Cleaner Mouth = Better Braces!

Posted by drgracesun on October 30, 2009 under Beautiful Smile, Healthy Smile, Hygiene, Orthodontics | Be the First to Comment

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.

Anti-Aging in Dentistry

Posted by drgracesun on October 14, 2009 under Beautiful Smile, Healthy Smile, Hygiene, Nutrition and Diet, Smart Smile | Be the First to Comment

Anti-Aging is something of a buzzword in today’s marketplace: the medical community, the marketing community and nearly every community in between seems to have been captured by this craze. What exactly is anti-aging? The concept is to reduce the visual signs of a person’s age to make one appear younger, more vibrant and more beautiful. While there are a range of methods and procedures available to the public to accomplish anti-aging, the patient themselves must be willing to make changes to his or her lifestyle in order to sustain the changes provided by his or her physician.

I recently attended the 5th European Congress in Aesthetic Dermatology and Surgery in Anti-Aging Medicine, hosted by the European Masters in Aesthetic & Anti-Aging Medicine (or EMAA) in Paris, France. The conference focused on a plethora of anti-aging information and news in the field, but what I found interesting were the procedures tailored toward dental medicine. Botox, or Botulinum toxin, is a neurotoxic protein that is in fact one of the most poisonous substances known to man! Despite the dramatic definition, the use of very small amounts of this toxin to treat muscle spasms in anti-aging medicine is widespread. Botox relaxes muscle spasms in a way that can reduce wrinkles, by training specific muscle groups to relax and lower tension.  Botox effects wear off between three and six months, and will need to be re-administered to maintain results.

From the dental aspect, Botox can be used to control a gummy smile. Botox relaxes the muscles in a person’s upper lip – known as hyperactive upper lip – which contributes to a gummy smile. When Botox is injected into the muscle group in a person’s lip, the toxin actually relaxes the muscles and restricts the muscle’s ability to overly contract upward thus showing excessive gum tissue . Botox can also be used to control facial muscle spasms that contribute not only to wrinkles and frown lines, but to headaches as well. By undergoing Botox therapy, the muscles in the lips and face can be trained to eventually relax on their own.

Although Botox may sound like a miracle drug for reducing the appearance of gummy smiles, fine lines and even headaches, one must remember that any anti-aging treatment plan is dual-fold: the patient must be committed to their health in order to achieve long-lasting results. Patient compliance is key in any medical treatment plan, but when it comes to anti-aging, a healthy lifestyle can make all the difference in the world. Diet is one of the most important factors in patient compliance. Everyone has heard the age-old saying “you are what you eat,” – it is absolutely true.

A patient who is concerned with his or her physical health and appearance – and is willing to go through Botox therapy to achieve anti-aging results – must realize that his or her diet is vital to achieving long-lasting results. Vegetables, lean proteins and minerals are all vital in achieving healthy skin, bones and organ function. A poor diet high in refined sugars, fat and carbohydrates with poor habits (like alcohol consumption and smoking, staying up late and no exercise) all will contribute to a faster aging process. We all wishto be young and healthy forever – it all starts with healthy choices.

“Do Redheads Feel More Pain?”

Posted by drgracesun on September 14, 2009 under Children, Current News Events, Information, Smart Smile | Be the First to Comment

Redheads feel more pain! New research published in the July 09 Journal of The American Dental Association found that painful experiences at the dentist might cause more anxiety for men and women with red hair, who were twice as likely to avoid dental care than people with dark hair. Red-headed children or adults might avoid dental visits and might be at a higher risk of affecting their dental health!

A child that has an unfounded fear of the dentist (or even a founded one, instilled by parents who aren’t very fond of their dentist or past experiences in the dental chair) are common, however due to a scientific quirk (thanks to mother nature), redheaded individuals do feel pain more intensely than non-red-headed persons. These extra sensitivities to pain might lead to negative experiences with dental visits, which as being parental health care providers, we should be aware of these phenomena.

There are two studies that exist. In 2004, research showed that people with red hair need twenty percent more general anesthesia than blonds or brunettes. A 2005 study indicated that redheads are more sensitive to thermal pain and are more resistant to the effects of local anesthesia. Researchers believe variants of the melanocortin-1 receptor gene play a role. This MC1R gene produces melanin, which gives skin, hair and eyes their color.

