Posts for tag: oral health
You can find some version of the ever popular kids’ meal at most major fast-food restaurants. It’s a neat little package: child’s size portions of burgers, chicken nuggets or sides—and often a small toy or treat to boot—all tucked into its own colorful cardboard container.
The drive-thru menu board at your favorite fast-food joint gives you plenty of choices to fill out your child’s meal. But you may notice something missing on many major chains’ kids’ menus—the mention of soft drinks as a beverage choice. You can still get one for your child’s meal, but the visual cue is no more on the menu board.
None of the “Big Three”—Burger King, McDonald’s or Wendy’s—post soft drinks as a menu item for their kid’s meals. It’s the result of an effort by health advocates promoting less soda consumption by children, the leading source of calories in the average child’s diet. With its high sugar content, it’s believed to be a major factor in the steep rise in child obesity over the last few years.
Sodas and similar beverages are also prime suspects in the prevalence of tooth decay among children. Besides sugar, these beverages are also high in acid, which can erode tooth enamel. These two ingredients combined in soda can drastically increase your child’s risk of tooth decay if they have a regular soda habit.
You can minimize this threat to their dental health by reducing their soda consumption. It’s important not to create a habit of automatically including sodas with every meal, especially when dining out. Instead, choose other beverages: Water by far is the best choice, followed by regular milk. Chocolate milk and juice are high in sugar, but they’re still a healthier choice than sodas due to their nutrient content.
Keeping sodas to a minimum could help benefit your child later in life by reducing their risk for heart disease, diabetes and other major health problems. It will also help them avoid tooth decay and the problems that that could cause for their current and future dental health.
Your stomach is just one big processing plant: Incoming food is broken down into individual nutrients that are then absorbed into the body. The main food "de-constructor" for this process is stomach acid, a powerful fluid comparable in strength to battery acid. All's well as long as it remains in the stomach—but should it escape, it can wreak havoc on other parts of the body, including teeth.
That's the reality for 1 in 5 Americans with gastroesophageal reflux disease (GERD). Also known as acid reflux, GERD occurs when the ring of muscle at the base of the esophagus—which ordinarily keeps stomach acid contained—weakens to allow it into the esophagus. It can then irritate the esophageal lining, giving rise to the burning sensation of indigestion.
The scenario changes, however, if acid continues up into the mouth. This puts tooth enamel at risk for erosion. The resulting high acidity is enough to dissolve the mineral content of enamel, which could jeopardize the survival of affected teeth.
If you've been diagnosed with GERD, your teeth could be in harm's way. In recognition of GERD Awareness Week (November 17-23), here's what you can do to protect them from this potentially damaging disease.
Manage your GERD symptoms. There are effective ways to control GERD and reduce the likelihood of acid in the mouth with antacids or medication. You can also lessen reflux symptoms by quitting smoking and avoiding alcohol, caffeine or acidic foods and beverages. Finishing meals at least three hours before bed or avoiding lying down right after eating can also lessen reflux episodes.
Boost saliva to neutralize acid. Saliva neutralizes acid and helps restore minerals to enamel. You can boost its production by drinking more water, using a saliva-boosting product or chewing xylitol-sweetened gum. You can also decrease mouth acidity by chewing an antacid tablet or rinsing your mouth after eating or after a reflux episode with water mixed with a little baking soda.
Use fluoride oral hygiene products. You can further protect your teeth from acid by using oral hygiene products with fluoride, a chemical compound proven to strengthen enamel. If needed, we can also apply stronger fluoride solutions directly to the teeth or prescribe special mouthrinses with extra fluoride.
If you've been dealing with GERD symptoms, visit us for an exam to check for any adverse dental effects. The sooner we treat GERD-related enamel erosion, the better the outcome for your teeth.
If you would like more information on protecting your dental health from acid reflux, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “GERD and Oral Health.”
Thanks to treatments like chemotherapy and radiation, your chances of surviving cancer are greater than ever. These treatments, however, often produce unwelcome side effects. Treating throat or oral cancer, for example, could damage your mouth's salivary glands or bone.
Saliva is essential to oral health, providing antibodies to curb the growth of disease-causing bacteria and neutralizing acid, which can erode enamel. But salivary glands damaged during cancer treatment may not be able to produce enough saliva. The resulting “dry mouth” creates an environment conducive to bacterial growth and elevated acid levels.
You can help reduce the effects of dry mouth during your treatment (and after, if the damage is permanent) by drinking more water or by using substances that stimulate saliva. Cutting back on acidic foods and beverages will also help lower your mouth's acidity. And be sure to keep up daily oral hygiene and regular dental visits.
