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The Importance Of Six Month Dental Visits

May 13, 2013

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Why do most dentists want you to come in for a cleaning at least every 6 months?? While it might not seem like it is necessary, these regular and routine dental visits are

Regular Dental Visits Are The Key To Good Dental Health

essential for monitoring and maintaining healthy teeth and gums.Earlier changes can be detected, and they can be addressed. Recent research has also shown how important it is to maintain a healthy mouth for our general health as well. There are many disease states related to poor dental health. These systemic diseases include heart disease, cancer, diabetes, and even, alzheimer’s disease.

The Six Month Dental Visit

What goes on in the dental office is only a small portion of oral health maintenance. Most of the work is done at home through maintaining a good oral hygiene regimen to keep our teeth and gums as clean and healthy as possible. A six month dental visit will include a professional cleaning as well as a thorough dental examination. There are many facets to this appointment. Most people would be surprised at how many different items the dentist and hygienist are actually checking.

What Does The Dental Examination Include?

Your teeth are just one part of a routine, thorough dental examination. Your dentist will evaluate the health of your teeth, your gums, TMJ, and entire inner tissues of the mouth and upper throat. They will also examine your mouth, tongue, lips, and skin for any signs of disease, like oral cancer or diabetes.

The Head And Neck Examination

Your dentist will start off by looking for symmetry, irregularities, swellings, etc. by:

-Examining your face

-Examining your neck

-Checking your lymph nodes. They are specifically looking for any abnormal swellings or changes to one side and not the other. Also noting the presence of any tenderness.

-Checking your Temperomandibular Joint (TMJ) for any clicking, popping, or irregularities. As we age, the TMJ, like any joint can begin to deteriorate and give us issues. A good dentist will be able to note the presence of TMJ disorder even without symptoms developing.

The Teeth And Gums Examination

Next, your dentist examine the state of your teeth and gums by:

-Taking x-rays ( radiographs) as needed. Radiographs are generally taken once per year. These radiographs allow the dentist to see some areas that are not visible to the naked eye and are not felt by an instrument. This allows for early detection of tooth decay, as well as determination of infection, or bone loss. Unfortunately, fillings and crowns, depending upon location of breakdown, still hide many areas of decay or fracturing., Such areas are generally found later due to discomfort, discoloration, or other changes.

-Examining the gum tissue for the presence of periodontal disease, infection, systemic disease. The symptoms can include bleeding, inflammation, recession, redness and irritation, swelling, sloughing tissue, and bone loss around the teeth.

-Checking if any teeth are becoming loose or show any sense of movement.

-Looking at the tissues inside of your mouth. This will include all sides of the tongue, the tonsils, the hard and soft palate, and inside your cheeks and lips. The dentist will look for tissue abnormalities that could be suspected to be oral cancer. Many dentists use the VELscope to detect oral cancer as early as possible. The VELscope is a special light that allows the dentist to see changes in tissue that occur when oral changes, such as cancer, are present.

-Checking the way your teeth fit together, how well you bite, if you clench or grind, signs of sleep apnea.

-Looking for the presence of tooth decay. This is achieved through the use of radiographs and by checking each tooth individually to see if there is any decay visibly, tactilely, or radiographically, present or beginning to form.

-Checking for broken teeth, fracture lines, chipping, wear.

-Checking for older dental restorations that need to be replaced. Generally when an older dental restoration begins to fail there is staining present around the margins where food and bacteria are leaking inside the restoration. Also, the dentist will examine any dental crowns present to check for decay and to see that the fit is still acceptable.

-Evaluating any previous dental appliances you might have. This can include retainers, nightguards, sport guards, dentures or snore/apnea appliances. The dentist will ensure they are still fitting properly and that they are in good condition.

The Dental Cleaning

The dental cleaning is generally completed by the hygienist but some dentists do clean teeth as well. This part includes the following:

6 Month Dental Visits For The Whole Family

-Checking the state of your teeth and gums.

-The use of an ultrasonic device to remove the pellicle, plaque, and tartar. The pellicle is a protein layer, much like a cuticle, that allows plaque and bacteria to more easily wick up and under the gum. The hygienist uses both an ultrasonic cleaning tool (called a cavitron) as well as using hand instruments. These tools allow the hygienist to remove substantial plaque and bacteria, and all of the pellicle, from above and below the gumline.

-Polishing your teeth with prophylaxis paste. This paste is slightly abrasive to remove any extrinsic stains that might be present. Polishing also helps to smooth surface roughness so that plaque will not stick as easily.

