Posts for tag: oral health
There's a “file” on you at your dentist's office: Every visit you've made—from regular cleanings to major dental work—has been recorded, noted and preserved for posterity.
If that gives you the shivers, it's actually not as “Big Brother” as it sounds—in fact, it's critical to your continuing care. A busy dental office depends on accurate records to ensure their individual patients' treatment strategies are up to date. They also contain key information about a patient's overall health, which might overlap into their dental care.
Your records are also important if you change providers, something that ultimately happens to most of us. Your dentist may retire or relocate (or you will); or, unfortunately, you may grow dissatisfied with your care and seek out a new dentist.
Whatever your reason for changing providers, your care will be ahead of the game if your new dentist has access to your past dental records and history. Otherwise, they're starting from square one learning about your individual condition and needs, which could have an impact on your care. For example, if your new dentist detects gum disease, having your past records can inform him or her about whether to be conservative or aggressive in the treatment approach to your case.
It's a good idea then to have your records transferred to your new provider. By federal law you have a right to view them and receive a copy of them, although you may have to pay the dentist a fee to defray the costs of printing supplies and postage. And, you can't be denied access to your records even if you have an outstanding payment balance.
Rather than retrieve a copy yourself, you can ask your former provider to transfer your records to your new one. Since many records are now in digital form, it may be possible to do this electronically. And, if you're feeling awkward about asking yourself, you can sign a release with your new provider and let them handle getting your records for you.
Making sure there's a seamless transfer of your care from one provider to another will save time and treatment costs in the long-run. It will also ensure your continuing dental care doesn't miss a beat.
If you would like more information on managing your dental care, 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 “Why Your Dental Records Should Follow You.”
Starting college is one of life’s biggest transition moments, the first time many young people can truly say they’re on their own. Their freshman year can be both exhilarating and frightening.
The reason for this seeming dichotomy is that both exciting opportunities and harmful pitfalls abound in college life. One such pitfall that’s often overlooked involves dental health: it’s all too easy to neglect good habits and adopt bad ones. But while it may not seem as harmful as other dangers, inattention to your dental health could create consequences that plague you long after graduation.
But being diligent about dental care can help you avoid serious problems now and in the future. At the top of the list: brush and floss your teeth daily and continue seeing a dentist at least twice a year. Hopefully, your parents or guardians have trained you in these vital habits—and they’re definitely habits you should continue for the rest of your life.
Close in importance to good oral hygiene is a healthy diet. Besides eating primarily “natural” food—fresh fruits and vegetables and less-processed foods—you should also set limits on your sugar consumption. This carbohydrate is a primary food for disease-causing bacteria, so limiting as much as possible the sugar you eat to just meal times will lower your risk for tooth decay.
Another area in which you should tread wisely is alcohol consumption. Besides the obvious consequences of alcohol abuse, immoderate drinking can also cause dental problems. Alcohol (and smoking) tends to dry out the mouth, which can increase the levels of oral bacteria and in turn increase your risk of both tooth decay and periodontal (gum) disease.
Finally, avoid getting piercings involving the lips, mouth or tongue even if it’s the thing to do. Piercing hardware can chip teeth and contribute to the shrinking back of the gums (recession). And be sure you practice safe sex: unprotected sexual activity could expose you to viral infections that cause oral problems including cancer.
Your college years should be an exciting and memorable experience. By practicing these and other common sense dental habits, you’ll be sure to remember these years fondly.
If you would like more information on dental care during college, 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 “10 Health Tips for College Students.”
Contrary to what you might think, a knocked out tooth doesn’t inevitably mean tooth loss. Time is of the essence — the shorter the interval between injury and replanting the tooth, the better the tooth’s long-term survival. The longer the interval, on the other hand, the less likely the tooth can survive beyond a few years. That phenomenon is due to the mouth’s natural mechanism for holding teeth in place.
The tooth root maintains its attachment with the jaw bone through an intermediary tissue known as the periodontal ligament. Tiny fibers from one side of the ligament securely attach to the tooth root, while similar fibers attach to the bone on the opposite side of the ligament. This maintains stability between the teeth and bone while still allowing incremental tooth movement in response to mouth changes like tooth wear.
