Oral Health Archives - Page 4 of 4 - Adam Brown Dentistry

Radiography: An Essential Part of Carolina’s Dental Choice

Morgan Evans2020-07-16T16:56:30+00:00April 24th, 2019|Dental Trends, Oral Health|

If you have been to the dentist, you have probably had x-rays taken of your mouth. While annoying, and sometimes painful, these x-rays are an essential part of any dental-care plan. Despite their significance, some dentists do not offer radiography to their patients. At Carolina’s Dental Choice, we see the value in these x-rays and believe that they largely contribute to positive dental health.

The x-rays used for dentistry are known as radiographs. There are two kinds of radiographs: the extraoral, an x-ray is taken outside of the mouth; and the intraoral, which is an x-ray taken from within the patient’s mouth. Intraoral radiographs are the one most commonly seen in dentistry and the one you might easily recognize from your last dentist appointment. The intraoral radiograph has become such a prominent part of dentistry because of the high level of detail that the x-ray provides, which can show the tooth, bone, and supporting tissues in a patient’s mouth.

Not only does the radiograph allow a dentist to see what is visible in a patient’s mouth, but it also allows him to see hidden dental structures, malignant and/or benign masses, signs of bone loss and/or wearing, and cavities, all of which might not be visible to the human eye but are detrimental to an individual’s dental health.

How It Works

Now that you know how important a radiograph can be to your dental health, you are probably wondering how they actually work. Surprisingly enough, they are actually quite simple. When your dentist asks you to put a film or sensor in your mouth, which is usually the most uncomfortable part of any radiograph, he is creating a base that is crucial to the image being taken. For a radiographic image to form, the radiation from the x-ray machine has to bounce off of the film or sensor and into your mouth. Different oral structures are penetrated by the radiation at different levels, which means they reflect different images on the film. For example,

teeth appear lighter because they are dense and do not allow for as much radiation to penetrate them. Dental caries (cavities), tooth decay, infections, periodontal ligaments, and alterations in bone density will typically appear darker on a radiograph since they are less dense as other dental structures. Based on the amount of radiation that is allowed to reflect on the film, an image is created that allows your dentist to see everything that is not visible to the naked eye, and then assess the best way to maintain your dental health.

At Carolina’s Dental Choice, our dentists see the value in a basic radiograph, like the ones previously discussed; but we do not stop there. Along with traditional radiographs, our office also offers three-dimensional (3D) imaging services. Our 3D digital device combines three different types of data with one x-ray unity; this cool tool is known as the Planmeca 3D imaging device. Proper use of this helps to accurately diagnose our patients since we understand that not all damage and disease is visible during a routine dental examination.

The Planmeca 3D imaging device is one of the newest innovations in radiography procedures. Instead of using standard x-ray film, the 3D images are digitally produced on a computer screen. Not only does this save production time since the images do not have to develop, but it also allows for them to be easily viewed, stored, or printed. On top of that, digital 3D imaging with the Planmeca only takes a fraction of the time and emits less radiation than a traditional x-ray would.

Our dental professionals at Carolina’s Dental Choice also use radiographs to help monitor periodontal diseases. By using x-rays, visual examinations, and professional cleaning techniques, our staff is able to play an effective role in minimizing the spread of common dental diseases.

Just like a regular dental examination, radiographs are crucial to a patient’s oral health. How often you need one depends on the success of your treatment plan and the advice of your dentist. If you are prone to tooth decay or cavities, then your dental professional may recommend that you get them annually or biannually. Being proactive and regularly checking for signs of decay can help your dentist plan for future treatment options and prevent major cosmetic issues in the future.

As Carolina’s Dental Choice, we offer the radiography services that will keep your smile beautiful. Come see us today!

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Tooth Extraction Explained at Carolina’s Dental Choice

Mary Sturk2020-07-16T16:56:44+00:00April 17th, 2019|Dental Insurance, Dental Trends, Oral Health|

Our team at Carolina’s Dental Choice knows that the word “extraction” can cause anxiety and even fear in some people. Many of us have had this procedure done, sometimes multiple times, and the reason a tooth needs to be extracted varies from patient to patient.

What Is Dental Extraction?

A dental extraction (also called exondontia or informally, tooth pulling) is the removal of teeth from the socket (dental alveolus) in the alveolar bone. Extractions are performed for a wide range of reasons, but most commonly because a tooth is unrestorable due to decay, periodontal disease, or dental trauma.

Tooth decay is the softening of your tooth enamel and refers to the damage of the structure of the tooth caused by acids that are created when plaque bacteria break down sugar in your mouth.

Periodontal diseases are infections of the structures around the teeth, which include the gums, periodontal ligament, and alveolar bone.

