Diabetes and your dental health: How your dentist can help

If youve been diagnosed with diabetes, its important that you let your dentist know so that they can give you the best care possible.

As more than 15 million Americans have diabetes, your dentist will be familiar with the issues and will give you the specialist care you need.

This is important because diabetes can lower your resistance to infection and slow the healing process.

Its important to tell your dentist:

– If you have been diagnosed with .diabetes
– If the disease is under control
– If there has been any other change in your medical history
– Names of all prescription and over-the-counter drugs you are taking

The most common oral health problems associated with diabetes are:

– Tooth decay
– Periodontal (gum) disease
– Salivary gland dysfunction
– Fungal infections
– Infection and delayed healing
– Taste impairment

If you have regular dental checkups and keep your dentist informed about your status they'll be able to help you reduce and manage these risks.

How cancer treatment can affect your oral health

More than 1 million Americans are diagnosed with cancer each year and many of them will develop problems with their oral health as a result of their cancer treatment.

While its natural that theyll be focused on their cancer treatment, its important not to overlook the importance of a dental examination as part of the process of maintaining overall health.

For example, radiation therapy of the head and neck area may lead to certain complications such as dry mouth, sensitive lesions in the oral cavity, hypersensitive teeth, rapid tooth decay and difficulty swallowing.

Chemotherapy and other medication can also have significant effects in the mouth.

To help prevent, minimize and manage such problems, the dentist and oncologist can work together before and during cancer treatment.

Many medications lead to dry mouth, which can lead to a higher risk of gum disease and other problems. The dentist may therefore recommend a saliva replacement, an artificial saliva that is available over-the-counter at pharmacies.

Frequent fluoride applications may also be recommended.

If you are receiving treatment, schedule regular screenings with your dentist and contact your dentist or physician immediately on any sign of mouth infection. This may have serious implications for your overall health.

Your dentist and physician both want your treatment to be as safe and effective as possible.

How dental x-rays help improve your oral health

Many diseases of the teeth and surrounding tissues cannot be seen when your dentist examines your mouth so an X-ray examination can reveal important additional information:

For example, X-rays can help show:
– Small areas of decay between the teeth or below existing fillings
– Infections in the bone
– Gum disease
– Abscesses or cysts
– Developmental abnormalities
– Some types of tumors

The way they work is that more X-rays are absorbed by the denser parts (such as teeth and bone) than by soft tissues (such as cheeks and gums). This creates an image called a radiograph.

Tooth decay, infections and signs of gum disease appear darker because of more X-ray penetration. The interpretation of these radiographs allows the dentist to safely and accurately detect hidden abnormalities.

The frequency of X-rays (radiographs) will depend on your specific health needs.

Your dentist will review your history, examine your mouth and decide whether you need radiographs and what type.

When you are a new patient, the dentist may recommend radiographs to establish how the hidden areas of your mouth currently look to help identify changes that occur later.

X-rays can help identify and treat dental problems at an early stage and so can save time, money and unnecessary discomfort.

Diagnosing jaw problems and pains – TMD and TMJ

More than fifteen percent of American adults suffer from chronic facial pain.

Common symptoms can include pain in or around the ear, tenderness of the jaw, clicking or popping noises when opening the mouth or even head and neck aches.

There are two joints and several jaw muscles which make it possible to open and close the mouth. They work together when you chew, speak, and swallow.

These structures include muscles and ligaments, as well as the jaw bone, the mandible (lower jaw) with two joints, the TMJs.

The TM joint is one of the most complex joints in the body. Located on each side of the head, these joints work together and can make many different movements, including a combination of rotating and gliding action when chewing and speaking.

Several muscles help open and close the mouth. They control the lower jaw (mandible) as it moves forward, backward, and side-to-side.

Both TM joints are involved in these movements. Each TM joint has a disc between the ball and socket. The disc cushions the load while enabling the jaw to open widely and perform rotating and translocational movements.

Any problem that prevents this complex system of muscles, ligaments, discs and bones from working together properly may result in a painful TMJ disorder.

