Posts for tag: oral health
A focus on dental care in senior citizens is just as important as it is for children. Indeed, oral health in your later years can be a major factor in your quality of life.
For one, aging effects on other parts of the body can make dental care more challenging. Some hygiene tasks once performed easily become harder — arthritis, for example, or loss of muscle strength may make it difficult to hold a toothbrush or floss. In such cases, you may need to find new ways to make the task easier: a power toothbrush with a larger handle; pre-loaded floss holders or a water flosser; or adaptations to a manual brush to make it easier to hold, like attaching a tennis ball or bike handle.
Other age-related conditions — and their treatments — can negatively impact oral health. Less saliva production, which is a consequence of aging or certain drugs, increases the risk of tooth decay or periodontal (gum) disease. Older adults often develop gastric reflux problems that can introduce tooth enamel-eroding stomach acid into the mouth. And medications called bisphosphonates, often prescribed to treat osteoporosis, may interfere in rare cases with bone healing after tooth extraction or similar procedures.
Prior dental work can also prove challenging to treating dental disease. It becomes more difficult to preserve teeth threatened with decay if there are significant restorations or appliances to work around. Pain perception can also diminish with age, so that dental disease may not be noticed until later stages when significant damage has already occurred.
Oral care requires more attention as we grow older, or as we care for older family members. Your best defense against disease is to continue regular six-month visits with us. In addition to normal cleanings and checkups, we’ll also screen for oral cancer (a more prevalent occurrence in older adults), review your prescriptions or other supplements and medications for any possible side effects to oral health, check the fit of any dentures or other restorations and evaluate the effectiveness of your hygiene.
While other age-related conditions may capture the majority of your attention, you shouldn’t allow that to neglect your dental care. With your continued efforts, along with our support and your family’s, you can continue to enjoy good oral health throughout your lifetime.
When it comes to chronic pain, one of the most common problems you can face is Temporomandibular Disorder (TMD), which was formerly known as Temporomandibular Joint Disorder (TMJ). TMD is a condition that can be tricky to diagnose because it frequently mimics other conditions. This is why many healthcare professionals refer to it as “the great imposter.” However, regardless of what it is called, the pain it causes is real and can become quite severe — especially if left undiagnosed and untreated.
To grasp the condition fully, you must first understand the TMD pain cycle. It can start with any traumatic, psychological, metabolic, or mechanical stimulant that causes spasm in the muscles that move the jaw joints (opening, closing, chewing, and even smiling.) This is because of the constricted blood supply to the muscles resulting in less oxygen along with the accumulation of waste products. This is followed by chemical changes in the muscles and a buildup of lactic acid due to muscle fatigue. Abnormal or involuntary muscle contractions or spasms lead to pain signals to the brain that can stop muscle movement. Depending on the severity, this cycle can repeat itself resulting in acute pain that may be extremely severe at times. The pain may then seem to disappear only to resurface again later. The good news is that our office has highly trained professionals who cannot only diagnose but also treat your TMD.
If you suffer from chronic jaw pain and feel that you might have TMD, please let us know so that we can address your concerns and conduct a thorough history and examination. Or if you are in constant or severe pain, contact us immediately to schedule an appointment. You can learn more about the signs, symptoms, and treatment options for TMD by reading the article “TMD — Understanding The Great Imposter.”
You hardly notice the moist environment of your mouth — unless it becomes uncomfortably dry. Some instances of dry mouth are quite normal — when you first wake in the morning after reduced saliva flow during sleep, when you're stressed, or when you're dehydrated and need fluids. But some are not normal — millions of people, in fact, suffer from a chronic inadequacy of saliva production and flow.
Chronic dry mouth (or xerostomia) can have a greater effect on your oral health than discomfort. Saliva performs a number of tasks for the body: its enzymes help break down food before digestion; its antimicrobial properties help reduce harmful bacteria and its buffering ability helps neutralize acid, both of which reduce the risk of tooth decay.
There are a number of causes for chronic dry mouth. One of the most common arises as a side effect of over 500 medications, both prescription and over-the-counter. The major contributors to dry mouth fall into three main types: antihistamines, used to treat allergies; diuretics, prescribed to cardiac patients to drain excess fluid; and antidepressants. Diseases like Diabetes, Parkinson's disease, or AIDS can also cause dry mouth. Some treatments can too — persons undergoing head or neck radiation or chemotherapy may experience dry mouth.
