Category: Dental & Mouth Concerns

  • Don’T Pull That Tooth

    Dental & Mouth Concerns

    Image of dentist.

    At one time, dentists had no choice but to extract an infected tooth.  Pulling an infected tooth solved one problem but led to others-poor appearance, change in bite, difficulty chewing food, and less support for adjacent teeth. But tooth extraction is rarely necessary now, thanks to a procedure known as root canal. The dentist (or more likely a specialist known as an endodontist) removes the injured and diseased dental pulp (the inner core that contains nerves, blood vessels, and other tooth tissues) but leaves the tooth intact.

    If you’re told you need root canal therapy, be sure to let your dentist or endodontist know if you have a heart murmur, history of rheumatic heart disease, or mitral valve prolapse. If so, you may need to take an antibiotic before undergoing this procedure.

    A Year of Health Hints book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Dry Mouth

    Dental & Mouth Concerns

    Dry mouth is an abnormal dryness of the mucus membranes in the mouth. This happens when there isn’t enough saliva or the composition of the saliva changes. Dry mouth is common in the elderly.

    Signs & Symptoms

    *  Dry, parched feeling in the mouth

    *  Lack of saliva

    *  Problems with talking and/or swallowing

    *  Lessened taste

    *  Bad breath

    *  Burning sensation in the mouth

    *  Dry mouth is worse after sleeping

    Causes, Risk Factors & Care

    Dry mouth can be due to a side effect of many medications. These include antidepressants, antihistamines, water pills, and medicines for high blood pressure.

    Dry mouth can also result from many health conditions. These include nasal congestion, gum disease, diabetes, stroke, and Sjögren’s syndrome, an autoimmune disorder.

    Treatment is aimed at relief and/or treating the underlying cause. If not treated, dry mouth may lead to severe tooth decay, infection, and poor nutrition.

    Self-Care

    *  Try an over-the-counter artificial saliva, such as Xerolube.

    *  Avoid caffeine and alcohol.

    *  Have regular dental checkups.

    *  Drink at least 8 glasses of water each day. Avoid drinks with sugar.

    *  Avoid salty, spicy, or acidic foods.

    *  Don’t use tobacco products.

    *  Take a multivitamin that your doc- tor recommends.

    *  Use a humidifier in the bedroom.

    *  Keep your lips moist with lip balm.

    *  Breathe through your nose, not your mouth.

    *  Do not use mouthwashes with alcohol.

    *  Read about the side effects of medicines.

    Medical Care

    Contact Doctor When:

    *  The dry mouth is a chronic problem or there are marked changes on the tongue.

    *  You have any of these problems with dry mouth:

    – Dry, burning eyes

    – Chewing or swallowing problems

    – Sore throat

    – Signs of an infection, such as fever and/or redness, or pus in the mouth

    Health at Home Lifetime book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Foods That Fight Cavities

    Dental & Mouth Concerns

    Image of a dish with food fighting items to fight cavities.

    Now you know how sticky sweets promote tooth decay. What you may not realize is that some foods prevent tooth decay. Research studies show that certain foods, like cheese and peanut butter, counteract the acids in the mouth that wear down the tooth enamel. (Be careful to buy plain, all-natural peanut butter, without added sugar of any kind.) Other tooth-saving foods include:

    *  Nuts and seeds.

    *  Meat, fish, poultry, and eggs.

    *  Olives and dill pickles.

    *  Milk, plain yogurt, and cheese.

    A Year of Health Hints book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Fractured Jaw

    Dental & Mouth Concerns

    Image of man holding jaw in pain.

    A fractured (or broken) jaw is when the jaw bone breaks.

    Signs & Symptoms

    *  Jaw and/or facial pain, swelling, or numbness.

    *  Not being able to open or close the mouth normally.

    *  Bleeding from the mouth.

    *  Having a hard time drinking, speaking, and swallowing.

    *  Drooling.

    *  The jaw area is bruised or discolored.

    *  Teeth are loose or damaged.

    *  The jaw area is tender to touch.

    Causes

    Most often, the cause is trauma from a blow to the face, such as from a car accident, sports injury, assault, etc. Osteoporosis can also be the cause.

    Treatment

    A fractured jaw needs emergency medical care.

    Questions to Ask

    Self-Care / Prevention

    First Aid Before Medical Care

    *  Gently align the jaws. Do not use force.

    *  Try not to talk. Write notes instead.

    *  Close your mouth and secure the jaw with a necktie, towel, or scarf tied around your head and chin. Remove this if vomiting occurs. Tie it back when vomiting stops. If you don’t have anything to tie the jaw with, keep it from moving by holding the jaw gently with your hands.

