Posts for: June, 2019
Although costly in the beginning, dental implants often turn out to be the least expensive tooth replacement option. That's because their enviable record for longevity often outpaces dentures or bridges. Over the long-term you might spend less for implants than these other restorations.
But even with the high success rate of dental implants (greater than 95% survive the ten-year mark), we can't guarantee they won't fail. And if you're a tobacco smoker, the risk of failure might be even higher. One study, for example, found early implant failures were twice the rate for smokers over non-smokers. Although implant failures overall are low, smoking seems to be a factor in those that do.
There are a number of reasons to account for this. For one thing, inhaled smoke can damage salivary glands, reducing the flow of this important fluid. Saliva helps control bacterial growth and neutralize mouth acid, so without it you're more susceptible to tooth decay or periodontal (gum) disease. Either infection could ultimately weaken implant-supporting bone.
The nicotine in tobacco can also restrict oral blood vessels and lower their ability to supply antibodies and nutrients to the teeth and gums. This slows healing, which could have one particular effect on implant durability.
During the intervening weeks between implant placement and crown attachment, the implant's titanium post attracts bone cells that grow and adhere to its surface. The effects of nicotine on healing, especially right after implant surgery, can interfere with this integration process so that the implant doesn't anchor in the bone as well as it should.
If you're a smoker, you can increase your chances of implant success—and have a healthier mouth overall—by quitting smoking beforehand with the help of a cessation program. Or at the least, consider stopping smoking for one week before implant surgery and for two weeks afterward.
And be sure to brush and floss your teeth daily and visit your dentist regularly to keep your teeth and gums as healthy as possible. Stopping smoking and practicing effective oral hygiene could make a big difference in the success or failure of your implant.
If you would like more information on smoking and your dental health, 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 “Dental Implants & Smoking.”
There are a number of lifestyle changes you can make if you want to reduce your risk of oral cancer, with quitting a tobacco habit at the top of the list. You should also moderate your alcohol consumption and practice safe sex to prevent the spread of the human papilloma virus (HPV 16) linked to oral cancer.
And there's one other area that might be ripe for change—your diet. The foods we consume can work both ways in regard to cancer: some, especially processed products with certain chemicals, increase your cancer risk; more natural foods, on the other hand, can help your body fight cancer formation.
Although how cancer forms and grows isn't fully understood, we do know some of the mechanisms involved. One major factor in cancer growth is damage to DNA, the molecule that contains all the instructions for normal cell growth. Certain chemicals called carcinogens cause much of this DNA damage.
One example of these dangerous chemicals are nitrosamines, found in substances used to preserve meats like bacon or ham. Nitrosamines also occur in beer during the brewing process, some fish and fish products, processed cheese and foods pickled with nitrite salt. It's believed long-term consumption of foods with these chemicals can increase the risk of cancer.
On the other hand, there are foods with substances called antioxidants that help our bodies resist cancer. Antioxidants protect cells from unstable molecules called free radicals that can also damage DNA. You'll find antioxidants in abundance in fresh fruits and vegetables, especially those high in fiber. Vitamins like C and E found in many natural foods also have antioxidant properties.
So, to help keep your risk of cancer and other diseases low, make sure your diet includes mostly fresh fruits and vegetables, along with plant-based fats found in nuts or olive oil. At the same time minimize your consumption of processed foods with preservatives and other chemicals, along with animal and saturated fats.
A change in eating not only reduces your cancer risk, it can also improve your overall health and well-being. You'll also find a healthy diet can be dental-friendly—it can help keep your teeth and gums disease-free and healthy.
If you would like more information on dental-friendly nutrition practices, 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 “Diet and Prevention of Oral Cancer.”
If you’re seeing your dentist regularly, that’s great. But if that’s all you’re doing to stay ahead of dental disease, it’s not enough. In fact, what you do daily to care for your teeth is often the primary factor in whether or not you’ll maintain a healthy mouth.
Top of your oral care to-do list, of course, is removing daily plaque buildup from teeth and gums. This sticky film of bacteria and food particles can cause both tooth decay and periodontal (gum) disease. You do that with effective daily brushing and flossing.
Effective brushing starts with the right toothbrush—for most people a soft-bristled, multi-tufted brush—and fluoride toothpaste. As to technique, you should first avoid brushing too hard or too often (more than twice a day). This can damage your gums and cause them to recede, exposing the tooth roots to disease. Instead, use a gentle, scrubbing motion, being sure to thoroughly brush all tooth surfaces from the gumline to the top of the teeth, which usually takes about two minutes.
The other essential hygiene task, flossing, isn’t high on many people’s “favorite things to do list” due to frequent difficulties manipulating the floss. Your dentist can help you with technique, but if it still proves too difficult try some different tools: a floss threader to make it easier to pull floss through your teeth; or a water flosser, a handheld device that directs a pressurized water stream on tooth and gum surfaces to loosen and flush away plaque.
And don’t forget other tooth-friendly practices like avoiding sugary snacks between meals, drinking plenty of water to avoid dry mouth, and even waiting to brush or floss about an hour after eating. The latter is important because acid levels rise during eating and can temporarily soften enamel. The enzymes in saliva, though, can neutralize the acid and re-mineralize the enamel in about thirty minutes to an hour. Waiting to brush gives saliva a chance to do its job.
Lastly, keep alert for anything out of the ordinary: sores, lumps, spots on the teeth or reddened, swollen, bleeding gums. All these are potential signs of disease. The sooner you have them checked the better your chances of maintaining a healthy mouth.
If you would like more information on caring for your teeth at home, 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 “10 Tips for Daily Oral Care at Home.”