If you've noticed dry mouth over several days, it's a good idea to visit us for an exam. Our first step is to try to determine the extent and cause of the condition. Depending on what we find, we can then recommend a treatment path that includes some changes in habit and prescribed medications. For example, if lack of hydration is contributing to dry mouth, we would recommend drinking an adequate amount of water, as well as cutting back on caffeinated or acidic beverages. We might also prescribe medication to stimulate saliva flow. Consuming foods that contain xylitol, a natural sugar substitute, may also do the same.
It's also important that you maintain a good oral hygiene regimen and regular dental checkups and cleanings. Good oral hygiene and the proper treatment for chronic dry mouth will greatly reduce your risk of tooth decay and other diseases.
If you would like more information on the causes and treatment of dry mouth, 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 “Dry Mouth.”
Bacteria are bad… right? They can cause diseases like pneumonia, strep throat, and tooth decay. They are the reason we wash our hands with soap (or antibacterial gels) and cook (or refrigerate) our food. Yet it turns out that bacteria are also necessary to keep our bodies healthy — and new research is showing just how important these tiny microorganisms are to our well-being. Here are five facts you should know about bacteria.
The bacteria in our bodies outnumber our cells by a factor of 10 to 1. An estimated 100 trillion bacteria live inside the average human — but because they’re so small, they make up only 1-3 percent of our body mass.
The collection of bacteria we harbor is called our “microbiome.” Like the groundbreaking study of human DNA called the Human Genome Project, recent research is leading to a “map” of our bacterial makeup. This revolutionary study is called — you guessed it — the Human Microbiome Project.
No two people have exactly the same microbiome. But in general, the bacteria that live in a particular spot on the body (the mouth, for example) play the same roles in different individuals. Research has also shown that a healthy microbiome looks very different from a diseased microbiome.
In terms of bacteria, the mouth is one of the best-understood areas of the body. It has long been known that tooth decay can result when “bad” oral bacteria begin to outnumber their “good” counterparts. Now we are gaining a better understanding of how certain lifestyle factors — like cigarette smoking — may influence the bacterial balance in the mouth.
Understanding the microbiome may lead to new treatments for disease. Researchers hope that one day, certain serious diseases could be controlled by bacterial “transplants” that re-balance an individual’s microbiome. Maintaining a healthy microbiome could also help prevent many diseases.
So by all means, don’t stop brushing your teeth or washing your hands — this helps control bacteria that could harm you — but do remember that not all bacteria are harmful. One day, an infusion of bacteria might just cure your illness.
When Olympic figure skater Kristi Yamaguchi wanted to help her kids develop good oral health habits, the gold-medal-winner made good use of a family connection: Her father Jim Yamaguchi is a practicing dentist in the San Francisco Bay area who treats her entire brood. As she said in a recent interview, when she suspects the kids may be spending a little less effort on oral hygiene than they should, she playfully admonishes them: “You've got to brush your teeth better than that. Papa-san is going to know!”
Not all kids are lucky enough to have a grandpa who's a dentist — but every child can learn how to help take care of his or her oral health with age-appropriate techniques, plus plenty of parental guidance and encouragement. What's the best way to help your kids develop good oral hygiene routines? We're glad you asked!
Through babyhood and the toddler years, parents have the main responsibility for keeping kids' teeth clean. But as they begin to put away pacifiers and cease sucking thumbs — around ages 2 to 4 — children can also begin to help with their own oral hygiene routine. By then, kids will probably be used to the feel of gentle brushing, and may be eager to try it themselves.
A soft-bristled brush with a pea-sized dab of toothpaste is all they need to get started… along with a good dose of parental patience. Show them how to wiggle the brush back and forth from the gum line, and all around the upper and lower teeth, both in front and in back. At first, they will probably need plenty of help. But after the age of 6 or so, as their manual dexterity increases, so will their ability to get the job done.
You'll still have to check their work periodically — but you can also teach them how to do it on their own: Have your child run his or her tongue over the tooth surfaces. If they feel smooth and silky, they're probably clean too. If not… try, try again. This test is a good guideline to brushing effectiveness — but if you want to know for sure, use a temporary dye called a disclosing tablet (available at many drugstores) to reveal unseen buildups of plaque bacteria.
What else can you do to give your children the best chance at keeping a healthy mouth and sparkly teeth? Set a positive example! Make sure you (and your kids) eat a healthy diet, get moderate exercise, limit between-meal treats — and visit the dentist regularly. The encouragement you'll get after having a good dental checkup will make you feel like a gold medalist — even if the praise isn't coming from grandpa.
If you would like more information on how to help your child develop good oral health habits, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine articles “Dentistry & Oral Health For Children” and “How to Help Your Child Develop the Best Habits for Oral Health.”