Occurrences of obesity and Type 2 diabetes have soared in the last few decades. While there are a number of influencing factors, health officials place most of the blame on one of our favorite foods: sugar. Only a generation ago we were consuming an annual average of 4 pounds per person. Now, it's nearly 90 pounds.
We've long known that sugar, a favorite food not only for humans but also oral bacteria, contributes to dental disease. But we now have even more to concern us—the effect of increased sugar consumption on health in general.
It's time we took steps to rein in our favorite carbohydrate. Easier said than done, of course—not only is it hard to resist, it's also hard to avoid. With its steady addition over the years to more and more processed foods, nearly 77% of the products on grocery store shelves contain some form of sugar.
Here's what you can do, though, to reduce sugar in your diet and take better care of your dental and general health.
Be alert to added sugar in processed foods. To make wiser food choices, become familiar with the U.S.-mandated ingredient listing on food product packaging—it tells if any sugar has been added and how much. You should also become acquainted with sugar's many names like "sucrose" or "high fructose corn syrup," and marketing claims like "low fat" that may mean the producer has added sugar to improve taste.
Avoid sodas and other prepared beverages. Some of the highest sources for added sugar are sodas, sports drinks, teas or juice. You may be surprised to learn you could consume your recommended daily amount of sugar in one can of soda. Substitute sugary beverages with unsweetened drinks or water.
Exercise your body—and your voice. Physical activity, even the slightest amount, helps your body metabolize the sugar you consume. And speaking of activity, exercise your right to have your voice heard by your elected officials in support of policy changes toward less sugar additives in food products.
Becoming an informed buyer, disciplined consumer and proactive citizen are the most important ingredients for stopping this destructive health epidemic. Your teeth—and the rest of your body—will thank you.
If you would like more information on the effects of sugar on dental and general 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 “The Bitter Truth About Sugar.”
The March 27th game started off pretty well for NBA star Kevin Love. His team, the Cleveland Cavaliers, were coming off a 5-game winning streak as they faced the Miami Heat that night. Less than two minutes into the contest, Love charged in for a shot on Heat center Jordan Mickey—but instead of a basket, he got an elbow in the face that sent him to the floor (and out of the game) with an injury to his mouth.
In pictures from the aftermath, Love’s front tooth seemed clearly out of position. According to the Cavs’ official statement, “Love suffered a front tooth subluxation.” But what exactly does that mean, and how serious is his injury?
The dental term “subluxation” refers to one specific type of luxation injury—a situation where a tooth has become loosened or displaced from its proper location. A subluxation is an injury to tooth-supporting structures such as the periodontal ligament: a stretchy network of fibrous tissue that keeps the tooth in its socket. The affected tooth becomes abnormally loose, but as long as the nerves inside the tooth and the underlying bone have not been damaged, it generally has a favorable prognosis.
Treatment of a subluxation injury may involve correcting the tooth’s position immediately and/or stabilizing the tooth—often by temporarily splinting (joining) it to adjacent teeth—and maintaining a soft diet for a few weeks. This gives the injured tissues a chance to heal and helps the ligament regain proper attachment to the tooth. The condition of tooth’s pulp (soft inner tissue) must also be closely monitored; if it becomes infected, root canal treatment may be needed to preserve the tooth.
So while Kevin Love’s dental dilemma might have looked scary in the pictures, with proper care he has a good chance of keeping the tooth. Significantly, Love acknowledged on Twitter that the damage “…could have been so much worse if I wasn’t protected with [a] mouthguard.”
Love’s injury reminds us that whether they’re played at a big arena, a high school gym or an outdoor court, sports like basketball (as well as baseball, football and many others) have a high potential for facial injuries. That’s why all players should wear a mouthguard whenever they’re in the game. Custom-made mouthguards, available for a reasonable cost at the dental office, are the most comfortable to wear, and offer protection that’s superior to the kind available at big-box retailers.
If you have questions about dental injuries or custom-made mouthguards, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “The Field-Side Guide to Dental Injuries” and “Athletic Mouthguards.”
Although highly preventable, total tooth loss continues to affect millions of people worldwide, harming their nutrition, health and social standing. In the United States alone, a quarter of adults between 65 and 74 suffer from total tooth loss.
Fortunately, there are a number of ways to restore lost teeth, including fixed bridgework and dental implants. These fixed solutions, though, can put a strain on finances; implants in particular require a minimum amount of bone in the jaw, which may not be present in people with extensive tooth loss. In these cases, removable dentures, time-tested and affordable, are a viable option.
While the technology is simple, adaptable and effective, creating custom-fitted dentures is a painstaking process. It begins with an impression mold of the patient’s jaw ridges that once supported the natural teeth. A dental lab technician uses the impression to fashion a life-like plastic resin base, making sure the final dimensions won’t interfere with the patient’s cheeks, lips, and jaw movement.
