In a recent study released by the Oral Health Journal, a systematic evaluation of patient oral hygiene for orthodontic patients has revealed stunning information that links poor patient oral hygiene with impacted orthodontic treatment quality and treatment times.
When a person seeks out orthodontic treatment to fix a problem (crooked teeth, a misaligned bite, etc…), he or she must realize that the bone is actually being remodeled. Orthodontic treatment rearrange teeth into a proper alignment, which pressure transfer to the roots of the teeth within the jawbone. Bone is actually lost and added during this process as the teeth are repositioned to their proper places as reaching the treatment goal.
Poor oral hygiene will influence your tooth and gum structures negatively. The progress of orthodontic treatment consist of inflammatory and regenerative responses. A mouth with plaque and tartar build-up will trigger the body’s inflammatory response, amplifying the already inflamed structures associated with orthodontic treatment and can lead to a prolonged inflammatory stage and a delayed regenerative phase within orthodontic treatment. Poor oral hygiene during orthodontic treatment can and will have a damaging affect on your treatment goals as well. Reports have shown that “poor oral hygiene can increase treatment times from 1.2 to 2.2 months – other consequences of poor oral hygiene during orthodontic treatment affect the quality of the end result of treatment.” Whereas standard orthodontic treatment (in a clean mouth) leads to the balanced loss and gain of bone, poor oral hygiene restricts the ability of new bone to grow, affecting the treatment results.
Orthodontic treatment seeks to improve a patient’s oral health, but what every patient must remember is that a treatment plan can only be fully realized if both the doctor and the patient are making concerted efforts to correct a problem and stick with a course of action. A patient’s oral health cannot improve without patient compliance. If a patient sees his or her orthodontic specialist (or physician or dentist) on a regular basis but does not fulfill his or her duties to maintain a clean and healthy oral environment, no improvement will ever be seen. A doctor and a patient must work together to obtain a successful result.
Remember that your dental professional may be a miracle worker, but that does not retract your obligation to maintain proper oral hygiene (or any other instructed daily routines)! Any orthodontic treatment plan is a dual-sided plan that requires dedication from both the physician and the patient. Without proper compliance from the patient, prolonged treatment time and reduced oral improvement will result.
Did you know that dental diseases like periodontitis and even cavities are the most common diseases – apart from the common cold? It may surprise you, but enough people neglect their oral hygiene enough to make this an extremely common ailment, even though it’s an easily-preventable situation! These numbers are so high because most people who have some form of gum or tooth disease have no knowledge of it – and with 75% of the population having some form of periodontal disease, you must take careful attention when cleaning your mouth.
Dental decay is not much of an issue in modern society (thanks to fluoridated water and toothpaste), but a proper hygiene routine is still necessary to prevent gum disease and/or cavities. Brushing and flossing is essential, as this both cleans the smooth surfaces of the teeth, and also helps break up food particles and plaque in between the teeth and gum line. Gum disease starts in between the teeth, and some toothbrushes can’t reach critical areas necessary to be cleaned to prevent bacteria from growing.
Although gingivitis – the bacterial infection that invades your gums – is reversible, periodontitis is gum and bone disease, and is not irreversible! Because periodontal disease is so serious, and can only be managed under the strict supervision of a dental professional, it is important to understand just how periodontal disease can affect you. This disease has been linked to heart disease, stroke, diabetes and other degenerative diseases that can be life threatening! I’ve blogged about periodontitis before, and I can’t stress enough how important and serious it can be to have regular cleanings and check-ups from a dental professional twice yearly. Periodontal disease can disfigure even the most beautiful of smiles. Your gums can be so swollen, receded and bloody that your teeth will look longer, will become loose and eventually will need removal. If you detect gum disease early, you will need a management program that includes regular treatment with your dentist and/or hygienist and solid home care to manage the disease.
Root planing and scaling is the common form of soft tissue management treatment, when a hygienist or dentist uses a precise tool to detoxify the tooth surfaces below the gum line and in between each tooth, and then rinses with antiseptic. With advanced technology, laser energy can also be utilized to remove diseased tissues and eliminate bacteria to allow healing to take place. Your dental professional will discuss the best treatment plan for you – a routine cleaning is not enough by itself to treat periodontal disease! You may need to visit your dental hygienist more often, up to four times per year in order to properly manage the disease. On a daily basis, a solid home care program (which should be designed by you and your dentist) will help you maintain your oral health. Besides brushing and flossing after every meal, other tools like prescription tooth brushes (like Rotadent) and water irrigators (like Hydrofloss) could be helpful for your hygiene routine. Antiseptic rinses like Tooth and Gum Tonic Herbal Rinse, a healthy diet and/or supplements and antioxidants like vitamin C and B can also help to fight and manage gum disease. Healthy gum supports a healthy smile, which supports a healthy body!
