How smoking affects your teeth

While the general effects of smoking on your health are well-known, it can also have significant effects on your oral health.

Here are some of the ways smoking can harm your oral health and hygiene:

•  Oral Cancer
•  Periodontal (gum) disease
•  Delayed healing after a tooth extraction or other oral surgery
•  Bad breath
•  Stained teeth and tongue
•  Diminished sense of taste and smell

Research suggests that smoking may be responsible for almost 75% of adult gum disease.

Tobacco products damage your gum tissue by affecting the attachment of bone and soft tissue to your teeth. One effect is receding gums which expose the tooth roots and increase your risk of tooth decay or to sensitivity to hot and cold in these unprotected areas.

Cigar smoking is equally a major risk and even smokeless tobacco products contain a variety of toxins associated with cancer. Smokeless tobacco can also irritate your gum tissue.

Giving up smoking will provide a significant boost to your oral health as well as giving you the chance to live longer.

How medication and anesthesia can help make your visit to the dentist easier

Your dentist will do everything possible to make your visit as relaxed and comfortable as possible.

Depending on the treatment you are receiving, there are several medications available to help.

Some drugs control pain, some help you relax and others put you into a deep sleep during dental treatment.

The best approach will depend on the type of procedure being undertaken, your overall health – including any history of allergies – and the degree of anxiety you feel.

Some of the options your dentist might discuss include:

Analgesics: These are the most commonly used drugs for relief of toothache or pain following dental treatment. They includes aspirin, acetaminophen and anti-inflammatory drugs such as Ibuprofen. There is a separate category of ‘narcotic analgesics’ – such as those containing codeine – which are used for more severe pain.

Local anesthesia: Topical anesthetics are applied to mouth tissues with a swab to prevent pain on the surface level. They may also be used to soothe mouth sores. Injectable local anesthetics prevent pain in a specific area of your mouth during treatment by blocking the nerves that sense or transmit pain and numbing mouth tissues.

In other cases, your dentist many recommend sedation or general anesthesia.

Your dentist will discuss the best approach to suit your needs.

Tips for people with difficulty handling a toothbrush

There are many people who find it difficult to look after their dental health properly because they have problems handling a toothbrush.

This can be due to a severe physical disability or simply basic dexterity problems.

There are a few simple steps you can take to make it easier for people who find it difficult to hold on to a toothbrush or dental floss.

Here are some simple ‘home remedies’:

– Use a wide elastic band to attach the brush to the hand

– Enlarge the brush handle with a sponge, rubber ball or bicycle handle grip

– Wind an elastic bandage or adhesive tape around the handle

– Lengthen the handle with a piece of wood or plastic such as a ruler, popsicle stick or tongue depressor

– Tie floss into a loop for easier handling

– Use an electric toothbrush or commercial floss holder

Your dentist will be able to provide specific guidance and further tips for people who need an easier way to handle a toothbrush and floss.

Caring for people who have special needs

People at any age can have a condition that makes it difficult for them to look after their own dental health.

This could affect people who suffer from a wide range of conditons such as stroke, spinal cord injury, multiple sclerosis, mental retardation, Down syndrome, genetic disorders, Alzheimer’s disease or arthritis.

However, people in all of these categories have the same dental needs as everyone else – they need daily brushing and flossing, regular dental visits and a balanced diet.

There are some steps caregivers can take to make it easier to look after people in those categories.

If the person is uncooperative or uncontrollable, try to explain what you are about to do and schedule the task for a time of day when they are rested.

Move in a calm, slow, reassuring manner to avoid startling them. Give praise and encourage them when they help themselves.

Support the person’s head, and take special care to prevent choking or gagging when the head is tilted back.

If the person is unable or unwilling to keep their mouth open, your dentist will explain how you can make and use a mouth prop.

Ask your dentist for advice on how to care for people with special needs and check if they have facilities for caring for these needs in the dental office.

How implants changed dentistry

Implants are one of the most important developments in dental care over recent years.

They have created opportunities that didn’t exist before for people to improve their dental health and create the smile they want.

