Have you been avoiding seeing a dentist because you are afraid that the visit might be unpleasant or painful? Are you unhappy with the appearance of your teeth and the health of your mouth, even envious of others who are able to visit their dentist without hesitation?
If you've answered yes to these questions, you are not alone. Many people experience some anxiety about visiting their dentist. Some fears are based on past negative experiences, indirectly influenced by family members or friends, or even by images seen in the movies. Regardless of the origin of your fear, we will work with you to turn negative perceptions or experiences into positive ones. The most important thing to remember is that allowing dental problems to remain untreated can have bad consequences, including toothache, infection, poor appearance and even general health complications.
We will listen to you and even encourage you to express your feelings. Tell us the details of your fear and anxiety. You won't be judged but, instead, we want to understand exactly what troubles you, so that together we help you overcome what is preventing you from getting the care you want and need.
You will be in control at all times and we will never rush you. First we'll spend the time necessary to get you comfortable, before we even do any dentistry. After all, attempting to rush through a procedure may only incite more anxiety, and that is the last thing we want to do! We want you to leave our office with the feeling that you can more comfortably see us again building on your last positive experience.
If you would like to talk to us about what's bothering you and begin working together towards a solution, please call us today to schedule a consultation. To learn more about how patients and dentists can work together to eradicate dental fear, read the Dear Doctor magazine article “Overcoming Dental Fear & Anxiety.”
While she was pregnant with her son Camden Jack Cutler, 25-year-old Kristin Cavallari noticed an odd occurrence in her bathroom sink: “Every time I floss, my sink looks like I murdered somebody!” the actress and reality-TV personality exclaimed. Should we be concerned that something wicked is going on with the star of Laguna Beach and The Hills?
Before you call in the authorities, ask a periodontist: He or she will tell you that there's actually no mystery here. What Cavallari noticed is, in fact, a fairly common symptom of “pregnancy gingivitis,” a condition that affects many expectant moms in the second to eighth month of pregnancy. But why does it occur at this time?
First — just the facts: You may already know that gingivitis is the medical name for an early stage of gum disease. Its symptoms may include bad breath, bleeding gums, and soreness, redness, or tenderness of the gum tissue. Fundamentally, gum disease is caused by the buildup of harmful bacteria, or plaque, on the teeth at the gum line — but it's important to remember that, while hundreds of types of bacteria live in the mouth, only a few are harmful. A change in the environment inside the mouth — like inadequate oral hygiene, to use one example — can cause the harmful types to flourish.
But in this case, the culprit isn't necessarily poor hygiene — instead, blame it on the natural hormonal changes that take place in expectant moms. As levels of some female hormones (estrogen and/or progesterone) rise during pregnancy, changes occur in the blood vessels in the gums, which cause them to be more susceptible to the effects of bacterial toxins. The bacteria produce toxic chemicals, which in turn bring on the symptoms of gingivitis — including painful and inflamed gums that may bleed heavily when flossed.
Is pregnancy gingivits a cause for concern? Perhaps — but the condition is generally quite treatable. If you've noticed symptoms like Kristen's, the first thing you should do it consult our office. We can advise you on a variety of treatments designed to relieve the inflammation in your gums and prevent the harmful bacteria from proliferating. Of course, your oral health (and your overall health) are prime concerns during pregnancy — so don't hesitate to seek medical help if it's needed!
How did things work out with Kristen? She maintained an effective oral hygiene routine, delivered a healthy baby — and recently appeared on the cover of Dear Doctor magazine, as the winner of the “Best Celebrity Smile” contest for 2012. And looking at her smile, it's no mystery why she won.
If you would like more information about pregnancy gingivitis, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Expectant Mothers” and “Kristen Cavallari.”
One of the top concerns in healthcare is the interactions and side effects of medications. Drugs taken for separate conditions can interact with each other or have an effect on some other aspect of health. It's important then that all your health providers know the various medications you are taking, along with other lifestyle habits. That includes your dental team.
Calcium channel blockers (CCBs) are one type of medication that can have an effect on your oral health. CCBs are used primarily to control hypertension (high blood pressure), and to treat other cardiovascular conditions like angina or abnormal heart rhythm. They work by dilating blood vessels, which makes it easier for the heart to pump.
CCBs are now recognized as a contributing factor in the development of a condition known as gingival hyperplasia in which the gum tissues “overgrow,” extending in some cases abnormally over the teeth. This abnormal growth can be painful and uncomfortable, and can make oral hygiene more difficult to perform. The overgrowth of tissue can also be socially embarrassing.
