Posts for category: Oral Health
When it comes to helping your child avoid tooth decay, it's all hands on deck. Tooth decay can not only harm their current set of primary teeth, but the loss of even one tooth could lead to bite problems later on.
And, even if you're doing all the right things—daily brushing and flossing, limiting sugar consumption and regular dental visits—your child might still develop cavities. If so, it may be necessary to add a boost of prevention with topical fluoride applied by your dentist.
With its enamel-strengthening properties, fluoride plays an important role in dental disease prevention. For decades, manufacturers have added fluoride to toothpaste. And, many water utilities now add tiny amounts of fluoride to their drinking supply.
According to a number of studies, these fluoride applications are effective weapons against tooth decay. But direct applications of fluoride to tooth surfaces can provide even greater benefit to children with a higher susceptibility for decay.
Topical fluoride is usually applied by means of a gel, foam or varnish. In varnish form, it's brushed on the teeth, while dentists apply the foam solution within a tray fitted around the teeth. The gel application can be administered by either method.
Although these topical applications use a higher concentration of fluoride than you find in toothpaste, it poses no serious danger to a child's health. But because high doses of fluoride can lead to staining, topical applications are only administered periodically during childhood.
The only short-term health concern is if the child accidentally swallows some of the mixture during application. This can cause symptoms like an upset stomach, vomiting or headache. Dentists, however, take a number of precautions to prevent accidental ingestion in order to avoid these unpleasant side effects.
The benefits, though, appear to well outweigh this minor risk. In a review of several scientific studies involving nearly 10,000 children, there was an average 28% reduction in decayed, missing or filled teeth in those children that underwent topical fluoride treatments.
If you want to know more about topical fluoride treatments and whether they can help your child avoid tooth decay, talk to your dentist. This fluoride booster could help further protect them from this destructive dental disease.
If you would like more information on helping your child avoid 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 “Fluoride Gels Reduce Decay.”
In addition to the usual tooth and gum problems, dentists also see patients with soft tissue infections in and around the mouth. One of the more common of these is the irritation or "cracking" of the corners of the mouth.
Formally known as angular cheilitis (or perleche, a French word, meaning "to lick"), cracked mouth corners are localized irritations made worse by saliva accumulation or an accompanying yeast infection. They're prominent among children and young adults who drool during sleep or while wearing orthodontic braces.
Older adults can also develop cracked mouth corners because of deep wrinkle lines around the mouth ("marionette lines") or tissue irritation from wearing dentures. Teeth loss, especially in the back of the jaws, can weaken facial support leading to collapse of the bite, which can contribute to angular cheilitis.
The condition can cause anything from minor discomfort at the mouth corners to a yeast infection that spreads throughout the mouth and throat. Whatever the symptoms, treatment usually begins with antifungal medication in the form of a mouthrinse or a topical ointment. The dentist may also prescribe a steroid ointment like zinc oxide paste to control inflammation and serve as a barrier against infection.
If the infection has spread beyond the mouth corners, patients may also need to use an antibacterial mouthrinse (usually chlorhexidine) to clear up the infection and help prevent a relapse. Besides cleaning their appliances with chlorhexidine, denture wearers with angular cheilitis should also take their dentures out at night to reduce the chances of a reoccurrence.
Along the same vein, patients who contend with frequent cracked mouth corners and who have missing teeth should have those teeth replaced by some form of restoration. If that involves dentures, it's important to maintain a good fit with them to reduce the chances of tissue irritation. And patients with deep wrinkle lines around their mouth may be able to lessen them through dermatological treatment.
Even though cracked mouth corners rarely pose a major health problem, the discomfort they cause can be a drag on your daily life and activities. Remember that you don't have to suffer—a visit to your dentist could start you on your journey toward relief from this irritating problem.
If you would like more information on angular cheilitis and similar mouth conditions, 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 “Cracked Corners of the Mouth.”
Even masterpiece paintings need an appropriate frame. Likewise, our gums help bring out our teeth's beauty.
But gums are more than enhancements for our smile appearance—they're also critical to good oral health. In recognition of National Gum Care Month, there are a couple of reasons why you should look after your gums just like you do your teeth.
For one, the gums are primarily responsible for holding teeth in place. With healthy gums, the teeth won't budge even under chewing stress (although this attachment does allow for micro-movements). Diseased gums, however, are another story: Advancing gum disease weakens gum attachment, causing teeth to loosen and eventually give way.
The gums also protect the root end of teeth from pathogens and oral acid, just as enamel protects the crown. Gum disease can also foul up this protective mechanism as infected gums have a tendency to shrink away from the teeth (also known as gum recession). This exposes the roots to an increased risk for disease.
