November is National Diabetes Month—a good time to look at the connection between diabetes and oral health. While it’s important for everyone to take care of their teeth and gums, it may be especially important for people with diabetes.
People whose diabetes is not well controlled have a higher risk of infections in the mouth, especially gum disease, also called periodontal disease. Advanced periodontal disease is the number one cause of tooth loss among adults. Not only does diabetes put you at risk of oral health problems, it goes both ways. Periodontal disease can lead to higher blood sugar levels in people with diabetes and may increase the risk of complications such as heart and kidney problems.
But here’s some good news: People who take good care of their teeth and gums may have better blood sugar levels and, conversely, better blood sugar levels generally result in better gum health. Many people successfully avoid complications of diabetes by taking good care of themselves, including their teeth and gums. Here are some things you can do to help control your diabetes:
- Eat right, exercise and watch your weight for better blood sugar control.
- Keep up with your oral hygiene routine at home.
- Schedule regular dental visits and cleanings.
Better oral health combined with better blood sugar control will reduce your risk of complications from diabetes. Your dental care team can help you maintain the best oral health for better diabetes control.
Everyone knows that in the game of football, quarterbacks are looked up to as team leaders. That's why we're so pleased to see some NFL QB's setting great examples of… wait for it… excellent oral hygiene.
First, at the 2016 season opener against the Broncos, Cam Newton of the Carolina Panthers was spotted on the bench; in his hands was a strand of dental floss. In between plays, the 2105 MVP was observed giving his hard-to-reach tooth surfaces a good cleaning with the floss.
Later, Buffalo Bills QB Tyrod Taylor was seen on the sideline of a game against the 49ers — with a bottle of mouthwash. Taylor took a swig, swished it around his mouth for a minute, and spit it out. Was he trying to make his breath fresher in the huddle when he called out plays?
Maybe… but in fact, a good mouthrinse can be much more than a short-lived breath freshener.
Cosmetic rinses can leave your breath with a minty taste or pleasant smell — but the sensation is only temporary. And while there's nothing wrong with having good-smelling breath, using a cosmetic mouthwash doesn't improve your oral hygiene — in fact, it can actually mask odors that may indicate a problem, such as tooth decay or gum disease.
Using a therapeutic mouthrinse, however, can actually enhance your oral health. Many commonly available therapeutic rinses contain anti-cariogenic (cavity-fighting) ingredients, such as fluoride; these can help prevent tooth decay and cavity formation by strengthening tooth enamel. Others contain antibacterial ingredients; these can help control the harmful oral bacteria found in plaque — the sticky film that can build up on your teeth in between cleanings. Some antibacterial mouthrinses are available over-the-counter, while others are prescription-only. When used along with brushing and flossing, they can reduce gum disease (gingivitis) and promote good oral health.
So why did Taylor rinse? His coach Rex Ryan later explained that he was cleaning out his mouth after a hard hit, which may have caused some bleeding. Ryan also noted, “He [Taylor] does have the best smelling breath in the league for any quarterback.” The coach didn't explain how he knows that — but never mind. The takeaway is that a cosmetic rinse may be OK for a quick fix — but when it comes to good oral hygiene, using a therapeutic mouthrinse as a part of your daily routine (along with flossing and brushing) can really step up your game.
While crooked teeth are usually responsible for a malocclusion (poor bite), the root cause could go deeper: a malformed maxilla, a composite structure composed of the upper jaw and palate. If that’s the case, it will take more than braces to correct the bite.
The maxilla actually begins as two bones that fit together along a center line in the roof of the mouth called the midline suture, running back to front in the mouth. The suture remains open in young children to allow for jaw growth, but eventually fuses during adolescence.
Problems arise, though, when these bones don’t fully develop. This can cause the jaw to become too narrow and lead to crowding among the erupting teeth and a compromised airway that can lead to obstructive sleep apnea. This can create a cross-bite where the upper back teeth bite inside their lower counterparts, the opposite of normal.
We can remedy this by stimulating more bone growth along the midline suture before it fuses, resulting in a wider maxilla. We do this by installing a palatal expander, an appliance that incrementally widens the suture to encourage bone formation in the gap, which over time will widen the jaw.
An expander is a metal device with “legs” extending out on both sides and whose ends fit along the inside of the teeth. A gear mechanism in the center extends the legs to push against the teeth on both sides of the jaw. Each day the patient or caregiver uses a key to give the gear a quarter turn to extend the legs a little more and widen the suture gap. We remove the expander once the jaw widens to the appropriate distance.
