The Consequences of Missing Teeth

There are several negative consequences of missing some or all of your teeth. First, missing teeth will affect the aesthetics of your face. Not only will your smile be affected by the gaps from missing teeth, but if you’re missing too many teeth, the skin around your mouth won’t be supported properly and will start to sag, making your appear older than you are. Additionally, missing teeth will make it more difficult to chew your food properly and may even affect the way you speak. Finally, missing even one tooth may have emotional consequences; many people feel less confident about their smile when they are missing teeth. If you are currently missing any of your teeth, consider replacing them with dental implants, which can look and feel just like natural teeth.  

If you have missing teeth and are unsatisfied with the look of your smile, contact Dr. Alan Ferguson's office at (602) 242-5445 to schedule an oral evaluation.

Should You Share Your Toothbrush with your Partner/Spouse?

Just because you kiss your partner/spouse, sleep with them or occasionally taste food off their fork, these are not reasonable justifications for using their toothbrush.

Brushing your teeth sometimes causes the gums to bleed, which exposes everyone you share your toothbrush with to blood stream diseases. Therefore, by sharing a toothbrush, the couples are actually sharing blood, which is a lot more risky than just sharing saliva. 

By using their toothbrush, you automatically introduce millions of their oral bacteria into your mouth and likewise leaving undesirable bacteria on the brush for them.  Dental decay is caused by bacteria called streptococcus mutans and is contagious.

Other diseases a person risks contracting when he or she shares a toothbrush with another are cold sores, herpes, fungus and periodontal disease.

The Truth about your Saliva

Did you know saliva contains components that can directly attack cariogenic (cavity/decay causing) bacteria, and it is also rich in calcium and phosphates that help to remineralize tooth enamel.  Demineralization of enamel occurs when pH levels fall as a result of acid production by bacteria. It can be reversed at early stages if the local environment can counteract acid production, restoring pH to neutral levels. Remineralization can occur through the replacement of lost mineral (calcium and phosphates) from the stores in saliva.

nidcr.nih.gov

Vitamin D and Heart Disease

A growing number of studies support the idea that low levels of vitamin D are linked to an increased risk of heart disease, and that adding vitamin D supplements can help reduce this risk. Several large trials to learn more about this connection are underway, although there is not yet any conclusive evidence.

How Much Vitamin D do I Need?

It is well established that 400 International Units (IU) of vitamin D per day is necessary to prevent rickets, but an overwhelming number of physicians and researchers believe this level is too low to help achieve optimal health and reduce the risk of disease.

They say the Institute of Medicine (IOM) should consider revising their current vitamin D recommendations, which are below:

200 International Units IU per day for adults age 50 and younger

400 IU per day for adults aged 51 to 70 years

600 IU per day for adults aged 70 years.

It is not clear just how much vitamin D is needed for increased health and disease risk reduction. However, many physicians are now recommending 1,000 IU to 2,000 IU daily for most adults. Your doctor can determine how much vitamin D you need, and it is important to talk to him/her before increasing the amount of vitamin D in your diet. Too much vitamin D can cause the body to absorb too much calcium, which can cause kidney stones or damage.

Best Sources of Vitamin D

The best way to start adding vitamins to your diet is through foods. However, there are few foods that contain vitamin D, and your doctor may recommend supplements to ensure you have at least the minimum recommended amount of vitamin D each day. Even if you take supplements, you should still eat a variety of foods rich in vitamin D. Many foods rich in vitamin D contain additional disease-fighting nutrients.

Foods Rich in Vitamin D

Food or Supplement       Amount of Vitamin D (IU)

Chinook salmon, 4 oz. cooked 410

Shrimp, 4 oz. cooked      160

Multiple vitamins, most brands         400

Canned salmon, 3.5 oz.  360

Dannon Frusion® smoothie (10 oz.)           80

Tuna, light, canned in water, 3 oz.     200

Soy milk, fortified, 1 cup           100-120

Milk, 1 cup 100

Orange juice, fortified, 1 cup   142

Viactiv® Calcium soft chews, 1          500

Cod, 4 oz. cooked 63

Fortified breakfast cereals, most brands, ¾ – 1 cup       40

Margarine, fortified, 1 Tbsp    40

Large egg, 1           22

Supplements Containing Vitamin D

There are many available over-the-counter vitamin D dietary supplements. Two forms of vitamin D are used in these supplements — ergocalciferol (vitamin D2) and cholecalciferol (vitamin D3). Vitamin D2 is often considered a vegetarian source of vitamin D because it is derived from plants. Vitamin D3 can be obtained from synthetic or animal sources. Many practitioners prefer vitamin D3 because it is better absorbed and closer to the naturally occurring form of the vitamin in humans. However, both forms can be effective in increasing vitamin D levels in the blood.

my.clevelandclinic.org

my.clevelandclinic.org

Do Men’s and Women’s Hearts Burn Fuel Differently?