It’s known that gum disease can lead to other health problems such as cardiovascular disease. Interesting new research results, however, have named plaque a key contributor to fever and illness in the elderly.
In an all-too-common trend in dental research, university researchers are discovering that poor oral health almost consistently leads to systemic problems throughout the body. In the latest example reported in The Archives of Gerontology and Geriatrics, the following was released: “Researchers studied 271 older people who were long term hospital patients. The study lasted one year. In that time, people with high oral plaque levels and at least 10 teeth were more than 5 times as likely to have fever as were people with 1 to 9 teeth.” Among the elderly with no teeth, those with more plaque on their tongues were 5 times as likely to have fever as people with cleaner tongues.
Several studies like the one described above have suggested that poor oral health and poor oral hygiene in all patients can affect overall health. The bacteria that cause cavities and periodontal (gum) disease may be risk factors for some types of pneumonia in older adults, as poor oral hygiene may be linked with pneumonia or difficulty breathing in patients with chronic obstructive pulmonary disease.
This recent study only serves as further evidence of the importance of oral hygiene and upkeep: a healthy mouth contributes to a healthy nervous system and defense system. Brush and floss twice daily, as well as after meals. Using tongue scraper or brush to remove plaque build up on the tongue. Avoid alcohol and tobacco when possible, and brush / rinse after such activities. Curtail poor oral habits in order to save your mouth from excessive plaque build-up.Have regular dental check up, early detection and treatment of dental and gum problem will allow a cleaner oral environment enable decrease the plaque build up.
Getting old is part of life cycle, but not with our attitude nor our oral condition. With proper care, our teeth will outlast us, keepup our oral health can do tons of good for our quality of life.
Aging? Not me! We do not get old, but our body parts increasingly need more upkeep to stay young! Baby boomers need special attention in particular – although we may feel like as young as a college graduate, an aged and/or discolored smile will reveal your years. As a cosmetic dentist, my mission is to help you maintain a happy and healthy smile that will compliment your well kept physique – and feel “looking good”is often related with having a beautiful smile. If you’re not happy with your smile, get a consultation from a cosmetic dentist to see what you can do to refresh your smile!
The most commonly challenging dental dilemma for baby boomers is combating those dull and severely worn teeth. Many people are unaware of the slow aging process of loosing tooth structures, mainly from night grinding, erosion and attrition. Bad habits and poor hygiene can also ruin teeth. The approach to rejuvenate can be as simple as having your teeth whitened, or it could be more complicated, requiring a multidisciplinary approach with extensive time and financial investment needed.
Often times, porcelain veneers might be suggested by your cosmetic dental professional to restore an aging smile, but make sure your dental health has been evaluated first. It is pertinent to check whether or not the gum and bone tissues are healthy, if there are any missing teeth that haven’t yet been replaced and if any shifting bite or teeth issues have been addressed. If you have had prior cosmetic work done, however, maintaining your investment is vital if you want your new smile to last. Follow up any cosmetic procedure with proper hygiene habits, which include brushing and flossing twice daily (and after meals), a healthy diet, no smoking and no excessive drinking (sodas or alcohol). A night guard might also be recommended.
Baby boomers have worked hard to establish their careers, family and personal well-being – now it’s time to enjoy more of your accomplishments. Get the smile you’ve always wanted, as it’s not only for vanity but also truly for your overall health. Visit your dental professional not only for a routine cleaning and check up, but ask for a comprehensive cosmetic evaluation, including a smile analysis, TMJ and occlusion check and a periodontal exam with an oral cancer screening. When you take care of your mouth, you are taking care of a vital bodily system which performs in delicate balance with the rest of your body. When your oral cavity’s health is at risk, your overall health is being endangered.
It’s no shocking headline – bad breath is the #1 complaint (and reason of visit) in dental offices across America! 85% of people who suffer from bad breath actually have a medical condition known as halitosis, which is usually caused as a result of bacteria in the mouth. The recent 4th of July holiday is a joyous occasion for BBQers across the country, but it could be a nightmare if you suffer from halitosis! If you think you have chronic bad breath, and nothing seems to be helping, read on for a bit of assistance.
Halitosis: it's hard to hide!
Apart from being severely embarrassing, bad breath can actually impact your personal and professional relationships. No employer wants a smelly employee (especially one that interacts with customers on a regular basis, like salespeople), and no partner or date wants a stinky kisser. Bad breath can even instill psychosis into patients with halitophobia, or a fear of bad breath. We know halitosis can seriously impact lives, and not in a positive way – so what can we do about it?
