Wednesday, February 27, 2013

Tracy Dentist - Baby boomers need to link oral and overall health - Smiles by Design in Livermore



Baby boomers


Baby boomers looking for the warning signs of adult-onset diseases may be overlooking key symptoms in their mouth that could signal an alarm about their overall health.

According to a survey commissioned by the Academy of General Dentistry, 63 percent of baby boomers (people born from 1946 to 1964) with an oral symptom considered to be a key indicator of a more serious health condition were unaware of the symptom's link to the condition. Failure to recognize that oral health holds valuable clues to overall health could negatively affect their overall health by delaying treatment for more serious health conditions.

“Because of their busy lifestyles, members of this age group may not take the time to seek regular dental treatment, especially if they aren't in pain,” says Ken Sutherland, DDS, a senior dental consultant at Delta Dental. “Regular oral exams by your dentist can catch some diseases at their earliest stages, when they are most treatable.”

Oral health reflects overall health

New research suggests that the health of your mouth mirrors the condition of your body as a whole. For example, when your mouth is healthy, chances are your overall health is good, too. On the other hand, if you have poor oral health, you may have other health problems.
Consider these possibilities:
  • Bad breath and bleeding gums could be indicators of diabetes.
  • Dental x-rays show the first stages of bone loss.
  • A sore and painful jaw could foreshadow an oncoming heart attack.

Your dentist may be the first to know

Baby boomers are especially vulnerable to developing diabetes, osteoporosis and heart disease, the risks of which increase with age. Researchers believe that symptoms of these conditions can manifest in the mouth, making dentists key in diagnosing the diseases.
Research shows that more than 90 percent of all systemic diseases (diseases involving many organs or the whole body) have oral manifestations, including swollen gums, mouth ulcers, dry mouth and excessive gum problems. Such diseases include:
Since most people have regular oral examinations, their dentist may be the first health care provider to diagnose a health problem in its early stages.

What you can do

Seeing a dentist regularly helps to keep your mouth in top shape and allows your dentist to watch for developments that may point to other health issues. A dental exam can also detect poor nutrition and hygiene, improper jaw alignment and signs of developing oral problems. Provide your dentist with a complete medical history and inform him or her of any recent health developments, even if they seem unrelated to your oral health.

Source: National survey reveals baby boomers miss links between oral and overall health. Academy of General Dentistry
http://www.deltadentalins.com/oral_health/boomers.html


http://www.smilesbydesigninlivermore.com

Monday, February 25, 2013

Livermore Dentist Dr. Richard Howes dds - Quick Fixs for Dental Hygiene - Smiles by Design in Livermore


quick hygiene for the holidays


Parties with friends, family visits, holiday shopping – often, we get swept up in the festivities of the holiday season, and we may let the little things slide. But don’t let the hustle and bustle of the season keep you from practicing good dental hygiene.
In the long run, good dental hygiene is not such a little thing. To prevent dental problems from developing, you should continue to brush twice a day, floss every day and have your gums and teeth regularly evaluated by your dentist no matter how busy you are.

Quick fixes for dental hygiene

How do you keep up with your oral care regimen when you’re in a hurry? Here are some tips for keeping your dental care routine effective and efficient:
  1. No time to floss? If you’re crunched for time, consider keeping some floss picks near your couch or TV for use while watching your favorite show. Or throw some in your purse or your pocket and use them on the go. And although most people cite lack of time as a reason for not flossing, the Academy of General Dentistry says that flossing even two or three times a week provides some benefit and is far better than not flossing at all.
  2. No time to brush after your meal? If you don’t have time to brush after a meal, be sure to rinse your mouth thoroughly with water to remove all food particles and lingering sugars.
  3. Keep a bottle of fluoride mouth rinse in your purse, glove box or office desk drawer and slip away for a quick, refreshing rinse. Although mouth rinses should not be considered substitutes for a proper regimen of brushing with fluoride toothpaste and flossing, they can be a good quick fix to slow acid formation and tooth decay until you find the time later that day to floss and brush your teeth properly.
  4. Sugar-free gum or mints with xylitol can be a quick fix for on-the-go dental care. Xylitol has been shown to have decay-preventive qualities. Experts recommend using a xylitol product immediately after meals and snacks to help reduce plaque, inhibit adhesion of bacteria to the teeth and reduce contact time of sugars on teeth. Because duration of exposure is important, gum should be chewed for approximately five minutes and mints should be allowed to dissolve.
Although these tips will help you keep up with your oral hygiene when you’re pressed for time, there’s just no substitute for regular brushing and flossing when it comes to fighting tooth decay. In addition, the better the brushing and flossing technique you have, the more effective you will be and the less time you will need to spend keeping your teeth in tip-top shape.

