Do you enjoy scuba diving? Deep sea exploration is certainly a fun and exciting sport, especially in an exotic location! Before any big diving trip, most enthusiasts gear up on wetsuits, goggles, oxygen tanks and other equipment, but have you ever thought that mouth piece you’re wearing to get your oxygen can cause you dental problems?
This person was properly fitted for her mouthpiece!
Scuba diving is a sport enjoyed by over 4 million people a year, and if you dive, get yourself a proper fitting mouth piece to prevent jaw, teeth and gum problem! If you have a mouthpiece that is not fitting right for you plus the pressure changes from diving, you could suffer from what’s known as “diver’s mouth syndrome,” a painful condition caused by a ill-fitting mouthpiece that irritate your mouth, or you have been clenching your jaw very hard combined with the drop in air pressure as you explore beneath the ocean’s surface.
The mouthpiece that regulates oxygen flow from your oxygen tank to your lungs not only delivers fresh air, but it protects your teeth while diving. The tendency to clench your teeth while diving is very common, and because most standard scuba-diving mouthpieces will not really fit your mouth perfectly, the mouthpiece tends to put unnecessary pressure on the gum and jawbone. So biting hard into the mouthpiece, your gum could be full of lacerations and you could suffer from jaw joint pain or toothache as well after your trip is finished. If the pain lasts for over several days, you could even have a TMJ problem, which will take time to recover.
The best prevention is to make sure you are in good dental health before the trip, and to visit your dental professional who can evaluate how well your mouthpiece fits. Also, if you have recently undergone orthodontic treatment or have an extracted tooth (or temporary fillings), you must be extra careful and see your dentist before diving! Enjoy the under water world and be safe!
“Dr. Sun, can you check why I taste metal in my mouth? I have no metal fillings; I checked on line, and I’m afraid I might have a cavity or gum infection!” So, I checked, and the oral department was cleared.
” Your mouth is healthy, tell me what has changed in your life?”
” I lost my job, I’ve been taking anti depressants and Ambien for sleep, but I had a physical exam that was fine.”
“Have you been good to yourself, healthy diet, taking supplements, exercising and proactive on job hunting?”
“Ha! Funny, Dr. Sun, I was going to ask you for a job! I exercise, but not eating well and maybe drinking more.”
“Well, keep yourself in the best condition. The metallic taste has lot to do with the medications you are taking; poor diet and alcohol intake don’t help either. My advise to you is be positive, count your blessings, treat yourself right, maintain a healthy diet, cut down on alcohol and keep up your good oral hygiene. You may rinse your mouth with warm salt water or rinse with warm water with added baking soda (1/4 teaspoon to 8 oz warm water) to neutralize the taste. Also talk to your physician about this, see whether GERD or other gastrointestinal issues play a role.”
It is common to get the funny taste in your mouth (dysgeusia), it might taste metallic, acidic or bitter, it usually goes away on its own, but if is lasts more than two weeks, consult with your health care professional.
Dysgeusia is related to a multitude of adverse health conditions. It is a sign of imbalanced body chemistry, associated with changes of your physical, mental or oral condition: medication and diet also are contributing factors. Starting with the mouth, make sure there is no caries, infection or poor oral hygiene. Think about whether you are taking prescription medications to treat hypertension and anxiety, (like lithium) antibiotics, antidepressant or others which may cause the metallic taste. The last would be possible physical illness likes cancer, a peptic ulcer, food allergies, or excessive metal elements (iron, copper, iodine, mercury, selenium, lead) in your body. Effects of radiation therapy may also cause dysgeusia.
Get a good assessment of the condition, then improve your health and feel better. Apart from consulting with your health care professional, do your part of eating right. Keep up good and clean habits, including oral hygiene, balanced stress level and a positive life outlook. You can also try brushing / scraping the tongue, rinsing with herbal mouth wash (like Tooth & Gum tonic), or swishing with warm salt water or baking soda rinse to neutralize the metallic taste.
Cancer is devastating, but through prevention we can often detect oral cancer’s presence in early stages (essential for survival). Oral cancer kills roughly one person per hour in America, more than 34,000 Americans will be diagnosed this year and only half will be alive in 5 years. If you expand the oral cancer to the larynx and the data to world wide, over 400,000 new cases are found each year according to the Oral Cancer Foundation.