“Because the heart is the body’s number-one consumer of fat, when it starts using fat differently, there are consequences throughout the entire body,”

Researchers at the University of Illinois at Chicago College of Medicine will study gender differences in how the heart uses and stores fat—its main energy source—and how changes in fat metabolism play a role in heart disease, under a new $2 million, 4-year grant from the National Heart, Lung and Blood Institute.

When stressed, the heart changes how it uses fuel for energy. These changes may play a major role in the development of heart disease and are different in men and women, says E. Douglas Lewandowski, director of the UIC Center for Cardiovascular Research. The changes occur long before any symptoms, he said, and may be key to early diagnosis and treatment.

Lewandowski, who is principal investigator on the grant, uses imaging techniques he developed to see fat molecules and the rate at which they are being burned in beating hearts. In healthy hearts, the balance between using fat for energy and storing it in tiny droplets within the cells is in a dynamic equilibrium.

When a female heart is stressed, such as through chronic disease like hypertension, it becomes much less efficient at metabolizing fat, Lewandowski says. When a male heart is stressed, it starts using more sugar as fuel. These changes in the heart can also affect how fat is stored and used in other parts of the body.

sciencedaily.com

Inflammation Links Obesity and Gum Disease

Blood on your toothbrush can be a warning sign of gum disease. And, if you are overweight, it can indicate other serious health issues, such as diabetes, heart disease and high blood pressure.

After reviewing previous research on gum disease and obesity, they found an association between both health problems – chronic inflammation,  described in a recent article in the Journal of General Dentistry, “Obesity and periodontitis: a link.”

Periodontitis, commonly called gum disease (and gingivitis in its milder form), affects nearly half the U.S. population over age 30, according to the American Academy of Periodontology. The disease ignites an inflammatory response as the body begins to fight off bacteria present in the dental plaque. If not treated, the inflammation eventually erodes the jawbone and loosens teeth. In severe cases, patients lose their teeth. The bacteria can also cause ulcers in the pocket surrounding the involved teeth and eventually enter the blood and settle in other parts of the body.

Being overweight can compound the problem, the researchers warn. Belly fat contains about 50 bioactive substances, which can set off inflammatory responses that reduce the body’s ability to suppress appetite or use insulin to regulate glucose levels–both of which are linked to diabetes.

Fat tissue can also increase production of the C-reactive protein (CRP) involved in the inflammation process and linked to cardiovascular disease.

www.stlamerican.com



A Glass of Milk After Eating Sugary Cereals May Prevent Cavities

Washing down sugary breakfast cereal with milk after eating reduces plaque acid levels and may prevent damage to tooth enamel that leads to cavities, according to new research at the University of Illinois at Chicago College of Dentistry.

Dry ready-to-eat, sugar-added cereals combine refined sugar and starch. When those carbohydrates are consumed, bacteria in the dental plaque on tooth surfaces produce acids, says Christine Wu, professor of pediatric dentistry and director of cariology, who served as principal investigator of the study.

Reports have shown that eating carbohydrates four times daily, or in quantities greater than 60 grams per person per day, increases the risk of cavities.

The new study, performed by Wu’s former graduate student Shilpa Naval, involved 20 adults eating 20 grams of dry Froot Loops cereal, then drinking different beverages — whole milk, 100 percent apple juice, or tap water.

Plaque pH, or acidity, was measured with a touch microelectrode between the premolar teeth before eating; at two and five minutes after eating; and then two to 30 minutes after drinking a liquid.

The pH in plaque dropped rapidly after consuming cereal alone, and remained acidic at pH 5.83 at 30 minutes. A pH below 7 is acidic; a pH greater than 7 is basic. Pure water has a pH close to 7.

Participants who drank milk after eating sugary cereal showed the highest pH rise, from 5.75 to 6.48 at 30 minutes. Those who drank apple juice remained at pH 5.84 at 30 minutes, while water raised the pH to 6.02.

“Fruit juices are considered healthy food choices, but the added sugar can be a risk to dental health.”, Wu said.

“Our study results show that only milk was able to reduce acidity of dental plaque resulting from consuming sugary Froot Loops,” said Naval, who is currently a fellow at the Centers for Disease Control and Prevention in Atlanta. “We believe that milk helped mitigate the damaging effect of fermentable carbohydrate and overcome the previously lowered plaque pH.”

Milk, with a pH ranging from 6.4 to 6.7, is considered to be a functional food that fights cavities because it promotes tooth remineralization and inhibits the growth of plaque, Wu said.