Traumatic dental injuries most often occur as a result of an accident or sports injury. The majority of these injuries are minor, such as chipped teeth. Occasionally though, a tooth will dislodge or even get knocked out completely.

Extraction Procedure

Typically, when undergoing a tooth extraction procedure, your dentist will numb the area with a local anesthetic before the procedure.

Common forms of local anesthesia are Novocaine and more popularly, Lidocaine, which is injected after the dentist numbs the area with an external numbing agent. Here are all the common forms of anesthesia:

Local Anesthesia—this is when medication is injected into the mouth to numb the area to be treated and block the nerves that transmit pain. This type of anesthesia is commonly used during fillings, treating gum disease, or preparing teeth for crowns.
Sedation—this method is usually administered by inhaling nitrous oxide, also known as laughing gas. It can also be administered orally in the form of a pill taken prior to the dental procedure. This form of anesthesia is commonly combined with a local anesthetic to help relieve anxiety and reduce pain.
General Anesthesia—this is the strongest form of anesthesia available for dental procedures and involves intravenous medications that produce a temporary loss of consciousness. General anesthesia is usually only used during oral surgery procedures.

You may have also heard of I.V. sedation and wondered if it were for you. Intravenous (I.V.) sedation has become more common and works well for those with fear of the dentist and dental procedures. It is also ideal for patients whose fear of dentistry has led to a large amounts of dental work needing to be completed. I.V. Sedation is also used for outpatient procedures, like colonoscopies. Referred to as “twilight sleep,” you will wake with little or no memory of the procedure. Anesthesia is given via the I.V. and recovery requires someone take you to/from the procedure.

If the extraction involves an impacted tooth, the tooth may be broken into pieces before it is removed. An impacted tooth is a tooth that, for some reason, has been blocked from breaking through the gum. Sometimes a tooth may be only partially impacted, meaning it has started to break through.

Your dentist will perform x-rays and thorough examinations before this stage and will explain the procedure and any other possible options. Often, with impacted teeth, there are no symptoms and only an x-ray will discover it.

Another reason teeth are extracted, especially in youth and young adults, is to make room in the mouth before planning to straighten remaining teeth. Teeth may also be extracted if they are so poorly positioned that they cannot possibly be straightened. A less common reason to extract a tooth is as a cheaper alternative to filling or placing a crown on a decayed tooth.

If you or your child has a condition where a tooth extraction might be called for, please call Carolina’s Dental Choice at (704) 289-9519 to schedule an appointment.

The number of Americans missing at least one tooth is more than 120 million, so it’s not at all unusual to be missing one or more teeth for a variety of reasons, including those listed above.

What’s the deal with Wisdom Teeth?

One of the most common procedures is the removal of the “wisdom teeth.” What is this procedure and why do these teeth often need to be removed and what are the benefits? According to www.mayoclinic.org:

Wisdom tooth extraction is a surgical procedure to remove one or more wisdom teeth — the four permanent adult teeth located at the back corners of your mouth on the top and bottom.

If a wisdom tooth doesn’t have room to grow (impacted wisdom tooth), resulting in pain, infection, or other dental problems, you’ll likely need to have it pulled. Wisdom tooth extraction may be done by a dentist or an oral surgeon.

For many, the first use of dental anesthesia is during extraction of wisdom teeth (the four hindmost molars that come in during young adulthood), which can cause issues including moving other teeth around.

To prevent potential future problems, some dentists and oral surgeons recommend wisdom tooth extraction even if impacted teeth aren’t currently causing problems.

Wisdom teeth, or third molars, are the last permanent teeth to appear (erupt) in the mouth. These teeth usually appear between the ages of 17 and 25. Some people never develop wisdom teeth. For others, wisdom teeth erupt normally — just as their other molars did — and cause no problems.

Many people develop impacted wisdom teeth — teeth that don’t have enough room to erupt into the mouth or develop normally. Impacted wisdom teeth may erupt only partially or not at all.

An impacted wisdom tooth may:

Grow at an angle toward the next tooth (second molar)
Grow at an angle toward the back of the mouth
Grow at a right angle to the other teeth, as if the wisdom tooth is “lying down” within the jawbone
Grow straight up or down like other teeth but stay trapped within the jawbone

Problems with impacted wisdom teeth. You’ll likely need your impacted wisdom tooth pulled if it results in problems such as:

Pain
Trapping food and debris behind the wisdom tooth
Infection or gum disease (periodontal disease)
Tooth decay in a partially erupted wisdom tooth
Damage to a nearby tooth or surrounding bone
Development of a fluid-filled sac (cyst)

Preventing future dental problems. Dental specialists disagree about the value of extracting impacted wisdom teeth that aren’t causing problems (asymptomatic), because it is difficult to predict future problems with impacted wisdom teeth. However, here’s the rationale for preventive extraction:

Symptom-free wisdom teeth could still harbor disease.
If there isn’t enough space for the tooth to erupt, it’s often hard to get to it and clean it properly.
Serious complications with wisdom teeth happen less often in younger adults.
Older adults may experience difficulty with surgery and complications after surgery.

