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Osteoporosis is a disease of bones that leads to a decreased density of bone and subsequent increase in risk of fracture. Osteoporosis causes bones to become weak and brittle. Osteoporosis-related fractures most commonly occur in the hip, wrist or spine.

Osteoporosis affects millions of people all over the world. It affects men and women of all races. Women are 4x more likely to develop osteoporosis. Research has shown that post-menopausal white and Asian women are at highest risk. Medications, healthy diet and weight-bearing exercise can help prevent bone loss and strengthen already weak bones. There is recent research showing that women who drink wine in moderation tend to have higher bone density than those who abstain from alcohol.

How Do I Know If Dental Implants Are An Option?

The first step is to get your osteoporosis under control and limit the further effects of the disease. This includes seeing a physician to prescribe the proper medications, diet, and exercise routine. The next step is to see your implant dentist for a full evaluation. This evaluation will include your overall health, your oral health, as well as the degree of your osteoporosis.

Some considerations before having dental implants placed include:

-State Of Oral Health. A major factor in the failure of dental implants is the presence of periodontal disease. With a patient already being compromised with osteoporosis this becomes doubly important that the patient be periodontal disease free.
-Strength, Density, And Volume Of Bone Tissue. You need to have some good quality bone left to have an implant last, healing will be prolonged, so volume of bone is extremely important.
-Medications. This includes medications you are taking for osteoporosis as well as other medications which could counteract those medications. Bisphosphanates have been long known to keep the body from reabsorbing bone tissue, but they also appear to affect your ability to heal after a dental implant procedure. Biphosphonates can increase the risk of biphosphonate-induced osteonecrosis of the jaw (also called BONJ). When BONJ occurs, the bone tissue actually begins to die due to inadequate blood supply.

-Is The Patient A Smoker? Smoking has long been a failure factor in dental implants as well as bone loss. Nicotine is a vaso constrictor so blood supply to the bones in the jaw can be compromised.
-Presence Of Systemic Disease. This can include a decreased immune system or diabetes. Good health is important for good healing.

If you have been diagnosed with osteoporosis, dental implants may still be an option. If osteoporosis has affected other parts of your body, it might not necessarily have caused decrease in jawbone mass or breakdown of these tissues. Recent research (International Journal of Oral and Maxillofacial Implants, Vol 21: 349) has shown a lowered success rate in patients with osteoporosis but the difference was less than 2%. The general success rate for dental implants is about 97% whereas the success rate in this limited study was 95%. The study also showed that bone grafting was successful as well.

Conclusion

Dental implants have long been the treatment of choice for tooth loss. For those who have been told it is not an option the effects can be devastating. The recent research gives hope to those who previously were told that it was not an option. Each individual needs to be evaluated on a case by case basis taking all factors into account before delving into placement of dental implants. If you are missing teeth or about to lose them, contact your dentist for a dental implant evaluation.

Many people do not realize that children can develop bad breath. Most bad breath issues in kids are temporary. For children, the bad breath causes can be just as varied as for adults. However, there can be medical issues related, so it is important to figure out the cause.

Causes Of A Child’s Bad Breath

-Poor Dental Hygiene. Malodor can occur, if a child does not work to keep their teeth, gums, and tongue clean.

-Food Choices. If a child chooses to eat foods with garlic or onions their breath may be affected just like in adults.

-Infection. Children commonly develop bad breath because of an upper respiratory infection. This infection can include the common cold, postnasal drip, or allergies. Treatment will depend on the cause but it can be difficult to treat if these are chronic issues. An oral fungal infection can also lead to bad breath.

-Tonsillitis. This can also cause bad breath in kids. When the tonsils become inflamed it can restrict a child’s airway leading to more mouth breathing than usual. Mouth breathing can lead to a drying out of the oral tissues thus making the infection worse. Saliva acts as a natural lubricant of our oral tissues cleaning them over and over again. Large tonsil craters may also be the cause, food can become lodged in the pits of the tonsils and slowly decompose.

