How cancer treatment can affect your oral health

More than 1 million Americans are diagnosed with cancer each year and many of them will develop problems with their oral health as a result of their cancer treatment.

While it’s natural that they’ll be focused on their cancer treatment, it’s important not to overlook the importance of a dental examination as part of the process of maintaining overall health.

For example, radiation therapy of the head and neck area may lead to certain complications such as dry mouth, sensitive lesions in the oral cavity, hypersensitive teeth, rapid tooth decay and difficulty swallowing.

Chemotherapy and other medication can also have significant effects in the mouth.

To help prevent, minimize and manage such problems, the dentist and oncologist can work together – before and during cancer treatment.

Many medications lead to dry mouth, which can lead to a higher risk of gum disease and other problems. The dentist may therefore recommend a saliva replacement, an artificial saliva that is available over-the-counter at pharmacies.

Frequent fluoride applications may also be recommended.

If you are receiving treatment, schedule regular screenings with your dentist and contact your dentist or physician immediately on any sign of mouth infection. This may have serious implications for your overall health.

Your dentist and physician both want your treatment to be as safe and effective as possible.

Tooth Extraction: When and Why it's Necessary

Tooth extraction is a common dental procedure that involves removing a tooth from its socket in the jawbone. In this blog, we will discuss when and why tooth extraction may be necessary.

When is tooth extraction necessary?

• Severe decay or damage: If a tooth has been severely damaged or decayed, it may be necessary to remove it to prevent further damage to the surrounding teeth and gums.
  
  
• Crowding: If there is not enough space in the mouth for all of the teeth to properly align, a tooth may need to be removed to create more space.
  
  
• Infection or abscess: If a tooth is infected or abscessed, it may need to be extracted to prevent the spread of infection to other parts of the body.
  
  
• Gum disease: In cases of advanced gum disease, tooth extraction may be necessary to prevent the spread of the disease and protect the surrounding teeth and gums.
  
  
• Wisdom teeth: Many people have their wisdom teeth removed because they can cause crowding, infection, and other dental problems.

Why is tooth extraction important?

Tooth extraction is important because it can prevent further damage to the surrounding teeth and gums, and protect your overall dental health. If a damaged or infected tooth is left untreated, it can lead to more serious dental problems and even impact your overall health.

Recovery from tooth extraction involves following your dentist's instructions for caring for the extraction site, including avoiding certain foods and activities and maintaining good oral hygiene. With proper care, most people can return to their normal activities within a few days after the procedure.

Tooth extraction is a common dental procedure that may be necessary in cases of severe decay or damage, crowding, infection or abscess, gum disease, or wisdom teeth. It is important because it can prevent further damage to the surrounding teeth and gums, and protect your overall dental health. If you think you may need a tooth extraction, talk to your dentist about your options and what to expect.

Sedation Dentistry for Children: When Is It Necessary?

Sedation dentistry is a technique used to help children relax and feel more comfortable during dental procedures. While it's not always necessary, there are certain situations where sedation dentistry may be recommended. Here are some situations where sedation dentistry may be necessary for children:

• Dental anxiety: If a child experiences anxiety or fear when going to the dentist, sedation dentistry can help them feel more relaxed and comfortable during the procedure.
  
  
• Special needs: Children with special needs may require sedation dentistry to help them feel more comfortable during dental procedures.
  
  
• Lengthy procedures: For longer procedures, such as root canals or multiple fillings, sedation dentistry can help the child stay still and calm throughout the procedure.
  
  
• Young age: For very young children who may not be able to sit still or cooperate during a dental procedure, sedation dentistry can be helpful.

It's important to note that sedation dentistry should only be performed by a qualified and experienced dentist. The type and level of sedation used will depend on the child's age, weight, medical history, and the length and complexity of the procedure.

Sedation dentistry may be necessary for children who experience dental anxiety, have special needs, are undergoing lengthy procedures, or are very young. If you have concerns about your child's ability to cooperate during a dental procedure, talk to your dentist about sedation dentistry options. With proper preparation and care, sedation dentistry can help children receive the dental care they need in a safe and comfortable manner.