Certain foods with strong aromas – like onions, garlic, sea foods and refined carbohydrates (pastas, dairy products and cheese) – can cause bad breath, but bad habits like drinking and smoking can as well. Dental conditions like dental caries, periodontal disease and dry mouth can create halitosis. Physical conditions like indigestion, GERD (GastroEsopageal Reflux Disease), Asthma and Diabetes can also lead to haliatosis. Treatment for halitosis on the physical end is getting to the root of the problem: eliminating the food debris and bacterial factors in the oral cavity (managing the physical illness). Regarding diet and habits, my professional recommendation would be (of course) to stop smoking and drinking! Control the intake of foods / herbs that can cause smelly breath. Consume greens like celery and parsley, drink plenty water and (at the very least) brush and floss your teeth after every meal. If you eat a lot of garlic or fish, even after brushing and flossing a bad smell can linger in the mouth for a long period of time. Over-the-counter mouth washes and breath fresheners can only temporarily mask over halitosis – they will often times not rid the mouth of foul odors.
Bad breath is a social embarrassment, and is also a sign of having poor hygiene or health problems. We must all be aware of the condition our body is in. Maintaining the self is infinitely beneficial, and health professionals are always ready to provide advice to assist you in reaching our goal: healthy and happy living.
“Only floss the teeth you want to keep!” It’s a funny punch line, emphasizing the importance of flossing, but it’s true. Flossing your teeth after meals (and twice daily) is just as important as brushing to keep your mouth clean, healthy and fresh.
Remember to floss!
Flossing is very efficient in removing plaque and debris that accumulates between the teeth and underneath portions of the gum pocket. This should be an essential part of your daily oral cleaning process. When plaque (a sticky bacterial substance that accumulates on curved tooth surfaces and crevices) is removed, dental diseases can be prevented, along with gum problem and bad breath (which require both brushing and flossing to prevent). If one fails to keep up their oral hygiene, tooth decay and gum disease (gingivitis and periodontitis, respectively) will affect your oral health.
Proper flossing technique is also critical. Begin by taking a piece of floss (around 12-18 inches) and wrapping it around your two index fingers tightly, with plenty of slack on each side. Move the piece of floss between each tooth, wrapping the floss around the curved sides of each tooth in a C-shape, sliding up and down several times beneath the surface of the gum. Between each teeth site will be two curved sides for flossing except for the far back molars. Be sure to move the floss down as far as possible, beneath the gum line, as this loosens and breaks up food buildup and initial bacteria buildup.If you have dental bridges or braces, the flossing technique will need to be slightly altered. A dental threader will be carry the floss passing under the jointed teeth contact area, and then the individual can pump up and down in typical flossing strokes. If you notice some bleeding, it is a sign of inflammation of the gum tissue – this usually signals the early stages of gingivitis. Keep up your proper home care routine and the condition will improve. If the condition of bleeding upon brushing and flossing lasts more than two weeks, get some help from your dental professional.
There are several different types of floss (including waxed, unwaxed, and tape floss) – normally, easy gliding thin floss (like Glide) will be a good choice for average dental conditions. Gapped teeth or in areas under a dental bridge should require tape floss. Remember, you can get advice from your dental professional to find out which is the best choice for you.
For people who have arthritis, advanced periodontal conditions or other issues of dexterity, additional dental cleaning home equipment will be very helpful. Electric tooth brushes (like Rotadent and Sonicare) and dental irrigators (like Hydrofloss and Waterpik) are very efficient tools to maintain proper oral hygiene. Remember to brush and floss twice daily (and after meals)! These important habits and routines will keep your teeth healthy, happy and looking fabulous!
In the current recession, unemployment rates are at all time highs! It’s a scary prospect to be faced with possible job loss, but especially in professions where appearance is key (like business), your teeth can make or break a first impression. Just as you wear a suit to appear professional, tidy and attractive, having a great set of teeth will accent the professional, attractive winning smile on your face. The people businessmen encounter every day (colleagues, clients and the like) are constantly evaluating the people they work with. Your job just may get that extra boost of security with a clean, healthy and brilliant smile.
A healthy smile could secure your job!
According to a study recently completed by the Academy of General Dentistry (AGD), men are less likely to visit the dentist than their female counterparts. Nearly 45 percent of respondents felt that men don’t see a need to go to the dentist, and about 30 percent of those polled reported that men may not visit the dentist because they are afraid or embarrassed to go. This disturbing trend of not visiting the dentist could not only have devastating effects on one’s teeth and oral health, but on their professional well-being and livelihood!
“In my practice, more men are coming in and requesting bleaching, veneers and bonding,” says AGD spokesperson J. Nick Russo, Sr., DDS, FAGD. “Many have noticed the positive effects from a colleague’s improved smile and realize that a great smile has a lot of value in the business world.” A poorly cared-for smile not only looks bad, but portrays an image of uncleanliness and sloth. “Can a person who doesn’t take care of his teeth, of himself, take care of my portfolio?” This is a question that may be asked in the minds of the people you work with and the people you work for!
