Dental patients who are undergoing cancer treatment receive a little extra care at Bearable Dentistry. We may get involved with the patient’s cancer care team to gain understanding of proposed therapies, so together we can determine the best oral care plan. Patients who are receiving chemotherapy and head/neck radiation treatment are at a high risk for caries (dental decay). They may need more than an ordinary fluoride toothpaste to help manage this risk. Your Bearable Dentistry dentist may prescribe a special high fluoride toothpaste to help prevent dental decay. The American Dental Association indicated that patients at high-risk for dental decay can benefit from additional sources of fluoride. One option is to substitute a regular fluoride toothpaste with a prescription strength toothpaste containing 5000 ppm fluoride. Bearable Dentistry dental health professionals dispense Clinpro 5000 to patients at high risk of developing dental caries.
*Some content is reprinted in part from an article writen by Jennifer Garvin which appears in the American Dental Association publication on May 7, 2018*
“In continuing efforts to keep prescription opioid pain medications from becoming a source of harm in communities, the ADA is supporting several proposals highlighted in the Opioid Crisis Response Act of 2018.
The Opioid Crisis Response Act, Senate Bill 2680, is a bipartisan legislation package containing more than 40 proposals from six Senate Committee on Health, Education, Labor and Pensions (known as HELP) hearings on the opioid epidemic. The hearings produced testimonies from the National Institutes of Health, Food and Drug Administration; Substance Abuse and Mental Health Services Administration; and Centers for Disease Control and Prevention, as well as state governors, expert witnesses and families touched by the crisis. The committee unanimously passed the legislation on April 24, 2018.”
The American Dental Association recently expressed support for mandatory continuing education for opioid prescribers, limits on the number of pills that can be prescribed for initial acute pain and mandatory use of prescription drug monitoring programs.
Your Bearable Dentistry dentists are participating members in the American Dental Association and the Idaho State Dental Association. They support the efforts of these professional associations to keep opioid pain medications use limited to those patients who will benefit from their use and to avoid the damaging effects of opioid misuse in our community. Your Bearable Dentistry oral health professional can help you understand pain management for dental pain.
If you have heart disease, a heart condition even as minor as a murmur, or have recently had heart surgery, it’s important to let your dentist know about your condition before your visit. Taking this extra precaution can be vitally important to safeguarding your health.
Why It’s Important
Even routine dental procedures, such as cleaning, can cause bleeding in the mouth, which then allows oral bacteria to enter the bloodstream and possibly travel to the heart. For a patient with a heart condition this bacteria poses the potentially dangerous risk of endocarditis, or inflammation of the heart valves or tissue. Because of this, for patients with cardiac issues, antibiotics are recommended prior to any dental visit, even routine cleanings.
In general, patients who have suffered a heart attack should wait six months before undergoing any type of dental treatment, and must communicate any medications they are taking, especially any anticoagulants, or blood-thinning drugs. Patients with stable angina (regular chest pain) should consult with their doctors, but those with unstable (irregularly occurring) angina are usually advised not to undergo non-essential dental procedures. Emergency dental care should be performed either in a hospital setting or an office with cardiac monitoring capabilities.
Other things to keep in mind to protect your heart health before visiting the dentist include:
Learn what your dentist can do in the case of medical emergency, and find out if there is oxygen and nitroglycerin available if needed.
Be sure your dentist has your complete medical history, including any relevant bloodwork, and names and contact information for other healthcare providers with whom they may need to consult.
Always be sure to let your dentist know if you have any health concerns before an appointment, and particularly if you might have a heart condition. Your continued good health depends on it!
The Bearable Dentistry dentists want you to have strong, healthy teeth for your entire life. That’s why they recommend preventive care to keep troublesome dental problems away. Modern technology has given dentists the tools to diagnose caries (dental decay), periodontal disease, oral cancer and other problems early. Early detection provides for the most minimally invasive treatment and leads to the best outcome for our patients.
