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Posts for category: Oral Health

By Dr. Rosanne M. Palermo
September 15, 2021
Category: Oral Health
Tags: tooth decay  
StopToothDecayBeforeItDerailsYourChildsDentalDevelopment

From birth to early adulthood, your child's teeth, gums and jaws develop at a rapid pace. And, for the most part, nature takes its course without our help.

But tooth decay can derail that development. The result of bacterial acid eroding enamel, tooth decay is the top cause for premature primary tooth loss in children. One particular form, early childhood caries (ECC), can rapidly spread from one tooth to another.

Many parents assume prematurely losing teeth that are destined to fall out soon anyway is inconsequential. But primary teeth play a critical role in the proper eruption of permanent teeth, serving as both placeholders and guides for those teeth developing just below them in the gums. A permanent tooth without this guidance can erupt out of alignment to create a poor bite that may require future orthodontics.

Being proactive about tooth decay lessens that risk—and the best time to start is when the first teeth begin to erupt. That's when you should begin their regular dental visits sometime around their first birthday.

Dental visits are an important defense against tooth decay. Besides routine dental cleanings, your child's dentist can offer various preventive treatments like sealants to stop decay from forming in the biting surfaces of back molars or topically applied fluoride to strengthen tooth enamel.

Daily home care is just as important in the fight against tooth decay. Oral hygiene should be a part of your child's daily life even before teeth: It's a good habit to wipe an infant's gums with a clean cloth after nursing. As teeth arrive, oral hygiene turns to brushing and flossing—perhaps the best defense of all against dental disease.

It's also important to watch their intake of sugar, a prime food source for bacteria that produce harmful acid. Instead, encourage a "tooth-friendly" diet of whole foods to keep teeth and gums healthy.

Even if they do develop tooth decay, there are effective treatments to minimize any damage and preserve affected primary teeth until they've served their purpose. By adopting these prevention strategies and prompt treatment, you can stay ahead of this destructive disease.

If you would like more information on preventive dental care for children, please contact us or schedule an appointment for a consultation.

By Dr. Rosanne M. Palermo
August 26, 2021
Category: Oral Health
Tags: gum disease  
PeriodontalProbingCanTellUsaLotAbouttheSeverityofaGumInfection

The red and puffy gums that sometimes accompany the onset of periodontal (gum) disease don't always catch your attention. You may not even get any symptoms at all, in fact, until the disease has become well advanced.

That's why regular dental visits are so important for gum health: For while you may not notice anything abnormal about your gums, we have a simple procedure known as periodontal probing that can help diagnose the condition of your gums.

Gum disease is a common bacterial infection that affects millions of people worldwide. It most often begins with plaque, a filmy, bacterial buildup on teeth. These bacteria feed and multiply on the remnant food particles in the film, increasing the chances for an infection.

As it grows—as well as the inflammation the body initiates to fight it—the infection weakens the gum attachment to teeth. This can cause the miniscule gap between gums and teeth at the gum line to widen, forming a void called a periodontal pocket. The deeper and wider the pocket, the more advanced the gum infection.

We may be able to verify the presence of a periodontal pocket by using a long, thin probing instrument with millimeter gradations. We gently insert the probe at various locations around a tooth as far as it will comfortably go. We then record the depth by reading the gradation measures lined up with the top of the gums, as well as observing how snug or loose the probe feels within the gum space.

One to three millimeters signifies a healthy attachment between the tooth and gums—anything more than that usually indicates gum disease. Measurements of 5mm indicates a problem, the higher the number, the more advanced is the periodontal disease.

We use these probe readings and other factors to guide our treatment approach in individual cases of gum disease. With a less-advanced infection we may only need to remove plaque and calculus adhering to the crown and just below the gum line. More advanced gum disease infecting the root area may require surgical access through the gums.

All in all, keeping up with regular dental visits can increase the chances of early diagnosis, when the disease is still in its initial stages. And daily oral hygiene to remove harmful plaque may help you avoid gum disease altogether.

If you would like more information on treating gum disease, 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 “Understanding Periodontal Pockets.”

VanHalensPassingRemindsUsoftheDangersofOralCancerandHowtoHelpPreventIt

Fans everywhere were recently saddened by the news of musical legend Eddie Van Halen's death. Co-founder and lead guitarist for the iconic rock group Van Halen, the 65-year-old superstar passed away from oral cancer.

Van Halen's rise to worldwide fame began in the 1970s with his unique guitar style and energetic performances, but behind the scenes, he struggled with his health. In 2000, he was successfully treated for tongue cancer. He remained cancer-free until 2018 when he was diagnosed with throat cancer to which he succumbed this past October.

Van Halen claimed the metal guitar picks he habitually held in his mouth caused his tongue cancer. It's more likely, though, that his heavy cigarette smoking and alcohol use had more to do with his cancers.

According to the American Cancer Society, most oral cancer patients are smokers and, as in Van Halen's case, are more likely to beat one form of oral cancer only to have another form arise in another part of the mouth. Add in heavy alcohol consumption, and the combined habits can increase the risk of oral cancer a hundredfold.

But there are ways to reduce that risk by making some important lifestyle changes. Here's how:

Quit tobacco. Giving up tobacco, whether smoked or smokeless, vastly lowers your oral cancer risk. It's not easy to kick the habit solo, but a medically supervised cessation program or support group can help.

