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Posts for tag: oral health

By Nelson Wollek, DDS
November 22, 2021
Category: Oral Health
Tags: oral health  
AHealthyDietIsanImportantPartofYourDentalDiseasePreventionPlan

If you think brushing and flossing and regular dental visits are all you need to do to avoid dental disease, you're missing a key component in your prevention plan. What you eat could also help close the door on tooth decay or gum disease—or open it even wider if you're eating nutritionally deficient foods.

Let's look first at the latter scenario. Like us, the oral bacteria most responsible for dental disease also have to eat to survive and thrive. And, often like us, they have a favorite food—provide them ample amounts of that and they'll continue to multiply and raise your risk of disease.

That favorite bacterial food is simple carbohydrates, particularly refined sugar. A diet heavy in added sugar can increase oral bacteria, which in turn elevates your chances of a gum infection. Bacteria's main by-product, acid, may also increase. That's bad news for your teeth. At high levels, acid contact softens and erodes enamel, the precursor to tooth decay.

Obviously, then, a "tooth-friendly" diet should be low on sugar and other simple carbohydrates like refined breads, pasta or pastries. Soda, energy and sports drinks high in both sugar and acid should also be avoided or restricted to mealtimes. You should also be careful with how much fruit you're eating as their natural sugars can also feed bacteria.

A well-rounded diet, however, isn't simply about avoiding foods—you'll also want to include foods that help you build and maintain healthy teeth and gums. That includes:

  • Fiber-rich plant foods: Their fiber reduces the effects of any carbohydrates and they're packed with nutrients;
  • Whole grains: Whole grains don't promote decay as refined products do, and chewing them stimulates saliva flow for neutralizing acid;
  • Fresh fruits: Eaten in moderation, fruits can provide a bevy of vitamins and minerals. But avoid dried fruits as their sugars are more concentrated;
  • Dairy: Milk-based products, particularly cheese, contain nutrients like Vitamin D, calcium and phosphorus, which strengthen teeth against dental disease.

For the most part, a diet that promotes overall well-being will also provide optimum benefits for your dental health. Along with your dental hygiene efforts, eating the right foods can help protect your teeth and gums from both tooth decay and gum disease.

If you would like more information on how better nutrition can boost your dental health, 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 “Nutrition & Oral Health.”

By Nelson Wollek, DDS
August 24, 2021
Category: Oral Health
Tags: oral health  
4TipstoGettingtheDentalCareYouNeedEvenonaTightBudget

If your budget gets squeezed, cutting non-essential expenses can be a wise move. But think twice before lumping dental care into that category—postponing dental visits or treatment could put your long-term dental health at risk.

True, dental treatments can get expensive, so it's tempting to let a routine visit slide or put off treatment for an obvious problem. But dental problems usually don't go away on their own—rather, they worsen. When you do get around to treatment, you'll pay and endure more than if you had tackled the issue earlier.

The key isn't cutting out dental care altogether, but to sync your limited financial resources with your dental needs. Here are 4 tips to help you do that.

Focus on the long-term. Twice-a-year cleanings and checkups are the minimum investment you should make toward good dental health. Besides lowering your disease risk, these appointments are key to a long-term care plan. By evaluating your on-going health and assessing your personal risk for dental disease, we can formulate a plan that addresses current problems and prevents future ones.

Take care of your mouth. The single most important thing you can do to protect yourself against destructive dental diseases is to practice daily oral hygiene. Brushing and flossing removes dental plaque, the bacterial film on teeth most responsible for tooth decay and gum disease. You can further boost healthy teeth and gums by eating foods rich in vitamins and minerals.

Restore teeth temporarily. We may be able to treat or restore affected teeth with temporary materials that give you time to prepare financially for a more permanent solution later. Durable but low-cost materials like resin bonded glass ionomers for repairing decayed teeth, or a partial denture to replace teeth can get you by until you're ready for a crown or dental implants.

Manage your costs. There are different ways to minimize your dental expenses or spread them out over time to make it easier on your budget. You may be able to lower expenses with dental insurance or a dental savings plan. Your provider may also have payment plans that allow you to finance your fees over time.

If you would like more information on affordable dental 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.”

By Nelson Wollek, DDS
June 25, 2021
Category: Oral Health
Tags: oral health  
GumDiseaseCouldImpactMoreThanYourOralHealth

Preventing periodontal (gum) disease not only preserves your teeth and gums, it might also benefit the rest of your health. There's growing evidence that gum disease has links to other systemic diseases.

Gum disease usually starts with dental plaque, a thin film of bacteria and food particles, which triggers a bacterial gum infection. Left untreated, the infection advances and steadily breaks down the gums' attachment to teeth.

This can create large ulcerated areas that are too weak to prevent the passing of bacteria and toxins into the bloodstream and other parts of the body. There's growing evidence from epidemiology (the study of the spread and control of disease) that this bloodstream transfer, as well as the inflammation that accompanies gum disease, could affect other body-wide conditions or diseases.

Diabetes. This chronic condition occurs when the body can't adequately produce insulin, a hormone that regulates sugar (glucose) in the blood, or can't respond to it. Diabetes can inhibit healing, cause blindness or lead to death. Both diabetes and gum disease are inflammatory in nature, and there's some evidence inflammation arising from either condition may worsen the other.