Diagnosing cavities early allows your dentist to perform restorations in a minimally invasive way. They can also perform minimally invasive esthetic procedures like no-prep veneers and diastema closures with composite filling material – less expensively than other cosmetic procedures. Besides spending less time in the dental chair, minimally invasive treatment offers another benefit – cost savings. Identifying dental concerns early on can help you avoid costly procedures. See your Bearable Dentistry dental hygienist and dentist regularly to keep your smile healthy and looking it’s best.
There are a growing number of research studies which indicate that e-cigarettes pose negative health consequences for users. Medical Daily states that when “e-cigarettes first emerged in 2004” they “quickly became popular” as a so-called healthy alternative for individuals who wanted the experience of smoking tobacco without inhaling the toxins associated with traditional cigarettes. Unfortunately, a number of studies have suggested that e-cigarettes create negative health concerns. Dr. Irfan Rahman, professor of Envinronmental Medicine at the University of Rochester, studied how e-cigarettes may affect oral health. “We showed that when the vapors from an e-cigarette are burned, it causes cells to release inflammatory proteins, which in turn aggravate stress within cells, resulting in damage and that could lead to various oral diseases,” he said. Dr. Rahman also co-authored a study which examined the artificial flavoring used in e-cigarettes. That study indicates that the flavors induce tissue damage and have a toxic effect on white blood cells – the worst impact came from cinnamon, vanilla and buttery flavored “e-juices”. The study also noted that the Food and Drug Administration has not approved e-cigarettes as a smoking cessation aid.
Hypodontia and Agenesis terms which refer to the condition of development of adult teeth. Hypodontia refers to a lack of one or more teeth. In medicine, agenesis refers to the failure to develop during embryonic growth and development.
Hypodontia is often familial and can also be associated with genetic disorders. Possible causes are genetic, hormonal, environmental and infectious. It is one of the most common anomalies of the human dentition and is characterized by the developmental absence of one or more teeth. Many studies have reported that the prevalence of congenital absence of permanent teeth varies from 3% to 11% among European and Asian populations.
There are several ways to deal with hypodontia (missing teeth). Dentures, partial dentures, bridges and implants can be used to restore the space(s) left by missing teeth. Closing the space will help keep the remaining teeth from shifting out of place and will preserve the patient’s bite. A correct bite helps ensure jaw alignment and prolongs the life of your teeth.
Ask your Bearable Dentistry professional about ways to improve your bite and preserve your teeth by replacing missing teeth.
Too many people mistakenly believe that they need to see a dentist only if they are in pain or think something is wrong, but they are missing the bigger picture. A dental visit means being examined by a doctor of oral health, capable of diagnosing and treating conditions that can range from routine to extremely complex.
The team approach to dentistry promotes continuity of care that is comprehensive, convenient, cost effective and efficient. Members of the team include dental assistants, lab technicians and dental hygienists. Leading the team is the dentist, a doctor specializing in oral health who has earned either a Doctor of Dental Medicine (DMD) degree or a Doctor of Dental Surgery (DDS) degree, which are essentially the same.
Dentists’ areas of care include not only their patients’ teeth and gums but also the muscles of the head, neck and jaw, the tongue, salivary glands, the nervous system of the head and neck and other areas. During a comprehensive exam, dentists examine the teeth and gums, but they also look for lumps, swellings, discoloratioins, ulcerations – any abnormality. When appropriate, they perform procedures such as biopsies, diagnostic tests for chronic or infectious diseases, salivary gland function, and screening tests for oral cancer.
In adition, dentists can spot early warning signs in the mouth that may indicate disease elsewhere in the body. Our dentists are trained to recognize situations that warrant referring patients for care by dental specialists or physicians.
The team of oral health care at Bearable Dentisty provides comprehensive care to patients in all stages of development. Dentists, hygienists, dental assistants and our experienced office staff work together as a team to provide our patients with complete care. From that first phone call, the Bearable Dentistry staff will get you the care you need. Your comfort is our first concern.
Taking care of your teeth and managing your oral health may save you thousands of dollars in restorative dental care. Did you know that a complete restoration of your teeth can cost up to $80,000? Preventive dentistry and proper home care can safeguard you from undergoing dental procedures that are costly and completely avoidable.