If you are suffering from this type of pain, your dentist can help identify its source with a thorough exam and appropriate x-rays.

Often, the problem is a sinus or toothache or it could be an early stage of periodontal disease.

But for some pain, the cause is not so easily diagnosed.

The pain could be related to the facial muscles, the jaw or temporomandibular joint, located in the front of the ear.

Treatments for this pain may include stress reducing exercises, muscle relaxants, or wearing a mouth protector to prevent teeth grinding.
They’ve been successful for many and your dentist can recommend which is best for you.

How mouth protectors can save your teeth

If you take part in sports that carry a significant risk of injury, you should wear a mouth protector.

Accidents can happen during any physical activity and, if you participate in sports such as football, hockey, basketball, baseball, gymnastics and volleyball, you might be grateful for the extra protection one day.

Something as simple as a misdirected elbow in a game, or a spill off a bicycle, can leave you with chipped or broken teeth, nerve damage to a tooth or even tooth loss.

Mouth protectors usually cover the upper teeth and they can cushion the effect of a blow to the face, reducing the risk of broken teeth and injuries to the soft tissues of the mouth.

In addition, if you wear dental appliances such as braces on your lower jaw, your dentist may suggest a mouth protector for these teeth as well.

A properly fitted mouth protector will stay in place while you are wearing it, making it easy for you to talk and breathe. The three main types of mouth protectors are:

Stock: These are inexpensive and come ready to wear. But they often dont fit very well and they can be bulky making breathing and talking difficult.

Boil and bite: These can also be bought at many sport stores and may fit better than stock mouth protectors. You first soften them in water, then insert them and allow them to adapt to the shape of your mouth.

Custom-fitted: Protectors that are specially made for you by your dentist are more expensive but are likely to fit better than one you buy off the shelf.

Choosing to wear the right mouth protector can help you avoid serious long-term damage to your teeth and mouth.

Treating facial pain and jaw problems

Chronic facial pain is a problem faced by millions of Americans.

Common symptoms can include pain in or around the ear, tenderness of the jaw, clicking or popping noises when opening the mouth or even head and neck aches.

If you are suffering from this type of pain, your dentist can help identify its source with a thorough exam and appropriate x-rays.

Sometimes, the problem is a sinus or toothache or it could be an early stage of periodontal disease.

But for some pain, the cause is not so easily diagnosed.

There are two joints and several jaw muscles which make it possible to open and close the mouth. They work together when you chew, speak, and swallow.

These structures include muscles and ligaments, as well as the jaw bone, the mandible (lower jaw) with two joints, the TMJs.

Any problem that prevents this complex system of muscles, ligaments, discs and bones from working together properly may result in a painful TMJ disorder.

There are several ways the TMJ disorders may be treated.

Diagnosis is an important step before treatment.

Part of your clinical examination includes checking the joints and muscles for tenderness, clicking, popping or difficulty moving.

Your dentist may take x-rays and may make a cast of your teeth to see how your bite fits together.

To help you deal with this pain, your dentist will recommend what type of treatment you need and may refer you to a specialist.

How older adults can handle dry mouth and taste problems

Reduced saliva flow that results in a dry mouth is a common problem among older adults.

It is caused by certain medical disorders and is often a side effect of medications such as antihistamines, decongestants, pain killers and diuretics.

Some of the common problems associated with dry mouth include:
– Constant sore throat
– Burning sensation
– Problems speaking
– Difficulty swallowing
– Hoarseness or dry nasal passages

Left untreated, dry mouth can damage your teeth. Without adequate saliva to lubricate your mouth, wash away food, and neutralize the acids produced by plaque, extensive cavities can form.

Your dentist can recommend various methods to restore moisture. For example, sugar-free candy or gum stimulates saliva flow, and moisture can be replaced by using artificial saliva and oral rinses.

Another issue that can affect older adults is a loss of appetite due to a change in your sense of taste. Besides an age-related decrease in the sense of taste and smell, certain diseases, medications and dentures can contribute to a decrease in your sense of taste.

Whether you are suffering from dry mouth or problems with your sense of taste, your dentist will be able to make suggestions to help.