Gum-Chewers Have Reason to Smile About Xylitol

February 6th, 2010

In the eighties, artificial sweeteners in blue and pink packets, diet soda and sugar-free gum set the standard as “healthy” alternatives to their sugar-laden parent products. Today, there’s another sweetener called xylitol touting sweet-as-sugar taste that is low in calories, and studies show it may help reduce and prevent cavities.

A natural sweetener found in plants and fruits, xylitol was approved by the Food and Drug Administration (FDA) in 1986 as a food additive and is now appearing in sugar-free gum, mints and toothpaste.

Research confirms that of all factors studied, xylitol most likely inhibits the growth of Streptococcus mutans, the oral bacteria that causes cavities, according to Allen Otsuka, PhD, one author of a study in the July/August 2002 issue of General Dentistry, the clinical, peer-reviewed publication of the Academy of General Dentistry (AGD).

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Are You Biting Off More Than You Can Chew?

February 3rd, 2010

In our fast-paced lives, many of us may be eating in a hurry, taking giant bites of our food to get done quickly and on to the next task. Fast-food restaurants advertise giant burgers and sandwiches as a selling point, but often those super-sized delicacies are larger than a human mouth.

Taking bites that are too big to chew could be bad for your jaw and teeth, says the Academy of General Dentistry (AGD), an organization of general dentists dedicated to continuing education. At particular risk are people with temporomandibular joint disorder (TMD), which can restrict the range of acceptable bite size. “People with TMD need to avoid opening their mouths too wide,” says AGD spokesperson Barbara A. Rich, DDS, FAGD. “Taking large bites of food can aggravate their condition.” So, smoosh that hoagie before taking a bite.

Dr. Rich also cautions against biting into hard candies, which can chip teeth. Even apples can cause problems. “If you need to open your mouth more than feels comfortable to take a bite, then you should cut the item into smaller portions that are easy to chew,” Dr. Rich says.

People should always avoid chewing ice, popcorn kernels and opening nuts with their teeth, which can lead to chipping and breakage of natural teeth and restorations.

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Headaches and Jaw Pain? Check Your Posture!

January 29th, 2010

If you experience frequent headaches and pain in your lower jaw, check your posture and consult your dentist about temporomandibular disorder (TMD), recommends the Academy of General Dentistry (AGD), an organization of general dentists dedicated to continuing dental education.

Poor posture places the spine in a position that causes stress to the jaw joint. When people slouch or hunch over, the lower jaw shifts forward, causing the upper and lower teeth to not fit together properly, and the skull moves back on the spinal column.

This movement puts stress on muscles, joints and bones and, if left untreated, can create pain and inflammation in muscles and joints when the mouth opens and closes.

“Good posture is important, yet many people don’t realize how posture affects their oral health,” says AGD spokesperson Ludwig Leibsohn, DDS.

Dr. Leibsohn treats patients who have complained of facial pain. “Their posture often is unbalanced, and this rearranges the position of the facial muscles, causing the bumps and grooves on the upper and lower teeth not to fit properly together,” said Dr. Leibsohn.

An oral appliance can help align the teeth in a position that will reduce facial pain caused by poor posture. The appliance can also prevent future damage to teeth.

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Vitamin C Speeds Recovery From Oral Surgery Wounds

January 27th, 2010

Getting plenty of vitamin C is one way oral surgery patients can ensure timely recovery. Patients who neglect nutrition might be tacking extra days onto their recovery time, reports the Academy of General Dentistry (AGD).

Deficiencies of vitamin C have been shown to significantly slow the healing process. AGD spokesperson Ludi Leibson, DDS, says he sometimes gives oral surgery patients high doses of vitamin C and multi-vitamin supplements before surgery.

A patient’s diet is crucial because adequate and appropriate vitamins, minerals, fats and protein are essential for the growth and regeneration of normal tissues.

“You’re going to delay the healing process and increase the possibility of infection if you’re not getting the proper nutrients,” says Dr. Leibson.

Nutrients function individually as well as cooperatively in the healing process. The energy needed for tissue maintenance and repair is supplied by carbohydrates, fat and protein. Along with vitamin C, vitamins A, E, B, K and D are all integral to the healing process and a speedier recovery time. For example, vitamin A significantly contributes to healing by reducing the inflammatory period of tissue repair.

If you are severely underweight or overweight, have recently lost weight, suffer from an acute or chronic disease or take medications such as steroids, immunosuppressants or chemotherapeutic agents, your nutrition status may negatively affect recovery from oral surgery. Dr. Leibson says he rarely sees patients who are malnourished, but that if someone is nutritionally compromised they should consider delaying oral surgery until they are no longer at risk.

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Living in a Sugar Culture

January 24th, 2010

Naturally occurring bacteria in the mouth devour sugar, creating acids that attack tooth enamel. This can lead to decay, as well as a host of other problems, including gingivitis.