Wu says most consumers think that since milk is considered to be cavity-fighting, acid production by plaque bacteria can be minimized by mixing it with cereal. However, in an unpublished study in her lab, it was discovered that the combination of Froot Loops and milk became syrupy. Eating cereal combined with milk lowered plaque pH to levels similar to that obtained after rinsing with a 10 percent sugar solution.

Eating sugar-added cereal with milk, followed by drinking fruit juice is thus a highly cavity-causing combination, Wu said.

Diet plays an important role in oral health, Wu said. Studies of food intake and cavities have focused mainly on the sugar, or carbohydrate, content. Fewer studies have looked at how combinations of food, and the order in which they are eaten, may help fight cavities.

“Results from a previous study suggested that the last food item consumed exerts the greatest influence on subsequent plaque pH,” she said. For example, eating cheese after a sugary meal reduces acid production, and consumers can modify their diet in such a way as to prevent the cavity-causing effects of sugary foods.”

“If understood and implemented properly, food sequencing can be used as a public health educational tool to maintain and preserve good oral health,” said Naval.

Other contributors included Drs. Anne Koerber, Larry Salzmann, Indru Punwani, and Bradford Johnson, all of the dentistry faculty at UIC. The research was supported by the college’s pediatric dentistry department.

The research is published in the July issue of the Journal of the American Dental Association.

This entry was posted in Blog, Healthy Teeth, Tooth Decay and tagged 85014, Dr. Alan Ferguson, Drink Milk after eating sugary cereals, Phoenix Dentist, Prevent Cavities,Prevent Tooth Decay by admin. Bookmark the permalink.

GUM DISEASE RISK FACTORS

The main cause of periodontal (gum) disease is plaque, but other factors affect the health of your gums.

AGE

Studies indicate that older people have the highest rates of periodontal disease. Data from the Centers for Disease Control and Prevention indicates that over 70% of Americans 65 and older have periodontitis.

SMOKING/TOBACCO USE

Tobacco use is linked with many serious illnesses such as cancer, lung disease and heart disease, as well as numerous other health problems. Tobacco users also are at increased risk for periodontal disease. Studies have shown that tobacco use may be one of the most significant risk factors in the development and progression of periodontal disease.

GENETICS

Research has indicated that some people may be genetically susceptible to gum disease. Despite aggressive oral care habits, these people may be more likely to develop periodontal disease. Identifying these people with a genetic test before they even show signs of the disease and getting them into early intervention treatment may help them keep their teeth for a lifetime.

STRESS

Stress is linked to many serious conditions such as hypertension, cancer, and numerous other health problems. Stress also is a risk factor for periodontal disease. Research demonstrates that stress can make it more difficult for the body to fight off infection, including periodontal diseases.

MEDICATIONS

Some drugs, such as oral contraceptives, anti-depressants, and certain heart medicines, can affect your oral health. Just as you notify your pharmacist and other health care providers of all medicines you are taking and any changes in your overall health, you should also inform your dental care provider.

CLENCHING OR GRINDING YOUR TEETH

Clenching or grinding your teeth can put excess force on the supporting tissues of the teeth and could speed up the rate at which these periodontal tissues are destroyed.

OTHER SYSTEMIC DISEASES

Other systemic diseases that interfere with the body's inflammatory system may worsen the condition of the gums. These include cardiovascular disease, diabetes, and rheumatoid arthritis.

POOR NUTRITION AND OBESITY

A diet low in important nutrients can compromise the body's immune system and make it harder for the body to fight off infection. Because periodontal disease begins as an infection, poor nutrition can worsen the condition of your gums. In addition, research has shown that obesity may increase the risk of periodontal disease

Tooth Enamel May Be Damaged By Early Exposure To Bisphenol A

Are teeth the latest victims of bisphenol A? Yes, according to the conclusions of work carried out by the research team led by Ariane Berdal of the Universite Paris-Diderot and Sylvie Babajko, Research Director at Inserm Unit 872 "Centre des Cordeliers". The researchers have shown that the teeth of rats treated with low daily doses of BPA could be damaged by this. Analysis of the damage shows numerous characteristics that are common with a recently identified pathology of tooth enamel that affects roughly 18% of children between the ages of 6 and 8.

These results have been published in the American Journal of Pathology.

Bisphenol A (BPA) is a chemical compound used in the composition of plastics and resins. It is used for example to manufacture food containers such as bottles or babies' bottles. It is also used for the protective films inside drinks cans and food tins, or as developers on sales receipts. Significant amounts of BPA have also been found in human blood, urine, amniotic liquid and placentas. Recent studies have shown that this industrial compound has adverse effects on the reproduction, development and metabolism of laboratory animals. It is strongly suspected of having the same effects on humans.

As a precautionary measure, the manufacture and commercialisation of babies' bottles containing bisphenol A were prohibited in Europe in January 2011. The prohibition will be extended to all food containers in France as from July 2015.