Brushing technique

  • Brush for two to three minutes at least twice a day.
  • The head of your toothbrush should be placed beside the teeth, and the tips of the bristles placed at a 45-degree-angle to the gumline.
  • Move the toothbrush back and forth, using short strokes and a scrubbing motion, several times in each spot.
  • Keep the bristles angled against the gumline, while you brush both the inner and outer surfaces of each tooth.
  • Brush the chewing surfaces straight on.
  • Clean the inside surfaces of the front teeth by tilting the brush vertically and making several up-and-down strokes with the top of the brush.

Flossing technique

  • Floss at least once a day, preferably at bedtime.
  • Break off about 18 inches of floss, and wind most of it around one of your middle fingers. Wind the remaining floss around the same finger of the other hand. This finger will take up the floss as it becomes used.
  • Hold the floss tightly (without any slack) between your two hands, with about an inch of floss between them. Guide the floss between your teeth using a gentle sawing motion.
  • When the floss reaches the gumline, curve it into a C-shape against the tooth. Gently slide it into the space between the gum and the tooth until you feel resistance.
  • Hold the floss against the tooth. Gently scrape the side of the tooth, moving the floss away from the gum.
  • Repeat this technique on all of your teeth, including the teeth in back.
Some information courtesy of the Academy of General Dentistry.
source: http://www.deltadentalins.com/oral_health/quick-hygiene.html


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Friday, February 22, 2013

Pleasanton Dentist - Oral health: Brush up on dental care basics - Smiles by Design in Livermore




Your smile depends on simple dental care habits, such as brushing and flossing. But are you using the right techniques? Follow these steps to protect your oral health.

Brushing for oral health

Oral health begins with clean teeth. Consider these brushing basics from the American Dental Association:
  • Brush your teeth at least twice a day. When you brush, don't rush. Take enough time to do a thorough job.
  • Use the proper equipment. Use a fluoride toothpaste and a soft-bristled toothbrush that fits your mouth comfortably. Consider using an electric or battery-operated toothbrush, especially if you have arthritis or other problems that make it difficult to brush effectively.
  • Practice good technique. Hold your toothbrush at a slight angle against your teeth and brush with short back-and-forth motions. Remember to brush the inside and chewing surfaces of your teeth, as well as your tongue. Avoid vigorous or harsh scrubbing, which can irritate your gums.
  • Keep your equipment clean. Always rinse your toothbrush with water after brushing. Store your toothbrush in an upright position, if possible, and allow it to air dry until using it again. Don't routinely cover toothbrushes or store them in closed containers, which can encourage the growth of bacteria.
  • Know when to replace your toothbrush. Invest in a new toothbrush or a replacement head for your electric or battery-operated toothbrush every three to four months — or sooner if the bristles become frayed.

Flossing for oral health

You can't reach the tight spaces between your teeth or under your gumline with a toothbrush. That's why daily flossing is important. When you floss:
  • Don't skimp. Break off about 18 inches (46 centimeters) of dental floss. Wind most of the floss around the middle finger on one hand, and the rest around the middle finger on the other hand — leaving about 1 inch (3 centimeters) to floss your first tooth.
  • Take it one tooth at a time. Use your thumbs and forefingers to gently pull the floss from the gumline to the top of the tooth to scrape off plaque. Rub the floss against all sides of the tooth. Unwind to fresh floss as you progress to the next tooth.
  • Keep it up. If you have trouble getting floss through your teeth, try the waxed variety. If it's hard to manipulate the floss, use a floss holder or an interdental cleaner — such as a dental pick or stick designed to clean between the teeth.

    Other oral health care tips

    In addition to daily brushing and flossing, consider using an antimicrobial mouth rinse to help reduce plaque between your teeth.
    To remove food particles from your teeth, you might try an oral irrigator — a device that aims a stream of water at your teeth. Resist the temptation to use toothpicks or other objects that could injure your gums. Keep in mind, however, that an oral irrigator doesn't replace daily brushing and flossing, since it doesn't remove plaque.