Living in a culture that moves as quickly as ours, it’s easy to bypass a nutritious diet in favor of a diet comprised of fast food and snacks high in sugar. The detrimental effects of this lifestyle are clear. More than 25 percent of children between the ages of 2 and 5 have experienced tooth decay, and almost 80 percent of young people have had a cavity by age 17.

“We live in a high-stress society and fast food offers a quick fix,” says Academy of General Dentistry spokesperson Maria A. Smith, DMD, MAGD.

She adds that an overabundance of sugar is not only detrimental to oral health, but also the rest of the body’s well-being.

For example, the average 12-ounce can of soda contains 10 teaspoons of sugar; and many manufacturers incorporate sugar into their foods to help ensure a return purchase. Today, the average person consumes approximately 150 pounds of sugar a year, or about 40 teaspoons a day. It’s not only our culture that defines the amount of sugar we consume, but also a lack of education on how much sugar we consume every day – especially when it comes to children and the elderly. Dr. Smith says parents may believe they are doing right by feeding their children processed fruit juice or raisins, however products such as these are mostly sugar. Processed foods also can be harmful because of the low-nutrition and high-sugar content. Substituting these products for fresh fruits and vegetables is a better option.

“People don’t realize how many high-content sugar products are out there,” Dr. Smith says. “Education is the key to creating a nutritious diet.” Visiting the dentist twice a year, says Dr. Smith, is a good way to maintain oral health and learn how to curb an excessive sugar intake. Additionally, eating an abundance of fresh fruits and vegetables and carefully reading nutrition content labels can curb sugar intake.

-Information provided courtesy of the AGD

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Dentist Should Advise Vegetarians on Good Oral Health

January 22nd, 2010

Health concerns about fat and cholesterol have prompted many people to become vegetarians, and the nutritional deficiencies that can sometimes result may reveal themselves during dental exams.

Academy of General Dentistry spokesperson Ludwig Leibsohn, DDS says he usually asks patients if they adhere to vegetarian or other special diets.

“Most adult vegetarians are very knowledgeable about nutrition,” says Dr. Leibsohn. “They maintain their diets in a proper fashion.”

Children, however, need a well-balanced and nutritionally complete diet for proper growth, and the potential for deficiencies is greatest among children and teenagers who put themselves on vegetarian diets without knowing enough about their nutritional needs.

Although vegetarian diets vary, some vegetarians, particularly those who do not consume any food of animal origin, can experience deficiencies in calcium, vitamin D, riboflavin, vitamin B12 or complete proteins. Studies show that by eating the right amount of fruits, vegetables, grains and legumes, they can get the nutrients they need.

“An adult on a vegetarian diet for a prolonged period can be at increased risk for periodontal (gum) disease from a lack of vitamin D and calcium,” says Dr. Leibsohn.

Dr. Leibsohn recommends that anyone considering adopting a vegetarian diet seek counseling from their dentist or a nutritionist to learn about substituting foods to get all the necessary nutrients. He also suggests taking a multiple vitamin daily.

Teeth may soften when there is a shortage of vitamin D, becoming more susceptible to decay and periodontal disease. Vitamin D is produced in the body with sun exposure, so deficiencies are rare, but it can develop in those who do not consume milk or fish. Adding vegetable margarines or soy milk to the diet may solve the problem.

Diet is an important part of an individual’s medical history, and patients should always inform their dentist if they adhere to vegetarian or other special diets, says Dr. Leibsohn.

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Saliva Test May Help Dentists Check for Breast Cancer

January 19th, 2010

The following is an excerpt from the Academy of General Dentistry. Breast cancer is the second leading cause of death among women in the United States. In 2006, the American Cancer Society estimated that there would be 212,920 new cases of invasive breast cancer, and in that year, 40,970 women would die from it. Many women’s lives could be saved if this cancer was diagnosed earlier, and early diagnosis could be achieved if there were more and easier opportunities to do so.

Sebastian Z. Paige and Charles F. Streckfus, DDS, MA, the authors of the study, “Salivary analysis in the diagnosis and treatment of breast cancer,” published in the March/April 2007 issue of General Dentistry, the Academy of General Dentistry’s (AGD) clinical, peer-reviewed journal, researched a new method of diagnosis.

They found that the protein levels in saliva have great potential to assist in the diagnosis, treatment, and follow-up care of breast cancer. And general dentists are perfect candidates to assist with this diagnosis samples because they can easily remove saliva samples from a patient’s mouth during routine visits. As the AGD’s Vice-President Paula Jones, DDS, FAGD says, “Since a patient visits the dentist more frequently than their physician, it makes sense that this diagnostic tool could be very effective in the hands of the general dentist.”

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Why Do I Need Dental X-rays?

October 23rd, 2009

Radiographic, or X-ray, examinations provide your dentist with an important tool that shows the condition of your teeth, its roots, jaw placement and the overall composition of your facial bones. X-rays can help your dentist determine the presence or degree of periodontal (gum) disease, abscesses and many abnormal growths, such as cysts and tumors. X-rays also can show the exact location of impacted and unerupted teeth. They can pinpoint the location of cavities and other signs of disease that may not be possible to detect through a visual examination.

