4 Tips for Improving Oral Health

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Most Americans are aware that brushing and flossing on a routine basis each day is an optimal way of improving oral health. However, there are many other steps a person can take to enhance the care he or she provides for their teeth, gums and mouth. Those who wish to take a better approach towards oral health care may benefit from exploring the following suggestions:

Tip #1 Choose the Right Brush

Although many individuals may learn the best way to brush and that regular tooth brushing is imperative to optimal oral health, few ascertain which product works best for them. While there are a variety of high-powered dental gadgets on the market, it is important for all individuals to also consider the basics when assessing what brush works the best. For example, individuals may want to invest in a brush that offers medium or soft bristles—depending on a person’s dental sensitivity. Hard bristles, on the other hand, can prove too rough and damage teeth.

Tip #2 Find a Good Mouthwash

Mouthwash is one of the best ways to clean and treat hard-to-reach areas of the mouth and is a great option for killing germs that can harm the oral cavity. However, consumers may want to think twice before choosing a mouthwash that contains alcohol. Alcohol-based mouthwashes are known to dry out the mouth, which can prove somewhat harmful to oral health, as saliva is an important component for healing and sustained dental care.

Tip #3 Do Not Opt Out of Regular Dental Visits

Many individuals who believe they practice an appropriate amount of dental hygiene often feel that they should only visit a dentist when pain or oral emergency occurs. However, it is essential that individuals have their teeth professionally cleaned and inspected every six months to maintain a high level oral health. Taking this precaution can keep teeth in good shape and help identify oral health problems before they turn into dental emergencies.

Tip #4. Eat A Dental-Friendly Diet

Most people understand that acidic sodas and sugary drinks can lead to the decay of teeth; however, few are aware of what foods can help strengthen one’s oral health. For instance, nuts, meats and dairy products can help fortify the enamel, helping one protect against dental impairment. In addition, dental patients may want to consider adding more essential vitamins to their daily dietary intake, especially those found in the vitamin B-complex family, as these nutrients can help protect against tooth decay and oral disease.

FAQ about Oral Cancer

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As a dental professional and supporter of the Oral Cancer Foundation Walk for Awareness of Nashville, Warren Melamed maintains that it is important for all individuals to learn about the risk of oral cancer. Although research and charitable efforts have helped pave the way for new treatments and resources for those affected by oral cancer, Melamed explains that knowledge is the first step to diminishing this devastating medical condition. As such, the following offers a few frequently asked questions and answers to better inform those who wish to learn more about the subject:

What exactly is oral cancer?

Like other forms of cancer, oral cancer refers to an unusual growth of cells—specifically in the oral region. This can include formation of cancer cells in the mouth, as well as the tongue. While this condition can take many forms, oral cancer is typically identified as a squamous cell carcinoma, or when the cells of the oral cavity are affected.

Who is at risk for oral cancer?

Oral cancer occurs in individuals of all backgrounds due to factors such as age, genetics, diet and preexisting health. However, approximately 90 percent of oral cancer patients smoke or chew tobacco, which means that those who participate in these habits should consider the heightened risk of developing this condition. Smoking or chewing tobacco raises the risk of oral cancer the longer a person partakes in the habit; therefore, it is recommended that those who develop the practice find a way to quit as early as possible to reduce risk. Those who smoke or chew tobacco also face risk of developing cancer in other parts of their bodies, such as the lungs, throat and kidney.

What are the symptoms of oral cancer?

Oral cancer can manifest itself differently in those who are affected by it. However, many who have endured this condition have faced oral symptoms such as sores or lumps that do not heal, unusual bleeding, numbness, white and red patches, dental pain and difficulty swallowing. Others may experience unexpected weight loss, swelling in the neck that does not disappear, ear pain and a change in one’s voice.

How is oral cancer treated?

If detected early enough, oral cancer patients stand to face a high risk of recovery from the condition. Chemotherapy, radiation and surgery are often relied upon to remove the cancer and prevent it from spreading further. In some cases, an individual may have to have part of their oral cavity removed and reconstructed.

What should a person do if he or she suspects oral cancer?

Visiting a dentist regularly is an optimal way of detecting oral cancer before it develops too far and maintain oral health.However, it is important for all individuals who experience symptoms of oral cancer to not only consult their primary care physician and doctor, but to gain insight from a trusted oncologist who specializes in the treatment of oral cancer. While the diagnosis may prove a difficult experience for most, it is recommended that oral cancer patients seek a second opinion from another specialist in order to determine what the best course of action is for the individual.