    When to see the dentist

    To prevent gum disease and other oral health problems, schedule regular dental cleanings and exams — generally once or twice a year. In the meantime, contact your dentist if you notice any signs or symptoms that could suggest oral health problems, such as:
    • Red, tender or swollen gums
    • Gums that bleed when you brush or floss
    • Gums that begin pulling away from your teeth
    • Loose permanent teeth
    • Changes in the way your top and bottom teeth align with each other
    • Unusual sensitivity to hot and cold
    • Persistent bad breath or an unusual taste in your mouth
    Remember, early detection and treatment of problems with your gums, teeth and mouth can help ensure a lifetime of good oral health.
    by Mayo Clini Staff
     
     

Wednesday, February 20, 2013

Tracy Dentist - New Study Shows Dental Implants Have 90 Percent Success Rate - Smiles by Design in Livermore


New Study Shows Dental Implants Have Strong 90 Percent Success Rate


If you want to replace missing teeth and correct your smile and bite, there is a fantastic solution that’s available to you that utilizes the latest and greatest advancements in dental medicine: dental implants. But how effective are dental implants, and what success rate or failure rate do they have for patients in the long term?
According to a recent study that was conducted by researchers at the Loma Linda University School of Dentistry in the US, the success rate is pretty good, to the tune of about a 90 percent success rate. However, the success rate, according to the study, also greatly wagers on the dentist who is performing the procedure and their experience.
Common causes for implant failure include: improper care of teeth by the patient, smoking, bruxism (teeth grinding) and the type of prosthesis that’s being used.
To assess the efficacy of the study, researchers used the records of patients who had received full-arch maxillary and/or mandibular supported fixed complete dentures over a period of ten years.

Success Rate of Dental Implants Wagers on Dentist Experience

According to the study, the more experienced that your dentist is, the more successful that you can expect your dental implant to be. The records of patients who were treated with 297 implants at the school over the past decade were reviewed and compared.
  • 12 percent of implants failed when the dentists had fewer than five years experience.
  • Implants were twice as likely to fail if the dentist had completed fewer than 50 implant procedures.
  • One-third of patients with diabetes or bruxism experienced failed dental implants.
  • 90 percent of the time, overall, dental implants are successful, regardless of risk factor or practitioner experience.
 
 

Monday, February 18, 2013

Livermore Dentist - Top Reasons Why You Shouldn’t Postpone Dental Checkups - Smiles by Design in Livermore


Top Reasons Why You Shouldn’t Postpone Dental Checkups


According to the ADA, a person should see their dentist for a dental checkup at least twice per year; and in some cases more frequently depending upon the nature of their oral health. The primary reason to see your dentist two times per year is to help keep your teeth and gums healthy with regular dental cleanings, and to catch any problems while they are still minor, and treat them, in order to prevent major dental problems from occurring later on down the road. While some people are really good about diligently seeing their dental practitioner, it’s not a long shot to say that most people are not so fond of going to the dentist. So before you put off that next appointment, find out why it’s so critical you see your dentist at least twice per year.

Top Reasons to Never Avoid Your Dental Checkups

  • Catch dental problems while they are minor and treat them.
  • Save money by catching early problems and correcting them.
  • Prevent gum disease with proper oral care.
  • Get an oral cancer screening semi-annually.
  • Avoid losing teeth when you catch problems beforehand.
  • Gain crucial advice on proper oral health care and bad habits.
  • Treat cavities before they turn into costly root canals or tooth extractions.
  • Correct your bite and any grinding issues before compromising your teeth.
  • Avoid gum and teeth infections (and the pain that goes with them).
  • Preserve your smile for a lifetime with proper oral health care.
 
 
 

Friday, February 15, 2013

Pleasanton Dentist Dr. Richard Howes dds - Can I pull my Child's Loose Tooth Out





Whether to pulls a child’s loose tooth out or not is really up to the discretion of both parent and child. Some children are reluctant to have a parent get anywhere near a loose tooth, while others are eager to have the tooth pulled and out of their mouth. This is especially true in cases where the tooth has been hanging there by a thread for a week or more. However, before deciding on whether to pull a loose tooth out or not, there are some things to consider.

To Pull or Not to Pull
Losing one’s teeth is a rather big deal for a child. Many children love to compare tooth loss stories and show off their gummy smiles. For a child, this indicates the first real change from childhood into a more grown up stage of life. While parents may be sad for the loss of their little baby (in terms of age, of course, they’ll always be your baby!) the child often feels exceedingly excited about the change. Because of this, dental professionals encourage parents to allow their child to pull any loose teeth. Not only does this give the child control over when the teeth come out, but it allows for pain control (which is extremely important).

