“What Is Meth Mouth?”

Posted by drgracesun on June 5, 2009 under Healthy Smile, Information, Smart Smile | Read the First Comment

Meth mouth refers to the state of a meth user’s mouth, the psychostimulant and sympathomimetic drug considered by many to be the most addictive and dangerous drug in existence, worse than crack-cocaine. Although most users of the drug are not concerned about their oral health, it is important for parents and caregivers to understand how meth can harm the oral cavity , and pass the information along to their children and young adults.

The mouth of a meth user.

The relatively inexpensive cost to produce meth and its highly addictive nature make the drug highly popular with young people of all demographics, income levels and races. Methamphetamine enters the brain and triggers a cascading release of dopamine, serotonin and norepinephrine inducing intense euphoria, with high risks for addiction. The drug causes damage to the central nervous system often causing jitters, nausea, increased risk for heart attack and heart disease, as well as widespread tooth decay.

Many meth users complain about stained or blackening of the teeth in early stages of addiction, with teeth often becoming rotted after periods of neglect, leading to necessary extraction (if the addict has access to dental care). The widespread tooth decay caused by meth is mainly attributed to the highly acidic content of the drug – ingredients like bleach, cough syrup and chlorine are common additives to home-made meth. The very-long-lasting effects of the drug can often leave users unaware of the state of their oral health. Because meth causes users to crave salty, sweet and carbohydrate-rich foods, the bacterial factor of meth mouth is only further hazardous.

The statistics of meth use in America leave the drug’s risk to all children undeniable: over 5% of Americans age 12 and older have used the drug (12.3 million Americans in 2003 according to the 2003 National Survey on Drug Use and Health), and of those users the majority have had severe oral health problems. “Say no to drugs” – talk to your kids about the dangers and consequences of drug abuses. If you feel there is need for professional to get involved, get the appropriate help you need to make sure your loved ones stay healthy and enjoy a high quality of life.

“Acid Reflux & Children’s Teeth?”

Posted by drgracesun on May 17, 2009 under Healthy Smile, Smart Smile | Be the First to Comment

Although you may think acid reflux disease and your child’s dental health are unrelated, but recent studies have suggested the close relations.

Recent studies have linked acid reflux and dental erosion.

Acid reflux disease, defined as chronic symptoms or mucosal damage produced by the abnormal reflux in the esophagus, is nothing short of painful and distracting. When occurring in children, the symptoms can be even more painful and difficult to handle. Just nine days ago, the Pediatric Academic Society released findings of a study conducted by the University of California San Francisco stating children who have severe acid reflux have a much higher risk – up to six times the risk – of dental erosion and gum disease than those without acid reflux disease (or GERD). This is a unique finding and although it should be researched more before being considered fact, if your child suffers from acid reflux, be sure to keep an eye on his or her dental health!

Dental decay, erosion and sensitivity are a result of an overly acidic oral environment, and can often be quite painful and difficult for young children to handle, just like acid reflux. Regular hygiene (like brushing and flossing twice daily and after meals) is important as are regular checkups with your dental professional twice yearly, but what other things can you do to neutralize your child’s acid reflux, and in turn prevent dental and gum erosion? Besides healthy diet that consist of fresh vegetable and fruits, avoid greasy fried food , stay off sugary carbonated beverage,one physician who was a part of the aforementioned study has recommended children with acid reflux disease (even at early stages) should be started on a dental hygiene regiment, to be overlooked by a dental professional regularly, just as medical checkups are. Good dental home care program includes  fluoride treatment might be suggested.

Dental erosion can be uncomfortable and potentially hazardous to your child’s oral health, which is why prevention, early detection and adequate protection are always the best keys to health. By taking the right steps early in your child’s life (especially if your child suffers from acid reflux), you can assure your child has a better chance to live his or her life with a happy, healthy smile!

“Do I Need A Root Canal?”

Posted by drgracesun on April 27, 2009 under Healthy Smile | Be the First to Comment

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.

“Diabetes & Dental Problems?”

