Oral Health: The Mouth-Body Connection

Oral Health: The Mouth-Body Connection

 

What Your Dental Health Says About You

It's easy to ignore the effects of poor oral hygiene because they're hidden in your mouth. But gum disease may point to problems with diabetes and heart disease and loose teeth could be a sign of osteoporosis. Could it be that a healthy mouth means more than just a sparkling smile? And what could your dentist learn about you the next time you open wide?

Your Mouth, the Gateway to Your Body

To understand how the mouth can affect the body, it helps to understand what can go wrong in the first place. Bacteria builds up on teeth make gums prone to infection. The immune system moves in to attack the infection and the gums become inflamed. The inflammation continues unless the infection is brought under control.

Over time, inflammation and the chemicals it releases eat away at the gums and bone structure that hold teeth in place. The result is severe gum disease, known as periodontitis. Inflammation can also cause problems in the rest of the body.

Oral Health and Diabetes

The working relationship between diabetes and periodontitis may be the strongest of all the connections between the mouth and body. Inflammation that starts in the mouth seems to weaken the body’s ability to control blood sugar. People with diabetes have trouble processing sugar because of a lack of insulin, the hormone that converts sugar into energy.

"Periodontal disease further complicates diabetes because the inflammation impairs the body’s ability to utilize insulin," says Pamela McClain, DDS, president of the American Academy of Periodontology. To further complicate matters, diabetes and periodontitis have a two-way relationship. High blood sugar provides ideal conditions for infection to grow, including gum infections. Fortunately you can use the gum disease-diabetes relationship to your favor: managing one can help bring the other under control.

Oral Health and Heart Disease

Though the reasons are not fully understood, it’s clear that gum disease and heart disease often go hand in hand. Up to 91% of patients with heart disease have periodontitis, compared to 66% of people with no heart disease. The two conditions have several risk factors in common, such as smoking, unhealthy diet, and excess weight. And some suspect that periodontitis has a direct role in raising the risk for heart disease as well.

"The theory is that inflammation in the mouth causes inflammation in the blood vessels," says Cram. This can increase the risk for heart attack in a number of ways. Inflamed blood vessels allow less blood to travel between the heart and the rest of the body, raising blood pressure. "There’s also a greater risk that fatty plaque will break off the wall of a blood vessel and travel to the heart or the brain, causing a heart attack or stroke," Cram explains.

Oral Health and Pregnancy

Babies born too early or at a low birth weight often have significant health problems, including lung conditions, heart conditions, and learning disorders. While many factors can contribute to premature or low birth weight deliveries, researchers are looking at the possible role of gum disease. Infection and inflammation in general seem to interfere with a fetus’ development in the womb.

Though men have periodontitis more often than women do, hormonal changes during pregnancy can increase a woman’s risk. For the best chance of a healthy pregnancy, McClain recommends a comprehensive periodontal exam "if you’re pregnant or before you become pregnant to identify whether or not you’re at risk."

Oral Health and Osteoporosis

Osteoporosis and periodontitis have an important thing in common, bone loss. The link between the two, however, is controversial. Cram points out that osteoporosis affects the long bones in the arms and legs, whereas gum disease attacks the jawbone. Others point to the fact that osteoporosis mainly affects women, whereas periodontitis is more common among men.

Though a link has not been well established, some studies have found that women with osteoporosis have gum disease more often than those who do not. Researchers are testing the theory that inflammation triggered by periodontitis could weaken bone in other parts of the body.

Oral Health and Smoking

Not smoking is one of the most important things you can do for your mouth and your body. According to the CDC, a smoker’s risk of severe gum disease is three times higher than someone who does not smoke.

"Nicotine in cigarettes causes blood vessels to constrict," McClain tells WebMD. This interferes with your gums’ ability to fight infection. Not only has smoking interfered with treatment -- gum surgeries tend to be more complicated and recovery more difficult.

Oral Health and Other Conditions

The impact of oral health on the body is a relatively new area of study. Some other mouth-body connections under current investigation include:

·         Rheumatoid Arthritis. Treating periodontal disease has been shown to reduce pain caused by rheumatoid arthritis.

