Smoking and your Oral health
5 steps to quit
Smoking and your oral health
Americans continue to die due to the health effects of smoking. According to US Department of Health and Human Services, more than 20 million Americans have died since 1964 when the first report on Health effects of smoking was issued. Also, more than 2 million of these deaths were nonsmokers who were breathing smoke contaminated air (second hand smoking).
In general, any form of smoking is bad for our health. Smoking releases certain toxins to our body, and inhibits the right processes for healing.
The mouth is not left out of the bad effects of smoking. The following are some of the negative consequences of smoking:
These are often marketed as a healthier option to smoking. They are even perceived as a way to help quit smoking. Quitting smoking is the only way to decrease of any health problems related to tobacco
There are two basic types of smokeless tobacco:
Smokeless tobacco can cause these health problems:
American Cancer Society’s Guide to Quitting Smokeless Tobacco.
5 steps to quit
Here are 5 steps to quitting from smokefree.gov
Smokefree.gov is a website by the National Cancer Institute that provides free, accurate and evidence-based information and professional assistance to help you quit smoking.
Once you’ve made up your mind to quit smoking and set the date, develop a plan. There are free tools online at smokefree.gov and a toll-free number, 1-800-QUIT-NOW, to help you succeed. Download an app to track your progress.
It will be easier to quit smoking if you have support from family and friends. Let them know you’ve decided to quit, ask for their support, and tell them specifically what they can do to help. Spend time with people who want you to succeed. Talk to friends who have quit and ask for their advice.
Replace your smoking habit with a healthy habit like exercise. Make plans for dinner or a movie with non-smoking friends. Instead of smoking, chew sugarless gum—it keeps your mouth busy and helps prevent cavities, too.
Stay away from people, places and things that tempt you to smoke. Some common triggers include stress, alcohol, coffee, and hanging out with people who smoke. Throw out cigarettes, lighters and ashtrays, and go to places where smoking isn’t allowed.
Quitting is hard. And, every hour or day you go without a cigarette is an achievement. Take it hour by hour, and reward yourself for small successes. With all the money you save on cigarettes, you can treat yourself to a stress-relieving massage or a pedicure!
More resources to quit smoking:
American Cancer Society’s Guide to Quitting Smokeless Tobacco.
Familiar with that? or wondering what this prescription means?...
Some people may be told by their physicians to take the above prescription before certain dental treatments. This is because they may have some heart condition that could be life threatening if bacteria got into their blood stream. While for most people, routine
dental work would pose no life threatening illnesses if bacteria got into their blood stream (their immune support being optimal), in those with specific heart conditions, this is not the case. An extra step of protecting the patients from bacteria entering into their blood (bacteremia) by prescribing antibiotics is very important.
According to American Dental Association (ADA):
Antibiotic prophylaxis is recommended for a small number of people who have specific heart conditions. The American Heart Association has guidelines identifying people who should take antibiotics prior to dental care. According to these guidelines, antibiotic prophylaxis should be considered for people with:
Talk to your dentist about these guidelines if you have any questions about antibiotic prophylaxis.
Examining the Causes of Dry Mouth and Bad Breath
Dry mouth also referred to as xerostomia, is a condition whereby the salivary glands within the mouth fail to produce sufficient saliva to wet the mouth resulting in a dry or parched feeling in one’s mouth. Dry mouth usually results due to aging issues, smoking, cancer radiation therapy, and as a side effect of some medications. It may be less often caused by a condition affecting the salivary glands directly.
Saliva prevents tooth decay by washing food particles away, restricting bacterial growth, and neutralizing acids from bacteria. It also boosts your tasting abilities and makes it easy to swallow food and chew. Saliva also has enzymes beneficial for aiding digestion.
Dry mouth and reduced saliva production can cause a range of oral health issues including:
· Poor oral hygiene and increased potential for gum disease
· Tooth decay (cavities)
· Compromised tasting abilities
· Difficulty chewing food and swallowing
Salivary gland dysfunction and extreme dry mouth can result in permanent throat and mouth disorders as well as significant anxiety, which can affect your quality of life.
Dry mouth is frequently caused by dehydration. Also, some illnesses like diabetes can affect saliva production resulting in dry mouth. Some supplements and medications like chemotherapy drugs and appetite suppressants may also lead to dry mouth. Other causes include:
· Marijuana use
· Radiation therapy on the neck and head
· Botulism poisoning
· Smoking of tobacco
· Autoimmune disorders like Sjogren’s syndrome and rheumatoid arthritis
What to do to reduce dry mouth
· Drink plenty of fluid frequently: water is the best, healthiest, cheapest and most effective way to hydrate
· Chewing sugar free gums can help
· See your Dentist, who might be able evaluate and diagnose this condition accurately, while medications to help relieve your symptoms
Halitosis, commonly referred to as bad breath, is a chronic condition, and is quite different from morning breath or “after an onion or garlic meal breath”. People affected may not know they have halitosis and so, may learn about it from others which can breed distress and discomfort.