The Root Canal Procedure: What to Expect

Root canal treatment is a common dental procedure that is performed to treat a damaged or infected tooth. The procedure involves removing the infected or damaged pulp from the tooth and then sealing the tooth to prevent further damage or infection. If you have been advised to undergo a root canal treatment, you may be wondering what to expect during the procedure. In this blog, we will discuss the root canal procedure and what you can expect during your treatment.

• Preparation

Before the root canal procedure, your dentist will examine your tooth and take X-rays to determine the extent of the damage or infection. They will then use local anesthesia to numb the area around the tooth to minimize any pain or discomfort during the procedure. In some cases, they may also prescribe antibiotics to help control the infection.

• The Procedure

The root canal procedure involves several steps, which may take one or two appointments to complete depending on the extent of the damage or infection.

Step 1: Accessing the Pulp

The dentist will make a small hole in the tooth to access the pulp, which is the soft tissue inside the tooth that contains nerves and blood vessels. They will then use special tools to remove the damaged or infected pulp from the tooth.

Step 2: Cleaning the Root Canals

Once the pulp is removed, the dentist will clean the root canals using specialized tools. They will remove any debris, bacteria, and infection from the canals to prevent further damage or infection.

Step 3: Filling the Root Canals

After the canals are cleaned, the dentist will fill them with a material called gutta-percha. This material seals the canals and prevents bacteria from entering the tooth.

Step 4: Sealing the Tooth

Finally, the dentist will seal the tooth with a filling or crown to prevent further damage or infection. If a crown is placed, your dentist may take an impression of your tooth to create a custom crown that fits your tooth perfectly.

• After the Procedure

After the root canal procedure, you may experience some mild pain or discomfort for a few days. Your dentist may prescribe pain medication or recommend over-the-counter pain relievers to help manage any discomfort. You should also avoid chewing or biting on the treated tooth until it has fully healed.

In conclusion, the root canal procedure is a common dental treatment that can help save a damaged or infected tooth. If you have been advised to undergo a root canal treatment, it is important to follow your dentist's instructions and take care of your tooth after the procedure to ensure a successful outcome.

Sedation Dentistry: How It Can Help You Overcome Dental Anxiety

Going to the dentist is an essential part of maintaining good oral health, but for some people, the thought of sitting in a dental chair can trigger feelings of fear and anxiety. Fortunately, sedation dentistry offers a solution for those who struggle with dental anxiety, allowing them to receive the dental care they need without fear or discomfort.

What is Sedation Dentistry?

Sedation dentistry involves the use of medication to help patients relax during dental procedures. There are different levels of sedation available, ranging from mild relaxation to complete unconsciousness, depending on the patient's needs and the type of procedure being performed. The most common types of sedation used in dentistry include:

• Nitrous oxide: Also known as laughing gas, this is a mild sedative that is inhaled through a mask placed over the nose. It produces a feeling of relaxation and euphoria, and the effects wear off quickly once the gas is turned off.
  
  
• Oral sedation: This involves taking a pill or liquid medication prior to the dental procedure to induce a state of relaxation. The medication can make patients drowsy, but they will remain conscious throughout the procedure.
  
  
• IV sedation: This is a deeper form of sedation administered through an intravenous line. Patients are still conscious, but they may have little memory of the procedure and feel groggy for several hours afterward.
  
  
• General anesthesia: This is the deepest form of sedation, in which patients are completely unconscious and unable to respond to stimuli. It is usually reserved for more complex procedures and is administered by a licensed anesthesiologist.

How Can Sedation Dentistry Help?

Sedation dentistry can benefit anyone who experiences fear or anxiety related to dental procedures, including those with:

• Dental phobia: This is an extreme fear of the dentist that can cause physical symptoms such as shaking, sweating, and nausea.
  