Protecting your Teeth: Foods to Eat and Foods to Avoid

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Brushing, flossing and keeping regular dental appointments are great ways to maintain your oral health. However, there is one more thing that you should monitor in order to keep your teeth healthy: your diet.

It is a widely-held belief that soda will eat holes in your teeth. Soda is harmful for your teeth because of its acidity and the amount of sugar it contains. The acid wears away at dental enamel that protects the nerve, dentin and pulp within each tooth. Sugars also provide food for acid-producing bacteria. The more often you drink soda, the more food you are providing to bacteria.

In addition to soda, there are plenty of other foods and beverages that are just as harmful for your teeth. The top five worst foods for your teeth include:

 1.  Dried Fruit - Dried fruit is preferable to candy as a snack, but it still contains high amounts of sugar. Dried fruit also sticks easily between the teeth. If you do eat dried fruit as a snack, have a toothpick handy or brush your teeth soon afterward.

2.  Sugary Drinks - Soda is known as a destroyer of teeth, but other sugar-containing beverages are just as culpable. Sports drinks and even juices can contain comparable amounts of sugar and acid. If you must drink a sugary drink, drink it quickly. Taking sips gradually exposes your teeth continually to layers of acid.

3.  Hard Candy - Hard candies stick to teeth and must be held in the mouth for a long time. This lengthy consumption time guarantees food for bacteria for the entire time that you’re eating — and for a long time afterward.

4.  Alcohol - Saliva is one of your body’s best defenses against acid-producing bacteria. Alcohol decreases saliva production and is corrosive to the teeth, gums and skin of the mouth.

5.  Starchy Foods - Foods like bread and potato chips are starches. Bacteria in the mouth are skilled at breaking down starches into sugars. Starchy foods frequently get caught in the teeth, feeding bacteria long after the meal is over.

The best foods for your mouth include items that protect tooth enamel and or have a high water content. Cheeses, meats, nuts and milk fall into the first category. These foods replace calcium and phosphorus that is lost through bacterial demineralization. Demineralization can weaken teeth and leave them prone to cavities.

Foods that are high in water include firm and crunchy fruits and vegetables such as apples, pears and celery. The water content dilutes the sugars that these foods contain, helping to promote the flow of saliva.

Acidic or harmful foods should be eaten as part of a larger meal. Be sure to drink plenty of fluoridated water, milk or unsweetened tea along with these foods and snacks. These beverages will wash food particles out of your mouth and serve as a buffering agent against acids.

Protect Your Teeth from Decay

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Our mouths are home to many bacteria, most of which are harmless. Some bacteria, however, are responsible for causing cavities. Known as dental caries in the medical community, cavities are caused by acid-producing bacteria that destroy tooth enamel and dentin. According to Nashville dentist Warren Melamed, the most common locations for cavities to form include:

• Cracks, pits or grooves in the back teeth
• Between teeth
• Around dental fillings or bridgework
• Near the gum line

These sites are common cavity spots because they enable plaque to form easily. Plaque is a soft film that forms on teeth, sticking to them like jam sticks to a spoon. Plaque is a type of biofilm that is similar to the slime that forms in standing water. Just like other types of biofilm, plaque is not something you want to have a lot of in your mouth.

Plaque contains bits of food, saliva and closely-packed bacteria in large numbers. It starts to form right after a tooth is cleaned. Within an hour of cleaning, there is a measurable amount of plaque buildup. Plaque thickens as time passes. Within two to six hours, the plaque is full of bacteria that can cause cavities and gum disease.

If left long enough, plaque absorbs minerals from our saliva which then harden into calculus. Plaque continues to grow on top of these hardened spots, creating a new layer which may harden further. Plaque is easily removable with a toothbrush; calculus is not. This discrepancy is why it is so important to brush your teeth on a regular basis.

All of these processes contribute to the formation of cavities. Here’s how cavities form:

When a person eats sugary or starchy foods, the particles that remain in the mouth become food for bacteria.
These bacteria produce acids. The acids dissolve the mineral crystals in the teeth. The more times you eat in a day, the more your teeth are exposed to an acid attack. These attacks wear down enamel and create weak spots and even holes in teeth. White spots may appear on tooth enamel to signify a weak spot. At this stage, fluoride can still reverse the demineralization process.If bacteria have eaten away the tooth to form a cavity, the decay will need to be cleared and the hole filled by a dental professional.

