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Oil Pulling Therapy - is an ancient medicinal technique that involves swishing oil in the mouth. It is mentioned in ancient literature describing oil pulling therapy as capable of both improving oral health and treating systemic diseases such as diabetes, sinus infection, or asthma. There is little to no scientific evidence backing these claims but there have been a few oil pulling therapy studies that have shown a reduction in dental plaque, bad breath, and even gingivitis.

Oil Pulling Therapy Procedure

Oil pulling therapy involves rinsing the mouth with one tablespoon of oil.  Sesame oil, sunflower oil, or coconut oil  are the most recommended. The oils have antibacterial properties.When you rinse with oil, you should move the oil slowly through the mouth so as to cover all surfaces. This swishing and rinsing should be done for about 5-20 minutes. The theory behind this is that as the oil is travelling around it is ‘pulling’ toxins, bacteria and waste from inside the mouth and body and collecting it in the oil so that it can be removed from the body. As you continue to rinse and swish the oil becomes thinner and thinner. If the oil is still yellowish in color, it has not been pulled for a long enough period of time. When completed, you should rinse your mouth thoroughly with water.

The oil pulling /swishing is done best before breakfast for healing, before bed for dry mouth issues. To accelerate the healing process, it can be repeated three times a day,  before meals. The oil will help prevent bacteria from sticking to teeth when you do eat your meal, and will help moisten and protect oral tissues when suffering from dry mouth. It has also been known to help keep teeth whiter. If you are using oil at night to help with dryness, brush and floss first, then try swishing for a short period of time and swallowing to hydrate the throat.

Dental Uses For Oil Pulling Therapy

Oil pulling therapy has been used for many years as a natural remedy to prevent the following:

-Tooth Decay.

-Gingivitis (bleeding gums).

-Halitosis (Bad breath).

-Stained Teeth.

-Dry Mouth.

-Dry Throat.

-Chapped Lips.

-Sinus Infections.

Oil Pulling Therapy Side Effects

The act of Oil Pulling is completely harmless and doesn’t have any adverse side effects that are known. There have been reports of gagging when first beginning oil pulling therapy but many seem to get over that after the first couple of uses. You should always thoroughly wash your mouth out and brush your teeth after oil pulling therapy to reduce toxins, but not at night as it will help keep the mouth hydrated. It is also a good idea to spit the oil in the trash  rather than your sink as oil residue can build up in the sink and drain.

Conclusion

To date there has been little to no scientific studies regarding oil pulling therapy, but that doesn’t mean it’s not worth trying. The therapy has been around for centuries, and used by many. Once you get past the initial odd feeling of swishing oil, it becomes easier to do. It is a good option to try when other more traditional therapies are not working, or you prefer natural therapies.

What exactly is preventive dentistry and why is it important in maintenance of our overall health?

Preventive Dentistry – The aspects of dentistry concerned with the teeth, oral cavity, and associated structures, including early detection,  prevention of disease, diagnosis, treatment of oral tissues, and restoration of defective or missing tissue.

“The body is like a piano, and hap­pi­ness is like music. It is need­ful to have the instru­ment in good order”

- Henry Beecher Ward

Dentistry as a whole focuses on prevention and treatment of dental disease. Preventive dentistry includes both at home and in office dental care. At home dental care includes maintaining a healthy dental hygiene regimen in between dental visits, trying to eat healthier meals and snacks, cessation of harmful habits such as smoking, and managing health issues. In office dental care includes regular dental examinations along with professional cleanings, oral cancer screenings, updated health history, fluoride treatments, dental sealants, and other required dental restorations. Home care and in office care work hand in hand to keep our teeth healthy, strong, and free from dental disease.

Unfortunately, many of us tend to neglect our dental care in one way or another. This could mean not following up with care recommended by your dentist or just not brushing and flossing properly (or even regularly). Tooth decay left untreated or undetected, can lead to more serious dental treatment being needed or even to loss of teeth. Periodontal disease can and will progress if not treated in its earliest stages. Periodontal disease can also lead to serious health issues such as heart disease or stroke, and recent studies link poor oral hygiene to pancreatic cancer. Preventive dentistry is an integral part to protecting not just our teeth but also our general health. Preventive dentistry acts as health guard.