  
• Previous traumatic dental experiences: Negative experiences with dentistry can cause patients to avoid future dental appointments.
  
  
• Sensitive teeth or gag reflex: These issues can make dental procedures uncomfortable or even painful.
  
  
• Complex dental needs: Some procedures, such as wisdom teeth extraction or root canal therapy, can be lengthy and uncomfortable.

Sedation dentistry can help patients overcome their fear and anxiety, allowing them to receive the dental care they need to maintain good oral health. It can also help patients with sensitive teeth or gag reflexes feel more comfortable during procedures and can make complex procedures more tolerable.

Is Sedation Dentistry Safe?

Sedation dentistry is generally considered safe when administered by a trained and licensed dental professional. However, like any medical procedure, it does carry some risks. Patients should inform their dentist of any medical conditions or medications they are taking before undergoing sedation. In addition, they should have a responsible adult accompany them to the appointment and should avoid driving or operating heavy machinery for at least 24 hours afterward.

In conclusion, sedation dentistry is an excellent option for those who struggle with dental anxiety or other issues that make dental procedures uncomfortable or painful. By working with a trained and licensed dental professional, patients can safely and comfortably receive the dental care they need to maintain good oral health.

How mouth protectors can save your teeth

If you take part in sports that carry a significant risk of injury, you should wear a mouth protector.

Accidents can happen during any physical activity and, if you participate in sports such as football, hockey, basketball, baseball, gymnastics and volleyball, you might be grateful for the extra protection one day.

Something as simple as a misdirected elbow in a game, or a spill off a bicycle, can leave you with chipped or broken teeth, nerve damage to a tooth or even tooth loss.

Mouth protectors usually cover the upper teeth and they can cushion the effect of a blow to the face, reducing the risk of broken teeth and injuries to the soft tissues of the mouth.

In addition, if you wear dental appliances such as braces on your lower jaw, your dentist may suggest a mouth protector for these teeth as well.

A properly fitted mouth protector will stay in place while you are wearing it, making it easy for you to talk and breathe. The three main types of mouth protectors are:

Stock: These are inexpensive and come ready to wear. But they often don't fit very well and they can be bulky  making breathing and talking difficult.

Boil and bite: These can also be bought at many sport stores and may fit better than stock mouth protectors. You first soften them in water, then insert them and allow them to adapt to the shape of your mouth.

Custom-fitted: Protectors that are specially made for you by your dentist are more expensive but are likely to fit better than one you buy off the shelf.

Choosing to wear the right mouth protector can help you avoid serious long-term damage to your teeth and mouth.

The process of installing Invisalign

Invisalign is a system of clear mouth guards that can be used instead of braces to help straighten teeth.

The big advantage is that Invisalign looks better and is more comfortable than braces.

However, not everyone is a candidate for using the system so you with have to check with your dentist.

If an orthodontist certified in Invisalign says you can benefit from the system, they will take impressions of your mouth, write up a detailed specification and then send everything to a high-tech lab.

Next, the lab will show the orthodontist a preview of the appliances.

The lab then makes a series of aligners – depending on the situation, you may need between 12 to 48 aligners.

After the impression of the teeth is taken, it will normally require a visit to the orthodontist every six weeks.

Some patients will be advised to wear metal braces for a period and then switching to Invisalign when their mouth is ready.

For many people Invisalign provides an ideal way of making their smile look better.

Should you be concerned about thumbsucking?

Some children suck on their thumbs and parents often wonder if it is harmful.

Sucking on something is a child’s natural reflex. It can help them feel more secure so they start to suck on their thumbs, fingers, pacifiers or other objects.

Since thumb sucking is relaxing, it may also help them sleep.

However, after the permanent teeth come in, sucking may cause problems with the proper growth of the mouth and the alignment of teeth. It can also cause changes in the roof of the mouth.

Whether or not dental problems will result depends on the intensity of the sucking.

A child who vigorously sucks their thumb is more likely to have difficulties than one who rests their thumb passively in their mouth. Young children who suck their thumbs aggressively may even cause problems with their baby teeth.

