The Associate Press recently posted an article where it revealed that the US government removed language on the value of flossing to fight gum disease and the AP asserted that studies proving the value of flossing in preventing gum disease are weak; HOWEVER, flossing still is an important part of oral health and the ADA highly recommends flossing daily. Here is a piece by Forbes on why you should keep flossing.
AP ARTICLE: http://bigstory.ap.org/article/f7e66079d9ba4b4985d7af350619a9e3/medical-benefits-dental-floss-unproven
AMERICAN DENTAL ASSOCIATE RESPONSE: http://www.ada.org/en/publications/ada-news/2016-archive/august/association-responds-to-news-story-challenging-benefits-of-dental-floss-use?nav=news
Smiles by Dr. McDonald
A Dental Blog by the Staff of Dr. Charles McDonald
Wednesday, August 3, 2016
Wednesday, May 11, 2016
What Dentists have Learned about Fluoride Varnish for Your Children
by Rudolfo San Miguel
The best defense against tooth decay for your children is having your dentist or hygienist apply a fluoride varnish on their teeth. Getting this done at an early age is important. The procedure is quick and the value to your child’s teeth is remarkable. This is what many dentists have believed for years and has been confirmed by a 2006 study in UCSF School of Dentistry led by Dr. Jane Weintraub, DDS/MPH. Dr. Weintraub was quoted in an article form the UCSF News Center as expressing two important conclusions that are vital to the dental health of children: "First, the results support the use of fluoride varnish to prevent tooth decay in very young children. Second, the results support parents bringing children for their first dental visit at age one when they are getting their first teeth." Fluoride varnish is a resin of fluoride that is applied to teeth. Candy, sugar sodas, and similar treats can have erosive effects on the surface of your teeth. Fluoride varnish provides an extra layer of protection to fight these sources of erosion.
Here are some great links for more information:
The best defense against tooth decay for your children is having your dentist or hygienist apply a fluoride varnish on their teeth. Getting this done at an early age is important. The procedure is quick and the value to your child’s teeth is remarkable. This is what many dentists have believed for years and has been confirmed by a 2006 study in UCSF School of Dentistry led by Dr. Jane Weintraub, DDS/MPH. Dr. Weintraub was quoted in an article form the UCSF News Center as expressing two important conclusions that are vital to the dental health of children: "First, the results support the use of fluoride varnish to prevent tooth decay in very young children. Second, the results support parents bringing children for their first dental visit at age one when they are getting their first teeth." Fluoride varnish is a resin of fluoride that is applied to teeth. Candy, sugar sodas, and similar treats can have erosive effects on the surface of your teeth. Fluoride varnish provides an extra layer of protection to fight these sources of erosion.
Here are some great links for more information:
Labels:
dental care,
dentist,
Fouride Varnish,
Hygienist,
oral care,
oral health,
Oral hygiene,
teeth,
Varnish
Wednesday, April 13, 2016
This is Your Mouth
by Rudolfo San Miguel
Your mouth is made of up of more than teeth and jaw bone. Good
dental care isn’t just about protecting your teeth as much it is about
comprehensive oral hygiene. Each portion of your mouth has a different function
and design. By understanding the different portions of your mouth you can
better appreciate how important its well-being is for you and your life.
The Oral
Mucosa is the inner portion of your mouth, which protects you from
what you put on it. Made of a protective lining called the “oral mucosa,” this
inner surface of your mouth is important for your oral health along with your
health in general. It consists of a tough membrane called keratin, which is also
what both your fingernails and hair are made. It protects from disease, as it
protects from injury.
The Gums are the
pink tissue surrounding your teeth. Covering the entire roots of your teeth,
the gums are important not only to your dental structure but also the health of
the rest of your mouth. Gum disease may ultimately lead to both teeth decay
and/or loss.
The Jaws (Upper
and Lower) are the bones and structure surrounding the entrance to your
mouth. They give your face its shape. They are essential for chewing and
talking. Your upper jaw is attached to your skull, while the lower jawbone is
separate and able to move vertically while you are chewing or speaking.
The Tongue is the organ
in your mouth that you use to both taste and swallow food. Made of a powerful
muscle, the tongue is covered with a special kind of mucosal tissue that
harbors your taste buds. Aside from all the eating, tongues are important for
speech.
The Salivary
Glands are the three sets of glands located in your mouth and neck
where your saliva is produced. They are called the “parotid,” “submandibular,”
and “sublingual” glands. Your saliva helps protect your teeth and gums by
rinsing food and bacteria. It also counteracts foods that are acidic, which can
slowly wear away your teeth’s protective enamel.
