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 it’s natural that they’ll be focused on their cancer treatment, it’s 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.

Why dry mouth can be a problem and what to do about it

Your saliva plays an important role in your oral health and reduced saliva flow can lead to health problems.
Reduced saliva flow can lead to a dry mouth and this is a common problem among older adults.
It can be caused by various medical disorders and is often a side effect of medications such as antihistamines, decongestants, pain killers and diuretics.
Dry mouth can be associated with various problems such as a constant sore throat, burning sensation, problems speaking, difficulty swallowing, hoarseness or dry nasal passages.
Drying irritates the soft tissues in the mouth, which can make them inflamed and more susceptible to infection. Without the cleansing effects of saliva, tooth decay and other oral health problems become more common.
So, if dry mouth is not treated, it can damage your teeth.
Without adequate saliva to lubricate your mouth, wash away food, and neutralize the acids produced by plaque, extensive decay can occur.
Your dentist can recommend various methods to restore moisture. Sugar-free candy or gum stimulates saliva flow, and moisture can be replaced by using artificial saliva and oral rinses.

Different types of fillings and restorations

Nowadays, thanks to advances in dental techniques and materials, patients have a much wider range of choices when they have to repair missing, worn, damaged or decayed teeth.
For example, materials such as ceramics and polymer compounds that look more like natural teeth help dentists create pleasing, natural-looking smiles.
The traditional materials such as gold, base metal alloys and dental amalgam are still widely used as they have many advantages.
The strength and durability of traditional dental materials continues to make them useful in many situations. For example, they are good when fillings are required in the back teeth because the pressure of chewing is high in that area.
The choice of the best option will depend on several factors such as the patient’s oral and general health, where and how the filling is placed and the number of visits needed to prepare and adjust the restored tooth.
The choice about which option is best depends on each individuals needs so you should discuss the options with your dentist.

Root canal treatment

Root canal therapy is an important treatment that can save a tooth with a diseased nerve and which in the past would probably have needed to be removed.
Inside each tooth is the ‘pulp’ which runs like a thread down through the root and provides nutrients and nerves to the tooth. It is the soft tissue that contains nerves, blood vessels and connective tissue.
If the pulp is diseased or injured, the pulp tissue dies.
The most common cause of pulp death is a cracked tooth or a deep cavity. Both of these problems can let bacteria enter the pulp.
So, if you don’t remove it, your tooth gets infected and you could lose it.
After the dentist – or periodontist (a dentist who specializes in problems of the pulp) – removes the pulp, the root canal is cleaned and sealed off to protect it. Then your dentist places a crown over the tooth to help make it stronger.
Most of the time, a root canal is a relatively simple procedure involving one to three visits with little or no discomfort.
Your restored tooth could last a lifetime, if you continue to care for your teeth and gums and enjoy regular checkups.

The secrets of brushing and flossing your teeth effectively

Though many of us say we brush our teeth regularly, you get the best results by making sure you brush properly.
Here are the steps you should follow:
First, place the toothbrush at a 45-degree angle to your gums.
Then, move the brush back and forth gently in short (tooth-wide) strokes.
Brush the outer tooth surfaces, the inner tooth surfaces, and the chewing surfaces of the teeth.
Use the “toe” of the brush to clean the inside surfaces of the front teeth, using a gentle up-and-down stroke.
Finally, brush your tongue to remove bacteria and freshen your breath.
As well as brushing your teeth, you should floss them every day. Here’s how to floss for best results.
Break off about 18 inches of floss and wind most of it around one of your middle fingers.
Then wind the remaining floss around the same finger on the opposite hand. This finger will take up the floss as it becomes dirty.
Hold the floss tightly between your thumbs and forefingers.
Guide the floss between your teeth using a gentle rubbing motion. Never snap the floss into the gums.
When the floss reaches the gum line, curve it into a C shape against one tooth. Gently slide it into the space between the gum and the tooth.
Hold the floss tightly against the tooth. Gently rub the side of the tooth, moving the floss away from the gum with up and down motions.
Repeat this method on the rest of your teeth.
Don’t forget the back side of your last tooth..
If you have difficulty handling dental floss, consider other types of interdepartmental cleaner such as special brushes, picks or sticks.
Your dentist or hygienist will be able to give your further tips on how to brush and floss for best results.

Making your teeth look better with veneers

Everybody wants the best smile possible and there’s no need to have it spoiled by gaps in your teeth or by teeth that are stained or badly shaped.
Whether the problem was caused by nature or by an injury, you may be able to have a veneer placed on top of your teeth to restore or improve your smile.
Veneers are thin, custom-made shells crafted from tooth-colored materials designed to cover the front side of teeth.
Your dentist will usually make a model of your teeth and the veneers will be made by a specialist dental technician.
A small amount of enamel has to be removed from your teeth to accommodate the shell so having veneers is usually an irreversible process.
In order to make the most of your veneer, your dentist may suggest that you avoid foods and drinks that could discolor them, such as coffee, tea or red wine.
It’s also possible that veneers might chip or fracture.
But, for many people, veneers are well worth it as they give them a completely new smile.

