Posts for category: Oral Health
You may have been surprised by a new addition to your regular dental appointment routine—we took your blood pressure at the start. While you might expect this at a medical clinic, it seems unusual at the dentist’s office.
But not anymore: blood pressure checks at dental offices are quickly becoming routine, including during regular cleanings and checkups. Here are 3 reasons why checking your blood pressure is now part of your dental visit experience.
Your blood pressure could be an issue during dental work. While we do everything possible to make you comfortable, undergoing dental work can create stressful feelings. Blood pressure normally increases when stress occurs, including before dental procedures. If you already have issues with hypertension (high blood pressure), any circumstance that might increase it could lead to health problems or even an emergency like a stroke. If your blood pressure is high, we may forgo any planned procedures and refer you to a physician for further examination.
Local anesthesia can affect blood pressure. Local anesthesia is an important part of dental work—without it we couldn’t provide maximum comfort during procedures. But many anesthetics include epinephrine, which helps prolong the numbing effect. Epinephrine also constricts blood vessels, which in turn can elevate blood pressure. We may need to adjust the anesthesia drugs and dosages we use in your case if you have high blood pressure.
It could save your health—and your life. The symptoms for hypertension can be subtle and often go unnoticed. A blood pressure screening check is often the first indication of a problem. That’s why blood pressure screenings in a variety of healthcare settings are so important. A routine blood pressure check at your dentist (who hopefully sees you at least every six months) is one more opportunity to find out. Discovering you may have high blood pressure is the first step to controlling it and hopefully avoiding more serious conditions like diabetes or cardiovascular disease.
If you would like more information on monitoring vital signs during dental visits, 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 “Monitoring Blood Pressure.”
Although we’ve made great strides over the last century making dental visits more pleasant and comfortable, many people still feel a little apprehension about them at one time or another. For a few, though, this apprehension escalates into high anxiety — so high they may even avoid important dental treatment altogether.
If you have a significant phobia regarding dental visits and treatment, here are some things you can do to reduce your anxiety and feel more comfortable when you undergo treatment.
Let us know about your feelings of anxiety. We’re conditioned by society to regard such fears as irrational or “silly,” and so we tend to hide our negative emotions. Dentists, however, have been trained to work with fearful patients to reduce their anxiety levels. Being honest with us about your fears and nervousness is the first step to developing an anxiety-reducing strategy that will make your visits more pleasant.
Counteract bad experiences with good. For most people the fear they have during dental visits stems from earlier unpleasant experiences at the dentist. The fear can be so ingrained that simply trying to convince yourself or to be told “there’s nothing to be afraid of” will have little to no effect. Instead, build a memory collection of positive and pleasant dental visit experiences that serve to counteract the unpleasant. To do this we might first get you acclimated to routine visits and then gradually transition to more invasive procedures. This may increase the normal time for dental treatment, but the reduction in anxiety is worth the extra time.
Consider sedation therapy. In addition to modifying your experiences, you may also benefit from sedation medications that reduce anxiety, especially in the early stages of treatment. Depending on your medical history and current status, we can prescribe a sedative for you to take an hour or so before your appointment to help you relax. We can also increase the level of anesthesia (from local to intravenous or gas anesthesia, for example) if your anxiety is especially acute.
Taking proactive steps to minimize dental visit anxiety will increase the probability that you’ll obtain needed dental care. Your teeth and gums will be healthier for it.
If you would like more information on coping with dental visit anxiety, 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 “Overcoming Dental Fear & Anxiety.”
Tooth decay doesn’t suddenly appear out of the blue. Cavities and other damage are the result of a long process that begins with bacteria living in a thin biofilm on tooth surfaces known as plaque. These bacteria thrive on sugars from leftover food in your mouth and then produce acid as a waste product. Chronic high levels of acid cause your enamel, the protective layer of your teeth, to soften and erode.
While there are treatment options at each stage of decay — including crowning or even tooth replacement — the best approach is to try to prevent plaque buildup that supports disease-causing bacteria. Here are 3 of the best ways you can do that.
Brush and floss daily. It usually takes 12-24 hours for enough plaque buildup to support bacteria. By brushing and flossing at least once a day, you can remove most of this buildup, with twice a year dental cleanings to remove hard to reach plaque you may have missed. Be sure to use fluoride toothpaste to help strengthen enamel against high acid. And wait a half hour to an hour after eating before brushing to give saliva time to reduce the acid level in your mouth.
Cut back on sweets. You’re not the only one who loves sugary snack foods — so do oral bacteria. The more sugar and other carbohydrates they feast on, the more they produce acid. The best approach is to cut out sugar-rich snacks altogether and instead snack on fresh fruits, raw vegetables or dairy products. Limit sweet treats to meal times.