The Uvula is the small
flap of tissue that hangs from the back of your throat. Composed of muscle
fibers and glandular tissue, the uvula is still a mystery to scientists. It
does seem to play a role in both speech and maintaining moisture in your mouth
and throat.
The Frenulum
Linguae is the flap of mucosa connecting your tongue at the bottom of
your mouth. It allows your tongue to move and assist in your ability to speak.
We may sometimes take our mouth for granted. Think of all the
chewing, tasting, breathing, and swallowing you do. Through all these different
elements to the structure of your mouth, these task are completed. Their health
and well-being is as much part you as the rest of your body.
Labels:
dental care,
dentist,
frenulum linguae,
gums,
jaws,
mouth,
mucosa,
oral care,
oral health,
salivary glands,
teeth,
tongue,
uvula
Location:
Belmont, CA, USA
Wednesday, March 23, 2016
Periodontal Maintenance: Learning to Love Your Teeth
Sometimes it is hard loving the things that benefit you
the most. Not that you don’t value them, nor that you are unaware of the value.
Sometimes you may become so accustomed to their place in your life that you are
oblivious of how life would be without them. A case in point would be your
teeth.
Considered what your life
would be like without your teeth. In other words, think about not being able to
chew your food? Not being able to smile
or speak confidently. Ever consider
wearing dentures?
So learning to love your
teeth is an important life lesson especially as you age. One of the possible
consequences as you age is getting Periodontal Disease. This infection is
caused by bacteria that live on our teeth and under our gums. In a matter of hours after a cleaning, a film develops on the teeth. This matrix attracts bacteria and allows it
to grow and prosper. If not managed properly, it becomes a chronic infection.
What all this means is that
Periodontal Disease is an infection that is managed. It is not cured. It
requires daily home care that addresses the disruption of bacteria in the
mouth. Finding the right oral aids and protocol with your hygienist is only
part of maintenance. Your visits for professional cleanings will ensure your
efforts are working and to access areas that you are unable to reach. The
recommendation of a three month interval is based on research and scientific
evidence.
Consider how much you
spend on other portions of your well-being. How much money and time do you
spend when you go to a hair stylist? How many trips to the gym do you make in 3
months’ time for weight control and fitness? Why wouldn’t this be the
same with your teeth?
The pathogens that cause
Periodontal Disease are persistent. You must be persistent too! The disease can
become active with just a short lapse of routine brushing and flossing. We
often see advancing disease when a person's immune system is challenged, as in
stress, illness, or even sleeplessness.
The consequences to your
teeth could be serious. This starting inflammation may seem minor, but it is
the exact precursor to advancing disease and bone loss. Dismantling the
maturing biofilm (bacteria) is crucial at this time to reverse early invaders
from spreading throughout the mouth. It is the time when uninterrupted bacteria
become destructive and the body’s immune response goes “from healing damaged
cells to harming healthy ones.”
It isn’t overreacting to
include your dentist and hygienist as part of your regular health regimen.
Professional cleanings not only aim to control Periodontal
Disease, but will lessen the burden of inflammation in general in your body.
The benefits of such regular cleanings—every three months if you have
Periodontal Disease—are unquantifiable!
Here are some informative links for your further
reading:
Wednesday, March 9, 2016
How a Dentist helped my Relationship and My Oral Health
by Rudolfo San Miguel
I really got into brushing my teeth daily when my mouth
started getting sore. I figured my mouth had become irritated because I wasn’t
keeping up with my daily cleaning and it was a sign of my lack of maintaining
proper oral hygiene.
I never thought it was time to go to the dentist. I didn’t
like the dentist, and it was bad enough that I had to go for an annual
appointment with my general practitioner. Why should I see a dentist annually
as well? I stood by this attitude with the assurance that if I kept my new
habit of cleaning my teeth daily, the need for an annual dental exam was
unnecessary.
My girlfriend Heather was the person who got me out of this thinking when she complained that my mouth stank every time I was close to her. She always said my gums were red and swollen. Heather resisted kissing me around that time. This was enough to get me into a dentist’s office and change my thinking.
The dentist was a nice guy by the name of Charles McDonald.
He had been practicing restorative dentistry since graduating first in his
class from Howard University in 1970. He was really patient with me. What I
discovered really helped me realize how off was my thinking. It turns out I had
the beginning stages of Periodontal Disease (PD), which is called Gingivitis.
The bad news was I was stuck with it and I needed to deal
with it or would face consequences. The good news was that I could deal with it and that PD was very
treatable with the regular help of a dentist.
