Treating Dry Mouth

Posted by drgracesun on October 21, 2009 under Healthy Smile | Be the First to Comment

My husband is an avid snow skier, and has been hitting the slopes since he was 16 years old. Now, in his late 60s, the joints in his back have become dislocated, and eventually became herniated. The rough sport has taken its toll on his back – he has had five (yes, five) back surgeries over the past several years, and as a result, his many surgeries have left him with a constant, staggering pain – an all too common scenario with athletic individuals, especially in the sports medicine field. Having tried several medications (without much luck), he finally came across Cyclobenzaprine, a muscle relaxant that works for him. Taking the edge off of the pain however hasn’t come without its price – xerostomia, or dry mouth, is the major side effect which my husband – and many others – have a hard time dealing with.

Cotton mouth, dry mouth – xerostomia has many names, but the feelings associated with a dry, parched mouth and throat are all the same. Xerostomia is a condition in which the salivary glands of the mouth do not function as they should, and provide a less-than-adequate supply of saliva into the mouth. In the instance I mentioned above, xerostomia is not just a medical condition that derives from poor oral hygiene or bad dietary habits, but can be a unpleasant side effect from prescription medication. As  explained in an earlier blog post on toothmingle.com about dry mouth, xerostomia can stem from over 400 prescription and OTC medications, including anti-depressants, anti-hypertensives, painkillers (like Cyclobenzaprine) tranquilizers, analgesics, diuretics and antihistamines.

In most cases, as it was with my husband, the dry mouth side effect is more than acceptable, as his back pain was debilitating – but there are steps one can take to help alleviate xerostomia. Avoid alcohol and caffeinated beverages as they can parch the oral cavity View definition in a new window, leeching moisture and making the effects of xerostomia even more pronounced than normal. Dry and salty foods, processed foods (such as potato chips, candy and doughnuts) will also cause the mouth to become dry and parched. Smoking will also leave the mouth overly dry and uncomfortable (not to mention its devastating effects on your teeth and lungs).

Drinking water will definitely help curb dry mouth, so take small sips of quality water often. The important things to realize is how important it is to keep your oral hygiene in top condition.  Oftentimes, the random decay associated with dry mouth is hard to treat; fluoride View definition in a new window treatment at home or at a dental office is a good idea. Keeping a humidifier in your bedroom can also help to eliminate some discomfort with dry mouth.

There are over the counter and prescription drugs available to eliminate symptoms and signs of dry mouth; if home remedies and correction of your diet and habits does not solve the problem, consult with your dental or medical professional.

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“Is Your Oral Health Declining?”

Posted by drgracesun on June 1, 2009 under Healthy Smile, Information | Be the First to Comment

Has the global credit crunch put its vice grip on your life? Whether you are hurting in these tough financial times or not, stress is a factor many people have a hard time escaping, and with stress comes habits which can be potentially damaging to your oral health. Cleaning your teeth twice daily with floss and your tooth brush is no doubt important, especially after meals, but what else can you do to keep your mouth clean and healthy in a stressful climate?

Lower stress levels will benefit your oral health!

Lower stress levels will benefit your oral health!

The global economic crisis has no doubt taken its toll on Americans and global citizens alike, whether that toll is financial stress, family burdens or career changes. Alcohol consumption and cigarette smoking are among the most common de-stressers in popular American culture, and although these practices may temporarily relieve some of your mental tension, they can create serious problems in your mouth. I have previously discussed the dangers of alcohol in the mouth (and its tendency to increase one’s likelihood of developing oral cancer) as well as the respiratory , cardiovascular and general connective tissue problems associated with smoking cigarettes, but stress often leads to a combination of bad habits and bad oral hygiene.

The best way to avoid declining oral health, of course, is to limit or substitute activities which can damage your health, like smoking and drinking. However, if you find this to be too difficult to overcome (especially in a recession View definition in a new window when no job is 100% secure), at least stay vigilant with your daily oral hygiene routine. Brush and floss after every meal, and after drinking or smoking. The idea of brushing your teeth after having a drink may not be appetizing at first, but the acidity from the alcohol will erode your precious teeth away! Keeping up on your oral hygiene routine could also help de-stress your financial life as well: taking care of your mouth can lead to reduced cavity View definition in a new window occurrences, less sensitivity, and fewer overall dental problems which will save you money in the long run.

Finally, besides having a healthier diet and an optimistic outlook, regular exercise will help keep yourself in good shape! Keep up your teeth cleanings and check-ups – these are crucial. If you are overdue on a dental cleaning, schedule a visit now!  Visiting your dental professional is key in identifying problem areas in your hygiene routine, possible cavities or severe night grinding (which causes excessive wear of your teeth (or other issues)) are usually undetectable without professional consultation. Early detection and preventive measures will prevent costly repair work down the line!