-Tooth Decay. If there is a large untreated cavity it can cause bad breath. If this is the case you need to see your dentist immediately.

-Intestinal Issues. May be an issue for bad breath if you are feeling gassy (burping) or vomiting your stomach contents. There may also be a residual coating on the tongue from bringing up stomach acids, this will cause malodor.

-Medication Use. Certain medications will lead to a drying of the oral tissues which can also lead to bad breath in children.

-Diabetes. Uncontrolled diabetes eventually results in ketoacidosis, causing the breath to have an acetone  odor.

Treatment Of Bad Breath

This can include:

-Maintain Good Dental Hygiene. This includes brushing, flossing, tongue scraping, rinsing, and regular dental cleanings.

-Gargle. This can help remove food from tonsils, and clean the back of the tongue.

-Reduce Dry Mouth. Drink water, limit juice and soda pop. Try oil pulling therapy.

-Medical Evaluation. Treat Infections of the body. See a doctor to evaluate ulcers or gastritis. Improve your health and you will see an immediate decrease in bad breath.

-Chew gum with xylitol.

-Evaluate your diet. Dairy items such as cheese and yogurt can cause bad breath. Limit sugars.

-Try a neutralizing productClosys is a spray applied to the back of the tongue to neutralize volatile sulfur compounds. Neutralizers don’t mask with mint flavors, they actually remove the problem.

Bad Breath Conclusion

While bad breath in children can be a temporary nuisance, long term breath issues need to be evaluated. An increase in hygiene is always a good first attempt to rid your child of breath issues, but medical issues will not resolve by hygiene alone. If you have tried and do not see a change, talk to your dentist and pediatrician about it.

Tooth decay can affect a single teeth or multiple teeth. The oral bacteria responsible for tooth decay live all over your mouth ready to attack day and night. This bacteria will not just go away and they can even be passed onto your children and loved ones through kissing. Can tooth decay be prevented?

Fight Back Against Tooth Decay

Preventing tooth decay is an achievable goal by following the steps below:

-Regular Dental Examinations, Professional Cleanings, Great Homecare. Regular maintenance will increase chances of finding tooth decay at its earliest and also to ensure you are doing a good job at home with your dental hygiene. Professional cleanings will remove plaque bacteria, tartar, and tooth pellicle (protein layer that forms on the teeth) to aid in healing gum tissue and decrease bacteria. Brushing, flossing, and rinsing properly will help maintain a healthy oral environment.

-Lower Levels Of Harmful Oral Bacteria. The only way to naturally eradicate cavity-forming germs is with xylitol. You only need 1-2 teaspoons a day (in small doses), but you need xylitol at opportune times –when cavity bacteria multiply. Mouth germs flourish after meals or when your mouth is dry or acidic. Xylitol can eradicate 92% of cavity-forming germs in an effective, progressive way.

-Maintaining A Well Balanced Diet. Limiting sugar intake is a good first step. Selecting healthier snacks and limiting snacks is even more important. Some good, tooth-friendly snacks are cheese, nuts, and vegetables. Another plus to a healthy diet is that you will feel better and have more energy.

-Maintain A Balanced Oral Cavity. Our saliva works hard to maintain a balanced oral environment by rinsing away oral bacteria and buffering acidic drinks. Acid is a by product of oral bacteria and weakens tooth enamel directly. Acids ingested through eating and drinking will weaken teeth by dissolving important minerals out of them. When  the enamel is weakened enough, tooth decay will begin. This is why it is so important to brush and floss after every meal. If you cannot brush, rinse your mouth with water to help neutralize the acids in your mouth.

-Attempt To Strengthen Enamel. Luckily, it is possible to naturally repair tooth decay in its earliest form. A tooth can be “remineralized”, meaning minerals can be added back to the tooth to stregnthen it. This is only helpful when tooth decay has not penetrated deeply into the tooth. Once decay progresses into the underlying layers it is too late to strengthen. Xylitol and fluoride may be used to remineralize teeth.

