Posts for category: Oral Health
In our constant battle against infectious disease, the “enemy” is often too close for comfort: hospitals and other medical facilities must be ever vigilant against opportunistic infections their patients may contract while in their care.
Dental offices are no exception. Because even the simplest procedure — a dental cleaning, for example — may result in exposure, providers and patients alike face a possible health risk. We must be especially concerned with blood-borne viral infections — spread by person to person contact through blood — the most serious being hepatitis B and C, and HIV/AIDS.
Hepatitis is a viral inflammatory disease that disrupts the critical functions of the liver, particularly as it cleanses and regulates the blood, and cause serious bodily impairment or death. The virus can be transmitted when the blood from an infected person makes its way into the bloodstream of another person, mainly through cuts or a needle injection. Human immunodeficiency virus (HIV) can lead to the chronic condition AIDS that destroys the body’s immune system; it spreads mainly through sexual contact, as well as through person to person blood contact.
The best defense against the spread of these diseases in dental offices or other healthcare settings is to eliminate as much as possible any opportunity for blood-to-blood contact. To accomplish this, all healthcare providers, including dentists, are mandated by federal, state and local authorities to incorporate and follow routine safety precautions. The U.S. Center for Disease Control and Prevention (CDC) issues regularly updated comprehensive guidelines for protocols and procedures to disinfect and sterilize equipment and facilities.
We dentists and our clinical staffs are also mandated by state licensing boards to refresh our knowledge of infection control procedures through continuing education. Such procedures cover every aspect of infection control, from barrier protection — by way of gloves, masks or gowns — to instrument disinfection.
Protecting patients as well as providers from the spread of infection is one of our profession’s highest standards. As a result, incidents of infection among the 170,000 practicing dentists in the United States are rare. You can be assured, then, that we’re taking every precaution to keep you and your family safe from disease when you visit our office.
If you would like more information on dental office procedures to prevent the spread of infection, 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 “Infection Control in the Dental Office.”
X-rays revolutionized dental care in the 20th Century. The same could happen in the 21st Century as cone beam computed tomography (CBCT) becomes a fixture beside the traditional x-ray machine.
CBCT made its debut in dental offices about a decade and a half ago. It utilizes the same invisible energy as traditional x-rays to create images of the face and jaw. But unlike traditional x-rays, which can only depict structures in the two dimensions of width and height, CBCT can create three-dimensional images in amazing detail.
The CBCT's x-ray projector rotates around a patient's head. As it emits a cone-shaped beam of x-rays, the device simultaneously collects anywhere from 150 to 599 distinct image views. It transmits these views to a computer that assembles them into three-dimensional images that can be viewed on a computer display.
From the data file of images, dentists can re-format a variety of views and angles of teeth, jaws and other facial bones at various levels of magnification. Because of this wide range of views, all in striking detail, CBCTs are highly useful among other things for diagnosis of malocclusions (bad bites), the size and location of infections, obstructions at possible implant sites, or jaw problems prior to surgery.
Because they expose a patient to higher doses of radiation than a standard x-ray machine, they're normally limited to more complex oral situations. That means you'll still undergo standard x-rays for most of your dental treatment needs. CBCT radiation levels are lower, however, than medical CT scans, which use a fan-shaped beam that can expose a patient to ten times the radiation of a CBCT. For dental care, a CBCT machine also produces greater image detail than an MRI.
Depending on your needs, CBCT may one day be a part of your dental care.Â With their range and accuracy, it could play a major role in helping you attain good health.
If you would like more information on cone beam diagnostics, 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 “Getting the Full Picture with Cone Beam Dental Scans.”
Eating is like breathing: We often do it without much thought. But if you suffer from chronic jaw pain, every bite can get your attention—and not in a good way. What's worse, in an effort to avoid the pain associated with a temporomandibular joint disorder (TMD) you might make less than nutritious food choices.
But there are ways to eat healthy without aggravating the symptoms of TMD—not just your choices of food, but also how you prepare and actually eat the food. Here are 4 tips that can help you manage eating with TMD.
Choose moist foods in sauces or gravy. A lot of chewing action is intended to mix saliva with tough or dry foods to make them easier to digest. But this extra jaw action can irritate the jaw joints and muscles and increase your discomfort. To help reduce your jaws' work load, choose foods with a high moisture content, or cook them in a sauce or gravy.