Heart disease. Heart attack, congestive heart failure, stroke and other cardiovascular diseases are a leading cause of death. Like diabetes and gum disease, these heart-related conditions are also characterized by inflammation. There are also specific types of bacteria that arise from gum disease that can travel through the body and increase the risk of heart disease.

Arthritis. An autoimmune disease, rheumatoid arthritis causes debilitating pain, particularly involving the joints, and leads to decreased mobility. Interestingly, many newly diagnosed arthritis patients are also found to have some form of periodontal disease—the two diseases, in fact, follow a similar development track. Although this may hint of a connection, we need more research to determine if there are indeed links between the two diseases.

Regardless of any direct relationships between gum disease and other conditions, preventing and treating it can improve both your oral and general health. You can lower your risk of gum disease by practicing daily brushing and flossing and undergoing regular dental cleanings to remove plaque. And at the first sign of gum problems, see your dentist as soon as possible for early intervention—the earlier the better.

If you would like more information on oral health 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 “Good Oral Health Leads to Better Health Overall.”

By Nelson Wollek, DDS
June 05, 2021
Category: Oral Health
Tags: oral health  
AnEatingDisorderMayShowItselfinTheMouth

Although dental care is our primary focus, we dentists are also on the lookout for other health problems that may manifest in the mouth. That's why we're sometimes the first to suspect a patient may have an eating disorder.

Eating disorders are abnormal dietary patterns that can arise from mental or emotional issues, the most common being anorexia nervosa and bulimia nervosa. Each has different behaviors: Anorexics abnormally restrict their food intake (“self-starvation”), while bulimics typically eat heavily and then induce vomiting (“binge and purge”).

Although bulimics are more likely to binge and purge, anorexics may also induce vomiting. That practice in particular can leave a clue for dentists. While vomiting, powerful stomach acid enters the mouth, which can then soften and erode tooth enamel.

It's the pattern of erosion a dentist may notice more than the erosion itself that may indicate an eating disorder. A person while vomiting normally places their tongue against the back of the lower teeth, which somewhat shields them from acid. The more exposed upper teeth will thus tend to show more erosion than the bottom teeth.

A dentist may also notice other signs of an eating disorder. Enlarged salivary glands or a reddened throat and tongue could indicate the use of fingers or objects to induce vomiting. Lack of oral hygiene can be a sign of anorexia, while signs of over-aggressive brushing or flossing may hint of bulimia.

For the sake of the person's overall well-being, the eating disorder should be addressed through professional counseling and therapy. An excellent starting point is the website nationaleatingdisorders.org, sponsored by the National Eating Disorders Association.

The therapy process can be lengthy, so patients should also take steps to protect their teeth in the interim. One important measure is to rinse out the mouth following purging with a little baking soda mixed with water. This will help neutralize oral acid and reduces the risk of erosion. Proper brushing and flossing and regular dental visits can also help prevent dental disease.

An eating disorder can be traumatic for both patients and their families, and can take time to overcome. Even so, patients can reduce its effect on their dental health.

If you would like more information on eating disorders and dental 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 “Bulimia, Anorexia & Oral Health.”

By Nelson Wollek, DDS
May 16, 2021
Category: Oral Health
Tags: oral health   pregnancy  
DontAvoidDentalCareWhileYourePregnant

Learning you're pregnant can change your life in a heartbeat—or now two. Suddenly, what was important to you just seconds before the news takes a back seat to the reality of a new life growing within you.

But although many of your priorities will change, there's one in particular that shouldn't—taking care of your dental health. In fact, because of the hormonal changes that will begin to occur in your body, your risk of dental disease may increase during pregnancy.

Because of these hormonal variations, you may find you have increased cravings for certain foods. If that includes eating more carbohydrates (especially sugar), bacteria can begin to multiply in your mouth and make you more susceptible to tooth decay and periodontal (gum) disease.

The hormones in themselves can also increase your risk of gum disease in particular. There's even a name for a very common form of gum infection—pregnancy gingivitis—which affects around two-fifths of pregnant women. If not treated, it could aggressively spread deeper within the gums and endanger both your teeth and supporting jaw bone.

The key to minimizing both tooth decay and gum disease is to keep your mouth clean of dental plaque, a thin bacterial biofilm most responsible for these diseases. You can do this by keeping up daily brushing and flossing and maintaining regular dental cleanings and checkups. Professional dental care is especially important during pregnancy.

You may, though, have some reservations about some aspects of dental care, especially if they involve undergoing local anesthesia. But many medical organizations including the American Congress of Obstetricians and Gynecologists and the American Dental Association recommend dental treatment during pregnancy. Even procedures involving local anesthesia won't increase the risk of harm to you or your baby.

That said, though, elective dental work such as cosmetic enhancements, might be better postponed until after the baby is born. It's best to discuss with your dentist which treatments are essential and should be performed without delay, and which are not. In general, though, there's nothing to fear for you or your baby continuing your regular dental care—in fact, it's more important than ever.

If you would like more information on dental care during pregnancy, 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 “Dental Care During Pregnancy.”