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Posts for tag: oral health

By Nathan Gelder DMD
March 19, 2021
Category: Oral Health
Tags: oral health  
ANewDentalPainManagementApproachReducestheNeedforNarcotics

Narcotics have long played an important role in easing severe pain caused by disease, trauma or treatment. Healthcare professionals, including dentists, continue to prescribe them as a matter of course.

But narcotics are also addictive and can be dangerous if abused. Although addictions often arise from using illegal drugs like heroin, they can begin with prescriptive narcotics like morphine or oxycodone that were initially used by patients for legitimate reasons.

As a result, many healthcare providers are looking for alternatives to narcotics and new protocols for pain management. This has led to an emerging approach among dentists to use non-addictive non-steroidal anti-inflammatory drugs (NSAIDs) as their first choice for pain management, reserving narcotics for more acute situations.

Routinely used by the public to reduce mild to moderate pain, NSAIDs like acetaminophen, ibuprofen or aspirin have also been found to be effective for managing pain after many dental procedures or minor surgeries. NSAIDs also have fewer side effects than narcotics, and most can be obtained without a prescription.

Dentists have also found that alternating ibuprofen and acetaminophen can greatly increase the pain relief effect. As such, they can be used for many more after-care situations for which narcotics would have been previously prescribed. Using combined usage, dentists can further limit the use of narcotics to only the most severe pain situations.

Research from the early 2010s backs up this new approach. A study published in the Journal of the American Dental Association (JADA) concluded that patients receiving this combined ibuprofen/acetaminophen usage fared better than those only receiving either one individually. The method could also match the relief power of narcotics in after care for a wide range of procedures.

The NSAID approach is growing in popularity, but it hasn't yet displaced the first-line use of narcotics by dental professionals. The hesitancy to adopt the newer approach is fueled as much by patients, who worry it won't be as adequate as narcotics to manage their pain after dental work, as with dentists.

But as more patients experience effective results after dental work with NSAIDs alone, the new approach should gain even more momentum. And in the end, it promises to be a safer way to manage pain.

If you would like more information on dental pain management, 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 “Are Opioids (Narcotics) the Best Way to Manage Dental Pain?

By Nathan Gelder DMD
March 09, 2021
Category: Oral Health
Tags: oral health  
AcidRefluxCouldBeDamagingYourTeeth

Your tooth enamel is often under assault from oral acid produced by bacteria and certain foods. Unless neutralized, acid can erode your enamel, and lead to destructive tooth decay.

But there's another type of acid that may be even more destructive—the acid produced in your stomach. Although important for food digestion, stomach acid outside of its normal environment can be destructive. That includes your teeth, if stomach acid finds its way into your mouth. And that can happen if you have gastroesophageal reflux disease (GERD).

GERD, a chronic condition affecting 1 in 5 adults, is caused by the weakening of the lower esophageal sphincter, a ring of muscle at the intersection of the esophagus and the stomach that prevents stomach acid from traveling back into the digestive tract and damaging the esophageal liner.

It's also possible for stomach acid to travel as far up as the mouth. With a pH of 2.0 or less, stomach acid can lower the mouth's normal pH level of 7.0 well below the 5.5 pH threshold for enamel softening and erosion. This can cause your teeth, primarily the inside surfaces of the upper teeth, to become thin, pitted or yellowed. Your teeth's sensitivity may also increase.

If you have GERD, you can take precautions to avoid tooth damage and the extensive dental work that may follow.

  • Boost acid buffering by rinsing with water (or a cup of water mixed with a ½ teaspoon of baking soda) or chewing on an antacid tablet.
  • Wait about an hour to brush your teeth following a reflux episode so that your saliva has time to neutralize acid and re-mineralize enamel.
  • If you have chronic dry mouth, stimulate saliva production by drinking more water, chewing xylitol gum or using a saliva supplement.

You can also seek to minimize GERD by avoiding tobacco and limiting your consumption of alcohol, caffeine or spicy and acidic foods. Your doctor may also prescribe medication to control your GERD symptoms.

Preventing tooth decay or gum disease from the normal occurrences of oral acid is a daily hygiene battle. Don't let GERD-related acid add to the burden.

If you would like more information on protecting your teeth from acid reflux, 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 “GERD and Oral Health.”

By Nathan Gelder DMD
February 17, 2021
Category: Oral Health
Tags: oral health  
HowYouCanHelpYourSmileStayAttractiveasYouGetOlder

We can't stop getting older or completely avoid many of the consequences that come with aging. Even so, there are things we can do to age more gracefully.

That includes your smile, which can also suffer the ravages of time. Teeth naturally wear and yellow over the years. We're also more susceptible to both tooth decay and periodontal (gum) disease as we age.

You can help slow some of these age-related dental problems by simply caring for your teeth and gums. This includes not only brushing and flossing every day to remove dental plaque (which can cause disease and dull your smile), but also seeing a dentist every few months for more thorough cleanings.

You can also take advantage of certain cosmetic enhancements to address some of the age-related issues that could keep you from having a more youthful smile.

Discolored teeth. Teeth tend to get darker over time, the combination of stain-causing foods and beverages, habits like smoking and age-related changes in tooth structure. You may be able to temporarily attain a brighter smile with teeth whitening. For a more permanent effect, we can cover stained teeth with porcelain veneers, dental bonding or dental crowns.

