8/20/2019 9:43:34 PM
Teeth are coated with a thin layer of bacteria called plaque. These bacteria feed off the sugars you eat or drink, and make acid that causes cavities. Fluoride helps fight these “acid attacks”. When infants and children eat food or drink water that contain fluoride, it is carried into the teeth developing beneath the gumline. Fluoride that comes into contact with tooth surfaces in children and adults helps strengthen enamel and fight cavities. The best sources of fluoride are fluoridated water, fluoride toothpaste and rinses and fluoride treatments from your dentist. Most communities add fluoride to the water supply, but if you have a private well, it is advisable to have your water tested. If the fluoride level is not optimal, your dentist can prescribe a fluoride supplement. Most children no longer need a supplement past the age of 12. At this point, the adult teeth are mostly formed even if they have not erupted, at which point systemic (internally taken) fluoride is of no benefit.
When using fluoride toothpaste and rinses, they should not be swallowed, as they can cause white spots and discolored teeth. Everyone should brush at least twice a day. Children younger than 3 should use no more then a smear of toothpaste no bigger than a grain of rice. Older children should use a pea sized amount.
Your dentist can apply fluoride gel or varnish to your childrens teeth at their periodic check ups. And new research is touting the use of fluoride varnish on senior citizens to prevent root level cavities, a serious problem now that people are living longer and keeping their teeth. And being able to eat is extremely important for our health and happiness as we age!!!
7/30/2019 4:04:04 PM
Yuck! research conducted throught an unnamed oral care start up found 30% of millenials “brush their teeth once a day”. The survey of 2000 Americans also found ” The average person had gone more than 2 days at a time without brushing their teeth at least once a day”. Microbiological studies have shown it takes 8-12 hours for dental plaque (bacteria to organize into a colony and produce the harmful acids that cause tooth decay and other oral maladies. So do the math! If you believe in science, 2 times every day is the minimum, with brushing at bedtime the most important time, because ‘natural tooth cleansers’, tongue movements and saliva are not as active during sleep
4/29/2019 5:30:22 PM
Xerostomia is the term used to describe signs and symptoms associated with mouth dryness. -Most people experience a dry mouth from time to time from dehydration, mouth breathing or consuming dehydating beverages. While a sip of water may solve temperary dryness when the condition becomes chronic, the effects can be life altering. INCIDENCE Xerostomia increases with age ~20 % of the population affected with elderly females have higher prevelance of dry mouth due to postmenopausal decline in hormones. Complex interplay of aging, systemic diseases and polypharmacy(simultaneous use of several medications for one or more conditions) Role of Saliva Daily production .5-1.5 liters consisting of electrolytes, minerals, enzymes, and buffering agents. Involved in lubrication, digestion, taste buffering, protection and clearance. PH 6-7 neutralizes acids to remineralize teeth. Signs & Symptoms Dry Mouth and Throat Trouble speaking, chewing, swallowing, and diminished taste Chapped, peeling,cracked lips, inflamation at the corners of the mouth. Telltale signs include abcense of saliva pooling in the floor of the mouth, saliva is stringy and the tongue may be dry red and cracked CAUSES MEDICATIONS 400 + meds can cause dry mouth. Increase the number of meds increases the chances of dry mouth Common Drugs include antidepressants, antipsychotics, beta blockers, antihypertensives RADIOTHERAPY Head and neck cancer SJOGRENS SYNDROME Disease attacks secretory cells of salivary and lacrimal glands causing dry mouth and dry eyes. OTHER FACTORS Smoking, drinking alcohol, caffienated beverages. -anxiety and depression -Chronic systemic diseases -Eating disorders -Illicit drugs, Opiates, Methamphetamines, Cannabis TREATMENTS 8 8oz glasses of water daily Dietary modifications avoid spicy, sugary, sticky, dry and crumbly food dehydrating beverages such as coffee, soda & alcohol Ask physican if altering or changes drugs and dosage is possible MEDICATION Pilocarpine (Salagen) Ceveneline (Evocare) Nonmedical treatments Lozenges, xylital sweetened gum, Mouthwashes(Biotine) and sprays Meticulous oral care
4/22/2019 10:18:26 PM
Oral appliances are one option for the treatment of obstructive sleep apnea (OSA). While very useful in the treatment of sleep apnea, research has shown sometimes dramatic changes in occlusion (“bite”).
The study concluded these changes to be generally negative, but they should not be treated orthodontically as they are ongoing, and will return post orthodontic treatment.
Even though major dental changes may occur, these side effects should not deter the patient from continued appliance therapy if it proves to be an effective treatment for OSA; since OSA can have very detrimental effects on the subjects overall health.
Conversely, if the patient can tolerate alternate therapies (CPAP), then orthodontic correction of the bite is a possibility.
3/19/2019 3:11:31 PM
Taking a low dose aspirin every day to prevent a heart attack or stroke is no longer recommended for most older adults. The American College of Cardiology and the American Heart Association just reversed that idea. The change comes after a large clinical study found a daily aspirin had no effect on prolonging life in HEALTHY elderly people, and suggested the pills could be linked to major hemorrhages. Roger Blumental, co chair of the new guidelines,states: “Only select people with a high risk of cardiovascular disease and a low risk of bleeding might consider using it as a preventive measure. It’s much more important to optimize lifestyle habits and control blood pressure and cholesterol.”
And as dentists, we have known for years that brushing and flossing along with regular cleanings and exams are important defenses against heart attack and stroke, since they reduce inflammation and bleeding and prevent bacterial contaminants from entering the bloodstream.
3/9/2019 7:33:45 PM
According to ADA.org and Dr Alice Boghosian: “Look, as long as you are brushing twice a day with a fluoride toothpaste, and flossing or using another interdental aid twice a day you’re good to go.” She adds, “Mouthwash is not a necessary step to maintain good oral health” Most just freshen your breath. An exception is fluoride mouthwashes which strengthen the enamel and work best if they come last. Personally, I like to floss first to let the fluoride toothpaste penetrate as much as possible.
2/25/2019 4:03:10 PM
During pregnancy changes occur in many body systems. Most of these are hormonal and can lead to physical changes in the oral tissues, such as gingival (gum) inflammation,and increased risk of cavities and acid erosion. The ideal time for dental care is early in the second trimester. In the later stages of pregnancy, comfort and its relation to the angle of the dental chair are important considerations.
So , as a general rule; preventive, diagnostic and restorative (fillings) treatment is safe throughout pregnancy and is essential in improving and maintaining oral health. It is preferable, however, that elective dental care be avoided in the first trimester for safety concerns, and in the last half of the third trimester for patient comfort.
2/18/2019 5:40:21 PM
The US Food and Drug administration issued a safety announcement warning consumers not to use teething products containing benzocaine on infants and children younger than 2 years of age. The report details benzocaine’s association with methemoglobinemia, a disorder in which the amount of oxygen carried through the blood stream is greatly reduced. Benzocaine products are marketed under brand names such as Anbesol and Oragel. The FDA has questioned the effectiveness of these products as an additional factor in their warning. More to follow.
5/7/2018 10:09:50 PM
Researchers at the Creighton University School of Dentistry have concluded that charcoal toothpaste may do more harm than good.
— Read on www.dentistrytoday.com/news/industrynews/item/3225-charcoal-toothpaste-may-wear-down-enamel
3/14/2018 4:06:29 PM
J Dent Res. 2016 Oct;95(11):1230-6. doi: 10.1177/0022034516655315. Epub 2016 Jun 22. Meta-Analysis; Review
— Read on www.ncbi.nlm.nih.gov/m/pubmed/27334438/