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.
As we’ve learned time in and time out, the oral cavity is integrally and systematically linked to the health of various other bodily systems – here we are focusing on kidneys. The kidneys serve for the production of urine as their primary function, excreting unnecessary bodily fluids and compounds. Kidneys also have several secondary functions concerned with homeostatic functions. These include the regulation of electrolytes, acid-base balance, and blood pressure. If you have kidney problems, apart from the well-advertised urinary and homeostatic problems, your oral health could deteriorate as well!
Halitosis in Japan, 12th century
People with long-lasting (or even recently discovered) kidney problems often times have a bad taste in their mouths. Also related, they often have bad breath (halitosis). These problems – both of which are indicators of a serious problem in your system – occur because the kidneys fail to remove the organic compound urea from the blood. Urea breaks down to form ammonia, which has a pungent odor that is quickly noticeable; bone changes may also occur because the body cannot absorb calcium properly. Imbalanced calcium levels will weaken your bones, loosing bone from your jaw. Teeth may become loose or eventually fall out because of the calcium deficiency often resulting from kidney disease. The best way to help prevent bone loss is to make sure calcium and phosphorus levels stay within the goal range.
Anorexia, anemia, xerostomia, high blood pressure and heart disease, inflammation of the mouth, salivary glands and gum disease can all be symptoms and complications when dealing with kidney disease, apart from the influence of medication. When you have these symptoms, not only should a dental professional be contacted to provide dental examinations and treatment, but also a physical examination is needed. If you have kidney disease or are on dialysis, you should plan to receive any dental treatments on non-dialysis days for those on hemodialysis. Heperin, administered during hemodialysis, may cause some people to have prolonged bleeding. Kidney disease can also weaken the immune system and make us more susceptible to infection, so prophylactic antibiotics maybe needed before invasive dental treatment.
During the work up for a kidney transplant, a person will need to have a thorough oral examination. Any infection or disease of the gum or tooth can prevent someone from being eligible, or delay the transplant until the patient is free of gum and dental infection .
Keep up your home care program, brush and floss after every meal and follow a properly designed diet by your dietitian. Special dietary needs must be met if you have a compromised kidney condition. Regular visits to the dentist can also reduce the risk of oral infection and dental disease.
Being able to smile is a beautiful thing – we all deserve a beautiful one! Some of us might need some work to obtain a dazzling smile, and cosmetic dentistry has been very popular and reaching that dazzle. Just don’t let your dream turn into a nightmare while pursuing your smile make over!
If you are planning on having any elective cosmetic work done, make sure your physician is familiar with different cosmetic options and has a good training background. The most common cosmetic dentistry problems can be prevented if you do your homework, including unsatisfactory cosmetic outcomes or clinical and technical shortcomings! These problems can lead to a not so happy nor healthy smile, altered speech, gum irritation, increased tooth sensitivity , chipping, loose teeth and even breakage of porcelain (from insufficient bonds between natural teeth and porcelain veneers from an overly trimmed tooth structure or bite issue). These errors end up needing additional work (like crowns, root canals or gum surgery) and can be painful and infuriating.
It is important when considering any kind of cosmetic work – dentistry or otherwise – that you evaluate your own needs, and knowing your own health as a foundation for your own future. The consequences of only looking at cosmetic dental procedures without the health side can put your long term oral health at risk. If you have a fairly healthy mouth with well-aligned teeth, it may be easier to get satisfactory cosmetic results with the average cosmetic dentist . If you have seriously mis-aligned teeth, gum disease or lots of dental work / TMJ problems (or are prone to cavities), you have a much more sensitive oral cavity and must be very careful with who you choose to be your cosmetic dentist. Also, you may require multiple steps in order to attain a healthy, long lasting result.