If you notice changes in your child's primary teeth, consult your dentist.

Usually children will stop sucking their thumbs between the ages of about two and four. They should have ceased sucking by the time the permanent front teeth are ready to erupt.

If your child is continuing to suck their thumbs, here are some tips:

– Praise them for not sucking, instead of scolding them when they are
– If they are sucking because they feel insecure, focus on correcting the cause of the anxiety
– For older children, involve them in choosing the method of stopping

If necessary, your dentist can help by encouraging the child and explaining what could happen to their teeth if they do not stop sucking.

Why a dental abscess should be treated quickly

If you have any kind of swelling in your gum, it almost certainly indicates a serious infection that should be treated urgently.

Dental abscesses result from a bacterial infection in the teeth or gums.

For example, it may come from an untreated cavity. Cavities result when some of the bacteria in our mouths mix with sugars and starches in our diet to produce acid.

This acid attacks the hard enamel coating of our teeth and, as the cavity gets deeper, it eventually infects the nerve and blood supply of the tooth.

In some cases, a dental abscess is caused by an infection of the gum. Bone loss from gum disease can create a pocket between the tooth, gum and bone.

When bacteria and other debris get into this pocket, an abscess can form.

The treatment for an abscess depends on how severe the infection is.

If the abscess has been caused by decay, root canal treatment may be needed or the tooth may even have to be removed.

If the abscess has been caused by the gum, the gum will need deep cleaning or surgical treatment. Again the tooth may need to be removed.

Sometimes, a small incision may be made into the gum to drain the abscess. If this happens, antibiotics and pain medication may be used to relieve discomfort.

If you wait until the gum is severely swollen before seeking treatment, the situation can become very serious.

The abscess at this stage can prevent you breathing properly and can be life-threatenting.

So if you have any signs of swelling in your gum, contact your dentist immediately.

What to expect when having a tooth extracted

The process of having a tooth extracted may seem worrying but you’ll find it much easier if you know what to expect on the day and afterwards.

Your dentist will make the process as comfortable as possible for you by numbing the area around the tooth to be extracted.

In most cases, a small amount of bleeding is quite normal and your dentist will advise you what process to follow to allow healing as quickly as possible.

Generally, you should avoid anything that might prevent normal healing.

For example, it’s best not to smoke, rinse your mouth vigorously or drink through a straw for 24 hours afterwards as these could delay healing.

For the first few days, if you need to rinse your mouth, do it gently. If you are suffering pain or swelling, apply a cold cloth or an ice bag.

If necessary, your dentist will recommend something for any pain.

At the beginning, don’t clean around the socket where the tooth has been removed but you should brush and floss the other teeth as usual.

Modern procedures make having an extraction and the follow-up more comfortable than ever before.

Root canal treatment

Root canal therapy is an important treatment that can save a tooth with a diseased nerve and which in the past would probably have needed to be removed.

Inside each tooth is the ‘pulp’ which runs like a thread down through the root and provides nutrients and nerves to the tooth. It is the soft tissue that contains nerves, blood vessels and connective tissue.

If the pulp is diseased or injured, the pulp tissue dies.

The most common cause of pulp death is a cracked tooth or a deep cavity. Both of these problems can let bacteria enter the pulp.

So, if you don’t remove it, your tooth gets infected and you could lose it.

After the dentist – or endodontist (a dentist who specializes in problems of the pulp) – removes the pulp, the root canal is cleaned and sealed off to protect it. Then your dentist places a crown over the tooth to help make it stronger.

Most of the time, a root canal is a relatively simple procedure involving one to three visits with little or no discomfort.

Your restored tooth could last a lifetime, if you continue to care for your teeth and gums and enjoy regular checkups.

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.

The risks of oral piercing

Young people today choose to make a variety of fashion statements affecting not just the clothes they wear but also their bodies through tattoos and piercing, for example.

