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 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.
It is almost summer time, and typical family vacations are being planned in many families! Whether you are planning on taking a family road trip or are trekking across the globe, remember to get a dental checkup before your trip – dental care abroad isn’t always convenient, and can in fact be risky business.
Especially when traveling to remote destinations or developing regions of the world, it can be difficult to find adequate or specialized dental care depending on what needs you may have, or what dental emergencies may arise during your trip. In the most extreme places, dental treatment can be both painful and dangerous, depending on the tools and medicines available to the dentists on staff – dental qualification standards are also frequently much lower abroad than those in the western world.
Many Americans wishing to avoid expensive dental care by voyaging outside the borders of the United States travel to Mexico or Eastern Europe every year, and while this may be a way to save money, it is important to be aware that all American dentists hold a Doctor of Dental Surgery (DDS) degree from an accredited dental school, and hold practicing licenses which are issued only after rigorous examination periods which must be renewed every year. These strict practicing guidelines do not always exist abroad. Guidelines for strict sanitation and hygiene in dental offices are regulated by the Center for Disease Control (CDC), another safety precaution which developing nations often are lacking.
If you choose to go abroad to a remote or developing location to seek dental treatment, be sure to check with that country’s health ministry to inquire about health and safety standards for practicing dentists. Call local health offices and get a feel of what you can expect. If possible, research and find a specific doctor you will visit, and check up on his or her qualifications and practicing history. Once you arrive, your eyes will be your best tool to determine the state of his or her practice! Make sure hands are being washed, instruments are coming from sterilized packaging, and “get a feel” of the place. If you are suspicious, do not proceed!
The Organization for Safety and Asepsis Procedures (OSAP) has published a Traveler’s Guide to Safe Dental Care, which should be read by any and all persons traveling abroad to receive dental treatment – www.osap.org. Finally, dental referrals may be available from the consolate of the country you are a citizen of! Be sure to call the embassy once arriving in your destination country and get all available information. Make sure to be healthy, be prepared, and have a fun and safe trip.
It’s no surprise that people are hurting financially, given the sheer amount of job losses in America. The stress many of us are under becomes evident even in our oral health! When people become overly stressed, they tend to lapse into bad eating and drinking habits, may start smoking, and often do not take proper care of their oral environment (brushing and flossing twice daily, and after meals). This does not mean, however, that visits to the dentist for serious tooth-related problems should be avoided!
The economy has driven some people to extreme measures regarding dental work, even inducing people to use superglue to fix broken teeth instead of visiting the dentist. Not only is this practice ineffective in properly restoring damaged teeth, the chemical compounds found in adhesives like superglue – which are not designed or manufactured for use or placement within the body – can be dangerous and cause adverse health problems depending on the type of glue. The mouth is a core functioner within the human body, and many problems that originate in the mouth are systemic and eventually affect other aspects of your health. The same is true when it comes to abusing or not properly caring for your mouth.
Applying toxic substances like superglue to the inside of the mouth could have long-lasting systemic side effects far graver than the price of visiting your dental professional and receiving the proper dental care your mouth needs. Of course, prevention is always the best medicine for dental problems, but if they do arise, be sure to at least make a call to your dental professional and speak with someone. The problem could be more serious than you think, and fixing something early on is a healthier, less expensive treatment path than waiting until it is a bigger problem!
” May I have some laughing gas please?” is a popular request among the “high anxiety” or “wants to get away” group.
A patient is anesthetized with nitrous oxide.