As the job market becomes more and more competitive, employers are constantly looking at ways to differentiate potential candidates for positions, and a healthy smile is a great way to make a great first impression. Existing employees are also facing tough competition with young grads who have been raised in households emphasizing the importance of oral health more so than past generations – so what are you waiting for? A healthy and beautiful smile will improve your overall health, your image and your self confidence – it could even improve your job security!
Have you ever thought “when I grow into my golden years, I’ll never smile – my teeth will have fallen out!” It should be common knowledge that teeth do not fall out naturally as part of the aging process, quite the contrary! Teeth are lost in seniors primarily due to poor oral hygiene, resulting in tooth and gum disease. If seniors properly take care of their teeth and maintain regular check ups with their dentist, their teeth will be healthy and strong throughout their entire lives!
It’s no surprise that senior oral health is a top priority and concern for dental professionals across the United States – senior citizens are the fastest growing demographic due to the baby boomer generation, and will soon make up the largest age group in the country! For such a big group, it would seem common sense that dentists are seeing increasing numbers of senior patients, but this is sadly not true. “Seniors often take long absences from seeing the dentist,” says AGD spokesperson Nick Russo, DDS. “Sometimes they stop caring as much because they’re not out in the public very much, and they think oral hygiene doesn’t matter.” I have even had patients in their 80s and 90s who have even received orthodontic treatment (braces)! A person is never too young.
The truth of the matter, however, is that oral health matters just as much for seniors as it does for middle aged people and even young adults! Deteriorating oral health in old age is a choice, not a factual occurrence – and can be prevented rather easily. A person’s smile is the gateway to their heart, and whether that person is 15 or 115, that smile defines who you are. Keep it beautiful! The most important step for seniors (or their children or caretakers) to remember is that oral health is not a luxury – declining oral health is not purely aesthetic, and systemic problems can arise due to declining oral health. For example, genetic links between gum disease and heart disease have been proven to exist. Be sure to schedule biannual (twice yearly) dental checkups and cleanings. Not only are these appointments important for cleaning the teeth and gums beyond what a person can do at home, these appointments are essential in identifying poor habits, developing oral health problems and even cancer screenings.
After a biannual checkup plan has been cemented, it is key to remember to brush and floss, for two minutes, after every meal. If brushing and flossing is not occurring after meals, food particles turn into bacteria which destroy enamel and gum tissue. Also, stay away from sodas (diet or otherwise!), candy and other sugar-laden foods and drinks. Water or tea would be a much healthier substitute. Extend your beauty and your life by taking your oral health seriously. Your teeth and gums will take care of you, if you take care of them!
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!
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 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 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!
“Brushing for a healthy heart ” is a true statement – the link between gum disease (or the bacteria associate with the gum disease) and the body’s cardiovascular system is tight. Prophylactic measurements (like antibiotics before dental visits, for people who have a valve replacement) have been a practice in our society for quite some time, but German scientists presented a study last Monday (May 25, 2009) at the European Society of Human Genetics in Vienna, Austria confirming a link between gum disease and heart disease – simultaneously confirming the importance of maintaining your oral health, not just for your mouth’s well being but for your vital organs as well!
The association between periodontitis and coronary heart disease is not a new concept, but a genetic link between the two is a new concept which provides startling information for dental professionals and patients regarding the gravity of gum disease, as well as its potentially devastating systemic effects throughout the body. Specifically, the researchers were noted as finding “that the two diseases share a genetic variant on chromosome 9. The genetic variation associated with the clinical pictures of both diseases was identical.” The link between the two diseases postulated the following conclusion: “we think that periodontitis should be taken very seriously by dentists and diagnosed and treated as early as possible,” Dr. Schaefer said, noting that periodontitis and heart disease share risk factors such as smoking and obesity.
Although this information doesn’t change how we should treat oral hygiene or periodontitis, it does serve as a wake-up call for everyone regarding how important our oral hygiene routines should be. It is vital to brush your teeth after every meal (and after that midnight snack)! Late-night and mid-day nibbling can cause the most harm to one’s oral environment, from a lack of desire or motivation to clean both the surface and crevices of the teeth. Bacteria thrive in dirty surroundings! Drinking sugary liquids like soda not only provides zero nutritional value, it also creates unhealthy habits which wreak havoc on the oral environment – stick to water or tea if you can. Remember, once the deterioration of dental structures starts, damage may be very difficult or impossible to reverse or restore completely! Prevention is the best measurement, and it is within your reach. Ask your dental professional about prevention – it is easy to work on, both for a cleaner oral environment and for a stronger bacterial host resistance. A healthy mouth may lead to a healthy heart, and such health is priceless.
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patients has revealed stunning information that links poor patient oral hygiene with impacted orthodontic treatment quality and treatment times.