So, taking care of your gums is an essential part of taking care of your teeth. And, the basic care for them is the same as for your pearly whites: daily brushing and flossing and regular dental cleanings. These habits remove the buildup of dental plaque, a thin film of food and bacteria that cause gum disease.
It's also important to keep a watchful eye for any signs of gum abnormalities. Be on the alert for unusual gum redness, swelling and bleeding. Because these may be indicators of an infection already underway, you should see us for an examination as soon as possible.
If we find gum disease, we can begin immediate treatment in the form of comprehensive plaque removal. If the disease has advanced to the root, we may need to access this area surgically to remove any infection. So, the sooner we're able to diagnose and treat an infection, the less likely that scenario will occur.
Ironically, something meant to protect your gums could also damage them. You can do this with excessive and overly aggressive brushing. Putting too much "elbow grease" into brushing, as well as doing it more than a couple of times a day, could eventually cause the gums to recede. Instead, apply only the same degree of pressure to brushing as you would while writing with a pencil.
As we like to tell our patients, take care of your mouth, and your mouth will take care of you. Something similar could be said about your gums: Take care of these essential soft tissues, and they'll continue to support and protect your teeth.
If your kids are getting ready to start back with in-person school this year, you've no doubt began stocking up on new clothes and classroom supplies. Right before school begins is also a good time to make sure their teeth and gums are in good shape.
Life gets busier for families once the school year begins. It's wise, then, to take advantage of the waning summer break's slower pace to catch up on other concerns, including teeth and gum health. In that regard, here are 4 aspects of dental care deserving attention before the school bell rings in a new year.
Cleanings. Hopefully, your kids are brushing and flossing every day, a habit they've practiced from an early age. But while these hygiene tasks effectively rid the teeth of most of the accumulated dental plaque (the thin bacterial film most responsible for tooth decay), some of it can slip by. A thorough dental cleaning every six months can clear away elusive plaque and tartar (hardened plaque)—and right before the school year begins is a great time.
Checkups. Regular dental visits also make it easier to stay ahead of any developing tooth decay or other dental disease. We have advanced equipment and methods for detecting even the tiniest occurrence of disease—and the earlier we find and treat it, the less damage it can cause. We can also perform preventive procedures like sealants or topical fluoride that reduce the risk of tooth decay.
Bite evaluation. It's also a good idea for a child just starting school (around age 6) to undergo a bite evaluation with an orthodontist. These dental specialists are trained and experienced in detecting jaw and tooth development that's not proceeding on a normal track. It's possible that finding and treating a bite problem early on could help you avoid orthodontic treatment in the future.
Sports protection. In addition to school, many older kids are also preparing for a new sports season, particularly football and basketball. But kids in these and other hard contact sports are also at risk for injury, particularly to the mouth from a hard impact. You can lessen that risk by obtaining an athletic mouthguard for them that cushions any blows to the face and jaw. The best option is a custom mouthguard we create for your child based on their individual dental dimensions.
It takes a lot of time and effort to ensure your child's school year gets off to a good start. Be sure that includes looking after their dental health.
From birth to early adulthood, your child's teeth, gums and jaws develop at a rapid pace. And, for the most part, nature takes its course without our help.
But tooth decay can derail that development. The result of bacterial acid eroding enamel, tooth decay is the top cause for premature primary tooth loss in children. One particular form, early childhood caries (ECC), can rapidly spread from one tooth to another.
Many parents assume prematurely losing teeth that are destined to fall out soon anyway is inconsequential. But primary teeth play a critical role in the proper eruption of permanent teeth, serving as both placeholders and guides for those teeth developing just below them in the gums. A permanent tooth without this guidance can erupt out of alignment to create a poor bite that may require future orthodontics.
Being proactive about tooth decay lessens that risk—and the best time to start is when the first teeth begin to erupt. That's when you should begin their regular dental visits sometime around their first birthday.
Dental visits are an important defense against tooth decay. Besides routine dental cleanings, your child's dentist can offer various preventive treatments like sealants to stop decay from forming in the biting surfaces of back molars or topically applied fluoride to strengthen tooth enamel.
Daily home care is just as important in the fight against tooth decay. Oral hygiene should be a part of your child's daily life even before teeth: It's a good habit to wipe an infant's gums with a clean cloth after nursing. As teeth arrive, oral hygiene turns to brushing and flossing—perhaps the best defense of all against dental disease.
It's also important to watch their intake of sugar, a prime food source for bacteria that produce harmful acid. Instead, encourage a "tooth-friendly" diet of whole foods to keep teeth and gums healthy.
Even if they do develop tooth decay, there are effective treatments to minimize any damage and preserve affected primary teeth until they've served their purpose. By adopting these prevention strategies and prompt treatment, you can stay ahead of this destructive disease.