    *  Hold an ice pack on the fractured bone to reduce pain and swelling.

    Self-Care after Jaw Surgery

    *  Follow post-operative instructions from your doctor.

    *  Remove elastic bands if you are choking on food or need to vomit. Go to the dentist to replace the elastic bands.

    To Help Prevent a Fractured Jaw

    *  Wear a seat belt whenever you ride in a car, etc.

    *  Wear protective gear, as needed, for boxing, football, etc.

    Healthier at Home book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Gum (Periodontal) Disease

    Dental & Mouth Concerns

    Image of women sitting in dental chair shaking hands with the dentist.

    Signs, Symptoms & Causes

    Gum (periodontal) diseases include:

    Gingivitis. The gums are swollen due to bacteria from plaque and tartar on the teeth. With gingivitis, the gums are red and bleed easily.

    Periodontitis. This is swelling around the tooth. It occurs when gingivitis is not treated. With periodontitis, pockets form between the gums and teeth. These expose teeth at the gum line. When left untreated, plaque grows below the gum line. Gums, bones, and connective tissue that support the teeth are destroyed. This can cause permanent teeth to separate from each other and loosen. Teeth may even need to be removed.

    Treatment

    Gum disease should be treated by a periodontist or a dentist who treats this problem. Material called tartar can form, even when normal brushing and flossing are done. The dentist or dental hygienist can remove tartar on a regular basis. Treatment may also include:

    *  Deep cleaning (scaling and root planing).

    *  Medications.

    *  Surgical treatments. These include flap surgery and bone and tissue grafts.

    Questions to Ask

    Self-Care / Prevention

    *  See your dentist as often as advised. Follow his or her advice for medication, teeth brushing and flossing and using other dental instruments.

    *  Don’t smoke. If you smoke, quit.

    *  Eat a balanced diet.

    *  Limit sugary foods. When you eat sweets, do so with meals, not in between meals. Finish a meal with cheese. This tends to neutralize acids that form.

    *  Include foods with good sources of vitamin A and vitamin C daily. Vitamin A is found in cantaloupe, broccoli, spinach, winter squash, and dairy products fortified with vitamin A. Good sources of vitamin C are oranges, tomatoes, potatoes, green peppers, and broccoli.

    Healthier at Home book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Brace Yourself For Adult Orthodontics

    Dental & Mouth Concerns

    Image of adult women with braces.

    Each year, over four million people-many of them adults-are fitted for braces.  If you have any of the following dental problems, you may be a likely candidate for braces.

    *  Crowded or crooked teeth.

    *  Buckteeth, misaligned teeth, or lower teeth that protrude.

    *  Poor bite or wide spaces between teeth.

    It takes about two years for braces to realign teeth. In the meantime, you can avoid damage to the braces and decrease the risk of tooth decay and gum disease by practicing the following:

    *  Don’t chew gum.

    *  Don’t eat nuts or sticky candy or bite down hard on candy or ice.

    *  Don’t bite into whole apples, pears, or other crunchy fruit. Instead, cut them into bite-size pieces. Don’t eat corn from the cob.

    *  After eating, brush your teeth with a fluoride toothpaste. Some orthodontists also recommend cleaning your teeth with a water irrigation appliance after you brush.

    *  To guard against decay, rinse your mouth daily with a fluoride mouthwash.

    *  If sores develop in your mouth, or if your gums become red or swollen or bleed easily, contact your orthodontist for advice.

    *  If a wire from the braces becomes loose, don’t try to repair it yourself. See your orthodontist.

    A Year of Health Hints book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Regular Dental Care

    Dental & Mouth Concerns

    Image of father brushing toddler's teeth.

    Dental problems affect more than your teeth and mouth. Gum (periodontal) disease and other mouth infections may increase the risk for:

    *  Pneumonia.

    *  Heart disease.

    *  Diabetes.

    Also, an oral exam can help a dentist detect many health problems. These include diabetes, eating disorders, heart disease, osteoporosis, and a lack of vitamins.

    Brush Your Teeth

    *  Do this twice a day. Brush more often, if you need to.

    *  Use a soft-bristled toothbrush and a toothpaste with fluoride. Brush with a gentle touch. If you have sensitive teeth, use a toothpaste made for this.

    *  Do a thorough job. Brush in small circles across all of the surfaces of the upper and lower teeth. Brush the outer, inner, and chewing surfaces. Brush the surfaces between the teeth.

    *  A child younger than 7 years old and some handicapped persons may need help to do a thorough job. A mechanical tooth brush may be helpful.