So this study shows that teeth are the latest in an already long list of victims of BPA.

The Inserm researchers have shown that the incisors of rats treated with low daily doses of BPA (5 microgrammes/kg/day) could be damaged by this. This effect has also been observed within a development window of no more than 30 days post-birth in rats, thus demonstrating a range of sensitivity to exposure.

Analysis of these teeth showed numerous characteristics that are common with a tooth enamel pathology known as MIH (Molar Incisor Hypomineralisation) that selectively affects first molars and permanent incisors. This enamel pathology is found in roughly 18% of children between the ages of 6 and 8. Children affected by this pathology present with teeth that are hypersensitive to pain and liable to cavities. It is interesting to note that the period during which these teeth are formed (the first years of life) correspond to the period during which humans are most sensitive to bisphenol A.

Amongst the earliest observations made was the appearance of "white marks" on the incisors of rats treated with endocrine disruptors, one of which was bisphenol A (BPA). The researchers decided to define the characteristics of incisors of rats treated with low doses of BPA and to compare these with the characteristics of teeth in humans suffering from MIH

Macroscopic observation of marks on both series of teeth showed similarities, in particular fragile and brittle enamel.

Microscope observation of the enamel showed a significant reduction of the Ca/P and the Ca/C ratios in affected teeth. This leads to mineral depletion, making the teeth more fragile and more liable to cavities.

Finally, analysis of the proteins present in the tooth matrix of rats showed an increased quantity of enamelin, a key protein for enamel formation, and a buildup of albumin leading to hypomineralisation. Analysis of the expression of key enamel genes highlighted two BPA target genes: enamelin and kallicrein 4.

According to Sylvie Babajko, the latest author of this article, "Insofar as BPA has the same mechanism of action in rats as in men, it could also be a causal agent of MIH. Therefore, teeth could be used as early markers of exposure to endocrine disruptors acting in the same way as BPA and so could help in early detection of serious pathologies that would otherwise have occurred several years later". 

medicalnewstoday.com

Diabetes and Periodontal Disease

Diabetic patients are more likely to develop periodontal disease, which in turn can increase blood sugar and diabetic complications.

People with diabetes are more likely to have periodontal disease than people without diabetes, probably because people with diabetes are more susceptible to contracting infections. In fact, periodontal disease is often considered a complication of diabetes. Those people who don't have their diabetes under control are especially at risk.
Research has suggested that the relationship between diabetes and periodontal disease goes both ways - periodontal disease may make it more difficult for people who have diabetes to control their blood sugar.
Severe periodontal disease can increase blood sugar, contributing to increased periods of time when the body functions with a high blood sugar. This puts people with diabetes at increased risk for diabetic complications. perio.org

Services Provided

X-rays

X-rays allow us to see in between the teeth and under existing fillings to help us detect tooth decay. X-rays can also help us check the health of the bone supporting the teeth.

Diagnostic Impressions

Diagnostic impressions are taken to ensure the fit of any crown, bridge, or denture. The exact shape of your teeth and gums is molded in a flexible vinyl mixture that sets quickly. The vinyl mold is then used to create a replica of your mouth with plaster or plastic.

Comprehensive Oral Exams

The first step in any dental care plan is to determine your existing health conditions. If you are a first-time patient, we will perform a comprehensive examination; including recording of your medical history, taking full x-rays, screening for oral cancer, examining periodontal (gum) condition, checking each tooth for cavities, and examining your jaw and bite.

Periodic Oral Exams

As an established patient with a preventive dental care plan, you will come to the office on a regular recall schedule for a cleaning and check-up. Periodic exams are important for maintaining your healthy smile.

Consultation and Treatment Planning

Oral health is a lifelong concern. We will help you understand any conditions that need treatment and devise a plan for correcting them. We will also discuss the options for any cosmetic treatments you may be interested in. Furthermore, we will outline a regular course of preventive care.

Cracked Tooth Syndrome

Cracked tooth syndrome, as the name suggests, is the development of cracks and fissures in teeth over time. These cracks may be invisible to the naked eye but extend deep into the tooth. We examine your teeth for cracks so that we can take preventive action before the tooth suffers severe damage.

Gum Disease Diagnosis

Gum disease is much more common than people think. We will examine your gums for disease and make recommendations based on your specific dental healthcare needs. Regular, careful brushing and flossing are essential to gum health.

Oral Cancer Screening

Currently oral cancer is on the rise in a much younger population; all individuals are at risk for developing oral cancer.  What used to be related to smoking and chewing tobacco is now being linked to very common viruses, making oral cancer a much greater concern for a larger population.  We pride ourselves that each and every patient seen in our practice is given a visual oral cancer screening and we have additional technology called the Velscope® which allows us to catch even the earliest of lesions.