Implants were discovered by Swedish scientist and orthopedic surgeon Dr. P.I. Brnemark and they have transformed the quality of life for people who have missing teeth.

The basis of a dental implant is a titanium rod about 1cm long. This is placed inside the jawbone and is designed to serve the same purpose as tooth roots.

Implants can either be used to replace lost teeth or to help keep dentures in place more securely.

One of the reaons implants have changed dental care so much is that, previously, there was often no other way to replace missing teeth permanently.

And there are many people who cannot tolerate removable dentures or don’t want to wear them for some other reason.

The introduction of implants had made a big change in their lives.

How sealants can give your teeth extra protection

Sealants are made from plastic material applied to the back teeth to protect the enamel from plaque and acids.

The plastic bonds into the depressions and grooves (pits and fissures) of the chewing surfaces of the back teeth – premolars and molars.

Although thorough brushing and flossing can help remove food particles and plaque from smooth surfaces of teeth, the toothbrush bristles cannot reach all the way into the depressions and grooves to extract food and plaque.

The benefit of sealants is that they protect these vulnerable areas by “sealing out” plaque and food.

Your dentist can apply sealants quite easily and it takes only a few minutes to seal each tooth.

The teeth being sealed will first be cleaned. Then the chewing surfaces are roughened with an acid solution which makes it easier for the sealant to stick to the tooth.

The sealant is then ‘painted’ onto the tooth enamel, where it bonds directly to the tooth and hardens.

Sometimes a special curing light is used to help the sealant harden.

As long as the sealant remains intact, the tooth surface will be protected from decay.
They usually last several years before a reapplication is needed. Your dentist will check the condition of the sealants during your regular visits and reapply them when necessary.

Sealants are ideal for children because the risk of developing pit and fissure decay starts early in life. However, many adults can benefit from sealants as well.

Your dentist can tell you whether sealants would help your oral hygiene program.

How your oral health links with your general health

Research has shown strong links between periodontitis (advanced form of gum disease) and other health problems such as cardiovascular disease, stroke and bacterial pneumonia.

And pregnant women with periodontitis may be at increased risk of delivering pre-term and/or having babies with low birth weight.

However, just because two conditions occur at the same time, doesn’t necessarily mean that one condition causes the other. The relationship could work the other way.

For example, there is evidence that diabetics are more likely to develop periodontitis and have more severe periodontitis than non-diabetics.

Alternatively, two conditions that occur together may be caused by something else.

In addition, people who smoke or use alcohol have a higher than average risk of developing periodontitis and other conditions, including oral cancer.

Research is looking at what happens when periodontitis is treated in individuals with these problems.

The aim is to find out whether periodontitis does have an effect on other health problems.

If one caused the other, improvement in periodontal health would also improve other health problems.

While the research is not yet conclusive, the potential link between periodontitis and systemic health problems, means that preventing periodontitis may be an important step in maintaining overall health.

In most cases, good oral health can be maintained by brushing and flossing every day and receiving regular professional dental care.

The keys to keeping your mouth healthy

A healthy mouth is a good indication of your overall health and helps you to keep a great smile and continue eating what you want for many years to come.

There are a few steps you can take to make sure your mouth is as healthy as possible:
– Brush your teeth twice a day using a good quality toothbrush
– Renew your toothbrush regularly. It will only keep your mouth healthy if the brush is in good condition and the bristles are strong. You should replace it at least every three or four months
– Clean between your teeth. Your toothbrush can’t reach everywhere and bacteria can linger between the teeth so it’s important to clean between them every day using floss or an interdental cleaner
– Visit your dentist regularly for professional cleaning and oral examinations

Your dentist will be able to give you tips on what other products you should consider to help improve your oral health.

For example, antimicrobial mouth rinses and toothpastes can reduce the germs in your mouth and reduce the risk of gum disease.

Also, fluoride mouth rinses can help reduce and prevent tooth decay. Studies have shown that using mouth rinses provides valuable protection over and above that provided by fluoride toothpaste alone.