Oral piercing may be something they feel looks good but it can lead to problems where they end up needing medical or dental treatment.

Oral piercing can often lead to symptoms such as pain, swelling, infection, increased saliva flow and injuries to the gum tissue.

There can be severe bleeding if a blood vessel is in the path of the needle during the piercing.

Swelling of the tongue is also a common side effect and, in extreme cases, this can block the airway and lead to breathing difficulties.

Other possible problems include chipped or cracked teeth, blood poisoning or even blood clots.

Infection is a very common complication of oral piercing because of the millions of bacteria in your mouth.

Of course, the jewelry itself also causes risk. It can be swallowed or cause damage to your teeth.

So, while young people may feel piercings in the mouth look cool, a great smile will look a lot better in the years to come.

Making living with dentures easy and comfortable

Your dentures were made to fit you precisely and, if they are cared for properly, they do not change shape.

But you may sometimes find that they can become loose due to natural changes in the gums and bone supporting them. As the jawbone begins to shrink, so do the gums.

If you find your dentures no longer fit properly, see your dentist as soon as possible so adjustments can be made.

Trying to change the fit of your dentures yourself can damage them and make them unrepairable so this would be a costly experiment!

Ill-fitting dentures repaired at home can also irritate the gums, tongue and cheeks.

In an emergency, you could use denture adhesives to keep the dentures stable until you are able to see the dentist.

Even if you no longer have your natural teeth, it's still important to see your dentist regularly for an oral examination.

The dentist will examine your mouth to check for any problem with the gum ridges, the tongue and the joints of the jaw, as well as screen for oral cancer.

For a variety of reasons, many older adults are more susceptible to oral diseases, including oral cancer. About 95 percent of all cancers are found in people over age 40. However, many of these cancers are treatable if detected early.

Oral tissues are also checked for signs of other diseases that can first manifest themselves in the mouth.

Living with dentures can be comfortable if you continue to care for your oral hygiene and make regular visits to your dentist for a checkup.

Understanding your wisdom teeth

Many patients ask whether wisdom teeth are really necessary since so many people have them removed.

The fact is that wisdom teeth are a valuable asset to the mouth when they are healthy and properly positioned.

However, problems can occur that sometimes make it better to have them removed.

For example, when the jaw isn’t large enough, the wisdom teeth can become impacted – misaligned or unable to grow in properly. They may grow sideways, emerge only part way from the gum or remain trapped beneath the gum and bone.

The reasons wisdom teeth may have to be extracted include:
– The teeth have only partially erupted. This leaves an opening for bacteria which cause infection.
– There is a chance the wisdom teeth will damage adjacent teeth.
– A cyst forms which may destroy surrounding structures such as bone or tooth roots.

Ask your dentist about the health and positioning of your wisdom teeth.

Your dentist will tell you if there are any issues and will recommend any steps needed.

How cosmetic dentistry can change your smile – and your life

Modern cosmetic dentistry has created many opportunities that did not exist before for people to improve their appearance and change the way they feel about themselves.

Although cosmetic dentistry really did not exist a few years ago, it now attracts interest from a wide range of people.

There are few people who don’t want to improve their appearance by making their teeth straighter and whiter so that they look better when they smile.

New technology and procedures have created many more opportunities for dentists to help patients look better.

One of the most important opportunities for doing this is porcelain veneers.

These are custom-made wafers that the dentist places over the front of the teeth to repair damage and make them look better.

They can overcome many cosmetic dental problems such as whitening stained or discolored teeth, closing gaps between teeth or correcting a crooked smile without the need for braces.

They can also cover up chips and imperfections so that the smile looks much better.

Another important cosmetic trend is the increased use of white fillings.

White fillings now are more lifelike than ever and they last longer than previously.

They have become the material of choice for many dentists as they blend in with teeth and look better.

If you feel your smile is less than perfect, talk to your dentist about how it could be better.

Crowns and how they improve your teeth

To make sure you have the best smile possible, you may need a crown to cover a tooth and restore it to its normal shape and size.

