Posts for: August, 2020
There's ample evidence tobacco smoking increases your risk for tooth decay and periodontal (gum) disease. But the same may be true for electronic cigarettes (E-cigs): Although millions have turned to “vaping” believing it's a safer alternative to smoking, there are growing signs it might also be harmful to oral health.
An E-cig is a device with a chamber that holds a liquid solution. An attached heater turns the liquid into a vapor the user inhales, containing nicotine, flavorings and other substances. Because it doesn't contain tar and other toxic substances found in tobacco, many see vaping as a safer way to get a nicotine hit.
But a number of recent research studies seem to show vaping isn't without harmful oral effects. A study from Ohio State University produced evidence that E-cig vapor interferes with the mouth's bacterial environment, or oral microbiome, by disrupting the balance between harmful and beneficial bacteria in favor of the former. Such a disruption can increase the risk for gum disease.
Other studies from the University of Rochester, New York and Universit? Laval in Quebec, Canada also found evidence for vaping's negative effects on oral cells. The Rochester study found astringent flavorings and other substances in vaping solutions can damage cells. The Quebec study found a staggering increase in the normal oral cell death rate from 2% to 53% in three days after exposure to E-cig vapor.
Nicotine, E-cig's common link with tobacco, is itself problematic for oral health. This addictive chemical constricts blood vessels and reduces blood flow to the mouth's tissues. This not only impedes the delivery of nutrients to individual cells, but also reduces available antibodies necessary to fight bacterial infections. Regardless of how nicotine enters the body—whether through smoking or vaping—it can increase the risk of gum disease.
These are the first studies of their kind, with many more needed to fully understand the effects of vaping on the mouth. But the preliminary evidence they do show should cause anyone using or considering E-cigs as an alternative to smoking to think twice. Your oral health may be hanging in the balance.
Do you remember when one of your baby teeth began to wiggle? You knew it wouldn't be long before it came out, followed by a little something from the “tooth fairy” under your pillow.
Those were the days! But a loose permanent tooth is something else entirely: Often a sign of advanced periodontal (gum) disease, you may be on the verge of losing the tooth forever.
This sad affair begins with dental plaque, a thin biofilm found on tooth surfaces and the ideal haven for oral bacteria that can trigger a gum infection. You might not notice such an infection in its early stages, other than a few initial signs like gum redness, swelling, or bleeding. If these occur, it's imperative you seek treatment promptly.
Without treatment, the infection can spread below the gum line, weakening gum attachments to teeth (which actually hold teeth in place) and eventually doing the same to underlying bone. All of this damage can lead to a tooth becoming loose and eventually falling out.
But it's not inevitable a loose tooth will eventually be lost, though it may require long-term efforts to save it. We may first need to do a bite adjustment, which will often allow a tooth to decrease its mobility. If the mobility has not been reduced enough, we may recommend stabilizing the teeth through splinting: These are techniques used to join the loose tooth to more stable teeth, usually with a thin strip of metal or other dental material.
We'll also need to treat the underlying cause, which in the case of gum disease requires aggressive plaque removal. Our goal is to manually remove all plaque and tartar (calcified plaque) deposits, particularly below the gum line. It may also require surgery to fully access deep pockets of infection. But once we remove the offending plaque, the gums can begin to heal.
The best strategy, though, is to avoid gum disease altogether. You can substantially lower your infection risk by brushing and flossing daily and getting a dental cleaning every six months. Dental visits also allow us to check your gums for any signs of infection that might require prompt action.
A loose tooth for a kid is a cause for celebration. It's the exact opposite for an adult loose tooth. Taking care of your gums with daily hygiene and receiving prompt treatment for any emerging infection could help you avoid it.
If you would like more information on treating gum disease, 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 “When Permanent Teeth Become Loose.”
When they weren't building pyramids or wrapping mummies, the ancient Egyptians mixed herbs and spices with a little honey to make small lozenges. Their purpose: to fight halitosis, that perennial scourge of polite society. More specifically, they were the first known breath mints.
Just like our ancient forebears, we're still trying to stop bad breath—to the tune of $12 billion annually for breath-freshening products. For the most part, though, fresher breath is still largely the byproduct of dedicated oral care. In recognition of National Fresh Breath Day this August 6th, here are 4 simple things you can do to help eliminate embarrassing bad breath.
Remove dental plaque. Mouth bacteria proliferating within a thin buildup of food particles is called dental plaque—the main culprit in 85—90% of bad breath cases. These bacteria can emit volatile sulfur compounds (VSCs), which have a characteristic rotten egg smell. You can reduce bacteria and their foul odors by removing plaque with daily brushing and flossing and twice-a-year dental cleanings.
Boost your saliva. An inadequate flow of saliva, often a side effect of certain medications, can leave your mouth dry and susceptible to bacterial growth and subsequent bad breath. You can increase saliva flow by drinking more water, using saliva-boosting aids, or speaking with your doctor about alternative medications with less of a dry mouth side effect.
Brush your tongue. Some people find their tongue is “Velcro” for tiny food particles, which attract bacteria. It's always a good idea to brush your tongue (especially toward the back) to loosen and remove any clinging food particles. If it continues to be a problem, you can also employ a tongue scraper for a more thorough tongue cleaning.
Get a checkup. Although bacterial growth from inadequate hygiene is the usual cause for bad breath, it isn't the only one. Dental diseases like tooth decay or gum disease can also create unpleasant mouth odors, as well as serious conditions like diabetes, kidney infections or certain cancers. If your bad breath persists despite diligent hygiene, see us or your doctor for a more comprehensive exam.
During our long war with halitosis, we've learned a thing or two about its causes. We've also learned that practicing good oral habits is the best thing you can do to beat bad breath.
If you would like more information about controlling bad breath, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Bad Breath: More Than Just Embarrassing.”