What to expect after a Dental Extraction

Immediately after an extraction, be sure to follow your dentist’s instructions. You may receive a prescription for a mild pain killer or antibiotic, but in most cases, over-the-counter medications will manage pain. Do not eat solid foods or smoke for 48 hours. Stick with soft foods like yogurt, soups, mashed potatoes, and smoothies (avoided fruit seeds). The soft tissue takes about 3-4 weeks to heal.

Keep an eye out for any signs of acute bleeding, pain, or swelling. This could indicate an infection.

Beware of Dry Socket

Dry socket (alveolar osteitis) is a painful dental condition that sometimes happens after you have a permanent adult tooth extracted. Dry socket is when the blood clot at the site of the tooth extraction fails to develop, or it dislodges or dissolves before the wound has healed.

Normally, a blood clot forms at the site of a tooth extraction. This blood clot serves as a protective layer over the underlying bone and nerve endings in the empty tooth socket. The clot also provides the foundation for the growth of new bone and for the development of soft tissue over the clot.

Exposure of the underlying bone and nerves results in intense pain, not only in the socket but also along the nerves radiating to the side of your face. The socket becomes inflamed and may fill with food debris, adding to the pain. If you develop dry socket, the pain usually begins one to three days after your tooth is removed.

Dry socket is the most common complication following tooth extractions, such as the removal of third molars (wisdom teeth). Over-the-counter medications alone won’t be enough to treat dry socket pain. Your dentist or oral surgeon can offer treatments to relieve your pain.

Signs and symptoms of dry socket may include:

Severe pain within a few days after a tooth extraction
Partial or total loss of the blood clot at the tooth extraction site, which you may notice as an empty-looking (dry) socket
Visible bone in the socket
Pain that radiates from the socket to your ear, eye, temple, or neck on the same side of your face as the extraction
Bad breath
Unpleasant taste in your mouth

When to see a doctor. A certain degree of pain and discomfort is normal after a tooth extraction. However, you should be able to manage normal pain with the pain reliever prescribed by your dentist or oral surgeon, and the pain should lessen with time.

If you develop new or worsening pain in the days after your tooth extraction, contact your dentist or oral surgeon immediately.

Expected Costs

The cost of a dental extraction can vary depending on your dentist’s fees and the scope of work. In some instances, extractions (such as wisdom teeth that are impacted) may need to be handled by a dental surgeon under anesthesia.

According to Member Benefits, who tracks the cost of dental work throughout the country, the cost of dental extraction (per tooth) can range from $75-$300 for a non-surgical extraction, and upwards of $650 for a single surgical extraction. Additional costs could include x-rays and exam fees.

If you have dental insurance, it will take a bite (no pun intended) out of your bill. Depending on your policy, it may cover up to 50% of the cost. At Carolina’s Dental Choice, we work with a variety of Dental Insurers, as well as, Medicaid. Our staff will help you understand the costs involved and file the insurance paperwork for you. If you don’t have insurance, we offer an In-House Dental Savings Plan that allows patients to receive treatment at a discounted price.

Carolina’s Dental Choice also welcomes new patients. Whether you have just moved to the Monroe/Charlotte area, are transferring your care from another practice, need to establish care with a dentist, or find yourself suddenly in need of dental service, we look forward to partnering with you for the benefit of your oral health.

As we’ve explored, the reasons for a dental extraction are varied. There is no need to be in pain or discomfort, or even embarrassment, if you feel you need help with dental issues. Our staff is ready to help you find solutions for your dental needs.

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Advancements in Dentistry Make for Happier Patients

Sam Nicolosi2020-07-16T16:57:33+00:00February 14th, 2019|Dental Trends, Implants, Oral Health|

Better Dentistry is Here and More Advancements are on the Way!

Ah, remember the eighties? Shoulder pads, big hair, and bigger braces! Times and trends have changed, both in fashion and in dentistry.

Gone are the days of walking into an awkward waiting room with uncomfortable chairs and stacks of decade-old magazines, the sounds of drilling in the background. At Carolina’s Dental Choice, our waiting rooms are comfortable with music, televisions, and a welcoming face behind the desk there to help you.

