One of the most popular subjects in books, magazines and social media is food — the things we should or should not eat (or at least not too much). While losing weight is a popular focus, it's only one part of the whole — a balanced diet that supplies the nutrients we need to be healthy.
What you eat can also make a difference in your oral health. Here are 4 changes you should make to your dietary habits to cut down on the risk of dental disease.
Adopt a nutritionally sound diet plan. When we say diet, we're not talking about the latest weight-loss sensation — we mean a planned way of eating for life. For most people, that's a balanced diet of fresh fruits and vegetables, protein and dairy. Your teeth and gums have the best chance of remaining strong and healthy with a nutrient-rich diet.
Manage your sugar intake. Sugar and similar carbohydrates are a rich food source for bacteria that cause dental disease. It's important then that you keep your sugar consumption within limits: don't eat more than six teaspoons of processed sugar a day (or three for a child); avoid sugary snacks between meals; and try to satisfy your sweet tooth with the natural sugars found in fresh fruits and vegetables.
Cut back on acidic beverages. Sodas, juices, sports and energy drinks are all the rage. They're also high in acid, which at chronic levels can soften and erode tooth enamel. So, try to drink them only at meal times and avoid sipping on them over long periods. And, if you're hydrating yourself after moderate work or exercise, try nature's perfect hydrator — water.
Avoid eating before bedtime. A good portion of the acid in our mouths after we eat can be neutralized by saliva. As we sleep, though, our saliva flow slows down and doesn't have the same buffering power as it does during the day. So, try not to eat as least an hour before you turn in for the night, especially foods with added sugar.
If you would like more information on nutrition and oral health, 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 “Nutrition & Oral Health.”
Like other aspects of our lives, aging can take a toll on our smile. Over a lifetime the effects of disease, teeth wearing and the foods we eat can cause our teeth and gums to look unattractive.
Here are 3 of the most common age-related dental problems and how we can help you "turn back the clock" on each one.
Discoloration. Teeth can dull and grow darker over time. And not just from what we eat or drink—age-related structural changes in the tooth can also cause discoloration. We can often alleviate external staining temporarily with teeth whitening. If the staining is heavy or it originates inside the tooth, then we can install life-like porcelain veneers or crowns to cover the discoloration. We can also use composite dental materials to alter the color of one darkened tooth so that it doesn't stand out from the rest of your teeth.
Wearing. Our teeth naturally wear down over time. If the wearing is excessive, though, teeth can look shorter and less youthful. Again, we can use veneers or crowns to change a tooth's outward appearance and make them look longer. We can also employ enamel contouring and reshaping that smoothes out sharper edges caused by wearing to give your teeth a softer, more youthful look.
Receding gums. On the other end of the spectrum, gums that have shrunk back or receded from the teeth can make them look much larger and unattractive. Our first step is to treat any gum disease present—the most common cause of recession—which often helps the tissues to regenerate. If your case is more advanced, though, you may also need grafting surgery to restore lost gum tissue. Using in-depth microsurgical techniques, surgeons attach grafted gum tissue at the recession site. Over time new tissue will grow, restoring adequate gum coverage.
You can also improve your appearance at any age with orthodontics. Besides a more attractive smile, properly aligned teeth tend to wear more slowly and evenly. This and proper daily oral hygiene and regular dental care can keep your teeth looking younger even in your later years.
If you would like more information on gaining a more 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.”
People who’ve lost all their teeth have benefitted from a solution that’s been around for generations: removable dentures. These appliances have helped millions of people chew and eat food, speak, and smile confidently.
But for all their benefits (including affordability) there’s still some things you need to do to get the most out of them like cleaning them daily or having us check them regularly for damage and wear. And, there’s one thing you shouldn’t do: wear them around the clock. Not removing them when you sleep at night can harm your oral health and reduce your dentures’ longevity.
Dentures are fitted to rest on the gums and the bony ridges that once held your natural teeth. This exerts pressure on the underlying bone that can cause it to gradually dissolve (resorb). This loss in bone volume eventually loosens your denture’s fit. If you’re wearing them all the time, the process progresses faster than if you took them out each night.
The under surfaces of dentures are also a prime breeding ground for bacteria and fungi. Besides unpleasant odors and irritation, these microorganisms are also the primary cause for dental disease. Research has found that people who sleep in their dentures have higher occurrences of plaque, a thin film of bacteria and food remnants that cause periodontal (gum) disease. They’re also more prone to higher levels of yeast and the protein interleukin-6 in the blood, which can trigger inflammation elsewhere in the body.
To avoid these and other unpleasant outcomes, you should develop a few important habits: remove and rinse your dentures after eating; brush them at least once a day with dish or anti-bacterial soap or a denture cleanser (not toothpaste, which can be too abrasive); and take them out when you sleep and place them in water or an alkaline peroxide-based solution.
