Colgate Total and Triclosan

What kind of toothpaste do you like to use? This hygienist is actually a Crest person. Everyone has their certain brand, but Colgate Total is the number one recommended by dental professionals. Colgate Total helps prevent and treat gingivitis. Colgate Total has been researched and tested in depth more than any other brands of toothpaste worldwide. In fact, it is one of the few toothpastes that is approved by the FDA (Food & Drug Association).

People have started to panic due to reports that the ingredient Triclosan contained in Colgate Total is linked to cancer cell growth. Some questions about triclosan’s impact on people cannot be answered. People are exposed to many chemicals that may interact in the body which makes it hard to link one substance to one disease. Colgate Total has been on the market for almost eighteen years, and there has been no sign of a safety issue.

Colgate Total is approved by the ADA and more than forty dental associations. Agencies in the United States, Australia, and Europe have performed their own studies of Colgate Total, and all of them have confirmed that it is safe and effective in fighting and reversing gingivitis. It is the only triclosan toothpaste approved to be sold in the United States. If you have any questions, feel free to ask a member of our dental team!

Have you ever been asked to take antibiotics before your appointment? The first thing we should do as healthcare providers is to look at the patient’s medical history. When people take antibiotics before appointments, it is called pre-medication. Antibiotics reduce the risk of Infective Endocarditis. Infective Endocarditis is inflammation of the inner tissue of the heart caused by bacteria.

The two main conditions that people have to pre-medicate for are certain heart conditions and artificial joints. An example of artificial joints would be a knee replacement. One of the heart conditions to premed for would be someone who has had open heart surgery. The American Heart Association has information for people who need to take antibiotics before dental procedures.

What happens if a patient forgets to take the antibiotic before they arrive at the dentist office? If a patient does not pre-medicate one hour before the appointment, it is recommended that they take the antibiotic no later than two hours after the dental appointment.

If you have a heart condition or artificial joint, you should check with your primary care physician or cardiologist to see if pre-medication is necessary.

dental-care-diabetesPeople with diabetes are at risk for mouth infections, especially gum disease (periodontal disease). Diabetes can also cause thrush and dry mouth. Thrush is a yeast infection in the mouth. Combined with dry mouth, diabetes can also cause the glucose level in your saliva to increase, which is what leads to thrush. Dry mouth can lead to soreness, ulcers, infections, and cavities. Diabetes causes blood vessels to thicken, which slows the flow of nutrients to your body. This makes it harder for your body to fight off any infection. People with uncontrolled diabetes have a harder time healing after dental procedures. An example would be having a tooth removed. The extraction site might not heal as fast since blood flow to the area can be less than what it should be. Smoking also makes people with diabetes have a higher risk for periodontal disease. Brushing and flossing daily as well as visiting your dentist regularly can help prevent problems that patients might experience due to diabetes. Also, be sure to control your blood glucose

Do you snore or sleep with someone that snores? Snoring is annoying and disruptive for the person sleeping with you. Besides being extremely annoying, snoring can be very serious. Frequent loud snoring may be a sign of sleep apnea. Sleep apnea is a common disorder when you have one or more pauses in breathing or short breaths while sleeping. When sleeping, breathing can pause anywhere from ten to twenty seconds and can happen up to one hundred times or more every night. Since the long pauses disrupts your sleep rhythm, you spend more time in light sleep than deep sleep. This sleep deprivation leads to daytime drowsiness, lack of concentration, slow reflexes, and can lead to serious health problems. Over time sleep apnea can cause diabetes, high blood pressure, heart disease, stroke, and weight gain.

obstructive-sleep-apnea
Obstructive Sleep Apnea

There are different types of sleep apnea. Obstructive Sleep Apnea is the most common. This type of sleep apnea occurs when the soft tissue in the back of your throat relaxes during sleep and blocks the airway.When the airway is blocked, it causes you to snore very loudly. Central Sleep Apnea involves the central nervous system. This occurs when the brain fails to signal the muscles that control breathing. It is a rare type and usually people with this type hardly ever snore. Complex Sleep Apnea is the combination of the other two types of sleep apnea.