Look out for the ADA seal when buying toothbrushes and other dental products. This is a sign that the product has met American Dental Association standards for safety and effectiveness.

Following these steps can help ensure that you continue to enjoy great oral health.

How to make your smile brighter

Your smile makes a huge difference to what people think about you and how you feel about yourself.

And there are many options available to help you improve the look and brightness of your smile, including:

In-office bleaching: During chair-side bleaching, the dentist will apply either a protective gel to your gums or a rubber shield to protect the oral soft tissues. A bleaching agent is then applied to the teeth, and a special light may be used to enhance the action of the agent.

At-home bleaching: There are several types of products available for use at home, which can either be dispensed by your dentist or purchased over-the-counter. These include peroxide bleaching solutions, which actually bleach the tooth enamel. Peroxide-containing whiteners typically come in a gel and are placed in a mouth guard.

Whitening toothpastes: All toothpastes help remove surface stain through the action of mild abrasives. “Whitening” toothpastes include special chemical or polishing agents that are more effective at removing stains. However, unlike bleaches, they don’t alter the intrinsic color of teeth.

Start by speaking to your dentist. He or she will tell you if whitening procedures would be effective for you as whiteners may not correct all types of discoloration.

How to take care of your teeth with braces

Braces are orthodontic apparatus used to help fix crooked and crowded teeth.

While modern braces can be comfortable and inconspicuous, you may have to take extra steps to care for your teeth when wearing them.

It’s important that you continue good oral hygiene practices while wearing braces.

You need to continue brushing regularly, following the approach suggested by your dentist, as well as flossing daily and making regular visits to the dentist.

People with braces should stick to a balanced diet and limit the number of snacks between meals.

Your dentist may suggest that you avoid certain foods that could interfere with braces or accidentally bend the wires. This can include nuts, popcorn, hard candy, ice and sticky foods such as chewing gum or caramel.

You can still continue to enjoy sports and other activities but a protective mouth guard is often recommended to reduce the risk of injury to the mouth or jaw. Your dentist will suggest an appropriate mouth guard when the braces are in place.

Braces can make a big difference to your smile and your future dental health. Modern technology and following good practices means you should be able to wear them with comfort and confidence.

Building a strong relationship with your dentist

You’ll give yourself the best chance of good oral health if you build a strong relationship with your dentist.

That can sometimes mean asking the right questions and helping them to assist you in the best way possible.

So you want to make sure you have a dentist who will first of all explain techniques that you should use to help prevent dental health problems. They should be willing to show you step-by-step what you need to do.

You should also choose a dentist who is willing to take time to answer your questions, especially when they are recommending a course of treatment.

If you don’t understand any part of what your dentist recommends, don’t be afraid to ask for more information.

You may want to ask if there are other options to the solution they recommend. For example:

– How do the options differ in cost?
– Which solution will last the longest?
– Do all the options solve the problem?

Ask the dentist which treatments are absolutely necessary, which are elective and Which are cosmetic.

Ask which procedures are urgently needed, and which ones are less urgent. Your dentist will help you prioritize between problems which need immediate attention and those that are less urgent.

Often, treatment can be planned over a period of time but make sure you understand any consequences of delaying treatment.

It’s naturally also important to make sure that you are given full information about fees and payment plans before treatment is scheduled.

Is bottled or tap water better for your teeth?

With many people concerned about the taste and purity of tap water, the sales of bottled water have increased significantly in recent years.

Tap water goes through a process of purification designed to eliminate suspended materials, remove tastes and odors and kill microorganisms.

Fluoride is added to most tap water supplies with the aim of reducing cavities.

Fluoride becomes incorporated into our teeth as they develop and makes them more resistant to decay. It can reverse the progress of early cavities and reduce the need for dental treatment.

Mass water fluoridation has played an important role in reducing tooth decay.

The problem with bottled waters is that they usually don’t contain fluoride.

So there is a risk that drinking bottled water can increase the risk of cavities for some people.

If you drink a lot of bottled water, you can make up for this by using fluoride toothpaste and mouth rinse.

Your dentist may even suggest a fluoride supplement if they notice an increase in cavities.

