What do Olympic divers, your local swim instructor and you – if you’re a swimmer – all have in common? Apart from a love for the water, exercise and the sport, there is a common risk of developing dark yellow or brown stains on the teeth of all avid swimmers who spend at least six hours a week in the pool!
The Academy of General Dentistry (AGD) has recently concluded a study on athletic swimmers who swim laps more than six hours a week, which has shown that exposure to chemically treated pool water can cause organic deposits to form on the teeth of these swimmers. Pool water is routinely treated with chemicals to keep the water clean for swimming, but these chemicals inadvertently raise a pool’s pH level to a level more basic than saliva (higher pH). By opening the mouth and exposing your teeth to pool water which contains antimicrobial chemicals, the water causes salivary proteins to break down and form deposits on teeth.
Why does this matter? Unfortunately, as deposits are formed on swimmer teeth, calculus buildup – hard, brown tartar deposits – appear predominantly on the front teeth and can be difficult to remove. Apart from keeping the mouth closed while swimming, avid swimmers should have their teeth professionally cleaned up to twice as often as non-swimmers (approximately four times a year). In addition to calculus deposits, the pool area can be a dangerous place for the mouth. When coming to the surface of a pool, rise gracefully! Many people hit their front teeth on a pool ledge, which can cause serious damage to the teeth and supporting jaw. Slippery pool decking can also cause falls which often chip , break or severly damage your teeth or mouth. Take precaution, be safe and healthy, but enjoy and have fun with swimming – it’s a great exercise and a lifetime sport that benefits the body and the whole person !
If you’re an athlete, you should wear a mouth guard. No matter what type of contact sport is at hand, sports-related dental injuries are extremely common, accounting for more than 600,000 emergency room visits each year alone! Chipped and broken teeth, jaw bone injuries and concussions to the brain are just a few of the many serious injuries athletes face which can be prevented with the use of a mouth guard. If you’re one of 4 million scuba diving enthusiasts, a good fitting mouth piece could prevent jaw joint pain, toothache or gum irritation when coming to the surface. For ultimate performance, a mouth guard will reposition the jaw to properly open the airway and increase the oxygen intake, which can be very beneficial for athletes who posses deep bite issues.
Always wear a mouth guard during sports!
Besides preventing sports injuries [and other benefits of wearing a properly fitted mouth guard], one should look into other aspects of the mouth guard. In particular, the proper cleaning and storing of your mouth guard will prevent it from growing harmful bacteria and mold which could be life-threatening. Noted in a recent dental publication in the September/October 2007 issue of General Dentistry, mouth guards “harbor large numbers of bacteria, yeasts and molds that can possibly lead to life and/or health-threatening infectious/inflammatory diseases.”
The material used in mouth guard construction is not completely solid – like most plastics, the surface of a mouth guard is porous, and can harbor microscopic bacteria if not cleaned and stored properly. If these tiny organisms are allowed to grow and multiply, the mouth guard which is meant to protect you could actually be harming your teeth, gums and bodily health.
To assure a clean and properly functioning mouth guard, both your mouth and the mouth guard should be clean before wearing it. Be sure not to share guards between team members. Once you are finished with the mouth guard, brush it with toothpaste and rinse it under running water. Once the guard has been properly cleaned, store it in an open air container – a sealed space will promote bacterial growth.
Getting your mouth guard over the counter might work for some of you, but it would be best to bring it into your dentist’s office and have it checked for a proper fit – you may need to have a custom piece made. A poorly fitting mouth guard is useless, and your health is invaluable.
Swine Influenza H1N1, more commonly known as Swine Flu, has continued to grow and expand worldwide over the past week, and concerns are (rightly) high about how we can stay healthy and safe. The World Health Organization may even declare swine flu a pandemic! Apart from not gathering in large groups and washing your hands, is there any way you can stay safe?
Transmission of the virus is from human-to-human contact, and all reported cases worldwide have stemmed from some sort of exterior human interaction. A high-running fever (over 100* Fahrenheit), fatigue, headache, vomiting, diarrhea and respiratory problems are among the most common symptoms of having the virus. In attempting to prevent transmission of this virus, be sure to wash your hands frequently and always cover your mouth, preferably with tissues or your forearm instead of your hands when coughing or sneezing (especially if you are in a doctor or dentist office).