A crown is a tooth-shaped “cap” that is placed over a tooth to restore its shape, size and strength, or to improve its appearance.

The reasons you may need a crown include:

– Protecting a weak tooth
– Holding together parts of a cracked tooth
– Restoring an already broken tooth
– Supporting a tooth with a large filling when there isn’t a lot of tooth left
– Attaching a dental bridge
– Covering badly-shaped or severely discolored teeth
– Cover a dental implant

If your dentist recommends a crown, it’s probably to correct one of these conditions.

Your dentist’s primary concern, like yours, is helping you keep your teeth healthy and your smile bright.

The early years of dentistry and teeth

Although there have been huge advances in dental care in recent years, there are records of people dealing with teeth going back over thousands of years.

Here are some of the key dates from the early years in the development of dentistry.

5000 BC: A Sumerian text describes “tooth worms” as the cause of dental decay.

2600 BC: Hesy-Re, an Egyptian scribe, often called the first “dentist”, dies. An inscription on his tomb includes the title “the greatest of those who deal with teeth, and of physicians.”

500-300 BC: Hippocrates and Aristotle write about dentistry, including the eruption pattern of teeth, treating decayed teeth and gum disease, extracting teeth with forceps, and using wires to stabilize loose teeth and fractured jaws.

166-201 AD: The Etruscans practice dental prosthetics using gold crowns and fixed bridgework.

500-1000: During the Early Middle Ages in Europe, medicine, surgery, and dentistry, are generally practiced by monks, the most educated people of the period

700: A medical text in China mentions the use of “silver paste,” a type of amalgam.

1130-1163: A series of Papal edicts prohibit monks from performing any type of surgery, bloodletting or tooth extraction. Barbers often assisted monks in their surgical ministry because they visited monasteries to shave the heads of monks and the tools of the barber trade  sharp knives and razors  were useful for surgery. Following the edicts, barbers assume the monks’ surgical duties: bloodletting, lancing abscesses, extracting teeth, etc.

1210: A Guild of Barbers is established in France. Barbers eventually evolve into two groups: surgeons who were educated and trained to perform complex surgical operations; and lay barbers, or barber-surgeons, who performed more routine hygienic services including shaving, bleeding and tooth extraction.

1400s: A series of royal decrees in France prohibit lay barbers from practicing all surgical procedures except bleeding, cupping, leeching, and extracting teeth.

How dental implants can give you a better smile

If you have missing teeth, you don’t just have to rely on crowns, conventional bridges and dentures.

Many people are now choosing dental implants as the best way to restore their smile and solve dental problems.

Implants are placed below the gums during a series of appointments. They fuse to the jawbone and provide a base for individual replacement teeth, bridges or a denture.

As they are fused to the bone, they offer greater stability. And, because they are integrated into your jaw, your replacement teeth will feel more natural.

This secure fit often also makes them more comfortable than other solutions.

In order to have implants, you need to have healthy gums and adequate bone to support the implant.

To find out whether you could be a candidate for dental implants, talk to your dentist about what they could do for you.

Is it safe to have an X-ray while pregnant?

Some women worry about whether it’s safe to have an X-ray exam while they are pregnant.

This can cause them to put off treatment they need.

However, untreated dental infections can pose a risk to the fetus, and dental treatment may be necessary to maintain the health of the mother and child. Sometimes this will mean an X-ray is necessary.

Radiation from dental X-rays is extremely low but every precaution is taken to minimize radiation exposure.

For example, a leaded apron reduces exposure to the abdomen and should be used when a dental radiograph is taken.

In addition, a leaded thyroid collar can protect the thyroid from radiation, and should be used whenever possible. The use of a leaded thyroid collar is strongly recommended for women of childbearing age, pregnant women and children.

Overall there is no reason to avoid dental radiographs (X-rays) while pregnant, breastfeeding or trying to become pregnant.

Follow your dentist’s advice and ask questions if you have any concerns.