Worn teeth. After decades of chewing and biting, teeth tend to wear, with habits like teeth grinding accelerating it. This can cause teeth to appear abnormally small with hard, sharpened edges in contrast to the soft, rounded contours of younger teeth. In some cases, we can restore softer tooth edges with enamel contouring and reshaping. For more severe wearing, veneers or crowns could once again provide a solution.

Recessed gums. Because of gum disease, over-aggressive brushing or a genetic disposition to thinner gums, gums can shrink back or “recede” from normal teeth coverage. This not only exposes vulnerable areas of the teeth to harmful bacteria, it can also make teeth appear longer than normal (hence the aging description, “long in the tooth”). We can address recession by treating any gum disease present and, in extreme cases, perform grafting surgery to help rebuild lost tissue.

Losing your attractive smile isn't inevitable as you get older. We can help you make sure your smile ages gracefully along with the rest of you.

If you would like more information on keeping a youthful smile, 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 “How Your Dentist Can Help You Look Younger.”

By Nathan Gelder DMD
January 28, 2021
Category: Oral Health
Tags: oral hygiene   oral health  
HerestoHealthySmilesin2021

A New Year's resolution can be just about anything, from losing weight to visiting every major league baseball park. But a resolution you're more likely to keep ought to have two things going for it: It's doable and it changes your life for the better. Here's one that meets those criteria—taking better care of your smile. So we hope that made your 2021 list.

Resolving to pursue more committed dental care can have a double benefit. It can improve your dental health and it could help you gain a more attractive smile. What's more, it's not hard to do—it takes only about five minutes of your time each day, along with a couple of dental visits a year.

Here's how you can make better smile care in 2021 one of your best New Year's resolutions ever.

Brush and floss daily. Your mouth's biggest enemy is dental plaque, a thin film of bacteria and food particles on tooth surfaces. The bacteria in plaque can cause both tooth decay and gum disease. But by removing accumulated plaque with brushing and flossing, you can drastically reduce your risk for dental disease. The key is to do it every day without fail—no holidays!

Have your teeth cleaned. Even if you're an oral hygiene ninja, you can still miss some plaque, which may then harden into calculus (or tartar). This calcified form (which is just as harmful as softer plaque) is nearly impossible to remove by brushing or flossing. But we can at the dental office—which is why having your teeth professionally cleaned every six months makes it even less likely you'll encounter dental disease.

Give your teeth a better diet. If you're also resolving to eat more nutritiously, here's an extra incentive: Your diet can impact your dental health. On one hand, diets high in certain carbohydrates (particularly sugar) increase your risk for disease. On the other hand, a balanced diet of fresh fruits and vegetables, whole grains, and dairy products can strengthen your teeth and help them stay healthy.

Update your dental work. You may have fillings, crowns or bridges that fixed a dental problem in the past but may have since fallen into disrepair. If so, now is the time to update them—and putting it off could increase your risk for disease or other serious dental problems. Taking care of needed renovations to older dental work promotes better oral health, and may also improve your smile.

Want to start the New Year off right in regard to your teeth and gums? See us for a complete checkup and evaluation of your dental health. Together, we can develop just the right care plan to help you achieve your resolution of a healthier mouth and a more attractive smile.

If you would like more information about effective dental care, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Daily Oral Hygiene.”

By Nathan Gelder DMD
December 09, 2020
Category: Oral Health
Tags: oral health  
ThisOddTongueConditionIsntSomethingToFretOver

If you're intrigued by the strange and bizarre, here's one to pique your interest: geographic tongue. It's a rare condition that causes the appearance of red patches on the tongue surface, surrounded by grayish-white borders, and which look a lot like continents on a map (hence the name). But although it may look odd, geographic tongue won't harm your health.

The condition is also known as benign migratory glossitis, so named because it's not cancerous and the patches seem to move or “migrate” around the tongue surface. The most common causes are thought to be stress or hormonal disruptions in those predisposed to the condition. Many researchers believe zinc or vitamin B deficiencies in the body contribute to its occurrence. It also seems more prevalent among non-smokers and pregnant women, as well as occurring as a family trait.

The red patches are created by the temporary disappearance of some of the papillae, tiny bumps on the tongue's top surface. The patches can abruptly appear during a flareup and then disappear just as suddenly. But as “angry” as the patches may look, geographic tongue is not considered a health danger. It isn't normally painful, although people can experience stinging or numbing sensations emanating from the patches that can be mildly uncomfortable.

Because it's also rare, you're not likely to encounter it personally. But if you or a loved one does begin to notice red patches on the tongue, there are a few things you can do to lessen any accompanying irritation. For one, cut out foods like tomatoes, citrus fruits, eggplant, mint or highly spicy or acidic foods, all of which have been known to increase discomfort. You might also avoid astringents like alcohol or mouthwashes that likewise irritate the patches when they occur.

Although geographic tongue can't be cured, your dentist can help you manage symptoms when they arise with the help of prescribed anesthetic mouthwashes, antihistamines or steroid lozenges. These not only can help lower any discomfort or irritations, they may also lessen the duration of a flareup.

For the most part, geographic tongue usually causes more embarrassment than physical discomfort. But with a little help from your dentist, you can keep it to a minimum. Geographic tongue may be odd, but it's nothing to worry about.

If you would like more information on geographic tongue, 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 “Geographic Tongue: No Cause For Alarm.”