Posts for tag: oral hygiene
You're probably aware of some of the adverse side effects of treatment for cancer. Unfortunately, one of these side effects is the health of your mouth. In fact, more than one third of people treated for cancer develop oral side effects.
Cancer treatments, such as chemotherapy and radiation, attack cancer cells, but normal cells are also affected. Chemotherapy can affect the lining tissues of the mouth and the salivary glands, and radiation treatment can affect all tissues in its path, which will put you at higher risk for dental diseases, such as tooth decay and gum disease. You may also develop painful mouth sores as well as dry mouth.
The best approach to take when it comes to protecting yourself from these potential side effects is prevention. Here are a few steps you can take to defend yourself:
- Get a Comprehensive Dental Examination. While in the planning stages for your cancer treatment, you should schedule an appointment with our office for a complete dental exam. We will ensure that you oral health is optimal before you undergo treatment. We will also provide detailed instructions on how to care for your teeth during treatment and how to recognize the problem signs. Some solutions we may recommend are a fluoride treatment or antibacterial rinse.
- Keep up with your Oral Hygiene Routine. While cancer treatment may cause you to feel fatigued, it will be more important than ever for you to take good care of your teeth. Remember to brush twice daily with a soft brush and fluoride toothpaste. You should also floss once a day to clean between your teeth.
- Keep your Mouth Moist. Dry mouth is a common side effect of radiation and chemotherapy, and along with dry mouth comes a higher risk for tooth decay. We may recommend salivary stimulating medications to fight against this condition. You should also avoid mouth rinses with alcohol, which tend to further dry out your mouth. Make sure to drink plenty of water and consider chewing gum with xylitol, which promotes salivation and actively prevents tooth decay.
- Remain Alert. Throughout treatment, you should continue to look for signs of oral discomfort in the teeth, jaws and lining of your mouth. Notify both your oncologist and our office if you experience any side effects involving your mouth.
If you would like more information about oral health and cancer treatment, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “Oral Health During Cancer Treatment.”
That “squeaky clean” feeling on your teeth might be the most noticeable result of a professional cleaning performed by a dental hygienist. Rest assured, though, there's more to it — regular professional cleanings yield long-term benefits to your oral health.
A basic procedure known as coronal cleaning removes plaque (bacteria and leftover food deposits) on the crowns, the visible portion of the teeth. If you are showing signs or are at risk for gum disease (a bacterial infection of the gum tissue) your hygienist may also initiate cleaning below the gum line with a procedure called scaling. This common technique removes plaque and tartar (hard deposits) above and below the gum line using either a traditional set of hand instruments (known as curettes) or an ultrasonic scaler, a device that uses vibrations from ultrasonic frequencies and water to remove plaque and tartar.
Root planing takes the cleaning even deeper, using curettes to remove plaque and tartar adhering to tooth roots. This is typically necessary for patients with advanced gum disease, and may need to be repeated over a number of visits as inflammation subsides.
Polishing is another common hygienic procedure performed both above and below the gum line. It's the procedure you most associate with that feeling of smoothness after a cleaning. The hygienist will typically apply to the teeth polishing paste held in a small rubber cup attached to a motorized device. As the motor rapidly rotates the rubber cup, the paste works into the teeth to remove surface stains and bacterial plaque. While it's considered a cosmetic procedure, it's more accurately defined as a prophylaxis, a dental term derived from the Greek meaning to guard or prevent beforehand.
Professional cleaning performed by a dental hygienist is only one half of an overall hygiene plan; the other half is your own daily habit of brushing and flossing. Both your daily hygiene and regular dental checkups and cleanings will go a long way toward preserving your teeth as they were meant to be — for a lifetime.
If you would like more information on teeth polishing, 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 “Teeth Polishing.”
You've probably brushed your teeth every day since early childhood when your parents handed you your first toothbrush. But do you really know if you're doing it effectively and removing disease causing bacterial plaque or biofilm? Let's take a look at the basics of tooth brushing.
What is the goal of brushing and flossing your teeth? While it is true that brushing your teeth freshens your breath and removes stains from the surfaces of your teeth, the principal goal of tooth brushing is to remove dental bacterial plaque. This biofilm grows in the nooks and crannies of your teeth, and especially at the gum line — regardless of what you eat or drink. If left on your teeth, this bacterial film can cause gingivitis (inflammation of your gums). It can progress to periodontal disease, affecting the supporting bone of your teeth and even result in tooth loss. This means that flossing should also be an important part of your daily dental hygiene routine to remove plaque from the protected areas between your teeth.
Can you actually brush too much? More is not always better and can be damaging. We advise you to use a soft brush and to brush gently. It does not take force to remove plaque, and using a toothbrush too vigorously can damage your gums and cause them to recede (shrink away from your teeth), causing sensitivity and tooth wear. It takes between 12 and 24 hours for plaque to form on your teeth, so you don't need to brush more than twice a day and floss once a day.
