The electronic cigarette (e-cig), the much-acclaimed smoking alternative, has recently been linked to hundreds of lung-related illnesses and deaths among otherwise healthy young adults. But dentists were actually among the first to sound alarm bells on the potential harm of “vaping,” particularly to dental health.
If you're vaping as a substitute for smoking, you may be trading one set of oral health risks for another. Many dentists believe vaping may be no safer for your mouth than traditional tobacco.
An e-cig is a small, handheld device that holds a mixture of water, flavoring and chemicals. The device heats the liquid until it becomes a gaseous aerosol the user inhales into their lungs. Proponents say it's a safer and cleaner alternative to smoking. But, like cigarettes, vaping mixtures can contain nicotine. This chemical constricts blood vessels, decreasing nutrients and infection-fighting agents to the gums and increasing the risk of gum disease.
And although vaping flavorings are FDA-approved as a food additive, there's some evidence as an aerosol they irritate the mouth's inner membranes and cause mouth dryness similar to smoking. Vaping liquids also contain propylene glycol for moisture preservation, which some studies have shown increases a buildup of plaque, the bacterial film most responsible for dental disease.
All of these different effects from vaping can create a perfect storm in the mouth for disease. So, rather than switch to vaping, consider quitting the tobacco habit altogether. It's a solid thing to do for your teeth and gums, not to mention the rest of the body.
As we commemorate the Great American Smokeout on November 21, this month is the perfect time to take action. Here are some tips to help you kick the habit.
Don't try to quit all at once. Your body has developed a physical connection with nicotine, so quitting “cold turkey” can be extremely difficult and unpleasant. Although different approaches work for different people, you may find it easier to overcome your habit by gradually reducing the number of cigarettes you smoke each day.
Enroll in a cessation program. There are a number of step-by-step programs, some involving medication, that can help you quit smoking. Talk to us or your doctor about using a cessation program to end your tobacco habit.
Seek support from others. Beating the smoking habit can be tough if you're trying to do it solo. Instead, enlist the help of family and friends to support you and keep you on track. Consider also joining a supervised support group for quitting smoking near you or online.
Smoking can harm your dental health and vaping may be just as harmful. Distancing yourself from both habits will help you maintain a healthier smile and a healthier life.
If you would like more information about the effects of vaping and tobacco use, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Vaping and Oral Health” and “Smoking and Gum Disease.”
Most of us have encountered something hot that’s burned or scalded the inside of our mouth—not a pleasant feeling. But what if you have a similar burning sensation without eating or drinking anything to cause it?
It’s not your imagination: It could be a condition called burning mouth syndrome (BMS), the feeling your mouth is burned or scalded without an apparent cause. It’s often accompanied by dryness, numbness, or tingling. You may feel it throughout the mouth, or just in “hot spots” around the lips, tongue or other mouth structures.
Researchers haven’t pinpointed exact causes yet for BMS. It’s most common in women around menopause, connecting it to a possible hormonal imbalance. It’s also been linked to diabetes, nutritional deficiencies, medication, acid reflux, cancer treatment or psychological issues. Because it can persist for years, BMS can contribute to irritability, anxiety or depression.
If you’re experiencing BMS, there are things you can do to diminish its effect. First, though, have your dentist give you a complete oral exam and take a thorough medical history. They can then give you specific treatment recommendations based on what they reveal.
For example, if symptoms seem to increase after brushing your teeth, you might be having a reaction to a toothpaste ingredient, usually the foaming agent sodium lauryl sulfate. Your dentist may recommend experimenting with other toothpaste brands.
Other treatment options include:
- Alleviating dry mouth symptoms by changing medications (as your doctor advises), drinking more water and using saliva-boosting products;
- Quitting smoking and reducing your consumption of alcohol, coffee and spicy foods;
- Chronicling your diet to look for connections between individual foods and BMS flare-ups—you may need to restrict these in your diet.
- And because it seems to aggravate BMS symptoms, reducing acute stress with relaxation techniques or therapeutic counseling.
If your dentist can’t fully diagnose your condition or the steps you take aren’t reducing your symptoms, you may be referred to an oral pathologist (a dental specialist in mouth diseases). The key is not to give up until you find a workable treatment strategy. Through a little trial and error, you may be able to overcome the discomfort of BMS.
If you would like more information on Burning Mouth Syndrome, 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 “Burning Mouth Syndrome.”
While the effectiveness of chemotherapy and radiation have contributed to rising cancer survival rates, they can still have an adverse effect on the rest of the body. That includes the mouth: these treatments can damage healthy tissues like the salivary glands. The decrease in saliva flow increases the risk of tooth decay or periodontal (gum) disease.
While overcoming cancer is certainly the patient’s main health priority, it’s important for them to tend to their oral health. The best approach often involves a three-way partnership between patient, dentist and family caregivers all doing their part to keep the patient’s teeth, gums and mouth healthy during cancer treatment.
Here’s what each “partner” can do to protect a cancer patient’s oral health during treatment.