Scheduling options have improved a lot! With more offices offering expanded hours and online appointment scheduling, finding the perfect time to visit the dentist is easy. Reminders can be emailed—you can even have a text message, if you prefer—helping you keep your busy day on track.

One of the biggest advancements is dentistry today isn’t techy or scientific at all. Dentists today discuss procedures to you as they go along, openly explaining treatment options. A visit to the dentist has become less rigid and uncomfortable. Plus, they use hi-tech equipment that is cool and more precise—and less scary!

Specific ways visiting the dentist has changed over the years:

Hygiene and safety are incredibly important. These days you will see clean and sanitized and newly opened equipment in use. Staff wear gloves and masks for your protection and, as mentioned earlier, there is more communication—a better relationship between staff and patient. It is more evident now than every before that your dentist and dental team are there to help you. You will notice that the dentist or hygienist is telling you what they are doing as they go along. Taking away some of the fear of years gone by when you just laid in the chair and hoped for the best! For your benefit, be clear about any discomfort or issues you have been having prior to your examination. We want you to be completely comfortable!
Dental insurance. Decades ago, many people did not have the option of obtaining dental insurance through their employer or on their own. With multiple options available now, the staff at the dentist is able to discuss what your procedure will cost in advance when ever possible so you will not be caught unaware. Many dentists will work with you if you don’t have insurance. Another popular option that did not used to exist is buying a dental care package directly through your dentist. This annual plan will include cleanings, X-rays and discounted procedures.
Extended office hours are becoming more common at dentists around the country. Knowing that many people have day jobs and limited flexibility, Carolina’s Dental Choice opens at 8 a.m. Monday-Wednesday (7 a.m. Thursday-Friday) so you can arrive at work with a smile! In many communities, there are emergency dental offices open in the evenings and weekends for those issues that just cannot wait.
Advancements in X-rays. There are big changes in this arena. The first use of X-rays in dentistry of a living person in the United States took place in 1896. Advances in dentistry and the availability of the equipment grew and X-rays became part of the normal dental routine in the 1950s. 3-D imaging has become more popular as machines have become more advanced and more available in the medical community. Popular for ultrasounds, mammograms, and other uses, they are helping doctors and dentists better diagnose health issues, while making it easier on the patient. This is truly technology changing lives.
A cavity’s best friend. Fillings used to appear silver and were in fact made of a combination of metals including: tin, zinc, copper and silver. White fillings (a composite material) started becoming popular in the 1980s, and both the silver amalgam and white fillings are still used in dental practices today. So, what’s new? We now know that fillings, while strong, don’t last forever and advancements in X-rays and exam techniques will help discover issues much sooner.

A brighter smile is now possible!

According to the ADA (American Dental Association), about 1990 was a turning point with new tooth-colored restorative materials, plus increased usage of bleaching, veneers, and implants inaugurate an era of esthetic dentistry.

Whitening of teeth was very rare until recent years, as it seemed like only movie stars and models had truly pearly whites. Today you can choose from whitening options including bleaching and whitening trays, just to name a few.

Restorative dentistry has seen great advancements in the last twenty years. In the past, if you had a tooth removed, you learned to live with that gap in your mouth. Missing teeth can be unattractive and negatively affect your eating habits, because missing teeth also make the remaining teeth work harder. At Carolina’s Dental Choice, we provide restorative, or prosthodontic. This process involves repairing or replacing bad teeth in order to restore the mouth. This can involve multiple procedures, including using fillings, crowns, veneers, bridges, dental implants, and partial dentures. The main goal of restorative dentistry is to preserve the natural teeth as much as possible and to give you the smile that you deserve. The use of dental implants, partial dentures and other restorative tools, is important if teeth are to be removed.

Braces used to be the first thing you noticed if someone had them and some kids just wanted to avoid having them altogether, with those sharp wires and clunky metal brackets. Traditional braces caused sores, were tricky to keep clean, and restricted enjoying many favorite snacks. Having straighter teeth is beneficial for appearance, but also for the health of your teeth. A popular option for youth and adults today is Invisalign Braces. This modern approach is less invasive and much more attractive.

