Posts for tag: tooth decay
Tooth decay is more prevalent than diseases like cancer, heart disease or influenza. It doesn't have to be—brushing with fluoride toothpaste, flossing, less dietary sugar and regular dental cleanings can lower the risk of this harmful disease.
Hygiene, diet and dental care work because they interrupt the disease process at various points. Daily hygiene and regular dental cleanings remove dental plaque where oral bacteria flourish. Reducing sugar eliminates one of bacteria's feeding sources. With less bacteria, there's less oral acid to erode enamel.
But as good as these methods work, we can now take the fight against tooth decay a step further. We can formulate a prevention strategy tailored to an individual patient that addresses risk factors for decay unique to them.
Poor saliva flow. One of the more important functions of this bodily fluid is to neutralize mouth acid produced by bacteria and released from food during eating. Saliva helps restore the mouth's ideal pH balance needed for optimum oral health. But if you have poor saliva flow, often because of medications, your mouth could be more acidic and thus more prone to decay.
Biofilm imbalance. The inside of your mouth is coated with an ultrathin biofilm made up of proteins, biochemicals and microorganisms. Normally, both beneficial and harmful bacteria reside together with the “good” bacteria having the edge. If the mouth becomes more acidic long-term, however, even the beneficial bacteria adapt and become more like their harmful counterparts.
Genetic factors. Researchers estimate that 40 to 50 hereditary genes can impact cavity development. Some of these genes could impact tooth formation or saliva gland anatomy, while others drive behaviors like a higher craving for sugar. A family history of tooth decay, especially when regular hygiene habits or diet don't seem to be a factor, could be an indicator that genes are influencing a person's dental health.
To determine if these or other factors could be driving a patient's higher risk for tooth decay, many dentists are now gathering more information about medications, family history or lifestyle habits. Using that information, they can introduce other measures for each patient that will lower their risk for tooth decay even more.
If you would like more information on reducing your risk of 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 “What Everyone Should Know About Tooth Decay.”
$9.1 billion: That's how much we Americans spent in 2018 on Halloween festivities, according to the National Retail Federation. And a sizeable chunk of that was for candy—a whopping 600 million pounds worth. That, my friends, is a lot of sugary goodness. For kids, it's what Halloween is all about—scoring a sack full of sticky, gooey, crunchy candy. For parents, though, all that sugar raises concerns for their kids' dental health.
That's because of something that loves sugar as much as little humans: oral bacteria. The more these microscopic creatures consume, the more they reproduce, which consequently leads to more mouth acid, a by-product of their digestion. Elevated acid levels can dissolve the mineral content in enamel and create the conditions for tooth decay.
To cut to the chase, excessive candy consumption increases the risk of tooth decay. Short of banning candy and ruining your kids' holiday fun, what then can you do to lower that risk this Halloween?
Here are a few tips:
Limit candy to mealtimes. The mouth's acid levels tend to rise while we're eating. The body counters with saliva, which has the capacity to neutralize acid and restore lost minerals to enamel. But if your kids are snacking on sweets over a long period, saliva can't get ahead of the recurring waves of acid. So, try to limit your kids' candy consumption to a few pieces at mealtimes only.
Don't brush right after eating candy. The short period during and after eating of high acid levels can still soften tooth enamel. If your child brushes soon after eating candy, they could also remove tiny bits of softened enamel. Instead, wait at least 30 minutes to an hour before brushing to allow saliva time to remineralize the enamel.
Encourage alternatives to candy as Halloween treats. While candy is a huge part of Halloween, it needn't have a monopoly on all the celebratory fun. So, encourage your little tricksters to accept—and their treaters to provide—other kinds of treats like small toys, glow sticks, or other items that count as treasure to children (be sure they're age-appropriate, though).
Halloween is a great time of family fun, and candy may always play a prominent role in the merriment. Just be sure to practice moderation with sweet Halloween treats to avoid dental problems down the road.
If you would like more information about how to manage your family's sugar consumption for optimum dental health, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “The Bitter Truth About Sugar” and “Nutrition & Oral Health.”
In many parts of the country, summer is often a synonym for "blast furnace" and can be downright hot and miserable. If you find yourself in such a climate, it's imperative that you drink plenty of water to beat both the heat and heat-related injuries. Your teeth and gums are another reason to keep hydrated during those hot summer months.
Your body needs water to produce all that saliva swishing around in your mouth. When you have less water available in your system, the production of this important bodily fluid can go down—and this can increase your risk of dental disease. That's because saliva performs a number of tasks that enhance dental health. It helps rinse the mouth of excess food particles after eating that could become a prime food source for disease-causing bacteria. It also contains antibodies that serve as the first line of defense against harmful microorganisms entering through the mouth.