Nitrous oxide gas (nitrous oxide and oxygen (N20-02)) is affectionately known as “laughing gas” due to its euphoric qualities when inhaled. Discovered in 1772 by Humphrey Davy, he had this to say about its effects: “On the day when the inflammation was the most troublesome, I breathed three large doses of nitrous oxide. The pain always diminished after the first four or five inspirations; the thrilling came on as usual, and uneasiness was for a few minutes swallowed up in pleasure.” When the gas is inhaled (at an approximately 50% nitrous oxide + 50% oxygen dilution), after several minutes nearly all pain dissipates from the body and a euphoric warmth spreads throughout the body. This pleasant feeling is not only pain-reducing, but can calm anxious nerves and relax all but the most fearsome patients. The calming, relaxing and euphoric qualities of nitrous oxide make it a prime candidate for anesthetizing patients who have irrational fears about dental procedures who are unable to get comfortable in the chair. Because laughing gas can be highly effective in treating moderate dental anxieties, nitrous oxide gas can also benefit the dental physician working on a patient – calm environments benefit everyone! Patients with high blood pressure, or who have had heart attacks in the past and are at risk from traditional IV anesthesia are prime candidates for nitrous oxide sedation.
The level of sedation and warmth felt in the body after inhaling nitrous oxide gas depends on the concentration of the dosage, and how long the gas is administered. Because the gas is administered into the lungs, it is saturated into the blood stream very quickly and once the procedure is finished, there are no lingering “hangover” effects, meaning it is safe to drive home without an escort. Local anesthesia is still necessary for the treatment site, but needle-phobia will disappear with laughing gas. If you suffer from dental anxieties and have tried different techniques, seen different dentist and you still can not face dental work with ease, it is worth while for you to try nitrous oxide during your next dental procedure. Have a discussion with your dental professional.
Laser Gum treatment is an exciting treatment modality for treating and managing gum disease. Laser dentistry has been around for two decades, it is very useful in many applications on soft or hard tissues: the focused energy allows for precision treatment while minimizing pain and recovery time. Although only 6 to 7% of dental practices utilize laser technology so far, you may benefit greatly from laser dentistry.
Periodontal disease in particular is a fantastic candidate for laser treatment. The nature of periodontitis (gum disease) involves bacterial growth which affects the supporting structures of the teeth, destroying attachment tissues which create deep periodontal pockets that are not easily cleanable (causing the gum disease to progress). Gum tissue responds very well to laser energy, which removes diseased linings in the periodontal pocket and also kills the bacteria. The laser-tissue interaction is thermal, controlled energy from the selected tip of the laser fiber will evaporate the inflamed unhealthy lining tissue ; its rising temperature will also kill any pathogen present in the tissue. The clean and less traumatic site becomes more efficient and comfortable for your healing. Other benefits of laser treatment include biostimulation (photo-biomodulation) on the cellular level , which energizes damaged cells through light receptors , allowing tissue to heal promptly!
The laser gum treatment is usually administered in conjunction with traditional scaling and root planning (SRP) services, performed with ultrasonic or hand instruments that remove toxic calculus from the root surface. Unlike more traditional methods which use a scaler to scrape away diseased tissue, the laser approach treats the diseased tissues with electromagnetic energy to ablate diseased tissues non-evasively, followed by irrigation with antiseptic solution (chlorhexidine) to flush away and clean the periodontal pockets. For more severe cases, localized placement of certain antibiotic agents (like Arestin minocycline hydrochloride) inside the treated periodontal pocket can assure a complication-free healing process without systemic effects. Low level laser therapy can also be applied to decrease post-operative discomfort and promote healing through photo-biomodulation.
Laser gum treatment has provided tremendous patient benefits as I have witnessed since it has been incorporated into my practice since 1997, but this treatment modality has raised some eyebrows in the periodontal community. It is difficult to establish a parameter with energy and expect to have consistent result on different subjects; there are too many variables from the color, texture, composition and condition of the tissues, whether the origin of the cause has been managed and how the different laser energy is handled by various operators. There are studies which have proven different results, and over-promising commercials also exist which have discouraged development of laser gum treatment.
When properly conducted, laser gum treatment provides a cleaner and more comfortable site for healing. The predictability of tissue regeneration, however, is too complicated for a blog discussion! I do recommend you go to a reliable, non-biased source like The Academy of Laser Dentistry to learn more about the benefits of laser treatment or referrals of certified laser dentists.
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.
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patients has revealed stunning information that links poor patient oral hygiene with impacted orthodontic treatment quality and treatment times.