New ideas in dentistry:

Pediatric dentistry. Specialty dentists for kids began popping up around 15 years ago. Because dentists can be intimidating for kids, these new specialty pediatric practices feature graphics, games, and friendly and familiar themes making kids feel engaged and safe. In general, they’ve had additional and specialized training in pediatric dentistry and can work with babies through teens more effectively than ever.
No gain from pain. Back in the day, people only went to the dentist when they were in pain. Because of this, the opportunity to prevent issues was often lost and going to the dentist became associated with pain and, for some, trauma. Getting into the habit of twice-yearly check-ups with cleanings will allow the dentist to look for problems in advance of you having to have a dental emergency. Dentistry has become incredibly preventative. X-rays, oral exams, and cleanings all help detect current and potential future problems. Most dental insurance plans cover much, if not all, of this cost and offer discounts on any additional procedures required.
Gum disease used to be something patients had to live with. Gum disease is generally not curable, but it is treatable and more importantly, preventable. Prevent gum disease by seeing your dentist on a regular basis—at least twice a year. Early stages can be treated with a dental hygiene therapy called scaling and root planning. While it might sound scary or like an outdoor adventure, the treatment is actually a deep cleaning measure that helps fight back against gum disease. This is a nonsurgical procedure to treat your teeth and gums against plaque, bacteria, and tartar deposits.
Beyond the teeth. Checking for oral cancer is another recent addition to a routine dental check-up. Your dentist can examine your oral tissues easily by looking at your lips and inside your mouth, as well as, check your gingivae (gums) carefully, the inside of your cheeks and your tongue (the sides and underneath). The more preventative we are today, the brighter your future!
More options than ever. Some still have a slight fear of going to the dentist and the potential pain of dental treatments. In the past, they had little options and would avoid getting needed dental work and even check-ups. But today there is I.V. sedation. Intravenous (I.V.) sedation has become more common and works well for those with fear of the dentist and dental procedures. It is also ideal for patients whose fear of dentistry has led to a large amount of dental work needing to be completed. V. Sedation is also used for outpatient procedures, like colonoscopies. Referred to as “twilight sleep,” you will wake with little or no memory of the procedure. Anesthesia is given via the I.V. and recovery requires someone take you to/from the procedure.

Healthy at home, advancements and options:

Advances in types of toothbrushes have made cleaning your teeth much more thorough and, dare we say, even fun! Gone is the “one size fits all” toothbrush of 20-30 years ago. Now there are multiple sizes and types of bristles, easy to grip handles, and electronic versions on the market in all price ranges.

Flossing is an important thing to do at least daily (after every meal is ideal) to remove plaque and excess food particles. Many types of floss are on the market now (vs. one type fits all 20 or so years ago). Flavored floss, flosser sticks (or picks), waxed and unwaxed string floss, dental tape, electric flossers and natural floss are all options available.

Water picks (the most commonly known one being manufactured by Waterpik) are water flossers that are handy for reaching those hard to get to teeth in the back. These come in a variety of price points and models, from table top to hand held.

With all dental tools, check with your dentist about the best fit for you and their recommendations.

The more we know, the better your health:

Poor oral health has been debated as a possible cause of heart disease for years. In 2012, experts from the American Heart Association reviewed the available scientific evidence and concluded that poor oral health hasn’t been proved to cause heart disease — and that treating existing gum disease hasn’t been proved to reduce the risk of heart disease. Still, studies have shown:

Gum disease (periodontitis) is associated with an increased risk of developing heart disease.
Poor dental health increases the risk of a bacterial infection in the blood stream, which can affect the heart valves.
Tooth loss patterns are connected to coronary artery disease.
There is a strong connection between diabetes and cardiovascular disease and evidence that people with diabetes benefit from periodontal treatment.

Even though oral health isn’t a key to heart disease prevention, it’s important to take care of your teeth and gums:

Brush your teeth at least twice a day.
Floss daily.
Schedule regular dental checkups and cleanings.

Protect yourself by learning more about the connection between your oral health and overall health. Remember, be preventative!

The connection between oral health and overall health:

Like many areas of the body, your mouth is teeming with bacteria, most of them harmless. Normally the body’s natural defenses and good oral health care, such as daily brushing and flossing, can keep these bacteria under control. However, without proper oral hygiene, bacteria can reach levels that might lead to oral infections, such as tooth decay and gum disease.
Certain medications — such as decongestants, antihistamines, painkillers, diuretics, and antidepressants — can reduce saliva flow. Saliva washes away food and neutralizes acids produced by bacteria in the mouth, helping to protect you from microbial invasion or overgrowth that might lead to disease.
Studies also suggest that oral bacteria and the inflammation associated with periodontitis, a severe form of gum disease, might play a role in some diseases.

So even if you still have big hair, shoulder pads, or drive your DeLorean to the office, the team here at Carolina’s Dental Choice is ready to treat your dental health needs, whatever they may be. Let us help you take preventative measures to keep your smile bright and glowing into the future.