Use decay-fighting supplements. Your mouth and hygiene efforts may need a little assistance, especially if you have low saliva flow. You can boost this with an artificial saliva supplement as well as with products containing xylitol, an alcohol-based sugar. Xylitol also has an added benefit in the fight against decay because it inhibits bacterial growth. And be sure to talk with us first before taking any dental supplement.
If you would like more information on dental hygiene and care, 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 “Cost-Saving Treatment Alternatives.”
Although not high on the glamour scale, saliva is nonetheless an important ingredient in a healthy life. This "multi-tasker" fluid helps break down your food for better digestion and supplies antibodies to thwart threatening microorganisms coming in through the mouth.
But perhaps its most important role is to neutralize mouth acid that can erode tooth enamel. Without this buffering action, you're at much greater risk for tooth decay and possible tooth loss.
That's why chronic dry mouth is much more than just an unpleasant feeling. If you're not producing enough saliva, your risk for developing tooth decay (and periodontal disease too) skyrocket.
Here are 3 things you can do to avoid dry mouth and promote healthier saliva flow.
Watch what goes in your mouth. Some foods, beverages and other substances can interfere with saliva production. Caffeine in coffee, sodas and other beverages can cause your body to lose water needed to produce adequate saliva. So can alcohol, which can also further irritate dry tissues. And any type of tobacco use can decrease saliva production and heighten the dry mouth effect, another good reason to kick the habit.
Drink more water. Water is the main ingredient in saliva, so keeping yourself hydrated throughout the day helps ensure a ready supply. Drinking water also helps dilute acid concentrations and washes away leftover food particles that could become a food source for oral bacteria, the main source for mouth acid.
Ask questions about your medications. Many medications can trigger chronic dry mouth including drugs to treat cancer, high blood pressure, depression or allergies. If you have chronic dry mouth, talk with your physician about the medications you're taking and ask if there are any alternatives that have less of an effect. If not, drink more water, especially while taking oral medication.
You can also reduce dry mouth symptoms by using a humidifier while you sleep or using products that boost saliva production. And be sure you're brushing and flossing daily to further reduce your risk of dental disease. Managing dry mouth won't just make your mouth feel better—it will help your teeth and gums stay healthier too.
If there's anything that makes Alfonso Ribeiro happier than his long-running gig as host of America's Funniest Home Videos, it's the time he gets to spend with his family: his wife Angela, their two young sons, and Alfonso's teenaged daughter. As the proud dad told Dear Doctor–Dentistry & Oral Health magazine, "The best part of being a father is the smiles and the warmth you get from your children."
Because Alfonso and Angela want to make sure those little smiles stay healthy, they are careful to keep on top of their kids' oral health at home—and with regular checkups at the dental office. If you, too, want to help your children get on the road to good oral health, here are five tips:
- Start off Right—Even before teeth emerge, gently wipe baby's gums with a clean, moist washcloth. When the first teeth appear, brush them with a tiny dab of fluoride on a soft-bristled toothbrush. Schedule an age-one dental visit for a complete evaluation, and to help your child get accustomed to the dental office.
- Teach Them Well—When they're first learning how to take care of their teeth, most kids need a lot of help. Be patient as you demonstrate the proper way to brush and floss…over and over again. When they're ready, let them try it themselves—but keep an eye on their progress, and offer help when it's needed.
- Watch What They Eat & Drink—Consuming foods high in sugar or starch may give kids momentary satisfaction…but these substances also feed the harmful bacteria that cause tooth decay. The same goes for sodas, juices and acidic drinks—the major sources of sugar in many children's diets. If you allow sugary snacks, limit them to around mealtimes—that gives the mouth a chance to recover its natural balance.
- Keep Up the Good Work—That means brushing twice a day and flossing at least once a day, every single day. If motivation is an issue, encourage your kids by letting them pick out a special brush, toothpaste or floss. You can also give stickers, or use a chart to show progress and provide a reward after a certain period of time. And don't forget to give them a good example to follow!
- Get Regular Dental Checkups—This applies to both kids and adults, but it's especially important during the years when they are rapidly growing! Timely treatment with sealants, topical fluoride applications or fillings can often help keep a small problem from turning into a major headache.
Bringing your kids to the dental office early—and regularly—is the best way to set them up for a lifetime of good checkups…even if they're a little nervous at first. Speaking of his youngest child, Alfonso Ribeiro said "I think the first time he was really frightened, but then the dentist made him feel better—and so since then, going back, it's actually a nice experience." Our goal is to provide this experience for every patient.
If you have questions about your child's dental hygiene routine, call the office or schedule a consultation. You can learn more in the Dear Doctor magazine article “How to Help Your Child Develop the Best Habits for Oral Health.”