Taking steps to stop oral cancer before its too late

Oral cancer hits more than 30,000 Americans every year but you can minimize the risk by taking steps to ensure its caught early enough.
The first indications of oral cancer may be a very small, but dangerous, oral spot or sore that you are not even aware of.
In a routine examination, your dentist will carefully examine the inside of your mouth and tongue.
If they notice a flat, painless, white or red spot or a small sore, this may be completely harmless. But harmful spots or sores often look the same as harmless ones.
To ensure that a spot or sore is not dangerous, your dentist may choose to perform a simple test, such as a brush test. This collects cells from the lesion which can them be analyzed.
Any positive results from a brush test must usually be confirmed by a biopsy before deciding the next step.
If precancerous cells are found, the lesion can be surgically removed if necessary during a separate procedure.
When caught early enough, the chances of preventing the cancer developing are high but only half of those diagnosed survive more than five years.
That’s why regular dental examinations are so important for your overall health and not just to have good teeth.

Periodontal disease: what it is and how to avoid it

Periodontal disease is an infection of the tissues that support your teeth.
There is a very slight gap (called a sulcus) between the tooth and the gum.
Periodontal diseases attack this gap and cause a breakdown in the attachment of the tooth and its supporting tissues.
When the tissues are damaged, the sulcus develops into a pocket and, as the disease gets more severe, the pocket usually gets deeper.
The two major stages of periodontal disease are gingivitis and periodontitis.
Gingivitis is a milder and reversible form of periodontal disease that only affects the gums. Gingivitis may lead to periodontitis, which is a more serious, destructive form of periodontal disease.
There are several factors that have been shown to increase the risk of developing periodontal disease:
– Systemic diseases such as diabetes
– Some types of medication
– Crooked teeth
– Bridges that no longer fit properly
– Fillings that have become defective
– Smoking
– Pregnancy
And there are a number of warning signs that can suggest a possible problem:
– Gums that bleed easily
– Red, swollen, tender gums
– Gums that have pulled away from the teeth
– Persistent bad breath or taste
– Permanent teeth that are loose or separating
– Any change in the way your teeth fit together when you bite
– Any change in the fit of partial dentures
However, its also possible to have periodontal disease with no warning signs.
Its therefore important to have regular dental checkups and periodontal examinations.
If you have developed periodontal disease, the treatment will depend on how far it has progressed.
You can take steps to prevent periodontal disease from becoming more serious or recurring.
Good dental hygiene practices such as brushing twice a day, cleaning between your teeth, eating a healthy diet and having regular visits to the dentist will make a huge difference.

How the food you eat can cause tooth decay

When you put food in your mouth, it immediately meets the bacteria that live there.
Plaque, for example, is a sticky film of bacteria.
These bacteria love the sugars found in many foods. So, when you don’t clean your teeth after eating, the bacteria and the sugar can combine to produce acids which can destroy the enamel – the hard surface of the tooth.
In time, this can lead to tooth decay. The more often you eat and the longer foods are in your mouth, the more damage occurs.
Many foods that are nutritious and important in our diet contain sugars – such as fruits, milk, bread, cereals and even vegetables.
So the key is not to try and avoid sugar but to think before you eat.
When you eat is also important because each time you eat food that contains sugars, the teeth are attacked by acids for 20 minutes or more.
This means that foods that are eaten as part of a meal cause less harm. More saliva is released during a meal, helping to wash foods from the mouth and reduce the effects of acids.
Here are some tips to follow when choosing your meals and snacks.
– Eat a variety of foods from different food groups
– Limit the number of snacks that you eat
– If you do snack, choose nutritious foods, such as cheese, raw vegetables, plain yogurt, or a piece of fruit
Its also important to brush your teeth twice a day and to clean between your teeth daily with floss or interdental cleaners.
And of course regular visits to your dentist will help prevent problems from occurring and catch those that do occur while they are easier to treat.

The risks of oral piercing

Young people today choose to make a variety of fashion statements affecting not just the clothes they wear but also their bodies through tattoos and piercing, for example.
Oral piercing may be something they feel looks good but it can lead to problems where they end up needing medical or dental treatment.
Oral piercing can often lead to symptoms such as pain, swelling, infection, increased saliva flow and injuries to the gum tissue.
There can be severe bleeding if a blood vessel is in the path of the needle during the piercing.
Swelling of the tongue is also a common side effect and, in extreme cases, this can block the airway and lead to breathing difficulties.
Other possible problems include chipped or cracked teeth, blood poisoning or even blood clots.
Infection is a very common complication of oral piercing because of the millions of bacteria in your mouth.
Of course, the jewelry itself also causes risk. It can be swallowed or cause damage to your teeth.
So, while young people may feel piercings in the mouth look cool, a great smile will look a lot better in the years to come.