·         Lung Conditions. Periodontal disease may make pneumonia and chronic obstructive pulmonary disease worse, possibly by increasing the amount of bacteria in the lungs.

·         Obesity. Two studies have linked obesity to gum disease. It appears that periodontitis progresses more quickly in the presence of higher body fat.

The Bottom Line on Oral Health

One thing is clear: the body and mouth are not separate. "Your body can affect your mouth and likewise, your mouth can affect your body," says McClain. "Taking good care of your teeth and gums can really help you live well longer." This means brushing twice a day, flossing once a day, and going for regular dental cleanings and check-ups.

Cram stresses the importance of letting your dentist know your full family medical history. And, she adds, "if you have periodontal disease, make sure you see your dentist frequently and get it treated promptly, before it progresses to the point where you begin losing teeth or it starts to affect your overall health."

Source: WebMD

The Importance of Early Dental Visits

  

Taking your children for dental checkups early helps them begin a life of  good oral hygiene and health.

At Anchor Family Dentistry we usually see children as early as 2 years of age. Sometimes we see children even earlier than that. Usually our first visits consists of getting the kids used to the dentist chair and educating  parents of how to care for their little ones teeth, dietary suggestions and things to avoid.

So when should you take your child for their first visit?

It is recommended that infants have an initial check up with a dentist by the age of one. In some cases however, If your child has transitioned from bottle to a cup and does not snack at night time, then it is suggested that you can bring in your child at the age of 2. If your child has a habit of sleeping with a bottle filled with formula or drink, then there is a risk of baby bottle caries.

What is Baby Bottle Caries

Baby bottle caries describes tooth decay found in infants and young children. It generally occurs when sweet liquids, or those with natural sugars cling to infants teeth. These sugars are very attractive to natural bacteria in an infants mouth. The bacteria thrive on the sugar in these liquids and produce acids which erode and cause enamel decay. Baby bottle caries occurs when children are left to nap while drinking formula or drinks through a bottle or sippy cup. There is an inherent problem as there is a decrease of saliva during sleep, which causes a proliferation of bacteria. 

If your child sleeps with a formula bottle or sippy cup at naptime, you should  take steps to stop the habit, and also take your infant for a dental check up. 

So why are baby teeth Important?

Some parents may think that baby teeth are temporary and not important, however, this is not the case.

Baby teeth are important for chewing, speaking and smiling. They are also vital for maintaining space for adult/ permanent teeth. If left untreated, the infant would have to deal with pain, infection and early loss of teeth. This in turn causes maloclussion or misaligned teeth, gum disease  as a result of poor alignment of teeth and other significant dental issues as an adult. 

So what should you do?

1. Wipe your baby's gum with gauze or washcloth
2. Clean and massage gums if there are no teeth yet
3. Floss between teeth if all baby teeth have come in
4. Make sure your child gets fluoride after 2 years
5. Schedule regular dental check ups

Common Dental Emergencies

Any dental emergency like an injury to the teeth or gums can be potentially serious and should not be ignored. Ignoring a dental problem can increase the risk of permanent damage as well as the need for more extensive and expensive treatment later on.

Here are a few quick things to do in case you do have a dental emergency:

Always contact your dentist as soon as you can and get in as soon as you can for a dental emergency to have your tooth/teeth looked at.  

 Toothaches

First, thoroughly rinse your mouth with warm water. Use dental floss to remove any lodged food. If your mouth is swollen, apply a cold compress to the outside of your mouth or cheek. Never put aspirin or any other painkiller against the gums near the aching tooth because it may burn the gum tissue. Rinsing with a tepid crystal salt water solution will help reduce swelling and detoxify the mouth. Real vanilla extract placed on a cotton ball and then dabbed around an irritation may also help relieve pain.

Chipped or broken teeth: 

Save any pieces. Rinse the mouth using warm water; rinse any broken pieces. If there's bleeding, apply a piece of gauze to the area for about 10 minutes or until the bleeding stops. Apply a cold compress to the outside of the mouth, cheek, or lip near the broken/chipped tooth to keep any swelling down and relieve pain. Take ibuprofen, not aspirin, for pain. Your dentist can smooth out minor fractures with a sandpaper disc. Alternatively, restorative procedures may be needed to fix the tooth.