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“Mouthwash That Kills?”

Posted by drgracesun on May 9, 2009 under Healthy Smile, Information, Smart Smile | Read the First Comment

A patient of mine recently sent me this message – I was briefly shocked for a brief second, but then agreed! It is known that alcoholic mouthwash can pose a health risk to your body (and even cause cancer), but I never thought a product marketed as “safe” would actually kill mosquitoes!

mosquitoes

Dr. Sun, I was at a deck party awhile back, and the bugs were having a ball biting everyone. The host at the party sprayed the lawn and deck floor with Listerine, and the little demons disappeared. The next year I filled a 4-ounce spray bottle and used it around my seat whenever I saw mosquitoes. And voila!”

This little anecdote really makes you think twice about using alcoholic mouthwash! Ethanol contained in some mouthwash rinses dramatically increase the ability of cancer-causing substances to penetrate the lining of your mouth, and other harmful chemicals such as Acetaldehyde – which forms in a person’s mouth after using alcoholic mouthwash – are suspected to be carcinogenic. These chemicals are not only harmful to the body, but as we’ve learned, are strong enough to kill certain organisms, which should make you think twice about using alcoholic mouthwash!

If you are concerned about cleaning your mouth with a rinse, try a non-alcoholic alternative which is often natural, safe and just as effective as an alcoholic mouthwash. My favorite is Tooth & Gum Tonic. If you have any questions about mouthwash or how to find an effective and safe rinse, consult with your dental professional!

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Oral Cancer

Posted by drgracesun on April 13, 2009 under Information, Smart Smile | Be the First to Comment

Cancer is devastating, but through prevention we can often detect oral cancer’s presence in early stages (essential for survival). Oral cancer kills roughly one person per hour in America, more than 34,000 Americans will be diagnosed this year and only half will be alive in 5 years. If you expand the oral cancer to the larynx and the data to world wide, over 400,000 new cases are found each year according to the Oral Cancer Foundation.

Of the many known risk factors associated with oral cancer, cigarette smoking and alcohol consumption are the most common. When you smoke tobacco or drink alcohol, the harmful substances introduced to your body have adverse effects on your organs, and are both addictive and linked to numerous types of cancers, not just oral cancer. There are 50 known carcinogens and among 4000 different chemicals in cigarette tobacco smoke, 9 out of every 10 oral cancer patients are smokers. Frequent drinking will dramatically increase the ability of cancer-causing substances present in alcoholic beverages to penetrate the lining of your mouth, such as Acetaldehyde – which forms in a person’s mouth after using alcoholic mouthwash (suspected to be carcinogenic). Human Papilloma Virus, (HPV) is another common contributor to oral cancer. Common symptoms of the beginning stages of oral cancer include rough bumps or patchy legions on the lips or tongue, or any part of the mouth, white sores which are sensitive to temperature and pressure, and difficulty swallowing.

Unfortunately, most oral cancer cells are malignant and can rapidly spread to surrounding tissues (most of these cases were found in a late stage). Early detection is essential to increasing the chances of successfully treating oral cancer. There are several ways to screen for oral cancer, an advanced and non-invasive way  to screen is through use of the VELscope, which produces a fluorescent light onto oral tissues. If the fluorescent luminescence reflects off of the oral tissue, no cancer is present. Cancerous tissue will absorb the light and appear dark on the device. There are other methods for oral cancer screenings also, be sure to request one at your next dental check-up visit, especially if you fall into the high risk group of being male, over 40, who smokes and drinks.

If detected early, oral cancer patients have up to a 90% survival rate. The key to preventing oral cancer is to lead a healthy lifestyle and have regular checkups with both your dental and general health care professional.

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“Smoking & Drinking Your Teeth Away!”

Posted by drgracesun on March 28, 2009 under Healthy Smile, Information | Be the First to Comment

There is no way around it: smoking and drinking have a detrimental effect on your dental health, in addition to the rest of your body’s health. There could be arguments about the benefits of a glass of red wine or the medical use of marijuana, but as your health provider, my message is to encourage a clean , healthy drug-free way of living! When you smoke tobacco or drink alcohol, the harmful substances introduced to your body have adverse effects on your organs, and are both addictive and linked to cancers. As far as to your dental health, they can lead to tooth staining and discoloration, tooth decay, gum inflammation and disease, bone loss even tooth loss, as well as an increased risk of developing oral cancer.