This leads us to our second point. Sometimes a tooth, even if hanging by a thread, isn’t quite ready to come out. This occurs when the tooth is still attached by a root. If you were to pull this tooth out, it may hurt very bad, and it may also cause damage to the mouth. If the child pulls the tooth, or at least attempts to, they are in charge of the pain, and able to stop if the pain is too much. As we all know, pain is a built in protection system, and this built in off system can help the child to know when the tooth is truly ready to come out. Failure to heed this system can lead to infection. While not all teeth that are yanked out with a root still attached have problems, this act does leave the root exposed, and this increases the risk for infection. So, before pulling the tooth yourself, suggest that your child try to pull the tooth. This is not only empowering, but will also help in the health and safety aspect of it.

If the child insists that the parent pull the tooth, there is a right way to do it. Don’t tie a string to it and slam the door shut, don’t even simply grab the tooth and yank it. Instead, use a tissue and grab hold of the tooth. Once you have a nice hold on it, slowly twist the tooth. This will ease the child into it, and give them a chance to protest if the pain is too great. It will also ease the tooth into working its way out. Twist until the tooth falls out. If it doesn’t come fairly easily, you may want to give it another day or two.

source: http://www.teethcenter.com/can-i-pull-my-childs-lose-tooth-out/
by Teeth Center Staff

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Wednesday, February 13, 2013

Tracy Dentist - What Causes Teeth Grinding? - Smiles by Design in Livermore





Have you been woken up in the middle of the night because of loud grinding noise? Sometimes this grinding noise can be coming from a person who is asleep in the same room with you but sometimes the noise can be coming from you.

Bruxism or night grinding is a parafunctional activity that can be experienced in the day and at night, during short naps or long night-time sleep. It is a sleep disorder that involves the hard clenching of the jaw and the grinding of the teeth, so patients that suffer from bruxism often have teeth surfaces that are significanly worn down.

The degree of destruction caused by the poor habit vary greatly per patient. While it cannot really be determined what really causes the condition, the following are some theories and speculations:

1. While there really is no definite cause, many believe that teeth grinding is hereditary. Therefore, a child who is reported to be grinding his teeth at night, will have one or both of his parents enjoying the same nocturnal activity.

2. The brain and the nervous system have a very advanced method of relaying messages to each other. Once a stimulus is perceived, the nerves send the message to the brain, to bring forth a response. This response that is orchestrated by the brain can either be carried out by the conscious or the subconscious state of the brain. Chewing and clenching can either be conscious or subconscious. When food is brought into the mouth, the jaws will begin to work and the action is observed. When a person is asleep and during waking hours when a person is distracted, some unconscious habits may come forth, such as bruxism.

3. In some cases it has been found that bruxism developed as a result of taking certain medications. People who are being treated for anxiety, hypermyptonia and various digestive problems present varying levels of bruxism signs and symptoms due to stimulants and amphetamine in the drug composition.

As with most conditions, finding the cause is going to be pertinent to finding the cure. When you know the what is causing the symptom, your dentist has a better opportunity to help you find relief.

source: http://www.teethcenter.com/what-causes-teeth-grinding/
by Teeth Center Staff

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Monday, February 11, 2013

Livermore Dentist - Signs you may have a cavity - Smiles by Design in Livermore




One of the most important keys to a healthy mouth is treating issues with cavities immediately after they occur. Failure to promptly and properly treat a cavity puts the individual at a higher risk for developing further cavities since cavities can be spread to other teeth through the saliva. Because of this, it is important to know the signs of a cavity, thus allowing for prompt treatment to occur.

Signs of a Cavity
Like many other health conditions, the signs of a cavity vary based on the conditions surrounding it. For example, the location of the cavity may change the signs and symptoms experienced, as may the time period the cavity has gone without treatment. However, despite the location and duration of time the cavity has existed, there are some signs that can signal the existence of a cavity. These signs and symptoms include:
1) A toothache in the affected tooth, or along one particular area of the mouth
2) Sensitivity in the affected tooth
3) Holes in the teeth that can be seen or felt with the tongue or dental instrument
4) Pain with pressure (such as biting down into something)
5) Pain with consuming food or beverages that are hot or cold
6) Pus coming from the gums when pressure is applied

An individual with a cavity may present with one of these symptoms, or a variety of them. Additionally, symptoms may start out very mild and hardly noticeable, and turn more severe as time passes. It is for this reason that regular dental check-ups are highly recommended. A dentist is able to spot areas that are at risk for a cavity, as well as early cavities, and can deal with them before they become a larger problem. In some cases, this may be the only way to tell that a cavity is present or developing as many cavities show no signs until they are very well developed in the mouth. At this point, they generally cause a great deal of pain, and are much more intrusive and costly to repair.