 Tooth Chips on Denture

If you wear dentures and a tooth breaks or chips, wear your spare dentures until you can visit your dentist. If you do not have a spare set or cannot get to the dentist's office soon, use cyanoacrylate (heavy-duty, quick-drying "super" glue) to glue the tooth or the piece of the tooth back into place. Remember—this is only a temporary measure until your dentist can properly repair your tooth and should only be used for dentures! Never attempt to glue a natural tooth or part of a natural tooth back into place!

Knocked-out tooth

 Retrieve the tooth, hold it by the crown (the part that is usually exposed in the mouth), and rinse off the tooth root with water if it's dirty. Do not scrub it or remove any attached tissue fragments. If possible, try to put the tooth back in place. Make sure it's facing the right way. Never force it into the socket. If it's not possible to reinsert the tooth in the socket, put the tooth in a small container of milk (or cup of water that contains a pinch of table salt, if milk is not available) or a product containing cell growth medium, such as Save-a-Tooth. In all cases, see your dentist as quickly as possible. Knocked out teeth with the highest chances of being saved are those seen by the dentist and returned to their socket within 1 hour of being knocked out.

 Extruded (partially dislodged) tooth

See your dentist right away. Until you reach your dentist's office, to relieve pain, apply a cold compress to the outside of the mouth or cheek in the affected area. Take an over-the-counter pain reliever (such as Tylenol or Advil) if needed.

 Objects caught between teeth

First, try using dental floss to very gently and carefully remove the object. If you can't get the object out, see your dentist. Never use a pin or other sharp object to poke at the stuck object. These instruments can cut your gums or scratch your tooth surface.

Lost filling

As a temporary measure, stick a piece of sugarless gum into the cavity (sugar-filled gum will cause pain) or use an over-the-counter dental cement. Then See Your Dentist immediately!!

       

Lost crown.

If the crown falls off, make an appointment to see your dentist as soon as possible and bring the crown with you. If you can't get to the dentist right away and the tooth is causing pain, use a cotton swab to apply a little clove oil to the sensitive area (clove oil can be purchased at your local drug store or in the spice aisle of your grocery store). If possible, slip the crown back over the tooth. Before doing so, coat the inner surface with an over-the-counter dental cement, toothpaste, or denture adhesive, to help hold the crown in place. Do not use super glue!

 Broken braces and wires

If a wire breaks or sticks out of a bracket or band and is poking your cheek, tongue, or gum, try using the eraser end of a pencil to push the wire into a more comfortable position. If you can't reposition the wire, cover the end with orthodontic wax, a small cotton ball, or piece of gauze until you can get to your orthodontist's office. Never cut the wire, as you could end up swallowing it or breathing it into your lungs.

 Loose brackets and bands

Temporarily reattach loose braces with a small piece of orthodontic wax. Alternatively, place the wax over the braces to provide a cushion. See your orthodontist as soon as possible. If the problem is a loose band, save it and call your orthodontist for an appointment to have it recemented or replaced (and to have missing spacers replaced).

 Abscess

Abscesses are infections that occur around the root of a tooth or in the space between the teeth and gums. Abscesses are a serious condition that can damage tissue and surrounding teeth, with the infection possibly spreading to other parts of the body if left untreated.

 Because of the serious oral health and general health problems that can result from an abscess, see your dentist as soon as possible if you discover a pimple-like swelling on your gum that usually is painful. In the meantime, to ease the pain and draw the pus toward the surface, try rinsing your mouth with a mild salt water solution (1/2 teaspoon of table salt in 8 ounces of water) several times a day.

 Soft-tissue injuries and Bleeding

Injuries to the soft tissues, which include the tongue, cheeks, gums, and lips, can result in bleeding. To control the bleeding, here's what to do:

Rinse your mouth with a mild salt-water solution.

1. Use a moistened piece of gauze or tea bag to apply pressure to the bleeding site. Hold in place for  15 to 20 minutes.
2. To both control bleeding and relieve pain, hold a cold compress to the outside of the mouth or cheek in the affected area for 5 to 10 minutes.
3. If the bleeding doesn't stop, see your dentist right away or go to a hospital emergency room. Continue to apply pressure on the bleeding site with the gauze until you can be seen and treated.