    *  Use a toothbrush that fits your mouth. Change your toothbrush to a new one every 3 to 4 months. Do this more often if the bristles are bent or frayed. Change it after having a throat or mouth infection, too.

    *  Brush your gums gently. Keep the brush perpendicular to your teeth.

    *  Gently brush your tongue. It can trap germs.

    Floss Your Teeth

    *  Floss or use an interdental cleaner once a day to remove food particles and plaque from areas that your toothbrush cannot reach.

    *  Use a piece of floss about 1-1/2 feet long.

    *  To floss your upper teeth, hold the floss tightly between the thumb on one hand and index finger on the other. Using a gentle, sawing motion, bring the floss through the tight spaces between the teeth. Do not snap it against the gums.

    *  With the floss at the gum line, curve it into a C-shape against one tooth and gently scrape the side of it with the floss. Repeat on each tooth. Use a fresh section of floss for each tooth.

    *  Repeat for your lower teeth, but hold the floss between both index fingers.

    *  Rinse your mouth after flossing.

    *  If it is hard for you to use dental floss, use a dental floss holder sold in drugstores.

    *  After flossing, rinse your mouth with water, mouthwash, or an anti-microbial mouthrinse.

    It is normal for gums to be tender and bleed for the first week. If the bleeding continues, see your dentist.

    More Tips

    *  Protect your teeth from damage and injury.

    *  Ask your dentist if you should use a fluoride mouth rinse, a prescribed toothpaste with fluoride, fluoride supplements, and/or a water-pik device.

    *  Don’t lay a baby down with a bottle left in the baby’s mouth if the bottle contains juice, milk, soda, etc. Water is okay, though.

    Get Regular Dental Checkups

    See your dentist every 6 months, at least every year, or as often as your dentist advises. Regular dental checkups are important to:

    *  Clean your teeth and remove plaque and tarter that buildup even after you brush and floss every day. Removing plaque and tartar helps prevent cavities, gum disease, and other problems.

    *  Check for cavities, gum disease, oral cancers, tooth grinding, bite problems, and other problems. When these are detected early, they are easier to treat.

    *  Address any areas of concern.

    *  Find out how to take care of your teeth and what dental care products you should use.

    Also, an oral exam can help a dentist detect other health problems, such as diabetes, heart disease, eating disorders, and osteoporosis.

    Diet & Dental Health Tips

    *  If your local water supply has fluoride, drink 6 to 10 cups of tap water every day. If not, make sure to use a fluoride toothpaste.

    *  Eat a well balanced diet. Limit between-meal snacks.

    *  Eat sticky, chewy, sugary foods with (not between) meals. Finish a meal with foods that help buffer acid formation. Examples are cheese, meat, fish, nuts, and dill pickles.

    *  Avoid sugar-sweetened gum and beverages. Chew a sugar-free gum instead, especially one with the artificial sweetener xylitol.

    *  Don’t eat sweets, fruit, or starchy foods just before bedtime. Your mouth makes less saliva during the night. This allows cavity-causing bacteria to feed on food particles. Brushing your teeth doesn’t effectively prevent this.

    Healthier at Home book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • All About Brushing And Flossing

    Dental & Mouth Concerns

    Image of toothbrush and toothpaste with floss.

    Whiter teeth, fresher breath, fewer cavities. Who could ask for more from toothpaste? Some dental products make additional claims. Here’s a short guide to ingredients and product claims to help you decide which toothpaste is best for your teeth. (Note: Choose products with the American Dental Association (ADA) Seal of Acceptance on the labels. For more information on the ADA Seal of Acceptance and brand name products that have this seal, accesswww.ada.org.)

    Fluoride. To help prevent cavities, children and adults should use a toothpaste that contains fluoride. (Note: Many dentists prescribe fluoride supplements for people whose household drinking water contains little or no fluoride. If your drinking water is low in fluoride, you might want to ask your dentist about this option.)

    Desensitizing toothpaste. Some toothpastes are specially formulated for people whose teeth are sensitive to touch or temperature changes.

    Anti-plaque and tartar control toothpastes. Plaque is a sticky, bacteria-laden goo that clings to the surface of your teeth. Unless plaque is removed every 24 to 36 hours, it can turn into a cement-like substance called tartar. And tartar destroys your gums. Plaque- and tartar-control formula toothpastes, used along with flossing and regular dental visits, can help to prevent plaque buildup. Mouthwash can help, too.

    Whitening toothpastes. These remove stains on the surface of the teeth with gentle polishing, chemical agents, or other nonbleaching action. (Note: Consult your dentist before using over-the-counter peroxide-containing whiteners or bleaching agents.)

