Posts for category: Oral Health
Fluoride is a critical weapon in the war against tooth decay. But this natural chemical proven to strengthen tooth enamel has also aroused suspicion over the years that it might cause health problems.
These suspicions have led to rigorous testing of fluoride's safety. And the verdict from decades of research? We've found only one verifiable side effect, a condition called enamel fluorosis. Caused by too much fluoride present in the body, enamel fluorosis produces white streaks and patches on teeth, and can develop into darker staining and pitting in extreme cases. But other than having an unattractive appearance, the teeth remain sound and healthy.
Fortunately, you can reduce the risk of fluorosis by limiting fluoride exposure to within recommended limits. Fluoride can show up in processed foods and other substances, but the two sources you should focus on most are oral hygiene products and fluoridated drinking water.
Dentists highly recommend using toothpaste with fluoride to fight tooth decay. But be careful how much your family uses, especially younger members. An infant only needs a slight smear of toothpaste on their brush for effective hygiene. At around age 2, you can increase the amount to about the size of a vegetable pea.
As to drinking water, most utilities add fluoride to their supply. If yours does, you can find out how much they add by calling them or visiting cdc.gov ("My Water's Fluoride"), where you can also learn more about recommended levels of fluoridation. If you think it's excessive, you can switch to water labeled "de-ionized," "purified," "demineralized," or "distilled," which contain little to no added fluoride.
Even if your fluoridated water is within recommended levels, you may wish to take extra precautions for infants nursing with formula. If possible, use "ready-to-feed" formula, which usually contains very low amounts of fluoride if any. If you're using the powdered form, use only water with the aforementioned labeling for mixing.
Before making any drastic changes that might affect your family's fluoride intake, consult with your dentist first. And be sure you're keeping up regular dental visits—your dentist may be able to detect any early signs of fluorosis before it becomes a bigger problem.
If you would like more information on maintaining the proper fluoride balance with your family, 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 Development and Infant Formula.”
As a saying, “Necessity is the mother of invention” is no more appropriate than when you have something caught between your teeth. And humans, as inventive and creative as we are, have used a weird assortment of items—usually within arms' reach—to dislodge a pesky bit of food.
According to a recent survey, more than three-fourths of Americans admit to using a number of “tools” to clean between teeth including twigs, nails (the finger and toe variety), business cards or (shudder!) screwdrivers. And it's one thing to do this alone, but among dinner companions and other folk it's a definite faux pas.
Usually, it's smarter and more economical if you can use a particular tool for many different applications. But when it comes to your teeth, you should definitely go with a “unitasker” designed specifically for the job: dental floss. It's not only the safest item you can use to clean your teeth, it's specifically designed for that purpose, especially to remove disease-causing plaque from between teeth.
Of course, the reason many of us use alternate items for cleaning between teeth is that they're the closest ones at hand. You can remedy this by keeping a small spool (or a short length) of dental floss or floss picks handy for those moments you encounter a wedged piece of food. In a pinch, you can use a rounded toothpick (better for your gums than the flat variety).
At home if you find flossing difficult, consider using a water flosser. This handheld device emits a pulsating stream of pressurized water that loosens and flushes away plaque and bits of food remnant. It's ideal for people who have a hard time maneuvering floss or who wear braces, which can block regular floss thread from accessing between teeth as fully as possible.
In any case, use the other “tools” at hand for whatever they're intended. When it comes to what's best for your teeth, use floss to keep the in-between clear and clean.
In the early 1900s, a Colorado dentist noticed his patients had fewer cavities than the norm. He soon found the cause: naturally occurring fluoride in their drinking water. That discovery led to what is now heralded as one of the most important public health measures of the last century — the use of fluoride to prevent tooth decay.
While you're most likely familiar with fluoride toothpaste and other fluoridated hygiene products, there are other sources of this chemical you should know about — especially if you're trying to manage your family's fluoride intake. Here are 3 of these common sources for fluoride.
Fluoridated drinking water. Roughly three-quarters of U.S. water utilities add fluoride to their drinking water supply under regulations governed by the Environmental Protection Agency. The federal government currently recommends 0.7 milligrams of fluoride per liter of water as the optimum balance of maximum protection from tooth decay and minimal risk of a type of tooth staining called dental fluorosis. You can contact your local water service to find out if they add fluoride and how much.