What causes bad breath or halitosis?
Bad breath can come from the mouth, or farther behind, in the throat, sinus or chest region, and it is usually caused by bacteria containing plaque in the oral mucosa, gums, teeth, tongue (intraoral) and other areas of the throat or body (Extraoral).
IN THE MOUTH/INTRAORAL
In the mouth, there are hundreds of bacteria living in the oral region. The bacteria will feed on the food debris remaining in the mouth after you eat leaving a bad-smelling waste product, hence the bad breath.
Bacteria may also harm the teeth, causing cavities; They may harm the gum and its attachments, causing gum disease. Cavities and gum disease further cause bad breath because they are extra holes/pockets in the mouth, helping the bacteria grow even further, since bacteria like to hide in holes and pockets, undisturbed. The bacteria in the holes and pockets then continue to produce foul-smelling waste products.
Dry mouth can also cause bad breath, since saliva is absent or not sufficient to remove unwanted debris. Dry mouth can be caused by medications, tobacco use, etc.
OTHER CONDITIONS/ EXTRAORAL:
In some cases of halitosis, certain bronchitis, sinusitis, and tonsillitis can be responsible, since bacteria likes the mucous produced and colonizes it during the period of the infection. Also, gastrointestinal disease, uncontrolled diabetes and advanced kidney or liver disease may also cause halitosis and in such cases, the individual may experience other symptoms prompting a visit to a medical professional. Smoking also causes bad breath aside from increasing your risk for other health problems and staining your teeth. Tobacco irritates the gum tissues and decreases your capacity to taste foods, which is why tobacco users are at a higher risk for gum disease. Considering that smoking also affects the individual’s sense of smell, he or she may also not know they have bad breath.
WHAT TO DO TO STOP BAD BREATH/ HALITOSIS
If you think you have bad breath, consider improving your dental habits by brushing with toothpaste containing fluoride, twice a day for two minutes and flossing at least once a day. Drink plenty of water as well. Cut back on drinking caffeine or smoking tobacco. Do attend your regular six-month recall dental visits for further evaluation by the dentist and professional cleaning.
If bad breath still persists, consider speaking with your dentist, so they can help evaluate for any intraoral or extraoral conditions producing this symptom.
How to Deal with Dry Socket as a Result of Tooth Extraction
Dry socket is the discomfort or pain one experiences a few days after undergoing a permanent adult tooth extraction. It is essentially an inflammation of the alveolar or jaw bone and it is also known as alveolar osteitis. This is just one of the few complications that can arise from tooth extractions. This pain results from the failed development of the blood clot at the tooth extraction site or its dissolution or dislodging before the wound heals properly. Usually, after a tooth extraction, there will be the formation of a blood clot at the site which acts as a protective layer for the nerve endings and bone underneath the empty tooth socket. This clot also forms the foundation for soft tissue development and new bone growth over the clot. When the underlying nerves and bone are exposed this causes intense pain along the nerves extending to the side of the face and within the socket itself. The socket becomes even more painful when inflammation increases and food debris start to fill up inside it. Dry socket typically tends to develop one to three days after removal of the tooth. The pain resulting from a dry socket is usually accompanied by a foul taste in the mouth and bad breath.
Once this pain starts, you can be able to tell that normal healing of the socket has been interfered with. Dry socket is usually caused by physiologic, mechanical, and chemical factors.
a) Physiological factors preventing blood clot formation include poor blood supply to the tooth extraction site, a dense jawbone, and hormones from oral contraceptives which can interrupt healing
b) Mechanical factors include loss of the blood clot, smoking by dragging on the cigarette, aggressive spitting or rinsing, and the action of sucking through a straw
c) Chemical factors may primarily affect smokers as the nicotine in cigarettes reduces blood supply to the mouth hence the blood clot might not form at the tooth extraction site
d) Bacterial factors include specific oral bacteria which can breakdown the blood clot and a preexisting mouth infection before the tooth extraction i.e. periodontal or gum disease to keep the blood clot from forming properly.
