Posts for tag: oral health
Although cancer treatment has advanced steadily in recent decades, the most used therapies continue to be radiation and chemotherapy to eradicate cancerous cells. And while they often work, both can cause "collateral damage" in healthy tissues near the targeted cells.
This can create a number of indirect consequences for a patient's health, including in the mouth. The salivary glands, for example, can be damaged by radiation treatments aimed at the head or neck. The effect on these glands can interrupt the normal flow of saliva and cause xerostomia or "dry mouth."
Lack of adequate saliva causes more than an unpleasant, sticky mouth feeling. One of saliva's main functions is to neutralize acid that builds up naturally after eating. Without it, high acid levels can cause enamel and root surface erosion and lead to tooth decay.
Cancer treatment can also contribute to gastro-esophageal reflux disease (GERD). This disease causes stomach acid to bypass the natural tissue barriers of the esophagus and enter the mouth. As with dry mouth, the increased acid level from GERD can be just as devastating to enamel—and the damage will be permanent.
To minimize these effects on your dental health, it's important to take proactive steps before, during and after cancer treatment. If at all possible, have any needed dental work performed before you begin radiation or chemotherapy—it's better to start it with teeth and gums as healthy as possible.
During treatment, try to continue regular dental visits to monitor your oral health and receive any needed preventive or therapeutic treatments. Depending on your condition and the advice of your dentist, you may need to increase your visit frequency during this time. Your dentist can help with boosting your saliva production and strengthening your tooth enamel. But you should also practice daily brushing and flossing, drink plenty of water and seek treatment for any resulting GERD symptoms.
Even with the best efforts, though, your teeth and gums may still incur damage while treating your cancer. Fortunately, there are a wide array of materials and procedures that can effectively restore them to health. So, once your treatments are completed consult with a dentist on your options for improving the health and appearance of your teeth and gums.
Barley malt, corn syrup, maltodextrin — these and over fifty other label ingredients are all names for refined sugar. Under its various aliases, this sweet carbohydrate is tucked away in three-quarters of packaged foods in the U.S.
Although in recent years the general health effects from too much sugar have gained the spotlight, its effect on dental health has been known for decades. Accumulated sugar in the mouth is a prime food source for bacteria that cause tooth decay and gum disease.
For both general and oral health, people have been looking to artificial alternatives to satisfy their sweet tooth. But do they have their own issues that can impact overall health? Here is an overview of some of the more popular brands of artificial sweeteners and their effect on health.
Saccharin — One of the most widely used artificial sweeteners, saccharin is often used under the names Sweet’N Low or Sugar Twin in low-calorie foods because it contains no calories. According to the Food and Drug Administration (FDA) there are no associated health risks with consuming saccharin in recommended servings.
Aspartame — used commonly in beverages as Equal or NutraSweet, aspartame is unsuitable for cooking because its chemical structure breaks down under high heat. Although generally safe for consumption, it can affect people with a rare condition known as phenylketonuria that can’t adequately break down its chemicals.
Sucralose — marketed as Splenda, this sweetener is made by chemically altering refined table sugar so the body can’t process it. This may be one reason it has the most recognized natural flavor profile among consumers and is a market leader. It’s stable at high temperatures, so it’s often used in cooked or baked goods.
Stevia/Erythritol — this combination of an extract from the extremely sweet herb stevia and the sugar alcohol erythritol is marketed as Truvia. Unlike other calorie-free artificial sweeteners, this and other alcohol-based sweeteners have a low calorie level due to sugar alcohol’s characteristic of slow and incomplete absorption during digestion.
Xylitol — although all the previously mentioned sweeteners won’t promote bacterial growth like refined sugar, the sugar alcohol xylitol — often added to chewing gum and mints — has an added benefit: it may actually reduce levels of bacteria most likely to cause decay.
If you would like more information on the effect of sweeteners on dental health, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Artificial Sweeteners.”
“The Freshman 15” is a popular way of referring to the phenomenon of new college students gaining weight during their freshman year (although the average is less than fifteen pounds). According to research, college students gain weight mainly due to an unhealthy diet and lack of exercise.
If you're experiencing this as a college student, you should also know poor diet and lifestyle choices harm your teeth and gums as well. If you don't want to encounter major dental problems, then you need to make some changes beginning with the same cause for your weight gain: what you eat and drink.
Like the rest of your body, your teeth and gums have the best chance for being healthy when you're eating a balanced, nutritional diet low in added sugar. And it's not just mealtime: constant snacking on sweets not only loads on the calories, it also feeds disease-causing oral bacteria. Sipping on acidic beverages like sodas, sports or energy drinks also increases the levels of acid that can erode tooth enamel.