While the ligament fibers will attempt to reattach to a replanted tooth’s root, the longer the tooth is out of the socket the less likely the fibers will fully reattach. An “ankylosis” may instead form, in which the root attaches directly to the jaw bone without the periodontal ligament. In this situation the body no longer “recognizes” the tooth and begins to treat it like a foreign substance. In all but the rarest cases, the tooth root will begin to resorb (dissolve); at some point (which varies from patient to patient) the attachment becomes too weak for the tooth to remain in place and is lost.
Ideally, a knocked out tooth should be replanted within 5 minutes of the injury (for step-by-step instructions, refer to The Field-Side Guide to Dental Injuries available on-line at www.deardoctor.com/dental-injuries). Even if you pass the 5-minute window, however, it’s still advisable to attempt replanting. With a subsequent root canal treatment (to remove dead tissue from the inner tooth pulp and seal it from infection), it’s possible the tooth can survive for at least a few years, plenty of time to plan for a dental implant or similar tooth replacement.
If you would like more information on treatment for a knocked out tooth, 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 “Knocked Out Tooth.”
If you had chicken pox as a child, you're at higher risk for a painful viral infection later in life called shingles. Besides a painful skin rash and other symptoms that can develop, shingles could also affect your dental care.
About 90% of children contract chicken pox, a disease caused by the varicella zoster virus (VZV), which usually clears up on its own. But later in life, usually after age 50, about a quarter to a third of chicken pox patients will develop shingles.
The onset of shingles usually produces an itching or burning sensation on the skin that's either numb or overly sensitive to the touch. A red rash may ensue with crusty lesions, accompanied sometimes by pain, fever and fatigue. The rash often forms a belt-like or striped pattern along one side of the face or body.
For most patients this painful rash is the extent of their symptoms. But women who are pregnant, patients undergoing cancer treatment or people with compromised immune systems are at risk for more serious complications if they contract the disease. It's important for these at-risk patients to obtain a vaccination, as well as avoid contact with anyone with shingles.
Which brings us to your dental care: in its early stages shingles can be contagious, the virus passing to others through skin contact or by airborne respiratory secretions. That's why it's important if you're currently experiencing a shingles episode that you let us know before undergoing any kind of dental work.Â Even a routine teeth cleaning with an ultrasonic device could disrupt the virus and increase the chances of it spreading to someone else. We may need to postpone dental work until the virus is under control.
Antiviral drugs like acyclovir or famciclovir are highly effective in bringing the disease under control, especially if treatment starts within three days of the onset of symptoms. And don't forget the shingles vaccination: the U.S. Center for Disease Control recommends it for anyone 60 or older regardless of a past history with chicken pox.
See your physician as soon as possible if you begin to notice symptoms. Don't let shingles interfere with your life — or your dental care.
If you have limited financial resources, learning what it will cost to restore your teeth and gums to good health could be a shock. Dental care can be expensive, especially for treating advanced dental disease.
Properly managing your ongoing dental care can greatly reduce the chances for higher expenses in the future. Here are 3 tips for staying ahead of problems that might cost you dearly tomorrow.
Practice prevention now. Dental disease doesn’t come out of nowhere — it’s the product of a bacteria-rich environment and neglect. You can help eliminate that environment by removing plaque — a thin film of bacteria and food particles built up on tooth surfaces — with daily brushing and flossing. Twice-a-year dental cleanings remove plaque and calculus (hardened plaque deposits) you can’t reach with daily brushing. Reducing sugar (which bacteria feed on) in your diet and treating low saliva flow (which can increase decay-causing acid in the mouth) will round out your prevention practices.
Take care of emerging problems as soon as possible. Dental disease typically doesn’t go away by itself: more likely, it will get worse — and more costly — with time. Don’t wait to see us if you encounter tooth pain or bleeding, tender or swollen gums. In some cases, we can take temporary measures like resin-based fillings in decayed areas that can buy a little time while you prepare for the expense of a more permanent restoration.
Adopt a long-term care strategy. Our goal is for you to have as healthy a mouth as possible.Â To that end, we’ll work with you on strategy and payment plans that address your individual needs. A good strategy puts a priority on treating emergencies or advanced disease first, followed by treating less affected teeth as you’re able to afford it. We may also be able to address your tooth and gum problems with fewer but longer sessions that can help ease pressure on your costs.
Adopting solid hygiene and dietary habits now, visiting us at least twice a year and following a plan to treat problems as they emerge is your best approach for keeping dental care from making a huge impact on your wallet.
If you would like more information on managing your dental 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 “Cost-Saving Treatment Alternatives.”