One of the best tools at our disposal for preventing cavities occurs naturally in the mouth. Your mouth and teeth are constantly bathed in saliva, a natural liquid which keeps everything moist. Saliva washes away bits of food that would otherwise feed acid-producing bacteria. Saliva contains minerals that strengthen the teeth and buffering agents that reduce the acid levels in the mouth.

By reducing your saliva amounts, chronic dry mouth conditions can increase your risk for cavities. Other risk factors include:

• A history of cavities or tooth decay
• A lack of fluoride exposure through toothpaste, community drinking water or supplemental fluoride treatments
• Parents or siblings with high rates of dental decay
• Poor oral hygiene
• How often you consume particular foods, especially sugars and fermentable carbohydrates

While you can never completely remove bacteria from your mouth, you can control oral bacteria levels. Brushing daily, flossing and using mouthwash will reduce bacteria in your mouth and remove plaque. Dental pro Warren Melamed notes that visiting your dentist regularly can enable the identification of tooth decay before it necessitates to a filling or root canal.

Tips for Diagnosing and Treating Tooth Pain

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Toothaches can be extraordinarily painful. Sometimes the pain is all you can think about. There are many causes of tooth pain, the most obvious of which is a problem with the tooth or jaw. The dental causes of tooth pain fall into three categories:

Damage: Trauma, including chips and breakage, can cause damage to teeth. This breakage can cause tooth pain.

Decay: Tooth decay has several degrees of severity. Cavities are holes that penetrate the enamel and the underlying dentin and cause pain. Abscesses are more severe. When an abscess occurs, the dental nerves and pulp become infected.

Disease: Redness and swelling of the gums indicate gum disease or gingivitis. Gum disease can cause gum and tooth pain. Other diseases, including oral cancer, may also contribute to tooth pain.

If you have tooth pain that persists for longer than one or two days, make a dentist appointment immediately. Unless it is an emergency, says dentist Warren Melamed, it is likely that you will have to wait a few days for your appointment.

If you have a toothache and cannot see a dentist right away, here are some things you can do to relieve pain while you wait:

• Avoid foods and beverages that are very cold or very hot. The decay or damage may have exposed the dentin layer of the tooth. Extreme temperatures may cause additional pain.
• Use over-the-counter pain relief medicine that is designed to reduce inflammation. Never put pain relief medication directly on the tooth or gum tissue as this application could damage these areas.
• Gently floss between the painful teeth. Removing the food particles and plaque may help to reduce the pain from the toothache.
• Use clove oil, or eugenol, for pain relief. Clove oil has both antiseptic and anesthetic properties. Soak a small piece of cotton in the oil anduse a pair of tweezers to hold the cotton on the tooth for 10 seconds. Make sure that you do not swallow any of the oil.
• Rinse with warm salt water.Salt water works as an antiseptic, removing bacteria from the infected or vulnerable area. Rinsing may provide additional pain relief.

There are some causes of tooth pain that are not directly related to your dental health. If none of the three general categories of pain are causing the problem, consider the following conditions:

• Sinus Infection: Sinuses that are infected can become swollen, putting pressure on certain teeth.
• Cluster Headache: Cluster headaches cause pressure that may contribute to tooth pain. Their exact cause remains unknown.
• Heart Attack: Pain from a heart attack may radiate into the lower jaw.
• Diabetes: Uncontrolled blood sugar can increase your risk of tooth decay. Frequent cavities may be an indication of a more serious problem.
• Viral Infections: Viral infections such as shingles can cause tooth pain.
• Nerve Diseases: Trigeminal neuralgia is an example of a nerve disease that is associated with sharp pain on one side of the face. 

Toothaches are preventable in most cases, especially when the pain is caused by decay. Follow good oral hygiene practices, making sure to brush and floss twice a day. Sealants and fluoride applications can also defend your teeth from bacteria. Consult with your dentist for more information on how to protect your teeth.

How often should I brush and floss?

Brushing and flossing help control the plaque and bacteria that cause dental disease.

Plaque is a film of food debris, bacteria, and saliva that sticks to the teeth and gums. The bacteria in plaque convert certain food particles into acids that cause tooth decay. Also, if plaque is not removed, it turns into calculus (tartar). If plaque and calculus are not removed, they begin to destroy the gums and bone, causing periodontal (gum) disease.