The first question you may have is what is Periodontal
Disease? This is what the Center for Disease
Control (CDC) has to say about PD:
"Periodontal disease is mainly the result of infection and inflammation of the gums and bone that surround and support the teeth. In its early stage, called gingivitis, the gums can become swollen and red, and they may bleed. In its more serious form, called periodontitis, the gums can pull away from the tooth, bone can be lost, and the teeth may loosen or even fall out. Periodontal disease is mostly seen in adults. Periodontal disease and tooth decay are the two biggest threats to dental health."
Surprisingly, it turns out that over 47% of adults over the
age of 30 have some kind of PD, whether it is simply gingivitis or something
more serious. And it is over 71% common for people over the age of 65. It is
more common for men to have it and for people who smoke. You can follow this
link for more on the CDC’s information on PD: http://www.cdc.gov/OralHealth/periodontal_disease/index.htm
The solution to my problem, especially since it was the
early form of PD, was a lot less painful than learning about the problem. Dr.
McDonald, after finishing his exam and giving me his recommendations, referred
me to his hygienist, Donna Avakoff, who provided me with a professional
cleaning. Both Dr. McDonald and Donna recommended that I keep up the good work
and continue to brush my teeth daily along with including flossing to my daily
mouth hygiene.
I ended up convincing Heather to visit Dr. McDonald after
being swayed by his office’s philosophy on PD prevention, “Early diagnosis and
treatment for better oral health and systemic health.” Donna stressed that PD
is a chronic infection that occurs in many adults has been linked to the
increased risk for heart disease and stroke. This was reason to be concerned
and be proactive in my dental hygiene.
I felt reassured after finishing my cleaning and relieved of
the soreness on my gums. The biggest satisfaction when Heather was more
inclined to stick closer to me, especially now that my mouth was much more
pleasant.
Tuesday, March 1, 2016
Why Fluoride Varnish?
The benefits of fluoride varnish can be realized throughout a life time.
Young children are the most vulnerable to getting cavities. As soon as the teeth erupt into the mouth they are exposed to bacteria. Those bacteria then metabolism carbohydrates that you eat and drink. The byproducts produced are acidic in nature and will demineralized tooth structure. Fluoride varnish will not only help reverse early decay but will help prevent acid dissolution in the future.
In young adults the benefits of a fluoride treatment are geared more towards prevention. The margins surrounding existing crowns and fillings, where bacteria is often harder to remove, will be more vulnerable to the acids and can undermined a restored tooth.
By mindful homecare and regular professional cleanings with a fluoride varnish, you can lessen the risk of recurring decay.
In my opinion however, I feel the greatest need for fluoride varnish is when there are a multitude of challenges, often seen in mature adults. Medications causing dry mouth contribute to the acid environment in the mouth. With less salivation there is a decreased buffering effect from acids that are formed. Additionally, bacterial biofilm collecting around restored teeth often at the gum line have a faster pathway into the root of the tooth. The root being less mineralized than the enamel will decay faster and comprom
ise treatment options possibly leading to root canal therapy or extraction.
To make matters worse a weakened immune response and the challenges of improving oral hygiene due to the aging body's increased needs, sets the stage for many adverse possibilities.Proactively practicing prevention when you are young, can give you more years of health as you age.
Donna Avakoff, RDH
http://www.dimensionsofdentalhygiene.com/ 2016/02_February/Features/ What_the_Evidence_Says_About_ Fluoride_Varnish.aspx#. VtSQ6fDJrrw.email
Sunday, February 28, 2016
Dental Biofilm
Have you ever wondered why we are so concerned about bleeding gums? Please let me explain...
The bacteria in the mouth form very complex microbial communities in between and around the teeth. They take in nutrients and they rid themselves of wastes. They transform themselves and their environment in an attempt to survive. Triggering the body's defense system, inflammatory cells are sent to the area. That is why there may be inflammation and bleeding of the gum tissue when you have your teeth cleaned.
When the gums are inflamed they will be more sensitive and can be ulcerated. This ulcerated tissue surrounding the teeth serves as a direct portal for bacteria to enter into the body's blood stream. From the mouth the bacteria circulate through the body. It is the bacteria as well as the body's inflammatory response that is being studied as to the link to heart attacks and strokes.
Research is now profound enough that we all must take this seriously. It is our goal to care for our patients in the best possible way. Understanding the importance of managing the bacteria is half the battle. We are here to help you achieve that level of care necessary to achieve oral-systemic health now and in the years to come.
Donna Avakoff, RDH
Biofilms: A microbial home
How Plaque and Gum disease can affect your health
Subscribe to:
Posts (Atom)