How do you know when you've done a good job? A good test is that your teeth should feel like you've just had a professional cleaning. Your tongue is a great evaluator — just feel for smoothness at the gum line.
Is a powered toothbrush better than a manual one? An evidence-based study comparing all the research available found little difference between power and manual toothbrushes. The conclusion was that some powered toothbrushes with a rotation-oscillation action achieve a modest reduction in plaque and gingivitis compared to manual toothbrushes. But as we say, “it's not the brush, it's the hand that holds it.”
Come to our office for a demonstration. Any brush, whether electric or hand-powered, requires professional demonstration and training so that you know how to remove plaque correctly. Bring your toothbrush with you on your next visit to our office, so we can see your brushing technique and make sure you are doing it correctly for the most efficient plaque removal. And don't be embarrassed — nobody really knows how to brush effectively until they're shown!
Contact us today to schedule an appointment or to discuss your questions about tooth brushing and oral hygiene. You can also learn more by reading the Dear Doctor magazine article “Manual vs Powered Toothbrushes.”
Kids do lots of changing in the teen years, as bodies and minds begin the process of becoming more “grown up.” By now, parental reminders to brush teeth and go easy on sugary snacks might be met with rolled eyes and a groan. But there are still several ways that parents can help their teens to maintain good oral health.
1) Make sure kids get — and wear — a professionally made, custom-fitted mouthguard when playing sports.
The American Dental Association says athletes are 60 times more likely to suffer dental injury if they don't wear a mouthguard. These devices also protect the jaw, lips, cheeks, and tongue — not just the teeth. A mouthguard that's custom-made from a model of your child's teeth costs a little more, but offers greater protection than an off-the-shelf model.
2) Talk to your teens about the dangers of oral piercings.
Like tattoos and iPods, piercings are probably a sign of the times. But that doesn't make them harmless. Installing tongue and lip bolts creates a risk for the teeth and soft tissues that are nearby. Tooth chipping, sensitivity and pain, along with gum recession and infection, are some of the issues that may accompany an oral piercing. Remind teens that future dental problems may be a high price to pay for a fleeting fashion statement.
3) Get professional help if you — or your teen — develop an addiction to tobacco, alcohol or drugs, or an eating disorder.
Nobody wants to admit they aren't in control. But peer pressure, body image concerns and a host of other issues may lead teens into dangerous behaviors. The negative effect of various addictions on one's general health is well-documented; with respect to oral health, there are particular concerns. Tobacco not only stains the teeth, but causes changes in the mouth that can lead to oral cancer. Erosion of the tooth enamel is both a diagnostic signal of a potential eating disorder, and a problem that needs treatment. Don't hesitate to ask questions, particularly when an examination reveals a potential problem, and be sure to seek professional help when needed.
If you would like more information about helping your teen maintain good oral 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 “How to Help Your Child Develop the Best Habits for Oral Health.”
Young children are like sponges, soaking up patterns of behavior they will later apply in many circumstances throughout life. In this learning process, they often look to family members for guidance. Some good habits, like saying “please” and “thank you,” can be taught verbally. Others are best learned by example.
Developing good habits early will benefit your children for a lifetime — especially where their health is concerned. Fortunately, it isn't hard to instill good oral hygiene behavior in a young child; for example, most all children are successfully taught to brush their teeth at an early age. What follows are some tips that might not be as obvious, but will help your children build healthy routines for maintaining optimum oral hygiene.
1) Teach your children how to check the cleanliness of their own teeth.
How? By running their tongue over the tooth surfaces! If the teeth feel nice and smooth, they're likely to be clean, too. Remember to give kids a soft brush, and tell them to use gentle strokes in brushing.
2) Avoid transferring your own oral bacteria to your children.
Children aren't born with decay-producing bacteria — they get them from others! That's why sharing baby's spoon or licking a pacifier clean aren't really good ideas. (Neither is pre-chewing a baby's food, despite what some birds and celebrities do. Trust us on this.)
3) Set an example of healthy eating habits for your children.
Follow common-sense guidelines (like those in www.choosemyplate.gov) for maintaining a balanced diet, eating plenty of vegetables and whole grains, drinking lots of water and getting moderate exercise.
4) Limit sugary treats to mealtimes, not snack times — if you allow them at all.
Oral bacteria utilize sugar for energy and when they metabolize it, they produce harmful acids. These acids attack the teeth and cause decay. The more sugar, the higher potential for stronger acids. Saliva helps neutralize these acids — but not if sugar is constantly present in the mouth. Try to limit sugary treats to mealtimes, and serve a healthier snack between meals.
5) Encourage your children to stop sucking thumbs and pacifiers by age 3.
Thumb sucking is a normal, comforting habit that may begin in the womb. Most kids stop on their own between ages 2 and 4. But long-term sucking on fingers or a pacifier can lead to tooth and jaw-development problems. We can help you find ways to gently encourage children to stop when it's time.
If you would like more information about instilling good oral hygiene habits in children, 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 “How to Help Your Child Develop the Best Habits for Oral Health.”