    Don’t Forget to Floss

    Waxed. Unwaxed. Fine. Regular. Plain or fancy, all dental floss does the job: It removes bacteria and plaque from between your teeth and above and below the gum line areas your toothbrush can’t reach. It also removes particles of food lodged between your teeth. Floss carefully at least once a day to help keep plaque from building up. (If plaque hardens into cement-like deposits called tartar, your teeth can start to decay or wobble due to loss of bone.)

    Here’s how to floss.

    1.  Cut a piece of floss about one-and-a-half feet long. Wrap the ends of the floss about your middle fingers.

    2.  Hold the floss tightly between your thumb and index finger, exposing about one inch of floss. Gently guide the floss between your teeth, being careful not to snap it into the gums.

    3.  With the floss at the gum line, curve it into a C shape against one tooth and gently scrape the side of the tooth with the floss. Repeat on each of your teeth, top and bottom, using a fresh section of floss for each tooth.

    4.  After you’ve flossed, rinse your mouth with water or mouthwash to remove remaining debris. Your gums may be tender and bleed for the first week. That’s normal. But if the bleeding continues, see your dentist.

    Here are some additional hints.

    *  If you find flossing awkward and messy, try using a dental floss holder sold in drugstores. Instead of wrapping the floss around your fingers, you insert the floss in a small, plastic fork-like holder.

    *  To help you remember to floss daily, without fail, floss after you brush your teeth.

    A Year of Health Hints book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • The Right Way To Use Mouthwash

    Dental & Mouth Concerns

    Image of blue mouthwash.

    Be it red, green, blue, or amber, consumers spend millions of dollars a year on mouthwash. Many mouthwashes are strictly cosmetic-they leave your mouth smelling fresh and feeling tingly for a few minutes but don’t appreciably affect oral health. If you want to fight plaque, look for mouthwash containing cetylpridinium chloride or domiphen bromide, ingredients that dissolve this troublesome film of bacterial goo. If you want to fight cavities (especially cavities that form between teeth, where your toothbrush can’t reach), look for an anti-plaque, anti-gingivitis mouthrinse. Fluoride mouthrinses help prevent tooth decay, too, but should not be given to children age six and younger because they may swallow the mouthrinse.

    To get the best results from your mouthwash, follow this routine.

    *  Brush first, then rinse (unless the product label instructs otherwise).

    *  Swish mouthwash or mouthrinse around in your mouth as directed on the label, then spit it out. (Don’t swallow it.)

    *  Rinse with mouthwash or mouthrinse once a day, preferably at bedtime.

    *  Don’t eat or drink anything for 30 minutes after rinsing.

    A Year of Health Hints book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Bad Breath

    Dental & Mouth Concerns

    Image of man holding hands over mouth.

    Bad breath (halitosis) is a social concern. It can be a health issue, too.

    Signs & Symptoms

    *  A bad odor from the mouth. To detect this, wipe the back of your tongue with a piece of white, sterile gauze. After 5 minutes, smell the gauze for an odor.

    *  An unpleasant taste is in the mouth.

    *  You are told you have bad breath.

    Causes

    Bacteria on the tongue, dry mouth, and strong odors of food, such as garlic and onions, are common causes of bad breath. Other causes are smoking, alcohol, ill-fitting dentures, and infections of the gums or teeth. Less often, bad breath is due to another problem, such as a sinus infection or indigestion.

    Treatment

    TheSelf-Care/Preventionitems listed on this page treat most cases of bad breath. If not, your dentist can prescribe:

    *  A special toothpaste.

    *  A mouth rinse.

    *  A special brush.

    *  A tongue scraper.

    *  An antimicrobial solution.

    Questions to Ask

    Self-Care / Prevention

    *  Practice good oral hygiene.

    *  If you wear dentures, clean and care for them as advised by your dentist.

    *  Don’t smoke. Limit or avoid alcohol.

    *  To prevent dry mouth, drink plenty of water and other liquids.

    *  Use a baking soda toothpaste. Brush your teeth and tongue. Do this after all meals, if you can. If not, rinse your mouth with water, chew parsley, mint leaves, celery, or carrots after meals.

    *  Don’t rely on mouthwash or mints. They mask bad breath and help cause it, because they dry out the mouth. Try chlorophyll tablets.

    *  Eat at regular times. Eat nutritious foods. Limit sugary foods.

    *  Chew sugarless gum or suck on lemon or other citrus drops. These help make saliva. Saliva helps deal with bacteria on the teeth and washes away food particles.

    Healthier at Home book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine