Pregnancy and Oral Health

KO6A3300-Edit[1]

Amanda Orvis, RDH

Pregnancy and Oral Health

Being pregnant comes with various responsibilities and it is important that you continue to maintain your normal brushing and flossing routine throughout your pregnancy.

For most women your routine dental visits are safe throughout your pregnancy. Make sure when calling to make your dental appointments you let your dental office know what stage of your pregnancy you are in. Let the office know if you have had any changes in your medications or if you have received any special instructions from your physician.  Depending on your specific situation and your treatment needs, some of your dental appointments and procedures may need to be postponed until after your pregnancy.

Dental x-rays are sometimes necessary if you suffer a dental emergency during your pregnancy, or if they are needed for diagnostic purposes. It may be wise to contact your physician prior to your dental appointment to get their approval to have x-rays done if they are necessary.

During pregnancy some women may develop a temporary condition known as pregnancy gingivitis which is typically caused by hormonal changes you experience during pregnancy. This is a mild form of periodontal disease that can cause the gums to be red, tender and/or sore.  It may be recommended that you be seen for more frequent cleanings to help control the gingivitis. If you notice any changes in your mouth during pregnancy, please contact your dentist.

During your pregnancy you may have the desire to eat more frequently. When you feel the need to snack try to choose foods that are low in sugar and that are nutritious for you and your baby. Frequent snacking can cause tooth decay. It is also a great idea to incorporate fluoridated mouth rinse into your daily routine. There are several different brands to choose from. Make sure to look for the ADA seal of approval which guarantees safety and effectiveness

If you experience morning sickness anytime throughout your pregnancy you can try rinsing with a teaspoon of baking soda mixed with water. This mixture lowers the acidity present in your mouth. This acidity can cause erosion of the enamel. Your gag reflex may also become overly sensitive during your pregnancy, so switching to a smaller toothbrush head may be beneficial.

Please remember that the body goes through many changes during pregnancy and maintaining your normal brushing and flossing routine plays an important role in your overall health.

Want to learn more? Visit us at

http://www.shalimarfamilydentistry.com

http://www.northstapleydentalcare.com

http://www.alamedadentalaz.com

http://www.dentistingilbert.com

Sources:

http://www.ada.org/sealprogramproducts.aspx

http://www.google.com/url?sa=t&rct=j&q=&esrc=s&frm=1&source=web&cd=1&ved=0CDgQFjAA&url=http%3A%2F%2Fwww.idph.state.ia.us%2FIDPHChannelsService%2Ffile.ashx%3Ffile%3DA6FAA346-C53D-49A5-AB8D-6198A087A02A&ei=gJO3UsDwH8bbyQG8sYHYAw&usg=AFQjCNFlpM4U5Hwp3J00K0jdNoM5DHzOXw&bvm=bv.58187178,d.aWc

http://www.google.com/imgres?sa=X&hl=en&qscrl=1&rlz=1T4GGNI_enUS478US479&biw=1600&bih=714&tbm=isch&tbnid=nldgrSnzOgvsAM:&imgrefurl=http://www.myhealthyspeak.co.in/index.php/management-of-pregnancy-gingivitis-3&docid=73o889OPRA5FCM&imgurl=http://

www.myhealthyspeak.co.in/wp-content/uploads/2013/07/23.jpg&w=176&h=117&ei=9JO3UvFL6GSyQHXi4DAAg&zoom=1&ved=1t:3588,r:88,s:0,i:375&iact=rc&page=4&tbnh=93&tbnw=137&start=75&ndsp=28&tx=80&ty=49

Oral Health: A Window to your Overall Health

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Andra Mahoney, BS RDH

Oral Health: A Window to your Overall Health

Many people are realizing that there is a direct connection between oral health and total body health.  It is finally being generally accepted that oral health and general health are to be interpreted as one entity, not separate as has been the view in the past.  Dentists has been saying this for years, and finally science is proving them right! You cannot be healthy without good oral health.

“The mouth can act as a portal of entry for infection, ” says Salomon Amar, DMD, PhD, Professor and Director at the Center for Anti-Inflammatory Therapeutics at Boston University School of Dental Medicine.  “Ongoing inflammation in your mouth can allow bacteria to enter the bloodstream, which may lead to more inflammation in other parts of your body, such as the heart.”

What conditions may be linked to oral health?