Your radiographic schedule is based on your dentist’s assessment of your individual needs, including whether you’re a new patient or a follow-up patient, adult or child. In most cases, new patients require a full set of mouth X-rays to evaluate oral health status, including any underlying signs of gum disease, and for future comparison. Follow-up patients may require X-rays to monitor their gum condition or their chance of tooth decay.

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Should You Floss?

October 21st, 2009

Do you Really Need to Floss?
Yes. Floss removes plaque and debris that sticks to teeth and gums in between teeth, polishes tooth surfaces, and controls bad breath. Plaque is a sticky layer of material containing bacteria that accumulates on teeth, including places where toothbrushes can’t reach. This can lead to gum disease. By flossing your teeth daily, you increase the chance of keeping them for a lifetime and decrease the chance of getting gum disease.

Why should you floss?
Floss removes plaque and debris that adhere to teeth and gums in between teeth, polishes tooth surfaces and controls bad breath. By flossing your teeth daily, you increase the chances of keeping your teeth a lifetime and decrease your chance of having periodontal (gum) disease and tooth decay.

Flossing is the single most important weapon against plaque, perhaps more important than the toothbrush. A toothbrush cleans the tops and sides of your teeth. Dental floss cleans between them. Some people use waterpicks, but floss is the best choice. Many people just don’t spend enough time flossing and many have never been taught to floss properly. When you visit your dentist or hygienist, ask to be shown.

Which type of floss should you use?
Dental floss comes in many forms: waxed and unwaxed, flavored and unflavored, wide and regular. Wide floss, or dental tape, may be helpful for people with a lot of bridge work. Tapes are usually recommended when the spaces between teeth are wide. They all clean and remove plaque about the same. Waxed floss might be easier to slide between tight teeth or tight restorations. However, the unwaxed floss makes a squeaking sound to let you know your teeth are clean. Bonded unwaxed floss does not fray as easily as regular unwaxed floss but does tear more than waxed floss.

How should you floss?
There are two flossing methods: the spool method and the loop method. The spool method is suited for those with manual dexterity. Take an 18-inch piece of floss and wind the bulk of the floss lightly around the middle finger. (Don’t cut off your finger’s circulation!) Wind the rest of the floss similarly around the same finger of the opposite hand. This finger takes up the floss as it becomes soiled or frayed. Maneuver the floss between teeth with your index fingers and thumbs. Don’t pull it down hard against your gums or you will hurt them. Don’t rub it side to side as if you’re shining shoes. Bring the floss up and down several times, forming a “C” shape around the tooth and being sure to go below the gumline.

The loop method is suited for children or adults with less nimble hands, poor muscular coordination or arthritis. Take an 18-inch piece of floss and make it into a circle. Tie it securely with three knots. Place all of the fingers, except the thumb, within the loop. Use your index fingers to guide the floss through the lower teeth, and use your thumbs to guide the floss through the upper teeth, going below the gumline and forming a “C” on the side of the tooth.

How often should you floss?
At least once a day. To give your teeth a good flossing, spend at least two or three minutes.

What are floss holders?
You may prefer a prethreaded flosser or floss holder, which often looks like a little hacksaw. Flossers are handy for people with limited dexterity, for those who are just beginning to floss or for caretakers who are flossing someone else’s teeth.

Is it safe to use toothpicks?
In a pinch, toothpicks are effective at removing food between teeth, but for daily cleaning of plaque between teeth, floss is recommended. When you use a toothpick, don’t press too hard, as you can break off the end and lodge it in your gums.

Do I need a waterpick (irrigating device)?
Don’t use waterpicks as a substitute for brushing and flossing. But they are effective around orthodontic braces, which retain food in areas where a toothbrush cannot reach. However, they do not remove plaque. Waterpicks are frequently recommended by dentists for persons with gum disease; solutions containing antibacterial agents like chlorhexidine or tetracycline, available through a dentist’s prescription, can be added to the reservoir in these cases.

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Why is Brushing With Toothpaste Important?

October 19th, 2009

Brushing with toothpaste is important for several reasons. First and foremost, a toothpaste and a correct brushing action work to remove plaque, a sticky, harmful film of bacteria that grows on your teeth that causes cavities, gum disease and eventual tooth loss if not controlled. Second, toothpaste contains fluoride, which makes the entire tooth structure more resistant to decay and promotes remineralization, which aids in repairing early decay before the damage can even be seen. Third, special ingredients in toothpaste help to clean and polish the teeth and remove stains over time. Fourth, toothpastes help freshen breath and leave your mouth with a clean feeling.

Is brushing with toothpaste enough to fight cavities and gum disease?

No. Although brushing thoroughly after each meal helps, flossing your teeth every day to remove plaque and food particles between teeth and at the gumline is just as important. Studies show that plaque will regrow on teeth that are completely clean within three to four hours of brushing.

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