Of the many known risk factors associated with oral cancer, cigarette smoking and alcohol consumption are the most common. When you smoke tobacco or drink alcohol, the harmful substances introduced to your body have adverse effects on your organs, and are both addictive and linked to numerous types of cancers, not just oral cancer. There are 50 known carcinogens and among 4000 different chemicals in cigarette tobacco smoke, 9 out of every 10 oral cancer patients are smokers. Frequent drinking will dramatically increase the ability of cancer-causing substances present in alcoholic beverages to penetrate the lining of your mouth, such as Acetaldehyde – which forms in a person’s mouth after using alcoholic mouthwash (suspected to be carcinogenic). Human Papilloma Virus, (HPV) is another common contributor to oral cancer. Common symptoms of the beginning stages of oral cancer include rough bumps or patchy legions on the lips or tongue, or any part of the mouth, white sores which are sensitive to temperature and pressure, and difficulty swallowing.
Unfortunately, most oral cancer cells are malignant and can rapidly spread to surrounding tissues (most of these cases were found in a late stage). Early detection is essential to increasing the chances of successfully treating oral cancer. There are several ways to screen for oral cancer, an advanced and non-invasive way to screen is through use of the VELscope, which produces a fluorescent light onto oral tissues. If the fluorescent luminescence reflects off of the oral tissue, no cancer is present. Cancerous tissue will absorb the light and appear dark on the device. There are other methods for oral cancer screenings also, be sure to request one at your next dental check-up visit, especially if you fall into the high risk group of being male, over 40, who smokes and drinks.
If detected early, oral cancer patients have up to a 90% survival rate. The key to preventing oral cancer is to lead a healthy lifestyle and have regular checkups with both your dental and general health care professional.
The toothbrush is, of course, an essential tool for keeping your teeth clean and plaque-free, but there are many types of toothbrushes available for use. The structure of your mouth is very intricate, including soft gum tissue, hard enamel, various crevices and spaces where food can hide, etc – and every person’s mouth is different, and responds differently to various types of brushes. How do you pick the right toothbrush for you?
If you get perfect dental check-up scores, do not have any type of gum sensitivity issues nor any other dental problems, you can probably keep your present hygiene routine. An over-the-counter toothbrush will normally suffice for people with normal gums and teeth if you are using it properly. If you have a history of dental and gum issues, special care is needed. You may need more than one toothbrush (different sizes and shapes of brush heads and tips) to adequately clean between your teeth and restorative material, such as a specialty brush shaped to accommodate dental restorations.
What about electric toothbrushes? There are many toothbrushes on the market, available both over-the-counter and from your dentist, which advertise a much deeper cleaning than what a manual toothbrush can provide. Keep in mind that an inexpensive battery-operated toothbrush often lacks the torque (twisting power) needed to adequately clean your teeth, remove plaque and remove biofilm; If you have children who refuse to brush their teeth, an electric toothbrush might be a fun way to encourage proper oral hygiene!
The more advanced electric toothbrushes, with proper technique, can clean your teeth more effectively than manual brushes. Manual brushing often does not do a good enough job at removing plaque than electric toothbrushes from your dentist (prescription electric toothbrushes like Rotadent, what I recommend to my patients has micro-filaments bristles with different tips). These brushes allow more advanced brushing techniques with different brush head attachments to accommodate different parts of the mouth, and have the necessary torque to properly clean your oral environment. If you have any of the following conditions, you should equip yourself with a better toothbrush for better oral health: orthodontic braces, gum problems, dental implants, dental bridges, arthritis, etc…
No matter what type of toothbrush you have, remember that it is necessary to spend two minutes brush at least twice a day, and after meals. The food caught between your teeth can start producing harmful bacteria only 5 minutes after eating (which is why you should bring a toothbrush to school or work every day)! Because every mouth is different, and certain tooth angles (and dental work) require special brushing or special brushes, consult with your dental professional. Besides brushing, flossing, tongue scraping, rinsing, and irrigation are all important steps to get your mouth’s environment as squeaky clean as it can be. It is a lot of work to keep yourself in top condition, but it will become second nature. You deserve paying your mouth so much attention – for your own health!
What you eat, and how often you eat foods that are unhealthy for your teeth, determine how likely you are to get cavities and other problems caused by bad diet, like bad breath and even gum disease. As you eat, your mouth begins the first stages of digestion. Healthy bacteria in your saliva convert sugars into acids – good for digestion, bad for your teeth. Plaque is one of the biggest enemies to your mouth, which forms when food particles are allowed to linger around your teeth and gums. This process begins the moment you begin to eat, which is why it is so important to brush and floss after every meal.
A healthy meal for your body and your teeth!
Once a tooth forms, it is subject to our oral environment. Diets consisting of high sugar, starch or acid content can all erode your enamel unless you are exceptionally good keeping up your oral hygiene (brushing and flossing after every meal). The health of gum and bone tissue that supports the teeth is greatly influenced by proper diet that contains nutrients to keep our body healthy.
