Jan 15, 2018
We all know how food choices affect the body, but did you know they also affect oral health? It may not be as evident, but if you were to examine your mouth on a cellular level, you would find a wealth of health information there, often before health problems manifest elsewhere in your body. With that in mind, we’d like to share some dietary nutrients that impact your oral health, and offer some recommendations to improve your diet and your oral health.
Vitamins & Nutrients to Support Oral Health
So what did we mean when we said that you can detect health issues by analyzing your mouth? Well, our mouths contain special cells called mucosal cells, and they generally have a life cycle of 3-7 days. This means that they’re turning over and regenerating frequently, and providing up to date information on the rest of your system. So the first place you’ll be able to find nutritional surplus or deficiency is in your mouth! With this in mind, we wanted to share some nutritional findings that can help support oral (and overall) health.
- Protein, calcium, and phosphorus contribute to strong tooth structure. You can get protein from a wide variety of foods depending on your diet. Calcium can be found in almonds, broccoli, oranges, and cheese, while phosphorus can be found in a number of dairy, fish, and meat products. You could also opt to get phosphorus from certain nuts and beans.
- Nutrients like zinc, folate, iron, vitamins A, C, and D, Omega-3 fats, and antioxidants contribute to the development of mucosal cells and connective tissues as well as immune function. B vitamins support epithelial cell turnover.
- Studies have suggested that low levels of folate are associated with periodontal disease, so make sure you’re getting enough from foods like dark leafy greens, beans, peas, & lentils, or citrus fruits.
- Studies suggest that vitamin D and calcium may also enhance enamel remineralization. To support your usual hygiene efforts and strengthen enamel, snack on cheese, yogurt, tofu, salmon, or milk!
- Vitamin C also has been reported to help collagen maturation, which in turn helps maintain the integrity of the periodontal ligament. For this, make sure to have a share of strawberries, acerola cherries, bell peppers, or citrus fruit!
- Lastly, Omega-3 fats help with inflammatory response in the body. Mackerel, salmon, oysters, sardines, and anchovies have omega-3 fats in abundance. Not up for sea fare? Try working flaxseeds, chia seeds, or walnuts into your diet. Alternatively, you can opt for a fish oil supplement!
It’s important to keep in mind that each of these nutrients might have different outcomes for individuals based on their respective health situations. Be sure to consult a doctor before making any major dietary changes and to ensure there won’t be any adverse effects.
If we’ve gotten you thinking about diet and oral health, make sure to bring your questions or concerns to your next appointment! We are happy to advise you more on the subject and we look forward to it!
Dec 11, 2017
Moms-to-be out there can agree – pregnancy is an exciting time of life! It is a time when you become more mindful of your health – for your sake and your baby’s. While it is evident that your body needs to be well cared for during this time, we like to remind moms that it’s also important to stay on top of your dental health as well. Here are a few important dental health facts and practices to keep in mind when you’re expecting.
Changes to Oral Health During Pregnancy
To start, many people may not be aware but oral health changes during pregnancy, primarily due to an upsurge in hormones like estrogen and progesterone. These hormonal changes can affect gum tissues’ reactions to plaque. In fact, this is so common among expecting mothers that it is referred to as ‘pregnancy gingivitis.’ Because of this change, it is important that you stick to your normal dental care regimen: flossing well each day and brushing (with an electric toothbrush) at least twice per day and after eating when and if you are able.
Related to pregnancy gingivitis, expecting patients could also develop pregnancy tumors, which are non-cancerous growths on swollen and irritated gums. Usually these disappear on their own. However, if they get in the way of chewing or carrying out your normal oral hygiene rituals, let us know and we can discuss what to do.
Maintaining Your Dental Care Regimen
While there are challenges to oral health during pregnancy, those challenges can be met easily as long as you take care of your teeth. We recommend coming in for a cleaning as soon as you know you are pregnant, so that we can build a plan and complete any important or outstanding work within the first trimester. We will also plan to have another cleaning in your second trimester to keep plaque in check.
