Posts for category: Oral Health
Here’s a sobering statistic: you have a 50/50 chance over your lifetime for developing periodontal (gum) disease. And it’s much more serious than irritated gums: if not treated aggressively you could experience bone loss, which can not only lead to tooth loss but actually increases your risk of heart attack and stroke.
Initially, you may not notice any symptoms unless you know what to look for: mainly red and puffy gums that frequently bleed during brushing and flossing. As the infection advances into the underlying support structures that hold teeth in place you may also notice receding gums (moving away from your teeth causing them to look longer), pus around the gums or lingering bad breath or taste. And one or more loose teeth are a definite sign the supporting structures have weakened severely.
So, how does gum disease happen? It starts with bacteria. Your mouth contains millions of these and other microorganisms, most of which are friendly and even beneficial. Unfortunately, a fraction of them can infect and harm tissues like the gums and underlying bone. Your mouth’s defenses can normally handle them if their numbers remain low. But a bacterial population explosion can quickly overwhelm those defenses.
Bacteria are like any other life form: they need a secure environment and food. Disease-causing bacteria establish the former by utilizing proteins and other components of saliva to form a sticky biofilm on teeth known as plaque. Within the safe haven of dental plaque bacteria quickly multiply and form a complex and concentrated ecosystem feeding on remnant food particles, especially sugar and other carbohydrates.
The key to gum disease prevention (as well as treatment) is to deprive bacteria of their home and food source by removing plaque and its more hardened form calculus (tartar). You can manage plaque buildup by brushing and flossing daily, seeing your dentist regularly for cleanings to remove any remaining hard-to-reach plaque and calculus, and eating a nutritious diet with fewer sweets or other carbohydrate-rich snacks.
You can further lower your disease risk by avoiding smoking and other tobacco products and moderating your consumption of alcohol. And be sure to see your dentist as soon as possible if you notice any signs of infection with your gums. Taking these steps can help you avoid gum disease’s destructiveness and help preserve a healthy and attractive smile.
Tooth decay is more prevalent than diseases like cancer, heart disease or influenza. It doesn't have to be—brushing with fluoride toothpaste, flossing, less dietary sugar and regular dental cleanings can lower the risk of this harmful disease.
Hygiene, diet and dental care work because they interrupt the disease process at various points. Daily hygiene and regular dental cleanings remove dental plaque where oral bacteria flourish. Reducing sugar eliminates one of bacteria's feeding sources. With less bacteria, there's less oral acid to erode enamel.
But as good as these methods work, we can now take the fight against tooth decay a step further. We can formulate a prevention strategy tailored to an individual patient that addresses risk factors for decay unique to them.
Poor saliva flow. One of the more important functions of this bodily fluid is to neutralize mouth acid produced by bacteria and released from food during eating. Saliva helps restore the mouth's ideal pH balance needed for optimum oral health. But if you have poor saliva flow, often because of medications, your mouth could be more acidic and thus more prone to decay.
Biofilm imbalance. The inside of your mouth is coated with an ultrathin biofilm made up of proteins, biochemicals and microorganisms. Normally, both beneficial and harmful bacteria reside together with the “good” bacteria having the edge. If the mouth becomes more acidic long-term, however, even the beneficial bacteria adapt and become more like their harmful counterparts.
Genetic factors. Researchers estimate that 40 to 50 hereditary genes can impact cavity development. Some of these genes could impact tooth formation or saliva gland anatomy, while others drive behaviors like a higher craving for sugar. A family history of tooth decay, especially when regular hygiene habits or diet don't seem to be a factor, could be an indicator that genes are influencing a person's dental health.
To determine if these or other factors could be driving a patient's higher risk for tooth decay, many dentists are now gathering more information about medications, family history or lifestyle habits. Using that information, they can introduce other measures for each patient that will lower their risk for tooth decay even more.
If you would like more information on reducing your risk of tooth decay, 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 Everyone Should Know About Tooth Decay.”
While the prevention and treatment of tooth decay has improved dramatically over the last half century, it continues to be a major health issue, especially for children. One in four children 5 and younger will develop some form of the disease.
Although tooth decay in children stems from the same causes as in adults — the presence of decay-causing bacteria in plaque, unprotected teeth and the right mix of carbohydrates like sugar left in the mouth — the means by which it occurs may be different. We even define tooth decay differently in children as Early Childhood Caries (ECC), “caries” the dental profession’s term for tooth decay.
ECC highlights a number of cause factors specific to young children, such as: continuous use of a bottle or “sippy cup” filled with juice or other sweetened beverages; at-will breast-feeding throughout the night; use of a sweetened pacifier; or regular use of sugar-based oral medicine to treat chronic illness.