What should you eat? Natural, organic and unrefined foods. These foods have high nutrient value and less sugar than processed food, and will pose a smaller threat to your teeth. The best food choices include dairy (like milk, cheese and yogurt) and poultry (like chicken and duck). These foods provide your teeth with calcium and phosphorus, which help to form enamel and bone. Crunchy natural foods like nuts and green leafy vegetables or orange-colored fruits will stimulate gum and saliva flow, a natural cavity fighter. These foods also contain beta carotene, which the body turns into vitamin C (essential for your body’s ability to maintain and repair healthy soft tissue). If you cannot eat fruits and vegetables naturally, taking a supplemental vitamin or drink which contains Vitamin C and other antioxidants will help protect your gums against cellular damage, and promote their healing abilities. Unsweetened tea is another great drink which has little impact on your mouth’s health.
Foods which contain high amounts of sugar (like candy and carbohydrate-laden foods like bread, chips, fries and muffins), natural or processed, are a tooth’s worst nightmare! The high sugar content of these foods help bacteria thrive. Breads and starches should be an occasional indulgence: when starches mix with amylase (a natural enzyme in your mouth), acid forms that erodes the enamel of your teeth. Additionally, dry foods like chips and cookies or even dried fruits have a tendency to stick to the surface of your teeth, which also helps bacteria thrive. Acidic sweetened beverages like sodas are the worst type of liquid to expose your teeth to, and can cause tooth erosion, enamel decay and even periodontitis – avoid soda and carbonated beverages at all costs! Artificial sweeteners can be a better alternative to sugar-sweetened drinks, as they do not feed bacteria like natural sugar.
Pregnant? Start right by eating right during pregnancy. Eating sensibly during pregnancy means getting adequate calcium (your body needs Vitamin D to absorb calcium) to form strong teeth and bone, which will give your child a good start also. Fluoride can also be used to prevent tooth decay.
So, eat more vegetables and fruits, avoid sugary foods and drinks, and remember to brush, floss and rinse your mouth (and tongue) after meals. You will be on the road to healthy, brilliant teeth!
Halitosis, or bad breath can affect a person’s self-confidence, self-esteem and can be downright embarrassing.
Because most people are accustomed to their own smell, it could be difficult to tell if you have bad breath without someone else’s help. Volatile sulfur compounds (VSCs) are usually the cause of bad breath, which are created when you eat and chew food, when proteins are broken down into amino acids, an important step in digestion. When these compounds are not removed from the oral cavity through proper oral hygiene (brushing and flossing after every meal), bad breath results. Most offending particulates that cause bad breath live on the back of your tongue. Your dentist can use a tool called a halimeter to measure the sulfur levels in your mouth. Bad habits such as drinking or smoking can also cause bad breath, and the offending odor usually lingers long after the cigarette or drink has been consumed. Dry mouth loosening the self-cleansing saliva can also contribute to an odorous mouth.
Most factors contributing to halitosis are self-curable, with proper diet, good oral hygiene and habitually drinking plenty of water. There are, however, a few cases in which bad breath is not self-treatable. Gum disease, cavities or problematic dental restorations trapping bacteria in the crevices around your teeth and gums can cause severe halitosis. Certain medical disorders and sinus or respiratory infections can also lead to bad breath – if you suspect you suffer from any of these maladies, see your dental professional. Although some people believe bad breath can come from the stomach, most medical professionals agree that your tummy is a very unlikely source of bad breath – unless, of course, you are belching.
You do want kissable breath, don’t you? If your bad breath is self-perpetuated, the most important thing to do is keep your oral cavity healthy. In addition to brushing and flossing after meals, be sure to clean your tongue. A tongue scraper will effectively remove all food particles from the surface of your tongue (a toothbrush can be used as well). Avoid foods that are particularly strong in smell (garlic, onions, etc…). Keep yourself hydrated with water (a moist mouth will actually smell better than a dry mouth – sweet baby breath is partly due to constant drooling!), and if you are unable to drink water, chew sugarless gum (which will promote saliva generation). Finally, always have your teeth professionally cleaned and examined twice a year. Essential oil-containing mouthwashes like Tooth and Gum Tonic can also inhibit bad breath for hours and will not dry out your mouth like alcoholic mouthwash, which you should stay away from. Stopping bad habits like drinking and smoking will also benefit your mouth greatly.
Only one out of every 25 people get to keep all 32 teeth to chew our food; most of us end up with only 28, and a story to tell about our wisdom teeth!