The dentist. To minimize dental disease odds, patients should enter cancer treatment with their teeth and gums in the best shape possible. Before beginning treatment, then, the dentist can assess their oral health status and recommend a treatment plan for any existing disease or condition. The dentist can also monitor a patient’s oral health during the treatment period.
The patient. Patients can do the most to protect their oral health by removing disease-causing plaque buildup with daily brushing and flossing, as well as maintaining their regular schedule of dental cleanings (if possible). They should also attempt to reduce dry mouth, a potential consequence of cancer treatment, by consuming more water and using saliva boosters like Xylitol-sweetened gums and mints. A nutritious diet is also important for protecting oral health.
The caregiver. Many cancer patients depend on family or friends to aid them during treatment. One of the best things a caregiver can do is act as a liaison between the patient and their medical and dental providers. When it comes to oral health, caregivers should be on the alert for any mouth changes including tooth pain, gum swelling or bleeding, foul breath and other signs of disease.
Focusing on oral health can be a daunting challenge for patients during their fight with cancer. But with help from their other partners, they can come out of this fight with their teeth, gums and mouth in good health.
If you would like more information on oral care during cancer treatment, 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 Health During Cancer Treatment.”
As the host of America's Funniest Home Videos on ABC TV, Alfonso Ribeiro has witnessed plenty of unintentional physical comedy…or, as he puts it in an interview with Dear Doctor–Dentistry & Oral Health magazine, "When people do stuff and you're like, 'Dude, you just hurt yourself for no reason!'" So when he had his own dental dilemma, Alfonso was determined not to let it turn onto an "epic fail."
The television personality was in his thirties when a painful tooth infection flared up. Instead of ignoring the problem, he took care of it by visiting his dentist, who recommended a root canal procedure. "It's not like you wake up and go, 'Yay, I'm going to have my root canal today!'" he joked. "But once it's done, you couldn't be happier because the pain is gone and you're just smiling because you're no longer in pain!"
Alfonso's experience echoes that of many other people. The root canal procedure is designed to save an infected tooth that otherwise would probably be lost. The infection may start when harmful bacteria from the mouth create a small hole (called a cavity) in the tooth's surface. If left untreated, the decay bacteria continue to eat away at the tooth's structure. Eventually, they can reach the soft pulp tissue, which extends through branching spaces deep inside the tooth called root canals.
Once infection gets a foothold there, it's time for root canal treatment! In this procedure, the area is first numbed; next, a small hole is made in the tooth to give access to the pulp, which contains nerves and blood vessels. The diseased tissue is then carefully removed with tiny instruments, and the canals are disinfected to prevent bacteria from spreading. Finally, the tooth is sealed up to prevent re-infection. Following treatment, a crown (cap) is usually required to restore the tooth's full function and appearance.
Root canal treatment sometimes gets a bad rap from people who are unfamiliar with it, or have come across misinformation on the internet. The truth is, a root canal doesn't cause pain: It relieves pain! The alternatives—having the tooth pulled or leaving the infection untreated—are often much worse.
Having a tooth extracted and replaced can be costly and time consuming…yet a missing tooth that isn't replaced can cause problems for your oral health, nutrition and self-esteem. And an untreated infection doesn't just go away on its own—it continues to smolder in your body, potentially causing serious problems. So if you need a root canal, don't delay!
If you would like additional information on root canal treatment, please contact us or schedule a consultation. You can learn more by reading the Dear Doctor magazine articles “A Step-By-Step Guide to Root Canal Treatment” and “Root Canal Treatment: What You Need to Know.”
You’ve probably heard a lot about dental implants as replacements for missing teeth. So, why are they so popular with both patients and dentists? While other restorations can mimic the color, shape and texture of natural teeth, dental implants have one clear advantage — and it’s all about the bone.
The bone in your jaws provides stability and structure for teeth — without it and the intricate system of gum tissue attachments teeth couldn’t survive the normal biting and chewing forces they encounter every day. That’s why bone health is crucial for maintaining tooth integrity.
Teeth also help bone to remain strong and healthy. The forces we generate as we chew transmit through the tooth roots to the bone, which stimulates continuing growth. If a tooth is missing, however, the bone around it doesn’t receive this stimulation and may begin to lose some of its volume and density — up to a quarter of its width in just the first year after tooth loss.
This bone loss continues even with other restorations because they’re not able to stimulate bone growth. But dental implants can. This is because the portion of the implant imbedded into the bone is constructed most often of titanium, which has a natural affinity toward bone. Bone cells are naturally attracted to titanium and will begin to grow and attach to the metal surface, a process known as osseointegration.
Through osseointegration, the implant develops a durable bond with the jawbone a few weeks after surgery that surpasses other restorations, and is a prime reason for their success rate. Although installing implants can be an expensive undertaking, their proven longevity may result in less maintenance, repair or replacement costs over time than other replacement options.
If you’re considering dental implants, remember it’s what you can’t see beneath the attractive crown that makes them special. And it’s a choice you can depend on to provide you a beautiful smile for years to come.
If you would like more information on dental implants, 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 Implants.”
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