Be sure you also brush your gums and tongue with an extra soft toothbrush (not your denture brush) or wipe them with a clean, damp washcloth. This will help reduce the level of bacteria in the mouth.
Taking these steps, especially removing dentures while you sleep, will greatly enhance your well-being. Your dentures will last longer and your mouth will be healthier.
Ever since childhood, when her career as a model and actress took off, Brooke Shields has enjoyed worldwide recognition — through advertisements for designer jeans, appearances on The Muppet Show, and starring roles in big-screen films. But not long ago, that familiar face was spotted in an unusual place: wearing a nasal anesthesia mask at the dentist's office. In fact, Shields posted the photo to her own Instagram account, with the caption “More dental surgery! I grind my teeth!” And judging by the number of comments the post received, she's far from alone.
In fact, researchers estimate that around one in ten adults have dental issues that stem from teeth grinding, which is also called bruxism. (Many children also grind their teeth, but it rarely causes serious problems, and is often outgrown.) About half of the people who are teeth grinders report problems like persistent headaches, jaw tenderness and sore teeth. Bruxism may also result in excessive tooth wear, and may damage dental work like crowns and bridges; in severe cases, loosened or fractured teeth have been reported.
Researchers have been studying teeth grinding for many years; their findings seem to indicate that it has no single cause. However, there are a number of factors that play a significant role in this condition. One is the anatomy of the jaw itself, and the effect of worn or misaligned teeth on the bite. Another factor relates to changes in brain activity that occur during the sleep cycle. In fact, nocturnal (nighttime) bruxism is now classified as a sleep-related movement disorder. Still other factors, such as the use of tobacco, alcohol and drugs, and a high level of stress or anxiety, can make an individual more likely to experience bruxism.
What can be done for people whose teeth grinding is causing problems? Since this condition may have many causes, a number of different treatments are available. Successful management of bruxism often begins by striving to eliminate the factors that may cause problems — for example, making lifestyle changes to improve your health, creating a soothing nighttime environment, and trying stress-reduction techniques; these may include anything from warm baths and soft music at bedtime, to meditation and mindfulness exercises.
Several dental treatments are also available, including a custom-made occlusal guard (night guard) that can keep your teeth from being damaged by grinding. In some cases, a bite adjustment may also be recommended: In this procedure, a small amount of enamel is removed from a tooth to change the way it contacts the opposite tooth, thereby lessening the biting force on it. More invasive techniques (such as surgery) are rarely needed.
A little tooth grinding once in a while can be a normal response to stress; in fact, becoming aware of the condition is often the first step to controlling it. But if you begin to notice issues that could stem from bruxism — or if the loud grinding sounds cause problems for your sleeping partner — it may be time to contact us or schedule an appointment. You can read more about bruxism in the Dear Doctor magazine article “Stress and Tooth Habits.”
Because the mouth is one of the most sensitive areas of the body, we go to great lengths to eliminate pain and discomfort associated with dental work. Anesthesia, both local and general, can achieve this during the actual procedure—but what about afterward while you’re recuperating?
While a few procedures may require prescription opioids or steroids to manage discomfort after a procedure, most patients need only a mild over-the-counter (OTC) pain reliever. There are several brands available from a group of medicines called non-steroidal anti-inflammatory drugs (NSAIDs). NSAIDs like aspirin or ibuprofen work by blocking the release of prostaglandins into the body, which cause inflammation in tissues that have been damaged or injured.
Unlike their stronger counterparts, NSAIDs have fewer side-effects, cost less and aren’t addictive. And unlike opioids NSAIDs don’t impair consciousness, meaning patients can usually resume normal activities more quickly.
But although they’re less dangerous than opioids or steroids, NSAIDs can cause problems if taken at too strong a dose for too long. Its major side effect is interference with the blood’s clotting mechanism, known as “thinning the blood.” If a NSAID is used over a period of weeks, this effect could trigger excessive external and internal bleeding, as well as damage the stomach lining leading to ulcers. Ibuprofen in particular can damage the kidneys over a period of time.
To minimize this risk, adults should take no more than 2400 milligrams of a NSAID daily (less for children) and only for a short period of time unless directed otherwise by a physician. For most patients, a single, 400 milligram dose of ibuprofen can safely and effectively relieve moderate to severe discomfort for about 5 hours.
Some patients should avoid taking a NSAID: pregnant women, those with a history of stomach or intestinal bleeding, or heart disease (especially if following a daily low dose aspirin regimen). If you have any of these conditions or similar concerns, be sure you discuss this with your dentist before your procedure for an alternative method for pain management.
If you would like more information on managing discomfort after dental procedures, 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 “Treating Pain with Ibuprofen.”
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