Peel foods with skin. Fresh fruits and vegetables are an excellent source of vitamins and minerals, but their tough outer skin or peel is often hard to chew. Although these parts may also contain nutrients, removing them allows you to gain most of the nutritional benefit of the food while making it easier to chew it.
Cut foods into bite-size pieces. A lot of discomfort with TMD occurs with having to open the jaws wide to accommodate large pieces of food. To minimize the amount of jaw opening, take time to cut all your food portions down into smaller pieces. Doing so can help you avoid unnecessary discomfort.
Practice deliberate eating. All of us can benefit from slower, more methodical eating, but it's especially helpful for someone with TMD. By chewing deliberately and slowly and doing your best to limit jaw opening, you can enhance your comfort level.
Eating often becomes an arduous task for someone with TMD that increases pain and stress. But practicing these tips can make your dining experience easier—and more enjoyable.
If you would like more information on managing TMD in everyday life, 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 “What to Eat When TMJ Pain Flares Up.”
Chicken pox is a common viral infection that usually occurs during childhood. Although the disease symptoms only last a short time, the virus that caused it may remain, lying dormant for years within the body's nervous system. Decades later it may reappear with a vengeance in a form known as herpes zoster, what most people know as shingles.
A shingles outbreak can be quite painful and uncomfortable—and it's also not a condition to take lightly. Occurring mainly in people over fifty, it often begins with an itching or burning sensation in the skin. This is often followed by a red rash breaking out in a belt-like pattern over various parts of the body, which may later develop into crusty sores. Symptoms may vary from person to person, but people commonly experience severe pain, fever and fatigue.
Besides the general discomfort it creates, shingles can also pose major health problems for certain people. Individuals with other health issues like pregnancy, cancer or a compromised immune system may experience serious complications related to a shingles outbreak.
In its early stages, shingles is contagious, spreading through direct contact with shingles sores or lesions or through breathing in the secretions from an infected person. This characteristic of shingles could affect your dental care: because the virus could potentially pass to staff and other patients, dentists usually postpone cleanings or other dental treatments for patients with shingles, particularly if they have a facial rash.
If you're diagnosed with shingles, most physicians recommend you begin antiviral treatment as soon as possible. You should also let your dentist know if you have shingles, which may put off any scheduled treatments until your doctor determines you're no longer contagious.
There's one other thing you can do, especially if you're over 60: obtain a shingles vaccine, available from most physicians or clinics. The vaccine has proven effective in preventing the disease, and could help you avoid this most unpleasant health experience.
Although cancer treatment has advanced steadily in recent decades, the most used therapies continue to be radiation and chemotherapy to eradicate cancerous cells. And while they often work, both can cause "collateral damage" in healthy tissues near the targeted cells.
This can create a number of indirect consequences for a patient's health, including in the mouth. The salivary glands, for example, can be damaged by radiation treatments aimed at the head or neck. The effect on these glands can interrupt the normal flow of saliva and cause xerostomia or "dry mouth."
Lack of adequate saliva causes more than an unpleasant, sticky mouth feeling. One of saliva's main functions is to neutralize acid that builds up naturally after eating. Without it, high acid levels can cause enamel and root surface erosion and lead to tooth decay.
Cancer treatment can also contribute to gastro-esophageal reflux disease (GERD). This disease causes stomach acid to bypass the natural tissue barriers of the esophagus and enter the mouth. As with dry mouth, the increased acid level from GERD can be just as devastating to enamel—and the damage will be permanent.
To minimize these effects on your dental health, it's important to take proactive steps before, during and after cancer treatment. If at all possible, have any needed dental work performed before you begin radiation or chemotherapy—it's better to start it with teeth and gums as healthy as possible.
During treatment, try to continue regular dental visits to monitor your oral health and receive any needed preventive or therapeutic treatments. Depending on your condition and the advice of your dentist, you may need to increase your visit frequency during this time. Your dentist can help with boosting your saliva production and strengthening your tooth enamel. But you should also practice daily brushing and flossing, drink plenty of water and seek treatment for any resulting GERD symptoms.
Even with the best efforts, though, your teeth and gums may still incur damage while treating your cancer. Fortunately, there are a wide array of materials and procedures that can effectively restore them to health. So, once your treatments are completed consult with a dentist on your options for improving the health and appearance of your teeth and gums.