Plaque formation and growth is continuous and can only be controlled by regular brushing, flossing, and the use of other dental aids.

Tooth brushing – Brush your teeth at least twice a day (especially before going to bed at night) with an ADA approved soft bristle brush and toothpaste.

• Brush at a 45 degree angle to the gums, gently using a small, circular motion, ensuring that you always feel the bristles on the gums.
• Brush the outer, inner, and biting surfaces of each tooth.
• Use the tip of the brush head to clean the inside front teeth.
• Brush your tongue to remove bacteria and freshen your breath.

Electric toothbrushes are also recommended. They are easy to use and can remove plaque efficiently. Simply place the bristles of the electric brush on your gums and teeth and allow the brush to do its job, several teeth at a time.

Flossing – Daily flossing is the best way to clean between the teeth and under the gum line. Flossing not only helps clean these spaces, it disrupts plaque colonies from building up, preventing damage to the gums, teeth, and bone.

• Take 12-16 inches (30-40cm) of dental floss and wrap it around your middle fingers, leaving about 2 inches (5cm) of floss between the hands.
• Using your thumbs and forefingers to guide the floss, gently insert the floss between teeth using a sawing motion.
• Curve the floss into a “C” shape around each tooth and under the gum line. Gently move the floss up and down, cleaning the side of each tooth.

Floss holders are recommended if you have difficulty using conventional floss.

Rinsing – It is important to rinse your mouth with water after brushing, and also after meals if you are unable to brush. If you are using an over-the-counter product for rinsing, it’s a good idea to consult with your dentist or dental hygienist on its appropriateness for you.

What can I do about stained or discolored teeth?

Since teeth whitening has now become the number one aesthetic concern of many patients, there are many products and methods available to achieve a brighter smile.

Professional teeth whitening (or bleaching) is a simple, non-invasive dental treatment used to change the color of natural tooth enamel, and is an ideal way to enhance the beauty of your smile. Over-the-counter products are also available, but they are much less effective than professional treatments and may not be approved by the American Dental Association (ADA).

As we age, the outer layer of tooth enamel wears away, eventually revealing a darker or yellow shade. The color of our teeth also comes from the inside of the tooth, which may become darker over time. Smoking, drinking coffee, tea, and wine may also contribute to tooth discoloration, making our teeth yellow and dull. Sometimes, teeth can become discolored from taking certain medications as a child, such as tetracycline. Excessive fluoridation (fluorosis) during tooth development can also cause teeth to become discolored.

It’s important to have your teeth evaluated by your dentist to determine if you’re a good candidate for bleaching. Occasionally, tetracycline and fluorosis stains are difficult to bleach and your dentist may offer other options, such as veneers or crowns to cover up such stains. Since teeth whitening only works on natural tooth enamel, it is also important to evaluate replacement of any old fillings, crowns, etc. before bleaching begins. Once the bleaching is done, your dentist can match the new restorations to the shade of the newly whitened teeth.

Since teeth whitening is not permanent, a touch-up may be needed every several years to keep your smile looking bright.

The most widely used professional teeth whitening systems:

Home teeth whitening systems: At-home products usually come in a gel form that is placed in a custom-fitted mouthguard (tray), created from a mold of your teeth. The trays are worn either twice a day for approximately 30 minutes, or overnight while you sleep. It usually takes several weeks to achieve the desired results depending on the degree of staining and the desired level of whitening.

In office teeth whitening: This treatment is done in the dental office and you will see results immediately. It may require more than one visit, with each visit lasting 30 to 60 minutes. While your gums are protected, a bleaching solution is applied to the teeth. A special light may be used to enhance the action of the agent while the teeth are whitened.

Some patients may experience tooth sensitivity after having their teeth whitened. This sensation is temporary and subsides shortly after you complete the bleaching process, usually within a few days to one week.

Teeth whitening can be very effective and can give you a brighter, whiter, more confident smile!

How can I tell if I have gingivitis or periodontitis (gum disease)?

Four out of five people have periodontal disease and don’t know it! Most people are not aware of it because the disease is usually painless in the early stages. Unlike tooth decay, which often causes discomfort, it is possible to have periodontal disease without noticeable symptoms. Having regular dental check-ups and periodontal examinations are very important and will help detect if periodontal problems exist.

Periodontal disease begins when plaque, a sticky, colorless, film of bacteria, food debris, and saliva, is left on the teeth and gums. The bacteria produce toxins (acids) that inflame the gums and slowly destroy the bone. Brushing and flossing regularly and properly will ensure that plaque is not left behind to do its damage.

