While the effectiveness of chemotherapy and radiation have contributed to rising cancer survival rates, they can still have an adverse effect on the rest of the body. That includes the mouth: these treatments can damage healthy tissues like the salivary glands. The decrease in saliva flow increases the risk of tooth decay or periodontal (gum) disease.
While overcoming cancer is certainly the patient’s main health priority, it’s important for them to tend to their oral health. The best approach often involves a three-way partnership between patient, dentist and family caregivers all doing their part to keep the patient’s teeth, gums and mouth healthy during cancer treatment.
Here’s what each “partner” can do to protect a cancer patient’s oral health during treatment.
The dentist. To minimize dental disease odds, patients should enter cancer treatment with their teeth and gums in the best shape possible. Before beginning treatment, then, the dentist can assess their oral health status and recommend a treatment plan for any existing disease or condition. The dentist can also monitor a patient’s oral health during the treatment period.
The patient. Patients can do the most to protect their oral health by removing disease-causing plaque buildup with daily brushing and flossing, as well as maintaining their regular schedule of dental cleanings (if possible). They should also attempt to reduce dry mouth, a potential consequence of cancer treatment, by consuming more water and using saliva boosters like Xylitol-sweetened gums and mints. A nutritious diet is also important for protecting oral health.
The caregiver. Many cancer patients depend on family or friends to aid them during treatment. One of the best things a caregiver can do is act as a liaison between the patient and their medical and dental providers. When it comes to oral health, caregivers should be on the alert for any mouth changes including tooth pain, gum swelling or bleeding, foul breath and other signs of disease.
Focusing on oral health can be a daunting challenge for patients during their fight with cancer. But with help from their other partners, they can come out of this fight with their teeth, gums and mouth in good health.
If you would like more information on oral care during cancer treatment, 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 “Oral Health During Cancer Treatment.”
Sure, it’s big news when celebs tweet selfies from the dental office… if you’re still living in the 20th century. But in Hollywood today, it’s harder to say who hasn’t posted snaps of themselves in the dentist’s chair than who has. Yet the pictures recently uploaded to Twitter by Mark Salling, the actor and singer who regularly appears as Noah “Puck” Puckerman on the popular TV series Glee, made us sit up and take notice.
“Getting my chipped tooth fixed. Also, apparently, I’m a big grinder,” read the caption. The photo showed a set of upper front teeth with visible chips on the biting surface. What’s so special about this seemingly mundane tweet? It’s a great way of bringing attention to a relatively common, but often overlooked problem: teeth clenching and grinding, also called bruxism.
Although bruxism is a habit that affects scores of people, many don’t even realize they have it. That’s because the condition may only become active at night. When the teeth are unconsciously ground together, the forces they produce can wear down the enamel, cause chipping or damage to teeth or dental work (such as veneers or fillings), or even loosen a tooth! While it’s common in children under 11 years old, in adults it can be a cause for concern.
Sometimes, mouth pain, soreness and visible damage alert individuals to their grinding habits; other times, a dental professional will notice the evidence of bruxism during an exam or cleaning: tooth sensitivity and telltale wear and tear on the chewing surfaces. Either way, it’s time to act.
Bruxism is most often caused by stress, which can negatively impact the body in many ways. It may also result from bite problems, the overuse of stimulating substances (caffeine, alcohol, tobacco, and illegal drugs), and as a side effect of certain medications. Sometimes, simply becoming aware of the habit can help a person get it under control. Common methods of stress reduction include exercise, meditation, a warm bath or a quiet period before bedtime; these can be tried while we monitor the situation to see if the problem is going away.
If stress reduction alone doesn’t do the trick, several other methods can be effective. When bruxism is caused by a minor bite problem, we can sometimes do a minor “bite adjustment” in the office. This involves removing a tiny bit of enamel from an individual tooth that is out of position, bringing it in line with the others. If it’s a more serious malocclusion, orthodontic appliances or other procedures may be recommended.
When grinding is severe enough to damage teeth or dental work, we may also recommend a custom-made night guard (occlusal guard), which you put in your mouth at bedtime. Comfortable and secure, this appliance prevents your teeth from being damaged by contacting each other, and protects your jaw joints from stresses due to excessive grinding forces.
Whether or not you have to smile for a living, teeth grinding can be a big problem. If you would like more information about this condition, call our office to schedule a consultation for a consultation.
The journey to a straighter smile with braces can be difficult. One of the biggest dangers you'll face is an increased risk of periodontal (gum) disease.
Gum disease is caused by dental plaque, a thin film of bacteria and food particles on tooth surfaces. To curtail plaque growth, you must brush and floss daily and visit your dentist regularly for more thorough cleanings. If you don't, accumulated plaque can trigger an infection with potentially disastrous consequences for your dental health.