You can only temporarily manage the pain form a dry socket at home until you go to a dental professional for treatment. You can use over the counter pain medication to relieve pain and apply an insulated ice pack or a cold compress on the affected area of the face for fifteen minutes on and off. Rinse your mouth using saltwater to get rid of any food debris then gently apply one or two drops of clove oil to the area using a clean cotton swab. Avoid smoking or drinking alcohol. Take note that these methods only offer temporary relief and you should still visit your dentist for dry socket treatment for quick recovery.
After diagnosis, the dentist typically rinses out the dry socket to get rid of any debris inside then he or she applies medicated dressing to reduce pain and protect that area. Your dentist can also prescribe a painkiller to relieve your discomfort and an antibiotic to keep any infections at bay. You will be advised on what to drink and eat and you will also be shown how to care for and clean this dry socket area. The site should heal in about 10 days and the dentists will request that you set up another appointment to follow up on your progress and observe healing of the area.
Fluoride helps to prevent tooth decay by strengthening your teeth. Fluoride fights against bacteria that are harmful to the gums and teeth and supports a healthy enamel layer for the teeth. Fluoride is very beneficial for people with a higher risk of developing cavities or dental caries, and children. Cavities result when bacteria build up on the gums and teeth forms a sticky plaque layer, which produces an acid eroding the gum tissue and the teeth. Once the plaque breaks down the enamel, the bacteria can cause an infection harming the blood and nerves within the tooth core.
Fluoride can be applied to the teeth systemically and topically. Topical fluoride is usually applied to the tooth enamel directly via fluoride mouth rinses and toothpaste not to mention fluoride treatments by a dentist. Systemic fluorides are swallowed and they include dietary fluoride supplements and fluoridated water. You can get an optimum reduction of dental caries by getting both systemic and topical fluoride treatments. Professional fluoride treatments at dental offices are beneficial to anyone with a risk of developing dental cavities. These fluoride preparations are stronger in concentration in comparison to that of fluoride mouth rinses or toothpaste.
Fluoride treatments only take several minutes to complete whereby the fluoride is applied using a cotton brush or swab in varnish, foam, gel, or solution form. It can also be used as a rinse or placed in a tray to be held in the mouth for a few minutes. After the treatment, the patient is not supposed to drink or eat anything or rinse out the fluoride for at least 30 minutes so it is absorbed by teeth to fix any microscopic carious regions. It is advised to get a fluoride treatment every 3, 6, or 12 months depending on your oral health.
So, the next time you go to the Dentist, at Smile League Dental, ask us about fluoride!
Drinking fluoridated water prevents tooth decay but drinking bottled water can rob you of these benefits as bottled water does not have fluoride. Food has plenty of minerals which are good for you but water also has naturally occurring minerals that seep into the ground when it rains, fluoride included.
This is evident in a research conducted which found that people living in places with a high soil fluoride content had fewer cases of tooth decay. In terms of oral health, bottled water is definitely a healthier alternative to bottled soda or sugary drinks. However, the water is usually subject to processes such as distillation or reverse osmosis which takes out any substances that can influence the water’s flavor. These processes remove fluoride that is in the water, thus the fluoride content will vary depending on the company. According to research, some bottled water is also shown to be slightly high in acidity and this acidity can harm or damage your teeth.
Tap water, on the other hand, may be safer for your teeth as it is government regulated to ensure it has the right fluoride levels in some areas. Also, if you are worried about bad taste, and possibility of leakage in tap water, you can either buy your own gentle water filter (ensure it does not filter out fluoride) or obtain baby (nursery) water, which has added fluoride in it, at the right amount (0.7-1.2 parts per million).
When you get irritated or hurt on the inside of your mouth, bacteria can enter the affected areas causing an infection. This may manifest in the form of a painful, pus-filled swelling and if this pus is unable to drain out, the area will become even more painful and swollen. This is referred to as an abscess, which creates a barrier surrounding the infection as the body’s way of preventing the infection from spreading any further.
An abscess may form quite rapidly at times, even forming one or two days following the beginning of the infection. There are two kinds of abscesses namely:
- Periapical abscess or Tooth abscess, which occurs inside one’s tooth when the nerves in the tooth are dying or dead. This kind of abscess will appear at the tip of the roots of the teeth and spreads to the neighboring bone
- Periodontal abscess or Gum abscess, which is typically the result of an infection within the space between the gum and tooth. This infection can result after food is trapped between the tooth and gum. People suffering from severe periodontal disease can have bacterial build-up in the bone and under the gum.
Most dental abscess are often painful thus people typically look for relief or treatment as soon as possible. At times the infection can cause no pain or little pain and if the abscess fails to be treated this infection can go months extending to years. Abscesses do not go away voluntarily so one should not ignore any symptoms.