The prosthetic (artificial) teeth, each chosen to match the patient’s facial structure and past appearance, are then carefully positioned on the base. Teeth positioning on each denture arch must also balance with the opposing arch to assure a good bite. Once delivered, the dentist may make other adjustments to assure they fit comfortably within the patient’s mouth.
Dentures also require regular care and maintenance to ensure a continuing good fit and an overall healthy mouth. Your gums will still be susceptible to disease, so cleaning and maintaining both your dentures and the mouth’s soft tissues is an ongoing necessity.
The lack of natural teeth can also lead to more bone loss, which can cause the dentures to lose their accurate fit and make them uncomfortable to wear. To remedy this, we can add more resin material to the dentures to refit them or, in extreme cases of poor fit, create a new denture to match current gum contours. Alternatively, we can install a few dental implants that will support the denture instead of the gum ridges, which would inhibit further bone loss.
To learn whether dentures could be a good option for you, we’ll first need to conduct a thorough examination of your mouth. It could be this original tooth replacement system will bring back the teeth and smile you’ve lost.
If you would like more information on dentures, 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 “Removable Full Dentures.”
We've been using bridges to replace missing teeth for decades. Now, recently-developed implant-supported bridges are even more dependable, promising greater durability and less interference with remaining natural teeth.
But just like other restorations, you'll need to keep implant bridges clean to ensure their longevity. Although both the bridge and implants are impervious to disease, the supporting gums and bone aren't. If they become infected, they can break down and your restoration will fail.
Cleaning an implant-supported bridge includes flossing around each of the implants to remove dental plaque, a thin film of food particles and bacteria most responsible for dental disease. To perform this task, you'll have to pass the floss between the bridge and gums to access the sides of each implant.
To help make it easier, you can use a tool like a floss threader, a thin, shaft-like device with a loop on one end and a needle-like point on the other. You'll first thread about 18" of floss through the end and then pass the threader between the bridge and gums with the sharp end toward the tongue.
With the threader completely through, you'll then wrap the floss around your fingers as with regular flossing and move the floss up and down each side of the implants you can access. You'll then pull the floss out, reload the threader and move to the next section, repeating this process until you've flossed each side of each implant.
You can also use pre-cut floss with a stiffened end to thread between the bridge and gums or an interproximal brush with a thin bristled head that can reach underneath the bridge. And you might consider using an oral irrigator, a pump device that sprays a stream of pressurized water to remove and flush away plaque around implants.
To round out your hygiene efforts, be sure you visit your dentist at least twice a year for dental cleanings. Your dentist can also advise you and give you training on keeping your implants clear of disease-causing plaque. Cleaning around your implants will help ensure your restoration will last.
If you would like more information on caring for your dental restoration, 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 “Oral Hygiene for Fixed Bridgework.”
If you have a few missing teeth but can't afford dental implants or fixed bridgework, consider a removal partial denture (RPD). Although implants may be the superior choice aesthetically and functionally, an RPD can still effectively give you back your teeth.
RPDs are designed to replace one or more missing teeth but not a full arch like a full denture. Considered a permanent restoration, RPDs are also more durable than transitional "flippers," denture appliances that are flexible and light enough to be flipped out of the mouth with a flick of the tongue.
The key to both their affordability and durability is vitallium, a strong but lightweight metal alloy most often used in their frame construction. To it we attach artificial teeth usually made of porcelain or glass-filled resins that occupy the precise location of the missing teeth on the gum ridge. The artificial teeth and frame are surrounded by gum-colored plastic for a more natural look.
Each RPD is custom-made depending on the number and location of the missing teeth. Its construction will focus on minimizing any rocking movement of the RPD during chewing or biting. Too much of this movement could damage the adjacent teeth it's attaching to and cause the appliance to be uncomfortable to wear. We can stabilize the frame by precisely fitting it between teeth to buttress it. We also insert small rests or clasps made of vitallium at strategic points to grip teeth and minimize movement.
RPDs do have some downsides: their unique attachment with teeth encourages the accumulation of dental plaque, the thin bacterial film that's the leading cause of tooth decay and periodontal (gum) disease. These diseases can affect your remaining teeth's health and stability, which could in turn disrupt the fit of the RPD. Also, too much movement of the appliance can make the teeth to which it's attached become more mobile. It's important, then, if you wear a RPD to remove it daily for cleaning (and to thoroughly brush and floss your natural teeth), and to remove it at night to give the attaching teeth a rest.
A RPD can give you back the teeth you've lost for many years to come—if you take care of it. Maintaining both your RPD and the rest of your teeth and gums will help extend the life and use of this effective and affordable replacement restoration.
If you would like more information on teeth replacement options, 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 “Removable Partial Dentures: Still a Viable Tooth-Replacement Alternative.”
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