Dental Associates Blog

Our Experts. Your Oral Health

Mar 6
Senior Oral Health

Maintaining good oral health is important at every stage of life. However, it’s important to realize that there are health issues to be mindful of at certain stages. Aging impacts overall oral health, so during Older Americans Month in May, people all around the country are helping spread the word about how seniors can take care of their teeth so that it positively impacts their overall health too! Read on to learn issues that mature adults should be aware of relating to oral health. Senior Oral Health Issues The four main areas of concern for aging adults are cavities, dry mouth, tooth loss, and oral cancer. However, with regular visits to our caring dentists, we can help keep your mouth healthy as you age! Cavities As people age, the gums can recede or pull back from the teeth. This exposes more tooth surface, as well as tooth roots. While teeth are covered with a hard protective covering called enamel, the roots of the teeth are not. This means that plaque can attack the soft cementum of tooth roots and cause root decay. Gum disease will also contribute to recession and root decay. Decay around the edges of fillings is also common for older adults. Growing up, you may not have had fluoride in your water, so you probably have more fillings than other Americans will have when they age. Over time fillings may weaken or fracture, and these fractures are perfect hiding places for bacteria that can lead to decay. Dry Mouth More than 500 medications can cause dry mouth, so it’s possible you’re taking one of those medications! The saliva your body naturally produces acts as a rinse, washing away food particles, as well as acid that’s produced by plaque. Therefore, a reduction in salvia can lead to more cavities. Common medications you may be taking that can cause dry mouth include those used to treat allergies, asthma, high blood pressure, high cholesterol, pain, anxiety, Parkinson’s and Alzheimer’s. Here are some ways to prevent dry mouth: Use over-the-counter oral moisturizers, like a spray or mouthwash. Drink more water, and don’t wait until you’re thirsty. Use sugar-free lozenges or gum to stimulate saliva production. Sugar-free gum with a main ingredient of xylitol provides a double benefit, since xylitol helps prevent cavity-causing bacteria from sticking to teeth. Get a humidifier to help keep moisture in the air. Avoid or minimize consumption of foods and beverages that irritate dry mouth such as coffee, alcohol, carbonated soft drinks and acidic fruit juices. Ask your physician if you can adjust the dosage of your medications or take a different medication. Tooth Loss According to the National Institute of Dental and Craniofacial Research, adults over age 65 have lost an average of 13 of their 32 teeth. However, tooth loss is preventable! Regular dental check-ups and cleanings twice a year help preserve remaining teeth and provide care for any dentures, bridges, or implants. Tooth loss can be caused by decay, gum disease or as a result of injury, cancer or simply wear over time. One reason gum disease is so widespread among adults is that it’s often a painless condition until the advanced stage. If gum disease is left untreated, gums can begin to pull away from the teeth and form deep spaces called pockets where food particles and more plaque may collect. Advanced gum disease can eventually destroy the gums, bone and ligaments that support the teeth, leading to tooth loss. If you do experience tooth loss, full or partial dentures and dental implants are procedures to replace missing teeth and give you back your smile. Oral Cancer According to the American Cancer Society, nearly 50,000 cases of mouth, throat and tongue cancer are diagnosed each year. The average age of those diagnosed is 62. At every routine exam at a Dental Associates clinic, our dentists will perform an oral exam to check the lips, gums, tongue, cheeks and roof and floor of the mouth for signs of cancer. The most common symptom is a persistent mouth sore that does not heal within two weeks. If you have persistent mouth pain and a white or red patch on the gums, tongue, tonsil or lining of the mouth, see a dentist immediately. You can decrease your risk of oral cancer by brushing, flossing and seeing the dentist regularly, quitting smoking, stopping the use of chewing tobacco and snuff and reducing or eliminating alcohol consumption. Overall, a healthy mouth as a mature adult begins with regular care and cleaning throughout your life—but it’s never too late to start maintaining good oral health! Talk to your Dental Associates dentist to learn how you can have a healthier mouth no matter your age. Learn more about Older Americans Month.

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A doctor uses a blue stethoscope to listen to a male patient's heart during a medical checkup.
Mar 5
Oral Health and Heart Health

