Posts for: November, 2021
You're doing the right things to avoid the return of gum disease: brushing and flossing every day, dental visits on a regular basis and watching for symptoms of another infection. But while you're at it, don't forget this other important part of gum disease prevention—your diet.
In relation to oral health, not all foods are alike. Some can increase inflammation, a major factor with gum disease; others strengthen teeth and gums. Carbohydrates in particular are a key part of this dynamic.
The body transforms these biomolecules of carbon, hydrogen and oxygen into the sugar glucose as a ready source of energy. But glucose levels in the bloodstream must be strictly controlled to avoid a harmful imbalance.
When elevated the body injects the hormone insulin into the bloodstream to bring glucose levels into normal range. Eventually, though, regular injections of insulin in high amounts in response to eating carbs—known as "spikes"—can increase inflammation. And, inflammation in turn increases the risk and severity of gum infections.
So, why not cut out carbohydrates altogether? That might be akin to throwing out the proverbial baby with the bath water. A wide range of carbohydrates, particularly fruits and vegetables, are a rich source of health-enhancing nutrients.
It's better to manage your carbohydrate consumption by taking advantage of one particular characteristic: Not all carbohydrates affect the body in the same way. Some cause a higher insulin response than others according to a scale known as the glycemic index. It's better, then, to eat more of the lower glycemic carbohydrates than those at the higher end.
One of the latter you'll definitely want to restrict is refined sugar—which also happens to be a primary food source for bacteria. You'll also want to cut back on any refined or processed foods like chips, refined grains or pastries.
Conversely, you can eat more of a number of low glycemic foods, most characterized as "whole", or unprocessed, like fresh fruits and vegetables, or whole grains like oatmeal. You should still, however, eat these in moderation.
Better control over your carbohydrate consumption is good for your health overall. But it's especially helpful to your efforts to keep gum disease at bay.
If you would like more information on nutrition and your 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 “Carbohydrates Linked to Gum Disease.”
We like to think we're more prone to stress in our modern, fast-paced world than those who lived in "simpler" times, but a finding from the recent discovery of Richard the III's remains in England suggests differently. Investigators noted the king had well-worn teeth, perhaps from grinding them out of stress.
We can't be sure this was the cause for the king's dental problems, or if teeth grinding was common in the 15th Century. But we are sure the problem exists today among adults.
Tooth grinding is the grinding, gnashing or clenching of teeth involuntarily when not engaged in regular dental functions like eating or speaking. It can occur while a person is awake, but most often while they're asleep.
The habit regularly occurs in children, but is not considered a major problem as most outgrow it by adolescence, usually with no lingering damage. Not so with adults: Because the habit generates abnormally high biting forces, teeth grinding can lead to accelerated tooth wear. It can also weaken teeth, making them more susceptible to fracture or disease.
People who grind their teeth will typically awaken with sore jaws or the complaints of family members about the loud chattering noise emitted during an episode. If you suspect a problem, you should see your dentist for a definitive diagnosis, and to learn how to reduce its occurrence and effects.
Treatments for the habit vary depending on underlying causes. They may involve lifestyle changes like quitting tobacco, limiting alcohol or altering your use of certain drugs or medications. Because stress is often a major factor, learning better relaxation techniques through meditation, group therapy or biofeedback may also help reduce teeth grinding.
These treatments, though, can take time, so you may also need ways to minimize the effects of the habit in the meantime. One of those ways is for your dentist to create an occlusal guard that you wear while you sleep. The guard prevents the teeth from making solid contact, thus reducing the potential biting forces.
It's important, then, to see your dentist as soon as possible if you suspect you're grinding your teeth. Finding out as early as possible and then taking positive steps to stop or reduce its effect can save your teeth from a good deal of harm.
If you would like more information on teeth grinding, 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 Grinding.”
Quitting smoking is hard. The love affair between your brain and nicotine chains the habit to your daily life. But it's still worth the effort to quit to save your health from disease—including those that impact your teeth and gums. And, there's no time better to launch your "kick the habit" project than the American Cancer Society's Great American Smokeout day this November 18.
As to smoking's impact on your teeth and gums: Two-thirds of America's 32 million smokers contend with gum disease. A smoker's risk for tooth decay is also higher, as well as their prospects for implant failure.
So, why is smoking hazardous to your oral health?
Primarily, nicotine constricts oral blood vessels, which in turn reduces the nutrients and antibodies reaching the teeth and gums. Your mouth thus struggles to fight bacteria that cause tooth decay or gum disease.
Inadequate blood circulation can also hide signs of gum disease like swollen, reddened or bleeding gums. Instead, a smoker's gums may look deceivingly healthy, although you may have a gum infection that could be well advanced when it's finally diagnosed.
Gum or bone grafting also depends on good blood flow, or the grafts may not fully regenerate new tissue. The situation's similar for an implant: Its titanium post needs bone to grow and adhere to its surface to acquire sufficient strength and stability. But slow wound healing due to poor circulation can interfere with this process and cause an implant to fail.
For your mouth's sake, as well as the rest of your body, quitting smoking could help you avoid these problems. But as an ingrained, addictive habit, your body needs to "unlearn" it to stop it. Here are some ideas to help make that process easier.
Nicotine Replacement Therapy. Under your doctor's guidance, you can take medications that deliver nicotine to the body without smoking, and gradually reduce its concentration. This approach can be costly, however, and cause unpleasant side effects.
Brand fading. With this technique, you continuously switch to cigarette brands with less nicotine. This gradually acclimates your body to lower concentrations of the chemical, and eventually wean off it entirely. Here's an online site listing nicotine strength by brand.
Don't do it alone. Quitting smoking doesn't need to be a solo act. Developing relationships with those who don't smoke or who are also quitting can make it easier. One way is to attend a smoking cessation group for support and encouragement from others who're also trying to quit.
Above all, speak with your doctor or dentist to learn more about what you can do to stop smoking. It can be difficult, but the rewards—especially for your oral health—are well worth it.