What is Included In Preventive Dentistry?

-Dental Hygiene. This might very well be one of the most important things you can do to maintain both your dental health as well as general health. Numerous studies have shown that the build up of plaque, tartar, and bacteria in periodontal disease has been linked to heart disease, strokes, cancer, and even alzheimer’s disease. Flossing and brushing is an integral part of guarding against tooth decay and periodontal disease but it also acts as a protector for your heart and vascular systems. Without a proper dental hygiene regimen plaque and tartar will quickly form leading to tooth decay and periodontal disease.

-Dental X-Rays. Routine x-rays are an important part of preventive dentistry. X-rays can detect tooth decay, bone loss, some tumors (oral cancer), cysts, poor bone quality, and bone infections which in their earliest forms would not be detectable using a visual examination alone.

-Fluoride Treatment. Fluoride is a mineral that plays an important part in preventative dentistry by strengthening teeth and preventing tooth decay. For those with a history of tooth decay your dentist may recommend the use of a fluoride mouth rinse, or prescription fluoride products between dental visits.

-Nutritional Counseling. Most people do not realize how important a balanced diet is to their dental health. Foods and drinks containing sugar quickly begin to attack the teeth after entering the mouth. Most dentists recommend avoiding soft drinks or sugary foods as often as possible. If you choose to eat or drink these sweets, brush and rinse your teeth as soon as possible following ingestion of these items. Keep snacking to a minimum, try to eat well balanced meals, and you will find that your healthier choices will affect your dental health in a positive way.

-Cessation of Habits. Many harmful habits can be eliminated with help from your dentist. Nail biting, tooth grinding and clenching can be kept under control with dental appliances. Smoking can be stopped with prescription drugs such as chantix, nicotine patches, and counseling, Drug use may be addressed and a rehab program suggested.

-Dental Sealants. A dental sealant is a thin plastic-like coating that is applied over back teeth. Sealants are placed in areas of grooves and ridges where plaque can hide and the toothbrush can’t reach as easily. Covering up the grooves helps to prevent tooth decay. Dental sealants are most often applied as preventive dentistry for children but can also be used for adults.

-Oral Cancer Screening. Early diagnosis of oral cancers give patients the best chance for survival in the long term. Find a dentist who uses the Velscope early detection oral cancer screening system to ensure you are being checked regularly. The best defense against oral cancer is an early diagnosis. The mortality rate of oral cancer increases dramatically if not detected in its earliest stages.

Preventive Dentistry Conclusion

Considering that oral health is linked to overall health, preventive dentistry is important to your overall well being.  Oral diseases can interfere with eating, speaking, daily activities and even self esteem. Preventive dentistry can lead to less extensive (and less expensive!) treatment for any dental conditions that may develop, and help you keep your natural teeth for a lifetime.

Dentistry is about more than just checking your teeth. Most dentists have extensive training, education, and knowledge of systemic and oral diseases, and the symptoms to be on the lookout for.  A good dentist will know how to diagnose these conditions, refer you to specialists, and sometimes prevent them from progressing. All of this adds up to comprehensive dental healthcare for you and your family.

Conditions Associated With Oral Medicine

-Oral Cancer – Can be diagnosed in early stages by your dentist. If oral cancer is not diagnosed early, it can be life threatening. About 40,000 new oral cancer cases are diagnosed each year in the United States alone. Overall survival rate at the 5 year mark is just 42%. However, if diagnosed early, the survival rate significantly improves to just over 90%.

Routine dental examinations include a full head and neck examination. This allows the dentist to monitor for any changes in the tissue. Also, many dentists use a VELscope for early oral cancer detection. The VELscope is a special light that allows the dentist to see changes in the tissue before the naked eye can see them. This improves chances of early diagnosis via biopsy and thus, higher chance of survival.

