The secrets of avoiding gum disease as an older adult

Gum disease also known as periodontal disease often progresses slowly, without pain, over a long period of time and thats one reason it is common among older adults.

The longer the disease goes undetected and uncontrolled, the more damage it causes to gums and other supporting tissues.

Although periodontal disease is caused by plaque, other factors can increase the risk or severity of the condition, including:
– Food left between the teeth
– Tobacco use smoking and smokeless tobacco
– Badly aligned teeth
– Ill-fitting bridges or partial dentures
– Poor diet
– Systemic diseases such as anemia

Although periodontal disease is common, it can be controlled and, if caught in its early stages, it can be reversed. However, in advanced stages, it may require surgery.

Look out for the following warning signs and see your dentist if you notice any of them:
– Bleeding gums when you brush
– Red, tender or swollen gums
– Gums that have pulled away from the teeth
– Pus between your teeth and gums when the gums are pressed
– Loose teeth or teeth moving apart
– Any change in your bite
– Any change in the fit of your partial dentures
– Constant bad breath or bad taste

Keeping an eye out for these problems and having regular dental checkups can help you stop gum disease becoming a major and expensive problem.

How braces help both children and adults

Crowded or crooked teeth known as malocclusion not only spoil your smile, they also increase your risk of dental health problems.

Corrective procedures and appliances such as braces straighten teeth and correct jaw alignment.

Malocclusions are often noticed around ages 6 12, when the adult teeth begin to erupt.

The process of straightening out teeth, known as orthodontic treatment, often begins between ages 8 and 14. The best results are obtained when a child begins treatment while they are still growing.

This means its a good idea for a child to have an orthodontic evaluation by age 7. At this stage, they have a mix of baby teeth and adult teeth.

Its possible for braces to work later and even in adults but there are many advantages in starting as soon as possible.

Your dentist will be able to spot problems with emerging teeth and jaw growth early on, while the primary teeth are present.

Thats why regular dental examinations are important.

For adults, its not too late to correct problems such as crooked or crowded teeth, overbites, underbites, incorrect jaw position or jaw-joint disorders. The biological process involved in moving teeth is the same at any age.

The difference is that adult treatment takes a little longer than a child’s treatment. As an adult’s facial bones are no longer growing, certain corrections may not be accomplished with braces alone.

But, whatever your age, it’s never too late to improve your dental health and improve your smile.

How removable partial dentures can help you

Removable partial dentures usually involve replacement teeth attached to plastic bases, connected by metal framework.

They attach to your natural teeth with metal clasps or precision attachments. Precision attachments generally look better than metal clasps and are nearly invisible.

Crowns may be required on your natural teeth to improve the fit of a removable partial denture.

When you first get a partial denture, it may feel awkward or bulky. But you will gradually get used to wearing it.

It will also take a bit of practice to get used to inserting and removing the denture. It should fit into place easily and you should never force it.

Your dentist may suggest that you wear your partial denture all the time at first. While it will be uncomfortable for a while, it will help you identify if any parts of the denture need adjustment.

After making adjustments, your dentist will probably recommend that you take the denture out of your mouth before going to bed and replace it in the morning.

With a denture, eating should become a more pleasant experience compared to having missing teeth.

But, initially, youll need to eat soft foods cut into small pieces. And avoid foods that are extremely sticky or hard.

Some people with missing teeth find it hard to speak clearly so wearing a partial denture may help. However, youll probably need to practice certain words at first to get completely comfortable.

While it can take a little geting used to initially, a partial denture can help you enjoy your food with less worries.

The risks of oral piercing

Young people today choose to make a variety of fashion statements affecting not just the clothes they wear but also their bodies through tattoos and piercing, for example.

Oral piercing may be something they feel looks good but it can lead to problems where they end up needing medical or dental treatment.

Oral piercing can often lead to symptoms such as pain, swelling, infection, increased saliva flow and injuries to the gum tissue.

There can be severe bleeding if a blood vessel is in the path of the needle during the piercing.

Swelling of the tongue is also a common side effect and, in extreme cases, this can block the airway and lead to breathing difficulties.

Other possible problems include chipped or cracked teeth, blood poisoning or even blood clots.

Infection is a very common complication of oral piercing because of the millions of bacteria in your mouth.