While blond, brown and black-haired people produce melanin, those with red hair have a mutation of this receptor. It produces a different coloring called pheomelanin, which results in freckles, fair skin and ginger hair. About 5 percent of whites are estimated to have these characteristics. The relationship between MC1R and pain sensitivity is still under study, researchers have found MC1R receptors in the brain and some of them are known to influence pain sensitivity. Non-redheads can also carry a variant of the MC1R gene. In this dental study that had 144 participants, about a quarter of the non-redheads had variants of the MC1R gene. These people also experienced heightened anxiety and avoided dental care compared with others who did not have the variant. There is no commercial test available for variations of the MC1R gene.

The best tips for redheads are to work on the prevention of dental problems, inform your health provider that you are highly sensitive, use TLC and be patient, wait a bit longer to let the anesthesia start to work and finally inform your doctor that you might require additional amounts of local anesthesia – because you are a special redhead!

“Bad Kidney Means Bad Breath?”

Posted by drgracesun on September 9, 2009 under Healthy Smile, Information, Smart Smile | Be the First to Comment

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!

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.

“Investing In Your Smile?”

Posted by drgracesun on August 29, 2009 under Beautiful Smile, General Dental Knowledge, Healthy Smile, Information | Be the First to Comment

The economy has not yet recovered, and although we are out of the darkest corners of the recession , uncertainty still looms! Where should we put our money, where should we invest – what about investing in your smile? Believe it or not, taking care of problems you may have thought of as cosmetic (like a missing tooth) can actually prevent facial sagging and other signs of aging, while improving your quality of life.

It shouldn’t be news to hear that polls done over the last few decades have proven that a person’s smile is one of the biggest factors that make a first impression. A survey done by the American Academy of Cosmetic Dentistry found that 74% of American adults believe an unattractive smile can harm a person’s chances of career success. Does your smile show your true colors? If it doesn’t, speak with your dental professional about what options you might be eligible for in terms of cosmetic dentistry.

As we get older, our teeth shift around (and our smiles often degrade). This is primarily due to improper care of the oral cavity , including poor brushing and flossing habits (as well as not visiting your dental hygienist twice annually) or habits of drinking and smoking or clenching , grinding teeth at sleep. What you may not realize is that many of the most common aging symptoms – wrinkled skin, a slacked jaw, sagging lips – are partially caused by an unhealthy facial muscular system that did not provide proper support to the facial structure! As we clench and grind, our teeth shift and our bite falls out of alignment, contributing to many of the problems listed above. Thankfully, cosmetic dentistry can help prevent or repair some of these problems and restore our facial muscular system to its proper health and harmony, freshening up our appearance and providing a healthier oral system.

A bright and beautiful smile can take five to ten years off of your appearance, boosting your self esteem and empowering you to have a go-get-it attitude: a good thing in today’s economic environment!  Speak with your dental professional today about your smile to find out what treatment options are available to you. Remember, prevention is always the best medicine. It’s always cheaper and easier to take care of problems before they exist!

“A Light Waistline, A Fat Wallet.”

Posted by drgracesun on under Information, Nutrition and Diet, Smart Smile | Be the First to Comment

When our lives our simple, we are generally happier: less stress, more fun! Leading a relatively simple lifestyle (which means eating right, exercising, not overworking, getting to bed on time and all that jazz) will leave you feeling better rested and more alive. As if that wasn’t enough of an incentive, a healthy lifestyle will also result in a fatter wallet.

It’s a sad fact that we consume far more food than our parents (and grandparents!). The average American drinks more soda than water, and considering how big those drinks have grown over the years – a 64oz Big Gulp being a standard drink size at gas station convenience stores – it’s no wonder we’re the second fattest nation in the world (Australia takes the cake)! Many young people would rather drink a Diet Coke than eat a meal, and because carbonated colas are mostly sugar and empty calories, our bodies struggle every day to get the nutrients they need from natural, raw foods. Not only do they provide functional stimulation to your teeth and gums, but natural foods also nourish our body and keep our physiological systems running smoothly.

Studies have shown that a person’s consumption of carbohydrates (be it sugar, corn syrup or grain) are directly tied to a person’s ability to maintain their weight and overall health. According to a study by Dr. Mercola, if you eat out on a regular basis (because most restaurant foods are both fatty and preservative-laden), you are “slashing decades off your lifespan and increasing the likelihood of having to rely on expensive and potentially toxic drugs to treat the symptoms that will result from not eating healthy.”

The key message here is to live a healthy lifestyle by eating right, exercising, leading a positive attitude and maintain good habits and hygiene. Brush and floss after every meal. Keeping your oral cavity clean will help to keep the rest of your body running smoothly, as oral health is systemically linked to your other bodily systems (as we have learned, a dirty and plaque-ridden mouth can lead to heart disease, amongst other ailments). Live healthy and you will be one step closer to living wealthy!