If choking or gasping happens after the pause in snoring, it is a major sign that you have sleep apnea. Some people fall asleep very fast during the quiet moments of the day when nothing active is happening. Other common signs and symptoms include: headaches in the morning, lack of memory or learning problems, depression, mood swings, frequent urination, dry mouth, and sore throat.

SnoreGuard_EMA
EMA Snore Appliance

So how do you know if its just snoring or sleep apnea? If you snore, consult your medical doctor about having a sleep study. There are different ways you and your medical doctor can treat snoring and sleep apnea. We also have a way to help in the dental world. There is a device called the Myerson Sleep Better Appliance also known as EMA. This is a custom made removable appliance that advances the lower jaw and open the bite to help with the restricted airflow during sleep. This appliance helps prevent snoring and relieves the symptoms of sleep apnea. It is also adjustable to patient satisfaction. We provide this option at our office. If you or someone you know snores or has sleep apnea, this appliance may be helpful!

Even though baby teeth are eventually replaced with permanent teeth, it is still important to a child’s overall health. It is okay for infants to suck their thumbs, fingers, toys, or pacifiers. Sucking an object gives children a feeling of comfort. Depending on how much a child sucks their thumb, the permanent teeth that begin to come in can end up being pushed out forward, which forms an overbite.

thumbsucking_2 An overbite is when the upper front teeth overlap the lower ones. This is why it is important to try and make this habit stop by the age of 6. With an overbite, children can also have problems with speech. A lisp can be formed which interferes with the correct formation of words and sounds. Thumb sucking can also lead to buck teeth, which will effect the shape of the face.

thumbsuckingTo help your children stop this habit, try to encourage them with rewards. Provide them with a toy after a certain amount of days they go without sucking their thumb. Mark progress on a calendar where the child can see the progress he/she is making. Most important, no nagging! Children get defensive if the parent is nagging to much about stopping the habit.

 

Burning Mouth Syndrome (BMS) is a painful, irritating condition that makes the tongue, lips, and palate (roof of the mouth) feel like

BurningMouthSyndrome_3 they are burning. Sometimes the burning sensation can affect the whole mouth, and not just a certain area. Although Burning Mouth Syndrome can affect anyone, it is most common in middle-aged or older women.

The moderate to severe burning is the main symptom and can last for months or years. For most people, the burning in the mouth starts in the morning and usually stops at night. Some people feel a constant pain, and others only have the burning sensation occasionally.

Causes of Burning Mouth Syndrome include:

  • Damage to nerves that control taste and pain
  • Dry mouth
  • Acid reflux
  • Depression and Anxiety
  • Hormones
  • Oral Candidacies or Thrush (Yeast infection in the mouth)
  • Nutritional deficiencies
  • Dentures that do not fit properly

BMS can have more than one cause, but usually the exact cause of symptoms cannot be determined.

BurningMouthSyndrome_1Depending on the cause of BMS, there are medications that can be prescribed to treat the oral candidacies, anxiety, and depression. There are also prescriptions and supplements to relieve dry mouth. Biotene mouth wash is commonly used to treat dry mouth. At home treatment can include sucking on ice chips, drinking plenty of water, avoiding hot and spicy foods, avoiding acidic foods and drinks, and avoiding alcohol and tobacco. If you have any questions about Burning Mouth Syndrome, call our office or physician for more information.

What are sealants?
Sealants are thin plastic coatings that are placed in the groves of the biting surfaces of your teeth. Sealants resemble tooth-colored fillings.

Who should get sealants & why?
Sealant_Before_After The purpose of sealants is to prevent cavities. We recommend children as well as adults to have sealants. As soon as the 6 year molars have fully erupted on your children, you should consider having sealants placed. The 6 year molars (first molars) usually come in between ages 5-7, but that can vary. Later when the 12 year molars erupt, those can also be sealed. The 12 year molars (second molars) usually erupt between ages 8 ½ to 13 years old. Besides, children, anyone who is prone to get cavities should consider getting sealants. Also anyone with deep groves in the biting surfaces of their teeth should consider sealants, since they are hard to keep clean.