If an abscess infection goes untreated, it can cause damage to the teeth and bone surrounding the infected area. Sometimes, there will be formation of a hollow tunnel known as a sinus tract or fistula through the skin and bone enabling drainage of the pus. If this happens, the individual may notice a strange taste in his or her mouth. Pressure buildup is responsible for the pain caused by an abscess and draining it via a fistula decreases this pressure. The pain also dissipates but the infection will still require treatment.
Abscesses always risk being serious, as the infection can spread to other areas within the body and as such, you should always see your dentist if you experience symptoms of the same.
Gum abscesses typically heal quickly after the area is thoroughly cleaned, the trapped pus is drained, and the infection itself is treated. If there is already a fistula, a dentist can trace it back to the where the infection originated. If the infection began within a tooth, the dentist will make a tiny hole in the tooth enabling drainage of the abscess. After that the tooth will require root canal treatment then a crown or a filling. If the tooth is terribly damaged or the abscess is significantly large, the individual may need tooth removal. People suffering from severe periodontal diseases can also have dental abscesses but draining these abscesses can help the immediate issue. On the other hand, the periodontal disease ought to be treated to keep other infections at bay. The dentist may prescribe you with painkillers and antibiotics to encourage healing of the abscess and prevent spreading of the infection.
Wisdom teeth are those teeth growing at the back of your mouth and they are situated behind one’s molars. There are found on the top and the bottom of your gums. Wisdom teeth usually grow in a misaligned, sideways, or crooked manner and as they come in, they tend to push the other teeth. This causes misalignment and overcrowding problems for the wisdom teeth as well.
Are Your Wisdom Teeth Coming In?
Symptoms of the same include:
- Pain behind one’s molars at the back of one’s mouth that increases gradually with time with the continuous growth of the wisdom teeth. This is because the wisdom teeth are growing sideways, thus crowding the neighboring teeth and pushing on the bone and nerves in the gums.
- Swelling, tenderness, redness, and pain on and around the affected area. As the wisdom teeth start to come through the surface of one’s gums, this gives way for bacteria to pass through the open tissue thus resulting in possible oral infections.
- The wisdom teeth can also become impacted, whereby the neighboring teeth or the jawbone block the wisdom teeth from eruption. Thus, the wisdom teeth become trapped in place within the gums as the roots continue elongating. The longer they remain in this state, the more the problems they can cause to your oral and overall health. Other symptoms resulting from wisdom teeth impaction include infection, and severe pain at the back of one’s mouth to name a few. Signs of infection include swelling, redness, bad taste when chewing food, and foul breath. If this goes untreated, the impacted wisdom teeth may give rise to cysts and even tumors in rare situations.
Impacted wisdom teeth have a high tendency of developing cysts around them. These cysts can damage the surrounding tissues and the tooth, including the bone. When tumors form around these cysts, it can complicate the extraction of the wisdom teeth. You should seek relief for wisdom teeth pain immediately you can so you can reduce your chances of having an invasive surgical procedure for extraction.
There is also the possibility of the wisdom teeth emerging partially from beneath the gums in which case, it is quite easy for the bacteria to come in through the opening surrounding the tooth. If you do not look for relief for your wisdom tooth pain, you are at a higher chance of experiencing oral infection. This infection can result in stiffness, jaw pain, swelling, redness, increased wisdom tooth pain, and even overall illness. Oral infections can easily get into the blood stream affecting the whole body.
Treatment for Wisdom Teeth
The most ideal treatment for symptoms of wisdom teeth is their extraction. Extraction of wisdom teeth is typically done at an oral surgeon’s or a dentist’s office either under general or local anesthesia. If the wisdom teeth have already come out via the surface of the gums, then it is relatively easy to remove them. However, if they are impacted then it will be a bit more difficult to extract them. Regardless, extraction is the most common and the best solution for relieving wisdom teeth symptoms.
GLOSSORAY OF TERMS
Amalgam - Material made from mercury and other alloy mixtures used to restore a drilled portion of a tooth.
Anesthesia - Medications used to relieve pain.
Anterior teeth - Front teeth. Also called incisors and cuspids.
Arch - The upper or lower jaw.
Baby bottle tooth decay - Caused by sugary substances in breast milk and some juices, which combine with saliva to form pools inside the baby's mouth.
Bicuspids -A premolar tooth; tooth with two cusps, which are pointed or rounded eminences on or near the masticating surface of a tooth.
