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VapingCouldBeJustasHarmfultoYourTeethandGumsasSmoking

The electronic cigarette (e-cig), the much-acclaimed smoking alternative, has recently been linked to hundreds of lung-related illnesses and deaths among otherwise healthy young adults. But dentists were actually among the first to sound alarm bells on the potential harm of “vaping,” particularly to dental health.

If you're vaping as a substitute for smoking, you may be trading one set of oral health risks for another. Many dentists believe vaping may be no safer for your mouth than traditional tobacco.

An e-cig is a small, handheld device that holds a mixture of water, flavoring and chemicals. The device heats the liquid until it becomes a gaseous aerosol the user inhales into their lungs. Proponents say it's a safer and cleaner alternative to smoking. But, like cigarettes, vaping mixtures can contain nicotine. This chemical constricts blood vessels, decreasing nutrients and infection-fighting agents to the gums and increasing the risk of gum disease.

And although vaping flavorings are FDA-approved as a food additive, there's some evidence as an aerosol they irritate the mouth's inner membranes and cause mouth dryness similar to smoking. Vaping liquids also contain propylene glycol for moisture preservation, which some studies have shown increases a buildup of plaque, the bacterial film most responsible for dental disease.

All of these different effects from vaping can create a perfect storm in the mouth for disease. So, rather than switch to vaping, consider quitting the tobacco habit altogether. It's a solid thing to do for your teeth and gums, not to mention the rest of the body.

As we commemorate the Great American Smokeout on November 21, this month is the perfect time to take action. Here are some tips to help you kick the habit.

Don't try to quit all at once. Your body has developed a physical connection with nicotine, so quitting “cold turkey” can be extremely difficult and unpleasant. Although different approaches work for different people, you may find it easier to overcome your habit by gradually reducing the number of cigarettes you smoke each day.

Enroll in a cessation program. There are a number of step-by-step programs, some involving medication, that can help you quit smoking. Talk to us or your doctor about using a cessation program to end your tobacco habit.

Seek support from others. Beating the smoking habit can be tough if you're trying to do it solo. Instead, enlist the help of family and friends to support you and keep you on track. Consider also joining a supervised support group for quitting smoking near you or online.

Smoking can harm your dental health and vaping may be just as harmful. Distancing yourself from both habits will help you maintain a healthier smile and a healthier life.

If you would like more information about the effects of vaping and tobacco use, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Vaping and Oral Health” and “Smoking and Gum Disease.”

KeepOralCareinFocusforaFamilyMemberWithSpecialNeeds

Thanksgiving is an appropriate time to spotlight an often unsung group: individuals providing primary care for another family member. During November, National Family Caregivers Month recognizes those caring for children with special needs or senior adults with life challenges—and part of that ongoing care includes watching out for their loved one's oral health.

Keeping teeth and gums healthy requires a concerted personal effort to prevent dental disease. While most of us can handle this on our own, some need assistance. If you're caring for someone like this, be sure you focus on two main areas: daily hygiene and regular dental visits. These are the two foundation stones for preventing tooth decay and gum disease.

The relatively simple tasks of brushing and flossing are crucial for disease prevention—but they can pose a challenge for someone with diminished physical, mental or behavioral capacity. In some cases, you as a caregiver may have to perform the task for them.

But even someone with severe limitations may be able to do these tasks for themselves with some adaptations. For one, choose a place for brushing and flossing that's most comfortable for the person (not necessarily the bathroom) and keep to a routine schedule. Above all, approach the task in a positive and playful way, especially for children.

Choose a toothbrush and flosser that your loved one can easily handle. Flossers are also available with toothbrush-sized grips for those with less manual dexterity. An older person with arthritis may need an extra-large grip or a toothbrush modified with a bicycle handle. As an alternative, both children and older adults may benefit from using an electric toothbrush. Some special needs children can have a gag response to toothpaste, so you may wish to use less or substitute it with a diluted fluoride mouthwash on the brush.

Dry mouth is a concern among many older adults, often due to the medications they take. In fact, hundreds of medications can have dry mouth as a side effect. Saliva serves the important oral health function of washing away food debris and neutralizing acid in the mouth, but when saliva production is low, it is not only uncomfortable—it greatly increases the risk of tooth decay. To help with dry mouth, encourage your loved one to drink more water during the day and ask us to recommend a product that will boost their saliva production. You can also ask their physicians about drug alternatives without dry mouth side effects.

To make dental visits easier, be sure we know about any needs or conditions that might affect their care. If possible, accompany your older family member during their visit: Because health problems often increase with age, even routine visits may be more involved.

We understand that caring for family members who need assistance can be demanding, with needs often being prioritized. We urge you to keep dental care on the high-priority list—it could make a difference with the rest of their health and overall quality of life.

If you would like more information about oral care for a family member with special needs, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Aging and Dental Health.”

HowVeneersRestoredHowieMandelsWinningSmile

You probably wouldn't be surprised to hear that someone playing hockey, racing motocross or duking it out in an ultimate fighter match had a tooth knocked out. But acting in a movie? That's exactly what happened to Howie Mandel, well-known comedian and host of TV's America's Got Talent and Deal or No Deal. And not just any tooth, but one of his upper front teeth—with the other one heavily damaged in the process.

The accident occurred during the 1987 filming of Walk Like a Man in which Mandel played a young man raised by wolves. In one scene, a co-star was supposed to yank a bone from Howie's mouth. The actor, however, pulled the bone a second too early while Howie still had it clamped between his teeth. Mandel says you can see the tooth fly out of his mouth in the movie.