*Mayo Clinic

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Warning: Teething Jewelry May Pose Significant Risk

monroe2020-07-16T16:58:35+00:00December 27th, 2018|Children's Dental Health, Dental Trends, Oral Health|

You may have seen it advertised in women’s magazines or on parenting blogs, cute jewelry marketed as a way for moms to look stylish while caring for a teething tot. But the U.S. Food and Drug Administration is warning that the jewelry may present a serious choking hazard or strangulation risk.

what age and order do baby teeth come in

“Teething jewelry includes necklaces, bracelets, and other jewelry that can be worn by either an adult or child, and is often marketed to relieve an infant’s teething pain,” states the FDA’s safety warning. “The beads of the jewelry may be made with various materials such as amber, wood, marble, or silicone. Jewelry marketed for teething pain is not the same as teething rings or teethers, which are made of hard plastic or rubber, and are not worn by an adult or child.”

The American Dental Association has joined the FDA in cautioning parents and caregivers that the jewelry has not been proven safe or effective. The FDA received a report of a 7-month-old child who choked on the beats of a wooden teething bracelet while under parental supervision. An 18-month-old child strangled to death when his amber teething necklace became wrapped around his neck during a nap.

“Teething jewelry may also be used by people with special needs, such as autism or attention-deficit/hyperactivity disorder (ADHD), to provide sensory stimulation or redirect chewing on clothes or body parts,” the FDA safety warning also states.

The jewelry poses similar risks of choking, strangulation, injury to the mouth, and infection for these people.

Instead of using teething jewelry to treat teething pain, parents and caregivers should adhere to the American Academy of Pediatrics’ recommendations. Teething typically begins between ages 4 to 7 months and may cause mild irritability, crying, a low-grade fever, excessive drooling, and a tendency to chew on things.

Try gently rubbing or massaging the gums with one of your fingers, a small cool spoon, or a moist gauze pad
Teething rings are helpful, too, but they should be made of firm rubber. Teethers that are to be frozen tend to get too hard and can cause more harm than good. Never allow an infant to use a teether that is frozen solid. Either simply chill them in the refrigerator or allow them to thaw to the point you can easily squeeze the contents around. Be warned that liquid-filled rings or other objects may crack and leak.
Pain relievers and topical medications applied to the gums are not necessary or useful since they wash out of a baby’s mouth within minutes.
Stay away from teething tablets that contain the plant poison belladonna and gels with benzocaine. Belladonna and benzocaine are marketed to numb your child’s pain, but the FDA has issued warnings against both due to potential side effects.
If your child seems particularly miserable or has a fever higher than 101 degrees Fahrenheit (38.3 degrees Celsius), it’s most likely not a result of teething pain. Consult your pediatrician.
When your child’s baby teeth have begun to come in, gently brush them with a soft child’s toothbrush. To prevent cavities, never let your baby fall asleep with a bottle, either at nap time or at night. By avoiding this situation, you’ll keep milk from pooling around the teeth and creating a breeding ground for decay.

Baby teeth are important to your child’s health because they form the foundation for chewing, speaking, and smiling. If a baby tooth is lost too early, permanent teeth can drift into the empty space, making it harder for other adult teeth to erupt. This process contributes to crooked and crowded teeth in later years.

Your child’s first dental visit should come after their first baby tooth has emerged but before their first birthday.

If you have questions about your child’s oral health, contact Carolina’s Dental Choice so that we can help you address any concerns. Visit us at carolinasdentalchoice.com to schedule an appointment or call us at 704.289.9519.

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Diabetes & Dental Health

monroe2020-07-16T17:22:42+00:00November 27th, 2018|General, Oral Health, Teeth Cleaning|

One in 10 Americans — or more than 30 million people — have diabetes, according to the Office of Disease Prevent and Health Promotion (healthfinder.gov). People with diabetes have an increased risk for serious gum disease because they are generally more susceptible to bacterial infection, and have a decreased ability to fight bacteria that invade the gums. These bacteria are what cause periodontal disease, a chronic, inflammatory condition that can destroy your gums, all the tissues holding your teeth, and even your bones. The American Dental Association states that periodontal disease is the most common dental disease among those living with diabetes, affecting nearly 22 percent of those diagnosed. In fact, one in five cases of total tooth loss is related to diabetes.

Dental complications due to diabetes also include oral burning — a burning sensation inside the mouth that may include a bitter taste and dry mouth that is caused by uncontrolled blood glucose levels — and thrush — the growth of a naturally occurring fungus that the body is unable to control and may cause sore, white — or sometimes red — patches on your gums, tongue, cheeks, or the roof of your mouth.

November is American Diabetes Month, and Carolina’s Dental Choice wants to help you ensure that your efforts to manage the condition include your oral health.

Even if you don’t have diabetes now, that doesn’t mean that you never will. Or, if you’re not someone who regularly goes to the doctor, you could even have diabetes and not know it yet. Approximately 1.7 million new cases are diagnosed each year — and 8.1 million people living with diabetes don’t even know they have it. Another 84 million adults in the United States are at high risk of developing type 2 diabetes.