Smoking and drinking directly passes foreign material through the oral cavity View definition in a new window, generating adverse effects on your oral cavity. Alcohol is a desiccant (drying things up); heavy drinking dramatically decreases moisture needed to maintain a healthy oral cavity. A dry mouth increases one’s likelihood of developing tooth decay, gum disease, bad breath, fungal infection, burning sensations or soreness of the mouth. Alcohol’s acidic nature can also erode the enamel View definition in a new window coating on a drinker’s teeth, leading to an increased chance of sensitivity and decay. Long-term contact with alcohol in the oral cavity has also been found to be possibly carcinogenic. Frequent drinking will dramatically increase the ability of cancer-causing substances present in alcoholic beverages to penetrate the lining of your mouth, such as Acetaldehyde – which forms in a person’s mouth after using alcoholic mouthwash (suspected to be carcinogenic).

Smoking is equally detrimental to your oral health. Bad breath (halitosis), sinusitis and tooth discoloration will be the first signs of oral stress of a smoker, as nicotine and tar present in cigarette smoke stains the teeth. Smoking can also result in gum disease, leading to bone loss and tooth loss from decreases in blood flow and oxygen level, and increased plaque and tartar build-up. Smoking also raises the temperature of your mouth to 140-160º F, causing constant irritation and inflammation. An increased risk of developing oral cancer is also a consequence which should not to be over looked – there are 4000 different chemicals in tobacco smoke and 50 are known carcinogens. Nearly 90% of all oral cancer patients are smokers!

In all, smoking and drinking equally wreak havoc on your teeth, gums and oral environment. Avoid smoking and drinking at all costs, and keep your oral hygiene in tip-top condition by brushing , flossing , fluoridation, proper nutrition, and increasing the intake of supplements of vitamin Bs and C. Antioxidants are essential as well.

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“Can Mouthwash Cause Cancer?!”

Posted by drgracesun on February 28, 2009 under Information, Smart Smile | Read the First Comment

If you think mouthwash makes you more kissable, think again!

Don't use alcoholic mouthwash!

Don't use alcoholic mouthwash!

Over the counter mouthwash only temporarily masks your bad breath, but the alcohol contained in the mouthwash will dry your mouth out and eventually make your breath worse. Recent studies however have mentioned mouthwash and its potential link to cancer – scary!

Most mouthwash brands contain alcohol in their mouthwash formula. Rinsing your oral environment with any alcoholic substances make it easier for cancer-causing chemicals (like nicotine) to penetrate the oral tissue which lines the mouth, an extreme hazard for smokers. Some mouthwashes even contain alcohol amounts higher than drinks you can purchase in a bar, up to 26% (or 52 proof)! Particularly, ethanol contained in some mouthwash rinses dramatically increase the ability of cancer-causing substances to penetrate the lining of your mouth, and other harmful chemicals such as Acetaldehyde – which forms in a person’s mouth after using alcoholic mouthwash – are suspected to be carcinogenic. Some studies show an increased risk of oral cancer, particularly in the larynx, pharynx or oral cavity View definition in a new window, of up to 5 times that of a non-alcoholic-mouthwash user, with alcohol and tobacco user risks even higher of up to 9 times, if alcoholic mouthwashes were used twice daily. Alcohol has long been established as a cancer risk; using alcoholic mouthwash, you have a much higher level of alcohol in your mouth, and combined with swishing it around in your mouth, it carries a very harmful effect on your mouth. More detailed research is necessary to substantiate these claims, but all alcoholic-mouthwash users should take caution.

Keep up your best oral hygiene with good habits: brush and floss twice a day and after every meal (2 minute count-down!), and clean your tongue once a day. Watch what you eat (no more Kimchi), and if you have postnasal drip or airway allergies (or a dry mouth), seek professional help. But what about mouthwash? Although it can benefit your oral cavity for a short period of time, not everyone should be rinsing with mouthwash that contains alcohol, particularly if you’re a smoker.

How do you choose a safe mouthwash? If you enjoy the refreshing sensation from swishing with mouthwash, read the label! There are non-alcoholic mouthwash products that work by neutralizing mouth odors (caused by volatile sulfur compounds) like Oxyfresh, Tom’s Maine Natural Cleaning Mouthwash, BreathRx and Tooth and Gum Tonic (my personal favorite), which is most effective at controlling bad breath. Tooth and Gum Tonic also carries an anti-inflammatory effect from the herbs and essential oil ingredients, which provide therapeutic sensations to gingivitis View definition in a new window sufferers. And remember, if you can, quit unhealthy habits like smoking and drinking!

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