Other than poor oral hygiene, there are several other factors that may increase the risk of developing periodontal disease:

• Smoking or chewing tobacco – Tobacco users are more likely than nonusers to form plaque and tartar on their teeth.
• Certain tooth or appliance conditions – Bridges that no longer fit properly, crowded teeth, or defective fillings that may trap plaque and bacteria.
• Many medications – Steroids, cancer therapy drugs, blood pressure meds, oral contraceptives. Some medications have side affects that reduce saliva, making the mouth dry and plaque easier to adhere to the teeth and gums.
• Pregnancy, oral contraceptives, and puberty – Can cause changes in hormone levels, causing gum tissue to become more sensitive to bacteria toxins.
• Systemic diseases – Diabetes, blood cell disorders, HIV / AIDS, etc.
• Genetics may play role – Some patients may be predisposed to a more aggressive type of periodontitis. Patients with a family history of tooth loss should pay particular attention to their gums.

Signs and Symptoms of Periodontal Disease

• Red and puffy gums – Gums should never be red or swollen.
• Bleeding gums – Gums should never bleed, even when you brush vigorously or use dental floss.
• Persistent bad breath – Caused by bacteria in the mouth.
• New spacing between teeth – Caused by bone loss.
• Loose teeth – Also caused by bone loss or weakened periodontal fibers (fibers that support the tooth to the bone).
• Pus around the teeth and gums – Sign that there is an infection present.
• Receding gums – Loss of gum around a tooth.
• Tenderness or Discomfort – Plaque, calculus, and bacteria irritate the gums and teeth.

Good oral hygiene, a balanced diet, and regular dental visits can help reduce your risk of developing periodontal disease.

Why is it important to use dental floss?

Brushing our teeth removes food particles, plaque, and bacteria from all tooth surfaces, except in between the teeth. Unfortunately, our toothbrush can’t reach these areas that are highly susceptible to decay and periodontal (gum) disease.

Daily flossing is the best way to clean between the teeth and under the gumline. Flossing not only helps clean these spaces, it disrupts plaque colonies from building up, preventing damage to the gums, teeth, and bone.

Plaque is a sticky, almost invisible film that forms on the teeth. It is a growing colony of living bacteria, food debris, and saliva. The bacteria produce toxins (acids) that cause cavities and irritate and inflame the gums. Also, when plaque is not removed above and below the gumline, it hardens and turns into calculus (tartar). This will further irritate and inflame the gums and also slowly destroy the bone. This is the beginning of periodontal disease.

How to floss properly:

• Take 12-16 inches (30-40cm) of dental floss and wrap it around your middle fingers, leaving about 2 inches (5cm) of floss between the hands.
• Using your thumbs and forefingers to guide the floss, gently insert the floss between teeth using a sawing motion.
• Curve the floss into a “C” shape around each tooth and under the gumline. Gently move the floss up and down, cleaning the side of each tooth.

Floss holders are recommended if you have difficulty using conventional floss.

Daily flossing will help you keep a healthy, beautiful smile for life!

How can cosmetic dentistry help improve the appearance of my smile?

If you’re feeling somewhat self-conscious about your teeth, or just want to improve your smile, cosmetic dental treatments may be the answer to a more beautiful, confident smile.

Cosmetic dentistry has become very popular in the last several years, not only due to the many advances in cosmetic dental procedures and materials available today, but also because patients are becoming more and more focused on improving their overall health. This includes dental prevention and having a healthier, whiter, more radiant smile.

There are many cosmetic dental procedures available to improve your teeth and enhance your smile. Depending on your particular needs, cosmetic dental treatments can change your smile dramatically, from restoring a single tooth to having a full mouth make-over. Ask your dentist how you can improve the health and beauty of your smile with cosmetic dentistry.

Cosmetic Procedures:

Teeth Whitening: Bleaching lightens teeth that have been stained or discolored by age, food, drink, and smoking. Teeth darkened as a result of injury or taking certain medications can also be bleached, but the effectiveness depends on the degree of staining present.

Composite (tooth-colored) Fillings: Also known as “bonding”, composite fillings are now widely used instead of amalgam (silver) fillings to repair teeth with cavities, and also to replace old defective fillings. Tooth-colored fillings are also used to repair chipped, broken, or discolored teeth. This type of filling is also very useful to fill in gaps and to protect sensitive, exposed root surfaces caused by gum recession.

