Wednesday, August 29, 2012
Friday, August 17, 2012
Tuesday, August 14, 2012
Oral Health: The Mouth-Body ConnectionYears ago, a physician who suspected heart disease would probably not refer the patient to a gum specialist. The same went for diabetes, pregnancy, or just about any other medical condition. Times have changed. The past 5 to 10 years have seen ballooning interest in possible links between mouth health and body health.
"Physicians are taking a more holistic approach to their patients’ overall health," says Sally Cram, DDS, PC, consumer advisor for the American Dental Association. And for good reason. In one recent study, people with serious gum disease were 40% more likely to have a chronic condition on top of it.
It's easy to ignore the effects of poor oral hygiene because they're hidden in your mouth. But gum disease may point to problems with diabetes and heart disease and loose teeth could be a sign of osteoporosis. Could it be that a healthy mouth means more than just a sparkling smile? And what could your dentist learn about you the next time you open wide?
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Your Mouth, the Gateway to Your BodyTo understand how the mouth can affect the body, it helps to understand what can go wrong in the first place. Bacteria that builds up on teeth make gums prone to infection. The immune system moves in to attack the infection and the gums become inflamed. The inflammation continues unless the infection is brought under control.
Over time, inflammation and the chemicals it releases eat away at the gums and bone structure that hold teeth in place. The result is severe gum disease, known as periodontitis. Inflammation can also cause problems in the rest of the body.
Oral Health and DiabetesThe working relationship between diabetes and periodontitis may be the strongest of all the connections between the mouth and body. Inflammation that starts in the mouth seems to weaken the body’s ability to control blood sugar. People with diabetes have trouble processing sugar because of a lack of insulin, the hormone that converts sugar into energy.
"Periodontal disease further complicates diabetes because the inflammation impairs the body’s ability to utilize insulin," says Pamela McClain, DDS, president of the American Academy of Periodontology. To further complicate matters, diabetes and periodontitis have a two-way relationship. High blood sugar provides ideal conditions for infection to grow, including gum infections. Fortunately you can use the gum disease-diabetes relationship to your favor: managing one can help bring the other under control.
Oral Health and Heart DiseaseThough the reasons are not fully understood, it’s clear that gum disease and heart disease often go hand in hand. Up to 91% of patients with heart disease have periodontitis, compared to 66% of people with no heart disease. The two conditions have several risk factors in common, such as smoking, unhealthy diet, and excess weight. And some suspect that periodontitis has a direct role in raising the risk for heart disease as well.
"The theory is that inflammation in the mouth causes inflammation in the blood vessels," says Cram. This can increase the risk for heart attack in a number of ways. Inflamed blood vessels allow less blood to travel between the heart and the rest of the body, raising blood pressure. "There’s also a greater risk that fatty plaque will break off the wall of a blood vessel and travel to the heart or the brain, causing a heart attack or stroke," Cram explains.
Oral Health and PregnancyBabies born too early or at a low birth weight often have significant health problems, including lung conditions, heart conditions, and learning disorders. While many factors can contribute to premature or low birth weight deliveries, researchers are looking at the possible role of gum disease. Infection and inflammation in general seem to interfere with a fetus’ development in the womb.
Though men have periodontitis more often than women do, hormonal changes during pregnancy can increase a woman’s risk. For the best chance of a healthy pregnancy, McClain recommends a comprehensive periodontal exam "if you’re pregnant or before you become pregnant to identify whether or not you’re at risk."
Oral Health and OsteoporosisOsteoporosis and periodontitis have an important thing in common, bone loss. The link between the two, however, is controversial. Cram points out that osteoporosis affects the long bones in the arms and legs, whereas gum disease attacks the jawbone. Others point to the fact that osteoporosis mainly affects women, whereas periodontitis is more common among men.
Though a link has not been well established, some studies have found that women with osteoporosis have gum disease more often than those who do not. Researchers are testing the theory that inflammation triggered by periodontitis could weaken bone in other parts of the body.
Oral Health and SmokingNot smoking is one of the most important things you can do for your mouth and your body. According to the CDC, a smoker’s risk of severe gum disease is three times higher than someone who does not smoke.
"Nicotine in cigarettes causes blood vessels to constrict," McClain tells WebMD. This interferes with your gums’ ability to fight infection. Not only that, smoking interferes with treatment -- gum surgeries tend to be more complicated and recovery more difficult.