Posted by drgracesun on April 2, 2009 under Healthy Smile, Information | Read the First Comment

Diabetes is a serious health condition for a large segment of the population, which can cause problem of your eyes, heart, kidneys, nerves and blood vessels. Los Angeles (the city I live and love) has the highest diabetes-related amputation rate in the country! My father-in-law had a diabetes-related stroke, hitting close to home how the consequences of diabetes can be quite severe. There are many varied  effects on oral health due to the diabetes condition, including periodontal disease (gum disease), tooth decay, salivary gland dysfunction, fugal infection , delay and poor healing and taste impairment. I get pretty apprehensive when treating diabetic patients, especially when dental implants are called for, or surgical procedures were needed, because of the delayed and poor healing associated with diabetes. It is important to keep your health history updated and inform your dental professional if you are diabetic, whether or not the management of the condition is under control.

When diabetes is not controlled properly, excess glucose can attach to proteins in the blood vessels and alter their normal structure and function; the thicker and less elastic vessels lead to poor circulation and reduce the body’s resistance to infection (leading to gum infection). High glucose levels in your saliva will promote bacteria growth also. When this happens, your oral environment becomes much more susceptible to cavities, infection and gum disease. It is important if you are diabetic to keep up with your oral hygiene, as proper brushing and flossing can help prevent periodontitis, which can compromise the gum and bone and lead to tooth loss. Poor circulation due to diabetes can decrease  blood supply to the gums, causing dry mouth which is  more susceptible to disease as well (tooth decay, gingivitis , periodontitis, or fungal infection).

It is important to learn about your body, manage the diabetic condition through diet, exercise and medication under the care of your physician, see your dental professional regularly (twice or three times a year) for cleaning and check ups. All in all, if you are on top of your oral hygiene (brush and floss after every meal), control your blood glucose levels and visit your dentist regularly, you should be in good health. Schedule an appointment with your dental professional if you suspect your diabetes may be adversely affecting your oral health!

“Fluoride, Good or Bad?”

Posted by drgracesun on March 6, 2009 under Information | 2 Comments to Read

Fluoride treatment is effective with preventing cavities and tooth decay. As a dentist, this is what I have recommended to people who I see can benefit from fluoride treatment’s ability to remineralize and desensitize your teeth. However, I must confess there is risk involved with using fluoride due to its potentially damaging systematic effects.

Fluorine, the ionized form of fluoride is highly active to phosphate ions in your body (where calcium is found in large amounts – like the bones and teeth). In teeth, fluorine combines with the inorganic compound apatite, to form a harder, less water-soluble fluoride salt, which resists the acidic erosion of some oral environments. A pregnant mother’s fluorine intake affects the primary teeth of the fetus. Fluorine intake from fluoridated water (or a fluoride supplement) can also affect teeth in child development of up to around age 8 (making teeth harder and more resistant to decay). Unfortunately, excessive amounts of fluoride can lead to fluorosis, which causes white, brown or black stains (and even pitting) of the teeth, and/or brittle, aching bones and joints. An even darker fact regarding fluoride: many researchers believe it is carcinogenic. Japanese research has shown fluoride as being capable of transforming healthy cells into cancer cells. Additionally, the New Jersey Department of Health has found that young men exposed to fluoridated water have a much higher occurrence rate of bone cancer. Other studies performed by private corporations (Procter & Gamble in particular) have shown fluoride used to fluoridate public water sources significantly increases the chances of genetic damage in its drinkers.

So use fluoride with caution – it is beneficial for cavity prevention and treating tooth sensitivity, but it is for topical use only – do not ingest! Children especially need special care from their parents with undertaking any type of fluoride treatment, no fluoride toothpaste or fluoride should ever be swallowed. If fluoride use is recommended by your doctor or dental professional, calcium supplements (or food rich in calcium like dairy products) are recommended to ensure your bones stay strong and balance out any potential loss of calcium due to fluorine exposure.

There are alternatives for remineralizing your tooth structure, such as calcium phosphate and calcium carbonate. If you have any concerns, speak with your dental professional. Remember, the best way to prevent tooth decay is to eat sensibly and keep your mouth sparkling clean by properly brushing and flossing after every meal.