Now, how to protect yourself and your loved ones from getting the swine flu or any flu: prevention rules.
1. The first step to fight any flu is prevention. Stay away from people who have caught any disease or have symptoms of it. Avoid public restrooms at all costs. Wash your hands after you touch any public door knobs or hand rails, and wash your hands before you touch your toothbrushes or contact lenses. Use hand sanitizer.
2. Boost your immune system. A healthy lifestyle is always beneficial for your overall health. Eat a proper diet rich in fruits, vegetables and lean proteins, keep yourself well hydrated, exercise, get a good night’s sleep, and keeping a positive attitude are all important. Regarding alternative remedies to boost the immune system and against flu, consider garlic. Cooked garlic has less odor, or you can cut up small pieces and swallow like a pill, or take it in a pill form. Cloves, oregano oil, zinc, echinacea, and vitamin c are few suggestions.
If you are noticing any respiratory problems or prolonged flu symptoms and are running a temperature, schedule a visit with your primary health care physician. Brush and floss twice daily, and after meals (a clean mouth prevents introducing pathogens into your system). If you have a sore throat, gargle with warm salt water and increase your vitamin c intake to around 2000 mg/day. Limit your bad habits like alcohol drinking, smoking as well as your soda intake! Treat your body well and it will do its best to fight outside invaders.
Most people are well aware of soda’s detrimental effects on the teeth (including erosion and bone loss) – but it also is addictive?
The allure of diet soda is obvious for people who are conscious about their figure: it tastes great, it’s refreshing, and has few or no calories. Unfortunately, most of us don’t realize how dangerous the other ingredients in soda really are, even with no sugar. Many diet cola drinkers have a false sense of security that their diets will be successful drinking diet soda, and actually consume more calories because of it. Putting aside the acidic problems with soda and the havoc they wreak on your teeth, gum and bone, let’s look at the caffeine aspect of cola. All dark colas are full of artificial chemicals which can degrade your skin and internal organs over time, but those which are caffeinated present an addictive factor as well. Caffeine addiction can make a person feel downright ill if they don’t receive their “soda fix” – muscle pains, headaches and nervousness are common among soda addicts, and are known as symptomatic withdrawal. Even though withdrawal symptoms are most commonly associated with tobacco and hard drugs, caffeine falls into the addictive drug category as well. Johns Hopkins University, the authoritative leader on mental disorders in the medical world recognized “Caffeine Withdrawal” as an official disorder in 2004. Symptoms usually occur within 12 – 24 hours of halting caffeine intake, and can last for days.
In addition to the caffeine addiction problem with all soda, recent studies have shown that drinking even just one soda a day can raise a person’s risk of developing metabolic syndrome by 48%. Metabolic syndrome drastically increases the likelihood for heart disease and diabetes. Phosphoric acid found in any dark cola is another leading contributor to bone loss among soda drinkers. Combined with the high withdraw rates of caffeine addiction and the problems associated with caffeine withdraw (disturbed eating and sleeping patterns, anxiety and restlessness), drinking even moderate amounts of soda in a day-to-day routine can produce drastically negative effects on a person’s health. This does not even address the detrimental effects of cola acidity on oral health.
In North America, a continent in which 80 – 90% of all adults drink some form of caffeine on a regular basis, this epidemic of sorts has reached maximum capacity. Save your body and your mind – kick the soda habit! You will feel more rested and relaxed throughout your day, your concentration ability will increase and you will be doing a great service to your osteo (bone) and oral health. Drinking diet soda does not guarantee your diet will be successful, and in the long run, will in fact make your body’s health deteriorate. If you must drink diet cola, be sure to drink in moderation! Small amounts, 8oz or less, only once a day! Think about the chemicals and caffeine in the cola you drink, you might think twice!
“Doc, can I have more Novocaine? I don’t feel very numb.” Of course, it is nice to feel numb before dental surgeries! Have you ever been in a situation in which you had difficulty getting numb?