Porcelain Veneers: Veneers are thin custom-made, tooth-colored shells that are bonded onto the fronts of teeth to create a beautiful individual smile. They can help restore or camouflage damaged, discolored, poorly shaped, or misaligned teeth. Unlike crowns, veneers require minimal tooth structure to be removed from the surface of the tooth.

Porcelain Crowns (caps): A crown is a tooth-colored, custom-made covering that encases the entire tooth surface restoring it to its original shape and size. Crowns protect and strengthen teeth that cannot be restored with fillings or other types of restorations. They are ideal for teeth that have large, fractured or broken fillings and also for those that are badly decayed.

Dental Implants: Dental implants are artificial roots that are surgically placed into the jaw to replace one or more missing teeth. Porcelain crowns, bridges, and dentures can be made specifically to fit and attach to implants, giving a patient a strong, stable, and durable solution to removable dental appliances.

Orthodontics: Less visible and more effective brackets and wires are making straightening teeth with orthodontics much more appealing to adult patients. Also, in some cases, teeth may be straightened with custom-made, clear, removable aligners that require no braces.

Thanks to the advances in modern dentistry, cosmetic treatments can make a difference in making your smile shine!

How often should I have a dental exam and cleaning?

You should have your teeth checked and cleaned at least twice a year, though your dentist or dental hygienist may recommend more frequent visits.

Regular dental exams and cleaning visits are essential in preventing dental problems and maintaining the health of your teeth and gums. At these visits, your teeth are cleaned and checked for cavities. Additionally, there are many other things that are checked and monitored to help detect, prevent, and maintain your dental health. These include:

• Medical history review: Knowing the status of any current medical conditions, new medications, and illnesses, gives us insight to your overall health and also your dental health.
• Examination of diagnostic x-rays (radiographs): Essential for detection of decay, tumors, cysts, and bone loss. X-rays also help determine tooth and root positions.
• Oral cancer screening: Check the face, neck, lips, tongue, throat, tissues, and gums for any signs of oral cancer.
• Gum disease evaluation: Check the gums and bone around the teeth for any signs of periodontal disease.
• Examination of tooth decay: All tooth surfaces will be checked for decay with special dental instruments.
• Examination of existing restorations: Check current fillings, crowns, etc.
• Removal of calculus (tartar): Calculus is hardened plaque that has been left on the tooth for sometime and is now firmly attached to the tooth surface. Calculus forms above and below the gum line, and can only be removed with special dental instruments.
• Removal of plaque: Plaque is a sticky, almost invisible film that forms on the teeth. It is a growing colony of living bacteria, food debris, and saliva. The bacteria produce toxins (poisons) that inflame the gums. This inflammation is the start of periodontal disease!
• Teeth polishing: Removes stain and plaque that is not otherwise removed during toothbrushing and scaling.
• Oral hygiene recommendations: Review and recommend oral hygiene aids as needed (electric dental toothbrushes, special cleaning aids, fluorides, rinses, etc.).
• Review dietary habits: Your eating habits play a very important role in your dental health.

As you can see, a good dental exam and cleaning involves quite a lot more than just checking for cavities and polishing your teeth. We are committed to providing you with the best possible care, and to do so will require regular check-ups and cleanings.

Are amalgam (silver) fillings safe?

Over the years there has been some concern as to the safety of amalgam (silver) fillings. An amalgam is a blend of copper, silver, tin and zinc, bound by elemental mercury. Dentists have used this blended metal to fill teeth for more than 100 years. The controversy is due to claims that the exposure to the vapor and minute particles from the mercury can cause a variety of health problems.

According to the American Dental Association (ADA), up to 76% of dentists use silver containing mercury to fill teeth. The ADA also states that silver fillings are safe and that studies have failed to find any link between silver containing mercury and any medical disorder.

The general consensus is that amalgam (silver) fillings are safe. Along with the ADA’s position, the Center for Disease Control (CDC), the World Health Organization, the FDA, and others support the use of silver fillings as safe, durable, and cost effective. The U.S. Public Health Service says that the only reason not to use silver fillings is when a patient has an allergy to any component of this type of filling. The ADA has had fewer than 100 reported incidents of an allergy to components of silver fillings, and this is out of countless millions of silver fillings over the decades.