Cavity Calming Solutions: Applying ice (on and off) to the affected area or to the cheek may help sooth irritated nerves and reduce swelling. Oil of cloves (from the pharmacy), or even fresh cloves from the spice rack, have been known as an aid in relieving pain naturally. Never place an aspirin directly on a painful area inside the mouth.

We often say the mouth is the gateway to total wellness. Treat your mouth with respect and care, including eating a healthy, antioxidant-rich diet, and exercising and brushing three times a day. Visit your dentist regularly for cleanings and oral health exams. Your dentist may be able to prevent a possible emergency by catching dental problems before they begin - saving you a lot of discomfort and a potential emergency visit later. And common dental issues, such as gum disease, may be precursors to other, more serious illnesses. Studies from Harvard and other major medical institutions have proven that poor gums can put you at high risk for diabetes, heart disease and other illness.

Many people see their dentist more than they see any other doctor. If you are like many who are afraid to see the dentist regularly, ask about "pain free" dental care. Today's dental science has come a long way - and patients should not be afraid to seek good oral health options. If you are concerned because you do not have insurance, talk to your dentist about possible payment options or other forms of help that may be available.

Work Cited

WebMD

Smoking and Oral Health

Smoking leads to dental problems, including:

·         Bad breath

·         Tooth discoloration

·         Inflammation of the salivary gland openings on the roof of the mouth

·         Increased buildup of plaque and tartar on the teeth

·         Increased loss of bone within the jaw

·         Increased risk of leukoplakia, white patches inside the mouth

·         Increased risk of developing gum disease, a leading cause of tooth loss

·         Delayed healing process following tooth extraction, periodontal treatment, or oral surgery

·         Lower success rate of dental implant procedures

·         Increased risk of developing oral cancer

How Does Smoking Lead to Gum Disease?

Smoking and other tobacco products can lead to gum disease by affecting the attachment of bone and soft tissue to your teeth. More specifically, it appears that smoking interferes with the normal function of gum tissue cells. This interference makes smokers more susceptible to infections, such as periodontal disease, and also seems to impair blood flow to the gums - which may affect wound healing.

 

Do Pipe and Cigar Smoking Cause Dental Problems?

Yes, like cigarettes, pipes and cigars do lead to oral health problems. According to results of a 23-year long study published in the Journal of the American Dental Association, cigar smokers experience tooth loss and alveolar bone loss (bone loss within the jawbone that anchors teeth) at rates equivalent to those of cigarette smokers. Pipe smokers also have a similar risk of tooth loss as cigarette smokers. Beyond these risks, pipe and cigar smokers are still at risk for oral and pharyngeal (throat) cancers -- even if they don't inhale -- and other oral consequences -- bad breath, stained teeth, and increased risk of periodontal (gum) disease.

Are Smokeless Tobacco Products Safer?

No. Like cigars and cigarettes, smokeless tobacco products (for example, snuff and chewing tobacco) contain at least 28 chemicals that have been shown to increase the risk of oral cancer and cancer of the throat and esophagus. In fact, chewing tobacco contains higher levels of nicotine than cigarettes, making it harder to quit than cigarettes. And one can of snuff delivers more nicotine than over 60 cigarettes.

Smokeless tobacco can irritate your gum tissue, causing it to recede or pull away from your teeth. Once the gum tissue recedes, your teeth roots become exposed, creating an increased risk of tooth decay. Exposed roots are also more sensitive to hot and cold or other irritants, making eating and drinking uncomfortable. In addition, sugars, which are often added to enhance the flavor of smokeless tobacco, can increase your risk for tooth decay. A study published in the Journal of the American Dental Association showed that chewing tobacco users were four times more likely than nonusers to develop tooth decay.

Smokeless tobacco also typically contains sand and grit, which can wear down your teeth.

 

Kick the Tobacco Habit

Regardless of how long you have used tobacco products, quitting now can greatly reduce serious risks to your health. Eleven years after quitting, former smokers' likelihood of having periodontal (gum) disease was not significantly different from people who never smoked.