Local anesthetic is effective in most situations, however approximately 15% of dental patients experience a partial or total lack of numbness after receiving anesthesia injections. This phenomenon usually occurs in the lower jaw, when mandibular bone is too dense for infiltrated anesthetic injections to take, unlike the upper jaw which can receive the anesthetic solution easily. The dental nerve within the lower jaw is essentially buried within the dense bone itself, so it requires a mandibular block injection for proper numbing (numbing which includes the teeth, tongue and lips in the same quadrant).
Variations in the anatomy of the “entry window location” (where the mandibular injection deposits its solution) makes it difficult for some people to receive proper numbing, even when the dentist follows the usual landmarks – don’t blame the dentist right away if your anesthesia doesn’t work! The physiology of each individual varies besides the anatomy, which will lead to different thresholds or reactions to various dental injections. Different dental injection solutions also gives different numbing effects – your dental professional should choose what is most applicable to your situation, usually epinephrine (the blood vessel constrictor) is added to give a better local numbing effect.
Speedy injections or anxious patients can cause a racy heart beat, which could be very uncomfortable. If you’ve had too many cups of coffee or if your blood sugar is low from having not eaten, you may feel uncomfortable after receive the dental injection. The wine from last night can also alter the effectiveness of the numbing. This all makes anesthesia a very delicate science. The technique of the operator (the dental professional) can occasionally be at fault for improper anesthesia, but more likely than not it is a complication with a patient variable. It is important for you to communicate with your dental professionals if you’ve had a history of difficulty with dental anesthetics.
Special oral local anesthetic techniques, such as intraosseous anesthesia, which can enhance deep pulpal anesthesia, may help to increase the numbing sensation. This process injects novocaine directly into the bone marrow – because the needle penetrates the hard cortex of the bone, it penetrates to the jaw’s deepest level and can adequately numb the site. It is important to remember that every mouth can be anesthetized, however because intraosseous anesthesia is considered a specialized procedure, it is important to find a dental professional who is experienced with such techniques.
Do you need some extra cash, especially if you are feeling the squeeze of the credit crunch? Check your drawers and jewelry boxes to find any gold crowns or inlays removed from your mouth, trade in the dental scrap for some pocket change!
Gold fillings are removed
You might have never thought about it, but gold fillings, bridges and other gold dental work is actually worth some money in today’s economy! Gold is one of the few precious metals which has held its value, and many people with scrap fillings lying around the house are turning to jewelers to get money for their gold dental work! They can sell for $30 to $50.
In our office, when offered remaining gold scrap when a patient has old dental work removed, 25% of people say they would like to keep the gold. Some people have these gold teeth lying around, and if you fall under this category, it might be time to change the gold dental scrap to good use. Gold does not corrode in the harsh oral environment, and because of this, it has been a suitable restorative material choice for decades (even though in more recent years, the trend has been towards composite or porcelain material which looks natural against other real teeth). Still, there is plenty dental gold work even today, and even porcelain crowns can be supported with dental gold alloy. While dental gold is usually 12 to 16 karat, not 24 karat, it still fetches a high resale value, up to $900 per ounce in today’s economy! The gold must be treated chemically to remove other metallic substances, but this can be easily done by the jeweler you sell your scrap gold to.
There is one shocking fact you learn from this dental gold rush story – the base tooth is actually separated from the gold cap with your cola drink. Cola is no stranger to criticism from the dental world, its acidic properties can erode your enamel and gum (and even lead to bone loss!) and can wreak havoc in your mouth. If you soak the tooth in a cup of cola for 24-48 hours, the gold cap will separate from the tooth and will be ready for scrapping. Doesn’t this fact make you think twice about drinking cola? The best way to fight recession is get into prevention, take good care of yourself! When you’re healthy, it’s much easier to be productive and move ahead. Let your mouth be your asset instead of liability starting with proper home care and stay away from bad habits and poor diets.
” May I have some laughing gas please?” is a popular request among the “high anxiety” or “wants to get away” group.
A patient is anesthetized with nitrous oxide.