A palatal expander is an effective, cost-efficient way to improve a bite caused by a narrow jaw, but only if attempted before the bones fuse. Widening the jaw after fusion requires surgery to separate the bones — a much more involved and expensive process.
To make sure your child is on the right track with their bite be sure to see an orthodontist for an evaluation around age 6. Doing so will make it easier to intervene at the proper time with treatments like a palatal expander, and perhaps correct bite problems before they become more expensive to treat.
If you would like more information on treating malocclusions, 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 “Palatal Expanders: Orthodontics is more than just Moving Teeth.”
It’s bad enough the diseases caused by poor dental hygiene or lack of dental checkups could be leaving your teeth and gums more at risk. But current scientific research seems to indicate those same dental diseases may also cause you problems in other parts of your body.
The connection is especially pronounced with periodontal (gum) disease, a family of disorders that can eventually lead to tooth loss. Gum disease is caused by plaque, a thin film of bacteria and food particles that builds up on tooth surfaces due to a lack of daily brushing and flossing. Even skipping one day of hygiene increases the level of oral bacteria that cause these infections.
As it spreads, the infection causes the gum tissues to become inflamed and ulcerated. The gums weaken to the point where they easily bleed even when mildly brushed. This allows access for bacteria and other toxins to enter the bloodstream where they may eventually affect other organ systems. We’re now finding that conditions as varied as cardiovascular disease, osteoporosis, diabetes or rheumatoid arthritis (which all share a common thread with inflammation) may be affected by gum disease — and vice-versa.
If you have any of these or similar conditions, it’s important for you to stay vigilant in maintaining healthy teeth and gums. It's necessary to brush and floss daily to remove plaque buildup as well as dental checkups at least twice a year. You should also keep a close eye out for early signs of gum disease, like bleeding, swollen or reddened gums. If so, call us for an appointment as soon as possible.
Keeping your teeth and gums disease-free and healthy could have a positive impact on your treatment for other health conditions. You’ll be doing your mouth and the rest of your health a favor.
If you would like more information on how periodontal (gum) disease affects the body, 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 “Good Oral Health Leads to Better Health Overall.”
Even though baby teeth are not meant to last forever, they serve some very important functions for the time they are around. Healthy baby teeth allow your child to bite and chew food, articulate sounds correctly during speech, and, of course, to smile! They also help guide the permanent teeth, which will one day replace them, into proper alignment. So it’s important to take good care of them while they’re here. Let’s answer some frequently asked questions about pediatric dentistry.
Can I get my teeth cleaned while I’m pregnant?
Yes — and you should! Both the American Dental Association and the American Congress of Obstetricians and Gynecologists recommend that women keep up with their regular schedule of dental cleanings and exams during pregnancy. Not doing so can allow disease-causing oral bacterial to flourish, which can be a health risk for both the expectant mother and her fetus.
Do infants need their teeth brushed?
Yes, it’s important to start a daily oral hygiene routine as soon as the first baby tooth appears — usually sometime between six and nine months of age. Use a very soft-bristled child-sized toothbrush and just a smear of fluoride toothpaste (the size of a grain of rice). When your child turns 3, increase the amount of fluoride toothpaste to the size of a pea.
When should I take my child in for her first dental appointment?
The answer to this one may surprise you: All children should see a dentist by the age of 1. Early dental visits get children accustomed to having their mouths examined and their teeth cleaned. Establishing this healthy habit early will go a long way toward promoting a lifetime of good oral health.
Should I worry that my child sucks his thumb?
That depends on how old he is. Thumb sucking is a normal, comforting habit for babies and toddlers. Most outgrow it by the time they are 4. But kids who don’t are at increased risk for orthodontic issues later on. If your child seems unable to break the habit, let us know; we can give you more detailed recommendations at your next appointment.
What can I do to prevent my children from getting cavities?
Make sure your children have an effective daily oral hygiene routine that includes brushing with fluoride toothpaste twice a day and flossing at least once per day. If they are too young to do a good job by themselves, help them complete these important tasks. Keep their sugar consumption as low as possible; pay particular attention to beverages — soda, sports drinks and even 100 % natural fruit juices can all promote tooth decay. We can offer individualized advice on fighting cavities, and even provide fluoride treatments and dental sealants for extra protection against cavities. So don’t forget to bring your child in to the dental office for regular exams and cleanings!
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