“How Important is My Diet?”

Posted by drgracesun on August 2, 2009 under General Dental Knowledge, Healthy Smile, Hygiene, Information, Nutrition and Diet, Smart Smile, Technology | Be the First to Comment

You are what you eat! Your body can only repair, regenerate and replenish itself from what you put into your body; it’s a continuous cyclic phenomenon. A healthy diet is essential to maintaining a healthy body, healthy mind and healthy smile.

We have learned about the food pyramid and how a balanced diet can keep our body and mind healthy.We need carbohydrates like grains, fruits and vegetables to supply energy to the body and maintaining normal blood glucose level, cellulose fiber will regulate our internal systems to eliminate waste and reduce the risk of chronic diseases, such as heart disease and colon cancer. Protein (with its Greek root meaning “of primary importance”) including meats, fish, dairy and beans are essential to build and repair our body components. Protein builds muscle, normalizes the immune system and body function. Fats are needed to build our cell walls and conduct our neural transmissions. Lipids maintain the structure and support of our organs.Vitamins and minerals will optimize our health and prevent diseases. Finally, we should always keep our body well hydrated, because water is the single most major component of our body and cells.

Oral health is part of bodily health. For healthy oral tissues like gum and bone, we need the same healthy diet to prevent cavities, which also requires hygiene upkeep.  The digestive process starts the moment you begin to eat. Bacteria in the mouth convert sugars from the foods you eat to acids, which although are helpful in breaking down your food, also begins to attack the enamel on teeth, starting the decay process. If you snack frequently, you are exposing your teeth to cyclic decay. Obviously, habits like this are detrimental to your oral health. Brush and floss twice daily, and after meals. Any less frequently could mean serious problems for your oral health!

Many of us live in a fast paced life and many young people’s diet are lacking the greens. Fruits and vegetables are important to our health for many reasons – they contain fiber in whole foods, and they contain phytonutrients, which are plant based nutrients (in the numbers of 20,000 or more), all of which work together to ensure our health. Alpha-carotene, lycopene, and a number of the other carotenes give our fruits and vegetables their rich vibrant colors, but they also help make our skin strong, our organs functioning well and they keep our immune system in check. Their antioxidant properties will also help our periodontal tissues to resist breaking down. When combined with fine proteins, they  will help to repair and regenerate our soft oral tissues. Eat healthy, and preserve your body, your smile and your life!

“Bleeding Gums = Losing Memory?”

Posted by drgracesun on July 7, 2009 under Current News Events, General Dental Knowledge, Gum Disease and Treatment, Healthy Smile, Information | Be the First to Comment

We all know that brushing and flossing is not the only key to preventing dental disease (tooth decay and gum disease) – you probably also know that a healthy smile and fresh breath can actually reduce risk of a heart attack and stroke.  What may surprise you, however, is this: researchers at West Virginia University have discovered that a clean mouth may also help preserve memory!

Thanks to a grant awarded by the National Institutes of Health, West Virginia University has found an obscure link between periodontitis (gum disease) and memory loss. A test sample (of over 270 seniors) was chosen to be part of the university study, during which School of Dentistry researchers checked the oral and cognitive health of patients every day over a period of roughly two years. Initial conclusions showed that 23% of the group who suffered from mild to moderate memory loss also had relatively poor oral hygiene habits.

Dr. Crout of the WVU School of Dentistry explains that although the specific genetic link between periodontitis and memory loss has not yet been defined, the team hopes to have more details soon. “If you have a gum infection, you’ll have an increased level of inflammatory byproducts,” Crout explained. “We’re looking for markers in the blood that show inflammation to see if there is a link to memory problems. We’d like to go full circle and do an intervention — to clean up some of the problems in the mouth and then see if the inflammatory markers go down.”

We’re not quite sure about whether bacteria or the body’s inflammatory response is the contributing factor of observed memory loss; it may be a combination of both, or a result of other environmental and physiological factors. What we do know, however, is that the rate of Alzheimer’s cases is skyrocketing. Imagine the benefits of knowing that keeping the mouth free of infection could cut down cases of dementia – it could be revolutionary!

Keep brushing and flossing to keep the mind sharp – or maybe we need a sharp mind to keep brushing and flossing?  As a clinician, when I see a patient who can’t keep their oral hygiene in reasonable condition, I become concerned. The risk of heart attack and stroke are heightened in patients who suffer from poor oral hygiene. Knowing that memory loss is somewhat associated with inflammatory factors in the mouth, we should all improve our oral health in order to keep our mind sharp!

“Precaution: Antibiotics Can Stain?”