If you noticed sugar as a common denominator in these factors, you’re right. As a primary food source for bacteria, refined sugar is a major trigger for the disease especially if it constantly resides in the mouth from constant snacking or sipping. In fact, it’s the primary driver for a particular pattern of decay known as Baby Bottle Tooth Decay (BBTD). This pattern is specifically linked to sleep-time bottles filled with juice, milk, formula or other sweetened beverages, given to an infant or toddler to help soothe them through the night or during naps.
All these factors cause a cycle of decay. To interrupt that cycle, there are some things you as a parent should do: perform daily hygiene with your child to reduce decay-causing bacteria; reduce the amount and frequency of carbohydrates in the diet, particularly sugar; and protect the teeth by having us apply fluoride or sealants directly to the teeth.
Early tooth decay could affect your child's oral health for years to come. With a little care and vigilance, you improve your chances of avoiding that encounter.
If you would like more information on preventing tooth decay in children, 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 “Dentistry & Oral Health for Children.”
At Sudbury Family Dental Care in Sudbury MA, we welcome patients of all ages--from the youngest of children to our friends in their senior years. Preventive services are the cornerstone of all we do. Dr. Maria Elizondo-Marinescu, Dr. Sorin Marinescu, and their associate dentists strive to keep teeth and gums healthy for life. Is it time for your routine appointment with your general dentist?
What to expect
Whether you schedule a routine or urgent care appointment with your Sudbury general dentist, your professional team will greet you warmly and promptly at our Sudbury MA office. You'll be asked basic screening questions and be directed to update health and insurance information online.
Then, a dental assistant will escort you to one of our bright and comfortable treatment rooms. Your general dentists and their staff implement the highest standards in patient safety with:
- N95 masks
- High volume aerosols
- Small particulate filtration systems
- Strict sterilization and disinfection techniques and proper social distancing throughout our facilities
At Sudbury Family Dental Care, we adhere to the Centers for Disease Control (CDC) guidelines for your utmost protection.
Your general dentistry services
The Consumer Guide to Dentistry says general dentists provide the preventive, restorative, and aesthetic treatments needed to avoid or treat a variety of oral health problems and to improve the appearance of teeth and gums.
At our Sudbury MA office, our general dentists get to know their patients well and follow through on comprehensive care plans to foster the best oral health. We also have an on-staff periodontist, orthodontist, and endodontist to meet your more complex needs such as gum disease therapy, root canals, and orthodontics.
Your six-month cleaning and exam yield valuable information about your current oral health and your overall health too. Dr. Maria Elizondo-Marinescu, Dr. Sorin Marinescu, and their colleagues use these services as the baseline for current and future care and to prevent problems as early as possible.
Schedule your appointment
At Sudbury Family Dental Care in Sudbury MA, general dentistry is anything but general. We look forward to seeing you for your prophylactic care. In a single location, we offer you the state of the art treatments you need to have your brightest, healthiest smile. Phone us to schedule your appointment with Dr. Maria Elizondo-Marinescu, Dr. Sorin Marinescu, and their associate dentists. We look forward to seeing you! Call (978) 443-5193.
The final quarter of the 2019-2020 academic year was like no other in modern history. Because of COVID-19, U.S. schools and colleges lay dormant as millions of students carried on their studies via distance learning. Whether the upcoming school year will be online or in-person, the end of summer is still a great time to make sure your family's dental health is on track.
Normally, dental care is one of several items that families focus on right before school begins anew. But even if school won't be resuming in the traditional sense, you can still put the spotlight on your family's teeth and gums.
Here are 4 dental care areas that deserve your attention before the new school year begins.
Re-energize daily hygiene. The break in routine caused by sheltering in place may have had a stilting effect on regular habits like brushing and flossing. If so, now's the time to kick-start your family's daily hygiene. Brushing and flossing remove disease-causing plaque and are essential to long-term prevention of tooth decay and gum disease.
Schedule a dental cleaning. Regular professional cleanings, generally every six months, are necessary to remove hard-to-reach plaque and tartar. Scheduling may have been difficult this past spring, but as life starts to get back to normal, be sure to return to regular dental visits as soon as possible. During appointments, we can spot small issues that if left undetected could cause bigger problems later on.
Reassess your family's diet. If the last few months have impacted your normal food choices, you may want to take a closer look at your family's diet and what effect it may have on dental health. Processed foods with added sugar contribute to the risk of dental disease. But a diet rich in fresh fruits, vegetables and low-fat dairy contains abundant nutrients for strengthening teeth and gums.
Seek special evaluations as needed. It's a good idea to have your child undergo an orthodontic evaluation around age 6: If they have a poor bite developing, early intervention could prevent or minimize it. And you should have your teenagers' wisdom teeth monitored regularly in case they're impacted or causing other dental problems—they may require removal in early adulthood or before.
Hopefully, this unusual interruption in education will soon become a distant memory. But even with the school routine being upended as it has, you can still take advantage of the end of summer to give your family's dental health a boost.
If you would like more information about back-to-school dental care, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Top 10 Oral Health Tips for Children.”