Nitrous oxide gas (nitrous oxide and oxygen (N20-02)) is affectionately known as “laughing gas” due to its euphoric qualities when inhaled. Discovered in 1772 by Humphrey Davy, he had this to say about its effects: “On the day when the inflammation was the most troublesome, I breathed three large doses of nitrous oxide. The pain always diminished after the first four or five inspirations; the thrilling came on as usual, and uneasiness was for a few minutes swallowed up in pleasure.” When the gas is inhaled (at an approximately 50% nitrous oxide + 50% oxygen dilution), after several minutes nearly all pain dissipates from the body and a euphoric warmth spreads throughout the body. This pleasant feeling is not only pain-reducing, but can calm anxious nerves and relax all but the most fearsome patients. The calming, relaxing and euphoric qualities of nitrous oxide make it a prime candidate for anesthetizing patients who have irrational fears about dental procedures who are unable to get comfortable in the chair. Because laughing gas can be highly effective in treating moderate dental anxieties, nitrous oxide gas can also benefit the dental physician working on a patient – calm environments benefit everyone! Patients with high blood pressure, or who have had heart attacks in the past and are at risk from traditional IV anesthesia are prime candidates for nitrous oxide sedation.
The level of sedation and warmth felt in the body after inhaling nitrous oxide gas depends on the concentration of the dosage, and how long the gas is administered. Because the gas is administered into the lungs, it is saturated into the blood stream very quickly and once the procedure is finished, there are no lingering “hangover” effects, meaning it is safe to drive home without an escort. Local anesthesia is still necessary for the treatment site, but needle-phobia will disappear with laughing gas. If you suffer from dental anxieties and have tried different techniques, seen different dentist and you still can not face dental work with ease, it is worth while for you to try nitrous oxide during your next dental procedure. Have a discussion with your dental professional.
Mark came in with a severe tooth ache, and after an examination, I could see the tooth was severely broken down. The basic options were to either save the tooth – going through root canal therapy and finishing with a post and crown restoration, or to remove the tooth and restore with a dental implant and crown. “Should I save my tooth, or should I pull it!” This is the eternal question!
Root canal therapy (also known as endodontic therapy) is a procedure of treatment for the pulp of a tooth once it has become infected – the inner pulpal material must be removed, in order to protect and decontaminate the tooth from future microbial invasion to the jaw bone. Once a root canal procedure is performed, however, the lack of nutritional supply in the tooth (once the organic tissue is removed from the tooth during the procedure) will render the tooth brittle, the weakened tooth should be reinforced and restored properly, with a post and crown.
Root canal treatment does have a bad reputation due to the pain and the stigma associated with the procedure. Often times, a patient will have a root canal performed and think the procedure was a success, only to have pain and infection return several years down the line. The complexity of the anatomic root variation could be an obstacle and techniques can often be tedious, which is why specialized service is usually performed by a highly trained dentist or endodontist. Special tools like microscopes are also often necessary for a successful procedure. Advanced instrumentation and technique will ensure long-term success.
Regular dental checkups are vital to properly maintain your dental health. If the unhealthy dental condition requires a root canal treatment or an extraction, have your dental professional explain the pros and cons of each option, then make an educated decision. If there is a mystery pain, a 3-D image (Morita Survey of CT scan) would be invaluable for proper diagnosis. Regular dental x-rays are not capable of capturing images of a cracked tooth nor accessory root canals (which are small and difficult to see). These tiny cracks or canal issues can lead to prolonged discomfort, which you may have thought was a figment of your imagination! If the prognosis was poor, or a tooth has broken down so much that it has become unrestorable, extraction and a dental implant might be a more sustainable investment to you dental health. Prevention is always the best treatment! Brush and floss your teeth twice daily and after meals. If you have any dental pain, schedule an appointment with your dentist sooner rather than later.
Have you ever felt sick, taken some Pepto Bismol and then a while later, had a black tongue? You may be thinking you’ve eaten something strange, or that you are having an allergic reaction! This is actually not a rare side effect of Pepto Bismol however – read on to find out why your tongue is black!
Black Tongue is harmless.
