Posts for: February, 2020
Holistic medicine aims to provide healthcare for the “whole” person. While it's a worthy approach, the term has also been used to advance ideas, including in dentistry, at odds with solid scientific evidence.
Here are 4 “holistic” oral health claims and why you should be wary of them.
Root canals are dangerous. It might be shocking to learn that some claim this routine tooth-saving procedure increases the risk of disease. The claim comes from an early 20th Century belief that leaving a “dead” organ like a root-canaled tooth in the body damages the immune system. The idea, though, has been thoroughly disproved, most recently by a 2013 oral cancer study that found not only no evidence of increased cancer, but an actual decrease in cancer risk following root canal treatment.
X-rays are hazardous. X-rays have improved tooth decay treatment by allowing dentists to detect it at earlier stages. Even so, many advise avoiding X-rays because, as a form of radiation, high levels could damage health. But dentists take great care when x-raying patients, performing them only as needed and at the lowest possible exposure. In fact, people receive less radiation through dental X-rays than from their normal background environment.
Silver fillings are toxic. Known for their strength and stability, dentists have used silver fillings for generations. But now many people are leery of them because it includes mercury, which has been linked to several health problems. Research concludes that there's no cause for alarm, or any need to remove existing fillings: The type of mercury used in amalgam is different from the toxic kind and doesn't pose a health danger.
Fluoride contributes to disease. Nothing has been more beneficial in dental care or more controversial than fluoride. A proven weapon against tooth decay, fluoride has nonetheless been associated with ailments like cancer or Alzheimer's disease. But numerous studies have failed to find any substantial disease link with fluoride except fluorosis, heavy tooth staining due to excess fluoride. Fluorosis, though, doesn't harm the teeth otherwise and is easily prevented by keeping fluoride consumption within acceptable limits.
Each of these supposed “dangers” plays a prominent role in preventing or minimizing dental disease. If you have a concern, please talk with your dentist to get the true facts about them.
If you would like more information on best dental practices, 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 “Holistic Dentistry: Fads vs. Evidence-Based Practices.”
Tooth decay doesn't occur out of thin air, but is the end result of bacteria feeding on sugar, multiplying and producing acid. High acidity erodes tooth enamel and creates an environment for cavity development.
Modern dentistry can effectively treat cavities and often save the tooth from further damage. But you don't have to wait: You can reduce your chances of cavities by managing risk factors that contribute to decay.
Here are 4 top risk factors for tooth decay and what you can do about them.
Poor saliva flow. Saliva neutralizes acid and helps restore minerals to enamel after acid contact. But your enamel may not have full protection against acid if you have diminished saliva flow, often due to certain medications. You can help increase your saliva by consulting with your doctor about drug alternatives, drinking more water or using a saliva boosting product. Smoking can also inhibit saliva, so consider quitting if you smoke.
Eating habits. High sugar content in your diet can increase bacterial growth and acid production. Reducing your overall sugar consumption, therefore, can reduce your risk of decay. Continuous snacking can also increase your decay risk, preventing saliva from bringing your mouth back to its normal neutral pH. Instead, limit your snack periods to just a few times a day, or reserve all your eating for mealtimes.
Dental plaque. Daily eating creates a filmy buildup on the teeth called dental plaque. If not removed, plaque can then harden into a calcified form called calculus, an ideal haven for bacteria. You can help curtail this accumulation by thoroughly brushing and flossing daily, followed by dental cleanings at least every six months. These combined hygiene practices can drastically reduce your cavity risk.
Your genetics. Researchers have identified up to 50 specific genes that can influence the risk for cavities. As a result, individuals with similar dietary and hygiene practices can have vastly different experiences with tooth decay. Besides continuing good lifestyle habits, the best way to manage a genetic disposition for dental disease is not to neglect ongoing professional dental care.
If you would like more information on managing your tooth decay risk factors, 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.”
Even though teeth are resilient, they're not indestructible. An accidental collision involving the face could damage teeth, even knocking a tooth completely out of its socket.
At first, it might seem like the end of the line for that particular tooth. But it doesn't have to be—if you know what to do. But you'll have to act quickly: The longer the tooth is out of its socket, the less chance it will survive long-term.
Here are the steps you should take to save a knocked-out tooth.
Find the tooth. It's important that you locate the missing tooth quickly. When you do, don't handle it by the root end: It still contains delicate periodontal cells that are essential if the tooth is going to rejoin with the ligaments and bone. Use clean water to rinse off any dirt or debris.
Reinsert the tooth. Holding it by the crown and not the root, reinsert the tooth into its empty socket, hopefully within an hour (the faster the better). You want to make sure it's good and snug, so apply a little force when you do this. Place some clean gauze or cloth between the tooth and its opposite on the other jaw, then have the person bite down and hold it in place.
Get immediate dental care. It's preferable to find a dentist as soon as possible (if not, then the nearest emergency medical facility). The dentist will x-ray the tooth to make sure it's positioned properly, and may adjust it further if necessary. They may also splint the tooth to adjacent teeth to help stabilize it until it fully reattaches with the jaw.
Again, time is of the essence—the quicker you can perform the above steps, the better the tooth's chances. Any delay could jeopardize the tooth's ability to reattach, or it could shorten its lifespan.
You can also get guidance on treating a knocked-out tooth and other dental emergencies with a free mobile app developed by the International Association of Dental Traumatology (IADT). Just look in your Android or IOS app store for ToothSOS.
If you would like more information on what to do during a dental emergency, 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 “When a Tooth is Knocked Out.”