It is also important to have a well thought-out plan before the procedures starts as good communication with your cosmetic dentist and technician is key. Not only is it necessary to be able to convey your desires clearly, but it is also best to go through the proper diagnostic steps to analyze the problem, plan the treatment scientifically with a mock-up or wax-up procedure and set up the detailed 3-D blueprint of your smile makeover before proceeding with dental reconstruction work. Make sure your dentist and ceramist are well experienced by asking other patients what kind of work you can expect and by checking into his or her credentials, education and training background (www.aacd.com is a good reference site). Look at pictures of past cases the dentist has worked on, and get a feel of what kind of sincerity and caring attitude the dental team will be able to provide you, in order to help make your important decision. Make sure you ask questions about what will make the procedure a long term success before proceeding the work.
It is a wonderful thing to have a great smile, but maintaining it will be just important. Proper home care and regular professional check-ups are musts – proper diet and healthy habits will keep your smile beautiful for a long time! Finally, wear a night guard if you are prone to bruxism as they can help maintain the structure of your oral system.
The vegetarian diet can be very beneficial in many ways: the choice to be vegetarian has been shown to help fight illness and disease, vegetarians help the environment and make positive impacts in their carbon footprints. The diet, consisting especially of whole grain, fruits, vegetables, nuts and legumes can lower the risk of obesity, heart disease, high blood pressure, diabetes and certain cancers. For these reasons, many people are choosing to become vegetarian, however, the nutritional deficiencies that sometime result from the vegetarian diet can often reveal themselves during dental exams.
Even though we assume that vegetarians are well aware of what goes into their body (and are well versed in keeping proper nutritional habits up), it’s easy for vegetarians to become malnourished – especially young vegetarians under the age of 18. Common vegetarian deficiencies include calcium, iron, zinc, vitamin D, riboflavin, vitamin B12 or complete proteins. The good news is that by eating the proper combination of fruits, nuts, vegetables, grains and legumes, these deficiencies can be avoided. If you have youngsters on vegetarian diets, be sure to instill the importance of a balanced diet, and the seriousness of vitamin deficiencies, which can cause illness and other systemic problems, including dental maladies.
“An adult on a vegetarian diet for a prolonged period can be at increased risk for periodontal (gum) disease from a lack of vitamin D and calcium,” says Dr. Leibsohn of the Academy of General Dentistry (AGD). For this reason, it is very important that any adult (or parent of any child) considering “the green gateway” should first consult with their dietitian or dental professional. The specific diet you or your loved ones may be undertaking could have key deficiencies which could lead to serious health problems down the road. For example, a vitamin D deficiency can actually make your teeth and gums more susceptible to decay and periodontal disease. Vitamin D is produced in the body with sun exposure, so deficiencies are rare, but deficiencies can develop in those who do not consume milk or fish. Adding vegetable margarine or soy milk may help, though a better idea is to supplement the vegetarian diet with a weekly salmon steak, tuna salad and/or low fat cheese, milk or yogurt to supply a healthy foundation for your body and smile.
It might surprise you to learn that over 20 million individual teeth are extracted from American mouths every year – the devastating news is that many of these extractions could have been avoided. Once teeth “pass the point of no return,” costly implants or other techniques must be used to restore a person’s smile or chewing function properly – and if said person is unable to afford proper treatment, their missing teeth may cause subsequent dental problems or humiliation and devastating blows to his or her self-esteem, even harming job security, depending on what career path said person has taken.
The sad fact of the matter is that less than 10% of people suffering from tooth pain or other signs of future tooth loss ever see a dentist (or dental professional); because nearly all tooth loss is preventable, this is simply unacceptable! Dental phobia, the fear of being judged by a dentist or financial troubles are often contributing factors in why most people suffering from tooth pain never see a dentist, but the consequence of delaying (or avoiding all together) a dental check-up often results in edentulism (missing one or more teeth). Worst of all, oral health problems are systematic (meaning they can affect other systems or parts of the body), and problems grow with time, making the need to see your dentist that much more urgent if you are suffering from tooth pain.