Bitewings - X-rays that help a dentist diagnose cavities.
Bonding - Application of tooth-colored resin materials to the surface of the teeth.
Bridge - A prosthetic replacement of one or more missing teeth cemented or otherwise attached to the abutment teeth or implant replacements.
Bruxism - Teeth grinding.
Calculus - A hard deposit of mineralized substance adhering to crowns and/or roots of teeth or prosthetic devices.
Canal - The narrow chamber inside the tooth's root.
Canines - Also called cuspids.
Canker sore - One that occurs on the delicate tissues inside your mouth. A canker sore is usually light-colored at its base and can have a red exterior border.
Caries - A commonly used term for tooth decay, or cavities.
Cold sore - Usually occurs on the outside of the mouth, usually on or near the nose or lips. A cold sore is contagious because it is caused by the herpes simplex virus, and it is usually painful and filled with fluid.
Composite filling - Tooth colored restorations, also known as resin fillings.
Composite resin - A tooth colored resin combined with silica or porcelain and used as a restoration material.
Contouring - The process of reshaping teeth.
Crown - An artificial tooth replacement that restores missing tooth structure by surrounding the remaining coronal tooth structure. It is also placed on a dental implant.
Cusps - The pointed parts on top of the back teeth's chewing surface.
Cuspids - Front teeth that typically have a protruding edge.
Dentin - The tooth layer underneath the enamel.
Denture - A removable set of teeth.
Endodontics - A form of dentistry that addresses problems affecting the tooth's root or nerve.
Fluoride - A harmless over-exposure to fluoride resulting in tooth discoloration.
Fluorosis - A harmless over-exposure to fluoride and resulting sometimes in tooth discoloration.
Gingiva - Another word for gum tissue.
Gingivitis - A minor disease of the gums caused by plaque.
Gum disease - An infection of the gum tissues. Also called periodontal disease.
Impacted teeth - A condition in which a tooth fails to erupt or only partially erupts.
Implant - A permanent appliance used to replace a missing tooth.
Incisor - Front teeth with cutting edges; located in the center or on the sides near the front.
Inlay - An artificial filling made of various materials, including porcelain, resin, or gold.
Laminate veneer - A shell that is bonded to the enamel of a front tooth. The shell is usually thin and made from porcelain resin.
Malocclusion - Bad bite relationship.
Mandible - The lower jaw.
Maxilla - The upper jaw.
Molar - Usually the largest teeth, near the rear of the mouth. Molars have large chewing surfaces.
Neuromuscular Dentistry - Addresses more than the aches and pains felt in and around the neck and head that are associated with your teeth and j
Onlay - A filling designed to protect the chewing surface of a tooth.
Orthodontics - A field of dentistry that deals with tooth and jaw alignment.
Overdenture - A non-fixed dental appliance applied to a small number of natural teeth or implants.
Palate - Roof of the mouth.
Partial denture - A removable appliance that replaces missing teeth.
Pediatric Dentistry - A field of dentistry that deals with children’s teeth
Perio pocket - An opening formed by receding gums.
Periodontal disease - Infection of the gum tissues. Also called gum disease.
Periodontist - A dentist who treats diseases of the gums.
Permanent teeth - The teeth that erupt after primary teeth. Also called adult teeth.
Plaque - A sticky, colorless substance that covers the teeth after sleep or periods between brushing.
Posterior teeth - The bicuspids and molars. Also called the back teeth.
Primary teeth - A person's first set of teeth. Also called baby teeth or temporary teeth.
Prophylaxis - The act of cleaning the teeth.
Prosthodontics - The field of dentistry that deals with artificial dental appliances.
Pulp - The inner tissues of the tooth containing blood, nerves and connective tissue.
Receding gum - A condition in which the gums separate from the tooth, allowing bacteria and other substances to attack the tooth's enamel and surrounding bone.
Resin filling - An artificial filling used to restore teeth. Also called a composite filling.
Root canal - A procedure in which a tooth's nerve is removed and an inner canal cleansed and later filled.
Root planing - Scraping or cleansing of teeth to remove heavy buildup of tartar below the gum line.
Sealant - A synthetic material placed on the tooth's surface that protects the enamel and chewing surfaces.
TMJ - Temporomandibular joint disorder. Health problems related to the jaw joint just in front of the ear.
Tarter - A hardened substance (also called calculus) that sticks to the tooth’s surface.
Veneer - A laminate applied or bonded to the tooth.
Whitening - A process that employs special bleaching agents for restoring the color of teeth.
Wisdom tooth - Third set of molars that erupt last in adolescence.