If oral cancer diagnosis is confirmed, the patient needs to be monitored during cancer treatment to ensure there is minimal detrimental effect to the teeth and oral tissues. Chemotherapy tends to create oral issues like xerostomia (increases chance of fungal infections of the mouth), mucositis (very painful mouth irritations), tooth decay(due to dry mouth), radiation necrosis (bone death), and periodontal disease. This is why it is recommended that care is coordinated between the oncologist, physician, and dentist.

Following treatment, it is imperative to get routine oral cancer screenings as the chance of oral cancer recurring is quite high.

-Temperomandibular Joint Disorder (TMD) – TMD issues can be extremely painful and uncomfortable. As TMD progresses it creates an imbalance in the facial muscles and bone structure leading to issues with simple facial movements and even chewing. Once it gets to this point, the issues get worse as the pain just increases as well as the imbalance. These patients will be at increased risk for tooth decay and periodontal disease since they will be unable to properly perform routine oral hygiene maintenance.

Treatment for TMD ranges from medications and steroids to manage the discomfort and pain to surgical options. Surgery is always the last resort as the surgery does not always pose the answer patients are looking for. Botox is a newer treatment used to freeze the muscles and attempting to restore facial muscular harmonies before the situation gets worse.

-Anemia- Patients who are anemic tend to lose papilla on the tongue, giving it a bald appearance, also, fissures of the tongue increase in depth. Anemics also tend to crave ace, and brgin to chew on ice. This is a habit that can easily cause tooth fractures.

-Herpes Simplx Viruses (HSV)  - This virus is responsible for cold sores (HSV-1) and genital herpes (HSV-2). Studies have shown that almost 70% of all Americans have been exposed to the herpes simplex virus. Luckily, even if exposed they do not always show symptoms of the virus. Those that do will show the classic mouth sores around the lips. These sores or blisters can be quite uncomfortable and embarassing.

Herpes Simplex virus generally does not affect our oral health unless they are so uncomfortable that we are unable to maintain proper oral hygiene. Treatments for cold sores include changes in diet, increase intake of certain vitamins like E and Zinc, as well as pharmaceutical options. Pharmaceutical options include Xerese and Viroxyn. Both have been shown to be effective in limiting symptoms of outbreaks.

-Canker Sores (also called apthous ulcers) – Often confused with cold sores, they are very different. Most canker sores are single, isolated oral lesions usually caused by stress or trauma to oral tissues. Canker sores can occur a few times per year but are not known to be contagious. It is believed that canker sores have a genetic component to them but studies have not confirmed this to date.

It should be noted that canker sores can also be the sign of something more ominous and should be ruled out. General rule of thumb, is if they go away in under 7-10 days, only appear a few times per year, and are small there should be nothing to worry about. However, if they are large, last longer than 7-10 days and occur much more frequently, the patient should be investigated further for the presence of a systemic disorder. These disorders could include anemia, autoimmune disorders, or even inflammatory bowel disease. Sometimes the answer can be as easy as changing your toothpaste to a brand that is SLS (sodium laryl sulfate) free.

Treatment for canker sores include cauterization of sore (to facilitate faster healing), use of topical corticosteroid, or application of Debacterol. Most people will just allow the lesion to heal on its own. If the sore are SLS related, then changing toothpaste to a non-bubbling, SLS-free brand can bring instant relief.

-Autoimmune diseases- Many different autoimmune diseases cause issue in the mouth, or face, and jaw joint. Oral fungal infections, arthritic TMJ, oral tissue sloughing and blistering, facial rashes, bone growth, and other symptoms can give your dentist reason to refer you to an immunologist for a thorough workup.

Oral Medicine Conclusion

The bottom line is a well educated and trained dentist is capable of diagnosing more than just tooth decay. Your oral health is inherently linked with your general health. Understanding the importance of regular dental care for you and your family will allow you to get a jump on many diseases that might develop. Early diagnosis is the key to treating many conditions and diseases.

