Antibiotics and Dental Procedures

The mouth is packed with various strains of bacteria, which in a healthy individual maintain optimal oral health. During daily routines like chewing, brushing or flossing, the bacteria can enter the blood stream but don’t present a problem for most of us  when the immune system is healthy. In compromised health, bacteremia (bacteria entering blood stream) can cause infections elsewhere in the body.

Specific heart conditions and orthopedic implants such as artificial joints have known to be the more vulnerable sites for potential infections. 

Antibiotic prophylaxis, or preventative use of antibiotics prior to a dental visit is recommended in conditions like-

-Artificial heart valves

-History of infection of the lining of the heart or heart valves known as Infective Endocarditis

-A heart transplant

-Congenital heart conditions like Cyanotic congenital heart disease

-Defects repaired with a prosthetic device

The criteria for antibiotic prophylaxis is periodically updated by the American Heart Association and the American Dental Association depending on current research and development. Currently, the AHA recommends prophylactic antibiotics only on patients with a history of endocardial bacterial endocarditis.

American Associations of Orthopedic Surgeons in their revised guidelines no longer recommend antibiotics for patients with artificial joints.

In an abundance of caution, our office coordinates with the patient’s physician to determine the appropriate antibiotic protocol. 

Visit www.smileartistrychino.com to E mail us at lovemydentist@gmail.com

Dental Health Benefits of Caffeine

Caffeinated drinks are not created equally and each one will have a different impact on a person’s teeth.

• Coffee: Drinking a steaming cup of Joe is a common ritual many Americans follow daily as a way to jump start the day and the great news is, the beverage has been scientifically proven to reduce the odds of developing cavities. That level of protection comes from one of coffee's main ingredients called Trigonelline. Trigonelline is an alkaloid that can negate the effects of acid that is produced as a byproduct of bacteria during their consumption of simple sugars. Consuming black coffee can neutralize the acids and reduce harmful levels of dental plaque.

• Black Tea: Throughout the world, the most popular caffeinated beverage is black tea and the drink is known for having naturally high levels of fluoride

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• Green Tea: Green tea is rich with antioxidants, polyphenols and catechins. The beverage has been proven to fight cancer, prevent heart disease and can improve oral health by fighting gum disease Japanese research has indicated that every one cup of unsweetened green tea consumed can naturally boost the body's response to periodontal bacteria inflammation.

"Drinking caffeinated beverages without any additives such as sugar, artificial sweetener or milk is the key component of reaping the dental benefits. Adding those ingredients may not only negate any health perks, but will contribute to dental disease." adds Dr. Cherukuri from her Chino California dental practice.

Oral Health: A Window to Your Overall Health

 Oral health is more important than most people realize. The mouth is an indicator of overall health just as the smile is an expression of the personality.
 

What is the connection between Oral Health and Overall Health?

Mouth is teeming with bacteria, most of which are harmless.  Under normal body’s natural defenses and good oral hygiene, these bacteria can be under control.  However, without proper oral hygiene; bacteria can reach levels that lead to oral as well as systemic infections.

Medications used to manage medical conditions like antihistamines, diuretics, pain killers, decongestants can reduce salivary flow, increasing the potential for dental disease.

Below is an excerpt from the Mayo Clinic-

What conditions may be linked to oral health?

Your oral health might affect, be affected by, or contribute to various diseases and conditions, including:

• Endocarditis. Endocarditis is an infection of the inner lining of your heart (endocardium). Endocarditis typically occurs when bacteria or other germs from another part of your body, such as your mouth, spread through your bloodstream and attach to damaged areas in your heart.
• Cardiovascular disease. Some research suggests that heart disease, clogged arteries and stroke might be linked to the inflammation and infections that oral bacteria can cause.
• Pregnancy and birth. Periodontitis has been linked to premature birth and low birth weight.
• Diabetes. Diabetes reduces the body's resistance to infection — putting the gums at risk. Gum disease appears to be more frequent and severe among people who have diabetes. Research shows that people who have gum disease have a harder time controlling their blood sugar levels.
• HIV/AIDS. Oral problems, such as painful mucosal lesions, are common in people who have HIV/AIDS.
• Osteoporosis. Osteoporosis — which causes bones to become weak and brittle — might be linked with periodontal bone loss and tooth loss.
• Alzheimer's disease. Tooth loss before age 35 might be a risk factor for Alzheimer's disease.
• Other conditions. Other conditions that might be linked to oral health include Sjogren's syndrome — an immune system disorder that causes dry mouth — and eating disorders.

Because of these potential links, be sure to tell your dentist if you're taking any medications or have had any changes in your overall health — especially if you've had any recent illnesses or you have a chronic condition, such as diabetes. 