Of course, tooth loss in rare incidences could be due to injury or genetic problems, mainly caused by poor oral hygiene, bad oral habits leading to tooth and gum disease and eventually tooth loss. For starters, brushing and flossing twice daily and after meals is essential! When food particles are left behind embedded between tooth crevices, bacteria begins a destructive process which eats away at your teeth and gum. Secondly, eating sugary, carbohydrate-laden foods and drinking sugary beverages [frequently] without prompt proper care can erode the enamel on your teeth, making you more prone to tooth loss and gum disease. Without timely dental care, these habits will lead to an untreatable situation and inevitable tooth loss. To prevent all that unpleasantness (and the costly consequences of tooth loss), the best solution is prevention. Prevention means having a terrific home care program, proper diet and habit and getting your regular dental cleanings and check ups every year. When the problem is small (or in a earlier stage of deterioration), problems are much easier to correct and restore. To the end the effort is all worthy, and having a healthy mouth is truly the foundation of good physical health (you can eat and digest healthy, high fibrous food) and mental health (self esteem and being able to smile with confidence)!
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.
“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.
As you may or may not know, May 10 – 16 was National Women’s Health Week, an annual week-long health observance coordinated by the U.S. Department of Health and Human Services’ Office on Women’s Health (OWH). The purpose of this awareness week is to empower women to make their health a top priority.This noble quest does not simply apply to nutrition and cancer screening (as most people associate health weeks with), but to women’s oral health as well!
This year, National Women’s Health Week began on Mother’s Day – and what better a day to begin than on the day honoring mothers? Our country has a rich history of leading women who have made America a better place: Susan B. Anthony (who organized women’s suffrage), Clara Barton (who organized the American Red Cross), and Rosa Parks, who in 1955 stood up for equal rights for all. Had these women not taken care of their oral health, where would we be today? Of course, speculation about the oral hygiene habits of these women is somewhat silly, but this important week reminds all women of how important our health is, and how diminished as a society we would be without healthy women to lead and nurture.
It is important for all women to realize the importance of oral health not only for the well being of our teeth and gums, but for our whole body’s overall wellness. Of course, brushing and flossing twice daily and after meals is of utmost importance, as well as regular twice yearly checkups with your dentist and oral hygienist. There are certain oral health conditions women should be aware of however, separate from men. John Lukacs, an anthropologist at the University of Oregon recently uncovered both modern and prehistoric dental records which have revealed women have more dental health issues than men, which has been attributed to hormonal changes women experience when estrogen is produced (especially during puberty and pregnancy). As mentioned in a previous blog posting of mine, during pregnancy, not only does the body increase blood circulation to accommodate certain changes, but dilation of the blood vessels make the body more vulnerable to bacterial invasion, including the gum and and bone support of your teeth. Cravings and constant nibbling also promotes an acidic oral environment, leading to tooth erosion and the further harvesting of bacterial growth (which breaks down your tooth structure).
Gum swelling, bleeding and pain have also been reported during periods of menstruation. During these times, it is important to keep up with your normal oral hygiene routine! Massaging the gums with your fingertips can provide temporary pain relief, believe it or not. If you have any questions about your oral health, make a quick call to your dental professional and schedule a checkup or consultation appointment – he or she will be more than happy to provide you with the answers you need. Women have played an extremely important role in America’s history. Take care of your mouth, so that we can continue to take care of the nation!
It is a scary fact that 1 in every 3 American adults suffer from gum disease – this common malady is often caused by certain bacterial factors due to poor oral habits, difficult access for cleaning and weak host resistance for tissue break down. The key point is to prevent the occurrence of gum disease by instilling a healthy diet, healthy habits and regular dental check ups. However, if you already have signs of gum disease (like if your gums bleed when you brush or floss your teeth) there just may be some home remedies that can provide some relief, before your dental visits.
Typical signs of gum disease include bleeding gums, red or swollen gums, loose teeth or halitosis (bad breath). It all starts with inflammation of the gum tissue, which is called gingivitis: symptoms are light and include occasional bleeding, which can if left undiagnosed can progress to irreversible periodontal disease. This in turn can cause unhealthy systemic conditions such as heart attacks and hypertension! Of course, a fully implemented oral hygiene routine is your first and safest bet in preventing bacterial agents that cause gum disease. Brush and floss your teeth for two minutes minimum twice a day and after every meal. This will prevent bacteria and plaque from building up between your teeth and between your gums, which cause the beginning stages of both gingivitis and halitosis. It is also important to build up your host resistance to prevent tissue break down by maintaining a healthy diet rich in antioxidants, like Vitamin C, B and E, calcium, magnesium and silica.
