treatment can interfere with saliva production and flow. This can lead to chronic dry mouth and, without the full protection of saliva against dental disease, could increase the risk of tooth decay or gum disease. Patients can minimize dry mouth by drinking more water, using saliva boosters and discussing medication alternatives with their doctor.
It may not be possible to fully avoid harm to your oral health during cancer treatment, and some form of dental restoration may be necessary later. But following these guidelines could minimize the damage and make it easier to regain your dental health afterward.
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.”
After a long hiatus, school athletes are gearing up for another sports year. Given the pandemic, they may be modifying some of their usual habits and practices. But one thing probably won't change: These young athletes will be looking for every way possible to improve their sports performance. And a new research study offers one possible, and surprising, avenue—beefing up their oral hygiene practice.
That's the conclusion of the study published in BMJ Open Sport & Exercise Medicine, a sister publication of the British Journal of Sports Medicine. Working with a group of about 60 elite athletes, a research group in the U.K. found that improving oral health through better hygiene practices might also boost overall sports performance.
Because there's some evidence that over 50% of athletes have some form of tooth decay or gum disease, the study's researchers wanted to know if there was a link between athletes' sports performance and their dental problems caused by neglected oral hygiene. And if so, they wanted to see if better hygiene might improve sports performance as well as oral health.
Their first step was to establish an initial baseline for the participants with an oral health screening, finding that only around 1 in 10 of the study's participants regularly brushed with fluoride toothpaste or flossed. They then administered a detailed questionnaire developed by the Oslo Sports Trauma Research Center (OSTRC) to gauge the athletes' perception of how their current oral health affected their sports performance.
After some basic hygiene training, the athletes were given kits containing a toothbrush, prescription fluoride toothpaste and floss picks. They were then instructed to clean their teeth twice a day. Four months later, researchers found the number of participants who regularly brushed increased to 80%, and flossing more than doubled. What's more, a second OSTRC questionnaire found significant improvement overall in the athletes' perception of their sports performance.
As scientific research, these findings still need further testing and validation. But the study does raise the possibility that proper dental care could benefit other areas of your life, including sports participation.
Athlete or not, instituting some basic dental care can make a big difference in maintaining a healthy mouth:
- Brush twice and floss once every day to remove accumulated dental plaque, the main source of dental disease;
- Get a professional dental cleaning at least twice a year to remove stubborn plaque and tartar;
- See us if you notice tooth pain or swollen or bleeding gums to stay ahead of developing dental disease.
Improving your dental care just might benefit other areas of your life, perhaps even athletic pursuits. We guarantee it will make a healthy difference for your teeth and gums.