Anthropologists and evolutionary biologists think the wisdom teeth have become non-functional due to evolution: we do not have the same diet of coarse, rough food that our ancestors did, who had larger active jaw muscles. Evolutionary history lead us to our smaller jaws which can no longer accommodate wisdom teeth.
Wisdom teeth are the third set of molars, which usually start forming around age 10, and emerge in a young adult’s mouth between the age of 17-25, but often they are impacted or blocked by the second molars. Also, if the tooth is partially erupted, food can get trapped in the gum without access to clean. This leads to infection and decay. Wisdom teeth which come in tilted or remain tucked away can also lead to crowding or other problems. Completely impacted wisdom teeth can potentially develop into a cyst, forming a sac of tissue around the tooth leading to bone destruction.
Impacted Wisdom Teeth
Impacted Wisdom Tooth
There are lucky big-jawed or small-toothed people who develop wisdom teeth that function properly, they do not need to see an oral surgeon for extraction, but most of us face the unavoidable trip to the oral surgeon to prevent or treat wisdom teeth complications.
Unfortunately, there are risk factors for removing your wisdom teeth as well. Besides common surgical complications (like swelling, pain and infection), paresthesia (numbness) of the lower jaw, lip, chin or tongue could be quite annoying. If the wisdom teeth are positioned very close to or are intertwined with nerves, the process of extraction can bruise or damage these nerves. Paresthesia is rare and usually temporary, but in some cases can be permanent. Dry socket, when blood of the socket of the extracted tooth fails to coagulate (or a blood clot becomes dislodged due to trauma like sneezing, or playing a musical instrument) can cause irritation, pain and inflammation, but generally heal within a few weeks on their own. To lower the risk factors of extraction, have your wisdom teeth removed at the appropriate time, when the root has formed two-thirds of the way (approximately age 18-24) for easier handling and fewer complications. Because bone density is less developed in teenage years than in later adulthood, it is less resistant, carrying fewer risks of extraction. With age, the jaw becomes dense and extraction becomes increasingly complicated.
So it is very important to have an examination and consultation with your dental professional regarding your specific situation. Clarify the elective removal of wisdom teeth, whether the potential risks associated with the procedure exceed the benefits, or whether it’s time to get them out – for a better environment for the rest of your teeth.
It is exciting when you are loosing your baby teeth and welcoming in your permanent adult teeth, but that should be the end of a person’s teeth loss! For the majority of us, we need 28 teeth to support our facialmuscular system. If one tooth is missing, it could lead to a physiological domino effect, in which a simple problem becomes exacerbated. A missing front tooth is unthinkable to live with – it must be restored ASAP. A missing back tooth, however, is sometimes ignored. This can lead to surrounding teeth shifting and tilting, during which the dentition can later cause gum, tooth and bite problems. At that point, restoring the mouth is not only a one-tooth job, but concerns multiple teeth, gum and bone. It is much easier to handle one missing tooth and not deal with such tremendous consequences.
What are the causes of missing teeth? Congenital missing teeth (teeth which never formed), severely broken down and non-restorable teeth due to dental diseases, lack of supporting bone for teeth due to advanced gum disease and physical trauma from a serious mouth injury are all common reasons. Once you do loose a tooth, your oral environment is severely affected! Besides smile-phobia, speech impairment for missing front teeth, diet complications (in which you can’t properly bite and chew food – especially with foods rich in fiber which require a good set of teeth to digest), and bite force can all be severely affected. Shift and tilt on existing teeth when the jaw exerts pressure lead to uneven loading creates jaw tension and possible accelerated wear and tear of the teeth. Additionally, tilted and shifted teeth make it more difficult to clean , which can lead to tooth decay and gum disease.
Thankfully, dentistry has greatly advanced in recent times, and you do have multiple treatment options for a missing tooth! If just one tooth is missing, dental implants are a great option which can replace the missing tooth without affecting the adjacent teeth, and preserve the bone as well. Dental implants are made of bio-compatible titanium, which are surgically placed into the jaw to preplace the missing root structure. Then, a post and crown is built on top of the implant. Other options include a dental bridge, which needs capping (a crown) of neighboring teeth to help support the artificial tooth replacing the missing one. It is stationary and feels natural (if made properly), but connected teeth need a special tool for flossing. Full or partial dentures are generally the least expensive treatment option, especially if many or all of a person’s teeth are missing. This option involves false teeth being set into a plastic base, which fits over your gums.
What will be the best treatment option for you? Please consult with your dental professional, the sooner the better!
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problem, which will take time to recover.