Which teeth should have sealants?
Any permanent teeth can be sealed. Molars and bicuspids (pre-molars) are the teeth that are most often sealed.

What is involved with placing sealants?
dental-sealants To place a sealant, the tooth must be very dry. Any kind of moisture could prevent the sealant from adhering to the tooth. To ensure dryness, cotton rolls may be placed around your tooth. Next a preparation gel called etch is placed on the tooth. Then that gel will be washed and suctioned (vacuumed) off and the tooth dried by blowing air. Next a bonding agent will be “painted” on the tooth. Then a blue colored ultraviolet (u.v.) light is used to activate the bonding agent. Then the sealant is placed in the groves of the biting surfaces of the tooth. Finally the blue u.v. light is used to make the sealant harden. You may be asked to close your eyes or wear orange colored glasses because it is not good for your eyes to stare at the blue u.v. light.

Does it hurt to get sealants?
Having sealants placed is a totally pain-free procedure. The materials used to place sealants do have an unpleasant taste, but that does not last long. Soon after the procedure is over you will no longer experience that taste.

How long do sealants last?
The longevity of sealants varies per person. Sealants can last up to ten years or longer.
For more information or schedule an appointment for your child, please contact our office.

Many patients will ask the hygienist or dental assistant, “Do I have to get x-rays?” or “Do I really need x-rays today? I am concerned about the dose of radiation.” For those who are hesitant about dental x-rays, here are some facts about digital x-ray exposure that will reassure patients about radiation.

In everyday activities, we experience more radiation than digital x-rays. Digital x-rays are a lot safer than traditional x-rays. Patients are exposed up to ninety percent less radiation versus the traditional x-rays.

Even though we still use a lead apron as protection from radiation, there is a small measurable difference in dose of the whole body, whether an apron is used or not. The amount of radiation from x-ray machines is small and radiation is only produced during operation. Therefore, medical problems are unlikely.

Studies have shown that the radiation dose from an Full Mouth Set(18 x-rays total) of digital X-rays is less than what a person would be exposed to in one month from environmental sources. Full Mouth Set of x-rays is usually done once every three to five years. The 18 films taken in the Full Mouth x-rays show each individual tooth in the mouth. It is very helpful in detecting any dental issues unseen by a visual oral exam.

Dexis Digital Dental X-rays
Dexis Digital Dental X-rays

Radiation dosage from Panoramic and Bitewing X-rays are even less. Bitewing x-rays are two to four films total, usually taken once to two times a year. Bitewing x-rays show the dentist and hygienist interproximal cavities, which is in between the teeth. Interproximal cavities are not found with the naked eye, which is why bitewing

x-rays are important. Panoramic is the x-ray we do every three to five years to evaluate bone loss and very helpful for patients that still have wisdom teeth.

This table shows examples of radiation exposure:

Full mouth x-rays = 10-15 USV per year
Panoramic x-ray = 6-11 USV per year
4 Bite-wing x-rays = 2-3 USV per year
Mammogram = 1-2 MSV per year
High mileage frequent flying (100,000 to 450,000 miles per year) is 1-6.7 MSV
Sunlight, Radon Gas, and living at high altitude= 6 MSV per year
Natural Background Radiation from living at sea level= 3 MSV per year

Hopefully this information will ease patients minds about digital dental x-rays. Just think about how much radiation we get exposed to in our everyday life. Then think about how many times you are asked to have x-rays taken in the dental office. Feel free to ask our Team more questions about digital x-rays!

Many people in the United States have some form of gum disease. Some cases are mild while others are more severe.