Numerous brands of nausea medication, including Pepto Bismol, have an active ingredient called Bismuth subsalicylate, a multi compound drug useful in treating nausea, heartburn, indigestion, diarrhea, and other temporary discomforts of the stomach and gastrointestinal tract. In a tablet form, Bismuth subsalicylate is meant to be swallowed with water – however, when exposed to the surface of your tongue (from chewing), the drug will often turn the tongue black after several hours, and can last several days. A black tongue and black stools in some users of the drug is not harmful, but the color is produced as a side effect of the drug interacting with saliva and the gastrointestinal tract.
The good news is this discoloration has no adverse affect on your health; there is nothing to worry about if your tongue has gone black or if it is staining your teeth with black strips after taking Pepto Bismol. The stain can be removed easily by thorough brushing or seek help from your dental professional. If a thorough brushing was followed after taking the Pepto Bismo, the staining issue would be eliminated. You must be aware of your body if you have a upset stomach in the first place; getting a good assessment and managing the root of the problem rather than just masking the symptoms should be the overall, long-term goal. Maintain a healthy diet, full of fruit, vegetables and lean proteins to control the PH of your body (which should be neutral or mild alkaline). Getting 7-8 hours of sleep every night will ease and equip your body to deal with the stress. If you do have an upset stomach, have a cup of peppermint or chamomile tea with honey on me, which will help with your upset stomach. We can all work on respecting our body and mind to take better care of ourselves.
We all clean our teeth with tooth brushes, but how do you clean the tooth brush that cleans your teeth?
Keep your tooth brush clean!
Tooth brushes get used cleaning your teeth at least two time daily, and we should all be using toothpaste and water with our brushing. Afterward, we rinse our mouth out and clean our toothbrush under running tap water, shaking off any excess water and then keep the toothbrush upright, allowing it to air dry until next time. Such a cleaning routine is usually adequate for a healthy person. It is good to know however that any toothbrush can harbor millions of bacteria at any given time. The oral cavity itself harbors hundreds of different kinds of microbes and bacterial organisms, which inevitably become transferred onto the toothbrush as you clean your teeth. Most bathrooms also harbor lots of bacteria, which can transfer to your brush if the brush head is contacting any not-so-clean surfaces or another toothbrush. Should you be concerned with sanitizing your tooth brush?
Thankfully, our immune defense mechanism protects against offending microbes, and most bacteria on your tooth brush will pose no health risk to you. Don’t be germ phobic, but it is always good to have few more pointers under your belt regarding how you can keep a cleaner toothbrush. Do not share a toothbrush! Wash your toothbrush before and after each use. It is important to clear all bristles of any remaining toothpaste or food debris to prevent excess bacteria from forming. If you are sick, it’s a good idea to soak your toothbrush in a 3% (standard over-the-counter) solution of hydrogen peroxide for 5-10 minutes to sterilize your cleaning tool. Also, it’s a good idea to have several toothbrushes at your disposal, dried and cleaned and ready to go – rotating toothbrushes can increase their longevity. When storing your toothbrush, make sure to have adequate ventilation to prevent molding or bacteria from forming.
My last tip is to take a good look at your your brush: if the ends of bristles bend , get a new one! Normally, the life span of a is 3 to 4 months; if you have an electric toothbrush check the shape of the bristles (it might be time to replace the brush heads). It’s always easier to stock up a few brushes to assure you’ll always have a good toothbrush available to keep your oral hygiene up to snuff. A clean mouth makes you feel refreshed and keeps your body healthy!
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buildup – hard, brown tartar deposits – appear predominantly on the front teeth and can be difficult to remove. Apart from keeping the mouth closed while swimming, avid swimmers should have their teeth professionally cleaned up to twice as often as non-swimmers (approximately four times a year). In addition to calculus deposits, the pool area can be a dangerous place for the mouth. When coming to the surface of a pool, rise gracefully! Many people hit their front teeth on a pool ledge, which can cause serious damage to the teeth and supporting jaw. Slippery pool decking can also cause falls which often chip , break or severly damage your teeth or mouth. Take precaution, be safe and healthy, but enjoy and have fun with swimming – it’s a great exercise and a lifetime sport that benefits the body and the whole person !