But trooper that he is, Mandel immediately had two crowns placed to restore the damaged teeth and went back to filming. The restoration was a good one, and all was well with his smile for the next few decades.

Until, that is, he began to notice a peculiar discoloration pattern. Years of coffee drinking had stained his other natural teeth, but not the two prosthetic (“false”) crowns in the middle of his smile. The two crowns, bright as ever, stuck out prominently from the rest of his teeth, giving him a distinctive look: “I looked like Bugs Bunny,” Mandel told Dear Doctor—Dentistry & Oral Health magazine.

His dentist, though, had a solution: dental veneers. These thin wafers of porcelain are bonded to the front of teeth to mask slight imperfections like chipping, gaps or discoloration. Veneers are popular way to get an updated and more attractive smile. Each veneer is custom-shaped and color-matched to the individual tooth so that it blends seamlessly with the rest of the teeth.

One caveat, though: most veneers can look bulky if placed directly on the teeth. To accommodate this, traditional veneers require that some of the enamel be removed from your tooth so that the veneer does not add bulk when it is placed over the front-facing side of your tooth. This permanently alters the tooth and requires it have a restoration from then on.

In many instances, however, a “minimal prep” or “no-prep” veneer may be possible, where, as the names suggest, very little or even none of the tooth's surface needs to be reduced before the veneer is placed. The type of veneer that is recommended for you will depend on the condition of your enamel and the particular flaw you wish to correct.

Many dental patients opt for veneers because they can be used in a variety of cosmetic situations, including upgrades to previous dental work as Howie Mandel experienced. So if slight imperfections are putting a damper on your smile, veneers could be the answer.

If you would like more information about veneers and other cosmetic dental enhancements, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Porcelain Veneers” and “Porcelain Dental Crowns.”

MakeYourBabyasComfortableasPossibleDuringTeething

Your sweet, good-natured baby has seemingly gone from zero to grumpy overnight. The reason is simple: They’re teething.

Teething is a natural process in which a baby’s first teeth (primary teeth) begin to break through the gums, usually between six and nine months of age. This process continues intermittently until all twenty of the primary teeth erupt, sometime around age 3.

This uncomfortable and sometimes painful experience can cause gum swelling, biting and gnawing, chin rash and drooling. Your child may become irritable not only from this physical discomfort but also from disrupted sleep patterns and decreased appetite that often accompanies teething.

While you may have an unhappy baby while they’re teething, there’s usually no cause for concern. This is a natural process all children encounter, and the best thing you can do is make them as comfortable as possible. An exception would be accompanying diarrhea, fever or lingering crankiness—these could be symptoms of a more serious condition. If you begin to notice these, consult your doctor as soon as possible.

During teething there are a number of things you can do to reduce irritation. For one, allow your child to chew on clean, chilled (not frozen) teething rings, or a cold wet washcloth. The cold will help numb their irritated gum tissues. Massaging their gums with a clean finger can also help counteract the pressure caused by the incoming tooth.

If your doctor advises, you can also give your child over-the-counter pain relievers like acetaminophen or ibuprofen in an age-appropriate dosage. But be sure you give these medications orally and not rub them on the gums—some ingredients in them could burn the tissues. You should also not apply rubbing alcohol to the gums for the same reason. And avoid products with the numbing agent Benzocaine┬« in children less than two years of age unless your doctor advises otherwise.

Teething isn’t always a pleasant time for your baby or you, but it’s necessary—and temporary. In no time at all this discomfort will pass, and in its place will be their first set of teeth.

If you would like more information on teething, 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 “Teething Troubles: How to Help Keep Your Baby Comfortable.”

CelebrateWorldSmileDayWithMoreAttractiveTeeth

The smiley face: It’s been around forever. Except it hasn’t—someone created it. No, not Forrest Gump (but good guess!), but graphic artist Harvey Ball in 1963 to help boost employee morale at an insurance company. Do you know what else Harvey Ball came up with? World Smile Day: Beginning in 1999, Ball began promoting the first Friday in October as a day to encourage smiles and acts of kindness. But there’s no need to limit smiles to one day. We hope you treat every day as World Smile Day—to make your corner of the world a little brighter.

What can you do to show your support? Well to begin with, smile—a lot. And also do things to make other people smile. We don’t want you to hold back because you’re not completely satisfied with your smile. If you’d like to get that wonderful smile of yours in better shape, here are some ideas:

Have your teeth professionally cleaned. Having your teeth cleaned at the dental office is one of the best things you can do to prevent dental disease. Dental plaque makes your teeth look dull and dingy and can lead to gum disease and cavities. A professional cleaning to rid your teeth of any built-up plaque and tartar (hardened plaque) with a follow-up polish can help your teeth look great!

Brighten up your smile. You can turn up the brightness volume on your teeth with a tooth whitening application. There are whitening products you can buy over the counter, but for best results see your dentist for a professional whitening. Dentists can better control the degree of brightness and their professional-grade solutions often last longer.

Upgrade your teeth’s appearance. You may have a great looking smile—except for that chip, discoloration or slight gap between a couple of teeth. There are a number of ways, many quite affordable, to improve your teeth’s appearance. Your dentist can bond color-matched composite resin to your teeth to “fill in” chips or other blemishes. And a veneer, a thin layer of porcelain bonded to the face of a tooth, can mask mild to moderate dental blemishes.

There are other “smile changers” like orthodontics, crowns or dental implants that are a bit more extensive. Depending on your needs and expectations, these can give you a “smile makeover” that will get you ready for future World Smile Days.

In the meantime, talk to us about how you can perk up your smile. An attractive smile is much easier to share with the world.

If you would like more information about smile enhancements, please contact us to schedule a consultation.





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