How can I protect my oral health?

To protect your oral health, practice good oral hygiene every day. For example:

• Brush your teeth at least twice a day.
• Floss daily.
• Eat a healthy diet and limit between-meal snacks.
• Replace your toothbrush every three to four months or sooner if bristles are frayed.
• Schedule regular dental checkups.

Also, contact your dentist as soon as an oral health problem arises. Remember, taking care of your oral health is an investment in your overall health.

It's Just Teeth!

Patients often ask us why they need to disclose health information and sometimes feel that they can gloss over certain details, because after all, it’s just your teeth being taken care of, isn’t it?

Nothing could be further from the truth.  Dental care is more than superficial care and repair of the teeth.  We understand how your overall health affects your dental health.   Did you know that many serious health conditions first show up in your mouth?

For most healthy patients, undergoing dental work has no effect on their overall health and well-being.  For patients with certain health conditions, medical histories and some medications, undergoing a dental procedure can have adverse consequences if these factors are not taken into consideration, and appropriate precautions taken prior to treatment.  Since your health and safety is our primary concern, we take your medical history very seriously.

Some Common Concerns About Your Overall Health

Health conditions and medications can interfere with your regular dental care.  For some patients, undergoing a dental procedure without proper preparation and precaution can be dangerous.  Here are just a few examples of medical conditions which can complicate your dental care.

High Blood Pressure

We check your blood pressure when you arrive for your appointment.  This may seem trivial, but did you know that an abnormal blood pressure can have serious consequences if certain dental procedures are performed on a patient with high blood pressure?  Just a few complications could be excessive bleeding, dangerous continued elevation of blood pressure during treatment (increasing the risk for heart attack or stroke).

Heart Problems and Heart Valve Problems

Heart valve problems can increase your risk of experiencing a very serious heart infection called bacterial endocarditis.  For patients with heart conditions, certain precautions must be taken to ensure your safety.

Joint Replacements and Implants

Having an artificial joint replacement or other implant anywhere in your body can put you at risk for infections when bacteria from your mouth enter your bloodstream during dental treatment, and settle in the artificial joint or implant.  If you have any of these, be sure to mention it, so precautions can be taken if needed.

Osteoporosis

Patients with osteoporosis may be taking certain medications that affect the anatomical structure of your bone tissue.  Complications can occur following dental surgical procedures in some patients who are taking these medications, known as bisphosphonates.  In some instances, the jaw bone might not heal properly following a tooth extraction or other surgical procedure.  This can cause serious complications such as bone infection. If you are taking a medication for osteoporosis, such as Boniva, be sure to tell the dentist says Dr Cherukuri.

Diabetes

Patients with diabetes, both insulin dependent and non-insulin dependent can experience difficulties with wound healing.  Undergoing a surgical dental procedure can potentially result in problems with healing in patients with diabetes. 

Medication Allergies

If you are allergic to medications, foods or substances such as adhesive or latex, be sure to include that information on your medical history form so these allergens can be avoided during your treatment.

Having named just a few of the health conditions which must be addressed prior to your dental treatment, it’s easy to see how undergoing dental procedures can affect your overall health or exacerbate otherwise well-managed conditions.  When completing your medical history questionnaire, remember to be thorough and complete.  If changes in your medical conditions have changed since your last visit, be sure to update the information.

Your health and safety is important to us at Dr Cherukuri's dental office and having

  health history information about you helps us to provide you with the most comprehensive and safe dental treatment possible.

Weight Loss Resolution?

Mouth-Health Connection

   Health Links & Periodontal Disease. What’s the Big Deal?

 

    
 Currently Periodontal disease has been linked to other health problems such as: Respiratory problems, Diabetes, Heart Disease, some cancers and low birth-weight babies.

http://www.webmd.com/heart-disease/features/periodontal-disease-heart-health)

         

“The diagnosis of Periodontal disease can be alarming, especially when you learn how other systemic diseases are also linked with Periodontal problems,” says Dr. Vijaya Cherukuri from her Chino, California Dental Practice.www.chinosmiles.com

         

“Not only are there links to health concerns with Periodontal Disease, but in general it is easier to find the manifestations of disease in the mouth,” Dr.Cherukuri www.chinosmiles.com goes on to explain. “Often your dentist is the one who is able to spot and diagnose other conditions as well.” When that happens, your dentist will refer you to your medical provider for follow up blood work. It is why it is important to see your dentist on a regular basis.

         

While the diagnosis of periodontal disease may seem unsettling, the good news is that Periodontal disease is many times controllable and it is good to know your dentist is looking out for more than just your teeth.

Another great reason to see your dentist on a regular basis!