When to Seek Dental Attention
The best time to get dental treatment for a cavity is before any signs and symptoms appear. However, since this isn’t always an option, seeking dental attention as soon as symptoms appear is extremely important. Aside from saving yourself some pain and money, treating sooner rather than later may allow for more of the actual tooth to be saved. It also means that transmission of bacteria from the cavity site to nearby teeth is minimized, and thus other teeth may be saved from also having to undergo cavity treatment.

In short, any pain in the mouth is generally the best sign that there is a problem with the teeth. So, if aching or sharp pain is experienced in the mouth, see your dentist immediately. In some cases sensitivity may be a sign of another problem, but seeking dental advise sooner will allow for the best and most minimally invasive treatment.

source: http://www.teethcenter.com/signs-you-may-have-a-cavity/
by teeth center staff

http://www.smilesbydesigninlivermore.com
 

Friday, February 8, 2013

Pleasanton Dentist - Research strengthens link between obesity and dental health in homeless children - Smiles by Design in Livermore




Obesity and dental cavities increase and become epidemic as children living below the poverty level age, according to nurse researchers from the Case Western Reserve University and the University of Akron.

“It’s the leading cause of chronic infections in children,” said Marguerite DiMarco, associate professor at the Frances Payne Bolton School of Nursing at Case Western Reserve University.

Researchers Sheau-Huey Chiu, assistant professor, and graduate assistant Jessica L. Prokp, from the University of Akron’s College of Nursing, contributed to the study.
Researchers found that as body mass index (BMI) increased with age, so do the number of cavities. These findings were published in the online Journal of Pediatric Health Care article, “Childhood obesity and dental caries in homeless children.”

The study examined the physicals of 157 children, from 2 to 17 years old, at an urban homeless shelter. Most were from single-parent families headed by women with one or two children.

Obesity was calculated based on height and weight or BMI. Cavity counts included missing, filled or injured teeth. The data was originally collected for DiMarco’s doctoral dissertation at Case Western Reserve nursing school.

While studies in Brazil, New Zealand, Sweden and Mexico have shown a relationship between obesity, dental health and poverty, few U.S. studies have examined how the three factors are linked.

A pediatric nurse practitioner, DiMarco said dental caries (tooth decay) and obesity outpaced such health issues as asthma among the children studied.

The findings support reports from the Centers for Disease Control and Prevention that obesity and poor oral health have doubled since 1980, raising the risk of diabetes and other health problems, as well as issues with self-esteem.

Poverty contributes to poor dental health by limiting access to nutritious food, refrigerators to preserve food and even running water in some homes, said DiMarco, who has seen dental caries as the predominant infectious disease in rural and urban children.

“Many people do not realize ,” she said, “that dental caries is an infectious disease that can be transmitted from the primary caregiver and siblings to other children.”

To help reduce the spread of dental infection, DiMarco reminds parents that gum disease and other oral infections can be spread by licking a child’s spoon or baby bottle, or by sharing toothbrushes.

Another problem for children of poverty is access to dental care, where families lack the financial means and transportation to make and keep an appointment. And some working poor may not qualify for Ohio’s Childhood Health Insurance Program, which subsidizes health and dental care reimbursements to providers.

“There are no easy solutions,” DiMarco said, “especially with the homeless population.”
Pediatric nurse practitioners are in a pivotal position to provide health information from birth through the teen years to prevent such health issues, DiMarco said.

http://blog.case.edu/think/2012/11/13/research_strengthens_link_between_obesity_and_dental_health_in_homeless_children
Posted by: Susan Griffith
 

Wednesday, February 6, 2013

Tracy Dentist - What is oral leukoplakia? - Smiles by Design in Livermore


What is oral leukoplakia?

Oral leukoplakia is the most common premalignant or potentially malignant disorder of the oral mucosa.
It is defined as a white patch or plaque of the oral mucosa that cannot be characterized clinically or pathologically as any other disease.

Oral leukoplakia is a clinical diagnosis of exclusion. Diseases to be excluded include nicotine stomatitis, candidiasis, lichen planus, frictional keratoses, habitual cheek or lip biting, lupus erythematosus, etc.

Who does it affect?