Of course, the jewelry itself also causes risk. It can be swallowed or cause damage to your teeth.

So, while young people may feel piercings in the mouth look cool, a great smile will look a lot better in the years to come.

Dental plaque – what it is and how to avoid it

You’ve probably heard people talking about plaque and maybe you’ve some idea of what it is.

But it’s useful to know a bit more about it so that you can do what’s necessary to minimize the risks.

Plaque is a sticky film of bacteria that forms on teeth and gums.

When you’ve eaten a meal or snack, the bacteria in plaque release acids that attack tooth enamel. When this happens regularly, the enamel can weaken. This eventually leads to tooth decay.

The food we eat often causes plaque bacteria to produce acids. So, if you eat a lot of snacks, your teeth may be suffering acid attacks all day.

If you don’t remove the plaque through effective daily brushing and cleaning between the teeth, it can eventually harden into calculus or tartar.

Another effect of plaque is that it also produces substances that irritate the gums, making them red and tender or causing them to bleed easily.

If you want to prevent tooth decay and gum disease, make sure you have a balanced diet and avoid having too many snacks between meals.

When you feel like a snack, go for foods such as raw vegetables, plain yogurt, cheese or a piece of fruit.

How scaling and planing can help clean your teeth properly

Dental plaque is a film that builds up on your teeth and, if it is not removed through good oral hygiene, it can lead to tooth decay and gum problems.

Over time it can ultimately form a hard, rough sediment known as dental tartar or calculus, which attracts further plaque buildup.

Calculus has to be removed by a trained professional such as a hygienist or dentist.

They may do this by manual tooth scaling or using an ultrasonic device.

If the buildup is light or moderate, the dentist or hygienist may use manual scaling instruments of various shapes and sizes.

If the buildup of tartar and stains is heavy, an ultrasonic cleaner may be used. This may be followed by hand scaling.

Build up of plaque can cause inflammation of the gums leading to breakdown of the connection between the teeth and the supporting structures.

Root planing is a procedure to treat gum disease by thoroughly scaling the roots of teeth to establish a smooth, calculus-free surface.

This treatment may require local anesthesia to prevent pain. Thorough periodontal scaling customarily involves several dental visits

If conditions are more advanced, surgery may be needed for complete debridement of the roots to arrest the disease process.

Some people tend to have more buildup of calculus than others and some may be more prone to periodontal inflammation or the development of tooth decay.

It’s therefore important to follow your hygienist’s advivce on how often to return for regular cleanings – even if your insurance only covers two a year.

How smoking affects your teeth

While the general effects of smoking on your health are well-known, it can also have significant effects on your oral health.

Here are some of the ways smoking can harm your oral health and hygiene:

– Oral Cancer
– Periodontal (gum) disease
– Delayed healing after a tooth extraction or other oral surgery
– Bad breath
– Stained teeth and tongue
– Diminished sense of taste and smell

Research suggests that smoking may be responsible for almost 75% of adult gum disease.

Tobacco products damage your gum tissue by affecting the attachment of bone and soft tissue to your teeth. One effect is receding gums which expose the tooth roots and increase your risk of tooth decay or to sensitivity to hot and cold in these unprotected areas.

Cigar smoking is equally a major risk and even smokeless tobacco products contain a variety of toxins associated with cancer. Smokeless tobacco can also irritate your gum tissue.

Giving up smoking will provide a significant boost to your oral health as well as giving you the chance to live longer.

Taking care of your teeth and gums during pregnancy

Your oral health is an important part of your overall health, and this is never more true than during pregnancy.

Good oral health habits not only help prevent oral problems during pregnancy, they also help the health of your unborn child.

What you eat during your pregnancy affects the development of your unborn child — including teeth.

Eating a balanced diet is necessary to provide the correct amounts of nutrients to nourish both you and your child.

Your babys teeth begin to develop between the third and sixth month of pregnancy, so it is important that you receive sufficient nutrients especially calcium, protein, phosphorous, and vitamins A, C, and D.

There is a common myth that calcium is lost from the mothers teeth during pregnancy.

In fact, the calcium your baby needs is provided by your diet, not by your teeth. If your diet does not provide enough calcium, your body will provide this mineral from stores in your bones.

If you have an adequate intake of dairy products the main source of calcium or take any supplements your obstetrician recommends this will help you get the calcium you need.

