You might have gum disease without even knowing it

Gum disease   also known as periodontal disease – is an infection of the tissues surrounding and supporting the teeth and it’s a major cause of tooth loss in adults.

But it’s usually painless so you may not even know you have it.

It’s caused by plaque  a sticky film of bacteria that constantly forms on the teeth. These bacteria create toxins that can damage the gums.

The early stage of gum disease is called gingivitis. In this stage, the gums can become red, swollen and bleed easily. At this stage, you can usually still reverse the disease by daily brushing and flossing.

The more advanced stage of gum disease is known as periodontitis. At this stage, the gums and bone that support the teeth can become seriously damaged. The teeth may then become loose, fall out or have to be removed by a dentist.

It’s therefore very important to look out for any signs of gum disease. These signs include:

– Gums that bleed when you brush your teeth
– Red, swollen or tender gums
– Gums that have pulled away from the teeth
– Bad breath that doesn’t go away
– Pus between your teeth and gums
– Loose teeth
– Change in the way your teeth fit together when you bite
– Change in the fit of partial dentures

If you notice any of these signs, contact you dentist quickly and they’ll help you take action to make improvements.

What will it be like living with dentures?

People who are new to wearing dentures naturally have many questions about how their life will change.

New dentures may feel awkward for a few weeks until you become accustomed to them. The dentures may feel loose while the muscles of your cheek and tongue learn to keep them in place.

During this time, it’s not unusual to experience minor irritation or soreness. You may find that saliva flow temporarily increases.

As your mouth becomes accustomed to the dentures, these problems should diminish.

Dentures can be made to closely resemble your natural teeth so that little change in appearance will be noticeable. Dentures may even improve the look of your smile and help fill out the appearance of your face and profile.

Eating will take a little practice. Start with soft foods cut into small pieces. Chew slowly using both sides of your mouth at the same time to prevent the dentures from tipping. As you become accustomed to chewing, add other foods until you return to your normal diet.

Continue to chew food using both sides of the mouth at the same time. Be cautious with hot or hard foods and sharp-edged bones or shells.

Initially you may also find that wearing dentures changes how you speak. Pronouncing certain words may require practice. Reading out loud and repeating troublesome words will help. If your dentures “click” while you’re talking, speak more slowly.

You may find that your dentures occasionally slip when you laugh, cough or smile.

After your dentures are fitted, you’ll have a few follow-up appointments with your dentist to take care of any initial issues and to answer any questions you have.

Oral cancer: Why early detection is so important

Although thousands of Americans die every year from oral cancer, there is a high chance it can be cured if it is caught early enough.

Each year, more than 30,000 Americans are diagnosed with oral cancer and only half of those diagnosed survive more than five years.

But nowadays, dentists have the skills and tools to ensure that early signs of cancer and pre-cancerous conditions are identified.

If it is caught early, there is a much higher chance that, with your dentists help, you could win a battle against oral cancer.

The key is to know the early signs and see your dentist regularly.

Oral cancer often starts as a tiny, unnoticed white or red spot or sore anywhere in the mouth.

It can affect any area of the oral cavity including the lips, gum tissue, cheek lining, tongue or the palate.

Other signs include:
– A sore that bleeds easily or does not heal
– A change in the color of the oral tissues
– A lump, thickening, rough spot, crust or small eroded area
– Pain, tenderness, or numbness anywhere in the mouth or on the lips
– Difficulty chewing, swallowing, speaking or moving the jaw or tongue
– A change in the way the teeth fit together

Oral Cancer most often occurs in those who use any form of tobacco. Smoking combined with alcohol use greatly increases the risk.

However, oral cancer  which is most likely to strike after age 40  can occur in people who do not smoke and have no other known risk factors.

Diets with a lot of fruits and vegetables may help prevent its development.

Oral cancer screening is a routine part of a dental examination so regular checkups  with an examination of the entire mouth  are essential in the early detection of cancerous and pre-cancerous conditions.

Your saliva and why it’s so important

You probably don’t give too much thought to the saliva in your mouth but, if you think of it like a bloodstream you’ll realize how important it is.

Like blood, saliva helps build and maintain the health of the soft and hard tissues.

It removes waste products from the mouth and offers first-line protection against microbial invasion that might lead to disease.

Saliva is derived from blood and therefore can also be used to detect disease.

Saliva enhances enamel protection by providing high levels of calcium and phosphate ions. It contains the minerals that maintain the integrity of the enamel surface and helps protect against caries.

When salivary flow is reduced, oral health deteriorates – much in the same way body tissues suffer if blood circulation is disrupted.

Patients with dry mouths (xerostomia) experience difficulty chewing, speaking and swallowing. A major cause of dry mouth is medication – almost eighty percent of the most commonly prescribed medications lead to dry mouth.

Chewing gum after a snack or meal stimulates salivary flow, clearing food from the mouth and neutralizing plaque acid.

Your saliva is important to your oral health both for preventing disease and in helping to diagnose problems.

How sealants can give your teeth extra protection

Sealants are made from plastic material applied to the back teeth to protect the enamel from plaque and acids.

The plastic bonds into the depressions and grooves (pits and fissures) of the chewing surfaces of the back teeth – premolars and molars.

Although thorough brushing and flossing can help remove food particles and plaque from smooth surfaces of teeth, the toothbrush bristles cannot reach all the way into the depressions and grooves to extract food and plaque.

The benefit of sealants is that they protect these vulnerable areas by “sealing out” plaque and food.

Your dentist can apply sealants quite easily and it takes only a few minutes to seal each tooth.

The teeth being sealed will first be cleaned. Then the chewing surfaces are roughened with an acid solution which makes it easier for the sealant to stick to the tooth.