The more ominous threat to oral health during cancer treatment, though, is osteoradionecrosis. This occurs when radiation targets specific areas of bone. The bone can lose blood supply and living cellular tissue, which inhibit its ability to heal or replenish itself. If this occurs in the jawbone of teeth that may be lost, the bone tissue could be adversely affected during healing.
Depending on your treatment needs, your risk for osteoradionecrosis might be unavoidable if teeth are to be lost. It's important we discuss that risk because it could impact future dental treatment. In the worst case, before cancer treatment, we may not be able to save affected teeth and your restorative options might be limited.
If your risk of osteoradionecrosis is minimal, though, we may be able to restore any resulting damaged or missing teeth with a wide range of options like dental implants or crowns before or after your cancer treatment.
As with other aspects of health, taking care of your teeth and gums while undergoing cancer treatment can be challenging; some problems may be unavoidable. But with a proper dental treatment plan during and after chemotherapy and radiation, we can minimize those problems and help to eventually restore your smile.
Not coincidentally, GERD Awareness Week overlaps with the Thanksgiving holiday. Many people get acid indigestion from time to time, especially during this month of major feasting, but if you suffer from more than occasional acid reflux, you may be among the 20 percent of U.S. adults with gastroesophageal reflux disease, or GERD. For many individuals, painful heartburn often accompanies acid reflux; however, for others there are few or no symptoms. In the latter situation, dentists may be the first to suspect GERD based on what we see during a regular dental exam.
With GERD, acid washes up from the stomach into the esophagus or throat, and even into the mouth. If the condition is not treated, the repeated contact with acid can lead to ulcers and cause pre-cancerous cell changes along the esophagus lining. In addition, the acids can eat away at tooth enamel and harm the soft tissues of the mouth, which may result in severely eroded teeth and chronic gum disease. Unfortunately for those who have relatively minor symptoms, GERD may go undetected until serious damage has been done. For this reason, diagnosis and treatment of GERD is very important.
You can play a big role in managing your GERD symptoms. Besides taking any over-the-counter or prescription medication your doctor recommends, you can help control acid reflux by eating smaller meals, avoiding foods and beverages that trigger heartburn, refraining from eating within three hours of bedtime, and resisting the urge to recline right after eating. Also, quitting smoking and taking off extra weight can help greatly.
Further, it is important to take steps to protect your teeth if you suffer from GERD. Here are some tips:
- Neutralize acid by chewing on an antacid tablet or rinsing your mouth with half a teaspoon of baking soda mixed into a cup of water.
- Don't brush your teeth immediately after an episode of acid reflux, as this could damage the weakened tooth enamel. Instead, rinse your mouth with water to dilute the acid and wait an hour before you brush to allow your saliva to rebuild the minerals on the surface of your teeth.
- Schedule regular dental visits to monitor the health of your teeth and gums. Depending on your specific situation, we may recommend a particular treatment to help strengthen your teeth.
Our goal is to help you preserve your teeth for life, so be sure to tell us if you have been diagnosed with GERD or any other medical condition. If you have questions, contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “GERD and Oral Health” and “Tooth Decay: How to Assess Your Risk.”
You might not be aware how much force your jaws generate while you eat or chew. But you can become aware in a hurry when part of your inside cheek or lip gets in the way.
What may be even worse than the initial painful bite are the high odds you’ll bite the same spot again—and again. That’s because of a feature in the skin’s healing process.
As a surface wound heals, it often forms a cover of fibrous tissue consisting of the protein collagen. This traumatic fibroma, as it’s called, is similar to a protective callous that develops on other areas of damaged skin. In the process, though, it can become “taller” than the surrounding skin surface, which increases the chances of another bite.
This second bite often results in more fibrous tissue formation that rises even higher from the skin surface, which then becomes more likely to be bit again. After repeated cycles, the initial wound can become a noticeable, protruding lump.
These kinds of sores are typically not cancerous, especially if they’ve appeared to form slowly over time. But they can be a nuisance and the occasion of sharp pain with every subsequent bite. There is, though, an effective way to deal with it—simply have it removed.
While it involves a surgical procedure—an oral surgeon, periodontist or dentist with surgical training usually performs it—it’s fairly minor. After numbing the area with a local anesthetic, the dentist will then completely excise the lesion and close the resulting gap in the skin with two or three small sutures (it could also be removed with a laser). The wound should heal within a few days leaving you with a flat, flush skin surface.
The tissue removed is usually then biopsied. Although it’s highly unlikely it was more than an annoying sore, it’s still common procedure to examine excised tissues for cancer cells. If there appears to be an abnormality, your dentist will then see you to take the next step in your treatment.
More than likely, though, what you experienced was a fibroma. And with it now a thing of the past, you can chew with confidence knowing it won’t be there to get in the way.
If you would like more information on dealing with common mouth sores, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor article “Common Lumps and Bumps in the Mouth.”