But wearing braces can make you more vulnerable to gum disease. The braces and wires can get in the way of brushing and flossing. To add to the difficulty, the gums often react to being in close proximity to braces, causing their tissues to swell or overgrow. And if the patient is a teenager, the normal hormonal surge that occurs during these years could compound this vulnerability even more.
To prevent an infection, you'll need to practice extra diligence cleaning your teeth with brushing and flossing. It takes more time and effort, but it's worth it to lower your disease risk. To help even more, consider using tools like specialized brushes that can maneuver better around hardware and floss threaders that can get floss under wires. You might also consider a water flosser, which uses pressurized water to remove plaque between teeth.
In addition to your orthodontic visits, you should also maintain your regular cleaning schedule with your family dentist—or more often if they recommend. Besides cleaning, your dentist also monitors for signs of developing gum disease. They can also prescribe mouthrinses for controlling bacterial growth.
Even with diligent hygiene, your gums may still adversely react to the braces. This may not be a problem if your gum tissues don't appear to be detaching from the teeth. But your dentist or orthodontist may recommend you see a periodontist (a gum specialist) to help monitor that aspect of your care. In extreme cases, it may be necessary to remove the braces and allow the gums to heal.
Keeping your teeth clean and your mouth disease-free is no easy task while wearing braces. But it can be done—and with your dentist's help, you can achieve a straighter and healthier smile.
If you would like more information on dental care while wearing braces, 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 “Gum Swelling During Orthodontics.”
Your baby is turning one year old—and it's time for their first dental visit! Both the American Dental Association (ADA) and the American Academy of Pediatrics recommend your child first see the dentist around this milestone birthday.
You'll also have a decision to make: do you see your family dentist or a pediatric dentist? While your family dentist can certainly provide quality care for your child, there are also good reasons to see a dentist who specializes in children and teenagers.
The "fear factor." Children are more likely than adults to be anxious about dental visits. But pediatric dentists are highly trained and experienced in relating to children one on one and in clinical techniques that reduce anxiety. Their offices also tend to be "kid-friendly" with bright colors and motifs that appeal to children. Such an atmosphere can be more appealing to children than the more adult environment of a general dentist's office.
The "development factor." Childhood and adolescence are times of rapid physical growth and development, especially for the teeth, gums and jaw structure. A pediatric dentist has extensive knowledge and expertise in this developmental process. They're especially adept at spotting subtle departures from normal growth, such as the early development of a poor bite. If caught early, intervention for emerging bite problems and similar issues could lessen their impact and treatment cost in the future.
Special needs. The same soothing office environment of a pediatric clinic that appeals to children in general could be especially helpful if your child has special needs like autism or ADHD. Some children may also be at risk for an aggressive and destructive form of tooth decay known as early childhood caries (ECC). Pediatric dentists deal with this more commonly than general dentists and are highly trained to prevent and treat this aggressive form of tooth decay.
Seeing a pediatric dentist isn't a "forever" relationship: Once your child enters early adulthood, their care will continue on with a general dentist. But during those early years of rapid development, a pediatric dentist could give your child the insightful care they need to enjoy optimum dental health the rest of their lives.
If you would like more information on pediatric dental care, 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 “Why See a Pediatric Dentist?”
If you think “vaping” electronic cigarettes (e-cigarettes for short) is healthier for your teeth and gums than smoking cigarettes, you might be disappointed with the latest research. A number of studies seem to indicate e-cigarettes could be just as damaging to your mouth as traditional cigarettes.
An e-cigarette is a device containing a chamber for liquids and a means to heat the liquid into a vapor. The user then inhales or “vapes” the vapor, which contains nicotine and flavorings. The heat also pressurizes the vapor causing it to expel as an aerosol into the mouth.
Researchers have found the ingredients and aerosol effect could lead to potential health problems. An Ohio State University researcher found that vaping disrupted the normal balance of microorganisms in the mouth known as the oral microbiome. This imbalance could make it easier for disease-causing bacteria to proliferate, particularly those most responsible for periodontal (gum) disease.
Another study coming out of the University of Rochester and Stony Brook University in New York detected cell damage in gum tissue caused by e-cigarette vapor similar to that caused by regular cigarette smoke. Some of this damage seemed to result from the flavoring agents used in the e-cigarette liquid, as well as nicotine.
Another study from Quebec, Canada appears to concur with the New York study. These researchers found the damage caused by e-cigarette vapor might substantially increase the rate of cell death in oral tissues by as much as 50% over a short period of time. This kind of damage can lead to higher risks of dental diseases like gum disease or tooth decay.
While we don’t know the long-term effect of using e-cigarettes on both oral and general health, these studies are alarming: They seem to show vaping may cause some of the same problems as smoking. With the jury still out, the prudent thing to do is limit or avoid vaping altogether to protect your mouth from these unhealthy outcomes.
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