Preventive dental care is based on routine hygiene procedures and daily routines to prevent tooth decay and other dental diseases and conditions. The American dental Association recommends a minimum of 2 dental checkups every year. This includes a professional dental cleaning by a dentist or dental hygienist and a thorough assessment of your overall dental health. Keeping that schedule can help your dentist stop dental disease in its earliest stages. Dental disease is progressive and only becomes more costly to repair as the condition worsens.
Early prevention is key to avoiding costly dental restorations. Children’s teeth need to be cleaned daily when they begin to appear. A visit with the dentist is in order around age one to establish a comprehensive oral health prevention program for your child. Your dentist will make suggestions about dental care including at-home flossing and brushing, fluoride use diet and the benefits of visits to the dentist.
Your Bearable Dentistry dentists, dental hygienists and dental assistants are specially trained to help you keep your smile healthy. See your dentist regularly to protect your smile and limit the necessity of dental restoration expense. Make your preventive appointment today!
Bearable Dentistry dental health professionals recommend that children and adults brush their teeth twice daily for 2 minutes each time (brushing after meals and snacks is ideal). Many parents help children get in 2 minutes of brushing by using a tried and true method – the hourglass timer.
Now, there’s an electronic alternative! The Disney Magic Timer app from Crest/Oral B is so cute and fun that brushing compliance is no longer an issue. It motivates children to brush for two minutes at a time as needed for healthy teeth and gums. Children are tech savvy and this app allows each child to select their favorite characters from Disney, Marvel and Star Wars. You just download the app it to any smart device (iPad, iPod, iPhone or android device) and get 2 minutes of brushing fun. Check it out at your app store and let the non-hassle of two-minute brushing fun begin. Happy parents. Happy kids. Happy dentist.
Patient often ask if it is really necessary to use toothpaste. Toothpaste, also called dentifrice, is essential to your daily oral hygiene routine. Toothpastes are pastes, gels or powders that help remove plaque, a film of bacteria that forms on teeth and gums. Toothpaste improves the mechanical brushing and cleaning power of a toothbrush. Toothpaste which contains fluoride helps remove plaque, a film of bacteria that forms on teeth and gums every day. Plaque can cause gum disease and tooth decay. Fluoride helps prevent tooth decay by strengthening tooth enamel.
What’s in fluoride toothpaste?
Toothpaste ingredients typically consist of:
Mild abrasives to remove debris and residual surface stains. Examples include calcium carbonate, dehydrated silica gels, hydrated aluminum oxides, magnesium carbonate, phosphate salts and silicates.
Fluoride to strengthen tooth enamel and remineralize tooth decay. All ADA-Accepted toothpastes contain fluoride.
Humectants to prevent water loss in the toothpaste. Examples include glycerol, propylene, glycol and sorbitol.
Flavoring agents, such as saccharin and other sweeteners to provide taste. Flavoring agents do not promote tooth decay. (No ADA-Accepted toothpaste contains sugar or any other ingredient that would promote tooth decay.)
Thickening agents or binders to stabilize the toothpaste formula. They include mineral colloids, natural gums, seaweed colloids or synthetic cellulose.
Detergents to create foaming action. They include sodium lauryl sulfate, sodium N-Lauroyl sarcosinate.
What else can fluoride toothpaste do? Some toothpastes contain ingredients such as potassium nitrate or strontium chloride to help reduce tooth sensitivity. Stannous fluoride and triclosan help reduce gingivitis, a mild inflammation of the gum tissue. Pyrophosphates, triclosan and zinc citrate help reduce a build-up of hardened plaque, called tartar. Modified silica abrasives or enzymes can help whiten teeth by physically removing surface stains. And some ingredients, such as triclosan, have been shown to help reduce bad breath.
Your Bearable Dentistry dental professional can answer all of your questions about toothpaste and fluoride. We’ll look forward to seeing you at your next appointment. Meanwhile, be sure to floss and brush and don’t forget the toothpaste!