Posts for: March, 2021
In recent years, dental implants have helped traditional bridgework take a giant leap forward. A few strategically placed implants can provide the highest support and stability we can currently achieve for this well-known dental restoration.
Implants derive this stability from the bone in which they're imbedded. Once surgically installed, the bone around a metal implant begins to grow and adhere to its titanium surface. Over time, this creates a strong anchor that firmly holds the implant in place.
But the implants' stability can be threatened if the gums around them become diseased. Gum disease, a bacterial infection caused mainly by dental plaque, can advance silently below the gum surface until it ultimately infects the bone. This can cause significant bone loss around an implant, which can weaken it to the point of failure.
To avoid this scenario, it's important to prevent gum disease by flossing daily to remove accumulated dental plaque between the implant-supported bridge and the gums, particularly around the implants. This kind of flossing around bridgework is more difficult than flossing between teeth, but it can be done with the help of a device called a floss threader.
A floss threader is a small plastic hand tool with a loop on one end and a stiffened edge on the other (similar to a sewing needle). You begin by threading about 18" of dental floss through the loop, and then work the other end of the threader between the bridge and gums to the other side.
With the floss threaded between the bridge and gums, you can now remove it from the threader, grasp each end, and floss around the sides of each implant you can reach. You'll then need to repeat the process by removing the floss, rethreading it in the threader and inserting it into the next section between implants, continuing to floss until you've accessed each side of each implant.
You can also use pre-packaged floss thread sections with a stiffened end to facilitate threading. But whichever product you use, it's important to perform this task each day to prevent a gum infection that could rob you of your implant-supported bridge.
If you would like more information on oral hygiene practices with dental work, 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 Hygiene for Fixed Bridgework.”
Dentures have come a long way since George Washington's time. Today, they're more comfortable, more secure and more lifelike than our first president's famous hippopotamus ivory appliance.
But one thing hasn't changed: Dentures still require regular care and cleaning. And one of the best things you can do for both your dentures and your health is to take them out at night when you go to bed.
Modern dentures are often so comfortable to wear, it's easy to forget you have them in your mouth. But setting a daily habit of taking them out when you turn in for the night will help you avoid a few potential problems.
For one, wearing dentures 24/7 can increase your risk for both oral and general diseases. Constant denture wear can cause greater accumulations of dental plaque, a thin biofilm responsible for gum disease and inflammation. The increase in bacteria could also make you more susceptible to pneumonia and other diseases.
Wearing your dentures non-stop can also worsen bone loss, a common problem associated with dentures. Normally, the biting forces generated when we chew stimulate bone growth in the jaw. A person loses much of this stimulation when they lose teeth, resulting in gradual bone loss.
Dentures can't replace this lost stimulation, and the pressure they exert on the jaw's bony ridges they rest upon can accelerate the process of bone loss. In time, any bone loss could affect the denture's fit as the bone beneath them gradually shrinks. By taking them out at night, you can help slow the pace of bone loss.
In addition to giving them and your mouth a rest at night, be sure you're also keeping your dentures clean: Take them out and rinse them off after meals and brush them with a small amount of antibacterial soap (not toothpaste) at least once a day. And don't forget to brush your gums and tongue every day with a soft toothbrush (different from your denture brush) to further reduce dental plaque.
If you would like more information on denture care, 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 “Sleeping in Dentures.”
Have you ever woken up in the morning and felt like your mouth was filled with cotton? We've all had bouts of occasional dry mouth, but the unpleasantness usually goes away after we eat or drink something.
But what if you have dry mouth all the time? In that case, it's more than unpleasant—it could be increasing your risk of dental disease. That's because your dry mouth symptoms are being caused by a lack of adequate saliva. Besides providing antibodies to fight harmful bacteria, saliva also neutralizes mouth acid that can cause tooth decay.
Your decrease in saliva could be caused by smoking or moderate to heavy alcohol consumption. It could also be a side effect of medications you're taking, one reason why older people, who on average take more prescription drugs than other age groups, have a high incidence of dry mouth.
So, what can you do to alleviate chronic dry mouth?
Watch what you eat and drink. Certain foods and beverages can worsen chronic dry mouth. Try to avoid or limit alcohol and caffeinated drinks like coffee, tea or soft drinks, as well as salty or spicy foods.
If you use tobacco, quit. Tobacco, especially smoking, can dry out your mouth, as well as damage your salivary glands. Abstaining from tobacco can alleviate dry mouth and help prevent dental disease.
Drink more water. Simply drinking water ensures your body has an ample supply for producing saliva. It's also beneficial for your dental health in general, as it can help buffer your mouth's acid levels and rinse away food remnants that could become food for bacteria.
Speak to your doctor. If you suspect a drug that you're taking may be causing dry mouth, discuss with your doctor alternative medications that may minimize this side effect. Simply changing prescriptions could alleviate your dry mouth symptoms.
You can also try saliva stimulants, both over-the-counter and prescription, to help your mouth produce more saliva. And be sure you also keep up daily habit of brushing and flossing to clear away bacterial plaque and lower your risk of dental disease.