Your oral health might affect, be affected by, or contribute to various diseases and conditions, including:

Endocarditis. Endocarditis is an infection of the inner lining of your heart (endocardium). Endocarditis typically occurs when bacteria or other germs from another part of your body, such as your mouth, spread through your bloodstream and attach to damaged areas in your heart.

Cardiovascular disease. Some research suggests that heart disease, clogged arteries, and stroke might be linked to the inflammation and infections that oral bacteria can cause.

In 2005, the NIH funded a study on this topic. They randomly selected 1,056 participants with no prior heart attacks or strokes.  All were evaluated for levels of periodontal bacteria.  After removing the effects of the other risk factors of age, gender, and smoking, Moise Desvarieux, MD, PhD, Associate Professor of Epidemiology at the Mailman School and lead author of the study stated, “It was found that there was an independent relationship between gum disease and heart disease.” One theory about why this may occur is that small amounts of bacteria enter your bloodstream while you’re chewing. “Bad” bacteria from an infected mouth may lodge itself inside blood vessels, ultimately causing dangerous blockages. Strengthening his theory is the fact that when scientists have looked at atherosclerotic blood vessels, they have sometimes found fragments of periodontal bacteria. Meanwhile, a study published in the New England Journal of Medicine in 2007, established that aggressive treatment of gum disease reduces the incidence of atherosclerosis within six months.

It has been found that up to 91% of patients with heart disease have periodontitis. “The theory is that inflammation in the mouth causes inflammation in the blood vessels,” says Sally Cram, DDS, PC, Consumer Adviser for the American Dental Association. “This can increase the risk for heart attack in a number of ways. Inflamed blood vessels allow less blood to travel between the heart and the rest of the body, raising blood pressure. There’s also a greater risk that fatty plaque will break off the wall of a blood vessel and travel to the heart or the brain, causing a heart attack or stroke.”

Pregnancy and birth. Periodontitis has been linked to premature birth and low birth weight.

Scientists believe that gum disease or inflammation in the mouth possibly triggers an increase in a chemical compound called prostaglandin, which induces early labor. While this theory has not yet been confirmed, a 2001 study found that pregnant women who develop gum disease between weeks 21 and 24 of their pregnancy are four to seven times more likely to give birth before week 37. There is evidence that poor gum health in the extreme can lead to low birth weight as well.

Babies born too early or at a low birth weight often have significant health problems, including lung conditions, heart conditions, and learning disorders. While many factors can contribute to premature or low birth weight deliveries, infection and inflammation in general seem to interfere with a fetus’ development in the womb.

Though men have periodontitis more often than women do, hormonal changes during pregnancy can increase a woman’s risk. For the best chance of a healthy pregnancy, Pamela McClain, DDS, President of the American Academy of Periodontology, recommends a comprehensive periodontal exam, “If you’re pregnant or before you become pregnant, identify whether or not you’re at risk.”

Diabetes. Diabetes reduces the body’s resistance to infection which puts the gums at risk.

Gum disease appears to be more frequent and severe among people who have diabetes. Research shows that people who have gum disease have a harder time controlling their blood sugar levels.  Researchers at Columbia University’s Mailman School of Public Health followed 9,296 non-diabetic participants, measuring their level of periodontic bacteria over the course of 20 years. “We found that people who had higher levels of periodontal disease had a two-fold risk of developing type 2 diabetes over that time period compared to people with low levels or no gum disease,” explains Ryan Demmer, PhD, Associate Researcher at the Department of Epidemiology at the Mailman School and the lead author. There are a few theories about why this might be the case.  One proposes that when infections in your mouth get bad enough, it can lead to low-grade inflammation throughout your body, which in turn wreaks havoc on your sugar-processing abilities. “There are all kinds of inflammatory molecules,” says Dr. Demmer, “and it’s believed that maybe some attach to insulin receptors and prevent the body’s cells from using the insulin to get glucose into the cell.”

It has also been noted that inflammation that starts in the mouth seems to weaken the body’s ability to control blood sugar. People with diabetes have trouble processing sugar because of a lack of insulin, the hormone that converts sugar into energy.  “Periodontal disease further complicates diabetes because the inflammation impairs the body’s ability to utilize insulin,” says Dr McClain. Diabetes and periodontitis have a two-way relationship. High blood sugar provides ideal conditions for infection to grow, including gum infections. Diabetes can also slow the healing process and lower resistance to infections, including oral infections.  Fortunately you can use the gum disease-diabetes relationship to your favor: managing one can help bring the other under control.