-Know Your Medications. Many prescription (and even over the counter) medications can decrease saliva causing dry mouth (xerostomia). It is important to practice extra diligent dental hygiene if you know you have dry mouth.

Conclusion

For many of us, tooth decay can be a real problem. There are many ways to combat tooth decay. Get to the source of that problem by investigating into what seems to be damaging your teeth. Once you know whether it is diet, frequent snacking, poor hygiene, high acids, low saliva, etc. You can then change your habits to prevent further tooth decay. Ask your dentist and hygienist for their help and input. They may be better at finding the problems and at suggesting solutions that will work for you.

Canker sores tend to be very unpredictable in nature and quite uncomfortable for many. Canker sores (apthous ulcers) are white sores, not blisters, that occur inside the mouth. They range in size from small dots to large coin sized ulcerations. They can be quite painful, may make eating, speaking or smiling difficult, and may take 1-2 weeks to heal. The canker sores have been studied for years, but the exact cause remains a mystery. They have been linked to a person’s genetic background, increased stress, or even minor dental trauma.  The big question remains, what should you do to avoid canker sores.

Tips To Avoid Canker Sores

-Maintain Proper Nutrition. It is important to maintain proper eating habits ensuring you are ingesting the right mix of vitamins and minerals to keep you healthy. Nutritional deficiencies have been shown to cause mouth ulcers. Researchers have shown that vitamin B12, zinc, iron, l-lysine, and folic acid are all very helpful in preventing canker sores.

-Avoid Certain Foods. If you are suffering from a canker sore you should restrict your diet. Acidic drinks (such as orange juice or lemonade) can irritate the canker sores and actually prolong the healing process. Eating chocolate is a known trigger for apthous ulcers.

-Change Oral Hygiene Products. The bubbling agent in toothpaste can be an irritant to the oral tissues. If you notice sloughing tissues, red irritated tissue, and frequent canker sores, you may want to cut out regular toothpaste. Experiment with some new dental hygiene products that are  gentler on your mouth. There are specialized canker sore toothpastes specially formulated not to irritate the mouth. These toothpastes are sodium lauryl sulfate free (SLS). Sodium lauryl sulfate is generally used in toothpastes to produce that foaming action when brushing. It is believed that removing SLS will reduce the incidence of canker sores.

-Hormones. Large jumps in hormones such as during menstrual cycle, menopause, pregnancy can trigger canker sores.

-Medications. Certain medications may trigger apthous ulcers such as Nicorandil, a medicine used in patients with angina.

 What To Do If The Canker Sores Persist

-DeBacterol. These topical canker sore treatments chemically cauterize the ulcer. The relief is instantaneous, and the healing is within days instead of weeks. Drinking milk is supposed to help decrease canker sore outbreaks.

-Drinking milk is supposed to help decrease canker sore outbreaks.

-Supplement with a multivitamin to be sure you are getting everything your body needs.

-Dental Examinations.  If you are experiencing persistent sores in one area of the mouth, call your dentist and make an appointment to get the surrounding teeth and gums checked.

 You should contact your dentist about canker sores if you have the following:

-Unusually large sores.

-Sores that are spreading.

-Sores that last 3 weeks or longer.

-Intolerable pain despite avoiding trigger foods and taking over-the-counter pain medication.

-Difficulty drinking enough fluids.

-A high fever along with the appearance of the canker sores.

Canker Sore Conclusion

Canker sores can be uncomfortable and even debilitating but there are steps that can be taken to relieve them when they occur and  in some cases avoid them completely. The frequency with which you develop sores, the size of them, and how long they last are important. Discuss all of this with your dentist so that he/she may assess whether they are typical canker sores or a more serious issue which may require further treatment and investigation.