Oral leukoplakia may affect about 0.5% of the world population, although it is likely to vary with gender, geography and ethnicity.
There is a strong association with tobacco smoking (six times more common in smokers than non-smokers) and alcohol intake (independent of drinking pattern or beverage type). It is also associated with betel quid chewing and oral submucous fibrosis.
It usually appears in adult life with prevalence increasing with increasing age:
  • found in less than 1% of men under 30 years of age
  • 8% of men over 70 years of age
  • 2% of women over 70 years of age
  • rare before age 30, peaks after 50 years
  • mainly affects middle aged to elderly men
  • non-smokers are likely to present at an older age.

Clinical features of oral leukoplakia

An early lesion is a slightly elevated grey-white plaque either well defined or which blends in gradually with surrounding mucosa. It can be a localised solitary lesion or multifocal and diffuse.
Two clinical forms are recognised.
1. Homogeneous – refers to homogeneous uniform colour AND texture
  • uniform white colour
  • uniform flat, thin appearance
The surface may become leathery – smooth, wrinkled, corrugated or with shallow cracks. This form is usually asymptomatic.
2. Non-homogeneous – refers to irregularity of either the colour OR the texture
  • predominantly white or white-red (erythroleukoplakia)
  • irregular texture which can be flat, nodular, exophytic, warty
Variants of the non-homogeneous form have been described including nodular, verrucous (including proliferative verrucous) and speckled. This form may be associated with mild discomfort or localized pain.
The most common site affected is the inside cheeks (buccal mucosa) and then in decreasing order of frequency:
  • gums (alveolar mucosa)
  • lower lip
  • floor of mouth (under tongue)
  • sides or undersurface of tongue (lateral or ventral tongue)
  • soft palate


How is the diagnosis made?

  • Biopsy of clinically suspected oral leukoplakia is mandatory to: exclude recognised diseases, and to assess for the absence or presence and grade of dysplasia.
  • It is appropriate to wait 2 weeks after first presentation to assess clinical response to initial treatment, e.g. for candida, change in tooth brushing habit, cessation of smoking, etc
  • The biopsy may be incisional or excisional, single or multiple and may be done under local or general anaesthetic depending on site, number of biopsies required and type of biopsy.
  • Biopsies should be taken from either a symptomatic area, or if asymptomatic then from red or indurated areas.
  • The presence of dysplasia, carcinoma-in-situ and invasive carcinoma cannot always be predicted clinically.
The histopathology of oral leukoplakia is not diagnostic. Epithelial changes range from atrophy (thinned) to hyperplasia (thickened) and it may show hyperkeratosis. Dysplasia (atypical changes) may be mild, moderate, severe, carcinoma in situ or invasive carcinoma. The pathology report must comment on the absence or presence of dysplasia, and the severity.

Oral leukoplakia Oral leukoplakia Oral leukoplakia

 

Treatment of oral leukoplakia

It is not known if early active treatment prevents the possible development of squamous cell carcinoma and there is a high recurrence rate after treatment.
  1. Avoid aggravating habits eg quit smoking, and
  2. Surgical excision, or
  3. CO2 laser – excision or vaporisation.
  4. Possible other options – retinoids (acitretin or isotretinoin), photodynamic therapy.
Lifelong follow-up is recommended whether or not the disorder has been treated:
  • 3-12 monthly clinical checks
  • Biopsy of suspicious changes
Oral mucosal examination must include the floor of mouth and sides of tongue using gauze to hold tip of the tongue and pull upwards and side to side. Most oral SCC develop in the sides & undersurface of the tongue, floor of mouth and back to the soft palate and tonsillar area. 

source: http://dermnetnz.org/site-age-specific/oral-leukoplakia.html

References:

  • Dermatology. Ed. Bolognia, J et al. 2nd edition 2007. Mosby.
  • van der Waal, Isaäc . Potentially malignant disorders of the oral and oropharyngeal mucosa; terminology, classification and present concepts of management. Oral Oncology 45 (2009) 317–323. Medline.
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Monday, February 4, 2013