Perhaps saliva's most important role, though, is protecting and strengthening enamel, the teeth's outer "armor" against disease. Although the strongest substance in the body, enamel has one principal foe: oral acid. If the mouth's normally neutral pH becomes too acidic, the minerals in enamel begin to soften and dissolve. In response, saliva neutralizes acid and re-mineralizes softened enamel.
Without a healthy salivary flow protecting the mouth in these different ways, the teeth and gums are vulnerable to assault from bacteria and acid. As they gain the upper hand, the risk for tooth decay or periodontal (gum) disease can skyrocket. Keeping yourself adequately hydrated ensures your body can produce an ample flow of saliva.
By the way, summer heat isn't the only cause for reduced saliva: Certain prescription medications may also interfere with its production. Chemotherapy and radiation, if targeting cancer near the head or neck, can damage salivary glands and impact flow as well.
If you have reduced saliva from medication you're taking, talk to your doctor about switching to an alternative prescription that doesn't affect saliva production. If you're undergoing cancer treatment, be extra vigilant about your oral hygiene practice and regular dental visits. And as with summer heat, be sure you're drinking plenty of water to help offset these other effects.
Even when it's hot, summertime should be a time for fun and relaxation. Don't let the heat ruin it—for your health or your smile.
For over a century dentists treated tooth decay by removing both diseased portions of the tooth and healthy structure deemed at risk for future decay. In the 1970s, though, a new approach emerged, known as Minimally Invasive Dentistry (MID). This practice protocol attempts to preserve as much of the healthy structure as possible.
Before MID, dentists followed a decay treatment protocol developed in the 19th Century. A part of this became known as extension for prevention calling for dentists to remove healthy structure considered vulnerable to decay. Besides reducing the tooth's volume, this practice also resulted in, by today's standards, larger than necessary fillings.
It was thought that removing this additional material would make it easier to clean bacterial plaque, the source of decay, but later, research showed the practice couldn't guarantee the teeth wouldn't be reinfected.
Since then we've learned a lot more about teeth and have developed new ways to detect decay at earlier stages. X-ray imaging, for example, has transitioned largely from film to digital technology, providing more detailed images at greater magnification. This, along with laser fluorescence and infrared cameras, has made it easier to detect the first tiny stages of decay.
We can also limit tooth decay damage by boosting enamel strength with fluoride applications and sealants or reducing decay-causing bacteria with anti-bacterial rinses. We've also seen advancement in techniques like air abrasion that remove decayed tooth material while leaving more healthy structure intact better than using a traditional dental drill.
Restoring teeth after treatment has also improved. While dental metal amalgam is still used for some fillings, the main choice is now composite resin. These new tooth-colored dental materials require less tooth preparation (and thus less material loss) and bond well to the remaining structure, resulting in a stronger tooth.
Following a MID protocol leads to less intervention and less time in the dentist's chair. It also means preserving more of a natural tooth, an important aim in promoting long-lasting dental health.
Cavities can happen even before a baby has his first piece of candy. This was the difficult lesson actor David Ramsey of the TV shows Arrow and Dexter learned when his son DJ’s teeth were first emerging.
“His first teeth came in weak,” Ramsey recalled in a recent interview. “They had brown spots on them and they were brittle.” Those brown spots, he said, quickly turned into caviÂties. How did this happen?
Ramsey said DJ’s dentist suspected it had to do with the child’s feedings — not what he was being fed but how. DJ was often nursed to sleep, “so there were pools of breast milk that he could go to sleep with in his mouth,” Ramsey explained.
While breastfeeding offers an infant many health benefits, problems can occur when the natural sugars in breast milk are left in contact with teeth for long periods.Â Sugar feeds decay-causing oral bacteria, and these bacteria in turn release tooth-eroding acids. The softer teeth of a young child are particularly vulnerable to these acids; the end result can be tooth decay.
This condition, technically known as “early child caries,” is referred to in laymen’s terms as “baby bottle tooth decay.” However, it can result from nighttime feedings by bottle or breast. The best way to prevent this problem is to avoid nursing babies to sleep at night once they reach the teething stage; a bottle-fed baby should not be allowed to fall asleep with anything but water in their bottle or “sippy cup.”
Here are some other basics of infant dental care that every parent should know:
- Wipe your baby’s newly emerging teeth with a clean, moist washcloth after feedings.
- Brush teeth that have completely grown in with a soft-bristled, child-size toothbrush and a smear of fluoride toothpaste no bigger than a grain of rice.
- Start regular dental checkups by the first birthday.
Fortunately, Ramsey reports that his son is doing very well after an extended period of professional dental treatments and parental vigilance.
“It took a number of months, but his teeth are much, much better,” he said. “Right now we’re still helping him and we’re still really on top of the teeth situation.”
If you would like more information on dental care for babies and toddlers, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “The Age One Dental Visit” and “Dentistry & Oral Health for Children.”