Some lifestyle habits can also affect oral health. Using tobacco (smoked or smokeless) inhibits your mouth's natural healing properties and makes you more susceptible to dental disease. While it may be cool to get piercings in your lips, cheeks or tongue, the hardware can cause gum recession, chipped teeth and soft tissue cuts susceptible to infection. And unsafe sexual practices increase your risk for contracting the human papilloma virus (HPV16) that's been linked with oral cancer, among other serious health problems.
Last but not least, how you regularly care for your teeth and gums can make the biggest difference of all. You should brush and floss your teeth ideally twice a day to clean away plaque, a thin film of disease-causing bacteria and food particles. And twice-a-year dental cleanings and checkups will round out your prevention efforts against tooth decay or periodontal (gum) disease.
Making your own choices is a rite of passage into adulthood. Making good choices for your teeth and gums will help ensure they remain healthy for a long time to come.
If you would like more information on maintaining dental health during the college years, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “10 Health Tips for College Students.”
The Health Policy Institute, part of the American Dental Association, recently conducted a survey of around 15,000 people across the U.S., asking them about problems with their teeth and gums. Three issues in particular stood out, each affecting about one-third of those surveyed.
Here are those top 3 dental problems that plague Americans and what to do about them.
Tooth Pain. As with other parts of the body, tooth or mouth pain is a sign of something wrong — in some instances ignoring it could lead to tooth loss. Because there are a number of possible pain sources like tooth decay or periodontal (gum) disease, anyone with tooth pain should see a dentist for an examination to pinpoint the actual cause. That will determine what kind of treatment will remedy the problem and stop the pain.
Difficulty with Chewing. For 31% in the ADA survey, chewing food was a difficult and often painful task. The consequences go well beyond the mouth: with less chewing efficiency a person may be unable to eat certain foods that supply his or her body with essential nutrients. Like tooth pain, there are a number of possible causes: cracked or deeply decayed teeth, enamel erosion or recessed gums that have exposed sensitive tooth layers, or poorly fitted dentures. Finding and then treating the cause of the difficulty could help restore chewing ability.
Dry Mouth. The most prevalent dental issue in the survey was chronic dry mouth. It's more than simply being thirsty: chronic dry mouth usually stems from inadequate saliva flow. It's often caused by some systemic diseases or as a side effect to a prescription drug. Saliva helps neutralize decay-causing acid and supplies antibodies to fight infection. Without sufficient flow a person is more susceptible to diseases like tooth decay and periodontal (gum) disease. Changing medications or using products to increase saliva could help prevent these dental problems.
So, have you experienced symptoms for any these common oral health problems? If you have, be sure you see your dentist as soon as possible for diagnosis and treatment.
November is National Diabetes Month—a time to focus on a disease that affects more than 400 million people around the world. What does diabetes have to do with oral health? Plenty! Here's a true-or-false quiz to test your knowledge on this important topic.
TRUE OR FALSE:
1. Diabetes and gum disease are connected.
TRUE. Studies have found a clear association between diabetes and gum (periodontal) disease, especially when diabetes is not well controlled. People with poorly controlled diabetes have a more severe inflammatory response to the bacteria that cause gum disease. While inflammation is normally a protective reaction of the body's immune system, too much inflammation can actually make the condition worse. In the case of gum disease, the reverse is also true: Untreated gum disease can worsen blood sugar levels in people with diabetes. The good news is that treatment of periodontal disease has been shown to improve blood sugar control.
2. People with diabetes can't have dental implants.
FALSE. Research has shown that dental implants can be a very successful tooth-replacement treatment for people with diabetes. But again, blood sugar control can be a factor. Dental implants are titanium posts that serve as artificial tooth roots. Minor surgery is required to insert an implant into the bone beneath the gums; a realistic-looking dental crown is later attached to it so it can look and function like a natural tooth. Studies have shown that it takes longer for the bone to heal around implants in people with poorly controlled diabetes. That doesn't make implant treatment impossible, but it does mean that it may be managed differently. For example, an implant may be allowed to heal for a longer period of time before a crown is attached to it.
3. People with diabetes can't do anything to improve their oral health.
FALSE. People with diabetes can have a very positive impact on their oral heath, by doing their best to control blood sugar levels with a healthy diet and exercise, and by sticking to an effective daily oral hygiene routine. This includes brushing twice a day for two minutes each time, and flossing at least once each day to remove bacterial plaque between teeth. Regular dental checkups and cleanings are also essential—not just for people with diabetes, but for everyone!
If you have additional questions about diabetes and oral health, please contact us or schedule an appointment for a consultation. You can learn more about diabetes and oral health by reading the Dear Doctor magazine article “Good Oral Health Leads to Better Health Overall.”