There's also a secondary factor that can increase the risk for tissue overgrowth in patients taking a CCB — poor oral hygiene. In the absence of a good hygiene routine, a layer of bacterial plaque known as biofilm can build up on tooth surfaces and lead to various forms of gum disease, including hyperplasia. The overgrown tissue contributes in turn to this disease process by inhibiting effective oral hygiene.
If you've already developed gingival hyperplasia or some other form of gum disease, it's important for you to receive periodontal treatment for the disease as soon as possible. Once we have the condition under control, it's then a matter of regular dental checkups and cleanings to reduce the risk of disease, including gingival hyperplasia. We can also help you develop effective hygiene practices that inhibit this condition while you are taking a CCB.
If you would like more information on the effects of medication on oral health, 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 “Blood Pressure Medications.”
If you've ever watched Dancing with the Stars on television, you've no doubt noticed the vivacious and talented Cheryl Burke, whose ballroom dance moves are as captivating as her bright smile. In fact, Cheryl considers her smile to be one of her most important assets as a professional dancer.
“As a performer, you're basically smiling the whole time,” Cheryl told Dear Doctor magazine recently in an exclusive interview. “It's just really important to take care of your teeth and have a great smile.”
Cheryl is very conscientious about caring for her smile, but that wasn't always the case. In the Dear Doctor interview, Cheryl revealed that her teeth suffered from ineffective oral hygiene when she was younger. “I definitely had my share of cavities,” Cheryl recalled, adding that she believed this was her own fault. “I didn't use floss,” She explained. “I think when you do floss frequently, it helps to reduce the chances of getting cavities. It took me a while to figure it out.”
Once Cheryl did figure it out, she was able to make cavities a thing of the past. But in order to make sure the effects of her prior tooth decay did not mar her lovely smile, she made sure her dentist — who is also her stepdad! — gave her tooth-colored fillings that could not be distinguished from the surface of a natural tooth. “It's important for me,” Cheryl said.
Lots of dental patients feel the same way, even if they don't spend time in front of television cameras. That's why the dental profession has developed tooth-like materials such as composite resins and porcelains that mimic natural tooth material exactly. These materials are also suitable for children's teeth and can incorporate fluoride to reduce tooth decay. It's even possible to replace old silver-colored fillings with these newer dental materials.
If you would like to learn more about tooth-colored fillings, please contact us to schedule an appointment for a consultation. To read Dear Doctor's entire interview with Cheryl Burke, please see “Cheryl Burke.” Dear Doctor also has more on “The Natural Beauty of Tooth-Colored Fillings.”
Like a shadowy figure hovering at the edge of the movie frame, cancer may be scariest when you can't see it clearly. That's why, instead of looking away, many people have chosen to take a proactive attitude toward the disease. They're learning about the benefits of prevention, early detection and treatment — and so can you. How much do you know about oral cancer? Here are five fast facts.
Oral cancer isn't just an older person's disease.
In the past, people over 40 years of age were the main population group in which oral cancer was found. But in recent years, a growing number of young people have also been diagnosed with the disease. The sexually transmitted Human Papilloma Virus (HPV16) is thought to be responsible for the increase in oral cancer among younger people.
Oral cancer can de deadly.
While it accounts for just 2-3% of all cancers, its survival rate is far lower than lots of cancers you've heard more about. Why? Because its symptoms can be hard to tell from more benign mouth sores, and isn't caught in the early stage often enough. When discovered in its later stages, the 5-year survival rate for this disease is just 58%.
There are several risk factors for oral cancer.
Moderate to heavy drinkers and users of tobacco products — whether smoked or smokeless — are at far greater risk than non-users. Chronic exposure to the sun, besides leading to skin cancer, is also clearly associated with cancers of the lip. And, because of HPV, the same risk factors for other sexually transmitted diseases apply to oral cancer as well. Genetic predisposition also plays a role, as it does in many other diseases.
Lifestyle choices can decrease the odds of getting oral cancer.
Obviously, giving up tobacco, moderating alcohol consumption and avoiding risky sexual behavior will mitigate these risk factors. But you can also lessen your chances of getting the disease by eating a healthy diet. Studies have shown that a high intake of fruits and vegetables is protective against oral cancer — and other cancers as well.
Early detection boosts the survival rate for oral cancer above 80%.
Yet the earliest symptoms of oral cancer are hard for many people to distinguish from common maladies like cold sores. What's the best way to detect it? Do something you should be doing anyway — get regular dental checkups! We're trained to find the signs of a potential problem via a quick, painless screening that can be done at your routine checkup. We can also schedule biopsies or other diagnostic tests if they're needed.
If you have concerns about oral cancer, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Oral Cancer” and “Diet and Prevention of Oral Cancer.”
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