The secrets of avoiding gum disease as an older adult

Gum disease also known as periodontal disease often progresses slowly, without pain, over a long period of time and that’s one reason it is common among older adults.

The longer the disease goes undetected and uncontrolled, the more damage it causes to gums and other supporting tissues.

Although periodontal disease is caused by plaque, other factors can increase the risk or severity of the condition, including:
– Food left between the teeth
– Tobacco use smoking and smokeless tobacco
– Badly aligned teeth
– Ill-fitting bridges or partial dentures
– Poor diet
– Systemic diseases such as anemia

Although periodontal disease is common, it can be controlled and, if caught in its early stages, it can be reversed. However, in advanced stages, it may require surgery.

Look out for the following warning signs and see your dentist if you notice any of them:
– Bleeding gums when you brush
– Red, tender or swollen gums
– Gums that have pulled away from the teeth
– Pus between your teeth and gums when the gums are pressed
– Loose teeth or teeth moving apart
– Any change in your bite
– Any change in the fit of your partial dentures
– Constant bad breath or bad taste

Keeping an eye out for these problems and having regular dental checkups can help you stop gum disease becoming a major and expensive problem.

How a baby’s first teeth develop

A newly born baby usually has no teeth visible but most have begun to develop primary or baby teeth.

These generally begin to appear about six months after birth.

Over their first few years, they will develop all 20 primary teeth and will usually have them all in place by age three.

The teething process is uncomfortable for many babies and they can become sleepless and irritable. They also might lose their appetite or drool more than usual.

If your infant has a fever or diarrhea while teething or continues to be cranky and uncomfortable, call your physician.

Sometimes when a tooth erupts, an eruption cyst may develop. The tooth will eventually rupture this as it pushes through the gums and these cysts are usually harmless and should be left alone.

If a baby has sore or tender gums when they are teething, it can help to gently rub the gum with a clean finger, a small, cool spoon or a wet gauze pad.

When this happens, your dentist or pediatrician may suggest a pacifier, teething ring or a special “numbing” salve for the gums.

When the teeth begin to erupt, you should brush them with a soft-bristled toothbrush and a little water to prevent tooth decay.

Toothpaste is not recommended until a child reaches age two. When a child begins using toothpaste, you need to supervise the brushing to make sure they don’t swallow it.

Regular dental checks should begin after your child’s first tooth appears or by their first birthday.

Different types of dentist and how they help your oral care

While many people see dentists as the single group of people who look after the health of your teeth and mouth, there are various specialist categories that help you in different ways.

The categorization of a dentist will depend on their education, training and experience.

Here are some of the main specialist areas of dentistry:

Endodontics: Concerned with the dental pulp – the part in the center of a tooth made up of living soft tissue and cells and root canal therapy

Oral and Maxillofacial Pathology: This deals with the identification, and management of diseases affecting the oral and maxillofacial regions

Oral and Maxillofacial Radiology: Deals with the production and interpretation of images and data produced by radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region

Oral and Maxillofacial Surgery: Diagnosis and surgical treatment of diseases, injuries and defects of the tissues including extractions, facial surgery and implants

Orthodontics and Dentofacial Orthopaedics: Mainly deals with diagnosis, prevention and treatment of misaligned teeth and modification of midface and mandibular growth

Pediatric Dentistry: Provides preventive and therapeutic oral health care for infants and children through adolescence.

Periodontics: Prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth and the maintenance of the health, function and esthetics of these structures and tissues. Most periodonitist place implants

Prosthodontics: Diagnosis, treatment planning, rehabilitation and maintenance associated with missing or deficient teeth and/or oral and maxillofacial tissues. Includes dentures, bridges and the restoration of implants.

Plus, of course, general dentists provide everyday care and many specialist services to maintain your oral health.

How braces can be made to look good

Orthodontic appliances such as braces can be used to help straighten out crooked and crowded teeth.

This is not just about looking better; it also helps improve your dental health.

How they look may determine how you feel about wearing them but, these days, braces can be as inconspicuous as you want.