The sealant is then ‘painted’ onto the tooth enamel, where it bonds directly to the tooth and hardens.

Sometimes a special curing light is used to help the sealant harden.

As long as the sealant remains intact, the tooth surface will be protected from decay.
They usually last several years before a reapplication is needed. Your dentist will check the condition of the sealants during your regular visits and reapply them when necessary.

Sealants are ideal for children because the risk of developing pit and fissure decay starts early in life. However, many adults can benefit from sealants as well.

Your dentist can tell you whether sealants would help your oral hygiene program.

Maintaining proper nutrition as an older adult

Maintaining proper nutrition is important for everyone, young or old but many older adults find it difficult to eat a balanced diet.

They may avoid meats, raw vegetables and fresh fruits because they have trouble chewing or swallowing.

These problems can be caused by painful teeth, ill-fitting dentures, dry mouth or changes in facial muscles.

Others find their sense of taste has changed, sometimes due to a disease or certain medications.

As a result, older adults often have diets lacking in calcium, protein and other nutrients essential to dental and overall health.

A balanced diet has to be based on the five food groups:
– Milk and dairy products
– Breads and cereals
– Meats and dried beans
– Fruits
– Vegetables

Sometimes a multi-vitamin or mineral supplement will help but it’s best to use supplements only after discussion with your physician.

If your teeth are stopping you from eating the food you enjoy  or that you need for good health  your dentist will be able to help you find a solution.

Fixing crowded and crooked teeth with orthodontics

Correcting problems with crowded and crooked teeth not only gives you a better smile, it also leads to a healthier mouth.

Malocclusion, also known as bad bite, involves teeth that are crowded or crooked.

Sometimes, the upper and lower jaws may not meet properly and, although the teeth may appear straight, the individual may have an uneven bite.

Problems such as protruding, crowded or irregularly spaced teeth may be inherited. But thumb-sucking, losing teeth prematurely and accidents also can lead to these conditions.

As well as spoiling your smile, crooked and crowded teeth make cleaning the mouth difficult. This can lead to tooth decay, gum disease and possibly tooth loss.

A bad bite can also interfere with chewing and speaking, cause abnormal wear to tooth enamel and lead to problems with the jaws.

Orthodontic treatment can help correcting these problems giving you a better smile but, more importantly, creating a healthier mouth.

Your dentist will advise you on how orthodontic treatment could help you.

How smoking affects your teeth

While the general effects of smoking on your health are well-known, it can also have significant effects on your oral health.

Here are some of the ways smoking can harm your oral health and hygiene:

– Oral Cancer
– Periodontal (gum) disease
– Delayed healing after a tooth extraction or other oral surgery
– Bad breath
– Stained teeth and tongue
– Diminished sense of taste and smell

Research suggests that smoking may be responsible for almost 75% of adult gum disease.

Tobacco products damage your gum tissue by affecting the attachment of bone and soft tissue to your teeth. One effect is receding gums which expose the tooth roots and increase your risk of tooth decay or to sensitivity to hot and cold in these unprotected areas.

Cigar smoking is equally a major risk and even smokeless tobacco products contain a variety of toxins associated with cancer. Smokeless tobacco can also irritate your gum tissue.

Giving up smoking will provide a significant boost to your oral health as well as giving you the chance to live longer.

What to do if you have problems with your dentist

Choosing the right dentist for your needs is an important part of giving yourself the best oral health possible.

Sometimes you may find that things are not working out for the best and it’s important to take steps to resolve any problems rather than just put off your dental care.

First, talk to your dentist about any concerns. They will probably be able to accommodate your needs if you tell them what you are looking for.

In some situations, you may feel that you want to look around at alternative options – maybe there are other dentists who meet your needs better, taking into account factors such as location, office hours, fees and emergency arrangements.

If you are comparing fees, ask for estimates on full-mouth x-rays and a preventive dental visit that includes an oral exam and tooth cleaning.

If you have any doubts about treatment your dentist has recommended, it may be a good idea to set your mind at rest by getting a second opinion from another dentist.

However, even in the best dentist-patient relationship, problems can sometimes occur. If your dentist is not able to resolve your concerns, you can contact your state or local dental association.

They have established systems of peer review that provide an impartial and easy way to resolving misunderstandings regarding the appropriateness or quality of care.

If you are not completely satisfied with the dental treatment you are getting, it’s important to take steps to put it right – whether you sort it out with your own dentist or find another one.

How Osteoporosis medications can affect your dental health

Osteoporosis is a disease that weakens bones and increases the risk of fractures.

It affects about 10 million Americans – of whom 8 million are women – and another 34 million are at risk of developing it.

So this is a disease that affects more women than cancer, heart disease and stroke combined.

But what does it have to do with your dental care?

Well, many people in these categories are treated with a group of prescription drugs called oral bisphosphonates. Studies have reported that these drugs reduce bone loss, increase bone density and reduce the risk of fractures.

But some people have been alarmed and confused by recent news reports about oral bisphosphonates because of uncommon complications that have been linked to these drugs.

The drugs have been associated with osteonecrosis of the jaw (ONJ), a rare but potentially serious condition that can cause severe destruction of the jawbone.

The true risk posed by oral bisphosphonates remains uncertain, but researchers seem to agree that it appears very small.

Given the risks associated with osteoporosis and the proven benefits of oral bisphosphonate therapy, you should not stop taking these medications before discussing the matter fully with your physician.

If your physician prescribes an oral bisphosphonate, it’s important to tell your dentist so that your health history form can be updated.

In this case, some dental procedures, such as extractions, may increase your risk of developing ONJ, so your dentist needs to be able to take your full health picture into account.