Posts for: November, 2011
For some people, going to the dentist is just like any other routine healthcare visit that they manage without any qualms. For others, the experience can cause some trepidation or even anxiety. In fact, some people even contemplate canceling appointments and neglecting their oral healthcare. If the latter better describes how you or someone you know feels about going to the dentist — even for a routine exam and cleaning — then we have great news for you! We offer our patients oral sedation (sedation dentistry) that allows you to relax both your mind and body so that you can focus on feeling peaceful and at ease rather than anxious.
What is oral sedation?
Often referred to as “comfortable” or “relaxation” dentistry, sedation dentistry offers an approach to dentistry that includes gentle management of your anxiety by using an anti-anxiety prescription medication that simply dissolves away your anxiety. The medications are administered by mouth (orally) to help transition you from feeling nervous to a more comfortable state of being.
Is it easy to take?
Another reason oral sedation is so popular is because it does not require an injection (shot), so, if you are afraid of needles, you simply do not need to worry. Typically, a pill is first placed under your tongue (sub-lingually) where it dissolves and penetrates the skin going straight into your system and then the rest is simply swallowed. This method and the quick-acting sedation medication make relaxation both effective and safe.
Is it safe?
Pharmacists and health professionals measure medications' effectiveness by measuring their “therapeutic index.” The larger the number is on this scale, the safer the drug. The oral sedation medications we use have the highest numbers possible on this scale and thus they are the least likely to cause any adverse (negative) reactions.
Want to learn more?
When a device meant to make your life easier doesn't function properly, it can be extremely frustrating. This is sometimes the case for people who wear lower dentures, which loosen over time. These removable replacement teeth can become less reliable and more uncomfortable. Why does this happen?
The answer is bone loss. When a tooth is lost, the bone surrounding it deteriorates and this will change the shape of the jawbone in your mouth. You may find that a lower denture that once had a snug fit on your lower jaw is now sliding around. This happens more often on the bottom because your muscular tongue pushes against the denture. Also, a top denture has more surface area due to an artificial palate to help create suction to the roof of the mouth and keep it in place.
Dental implants, which permanently replace the roots of teeth, do not loosen and they also prevent bone loss. But replacing a whole set of bottom teeth with dental implants and crowns is expensive. What to do?
There's a relatively new solution that combines the security of implants with the affordability of a removable denture. It's called an overdenture, and it may be something you want to consider. An overdenture is a lot like the removable lower denture you already have, only it fits over two implants strategically placed in your lower jaw. While the lower denture is still removable, its stability is greatly improved.
Studies have shown that people with two-implant overdentures have a higher quality of life, and receive better nutrition, than those wearing conventional dentures. It's not hard to figure out why: A more stable denture makes it easier to eat healthy foods such as vegetables — or, really, any foods — and prevents embarrassing slippage of false teeth.
You can read more about this topic in the Dear Doctor magazine article “Implant Overdentures for the Lower Jaw.”
In our office, many of our patients are always asking us if over-the-counter (OTC) mouthwashes or mouthrinses are truly effective tools for curing bad breath. Unfortunately, nearly all of them merely mask any odorous smells temporarily — regardless of how refreshing they taste. There are mouthrinses available that are effective for treating gingivitis and tooth decay, but you must visit our office to obtain a proper diagnosis and a prescription for them. Reality is that a mouthrinse alone can't cure bad breath; however, there are products available that can make a positive impact on your dental health. The key is to match the right mouthrinse to your specific dental need.
- OTC mouthrinses that contain about 0.05% sodium fluoride are an effective tool that when combined with good oral hygiene can significantly reduce the development of tooth decay.
- OTC mouthrinses that contain alcohol, triclosan, sanguinaria extract, zinc and/or essential oils such as menthol can somewhat help reduce the bacteria in plaque, which in turn can reduce gum inflammation (gingivitis) and bad breath when used in combination with proper brushing and daily flossing.
- Prescription mouthrinses containing chlorhexidine may be more effective in helping to control both gingivitis and tooth decay in certain circumstances. This is because chlorhexidine inhibits the formation of dental plaque by preventing bacteria from sticking to your teeth.
While bad breath may seem unbearable, it is often treatable. The key is to determine and then address what is causing your bad breath. A simple trip to our office for a proper exam, assessment and thorough cleaning along with improved oral hygiene may just do the trick. Contact us today to schedule a consultation for an examination and treatment plan.
To learn more about mouthrinses, read the Dear Doctor article, “Mouthrinses.”
You probably know that tooth decay results when the bacteria in your mouth release acids after consuming sugars. After you eat sugars, particularly the type of sugar known as sucrose, increased acid in your mouth begins to dissolve the enamel and dentin in your teeth, and you end up with cavities.
What are the Types of Sugars?
Modern diets include several types of sugars. Most of these are fermented by oral bacteria, producing acids that are harmful to teeth.
- Sucrose (commonly known as sugar)
- Glucose (released from starch consumption)
- Lactose (milk sugar) — Less acid is produced from this type of sugar
- Fructose (found naturally in fruit and also added to many processed foods)
Recommended intake of “free sugars” is no more than 10 teaspoons per day. Note that a can of soda contains over 6 teaspoons! Soft drinks are the largest source of sugar consumption in the U.S. In 2003, for example, Americans drank an average of 52 gallons of soft drinks. Average per capita consumption of all sugars in the U.S. was 141.5 pounds (64.3 kg) one of the highest levels in the world.
Sugar substitute xylitol (which is chemically similar to sugar but does not cause decay) can be part of a preventive program to reduce or control tooth decay. Chewing gum sweetened with xylitol stimulates saliva flow and helps protect against decay.
Sugars Released from Starches
Starches are foods like rice, potatoes, or bread. When you eat refined starches, such as white bread and rice, enzymes in your saliva release glucose. However, these foods have a lower potential to produce decay than foods with added sugars. When sugars are added to starchy foods, as in baked products and breakfast cereals, the potential for decay increases.
Less refined starches such as whole grains require more chewing and stimulate secretion of saliva, which protects from harmful acids.
The Case for Fruit
Fresh fruit has not been shown to produce cavities, so it makes sense to eat them instead of sugary desserts and snacks. Dried fruit is more of a problem because the drying process releases free sugars.