-Fluoride treatment. This is not just for kids! There are many types of fluoride with many different applications. Some of us are more susceptible to cavities, some of us have white spots, sensitive spots, or stubborn periodontal pockets. Different types of fluorides can help with all of these.

-Reviewing oral hygiene instructions for you to practice at home away, and from the office. This includes recommended brushing and flossing techniques as well as what products might work best for you.

Conclusion

Upon completion of the examination and cleaning, your dentist will be able to advise you of any further treatment needed. If nothing abnormal is found, you will set up your next appointment in 3- 6 month,s knowing you have been doing a great job at home with your dental care. If something is found, you should have it taken care of as soon as possible. You should try not to put off dental work, as it will get worse over time. Remember, by seeing your dentist every 6 months and following daily oral hygiene practices at home, you have a better chance of keeping your teeth and gums healthy. Being healthy will save you time, discomfort, and money in the long run. Prevention is always the goal!

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Marielaina Perrone
2551 N. Green Valley Pkwy #A405 Henderson, NV, 89014 USA
drperrone@cox.net • 702-458-2929

What Are The Benefits Of Oral Rinses?

March 25, 2013

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For a long time now, it has been recommended to brush and floss to maintain good oral hygiene. Brushing and flossing alone may not be enough for many patients. The

Oral Rinses Can Keep Your Smile Shining!

addition of an oral rinse can offer unique benefits that brushing and flossing are unable to achieve. Some of the oral rinses on the market can be used to treat gingivitis, assist in the remineralization of teeth, treat dry mouth, as well as help whiten our teeth. The main advantage of an oral rinse is its ability to reach all areas of the mouth, between teeth, and under the tongue. This gives it the ability to reach bacteria that normal brushing and flossing may not.

Types Of Oral Rinses

There are many different kinds of oral rinses available in stores today they generally fall into two categories:

-Cosmetic Oral Rinses. This type of rinse is used for purely cosmetic reasons including temporarily masking bad breath or teeth whitening agents to lighten color of teeth. These usually have antibacterial properties as well as anti cavity protection but not very potent in those areas. Cosmetic rinses are commercial, over the counter products that help remove oral debris before or after brushing, temporarily suppress bad breath, diminish bacteria in the mouth, and refresh the mouth with a pleasant taste, like mint. Cosmetic oral rinses reduce mouth odors, or halitosis. Some do kill bacteria for a short time, but there is no lasting health impact that you could ascribe to them. The bacteria killed by these types of mouth rinses will grow back eventually, and while you’ll have fresh and minty breath in the short-term, these rinses don’t actually improve your oral health.

-Therapeutic Oral Rinses. This type of rinse is meant to fix a persistent oral issue such as gingivitis. Therapeutic rinses have all of the benefits of cosmetic rinses but also contain an added active ingredient that helps protect against some oral diseases. Therapeutic oral rinses are effective in two ways. One is to simply attack bacteria by stop it from reproducing or to kill it. The other newer way is to hinder the bacteria’s ability to attach itself to oral surfaces. If the bacteria cannot attach itself to any oral surfaces plaque cannot form. Dentists will prescribe special rinses for patients with the following issues:

1. Tooth Decay

2. Periodontal Disease

3. Gingival Inflammation

4. Dry Mouth (Xerostomia).
Therapeutic rinses also are highly recommended for those who cannot brush due to physical impairments or medical reasons. A good example is Chlorhexidine which is a very common oral rinse used to treat periodontal disease. It is powerful because its effects last longer than some of the other mouth rinses.

Are There Oral Rinses For Children?

Oral rinses are especially effective for children since their dexterity and attention to detail is usually less than that of an adult. The oral rinses will ensure all areas of the

mouth are reached. Oral rinses for children generally have no alcohol and most usually do not have fluoride. They can be antibacterial or they can be used for pre brushing staining of plaque areas.

Oral Rinses Conclusion

Mouth rinses do serve a purpose, whether to freshen your breath or help fight plaque and gingivitis. They can be a vital addition to any oral hygiene regimen. Remember they are not a substitute for regular brushing and flossing. Those are still the main component of the at home oral hygiene program with oral rinses acting as a supplement. Recent studies have shown that oral rinses can reduce plaque and the risk of gingivitis when used in addition to tooth brushing compared with tooth brushing alone. Whatever oral rinse you choose, be sure to follow the instructions and avoid swallowing. As always visit your dentist regularly for dental examinations and professional cleanings. Remember, when choosing a mouth rinse product, pick one that has the ADA seal of approval.

