Posts for: May, 2019
Last year, over 1.5 million people heard the words no one wants to hear: “You have cancer.” While only a small portion of those — about three percent — were diagnosed with oral cancer, their survival rate isn’t as good as with other types of cancers: 58% five years after diagnosis.
Here, then, are some things you should know about this deadly disease.
Oral cancer is an “equal opportunity” disease. People from all walks and stations of life experience oral cancer. The disease has caused the untimely deaths of Ulysses S. Grant, Babe Ruth and George Harrison, one of the original Beatles. However, you don’t have to be prominent or famous to acquire oral cancer: it can strike anyone at any age, especially people 40 years and older.
Oral cancer is difficult to detect early. Oral cancer usually appears as a small, scaly-shaped sore known as a squamous cell carcinoma. Appearing in the lining of the mouth, lips, tongue or back of the throat, the early stages often resemble other benign conditions such as cold or canker sores, so they’re easily overlooked in the early stages. To increase your chances of an early diagnosis, you should see your dentist about any mouth sore that doesn’t heal in two to three weeks; it’s also advisable to undergo a specific oral cancer screening during your regular dental checkups.
Tobacco and heavy alcohol use are strongly linked to oral cancer. Tobacco smokers are five to nine times more likely to develop oral cancer while snuff or chewing tobacco users are roughly four times more likely than non-tobacco users. People who are moderate to heavy drinkers are three to nine times more likely to develop oral cancer than non-drinkers.
You can reduce your risk for oral cancer. Besides quitting tobacco use and moderating your alcohol consumption, there are other things you can do to reduce cancer risk: a nutritious diet rich in fresh fruits and vegetables; limited sun exposure with adequate sunscreen protection and clothing; and safe sexual practices to avoid contracting Human Papilloma Virus (HPV16), strongly linked to oral cancer. And above all, practice effective, daily oral hygiene with regular dental cleanings and checkups.
If you would like more information on prevention and treatment of oral cancer, 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 Cancer.”
Just like other parts of your physical body, teeth naturally wear as we get older. Just the effect from chewing during hundreds of thousands of meals in a lifetime can take its toll.
But there are some factors that can make tooth wear worse. By addressing them promptly should they arise, you can keep age-related tooth wear to a minimum.
Here are 3 areas to watch for to avoid excessive tooth wear.
Dental disease. Tooth decay and periodontal (gum) disease are most responsible for not only the loss of teeth but for compromising tooth health overall. But the good news is they’re largely preventable through proper oral hygiene practices to remove bacterial plaque, the main trigger for these diseases. Prompt treatment when they do occur can also minimize any damage and help your teeth and gums stay strong and healthy.
Your bite. Also known as occlusion, the bite refers to how the upper and lower teeth align with each other when you bite down. When they don’t align properly, regular chewing and biting can create abnormally high forces in the teeth and cause them to wear unevenly and more rapidly. Correcting the bite through orthodontic treatment won’t just improve your smile, it can improve bite function and decrease accelerated tooth wear.
Bruxism. This is a general term describing habits like teeth clenching and grinding in which the teeth forcefully contact each other beyond normal parameters. There are a number of causes for bruxism, but for adults it’s typically related to stress. Over time, bruxism can accelerate tooth wear and cause other problems like TMD. There are a number of ways to stop or at least reduce the effects of bruxism like relaxation techniques or a night guard worn during sleep that prevents the teeth from making forceful contact.
If you suspect you’re experiencing any of these factors, see us for a full examination. We’ll then be able to discuss your condition, the potential impact on tooth wear, and what we can do to protect your teeth.
If you would like more information on protecting your teeth as you age, 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 “How and Why Teeth Wear.”
We've been using bridges to replace missing teeth for decades. Now, recently-developed implant-supported bridges are even more dependable, promising greater durability and less interference with remaining natural teeth.
But just like other restorations, you'll need to keep implant bridges clean to ensure their longevity. Although both the bridge and implants are impervious to disease, the supporting gums and bone aren't. If they become infected, they can break down and your restoration will fail.
Cleaning an implant-supported bridge includes flossing around each of the implants to remove dental plaque, a thin film of food particles and bacteria most responsible for dental disease. To perform this task, you'll have to pass the floss between the bridge and gums to access the sides of each implant.
To help make it easier, you can use a tool like a floss threader, a thin, shaft-like device with a loop on one end and a needle-like point on the other. You'll first thread about 18" of floss through the end and then pass the threader between the bridge and gums with the sharp end toward the tongue.
With the threader completely through, you'll then wrap the floss around your fingers as with regular flossing and move the floss up and down each side of the implants you can access. You'll then pull the floss out, reload the threader and move to the next section, repeating this process until you've flossed each side of each implant.
You can also use pre-cut floss with a stiffened end to thread between the bridge and gums or an interproximal brush with a thin bristled head that can reach underneath the bridge. And you might consider using an oral irrigator, a pump device that sprays a stream of pressurized water to remove and flush away plaque around implants.
To round out your hygiene efforts, be sure you visit your dentist at least twice a year for dental cleanings. Your dentist can also advise you and give you training on keeping your implants clear of disease-causing plaque. Cleaning around your implants will help ensure your restoration will last.
If you would like more information on caring for your dental restoration, 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.”