HIV/AIDS. Oral problems, such as painful mucosal lesions, are common in people who have HIV/AIDS.  Studies suggest that oral bacteria and the inflammation associated with periodontitis, a severe form of gum disease, might play a role in some diseases. Certain diseases, such HIV/AIDS, can lower the body’s resistance to infection, making oral health problems more severe.

Osteoporosis. Osteoporosis, which causes bones to become weak and brittle, might be linked with periodontal bone loss and tooth loss.  Osteoporosis and periodontitis have an important thing in common, bone loss. Researchers are testing the theory that inflammation triggered by periodontitis could weaken bone in other parts of the body.

Alzheimer’s disease. Tooth loss before age 35 might be a risk factor for Alzheimer’s disease.
Dementia: The bacteria from gingivitis may enter the brain through either nerve channels in the head or through the bloodstream, that might even lead to the development of Alzheimer’s disease.

Pneumonia. A 2008 study of elderly participants found that the number who developed pneumonia was 3.9 times higher in patients with periodontal infection than in those free from it. “The lungs are very close to the mouth,” says Marsha Rubin, DDS, practicing Diplomat of Special-care Dentistry at New York-Presbyterian/Weill Cornell. “Even in a healthy mouth there is lot of bacteria, but bacteria in a not-healthy mouth can get aspirated into the lungs, causing pneumonia or aggravating COPD, chronic obstructive pulmonary disorder.” Several intervention studies cited by the CDC show that an improvement in oral health can lead to a reduction in respiratory infection.  Periodontal disease may make pneumonia and chronic obstructive pulmonary disorder worse, possibly by increasing the amount of bacteria in the lungs.

Pancreatic Cancer. A study published in 2007 in the Journal of the National Cancer Institute surveyed 51,529 American men about their health every two years between 1986 and 2002. Of the 216 participants who developed pancreatic cancer, 67 of them also had periodontal disease. Independent of the participants’ smoking status, the study found that having a history of periodontal disease was associated with an increased risk of pancreatic cancer. This, according to the study, could be because of systemic inflammation or increased levels of carcinogenic compounds produced in the infected mouth. Interestingly, another viable theory about why gum disease may cause type 2 diabetes points to damage to the pancreas as well. “With the pancreatic cancer study, we thought it was very interesting that you have this localized infection that has an impact on a systemic organ that is very intimately tied to the pathophysiology of diabetes,” says Dr. Desvarieux.

Cancer.  Your dentist and hygienist should screen for oral cancer and other cancers of the head and neck, including skin cancer, cancer of the jaw bone, and thyroid cancer, during routine checkups. He or she feels for lumps or irregular tissue changes in your neck, head, cheeks and oral cavity, and thoroughly examines the soft tissues in your mouth, specifically looking for any sores or discolored tissues. Survival rates greatly increase the earlier oral cancer is discovered and treated. During your next dental visit, ask your dentist to do an oral cancer screening. See your dentist immediately if you observe:

Any sore that persists longer than two weeks

A swelling, growth, or lump anywhere in around the mouth or neck

White or red patches in the mouth or on the lips

Repeated bleeding from the mouth or throat

Difficulty swallowing or persistent hoarseness

Scientists aren’t sure of the exact cause of oral cancer. However, the carcinogens in tobacco products, alcohol and certain foods, HPV infections, as well as excessive exposure to the sun, have been found to increase the risk of developing oral cancer. Risk factors for oral cancer may also be genetically inherited. You can help prevent oral cancer by:

Not smoking or using spit tobacco

Limiting your alcohol intake

Eating plenty of fruits and vegetables

Also, periodic self-examinations can increase your chances of detecting oral cancer, so be sure to examine your face, cheeks, jaw and neck regularly for any changes or lumps.

Other conditions. Other conditions that might be linked to oral health include Sjogren’s syndrome, an immune system disorder that causes dry mouth, and eating disorders.

Because of these potential links, be sure to tell your dentist if you’re taking any medications or have had any changes in your overall health, especially if you’ve had any recent illnesses or you have a chronic condition, such as diabetes.

How can I protect my oral health?