Brackets the part of the braces that attaches to each tooth – can sometimes be attached to the back of the tooth, making them less noticeable.

The brackets can be made in a wide range of different materials such as metal, ceramic or plastic.

They can also be designed to look appealing. For example, they may be clear or tooth-colored. There can also be shaped in a variety of ways like hearts and footballs or created in favorite colors.

You could even go for gold-plated braces or glow-in-the-dark retainers!

How to make visiting the dentist easy for kids

Your child should have their first trip to the dentist by the time they are 18 months old and it’s good to make the process as easy as possible for them from the start.

Dental staff are used to dealing with young children and they will know how to make them feel comfortable.

Sometimes, children under three may be treated on the parent’s lap. In this case, the parent sits in the dental chair facing the dentist, and the child is on their lap.

The dentist will tell the child what he or she is going to do in terms they can understand. They will usually have fun dental toys they can use to help.

They will start with an oral examination checking the teeth present and looking at the development of the jaw, gums and soft tissues.

Naturally, as in any new situation, some children are initially unsettled but this is usually short-lived as they get used to it.

Parents can help by ensuring they are calm and relaxed as any anxiety will transfer to the child.

With older children, the parents may stay in the background though sometimes children behave better when the parent is not in the room!

Work with your children and your dentist to find the best way of ensuring they get the treatment they need with minimum worries for everyone.

How sedation and general anesthesia can make your visit to the dentist easier

While local anesthetics are often used in dental treatment, there is sometimes a need for anti-anxiety agents – such as nitrous oxide – or sedatives to help people relax during dental visits.

Dentists may use these agents to induce “minimal or moderate sedation”.

In this case, the patient reaches a relaxed state during treatment but can respond to speech or touch.

Sedatives can be administered before, during or after dental procedures by mouth, inhalation or injection.

More complex treatments may require drugs that can induce “deep sedation”.

This reduces consciousness and causes a loss of feeling which helps to reduce both pain and anxiety.

Sometimes patients undergo “general anesthesia” where the drugs lead to a temporary loss of consciousness.

A dentist may recommend deep sedation or general anesthesia for certain procedures with children or with adults who have severe anxiety or for people who have difficulty controlling their movements.

While these techniques to control pain and anxiety are used to treat tens of millions of patients safely every year, it’s important that you let your dentist know anything that might affect your ability to benefit from them for example, tell them about any illnesses or health conditions, whether you are taking any medications and if you’ve had any problems with allergic reactions to medications.

Why to look for the ADA Seal of Acceptance

When buying dental products, it’s a good idea to look out for the American Dental Association (ADA) Seal of Acceptance.

The first Seal of Acceptance was awarded in 1931 and it’s regarded as an important symbol of a dental product’s safety and effectiveness.

Although the Seal program is strictly voluntary, approximately 100 companies participate in it and they commit significant resources to testing their products in clinical and laboratory conditions.

More than 300 consumer dental products carry the Seal of Acceptance. These include toothpaste, dental floss, manual and electric toothbrushes, mouth rinse and chewing gum.

You can get more information about the seal and how it is awarded for specific products at http://www.ada.org/ada/seal/

This site also contains links to the most current lists of accepted consumer products.

Is bottled or tap water better for your teeth?

With many people concerned about the taste and purity of tap water, the sales of bottled water have increased significantly in recent years.

Tap water goes through a process of purification designed to eliminate suspended materials, remove tastes and odors and kill microorganisms.

Fluoride is added to most tap water supplies with the aim of reducing cavities.

Fluoride becomes incorporated into our teeth as they develop and makes them more resistant to decay. It can reverse the progress of early cavities and reduce the need for dental treatment.

Mass water fluoridation has played an important role in reducing tooth decay.

The problem with bottled waters is that they usually don’t contain fluoride.

So there is a risk that drinking bottled water can increase the risk of cavities for some people.

If you drink a lot of bottled water, you can make up for this by using fluoride toothpaste and mouth rinse.

Your dentist may even suggest a fluoride supplement if they notice an increase in cavities.