The mouth is the gateway to the body. Not only is your smile often the first thing people notice about you, but it also impacts you in ways that you cannot see. Your oral health impacts your systemic (overall) health, which is why your dentist requests that you complete a medical history at your appointment; it’s important that your dentist knows your medical and family history because your oral health conditions may impact other systems in the body. Heart Health Month February is heart health month and is dedicated to focusing on prevention and awareness of heart disease. According to the Center for Disease Control, cardiovascular disease causes about 610,000 deaths every year—that’s about 1,670 people per day. Heart disease is the #1 killer of both men and women in the U.S.* One of the most important mouth-body connections is your heart and mouth. Research has found a link between heart disease and the health of your gums. Having periodontal disease (gum disease) increases the risk of a first heart attack by 28%, according to a 2016 study by the Karolinska University Hospital in Sweden.** So how is this possible? Oral Inflammation and Heart Health Inflammation in the mouth causes problems with the cardiovascular system. One theory is that oral bacteria can affect the heart when they enter the blood stream, attaching to fatty plaques in the coronary arteries (heart blood vessels) and contributing to clot formation. Coronary artery disease, which contributes to heart disease, is characterized by a thickening of the walls of the coronary arteries due to the buildup of fatty proteins. Blood clots can block normal blood flow, restricting the amount of nutrients and oxygen required for the heart to function properly – and this may lead to heart attacks. Another way oral inflammation affects heart health is through periodontal disease. With periodontal disease, there is often a large buildup of plaque along the gum line, which may contribute to swelling and clotting of the arteries, and lead to serious heart issues and heart attacks. Preventing Periodontal Disease and Heart Issues A health care provider can test blood for C-reactive protein levels, which is a sign of inflammation. C-reactive protein levels are found to be high in both patients with periodontitis and those with cardiovascular disease. Treating periodontal disease lowers C-reactive protein levels, and could help to prevent cardiovascular events. Some of the bacteria in periodontal disease have the ability to destroy connective tissue in the mouth, suggesting that when entering the bloodstream, they infect the heart vessel wall, initiate changes and may contribute to the instability of the plaque - leading to heart attack or stroke. It is important to know that there is a relationship between your oral health and your heart health. Studies have found that periodontal disease is, by itself, a risk factor for coronary artery disease. Make sure to provide complete information on your heart health at each dental visit so your dentist and hygienist can deliver the best care possible. What Makes Dental Associates Different At your first visit to Dental Associates you’ll be asked to provide your medical history via a convenient iPad app. Then at each subsequent visit to your dentist, you’re asked to review your medical history and update any changes. This is done to assure your dentist is providing you the care that aligns with your health needs. In addition, our dentists and their hygienists are trained to look for signs of periodontal disease as early as possible because we understand that there is a connection between a healthy mouth and healthy heart. Talk to your dentist at your next visit to make sure your oral health is positively contributing to your overall health. Your heart is counting on it! * Heart Disease Facts ** Periodontitis Increases the Risk of a First Myocardial Infarction

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A close-up shot of a perfect white smile showing clean teeth and healthy gums.
Feb 7
Can You Get a Cavity on Your Front Teeth?

Patients often wonder whether or not they can get cavities on their front teeth. Dental caries, or cavities, can occur in any part of the mouth, on any surface of the teeth. They can spread through the enamel (the hard outer surface of the tooth), into the dentin (the middle of the tooth), and all the way into the pulp (the nerve of the tooth). In general, most people are more diligent about brushing their front teeth since they can see plaque or food building upon them, but cavities can appear there for various reasons. Why would I get cavities on my front teeth? Cavities occur on the front teeth for the same reasons as anywhere else in the mouth, through a combination of diet, oral hygiene, and genetic or environmental risk factors. High sugar diets and diets high in carbohydrates can cause more acid production by oral bacteria, leading to a more weakened tooth structure and more cavities. Patients who are not brushing twice a day or flossing once a day see an increased risk of tooth decay. Dry mouth is another reason patients can see cavities spring up practically out of nowhere throughout the mouth. For front teeth, in particular, cavities along the gum line or around orthodontic brackets or attachments are areas especially vulnerable to decay. How do I prevent cavities on my front teeth? Regular brushing and flossing and using fluoride toothpaste will help prevent cavities anywhere in the mouth. After snacking or drinking a sugary beverage, Sipping water can help rinse away some of the acids and prevent enamel breakdown. Fluoride mouth rinses, available over the counter or by prescription, can also benefit patients with high caries risk or who are in orthodontic treatment. As always, your dentist is the best person to ask any of your questions when it comes to your specific risk factors for cavities, and staying on top of routine dental cleanings and exams is the best way to keep the drill away!

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Close-up of a person smiling with perfectly straight, bright white teeth.
Jan 6
Should We Only Look at the Social Six?

First impressions can be lasting, and a person’s smile can have a large impact. At Dental Associates, we want to help boost your confidence with a healthy and beautiful smile. Whether we are looking at your entire smile or just the “social six” there are many options available for patients. What are the social six? The social six refer to the top front six teeth you see when a person smiles. Many times, when looking at cosmetic treatments, these are the teeth we focus on, however, it is important to look at a patient’s smile as a whole and not just six teeth. Why should I focus on all my teeth and not just the social six? There are a few reasons we sometimes avoid only looking at the social six. First, when some people smile, we see more than those top front teeth so we may need to include the bottom teeth or more teeth on the top arch as well. There are also cases where a patient may be experiencing bruxism (teeth grinding) or missing teeth which can cause more issues if not addressed. By only focusing on the front six teeth, there could be issues with chipping or fracturing teeth and bite issues. What are my options for improving the appearance of my smile? There are many options to improve your smile! From cosmetic changes to orthodontic corrections, your team of dentists at Dental Associates can do it all under one roof. Teeth Whitening: a very common request is to whiten a patient’s teeth. Teeth whitening products contain either hydrogen peroxide or carbamide peroxide. These ingredients work to break down stains into smaller pieces and reduce the concentration of color, in turn making your teeth brighter. There are many options from at-home whitening to professional whitening in our clinic. Veneers: another common method of improving your smile is through veneers. Dental veneers are thin, custom-made teeth that cover the front surface of your natural teeth. Veneers are ideal for cracked, chipped, discolored, or worn teeth, and help make your smile more uniform, brighter, and healthier looking. Orthodontics: whether you are considering braces or clear aligners, orthodontics can help straighten your smile. By straightening your teeth, you can better prevent plaque buildup, which reduces your risk of gum disease. Whether you choose to focus on just your social six or your entire mouth, we have a wide range of options to help improve your smile and boost your confidence.

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