Posts for: February, 2019
Ask people about the “Great American Smoke-Out,” and many could tell you about this annual promotion encouraging tobacco smokers to quit. Ask them about “The Great American Spit-Out,” though, and they may look puzzled. That’s because most of society’s attention is on quitting smoking; but the truth is smoking isn’t the only tobacco habit that needs to be kicked.
Whether chewing tobacco or the more finely ground snuff, smokeless tobacco is a popular habit especially among young athletes. It doesn’t receive the attention of smoking tobacco because it’s perceived as less dangerous. The truth is, though, it’s just as hazardous — especially to your oral health.
While any form of tobacco is considered a carcinogen, smokeless tobacco in particular has been linked to oral cancer. This is especially dangerous not only because oral cancer can lead to physical disfigurement and other negative outcomes, but it also has a dismal 58% survival rate five years from diagnosis.
And because it too contains highly addictive nicotine, smokeless tobacco can be just as difficult to quit as smoking. Fortunately, the same techniques for smoking cessation can work with chewing habits. Nicotine replacements like nicotine gum, lozenges and patches, as well as Zyban, a cessation medication, have all been shown helpful with quitting smokeless tobacco.
Often, however, it takes a change in perception — taking chewing tobacco down from its pedestal of “coolness” and seeing it for what it is: a dangerous habit that increases the risk of cancer, cardiovascular disease and even decreased sexual arousal and function. And although not life-threatening, it can also give you bad breath, dry mouth and an assortment of dental problems that incur financial and social costs. Teeth and gums in that environment aren’t so cool.
The first step is to consider the consequences of continuing the chewing or dipping habit and making the decision to quit. You may also benefit from the help of others: counselors experienced with tobacco cessation programs or a support group of others trying to quit. Following through aggressively will help ensure smokeless tobacco won’t lead to the loss of your teeth, health or life.
If you would like more information on quitting smokeless tobacco, 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 “Quitting Chewing Tobacco.”
When your mouth is dry, you know it: that sticky, uncomfortable feeling when you first wake up or when you're thirsty. Fortunately, it usually goes away after you eat or drink. But what if your mouth felt like that all the time? Then, it's no longer an irritation—chronic dry mouth could also increase your risk of dental disease.
Chronic dry mouth occurs because of inadequate saliva flow. Saliva plays an important role in preventing dental disease because it neutralizes acid, which can cause the mineral content in tooth enamel to break down and lead to tooth decay. The mouth becomes more acidic right after eating, but saliva can restore its normal pH levels in about an hour—as well as some of the enamel's lost mineral content. Without saliva, your tooth enamel is at greater risk from acid.
While a number of things can potentially interfere with normal saliva production, medication is the most common. More than 500 prescription drugs, including many antihistamines, diuretics or antidepressants, can cause dry mouth. Cancer radiation or chemotherapy treatment and certain metabolic conditions like diabetes or Parkinson's disease can also increase symptoms.
If you are experiencing unusual dry mouth symptoms, see your dentist first for a full examination. Your dentist can measure your saliva flow, check your prescriptions and medical history, and examine your salivary glands for abnormalities. With this more accurate picture of your condition, they can help direct you to the most effective remedies and treatments for the cause.
If medication is the problem, you can talk to your doctor about alternative prescriptions that have a lesser effect on saliva flow. You can also drink more water before and after taking oral medication and throughout the day to help lubricate your mouth. Chewing gums or mints with xylitol, a natural alcohol sugar, can also help: xylitol helps reduce the mouth's bacterial levels, as well as stimulate saliva flow.
Easing your dry mouth symptoms can make your life more pleasant. More importantly, it can reduce your risk of future dental problems caused by a lack of saliva.
If you would like more information on dealing with chronic dry mouth, 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 “Dry Mouth: Learn about the Causes and treatment of this Common Problem.”
It might not rise to the level of a miracle, but cosmetic dentistry can achieve some amazing outcomes with unattractive teeth. A skilled and experienced dentist can turn "ugly ducklings" into beautiful "swans." And that achievement might not be as in-depth or expensive as you might think, thanks to the increased use of dental materials called composite resins.
Composite resins are pliable, tooth-colored materials we apply directly to tooth surfaces. They're most often used with broken, chipped or misshapen front teeth—the composite material replaces the missing tooth structure.
Composite resins have been around for decades, but haven't been widely used because they didn't have the strength of dental porcelain. In recent years, though, dentists have perfected techniques for bonding and shaping composites to teeth that have increased their durability. With just the right skill and artistry, composites can look like natural teeth.
We can correct many tooth flaws using composite resins right in our office. After roughening up the outer enamel surface of the tooth and performing other steps to aid bonding, we begin applying liquid resins to form a base layer that we then harden with a special light source. We continue to add layers to increase the color depth and shape of the restoration, before finally polishing it to resemble natural teeth.
Composite restorations are ideal for moderate tooth structure loss, but may not be appropriate for heavily worn, previously root canal-treated or fractured teeth. These and other kinds of flaws may require a different solution such as a dental porcelain restoration with veneers or crowns. Where composites can be used, though, they provide an affordable option that doesn't require an outside dental lab for fabrication—we can often perform it in one visit.
If you'd like to consider a composite resin restoration for a less than perfect tooth, see us for a complete examination and consultation. If your situation appears to be compatible for using this particular technique, composite resins could change your smile for the better in just a few minutes.
If you would like more information on how we can improve your smile, 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 “Artistic Repair of Front Teeth with Composite Resin.”