Posts for: November, 2014
After her husband, producer Bruce Paltrow, succumbed to oral cancer in 2002, actress Blythe Danner made it her mission to help save other families from the heartache she and her children (Jake and Gwyneth Paltrow) suffered with his loss. Now active with the Oral Cancer Foundation, Blythe uses her fame to bring awareness to the disease, which she says she and her family knew very little about before Bruce received his diagnosis.
In an interview with People magazine, Blythe said she believes her husband's cancer could have been detected earlier if the family had been alert to the symptoms.
“For months I had noticed Bruce's voice was hoarse,” she said. “I started asking him to see a doctor. But he kept saying, ‘No, no, no, I'm fine.’ ”
When a lump became visible in his neck, he did go to the doctor and found he had a tumor in his throat. The cancer eventually spread to his lymph nodes. Compounding Blythe's sadness is the feeling that she might have been able to do something to prevent her husband's death.
“I feel tremendously guilty,” she told the magazine, noting that she wishes she had simply insisted her husband get himself checked out. “Education and early detection are so important,” she said of her campaign to raise awareness. “That's why I'm doing this.”
Though Bruce Paltrow was a smoker, it's important to note that young, non-smokers comprise the fastest-growing segment of the population being diagnosed with the disease. That's because a sexually transmitted virus known as HPV16 is now a major cause of oral cancer.
Oral cancer screenings are yet another good reason to make regular semi-annual visits to the dentist. We have the training to notice oral abnormalities, and to monitor and/or biopsy any suspicious lesions. At your oral cancer screening, we will feel your neck for lumps and inspect your lips and all inside surfaces of the mouth, including the back of your throat.
Of course, if you or a loved one experience persistent hoarseness, white or red patches or other changes in your mouth or tongue that don't go away in a few weeks, please don't hesitate to come in and see us.
When you first received your removable dentures the fit was firm and comfortable. Lately, though, they’ve become loose, making it difficult to eat or speak without slippage.
The problem may not be with your denture, but with bone loss. Human bone goes through a natural cycle of dissolving (known as resorption) and new growth to take the lost bone’s place. The jawbone receives further stimulation to grow from the forces generated by natural teeth when we bite or chew.
When natural teeth are missing, however, the jawbone lacks this stimulation, which over time results in bone loss and gum tissue shrinkage. Traditional dentures can’t transmit this stimulating force to the jawbone either, so the bone and gum structure under a denture will also shrink. This results in a looser fit for the denture.
The simplest option to correct a loose-fitting denture (especially if it’s the first occurrence) is to reline the dentures with additional material to re-form the fit to the new conditions in the mouth. A permanent relining will require sending your dentures to a dental laboratory to apply the new material based on a mold of your current anatomy beneath the denture.
If, however, your dentures have already undergone a few relinings, or after examining your gums we determine a relining won’t provide the fit and stability needed, then it may be time for a new denture. Although this is more costly than a relining, a new appliance could provide a more accurate fit to the current contours in your mouth.
The latter option may also give you a chance to benefit from advancements in denture technology or materials since you received your current denture. One such advancement is a removable denture that’s supported by implants. It’s possible to achieve this new supporting foundation for the denture with as few as two strategically-placed implants in the lower jaw.
If you’ve begun to notice denture looseness, be sure to make an appointment for an examination. From there, we can advise you on what will work best in your particular case.
If you would like more information on your options regarding removable dentures, 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 “Loose Dentures.”
Humanity has been waging war against tooth decay for millennia — with this relentless opponent often getting the better of us.
Over the last century, however, significant treatment advances have turned the tide of battle in our favor. Perhaps the greatest of these advancements is our deeper grasp of the disease process — new understandings that have altered our treatment strategy. Rather than wait for cavities to occur and then repair the damage, we now focus on stopping the damage from occurring in the first place.
Prevention starts by reducing factors that contribute to tooth decay. We can signify these detrimental factors with the acronym BAD:
Bad Bacteria. Millions of bacteria inhabit our mouths at any one time, but only a few strains produce the acid that causes decay. We want to reduce their population by removing dental plaque (where they feed and grow) through daily brushing and flossing, and, at a minimum, semi-annual office cleanings.
Absence of Saliva. This important fluid neutralizes acid and strengthens tooth enamel. Some people, however, suffer from reduced saliva flow. We want to find the cause (for example, a side effect of certain prescription drugs) and then improve saliva flow.
Dietary Habits. A diet heavy in sugar and acid (particularly sodas and soft drinks) gives bacteria a ready food source and increases the mouth’s acidic level. Chronic high acid levels in particular are often too great for normal saliva flow to overcome and neutralize. Reducing the amount and frequency of these food items creates a healthier oral environment.
Reducing BAD factors is only half of our prevention focus. We also want to promote SAFE factors that enhance tooth health and strength: Sealants, especially for children, that shield tooth surfaces from decay; Antimicrobial rinses that target and rid the mouth of acid-producing bacteria and give healthy bacteria room to develop; Fluoride, a proven enamel-strengthening chemical available in dental products, many drinking water systems and as a topical application in dental offices; and an Effective diet that’s rich in nutrients and low in sugar and acid as already mentioned.
Keeping the focus on reducing BAD factors and promoting SAFE factors will greatly increase your chances of personally winning the war against tooth decay.
If you would like more information on the prevention and treatment of tooth decay, 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 “Tooth Decay: How to Assess Your Risk.”