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Pacifiers And Dental Health

March 11, 2013

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Pacifiers are used as a soothing tool in infants and very young children. The habit of sucking is a normal, natural behavior for babies. This is how they receive all of their nutrition in the first months of life. Some babies will even begin sucking on their fingers or thumb inside the womb. Babies will also suck for other reasons. It is a soothing

Be Smart About Pacifier Use!

behavior that can help them relax and sometimes even put them to sleep. It can relieve anxiety and make them feel secure and happy. They are especially useful during the first six months of life.

Studies have also shown a benefit from pacifier use in development of jaw muscles as well as decreasing risk of sudden infant death syndrome. Pacifier use is generally safe and effective in its job for the first two years of life but problems can arise with continued pacifier use after age 2.

Dangers Of Continued Pacifier Use

Research has shown that pacifier use before the age of 2 is natural and healthy for a baby. After the age of 2 problems can arise that can endanger the child’s oral health going forward. Some of the dangers associated with continued pacifier use include:

-Increased risk of middle ear infections. Researchers theorized it may have something to do with the change in pressure equilibrium inside the ear caused by the constant sucking.

-Improper growth or development of the mouth.

-Misalignment of Teeth. These issues might include displaced teeth, overbites, cross bites, and open bites.

-Increased Risk of Tooth Decay. Kids who use a pacifier longer, also tend to drink from a bottle longer. All this sucking combined with liquids applied directly to the teeth can cause tooth decay and badly formed teeth.

-Development of a Thumb Sucking Habit. This will accelerate and make any issues even more pronounced.

-Germ ingestion is increased throughout life with long term use of pacifiers. Research has shown that children who use pacifiers after infant stages are more likely to pick up and put items in their mouths.

-Sleep disruption. They have a problem because they grow used to having the pacifier in their mouth while sleeping, and can’t sleep without it. This issue isn’t limited to pacifier users. It’s also true of kids who suck their thumb past infancy. Older thumb suckers often mimic the health issues of pacifier users.

Correct Pacifier Use

Here are a few tips for correct pacifier use:

-Use specially designed orthodontic pacifiers. A good example is the advanced airshield orthodontic pacifier by NUK.

-Keep Pacifiers clean and free of unwanted germs. Always wash a new pacifier prior to use.

-Regularly check your child’s pacifier for cracks or tears. These can become a choking hazard and should be thrown away immediately.

-Do not tie the pacifier around your infants neck.

Following these rules will help ensure your babies pacifier use is safe and healthy.

What Can Be Done To Stop Pacifier Use

While the use of pacifiers before 2 years old is very beneficial it is not always easy to get your child to stop at their 2nd birthday. Some tips to help wean your child off the pacifier include:

1. Take It Away Sooner Than Later.

To break the pacifier habit taking the pacifier away sooner than later is the most effective strategy. Babies have their own powerful ways of protesting the end of a beloved habit like the pacifier. But taking it away when your child is too young to express his displeasure and negotiate with words can make the transition simpler and easier. Once the pacifier is taken away, do not give it back!!! Tell them it is gone, show it to them in the trash, and then bring it outside to the garbage. Children understand the concept “all gone”.

2. Change The Pacifier’s Taste.

You are probably familiar with the idea of stopping nail-biters by painting their nails with something that tastes unpleasant. A similar method sometimes works to separate kids and their pacifiers.

3. Leave it for the Pacifier Fairy

The pacifier fairy is a first cousin to the tooth fairy. This magical creature may help your child make the transition from being hooked on the pacifier to living pacifier-free. A nice replacement gift from the fairy is also a great idea.

4. Lose it

This may come as a revelation: Next time you’re frantically looking for your child’s precious pacifier, stop. If it’s lost, let it be lost. Alternatively, you can lose it on purpose. Both strategies have worked for desperate moms and dads.

Pacifier Conclusion

For many infants weaning off the pacifier can be very difficult. Some kids are not only physically attached to the pacifier but emotionally attached as well. In those children it is doubly hard to break the habit. As hard as it may be for parent and child, for the child’s health it is a very important reason to break the habit at the right time before any damage can occur.

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Should Vegetarians Be Concerned About Their Oral Health?

February 6, 2013

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Vegetarian - a person who does not eat or does not believe in eating meat, fish, chicken. Vegan- no food derived from animals, such as eggs or cheese, but instead eats vegetables, fruits, nuts, grain, etc.