HOW DIABETES WORKS

There are common misconceptions about diabetes. Diabetes is not simply caused by eating too much sugar. It is not a disease only seen in people who are overweight.

Diabetes is a disease in which the pancreas, a gland situated behind and below the stomach, does not properly produce the hormone insulin. What is supposed to happen is that when you eat food that food is digested in the stomach and broken down and converted into glucose, a type of sugar. That sugar is required for your body to function. The stomach and small intestines absorb the glucose and then release it into the bloodstream. Once in the bloodstream, glucose can be used immediately for energy or stored in our bodies, to be used later. However, in order to store the glucose for later, the body must have insulin. Think of it almost as if food is like going to work, cash is glucose, and your savings account and ability to retire is insulin. Without the savings account, all the cash gets spent!

HOW DIABETES DEVELOPS

It is thought a combination of genetic susceptibility and environmental factors cause type 1 diabetes though exactly what those factors are is still unclear. What’s known is that in type 1 diabetes, your immune system attacks and destroys your insulin-producing cells in the pancreas, leaving you with little or no insulin. Consequently, diabetes can be thought of as an autoimmune disease. You may be familiar with other autoimmune diseases such as rheumatoid arthritis, psoriasis, inflammatory bowel disease, or lupus.

It’s believed that genetic and environmental factors also play a role in the development of type 2 diabetes — although being overweight is strongly linked to the development of type 2 diabetes. In type 2 diabetes, your cells become resistant to the action of insulin, and your pancreas is unable to make enough insulin to overcome this resistance.

RISK FACTORS FOR DIABETES

The Mayo Clinic outlines certain risk factors for developing type 2 diabetes:

Weight. The more fatty tissue you have, the more resistant your cells become to insulin.
Inactivity. The less active you are, the greater your risk. Physical activity helps you control your weight, uses up glucose as energy and makes your cells more sensitive to insulin.
Family history. Your risk increases if a parent or sibling has type 2 diabetes.
Race. Although it’s unclear why, people of certain races — including black people, Hispanics, American Indians and Asian-Americans — are at higher risk.
Age. Your risk increases as you get older. This may be because you tend to exercise less, lose muscle mass and gain weight as you age. But type 2 diabetes is also increasing among children, adolescents and younger adults.
Gestational diabetes. If you developed gestational diabetes when you were pregnant, your risk of developing prediabetes and type 2 diabetes later increases. If you gave birth to a baby weighing more than 9 pounds (4 kilograms), you’re also at risk of type 2 diabetes.
Polycystic ovary syndrome. For women, having polycystic ovary syndrome — a common condition characterized by irregular menstrual periods, excess hair growth and obesity — increases the risk of diabetes.
High blood pressure. Having blood pressure over 140/90 millimeters of mercury (mm Hg) is linked to an increased risk of type 2 diabetes.
Abnormal cholesterol and triglyceride levels. If you have low levels of high-density lipoprotein (HDL), or “good,” cholesterol, your risk of type 2 diabetes is higher. Triglycerides are another type of fat carried in the blood. People with high levels of triglycerides have an increased risk of type 2 diabetes. Your doctor can let you know what your cholesterol and triglyceride levels are.

SYMPTOMS OF DIABETES

According to the Mayo Clinic, Type 1 diabetes can develop at any age, though it often appears during childhood or adolescence. Type 2 diabetes, the more common type, can develop at any age, though it’s more common in people older than 40.

Some of the signs and symptoms of type 1 and type 2 diabetes are:

Increased thirst
Frequent urination
Extreme hunger
Unexplained weight loss
Presence of ketones in the urine (ketones are a byproduct of the breakdown of muscle and fat that happens when there’s not enough available insulin)
Fatigue
Irritability
Blurred vision
Slow-healing sores
Frequent infections, such as gums or skin infections and vaginal infections

In addition to gum infections, you can look for other symptoms to show up in your mouth, if diabetes is left untreated, explains the American Dental Association.

You may have less saliva, causing your mouth to feel dry.
Because saliva protects your teeth, you’re also at a higher risk of cavities.
Gums may become inflamed and bleed often, which is called gingivitis.
You may have problems tasting food.
You may experience delayed wound healing (such as when you bite the inside of your cheek or have a tooth pulled).
You may be susceptible to infections inside of your mouth.
For children with diabetes, teeth may erupt at an age earlier than is typical.

