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Posts for tag: oral health

By James A. Hosner, DDS
February 12, 2020
Category: Oral Health
Tags: oral health  
YouDontHavetoLiveWithUncomfortableCrackedMouthCorners

While a relatively minor health issue, cracked mouth corners (medically known as angular cheilitis) can certainly be irritating. Fortunately, you don't have to live with it—we can help reduce the discomfort and even make it less likely to happen in the future.

 Angular cheilitis is most characterized by redness and fissures (or cracks) in the skin at the corners of the lips. It commonly happens in younger ages (children to younger adults) because of drooling or complications from wearing braces. Older adults can also develop cracked mouth corners due to wrinkling around the mouth. The immediate causes are usually localized to the mouth and lip region, but it can sometimes arise from systemic conditions.

A case of angular cheilitis can also become infected, usually with a strain of yeast known as “candida albicans,” which then intensifies inflammation and discomfort. This is usually due to interaction between saliva and the open fissures, helped along by people's tendency to habitually lick these cracks (hence the other name for cracked mouth corners, perleche, from the French “to lick”).

The best way to treat angular cheilitis is with a series of applications of oral or topical antifungal medication. These may also be combined with steroid ointments that help retard redness and inflammation. If the infection involves the inside of the mouth, you may also need to use an antibacterial rinse until it clears up.

There are also things you can do to minimize future occurrences. Be sure to have missing teeth replaced or loose dentures refitted, and stay vigilant with daily brushing and flossing. You might also consult with a dermatologist about ways to treat wrinkling around the mouth. And easing those wrinkles could not only minimize your chances of developing angular cheilitis, but also give you a more youthful appearance.

Cracked mouth corners can be unnerving. But with a few simple steps we can help relieve any current discomfort and help you reduce the chances of another occurrence.

If you would like more information on cracked mouth corners and other oral irritations, 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 “Cracked Corners of the Mouth.”

By James A. Hosner, DDS
December 04, 2019
Category: Oral Health
Tags: nutrition   oral health  
4FoodsThatAreGoodforBothYourMouthandYourBody

You can't separate your oral health from your overall health. What's beneficial for your body in general is usually beneficial for your teeth and gums.

Take the foods you eat: good nutrition is essential to general health and well-being. But the same foods that keep the rest of your body healthy often do the same for your mouth—and those that are not so good for the rest of you are usually not good for your teeth and gums either.

Here are 4 different types of foods that positively impact both mouth and body.

Cheese and dairy. Dairy products are rich in calcium, essential for strengthening both your bones and your teeth. Cheese helps stimulate saliva and protects against calcium loss. Cow's milk contains minerals and proteins both your body and mouth needs. It also contains lactose, a less acidic sugar that doesn't contribute to tooth decay.

Plant foods. Vegetables and fruit are loaded with vitamins and nutrients that keep the body functioning normally. They also contain fiber: Not only is this good for your digestive system, it requires chewing to break it down in the mouth, which stimulates saliva. A good flow of saliva helps prevent your mouth from becoming too acidic and thus more prone to dental disease.

Black and green teas. A nice cup of hot tea isn't just soothing—it's rich in antioxidants that help fight disease in the body (and the mouth). Black tea also contains fluoride, which has been proven to strengthen enamel against acid attack.

Chocolate. There's both good and bad news about this perennial favorite. The good news is the polyphenolic compounds (a kind of antioxidant) in unrefined cocoa can protect against disease including tooth decay. The bad news is most processed chocolate is loaded with added sugar—not the healthiest substance for your body, and definitely not for your teeth. Try then to incorporate small amounts of chocolate in your diet, the lower the sugar content the better.

Eating nutritiously helps your body stay healthy and disease-free. And coupled with daily hygiene and regular dental visits, it's one of the best things you can do for your teeth and gums.

If you would like more information on nutrition and 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 “Nutrition and Oral Health: How Diet Impacts Dental and General Health.”

By James A. Hosner, DDS
October 15, 2019
Category: Oral Health
Tags: oral health  
ThereAreaLotofBacteriainYourMouthbutOnlyaFewMeanYouHarm

Say “bacteria,” especially in the same sentence with “disease” or “infection,” and you may trigger an immediate stampede for the hand sanitizer. The last thing most people want is to come in contact with these “menacing” microorganisms.

If that describes you, however, you’re too late. If you’re of adult age, there are already 100 trillion of these single-celled organisms in and on your body, outnumbering your own cells 10 to 1. But don’t panic: Of these 10,000-plus species only a handful can cause you harm—most are either harmless or beneficial, including in your mouth.

Thanks to recent research, we know quite a bit about the different kinds of bacteria in the mouth and what they’re doing. We’ve also learned that the mouth’s microbiome (the interactive environment of microscopic organisms in a particular location) develops over time, especially during our formative years. New mothers, for example, pass on hundreds of beneficial species of bacteria to their babies via their breast milk.