Even reducing the amount you smoke appears to help. One study found that smokers who reduced their smoking habit to less than half a pack a day had only three times the risk of developing gum disease compared with nonsmokers, which was significantly lower than the six times higher risk seen in those who smoked more than a pack and a half per day. Another study published in the Journal of the American Dental Association found that the mouth lesion leukoplakia completely resolved within 6 weeks of quitting in 97.5% of patients who used smokeless tobacco products.

Some statistics from the American Cancer Society present some other sobering reasons to quit smoking. They state that:

·         About 90% of people with cancer of the mouth, lips, tongue, and throat use tobacco, and the risk of developing these cancers increases with the amount smoked or chewed and the duration of the habit. Smokers are six times more likely than nonsmokers to develop these cancers.

·         About 37% of patients who persist in smoking after apparent cure of their cancer will develop second cancers of the mouth, lips, tongue, and throat, compared with only 6% of those who stop smoking.

Work Cited

Article Obtained from WebMD

Sensitive Teeth

What causes sensitive teeth?

Using Mouthwash

Love keeping your breath minty fresh? If you grab frequent swigs of mouthwash throughout the day, you may be setting yourself up for sensitive teeth. That's because some mouthwashes contain acids that may make already-sensitive teeth worse.

 

 

 

 

 

 

 

 

The solution: Ask your dentist about neutral fluoride rinses.

Eating Acidic Foods

Can't get enough tomatoes, citrus, fruit juices, and other acidic goodies? Your teeth can. Enjoy too many acid-rich foods and drinks and you could erode the protective enamel on your teeth, exposing the vulnerable dentin beneath. Can't give up these tart favorites?

 

 

 

 

 

 

 

 

 

The solution: Help neutralize the acids with a piece of cheese or glass of milk after eating.

Tooth Whiteners and some toothpastes

Just about everyone wants a brighter smile, but for some people, tooth whiteners and toothpastes with peroxide-based bleaching solutions can cause sensitive teeth. The sensitivity is often temporary, going away once you stop using the product. Looking for the best options for you? Talk to your dentist.

 

The Solution: Speak to your dentists about sensitivity associated with certain products. There are newer products which address sensitivity issues

Receding Gums

The roots of your teeth contain thousands of tiny tubes that lead to the nerve center of your teeth. Usually teeth roots are hidden under a protective cover of gum tissue. But if you have periodontal disease, the gums may start pulling away from teeth, exposing the ultra-sensitive root. Receding gums need a dentist's help, so talk to yours.

 

The solution. Periodontal / Gum treatment, speak to your dentist

 

 

Brushing your teeth too hard

Think brushing your teeth harder cleans them better? Think again. Brushing too strenuously (or using a hard-bristled brush) can expose tooth roots by causing gum recession. It can also wear away your tooth's enamel and expose dentin (yellow). Holes in the dentin are really microscopic tubes (blue) that allow hot, cold, and sweet foods to stimulate tooth nerves. Ouch!

 

The solution : Use a soft bristled tooth brush

Recent Dental Work

It hardly seems fair, but sometimes keeping your pearly whites in good condition with regular dental care can actually make them sensitive. Teeth cleanings, replacement crowns, tooth restorations, and root planing can all lead to some short-term tooth sensitivity. If you're worried about this before a procedure, talk to your dentist.

The solution: Speak to your dentist about sensitivity issues

Cracked Teeth

Munching ice, biting into hard candies, having large fillings -- they can all lead to chipped, broken teeth. Once a tooth is cracked (left), the nerve-rich pulp hidden deep inside may become irritated when chewing rubs the cracked tooth pieces together. A crack may also fill with bacteria, leading to inflammation, which can result in even more pain

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The Solution: Bonding with Resin restoration or crown depending on the  extent of fracture


Grinding/Clenching your teeth

Tooth enamel is the strongest material in your body, but it's no match for the power of clenching or grinding. Over time, both of these often-unconscious habits can wear away tooth enamel, leaving your teeth's nerves more vulnerable. Mouth guards, lifestyle changes, and even diet adjustments can all help combat clenching and grinding.