Although studies indicate that there are no measurable health risks to patients who have silver fillings, we do know that mercury is a toxic material when we are exposed at high, unsafe levels. For instance, we have been warned to limit the consumption of certain types of fish that carry high levels of mercury in them. However, with respect to amalgam fillings, the ADA maintains that when the mercury combines with the other components of the filling, it becomes an inactive substance that is safe.

There are numerous options to silver fillings, including composite (tooth-colored), porcelain, and gold fillings. We encourage you to discuss these options with your dentist so you can determine which is the best option for you.

Dental Health for Pregnant Women

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Many things go through a woman’s mind when she finds out that she is pregnant. When will she have her first ultrasound? What will she name the baby? Is it a boy or a girl?

Her dental health may well be one of the last things on her mind. However, a mother’s oral health can affect the health of her baby.

Mothers with gum disease have a higher instance of preterm birth. Preterm birth can cause serious problems for the infant, including low birth weight. Hormonal changes during pregnancy may also render a mother more susceptible to teeth and gum problems.

Preventing Pregnancy Gingivitis

In 2009, the American Academy of Pediatric Dentistry announced new oral health guidelines for pregnant women. These guidelines are designed to help pregnant women maintain healthy teeth and gums during their pregnancy and throughout the early stages of motherhood. These guidelines include:

1. Oral Hygiene: Correct brushing and flossing practices can help remove bacterial plaque, which is connected to preterm birth.
2. Fluoride: Pregnant women should continue to use fluoridated toothpaste. They should also use an over-the-counter alcohol-free fluoride rinse to reduce the amount of plaque in their mouths.
3. Treatment of Existing Tooth Decay: Existing tooth decay should be treated during pregnancy. Restoring decayed teeth will improve oral health by removing bacteria produced by the decay process.
4. Prevention of Transmission of Bacteria: Expectant mothers are discouraged from sharing utensils or food with others. Avoid sharing these items in order to prevent the transmission of bacteria that cause tooth decay.
5. Use of Xylitol Gum: When chewed four times a day, gum sweetened with xylitol has been shown to decrease the rate of tooth decay in children.

Pregnancy gingivitis develops in almost half of all pregnant women. It typically ends shortly after the birth, but it should be monitored throughout the pregnancy to ensure that it doesn’t progress into periodontitis. A more serious form of gum disease, periodontitis is irreversible. Pregnant mothers with periodontal disease are seven times more likely to go into preterm labor.

The Dangers of Preterm Birth

It may be hard for a pregnant mom to internalize the true danger that periodontitis poses for an unborn baby. The danger lies in prostaglandin, a chemical found in oral bacteria. High levels of prostaglandin have been found in the mouths of women with periodontitis. Prostaglandin may work to induce labor in pregnant women, causing preterm birth.

Babies born too early often have a low birth weight, which can cause significant health problems. Babies born prematurely have an increased risk of developing lung conditions, heart conditions and learning disorders. If you are pregnant or may become pregnant, consult your dentist about the state of your oral health.

FAQs about Bad Breath

What should I do if I have bad breath?

Bad breath (halitosis) can be an unpleasant and embarrassing condition. Many of us may not realize that we have bad breath, but everyone has it from time to time, especially in the morning.

There are various reasons one may have bad breath, but in healthy people, the major reason is due to microbial deposits on the tongue, especially the back of the tongue. Some studies have shown that simply brushing the tongue reduced bad breath by as much as 70 percent.

What may cause bad breath?

• Morning time – Saliva flow almost stops during sleep and its reduced cleansing action allows bacteria to grow, causing bad breath.
• Certain foods – Garlic, onions, etc. Foods containing odor-causing compounds enter the blood stream; they are transferred to the lungs, where they are exhaled.
• Poor oral hygiene habits – Food particles remaining in the mouth promote bacterial growth.
• Periodontal (gum) disease – Colonies of bacteria and food debris residing under inflamed gums.
• Dental cavities and improperly fitted dental appliances – May also contribute to bad breath.
• Dry mouth (Xerostomia) – May be caused by certain medications, salivary gland problems, or continuous mouth breathing.
• Tobacco products – Dry the mouth, causing bad breath.
• Dieting – Certain chemicals called ketones are released in the breath as the body burns fat.
• Dehydration, hunger, and missed meals – Drinking water and chewing food increases saliva flow and washes bacteria away.
• Certain medical conditions and illnesses – Diabetes, liver and kidney problems, chronic sinus infections, bronchitis, and pneumonia are several conditions that may contribute to bad breath.