If you do have signs of gum disease, try these remedies to reduce your symptoms. Salt water: this old home remedy can help you not only relieve the symptom of a sore throat, but can also reduce the swelling and bleeding of gum tissues. It can also reduce halitosis in minor cases. Eating right, as mentioned by foods rich in vitamin C (or take supplements) will also help. Tea tree oil can aid in reducing gingivitis conditions. Add a few drops of a tea tree oil supplement to your toothbrush after brushing to add a protective layer to the oral tissues. Finally, massaging your gums with your fingertips can stimulate blood circulation within your gums, and often times provide pain relief!
Try these home remedies if you can not get to your dentist right away and believe you may be suffering from gum disease. No home solution is a substute for professional service. Schedule a visit to your dental professional if you have experienced bleeding gums, loose teeth or bad breath. Listen to your body and take care your dental problems as soon as possible – bringing your oral health back to a healthy condition is always your wisest move!
It’s a privilege to be a mother – just ask Angelina Jolie! The joys of being a new mother also come with lots of new responsibilities. We must learn about how to care for our babies properly – besides love and cuddling! Safety, nutrition, physical and intellectual development and dental care are often overlooked. Even two of my nephews had suffered from rotten baby teeth (from baby bottle syndrome)!
Once the exciting jouney of pregnancy begins, your doctor will start you on prenatal vitamins. Essentially, these supplements help curb any vitamin or mineral deficiencies you may have as to properly foster the development of your fetus. Folic acid, calcium and iron are among the most important contents of these vitamins, and they are important in building your child’s first set of teeth! Although an infant’s teeth don’t start emerging until the age of approximately 5-6 months, proper development of those teeth are necessary from womb development so that when the teeth do emerge, they are strong and healthy!
Once your child’s primary teeth have begun to emerge, it is important to take good care of them. Clean new baby teeth with a damp wash cloth to wipe them free of food after feeding, and have the child drink some water to further wash down the mouth. Not only do primary teeth help a child eat and speak, but they hold space in the jaws for permanent teeth to develop.
As previously mentioned, it is extremely important to prevent baby bottle syndrome – rotten baby teeth which occurs when the baby falls sleep with a bottle of milk or juice in his or her mouth. Fermentable liquids can pool around a child’s teeth, leading to acidity and bacteria buildup in the mouth which can rot baby teeth quickly. These teeth are too soft to resist erosion and tooth decay. Once the decay process stars, it can soon progress to the pulp tissues and your poor baby would suffer from toothaches and infections – it might even affect the tooth buds of permanent teeth. So, once your child’s teeth emerge into the mouth, do not let your baby fall asleep with a bottle in its mouth (unless it is only water)!
Finally, it is great idea to start good oral hygiene and diet habits early! Never ever give your baby soda or soft drinks! The sugar and acid content in these drinks will erode your child’s teeth and start bad habits that can be difficult to break. Also try to avoid sugary carbohydrates and candies! Once there are several baby teeth present, wiping teeth with a damp cloth should be replaced with actual brushing with a soft-bristled brush. By the time your child is potty trained, it’s about time to start learning about brushing their teeth. Allowing your child to brush their own teeth holding a child friendly toothbrush (while you direct the handle) is a great way to start good oral hygiene habits! It will be parent’s responsibility to assist in brushing of the teeth until they enter elementary school, which is when they should have the maturity and manual dexterity to handle it themselves. If you rely on a nanny or caretaker, make sure to instill this information to them.
Regarding further information on dental home care, please refer to our other postings or submit your questions, I will address your specific issue or ask your dental professional!
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patients has revealed stunning information that links poor patient oral hygiene with impacted orthodontic treatment quality and treatment times.