Many people in society today have chosen to go Vegetarian for many reasons. One of the main reasons people choose this lifestyle is to live healthier. Most well balanced vegetarians have excellent oral health, but while a vegetarian diet has great health benefits it can adversely affect your oral health if not watched carefully. The vegetarian diet eliminates certain food groups which can cause the loss of certain nutrients essential for oral health.

Some Vegetarians experience deficiencies in calcium, fiber, and Vitamin D putting them at increased risk for periodontal disease. If you choose to forgo animal based food it is imperative that you find food alternatives and supplement options that can help you maintain not only your dental health but also your overall health.

Cause For Dental Concern Among Vegetarians

Many who enter into the vegetarian lifestyle go into it full of knowledge regarding dietary options by consuming vegetables, fruits, grains, and legumes to get the vitamins and nutrients they need on a daily basis. Studies have shown though that an adult eating a vegetarian diet for an extended period of time can be at an increased risk for a lack of vitamin D and calcium. Generally, we get lax over time and may not be as good at maintaining a well balanced diet to include everything we need.

A deficiency of vitamin D and calcium can cause teeth to weaken over time, which makes them more susceptible to tooth decay and periodontal disease. However, vitamin D is produced naturally in the body with normal sun exposure, so deficiencies are quite rare. Deficiencies in calcium are much more common but can be easily remedied with the proper diet and supplements. Studies have shown that people who consume less than the recommended daily amount of calcium are almost twice as likely to have periodontal disease.

Dairy products (milk, cheese and yogurt) are the best sources of calcium. Certain products are also fortified with calcium like soy milk, breakfast cereals, and orange juice. However, for vegans, there are several other types of non-dairy sources of calcium that you can choose to ensure your daily calcium intake. Bean products, such as tofu, as well as sesame seeds, nuts, dried fruit, and green leafy vegetables particularly okra and curly kale are excellent choices and today, certain products like soy milk , bottled water, breakfast cereals and orange juice are also fortified with extra calcium.

The potential for nutritional deficiencies is greatest among children and teenagers who decide to become vegetarians. This is because they generally do not know enough about their nutritional needs. Also, some vegetarians are at risk for nutritional deficiencies in vitamin B2 and vitamin B12 as well as calcium and vitamin D.

Dental Health Advantages of Vegetarian Choices

Fresh fruits and vegetable can provide increased saliva production which in turn neutralizes acids. Fresh fruits and vegetables do not contain carbohydrates that can be readily fermented by bacteria, the fiber content actually helps clean the teeth, therefore protecting against dental caries. The best choices to supplement fiber are low acid beans and legumes or whole grain products.

Supplement Options For Vegetarians

There are countless supplement options on the market today to achieve proper nutritional intake of vitamins and minerals. Some of these supplements also offer some dental benefit. These include:

-Coenzyme Q10. Studies have shown it promotes gum healing and cell growth.
-Lysine. Known to have some effectiveness in combating canker sores.
-Vitamin C with Bioflavonoids. Promotes healing, especially of gingival tissue that is inflamed and bleeding from periodontal disease.
-Calcium and Magnesium. Believed to help prevent bone loss around the teeth.
-Vitamins A and E. Are needed for healing gingival tissue.
-Grape Seed Extract. Is known as a powerful antioxidant and anti-inflammatory.
-Zinc plus Copper. Enhances immune function.
-Aloe Vera Gel. Relieves inflamed gums and soothes the tissues when applied directly to the inflamed area of tissue.
-Chamomile Tea. Soothing to gingival tissues.
-Green Tea. Is helpful in decay prevention and decreases plaque.
-Echinacea. Keeps inflammation down and enhances immune function.

Conclusion

Remember that anyone considering adopting a vegetarian lifestyle should seek out information from books, their physician, or a nutritionist to learn about substitutes to ensure maintenance of a well balanced diet. This should not just be jumped into without proper knowledge and preparation. Patients should also inform their physicians or dentist as part of their medical history if they are vegetarian.

A healthy well balanced diet and maintaining a good dental hygiene regimen are the best defense against problems with your gums and teeth. Eating a balanced variety of fruits, vegetables, grains, and legumes will help vegetarians (and anyone for that matter) achieve a healthy, well balanced diet and a healthy smile. As always see your dentist regularly for dental examinations and professional cleanings.

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The Importance Of Six Month Dental Visits

The Six Month Dental Visit