To help prevent tooth decay and periodontal disease, brush your teeth thoroughly twice a day with fluoride toothpaste to remove plaque. Be sure to clean between your teeth daily with floss or interdental cleaners.

Make regular visits to your dentist during your pregnancy to ensure the best possible health for you and your baby.

Is bottled or tap water better for your teeth?

With many people concerned about the taste and purity of tap water, the sales of bottled water have increased significantly in recent years.

Tap water goes through a process of purification designed to eliminate suspended materials, remove tastes and odors and kill microorganisms.

Fluoride is added to most tap water supplies with the aim of reducing cavities.

Fluoride becomes incorporated into our teeth as they develop and makes them more resistant to decay. It can reverse the progress of early cavities and reduce the need for dental treatment.

Mass water fluoridation has played an important role in reducing tooth decay.

The problem with bottled waters is that they usually don’t contain fluoride.

So there is a risk that drinking bottled water can increase the risk of cavities for some people.

If you drink a lot of bottled water, you can make up for this by using fluoride toothpaste and mouth rinse.

Your dentist may even suggest a fluoride supplement if they notice an increase in cavities.

Daily dental tips to cut down on plaque

Plaque is a sticky film of bacteria that forms on teeth and gums. If you let it build up on your teeth, it can lead to several problems.

The best way to remove plaque from the tooth surfaces is by brushing and cleaning between your teeth every day.

You should brush your teeth twice a day, with a soft-bristled brush. The brush should fit your mouth comfortably, allowing you to reach all areas easily.

When you use toothpaste that contains fluoride, this helps protect your teeth.

You can help even more by cleaning between the teeth once a day with floss or interdental cleaners. This removes plaque from between the teeth in areas the toothbrush can’t reach.

By taking a few steps each day to look after your teeth – and visiting your dentist regularly, you’ll be able to enjoy healthy teeth and a great smile all your life.

How sugar in your diet affects your teeth

The sugar content in the food you eat has a big effect on your teeth and gums.

When bacteria (plaque) come into contact with sugar in the mouth, acid is produced, which attacks the teeth for 20 minutes or more. This can eventually result in tooth decay.

Thats why drinking sugar-filled sodas, sweetened fruit drinks, and non-nutritious snacks can take a toll on teeth.

This is particularly true for children as their eating patterns and food choices affect how quickly they develop tooth decay.

Foods that contain sugars of any kind can contribute to tooth decay. However, almost all foods, including milk or vegetables, have some type of sugar. Many of them also contain important nutrients that are an important part in our diet.

To help control the amount of sugar you consume, read food labels and choose foods and beverages that are low in added sugars. Soft drinks, candy, cookies and pastries often contain added sugars.

How dentures can replace your smile

If youve lost all of your natural teeth, whether from gum disease, tooth decay or injury, complete dentures can replace your missing teeth and your smile.

Replacing missing teeth will benefit your appearance and your health.

Without support from the denture, facial muscles sag, making a person look older. Youll also find it harder to eat and speak things that people often take for granted until their natural teeth are lost.

There are various types of complete dentures.

A conventional full denture is made and placed in the patients mouth after the remaining teeth are removed and tissues have healed which may take several months.

An immediate complete denture is inserted as soon as the remaining teeth are removed. The dentist takes measurements and makes models of the patients jaws during a preliminary visit. With immediate dentures, the denture wearer does not have to be without teeth during the healing period.

Even if you wear full dentures, you still must take good care of your mouth. Brush your gums, tongue and palate every morning with a soft-bristled brush before you insert your dentures to stimulate circulation in your tissues and help remove plaque.

And even if you wear full dentures, its important to visit your dentist regularly to maintain your overall oral health and get early warning of serious issues such as oral cancer.

How scaling and planing can help clean your teeth properly

Dental plaque is a film that builds up on your teeth and, if it is not removed through good oral hygiene, it can lead to tooth decay and gum problems.

Over time it can ultimately form a hard, rough sediment known as dental tartar or calculus, which attracts further plaque buildup.

Calculus has to be removed by a trained professional such as a hygienist or dentist.

They may do this by manual tooth scaling or using an ultrasonic device.

If the buildup is light or moderate, the dentist or hygienist may use manual scaling instruments of various shapes and sizes.