Livermore Dentist - 10 Tips for Dealing with Dental Anxiety - Smiles by Design in Livermore



tips to help people scared of the dentist

Do you know somebody who hates going to the dentist? The answer is probably yes. More than 80 percent of American adults have some fear of the dentist, a study by the American Association of Endodontists discovered in 1999. Nearly 25 percent of Americans are so fearful, they avoid their dental check-ups unless they’re in pain, a Wall Street Journal article reports.
Some people are afraid of the sound of the drill, while others say they’re afraid the procedure will be painful. Some people say they hate feeling like they’re not in control when they’re leaning back in the chair, and others feel like their personal space is being violated when the dentist or hygienist is working on their teeth. Some people say they don’t want to go to the dentist because they’re afraid of being lectured about not brushing or flossing their teeth properly.
Unfortunately, the longer you delay visiting the dentist, the bigger and more costly the problems are to fix. Plaque, a sticky, colorless film of bacteria on your teeth, can cause gum disease and cavities. If the decay reaches the nerve of the tooth, then you will need a root canal and a crown. If you have advanced gum disease, the bacteria destroys the bone supporting your teeth, causing your teeth to become loose and possibly need to be extracted. Plus, new studies link gum disease with an increased risk of heart attacks, strokes and diabetes.
Here are some ways to deal with dental anxiety so you can get the care that you need:
  1. Tell your dentist about your anxiety and create a strategy. Some patients feel better if the dentist tells them what is happening at every step of the process. Other patients prefer to have the dentist talk about something other than the work that is being done. Listening to a calming voice talk about the ballgame that was on last night could help distract you.
  2. Establish a signal for when you need a break. Let the dentist know if you raise your hand, it means you need him/her to stop for a minute.
  3. Listen to music. Bring an iPod and headphones, close your eyes, and concentrate on your favorite songs instead of the sounds of the dentist’s office.
  4. Bring a friend. It can help to know you have someone you trust sitting in the waiting room and keeping you calm.
  5. Wear your own sunglasses. Typically, your dentist will supply protective eyewear, but the one-size-fits-all model may not be comfortable for you.
  6. Have something to hold. Kids may want to cuddle a teddy bear. Adults may choose to have a worry stone, a stress relief ball or a hand grip to squeeze during treatment.
  7. Picture yourself somewhere else. Visualization techniques such as imagining you’re on the beach watching the waves can help relax you.
  8. Silently repeat a mantra. You know how people always say think good thoughts? It’s true. Telling yourself simple mantras like “I am okay” or “I am safe” can help keep you calm.
  9. Consider medication. Before your appointment, call your dentist about your fears and discuss whether you should take a prescription. Make sure you follow your dentist’s instructions regarding any medication.
  10. Consider sedation dentistry. In extreme cases, there are some patients whose anxiety has reached the point of becoming a phobia. In these cases, talk to your dentist about whether anesthesia may be the best option.
The most important thing to remember is there are ways to cope with dental anxiety so you or someone you love can have a beautiful and healthy smile. The first step is to talk to your dentist. Make an appointment today.
Written by: Beth Gaddis
http://www.coastdental.com/blog/10-Tips-for-Dealing-with-Dental-Anxiety.aspx

www.smiltesbydesigninlivermore.com

Friday, February 1, 2013

Pleasanton Dentist - Surprising Ways to Keep Your Teeth Healthy - Smiles by Design in Livermore



In addition to brushing and flossing, a healthful diet (with natural or added fluoride) protects teeth from decay and keeps the gums healthy. Read on to discover how to keep your smile safe and strong.

Tooth decay (cavities and dental caries) and gum disease are caused by colonies of bacteria that constantly coat the teeth with a sticky film called plaque. If plaque is not brushed away, these bacteria break down the sugars and starches in foods to produce acids that wear away the tooth enamel. The plaque also hardens into tartar, which can lead to gum inflammation, or gingivitis.

A well-balanced diet provides the minerals, vitamins, and other nutrients essential for healthy teeth and gums. Fluoride, occurring naturally in foods and water, or added to the water supply, can be a powerful tool in fighting decay. It can reduce the rate of cavities by as much as 60 percent.

Dental Health Guidelines
Start right by eating right during pregnancy. Make sure that your children’s teeth get off to a good start by eating sensibly during pregnancy. Particularly important is calcium, which helps to form strong teeth and bones, and vitamin D, which the body needs to absorb calcium.

You need lots of calcium for healthy teeth and gums. Low-fat dairy products, fortified soy and rice beverages, canned salmon or sardines (with bones), almonds, and dark green leafy vegetables are excellent sources of calcium.
You need vitamin D to help absorb the calcium. Vitamin D is obtained from fluid milk, fortified soy and rice beverages, margarine, fatty fish such as salmon, and moderate exposure to the sun.

Fluoride is key. To a large extent, cavities can be prevented by giving children fluoride in the first few years of life. Fluoride is supplied through fluoridated water (not all municipalities fluoridate their water supply, however), beverages made with fluoridated water, tea, and some fish, as well as many brands of toothpaste and some mouthwash. Fluoride supplements are available for children who don’t have access to fluoridated drinking water. It is wise to check to see if the water supply in your area is fluoridated. Excess consumption of fluoride can cause mottling of the teeth.

