Posts for: October, 2020
Infancy is perhaps the only time in a person's life where a smile with just a few tiny teeth is still endearing. More will come—and then each will gradually depart, succeeded by permanent replacements.
That short lifespan, though, doesn't diminish their importance. Primary teeth not only provide children the ability to eat solid food and develop speech, but they set the stage for future dental health.
The latter arises from primary teeth's role as placeholders for incoming permanent teeth. Because permanent teeth eruption occurs in stages, primary teeth prevent earlier erupted teeth from drifting into the space intended for a later tooth. If they're lost prematurely and other teeth crowd into the space, the intended tooth may not have enough room to erupt properly, cascading from there into a poor bite (malocclusion).
The most common reason for premature loss is an aggressive form of tooth decay in children under 6 called early childhood caries (ECC). About one in four U.S. children encounter ECC, with those in poverty at higher risk. Infection in one tooth can spread to others, including newly erupted permanent teeth.
The goal then is to prevent ECC as much as possible, and initiate prompt treatment should it still occur. A good prevention strategy has two prongs: the actions and habits of parents or caregivers; and the prevention and treatment measures taken by dental providers.
At home, it's important that you wipe your newborn's gums with a clean, damp cloth after each feeding to reduce bacterial growth. As teeth erupt, switch then to gentle brushing with a rice grain-sized amount of baby toothpaste. You should also limit their sugar consumption, including not allowing them to sleep with a bedtime bottle of any liquid other than water.
It's also important that you start your child's regular dental visits around their first birthday. This allows us to detect any developing cavities, as well as apply sealants and topical fluoride to help prevent decay. And should a cavity develop, regular visits help ensure prompt treatment to preserve the tooth.
Your child's set of primary teeth only last a few short years, but their contribution echoes for a lifetime. Taking these measures to protect them from tooth decay ensures they'll fully make that contribution.
If you would like more information on dental care for 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 “Do Babies Get Tooth Decay?”
Despite momentous strides in recent years in the fight against cancer, treatments can still disrupt normal life. Both radiation and chemotherapy have side effects that can cause problems in other areas of health—particularly the teeth and gums.
If you or a loved one are undergoing cancer treatment, it's important to get ahead of any potential side effects it may have on dental health. Here are 4 things that can help protect teeth and gums while undergoing cancer treatment.
Get a preliminary dental exam. Before beginning treatment, patients should have their dentist examine their teeth and gums to establish a baseline for current dental health and to treat any problems that may already exist. However, patients should only undergo dental procedures in which the recovery time can be completed before starting radiation or chemotherapy.
Be meticulous about oral hygiene. Undergoing cancer treatment can increase the risks for developing tooth decay or gum disease. That's why it's important that patients thoroughly brush and floss everyday to reduce bacterial plaque buildup that causes disease. Patients should also reduce sugar in their diets, a prime food source for bacteria, and eat “teeth-friendly” foods filled with minerals like calcium and phosphorous to keep teeth strong.
Keep up regular dental visits. The physical toll that results from cancer treatment often makes it difficult to carry on routine activities. Even so, patients should try to keep up regular dental visits during their treatment. Besides the extra disease prevention offered by dental cleanings, the dentist can also monitor for any changes in oral health and provide treatment if appropriate.
Minimize dry mouth. Undergoing cancer treatment can interfere with saliva production and flow. This can lead to chronic dry mouth and, without the full protection of saliva against dental disease, could increase the risk of tooth decay or gum disease. Patients can minimize dry mouth by drinking more water, using saliva boosters and discussing medication alternatives with their doctor.
It may not be possible to fully avoid harm to your oral health during cancer treatment, and some form of dental restoration may be necessary later. But following these guidelines could minimize the damage and make it easier to regain your dental health afterward.
If you would like more information on dental care during cancer treatment, 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 “Oral Health During Cancer Treatment.”
What a difference a hundred years can make—especially the last one hundred. In the early 20th Century, trains were the prime mode of cross-country transportation, electrical power was not universally available, and only the well-to-do could afford automobiles and telephones. We live in a far different world, transformed by digital media, air travel and instantaneous global communication.
Dental care has also made exponential leaps. Dentists in the early 21st Century have more effective and powerful treatments for disease, as well as life-like and durable restorations for missing teeth and less-than-perfect smiles. As far as dentistry goes, you couldn't live in a better time.
But if you thought the last century was amazing for dental care, you won't believe what may soon be coming your way this century. Here are a few of the incredible possibilities poised to become reality in the near future.
Regenerating teeth. As of now, the permanent teeth you have is all you're going to have—but that may soon change. Researchers are closing in on the ability to grow new dentin—and if that becomes practical, other parts of teeth may be next. Utilizing a person's stem cells, the building blocks of specialized human tissue, may yield the greatest prize of all, a completely regenerated tooth.
Targeting bacteria. Tooth decay and other dental diseases are most often caused by bacteria—but not every strain. The true culprits are a select few like Streptococcus mutans, which causes tooth decay. Based on growing knowledge of the human genome, we may one day be able to develop therapies that block transmission of specific bacteria from caregivers to infants, or inhibit these bacteria's ability to produce acid that erodes tooth enamel.
Employing “nano” tools. Nanotechnology tools and devices are no bigger than 100 nanometers (a nanometer is a one billionth of a meter), and perform tasks on the cellular level. Many researchers believe we may soon develop a device of this size that can seek out and destroy tiny clusters of cancer cells within the human body before they spread. This could be a game-changer for treating deadly oral cancer.
The current state of dental care would have amazed our great-grandparents. But we may soon be just as amazed at what 21st Century brings us.