Gingivitis is a mild form of periodontal disease which is reversible. In gingivitis, the gums become red, swollen, and bleed very easily. It is seen a lot more in teenagers and young adults. Gingivitis can be easily prevented by brushing two to three times daily for a total of two minutes each time, along with flossing once daily. The good news about gingivitis is that it can be reversed if you already have it.

Periodontitis, on the other hand, is the more severe form of periodontal disease that cannot be reversed. In periodontitis, gums pull away from the teeth and form “pockets” that eventually become infected. The plaque, tarter, and bacteria gets below the gum line which starts to form spaces or “pockets.” Proper oral hygiene can prevent periodontitis. Not only does periodontal disease affect your teeth and gums, it also affects your overall health. Some examples that periodontal disease can cause are: heart disease, stroke, pancreatic cancer, osteoporosis, respiratory disease, etc.

Find below a brief pictorial representation for the various stages of periodontal disease.

stages_of_perio_disease

Usually from the minute the “cleaning” begins, you can usually tell if someone has or might be prone to periodontal disease. In some cases, patients have never been “probed” before. The probe is the instrument we use to determine the amount of bone loss a patient has. The probe has millimeter markings that go from 1 to 10 mm. Some probes can go up to 12 mm. One to three millimeters is considered healthy gums. Four millimeters and above is considered periodontal disease. Unfortunately, a lot of people are unaware of their gum health until they come in our office.

There are different ways to treat periodontal disease. Depending on how advanced the periodontal disease is, you may be referred to a gum specialist called a periodontist. First, the hygienist will do a “deep cleaning” also known as “scaling and root planing.” This, combined with proper oral hygiene, will help improve the “pockets” formed from periodontal disease. There are different ways to help keep the periodontal disease under control. You may be prescribed an antimicrobial mouth wash containing chlorhexidine that helps fight gingivitis and periodontal disease. Such mouth rinses are safe and effective. The rinse also helps heal swollen and irritated gums.

Ask our team if you have any questions about your gum health.

Body Piercing has become a very popular form of self-expression especially in young people. A tongue piercing can be very dangerous for your health even though it may look cool. The millions of bacteria that are present in your mouth can cause infection and swelling from the oral piercings. In some instances, it may become very hard for you to breathe if there is swelling of the mouth/tongue or if a part of the jewelry breaks off and blocks the airway. It is also possible that you could bite down on it and break a part of your tooth. Sometimes the fracture can be such that you may be a root canal treatment or even extraction. It could also lead to infections like hepatitis and endocarditis too.




Below is a list of few things to consider before considering an oral piercing:
1. Interference with chewing, swallowing and speech.
2. Infection, Pain and Swelling: The mouth is an ideal place of infection due to the presence of a moist environment with numerous bacteria. An infection of the oral piercing could become life threatening very easily if the airway is blocked by the swollen tongue.
3. Hypersensitivity to metals: It is also very common to see allergic reactions at the pierced site.
4. Damage to Teeth, Fillings and Gums: A very common habit of biting or playing with the piercing can cause injury to your teeth, existing fillings and your gums too.
5. Nerve Damage: A tongue piercing can cause temporary and sometimes permanent numbness of the tongue. This can affect how you taste food and/or how you move your mouth.
6. Excess Drooling: It can cause an increase in your saliva production too.
7. Difficulty during a dental appointment: Your oral jewelry can interfere with your dental treatment by blocking the X-rays.

If you already have one, then here are a few things you could do:
1. Getting checked by your dentist or physician to see if there is sign of infection.
2. Keeping the site clean and free from debris that can collect around the jewelry by brushing and using a mouthwash after every meal.
3. Avoiding the clicking of the jewelry against teeth to prevent fracture of teeth/ filling and damage to gums.
4. Making sure that the jewelry is tightly secure to prevent accidental ingestion of loose parts.
5. Wearing a protective mouth guard and removing jewelry before sports events.
6. Seeing your dentist regularly.
7. Lastly, considering removing the jewelry before too much damage is done.

For more information, call us at 205.833.5405.

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