Also needed are phosphorus, magnesium, vitamin A, and beta carotene. In addition to calcium and fluoride, minerals needed for the formation of tooth enamel include phosphorus (richly supplied in meat, fish, and eggs) and magnesium (found in whole grains, spinach, and bananas). Vitamin A also helps build strong bones and teeth. Good sources of beta carotene, which the body turns into vitamin A, include orange-colored fruits and vegetables and the dark green leafy vegetables.

Children are particularly vulnerable to tooth decay; parents should:
1. Provide a good diet throughout childhood
2. Brush children’s teeth until they’re mature enough to do a thorough job by themselves (usually by 6 or 7 years old)
3. Supervise twice-daily brushing and flossing thereafter
4. Never put babies or toddlers to bed accompanied by a bottle of milk (which contains the natural sugar lactose), juice, or other sweet drink
5. Never dip pacifiers in honey or syrup

1. The sugar factor. Sucrose, most familiar to us as granulated sugar, is the leading cause of tooth decay, but it is far from the only culprit. Although sugary foods, including cookies, candies, and sodas, are major offenders, starchy foods (such as breads and cereals) also play an important part in tooth decay. When starches mix with amylase, an enzyme in saliva, the result is an acid bath that erodes the enamel and makes teeth more susceptible to decay. If starchy foods linger in the mouth, the acid bath is prolonged, and the potential for damage is all the greater.

Be careful when eating dried fruits. Dried fruits can have an adverse effect on teeth, because they are high in sugar and cling to the teeth. Even unsweetened fruit juices can contribute to tooth decay — they are acidic and contain relatively high levels of simple sugars.

Fresh fruits, especially apples, are better choices. Fresh fruit, although both sweet and acidic, is much less likely to cause a problem, because chewing stimulates the saliva flow. Saliva decreases mouth acidity and washes away food particles. Apples, for example, have been called nature’s toothbrush because they stimulate the gums, increase saliva flow and reduce the build-up of cavity-causing bacteria. A chronically dry mouth also contributes to decay. Saliva flow slows during sleep; going to bed without brushing the teeth is especially harmful. Certain drugs, including those used for high blood pressure, also cut down saliva flow.

2. Gum disease. More teeth are lost through gum disease than through tooth decay. Gum disease is likely to strike anyone who neglects oral hygiene or eats a poor diet. Particularly at risk are people with alcoholism, malnutrition, or AIDS/HIV infection or who are being treated with steroid drugs or certain cancer chemotherapies. Regular brushing and flossing help to prevent puffy, sore, and inflamed gums.

Gingivitis, a very common condition that causes the gums to redden, swell, and bleed, is typically caused by the gradual buildup of plaque. Treatment requires good dental hygiene and removal of plaque by a dentist or dental hygienist. Left untreated, gingivitis can lead to periodontitis — an advanced infection of the gums that causes teeth to loosen and fall out. There may even be more serious consequences of gum disease. Studies have shown a link between poor oral health and heart disease. Bleeding gums apparently provide an entry port for bacteria or viruses that can cause heart problems. Women with tooth or gum problems are also more likely to give birth to premature babies.

Bleeding gums may also be a sign that your intake of vitamin C is deficient. Be sure that your diet includes plenty of fresh fruits and vegetables every day; munching on hard, fibrous foods, such as a celery stick or carrot, stimulates the gums.

3. Helpful foods. You can protect your teeth by concluding meals with foods that do not promote cavities and may even prevent them. For instance, aged cheeses help prevent cavities if consumed at the end of a meal. Chewing sugarless gum stimulates the flow of saliva, which decreases acid and flushes out food particles. Rinsing your mouth and brushing your teeth after eating are important strategies to prevent cavities. Here are some tips:
Consume Plenty Of
1. Calcium-rich foods, such as low-fat milk, yogurt, and cheese.
2. Fresh fruits and vegetables for vitamins A and C, and for chewing in order to promote healthy gums.
3. Tea, which is a good source of fluoride.

Limit
1. Dried fruits and other sticky foods that lodge between the teeth.

Avoid
1. Sweet drinks and snacks.
2. Steady sipping of acidic drinks for prolonged periods.

source: http://www.rd.com/health/wellness/3-surprising-ways-to-keep-your-teeth-healthy/

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