If the buildup of tartar and stains is heavy, an ultrasonic cleaner may be used. This may be followed by hand scaling.

Build up of plaque can cause inflammation of the gums leading to breakdown of the connection between the teeth and the supporting structures.

Root planing is a procedure to treat gum disease by thoroughly scaling the roots of teeth to establish a smooth, calculus-free surface.

This treatment may require local anesthesia to prevent pain. Thorough periodontal scaling customarily involves several dental visits

If conditions are more advanced, surgery may be needed for complete debridement of the roots to arrest the disease process.

Some people tend to have more buildup of calculus than others and some may be more prone to periodontal inflammation or the development of tooth decay.

It’s therefore important to follow your hygienist’s advice on how often to return for regular cleanings – even if your insurance only covers two a year.

How mouth protectors can save your teeth

If you take part in sports that carry a significant risk of injury, you should wear a mouth protector.

Accidents can happen during any physical activity and, if you participate in sports such as football, hockey, basketball, baseball, gymnastics and volleyball, you might be grateful for the extra protection one day.

Something as simple as a misdirected elbow in a game, or a spill off a bicycle, can leave you with chipped or broken teeth, nerve damage to a tooth or even tooth loss.

Mouth protectors usually cover the upper teeth and they can cushion the effect of a blow to the face, reducing the risk of broken teeth and injuries to the soft tissues of the mouth.

In addition, if you wear dental appliances such as braces on your lower jaw, your dentist may suggest a mouth protector for these teeth as well.

A properly fitted mouth protector will stay in place while you are wearing it, making it easy for you to talk and breathe. The three main types of mouth protectors are:

Stock: These are inexpensive and come ready to wear. But they often dont fit very well and they can be bulky making breathing and talking difficult.

Boil and bite: These can also be bought at many sport stores and may fit better than stock mouth protectors. You first soften them in water, then insert them and allow them to adapt to the shape of your mouth.

Custom-fitted: Protectors that are specially made for you by your dentist are more expensive but are likely to fit better than one you buy off the shelf.

Choosing to wear the right mouth protector can help you avoid serious long-term damage to your teeth and mouth.

How sedation and general anesthesia can make your visit to the dentist easier

While local anesthetics are often used in dental treatment, there is sometimes a need for anti-anxiety agents – such as nitrous oxide – or sedatives to help people relax during dental visits.

Dentists may use these agents to induce “minimal or moderate sedation”.

In this case, the patient reaches a relaxed state during treatment but can respond to speech or touch.

Sedatives can be administered before, during or after dental procedures by mouth, inhalation or injection.

More complex treatments may require drugs that can induce “deep sedation”.

This reduces consciousness and causes a loss of feeling which helps to reduce both pain and anxiety.

Sometimes patients undergo “general anesthesia” where the drugs lead to a temporary loss of consciousness.

A dentist may recommend deep sedation or general anesthesia for certain procedures with children or with adults who have severe anxiety or for people who have difficulty controlling their movements.

While these techniques to control pain and anxiety are used to treat tens of millions of patients safely every year, its important that you let your dentist know anything that might affect your ability to benefit from them for example, tell them about any illnesses or health conditions, whether you are taking any medications and if you’ve had any problems with allergic reactions to medications.

How removable partial dentures can help you

Removable partial dentures usually involve replacement teeth attached to plastic bases, connected by metal framework.

They attach to your natural teeth with metal clasps or precision attachments. Precision attachments generally look better than metal clasps and are nearly invisible.

Crowns may be required on your natural teeth to improve the fit of a removable partial denture.

When you first get a partial denture, it may feel awkward or bulky. But you will gradually get used to wearing it.

It will also take a bit of practice to get used to inserting and removing the denture. It should fit into place easily and you should never force it.

Your dentist may suggest that you wear your partial denture all the time at first. While it will be uncomfortable for a while, it will help you identify if any parts of the denture need adjustment.

After making adjustments, your dentist will probably recommend that you take the denture out of your mouth before going to bed and replace it in the morning.

With a denture, eating should become a more pleasant experience compared to having missing teeth.

But, initially, youll need to eat soft foods cut into small pieces. And avoid foods that are extremely sticky or hard.

Some people with missing teeth find it hard to speak clearly so wearing a partial denture may help. However, youll probably need to practice certain words at first to get completely comfortable.