Oral Health and Other ConditionsThe impact of oral health on the body is a relatively new area of study. Some other mouth-body connections under current investigation include:
- Rheumatoid Arthritis. Treating periodontal disease has been shown to reduce pain caused by rheumatoid arthritis.
- Lung Conditions. Periodontal disease may make pneumonia and chronic obstructive pulmonary disease worse, possibly by increasing the amount of bacteria in the lungs.
- Obesity. Two studies have linked obesity to gum disease. It appears that periodontitis progresses more quickly in the presence of higher body fat.
The Bottom Line on Oral HealthOne thing is clear: the body and mouth are not separate. "Your body can affect your mouth and likewise, your mouth can affect your body," says McClain. "Taking good care of your teeth and gums can really help you live well longer." This means brushing twice a day, flossing once a day, and going for regular dental cleanings and check-ups.
Cram stresses the importance of letting your dentist know your full family medical history. And, she adds, "if you have periodontal disease, make sure you see your dentist frequently and get it treated promptly, before it progresses to the point where you begin losing teeth or it starts to affect your overall health.
Call Dr. Cherukuri for more information on the Mouth Body Connection 909 627 6699 or visit us at www.chinosmiles.com
Friday, August 10, 2012
Tuesday, August 7, 2012
Dental Health and Dry MouthWe all need saliva to moisten and cleanse our mouths and digest food. Saliva also prevents infection by controlling bacteria and fungi in the mouth. When we don't produce enough saliva, our mouth gets dry and uncomfortable. Fortunately, there are many effective treatments for dry mouth.
What Causes Dry Mouth?There are several causes of dry mouth, also called xerostomia. These include:
- Side effect of certain medications. Dry mouth is a common side effect of many prescription and nonprescription drugs, including drugs used to treat depression, anxiety, pain, allergies, and colds (antihistamines and decongestants), obesity, acne, epilepsy, hypertension (diuretics), diarrhea, nausea, psychotic disorders, urinary incontinence, asthma (certain bronchodilators), and Parkinson's disease. Dry mouth can also be a side effect of muscle relaxants and sedatives.
- Side effect of certain diseases and infections. Dry mouth can be a side effect of medical conditions, including Sjögren's syndrome, HIV/AIDS, Alzheimer's disease, diabetes, anemia, cystic fibrosis, rheumatoid arthritis, hypertension, Parkinson's disease, stroke, and mumps.
- Side effect of certain medical treatments. Damage to the salivary glands, the glands that produce saliva, for example, from radiation to the head and neck and chemotherapy treatments for cancer, can reduce the amount of saliva produced.
- Nerve damage. Dry mouth can be a result of nerve damage to the head and neck area from an injury or surgery.
- Dehydration. Conditions that lead to dehydration, such as fever, excessive sweating, vomiting, diarrhea, blood loss, and burns can cause dry mouth.
- Surgical removal of the salivary glands.
- Lifestyle.Smoking or chewing tobacco can affect saliva production and aggravate dry mouth. Continuously breathing with your mouth open can also contribute to the problem.
What Are the Symptoms of Dry Mouth?Common symptoms of dry mouth include:
- A sticky, dry feeling in the mouth
- Frequent thirst
- Sores in the mouth; sores or split skin at the corners of the mouth; cracked lips
- A dry feeling in the throat
- A burning or tingling sensation in the mouth and especially on the tongue
- A dry, red, raw tongue
- Problems speaking or difficulty tasting, chewing, and swallowing
- Hoarseness, dry nasal passages, sore throat
- Bad breath
Why Is Dry Mouth a Problem?Besides causing the aggravating symptoms mentioned above, dry mouth also increases a person's risk of gingivitis (gum disease), tooth decay, and mouth infections, such as thrush.
Dry mouth can also make it difficult to wear dentures.
How Is Dry Mouth Treated?If you think your dry mouth is caused by certain medication you are taking, talk to your doctor. He or she may adjust the dose you are taking or switch you to a different drug that doesn't cause dry mouth.
In addition, an oral rinse to restore mouth moisture may be prescribed. If that doesn't help a medication that stimulates saliva production, called Salagen, may be prescribed.
Other steps you can take that may help improve saliva flow include:
- Sucking on sugar-free candy or chewing sugar-free gum
- Drinking plenty of water to help keep your mouth moist
- Protecting your teeth by brushing with a fluoridetoothpaste, using a fluoride rinse, and visiting your dentist regularly
- Breathing through your nose, not your mouth, as much as possible
- Using a room vaporizer to add moisture to the bedroom air
- Using an over-the-counter artificial saliva substitute