The Solution: You might need a mouth guard


Tooth Decay

Decay, like this cavity, exposes the root of your tooth to a whole host of irritants: hot, cold, sweets, even air. Good oral hygiene, eating right, and seeing your dentist regularly are the best ways to battle decay and keep your teeth in top form.

Be Good to Your Mouth

You don't have to go it alone; talk to your dentist to discover exactly what's behind your sensitive teeth. To strengthen your pearly whites, you may need to make a few more changes to your oral care routine, like switching to a soft-bristled tooth brush, using a desensitizing toothpaste, or trying a fluoridated mouth rinse.

 

Sources

American Dental Association

Cleveland Clinic

Dr. Alfred D Wyatt Jr., DMD

 

Chewing Gum

CHEWING SUGARLESS GUM

(An Article from the American Dental Association)

What is chewing gum?

Chewing gum in various forms has been around since ancient times.  Today, the base used for most gum products is a blend of synthetic materials (elastomeres, resins and waxes in various proportions). Chewing gum is quite popular  and consumers may be used to thinking about chewing gum as a kind of candy.However, those chewing gums with the ADA Seal recognizes chewing gum that has demonstrated scientifically that it can protect the teeth. 

What does chewing gum do?

The physical act of chewing increases the flow of saliva in your mouth.  If you chew after eating, the increased salivary flow can help neutralize and wash away the acids that are produced when food is broken down by the bacteria in plaque on your teeth.  Over time, acid can break down tooth enamel, creating the conditions for decay.  Increased saliva flow also carries with it more calcium and phosphate to help strengthen tooth enamel. Clinical studies have shown that chewing sugarless gum for 20 minutes following meals can help prevent tooth decay.  In the future, look for chewing gum that delivers a variety of therapeutic agents that could provide additional benefits to those provided by the ability of gum to mechanically stimulate saliva flow. For instance, some gum might contain active agents that could enhance the gum’s ability to remineralize teeth and reduce decay, or enable gum to help reduce plaque and gingivitis.

Does chewing gum replace brushing and flossing?

No, chewing gum is an adjunct to brushing and flossing, but not a substitute for either. The ADA recommends brushing twice a day with a fluoride toothpaste and cleaning plaque from between your teeth once a day with dental floss or other interproximal dental cleaner.

What is in chewing gum and how is it made?

Chewing gum typically consists of:

• Gum base    
• Artificial sweeteners (such as aspartame, sorbitol or mannitol)    
• Softeners (glycerin or other vegetable oil products)    
• Flavorings and colorings

The process for making chewing gum has six basic steps:

• Gum base ingredients are melted together   
• Other ingredients are added until the warm mix thickens like dough   
• Machines called extruders are used to blend, smooth and form the gum   
• The gum is shaped (flattened or molded into tablet shapes and coated)   
• The gum is cooled for up to 48 hours in a temperature controlled room   
• The gum is packag

How does chewing gum get the Seal?

A company earns the ADA Seal for its product by showing with scientific evidence that the chewing gum is effective for one or more specific indications, such as reducing plaque acids, promoting remineralization of tooth enamel, reducing cavities and/or reducing gingivitis.  Studies must also show that the gum is safe to oral tissues.  The manufacturer must provide the results of both laboratory studies and clinical studies in humans.

Does the ADA award its Seal to sugar-containing gum?

To date, the only gum with the ADA Seal are sugarless.  They are sweetened by non-cavity causing sweeteners such as aspartame, sorbitol or mannitol.  Chewing sugarless gum has been shown to increase the flow of saliva, thereby reducing plaque acid, strengthening the teeth and reducing tooth decay.  Of course, chewing sugar-containing gum also increases saliva flow, but it also contains sugar which is used by plaque bacteria to produce decay-causing acids. Further research needs to be done to determine the effects of chewing sugar-containing gum on tooth decay.

Why look for chewing gum that displays the ADA Seal?

The Seal is your assurance that the Sugar-free Chewing Gum has met the ADA criteria for safety and effectiveness. You can trust that claims made on packaging and labeling for ADA-Accepted products are true, because companies must verify all of the information to the ADA. Look for the ADA Seal because products with the ADA Seal say what they do and do what they say.