To protect your oral health, practice good oral hygiene every day. For example:

Brush your teeth at least twice a day.

Floss daily.

Eat a healthy diet and limit between-meal snacks.

Replace your toothbrush every three to four months or sooner if bristles are frayed.

Schedule regular dental checkups.

Also, contact your dentist as soon as an oral health problem arises. It is important to let your dentist know your full family medical history. If you have periodontal disease, make sure you see your dentist frequently and get it treated promptly, before it progresses to the point where you begin losing teeth or it starts to affect your overall health.  Remember, taking care of your oral health is an investment in your overall health.

One thing is clear: the body and mouth are not separate. Your body can affect your mouth and likewise, your mouth can affect your body.  Taking good care of your teeth and gums can really help you live well longer.

Want to learn more? Visit us at

http://www.shalimarfamilydentistry.com

http://www.northstapleydentalcare.com

http://www.alamedadentalaz.com

http://www.dentistingilbert.com

Sources:

http://www.nidcr.nih.gov/DataStatistics/SurgeonGeneral/sgr/part1.htm

http://www.mayoclinic.org/healthy-lifestyle/adult-health/in-depth/dental/art-20047475

https://www.deltadentalins.com/oral_health/connection-oral-health.pdf

http://www.colgate.com/en/us/oc/oral-health/conditions/gum-disease/article/sw-281474979066921

http://www.everydayhealth.com/dental-health/101.aspx

http://www.webmd.com/oral-health/features/oral-health-the-mouth-body-connection

http://www.webmd.com/oral-health/features/oral-health-affects-wellness

Dental “Myth Busters”

KO6A3321-Edit

Becky Larson, RDH

Dental “Myth Busters”

There are a lot of dental myths out there that are sometimes mistaken for dental truths.  Here are a few facts to help clear up some of the confusion.

Myth #1: You don’t need to brush baby teeth because they will fall out eventually anyway. 

baby_teeth_adult_teeth_differences

Absolutely not!  Baby teeth can still get cavities, which can spread to other teeth and cause pain.  Some baby teeth may even fall out too soon and cause problems with bite or improper development of a child’s permanent teeth.  It’s also important to establish good oral hygiene habits early on.  Children’s teeth should be brushed twice daily (just like adult teeth).

Myth #2: Fluoride is poisonous and should be avoided. 

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Wrong!  Each day the enamel layers of our teeth lose minerals (demineralization) due to the acidity of plaque and sugars in the mouth.  The enamel is remineralized from food and water consumption.  Too much demineralization without enough remineralization leads to tooth decay.  Fluoride helps strengthen enamel, thus making it more resistant to acidic demineralization.  Fluoride can sometimes reverse early tooth decay.  According to the American Dental Association, community water fluoridation is the single more effective public health measure to prevent tooth decay.  Many dental offices also offer in office fluoride treatments that can help both children and adults.

Myth #3:  You lose one tooth each time you have a child.

Missing Tooth

Now that’s just silly.  Some women think that when they are pregnant the baby leeches a lot of their calcium supply.  That may be, but it doesn’t mean she will lose any teeth.  However, pregnant women are prone to cavities or having other dental problems.  This is due to morning sickness and vomiting, dry mouth, and a desire/craving for more sugary or starchy foods.  Pregnant women in these circumstances should be sure to continue their regular dental check-ups and try to maintain pristine oral home care.

Myth #4:  If your gums are bleeding you should avoid brushing your teeth and flossing.

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I can’t even begin to stress how wrong this one is!  If your gums are bleeding it means there is active inflammation and infection present.  That means you need to improve on oral hygiene by brushing more frequently or more effectively.  Bleeding gums is a sign of periodontal disease.  If caught early (in the gingivitis stage) it can be reversed.  Brushing should be done twice daily with a soft-bristled toothbrush.  Flossing should be done at least once daily.

Myth #5:  Placing a tablet of aspirin beside an aching tooth can ease the pain.

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Wrong again.  In order to ease the pain caused by a toothache, aspirin must be fully swallowed.  Placing aspirin on gum tissue for long periods of time can actually damage the tissue and possibly cause an abscess.

Myth #6:  You don’t need to see the dentist if there is no visible problem with your teeth.