Botulinum toxin, or “Botox“, has been used for quite some time as a cosmetic aid in physicians and dentists offices. It can be utilized to make us look and feel younger. Did you know that botox has many other medical uses? It turns out that botox can be used to aid in therapy for many dental, facial pain disorders.

Botox As A Medicine

Botox can be used for the following disorders:

-Temperomandibular Joint Disorder (TMD) and Facial Pain Management – TMD is a very difficult disorder to treat since its symptoms are so varied. The goal of treatment in TMD has been to provide non -invasive, reversible treatment options. Surgery is an option, although rarely utilized, due to it’s limited success. Botox gives the dentist the ability to relieve TMD and facial pain symptoms for a short period of time (weeks to months per treatment). In TMD and facial pain disorder, there are muscular trigger points that radiate outward through the nerve bundles. The  injection of Botox into these trigger point areas, “freezes ” the ability of the muscle  by paralyzing it for a while, can help relieve the intensity of the TMJ muscle contractions. The relief can last up to three months. This temporary muscle paralysis makes Botox a great tool in the treatment and management of TMD and facial pain disorders.

-Teeth Clenching (Bruxism) – This treatment becomes somewhat tricky as the dose is very important here. Too much botox into the area of the mastication muscles can paralyze these muscles and disrupt a person’s ability to chew and speak. Too small a dose and it has little to no effect. The proper dose will reduce the intensity of the muscles contraction, allowing the patient to still be able to chew and speak properly. When done correctly, the patient will see relief from facial pain and limit the damage done by the teeth clenching, as the force is no longer there to do damage to oral tissues.

-Orthodontics – Our muscles play a huge role in where our teeth line up. Following orthodontic therapy some patients teeth will relapse and this may be due to placement of that individual’s musculature. Many patients have an over active mentalis muscle that often causes relapse of the teeth and may cause spasm of the muscles. Botox gives us the ability to reduce these spasms and contractions allowing for limited relapse following orthodontic treatment.

-Treatment of Migraine, and other Headaches – Generally, migraines have been a source of the unknown for many patients. Migraines have multiple symptoms beyond just headaches. These can include nausea, dizziness, and even light sensitivity. The use of Botox can relieve these symptoms. The placement of a few well placed injections around the temples, forehead, and neck/shoulder area can ease these symptoms by preventing the pain signals to reach the nerve bundles on the head and neck. This can also relieve severe headaches in the forehead region, if you suffer from them frequently. This can get quite expensive but for those suffering it can be well worth the cost to feel pain free again.

-Controlling Excess Saliva Production (also called sialorrhea) – The more common term for this is drooling. While there are other treatments for this, botox gives the ability to stop the excessive salivary production by injecting into the parotid and submaxillary glands. Again, this treatment is very dose specific. Too high a dose can disrupt a person’s chewing ability and also lead to dry mouth (xerostomia).

-Facial Asymmetry – In many of us, the muscles of the face may be asymmetrical leading to an imbalanced look to the face. Botox can restore that symmetry by balancing the facial muscles. Eyebrow lift, or depression of the brow can be enhanced with properly placed botox.

-Gummy Smile – This is shown as a smile that shows too much gum tissue. This usually is the result of the lip rising too high when smiling. Injecting Botox into the upper lip weakens the retractor muscles of the upper lip so that it won’t raise as high and your smile will seem better-balanced.

-Trigeminal Neuralgia- This extremely painful condition can be brought about by something as simple as air blowing on your face. Freezing a few select muscles on the affected side of the face can bring relief from extreme pain, and piece of mind. Not having to worry about accidentally setting off the facial pain can give you your life back.

Conclusion

As with any botox application, training is critical. The injector should be well versed in not only a person’s anatomy but also in the use of the right dosing of the botox. Too little and there will be no relief from symptoms while too much botox can lead to disabling effects. Botox gives patients and doctors a new world of possible treatments that can lead to better lives for all of us.