Limit alcohol. If you drink heavily, consider giving up alcohol or limiting yourself to just one or two drinks a day. As with tobacco, it can be difficult doing it alone, so speak with a health professional for assistance.

Eat healthy. You can reduce your cancer risk by avoiding processed foods with nitrites or other known carcinogens. Instead, eat fresh fruits and vegetables with antioxidants that fight cancer. A healthy diet also boosts your overall dental and bodily health.

Practice hygiene. Keeping teeth and gums healthy also lowers oral cancer risk. Brush and floss daily to remove dental plaque, the bacterial film on teeth most responsible for dental disease. You should also visit us every six months for more thorough dental cleanings and checkups.

One last thing: Because oral cancer is often diagnosed in its advanced stages, be sure you see us if you notice any persistent sores or other abnormalities on your tongue or the inside of your mouth. An earlier diagnosis of oral cancer can vastly improve the long-term prognosis.

Although not as prevalent as other forms of cancer, oral cancer is among the deadliest with only a 60% five-year survival rate. Making these changes toward a healthier lifestyle can help you avoid this serious disease.

If you would like more information about preventing oral cancer, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “How a Routine Dental Visit Saved My Life” and “Strategies to Stop Smoking.”

By Dr. Rosanne M. Palermo
August 06, 2021
Category: Oral Health
SafelyRemoveaLooseBabyToothforaHappyToothFairyEncounter

Although Santa Claus has Christmas and the Easter Bunny has Easter, neither of these mythical characters has a day just for them (unless you count the Feast of Saint Nicholas in early December). Not so the Tooth Fairy: According to NationalToday.com, August 22nd is National Tooth Fairy Day, in celebration of this favorite sprite of children.

And, there's good reason for the love—he (or she, if you prefer) comes bearing gifts. Well, not technically a gift: the deal is a tooth in exchange for a treat. Now, what the Tooth Fairy does with all the millions of teeth obtained, no one knows. But that he/she has a huge potential supply is undeniable.

The teeth sought are a specific kind—primary ("baby") teeth that start showing up on the jaw a few months after birth and then gradually fall out by adolescence. Kids have around twenty of these teeth for the potential under-the-pillow exchange.

Here's how it happens: The roots slowly begin to dissolve and the gum tissues holding the tooth in place detach. The sure sign this is occurring is the tooth's noticeable looseness. The process continues naturally, and with no help from us, until the tooth falls out.

But children especially can grow impatient—a wiggly tooth becomes annoying, not to mention all that "earning potential" just hanging there. And so, there's an understandable urge to help it along. But some methods for doing so are problematic—tying a string to the tooth and yanking, for example. Trying to remove a tooth not quite ready can result in excessive bleeding or damage to the tooth socket.

Depending on a tooth's degree of looseness, there is a way to take it out safely. You can do this by draping a piece of gauze pad over the tooth and grasping it firmly between your fingers. Then, gently give the tooth a gentle downward pinch or squeeze. If it's loose enough, it should come out. If not, simply wait another day or two and try again.

A tooth ready to come out doesn't normally bleed much. If it does, have the child bite down on a clean piece of gauze or a wet tea bag for a few minutes until the bleeding stops. They might also eat softer foods for a few days to avoid a resumption of bleeding.

Of course, the tooth inevitably comes out whether you help it along or not. In the event it does away from home, make up some kind of small container your child can carry with them to secure the lost tooth. It's a fun project—and we wouldn't want to lose the opportunity for that profitable encounter with You-Know-Who.

If you would like more information about caring for children's primary teeth, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Losing a Baby Tooth.”

By Dr. Rosanne M. Palermo
July 27, 2021
Category: Oral Health
Tags: teething  
NeverUseThisNumbingAgenttoRelieveTeethingPaininYoungChildren

Parents will do just about anything to relieve their children's discomfort when they're in pain. When a toddler is suffering through a teething episode, it's tempting to turn to a topical numbing ointment to soothe their gums.

But there can be a hidden danger for kids if you use certain over-the-counter products used by adults for gum or teeth pain. Many of these topical ointments contain a pain reliever called benzocaine. While it's relatively safe for adults, benzocaine can be hazardous for infants and young children.

Studies have found that benzocaine contributes to a disease called methemoglobinemia, in which a protein in the blood called methemoglobin increases to abnormal levels. Too much of this protein inhibits the transport of oxygen throughout the body. For young children, this can cause shortness of breath, fatigue and dizziness. In extreme cases, it could lead to seizures, coma or even death.

Parents are urged to avoid using any product containing benzocaine to ease gum or teething pain in children. Instead, the American Academy of Pediatric Dentistry recommends providing a child a chilled (not frozen) teething ring, pacifier or a damp clean cloth to chew on. The chewing action helps relieve gum swelling pressure and the cold will help numb the pain. Massaging the gums with a clean finger may also help.

If the pain persists, parents should consult a doctor or pharmacist about giving their child pain medication. Drugs like ibuprofen or acetaminophen (never aspirin) administered in the proper dosage for a child's age can help ease teething discomfort. Medications should always be given orally—you should never rub substances like aspirin or alcohol directly on the gums, which can further irritate already inflamed tissues.

Teething episodes come and go during a child's early dental development—they are like storms that swell and abate before they finally pass. Except when accompanied by fever or diarrhea, there's no need for concern. Your main goal is to help ease their discomfort as much—and as safely—as possible.

If you would like more information on how to help your child weather teething episodes, please contact us or schedule an appointment for a consultation.