While it can take a little geting used to initially, a partial denture can help you enjoy your food with less worries.

Building a strong relationship with your dentist

You’ll give yourself the best chance of good oral health if you build a strong relationship with your dentist.

That can sometimes mean asking the right questions and helping them to assist you in the best way possible.

So you want to make sure you have a dentist who will first of all explain techniques that you should use to help prevent dental health problems. They should be willing to show you step-by-step what you need to do.

You should also choose a dentist who is willing to take time to answer your questions, especially when they are recommending a course of treatment.

If you don’t understand any part of what your dentist recommends, don’t be afraid to ask for more information.

You may want to ask if there are other options to the solution they recommend. For example:

– How do the options differ in cost?
– Which solution will last the longest?
– Do all the options solve the problem?

Ask the dentist which treatments are absolutely necessary, which are elective and Which are cosmetic.

Ask which procedures are urgently needed, and which ones are less urgent. Your dentist will help you prioritize between problems which need immediate attention and those that are less urgent.

Often, treatment can be planned over a period of time but make sure you understand any consequences of delaying treatment.

It’s naturally also important to make sure that you are given full information about fees and payment plans before treatment is scheduled.

Understanding your wisdom teeth

Many patients ask whether wisdom teeth are really necessary since so many people have them removed.

The fact is that wisdom teeth are a valuable asset to the mouth when they are healthy and properly positioned.

However, problems can occur that sometimes make it better to have them removed.

For example, when the jaw isn’t large enough, the wisdom teeth can become impacted – misaligned or unable to grow in properly. They may grow sideways, emerge only part way from the gum or remain trapped beneath the gum and bone.

The reasons wisdom teeth may have to be extracted include:
– The teeth have only partially erupted. This leaves an opening for bacteria which cause infection.
– There is a chance the wisdom teeth will damage adjacent teeth.
– A cyst forms which may destroy surrounding structures such as bone or tooth roots.

Ask your dentist about the health and positioning of your wisdom teeth.

Your dentist will tell you if there are any issues and will recommend any steps needed.

Your saliva and why it’s so important

You probably don’t give too much thought to the saliva in your mouth, but if you think of it like a bloodstream you’ll realize how important it is.

Like blood, saliva helps build and maintain the health of the soft and hard tissues.

It removes waste products from the mouth and offers first-line protection against microbial invasion that might lead to disease.

Saliva is derived from blood and therefore can also be used to detect disease.

Saliva enhances enamel protection by providing high levels of calcium and phosphate ions. It contains the minerals that maintain the integrity of the enamel surface and helps protect against caries.

When salivary flow is reduced, oral health deteriorates – much in the same way body tissues suffer if blood circulation is disrupted.

Patients with dry mouths (xerostomia) experience difficulty chewing, speaking and swallowing. A major cause of dry mouth is medication – almost eighty percent of the most commonly prescribed medications lead to dry mouth.

Chewing gum after a snack or meal stimulates salivary flow, clearing food from the mouth and neutralizing plaque acid.

Your saliva is important to your oral health both for preventing disease and in helping to diagnose problems.

You might have gum disease without even knowing it

Gum disease – also known as periodontal disease – is an infection of the tissues surrounding and supporting the teeth and it’s a major cause of tooth loss in adults.

But it’s usually painless so you may not even know you have it.

It’s caused by plaque – a sticky film of bacteria that constantly forms on the teeth. These bacteria create toxins that can damage the gums.

The early stage of gum disease is called gingivitis. In this stage, the gums can become red, swollen and bleed easily. At this stage, you can usually still reverse the disease by daily brushing and flossing.

The more advanced stage of gum disease is known as periodontitis. At this stage, the gums and bone that support the teeth can become seriously damaged. The teeth may then become loose, fall out or have to be removed by a dentist.

It’s therefore very important to look out for any signs of gum disease. These signs include:

– Gums that bleed when you brush your teeth
– Red, swollen or tender gums
– Gums that have pulled away from the teeth
– Bad breath that doesn’t go away
– Pus between your teeth and gums
– Loose teeth
– Change in the way your teeth fit together when you bite
– Change in the fit of partial dentures

If you notice any of these signs, contact you dentist quickly and they’ll help you take action to make improvements.