Note that dry mouth isn’t just an annoyance. It can impact your oral health. Certain medications and other conditions can cause dry mouth, but symptoms include:

A sticky, dry feeling in the mouth
Trouble chewing, swallowing, tasting, or speaking
A burning feeling in the mouth
A dry feeling in the throat
Cracked lips
A dry, rough tongue
Mouth sores
An infection in the mouth
Bad breath

EFFECTS OF DIABETES

Most people have felt the short term effects of their blood sugar getting too high (hyperglycemia) or too low (hypoglycemia) such as when eating too much, being sick, experiencing a lot of stress, exercising too much, or not eating enough.

Early hyperglycemia may result in frequent urination, increased thirst, blurred vision, fatigue, and headaches. More severe hyperglycemia may include nausea, vomiting, dry mouth, shortness of breath, and abdominal pain.

Mild hypoglycemia can make you feel hungry or like you want to vomit. You could also feel jittery or nervous. Your heart may beat fast. You may sweat. Or your skin might turn cold and clammy. Moderate hypoglycemia often makes people feel short-tempered, nervous, afraid, or confused. Your vision may blur. You could also feel unsteady or have trouble walking. Severe hypoglycemia can cause you to pass out. You could have seizures. It could even cause a coma or death. If you’ve had hypoglycemia during the night, you may wake up tired or with a headache. And you may have nightmares. Or you may sweat so much during the night that your pajamas or sheets are damp when you wake up.

With diabetes it is not simply a matter of a person having only too much or only too little blood sugar, its that the body can not regulate blood sugar levels. Wild swings in blood sugar can have profound physical effects.

Cardiovascular disease. Diabetes dramatically increases the risk of various cardiovascular problems, including coronary artery disease with chest pain (angina), heart attack, stroke and narrowing of arteries (atherosclerosis). If you have diabetes, you’re more likely to have heart disease or stroke.
Nerve damage (neuropathy). Excess sugar can injure the walls of the tiny blood vessels (capillaries) that nourish your nerves, especially in your legs. This can cause tingling, numbness, burning or pain that usually begins at the tips of the toes or fingers and gradually spreads upward.
Left untreated, you could lose all sense of feeling in the affected limbs. Damage to the nerves related to digestion can cause problems with nausea, vomiting, diarrhea or constipation. For men, it may lead to erectile dysfunction.
Kidney damage (nephropathy). The kidneys contain millions of tiny blood vessel clusters (glomeruli) that filter waste from your blood. Diabetes can damage this delicate filtering system. Severe damage can lead to kidney failure or irreversible end-stage kidney disease, which may require dialysis or a kidney transplant.
Eye damage (retinopathy). Diabetes can damage the blood vessels of the retina (diabetic retinopathy), potentially leading to blindness. Diabetes also increases the risk of other serious vision conditions, such as cataracts and glaucoma.
Foot damage. Nerve damage in the feet or poor blood flow to the feet increases the risk of various foot complications. Left untreated, cuts and blisters can develop serious infections, which often heal poorly. These infections may ultimately require toe, foot or leg amputation.
Skin conditions. Diabetes may leave you more susceptible to skin problems, including bacterial and fungal infections.
Hearing impairment. Hearing problems are more common in people with diabetes.
Alzheimer’s disease. Type 2 diabetes may increase the risk of dementia, such as Alzheimer’s disease. The poorer your blood sugar control, the greater the risk appears to be. Although there are theories as to how these disorders might be connected, none has yet been proved.
Depression. Depression symptoms are common in people with type 1 and type 2 diabetes. Depression can affect diabetes management.

MANAGING & PREVENTING DIABETES

For a person with diabetes, the main focus of treatment is to control the amount of glucose in the body so that blood sugar levels stay as close to normal as possible.

Type 1 diabetes can’t be prevented. However, healthy lifestyle choices can help prevent type 2 diabetes.

Lose weight if you are overweight, and keep it off. You may be able to prevent or delay diabetes by losing 5 to 7 percent of your current weight.1 For instance, if you weigh 200 pounds, your goal would be to lose about 10 to 14 pounds.
Move more. Get at least 30 minutes of physical activity, such as walking, at least 5 days a week. If you have not been active, talk with your health care professional about which activities are best. Start slowly and build up to your goal.
Eat healthy foods. Eat smaller portions to reduce the amount of calories you eat each day and help you lose weight. Choosing foods with less fat is another way to reduce calories. Drink water instead of sweetened beverages.

For tips on living with diabetes and caring for your oral health, you can also download tips from the National Institute of Oral and Craniofacial Research:

Talk to your dental hygienist and dentist at Carolina’s Dental Choice, if you have diabetes or have been experiencing any of the oral symptoms of diabetes such as dry mouth, gingivitis, or trouble tasting food. We can make recommendations to help you best manage your oral health now and in the future.

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