Keeping a record of what you eat may help identify the cause of bad breath. Also, review your current medications, recent surgeries, or illnesses with you dentist.

What can I do to prevent bad breath?

• Practice good oral hygiene – Brush at least twice a day with an ADA approved fluoride toothpaste and toothbrush. Floss daily to remove food debris and plaque from in between the teeth and under the gumline. Brush or use a tongue scraper to clean the tongue and reach the back areas. Replace your toothbrush every 2 to 3 months. If you wear dentures or removable bridges, clean them thoroughly and place them back in your mouth in the morning.
• See your dentist regularly – Get a check-up and cleaning at least twice a year. If you have or have had periodontal disease, your dentist will recommend more frequent visits.
• Stop smoking/chewing tobacco – Ask your dentist what they recommend to help break the habit.
• Drink water frequently – Water will help keep your mouth moist and wash away bacteria.
• Use mouthwash/rinses – Some over-the-counter products only provide a temporary solution to mask unpleasant mouth odor. Ask your dentist about antiseptic rinses that not only alleviate bad breath, but also kill the germs that cause the problem.

In most cases, your dentist can treat the cause of bad breath. If it is determined that your mouth is healthy, but bad breath is persistent, your dentist may refer you to your physician to determine the cause of the odor and an appropriate treatment plan.

Pass This Exam BEFORE School Starts

It's almost back to school time. This time of the year parents are starting to think about purchasing school supplies, backpacks and just the right pair of tennis shoes. Little do the kids know that there is one exam they need to take before the school bell rings -- a dental exam.

A good dental examination is an important part of maintaining a child's overall health. Additionally, oral pain can cause a host of problems in the classroom, making it hard for the student to concentrate. It may also be hard to eat lunch or speak properly. These symptoms can interfere with learning and even cause the student to miss school.

The American Academy of Pediatric Dentistry recommends that children get a dental exam every six months. So, if your child is due for a checkup schedule it now. Regular checkups can help discover and solve potential problems before there are even any symptoms - sparing you and your child precious time, money and pain!

4 Tips for Selecting a Dental Professional

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Likeable Dentist

While a large percentage of Americans only think about going to the dentist whenever they experience pain in the mouth or teeth, Warren Melamed explains that is important for every individual to establish a solid relationship with a trusted dental professional. Locating a reliable, friendly and professional dentist is a great way to motivate yourself to visit a dentist on a regular basis—it can even make the experience much more enjoyable.

As a trusted and experienced dental professional, Warren Melamed offers the following tips to those who want to find a high quality dental care provider.

Tip #1 Find a Dentist that Offers Many Services

Most dental care professionals are able to assess and treat the immediate needs of oral health when they are certified as general dentists. However, those that want to locate a provider that offers comprehensive care should research professionals that offer a wide array of services. Having a dentist well-versed in various practices can provide trusted assistance in times where a person experiences an unexpected oral health emergency, rather than just routine dental care. In addition, some may benefit from enlisting the help of a dentist who also offers cosmetic services, such as whitening and veneer placement.

Tip #2 Choose a Dentist based on Your Location

When it comes to selecting a physician or dentist, it is often important to find one that is conveniently located near one’s home or place of work. While this close proximity can make going to appointments more convenient, the location of a dental office is also important for other reasons. For instance, if a person experiences sudden dental pain or emergency, he or she will not want to drive far in order to receive the medical attention that they require.

Tip #3 Investigate a Dentist’s Continuing Education Experience

Certification is one of the obvious requirements when selecting a trusted dentist; however, it is also important to examine the continuing education experience of a dental professional. Those who are considering a new dentist will often benefit from enlisting the services of one who is up-to-date on current practices and technologies used in the modern dental field. The more a dentist is aware of, in terms of modern dental practices, the more likely it is that his or her patients can access optimal care and greater treatment options.

Tip #4 Do Not Forget about Personality

Even is a dentist has all the skill necessary to treat patients, a winning personality can make the difference between an effective professional and a great one. Just like a doctor should have a great bedside manner, it is important for dentists to develop a formidable rapport with patients. If a dental professional is educated, experienced and friendly, it is more likely that a patient can have a better time when seeking consultation and openly discussing treatment options.

It is important for patients to remember that a dentist will generally spend more time with them than a general physician, especially if they are performing dental work in the patient’s mouth. Therefore, it is essential for patients to find a dental professional that aligns with their personality and can make the experience much more comfortable.