Processed and natural foods. Many processed food manufacturers use fluoridated water in their processes. Although not always indicated on the packaging, there are often traces of fluoride in cereals, canned soups, fruit juices or soda. Many varieties of seafood naturally contain high levels of fluoride and infant formula reconstituted with fluoridated water can exceed the level of fluoride in breast or cow's milk. Beer and wine drinkers may also consume significant levels of fluoride with their favorite adult beverage, particularly Zinfandel, Chardonnay or Cabernet Sauvignon wines.
Clinical prevention measures. As part of a child's regular dental treatment, dentists may apply topical fluoride to developing teeth, especially for children deemed at high risk for tooth decay. This additional fluoride can be applied in various forms including rinses, gels or varnishes. The additional fluoride helps strengthen a child's developing enamel and tooth roots.
How much fluoride your family ingests depends on a number of factors like your drinking water, food purchases and dental hygiene products and procedures. If you have any concerns about how much fluoride you're encountering in your daily life, please be sure and discuss them with your dentist.
If you would like more information on fluoride's benefits for dental 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 “Fluoride & Fluoridation in Dentistry.”
Singer and actor Demi Lovato has a new claim to fame: formidable martial artist. When she is not in the recording studio, on stage or in front of the camera, Lovato can often be found keeping in shape at Jay Glazer's Hollywood (California) gym. Glazer, who is best known as a sports journalist, also runs conditioning programs for professional athletes and celebrities based on mixed martial arts. On March 6, Glazer got more than he bargained for when 5'3" Lovato stepped into the ring and knocked out his front tooth.
Glazer reportedly used super glue to put his tooth back together. Not a good idea! While it may not be convenient to drop everything and get to the dental office, it takes an expert to safely treat a damaged tooth. If you glue a broken tooth, you risk having to undergo major work to correct your temporary fix—it's no easy task to "unglue" a tooth, and the chemicals in the glue may damage living tooth tissue as well as the surrounding gum and bone.
Would you know what to do in a dental emergency? Here are some guidelines:
- If you chip a tooth, save the missing piece if possible. We may be able to reattach it.
- If your tooth is cracked, rinse your mouth with warm water, but don't wiggle the tooth around or bite down on it. If it's bleeding, hold clean gauze to the area and call our office.
- If your tooth is knocked loose or is pushed deeper into the socket, don't force the tooth back into position on your own. Immediate attention is very important.
- If your tooth is knocked out, there's a chance it can be reattached. Pick up the tooth while being careful not to touch the root. Then rinse it off and have either someone place into its socket, or place it against the inside of your cheek or in a glass of milk. Please call the office immediately or go to a hospital.
What's the best thing to do in an emergency? Call us right away, and DON'T super glue your tooth! You can prevent worse problems by letting a professional handle any dental issues. And if you've been living with a chipped, broken or missing tooth, call us to schedule an appointment for a consultation—there are several perfectly safe ways to restore your smile. Meanwhile, if you practice martial arts to keep in shape, think twice before getting into the ring with Demi Lovato!
Maybe you don’t like to be without teeth — ever. Or maybe you get a little forgetful sometimes. Whatever the reason, if you’re wearing your dentures to bed at night, we have one message for you: Please stop!
Sleeping in dentures can have serious health consequences. A recent study published in the Journal of Dental Research found that nursing home residents who wore their dentures to sleep were 2.3 times more likely to be hospitalized or even die of pneumonia as those who did not sleep in dentures. But how can wearing dentures at night more than double your chances of getting a lung infection?
As the study noted, pneumonia-causing bacteria can readily be moved from the mouth to the lungs simply by breathing. And dentures that are not removed at night can become breeding grounds for all kind of bacteria and fungi (such as yeast). That’s what makes them potentially dangerous.
Another condition often seen in people who wear upper dentures continually is called denture stomatitis, which is characterized by a red, inflamed palate (roof of the mouth) that has been infected with yeast. The yeast microorganisms can also infect cracked corners of the mouth, a condition known as angular cheilitis. Moreover, it has also been shown that people who sleep in dentures have higher blood levels of a protein called interleukin 6, which indicates that the body is fighting an infection. Need we go on?
Wearing dentures is supposed to improve your quality of life, not reduce it. So promote good health by taking your dentures out at night, and sticking to a good daily oral hygiene routine:
- Remove and rinse your dentures after every meal.
- Brush your dentures at least once a day with a soft toothbrush or denture brush and dish soap, liquid antibacterial soap, or denture cleanser (but don’t use toothpaste — it is too abrasive).
- Store your dentures in water or a solution made for this purpose.
- Brush your gums and tongue every day with a soft toothbrush (not the same one you clean your dentures with).
- Rinse your dentures in clean water before you put them back in your mouth.