Posted by drgracesun on July 1, 2009 under General Dental Knowledge, Healthy Smile, Information | Be the First to Comment

Antibiotics help us fight infections, however certain antibiotic medication could dim your smile! When taking antibiotic medications, it is important to realize that these types of medications not only eliminate harmful bacteria, but also affect the body by disturbing the balance of our gastrointestinal system. Sometimes the chemical components of antibiotic meds can leave deposits in the hard tissues of the oral cavity , like in the tooth and bone, affecting the color of the teeth.

Staining from the antibiotic tetracycline.

It has been well established that commonly prescribed antibiotics like tetracyline, if taken during the second half of the pregnancy can affect the future teeth of the fetus. Children younger than eight years old with prescription tetracycline (for treating ear infections) can have seriously discolored teeth as well from chemical deposits on the inner layer of the tooth structure (dentin), causing grayish brown bands that are not so easy to correct. Discoloration is usually a consequence of the chemicals affecting the developing stage of the teeth. If any discoloration is noticed in a child with primary teeth, promptly speak with your doctor or dental professional! Review the child’s history to determine whether the discoloration could possibly be associated with any medications, diet or even drinking water. Discoloration of erupted permanent teeth has also been proven to result from antibiotic use, as discussed in an earlier edition of the Journal of the American Dental Association. Although this is fairly rare, discoloration can happen to nearly anyone taking tetracycline, erythromycin, minocycline, or rinses containing chlorhexidine antiseptic solution. Keep your dental professional informed as to your antibiotic regiment.

In Kentucky, a 25-year-old woman whose teeth were gray-streaked from use of antibiotics was highlighted in a study completed by Frederick M. Parkins, D.D.S., of the University of Louisville School of Dentistry. The patient took two years of tetracycline therapy for teenage acne. She had been taking minocycline (brand name Minocin), a synthetic form of tetracycline and now has very discolored teeth (see above picture). Thankfully, only about 3-6% of adult antibiotic users will experience tooth-staining. Discoloration can develop as early as one month after the antibiotic regiment begins, but the staining could take years to appear!

Prevention is always the best solution – avoid teeth staining medications. If staining does occur, speak with your dental professional about options to whiten affected teeth. Procedures such as in-office or take-home whitening and bleaching will be the first conservative treatment option available to you before porcelain veneers or bonding procedures, which work well at masking over discolored areas of teeth.

“Can You Taste It?”

Posted by drgracesun on June 16, 2009 under General Dental Knowledge, Information | Be the First to Comment

Delicious tasting food really does improve our quality of life – who could get by without tasting grandma’s famous chocolate chip cookies, or your favorite Italian restaurant’s lasagna? Unfortunately, many people – in fact, over 200,000 people each year – visit a physician’s office for chemosensory problems (the sense receptors responsible for your taste perception functionality).

Imagine not being able to taste!

When we eat or drink, tiny molecules stimulate cells in the oral cavity which send messages through nerves (the chemosensors) to the brain, where the signals are interpreted. Taste cells are known as gustatory cells, and are mainly concentrated on the tongue, with periphery gustatory cells on mouth walls and in the throat. Additionally, the common chemical sense consists of thousands of nerve endings surrounding these gustatory cells which help describe to your brain the complexities of certain flavors.

While most people have perfectly functioning gustatory cells and common chemical senses, hundreds of thousands of Americans suffer from a lowering of taste sensitivity, a condition known as hypogeusia. Although the exact cause of hypogeusia is unknown, most cases of hypogeusia develop from illness or a debilitating injury such as respiratory infections, colds, etc. Certain chemicals (like pesticides) which can get into foods inadvertently can possibly cause diminished tasting ability, as well as radiative therapy drugs like bleomycin. Total taste loss is known as ageusia, though it is very rare and often misdiagnosed (or misinterpreted by a patient). Taste perception can be altered (dysgeusia) due to altered body chemistry, altered oral conditions or diet, usually resulting in everything tasting bitter, acidic or metallic.

Our chemosensory system exists primarily as a safety net, to alert us to problems in our dietary encounters. For example, when we taste a sour or unpleasant food, our chemosensory system is alerting us that a product has expired or gone rotten (preventing us from eating things that could harm our health). Losing the ability to taste food can lead to depression and a permanent loss of apatite. If you do suffer from taste loss, your doctor may be able to work with what medications (if any) you take and what your health status looks like, to recommend changes that could revive your full taste sense. If food tastes funny or metallic,  see your dental professional and have him or her check whether for caries or gum issues. Your primary health care physician can also be contacted if there is a developing health issue you have, or if you have any questions.