As our exposure to different bacteria grows, our immune system is also developing—not only fighting bacteria that pose a threat, but also learning to recognize benevolent species. All these factors over time result in a sophisticated, interrelated bacterial environment unique to every individual.

Of course, it isn’t all sweetness and light in this microscopic world. The few harmful oral bacteria, especially those that trigger tooth decay or periodontal (gum) disease, can cause enormous, irreparable damage to the teeth and gums. It’s our goal as dentists to treat these diseases and, when necessary, fight against harmful microorganisms with antibacterial agents and antibiotics.

But our growing knowledge of this “secret world” of bacteria is now influencing how we approach dental treatment. A generalized application of antibiotics, for example, could harm beneficial bacteria as well as harmful ones. In trying to do good we may run the risk of disrupting the mouth’s microbiome balance—with adverse results on a patient’s long-term oral health.

The treatment strategies of the future will take this into account. While stopping dental disease will remain the top priority, the treatments of the future will seek to do it without harming the delicate balance of the mouth’s microbiome.

If you would like more information on the role of bacteria in oral 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 “New Research Show Bacteria Essential to Health.”

By James A. Hosner, DDS
August 16, 2019
Category: Oral Health
Tags: oral health  
SeeYourDentistifYouHaveoneoftheseTop3OralProblems

For years people tuned in to enjoy one of David Letterman's "Top 10 lists," a frequent gag performed on his show Late Night. Each countdown list poked fun at off-the-wall topics like "Top 10 New York City Science Projects" or "Top 10 Questions People Ask when Shopping for an Umbrella."

Recently, the American Dental Association presented their own kind of list—"America's Top 3 Oral Health Problems"—based on surveys of around 15,000 people across the U.S. But unlike the popular Late Night lists, this one is no laughing matter.

Coming in at #3, 29% of the respondents indicated they had experienced tooth pain at some time in their life. Tooth pain is the body's way of alerting to trouble in the mouth, anything from a decayed tooth to a gum abscess. The best thing to do if you have any persistent oral pain is to see your dentist as soon as possible for a thorough examination. And you should do this even if the pain goes away.

The second most prominent oral problem among people is difficulty biting or chewing, about 31% of those in the surveys. As with tooth pain, the reasons can vary greatly, including cracked, loose or deeply decayed teeth, dentures or jaw joint disorders (TMD). Because dental disease is usually the ultimate culprit, the best way to avoid this is to practice daily brushing and flossing and regular dental visits. And, as with tooth pain, you should see your dentist if you're having symptoms.

At 33% of respondents, the number one oral problem in America is chronic dry mouth. It's a constant inadequate flow of saliva often caused by medications or certain systemic conditions. Because saliva helps protect the mouth against infection, a restricted flow increases your risk of disease. If you notice your mouth is dry all the time, you should talk to your dentist about ways to boost your saliva. If you're taking medications, ask your doctor if they could be causing your symptoms and if you could change to something else.

While any of these Top 3 oral problems can be a stepping stone to more serious dental problems, it doesn't necessarily have to lead to that. You can improve your dental health through daily oral hygiene and regular dental treatment. And it might help you stay off this unpleasant list.

If you would like more information on treating dental disease, 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 “Top 3 Oral Health Problems.”

By James A. Hosner, DDS
February 27, 2019
Category: Oral Health
Tags: oral health  
DontNeglectDentalCareWhenYouEncounterToughBudgetTimes

When you’re going through hard economic times, the natural thing to do is cut areas of spending you believe you can do without. Unfortunately, many people include regular dental care in this low-priority category.

But even if your finances have become strained you should still try to maintain your dental care if at all possible. Saving a few dollars now could cost you a lot more in the long run.

Of course, this may mean focusing on just the basics for a while and prioritize your treatment options with a strong emphasis on preventive care. To put together a plan you should first undergo a thorough dental exam to learn your mouth’s current level of health, as well as take a look at your dietary practices, family history and hygiene practices to gauge your risk for tooth decay or periodontal (gum) disease.

From there, it’s a good idea to make changes in habits and lifestyle that will improve your teeth and gums’ long-term health, a prudent thing to do financially as well. Eat a nutritious diet high in fresh fruits, vegetables and dairy products and low in added sugar. Practice daily brushing and flossing to remove bacterial plaque from tooth surfaces, a primary cause of dental disease. And, keep to a schedule of regular dental office cleanings and checkups to remove any deep-seated plaque and identify developing dental disease before it becomes too serious.

Even when we find problems, there are usually treatment options within most people’s financial ability, like newer, less-expensive tooth filling materials that are both attractive and longer lasting than older types.  At the very least you may benefit from temporary measures that postpone a permanent restoration until you’re in a better position financially to handle it.

And, don’t hesitate to ask us for help in working out a care strategy that fits your current finances and insurance coverage. By creating these long-term goals, we can help you get the most out of your financial resources now that can save money — and provide you better oral health — in the future.

If you would like more information on managing 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 “Cost-Saving Treatment Alternatives.”