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Unfortunately not all dental problems will be visible or obvious.  You should continue to visit the dentist for regular check-ups at least twice per year, in conjunction with your cleanings.  Dental radiographs or other instruments can detect cavities or other problems that might not be causing any symptoms yet.  It’s best to catch things early to minimize the treatment needed.

Myth #7:  After a tooth has been treated for decay it will not decay again.

Broken_Lost_Tooth_Filling

There are no guarantees in dentistry!  While the dentist will do their best to restore teeth to last for as long as possible, there is no way of knowing when or if a tooth will get recurrent decay.  Proper oral home care can prolong the life of dental restorations.

Don’t always believe what you hear!  If you have questions or concerns about your dental health be sure to ask your dentist, hygienist, or other dental professional.

Want to learn more? Visit us at

http://www.shalimarfamilydentistry.com

http://www.northstapleydentalcare.com

http://www.alamedadentalaz.com

http://www.dentistingilbert.com

 

Sources:

http://www.ada.org/en/public-programs/advocating-for-the-public/fluoride-and-fluoridation

http://www.webmd.com/oral-health/guide/fluoride-treatment

http://www.livescience.com/22463-gain-a-child-lose-a-tooth-myth-or-reality.html

http://tips4dentalcare.com/2008/06/21/popular-myths-about-dentistry/

Pregnancy and Oral Health

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Amanda Orvis RDH

Being pregnant comes with various responsibilities, your oral hygiene being one of them. It is important that you continue to maintain your normal brushing and flossing routine. It is also a great idea to rinse daily with a fluoridated mouth rinse. There are several brands to choose from, just make sure you look for the ADA seal which guarantees safety and effectiveness.

ADA_seal_rdax_215x215

     For most women your routine dental visits are safe throughout your pregnancy. Make sure when calling to make your dental appointments you let your dental office know what stage of your pregnancy you are in. Let your dentist know if you have had any changes in your medications or if you have received any special instructions from your physician. Depending on your specific situation and your treatment needs, some of your dental appointments and procedures may need to be postponed until after your pregnancy.

Dental X-rays are sometimes necessary if you suffer a dental emergency or need a dental problem diagnosed. It may be wise to contact your physician prior to your dental appointment to get their approval to have x-rays if necessary.

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     During pregnancy some women may develop a temporary condition known as pregnancy gingivitis, which is typically caused by hormonal changes you experience during pregnancy. This is a mild form of periodontal disease that can cause the gums to be red, tender and/or sore. It may be recommended that you be seen for more frequent cleanings to help control the gingivitis. If you notice any changes in your mouth during pregnancy, please contact your dentist.

During your pregnancy you may have the desire to eat more frequently. When you feel the need to snack try to choose foods that are low in sugar and nutritious for you and your baby. Frequent snacking can cause tooth decay.

Feeling nauseous? If you experience morning sickness you can try rinsing with a teaspoon of baking soda mixed with water. This mixture lowers the acidity in your mouth. The acidity can cause erosion of the enamel. Your gag reflex may be extra sensitive during your pregnancy, so switching to a smaller toothbrush head may be beneficial.

Sources:

http://www.ada.org/sealprogramproducts.aspx

http://www.google.com/url?sa=t&rct=j&q=&esrc=s&frm=1&source=web&cd=1&ved=0CDgQFjAA&url=http%3A%2F%2Fwww.idph.state.ia.us%2FIDPHChannelsService%2Ffile.ashx%3Ffile%3DA6FAA346-C53D-49A5-AB8D-6198A087A02A&ei=gJO3UsDwH8bbyQG8sYHYAw&usg=AFQjCNFlpM4U5Hwp3J00K0jdNoM5DHzOXw&bvm=bv.58187178,d.aWc

http://www.google.com/imgres?sa=X&hl=en&qscrl=1&rlz=1T4GGNI_enUS478US479&biw=1600&bih=714&tbm=isch&tbnid=nldgrSnzOgvsAM:&imgrefurl=http://www.myhealthyspeak.co.in/index.php/management-of-pregnancy-gingivitis-3&docid=73o889OPRA5FCM&imgurl=http://

www.myhealthyspeak.co.in/wp-content/uploads/2013/07/23.jpg&w=176&h=117&ei=9JO3UvFL6GSyQHXi4DAAg&zoom=1&ved=1t:3588,r:88,s:0,i:375&iact=rc&page=4&tbnh=93&tbnw=137&start=75&ndsp=28&tx=80&ty=49