And while it may seem trivial, please provide us with all the medications and vitamins you are taking throughout your pregnancy – we might need to adjust our treatments based on that information.
If you discover you are getting morning sickness in connection to brushing, try switching to a bland-flavored toothpaste throughout your pregnancy – we are happy to recommend some brands to you! We also recommend rinsing your mouth with water and anti-plaque and fluoride mouthwashes if you have frequent bouts of vomiting.
Good nutrition is also important throughout your pregnancy. While your obstetrician will advise you on these matters, we also recommend plenty of vitamins C and B12, to help support strong oral health. Maintaining a healthy and balanced diet will also put your baby on an early track to good oral health – dairy items like cheese and yogurt provide critical minerals to support the development of your baby’s bones, teeth, and gums. And as always, we recommend keeping sugary cravings in check to keep tooth decay at bay.
Do you have more questions about dental care during pregnancy? If so, we encourage you to ask! We’d love to help you during this time. Call us to schedule your appointment today!
Nov 7, 2017
As a child, you may have disliked the constant reminders from mom and dad to brush your teeth before bed, but as we get older, we realize more and more how beneficial healthy oral hygiene is to the longevity of our pearly whites, and just how right mom and dad were.
With each meal, we invite sugars and starches to engage with the natural bacteria that exists within our mouths. This combination of bacteria is the sticky film we all know as plaque. When we brush our teeth, we’re cleaning the plaque from our teeth which in turn minimizes the likelihood of developing cavities and gum disease.
What’s the difference between a cavity and gum disease? A cavity is the result of tooth decay, and gum disease is when there’s an infection in the tissues that surround and support our teeth. The term gum disease can sound pretty scary to some, but it’s actually a condition that can be very subtle and easily treatable in its early stages. Let’s review the three stages of gum disease and their side effects.
Gingivitis
This is the earliest stage of gum disease, and is best defined as inflammation of the gums. If you’re experiencing gum line inflammation, that may be a strong indicator that there is plaque buildup within the actual gums. A side effect to gingivitis (if inflammation is not prominent) is bleeding of the gums while brushing or flossing. Gingivitis is nothing to be too shook up about if caught in early stages, as the tissue and bone have yet to be affected.
Periodontitis
If gingivitis goes untreated the infection can begin to progress into a more moderate case. Periodontitis can destroy the tissue and bone surrounding the teeth. Side effects in addition to those of gingivitis are receding gum lines, spaces forming between teeth, an unpleasant mouth odor or taste, and a pus between the teeth and gums. Real tooth and gum damage are a concern with periodontitis, so treatment to prevent any further damage is highly recommended at this stage.
Advanced Periodontitis
This stage can bring an abnormally rapid deterioration of the teeth and gums. In this acute case of gum disease, tooth loss becomes an actual concern. A visit to the dentist is necessary in an effort to save the teeth and the function of chewing.
As you can see, gum disease can go from being something as mild as gum tenderness to a larger oral condition in just a few stages; however, prevention is simple and treatment options are available. Preventative care is as easy as (1) choosing the right toothbrush for your gums, (2) brushing twice a day, (3) flossing once a day, (4) monitoring sugar intake, and (5) keeping up with routine cleanings.
We understand oral health is a sensitive matter, so if after reading this you have questions regarding gum disease, Dr. Brunacini and Dr. Karagiorgos are here to help you. Please do not hesitate to call our office to schedule an appointment at 207-781-5900.
Jul 25, 2017
It’s written in the history books at this point: the best way to maintain your dental health is by brushing and flossing your teeth regularly. But in recent years, and with technology playing an increased part in our lives, the lines begin to blur as we continue to define best practices and medicine and treatment options continue to evolve.
The Waterpik and string floss are a timely example of how best practice lines blur in the dental field. Both have good and bad points, but at the end of the day, which best protects your dental health? We’ll run through a quick summary of the good and the bad of both to help you decide what method of flossing works best for you.
Flossing
Pros
- Efficient method of removing excess food/plaque from between teeth and below gum line
- Quick and easy
- Can be done anywhere
- Affordable
- Easily accessible at any pharmacy/grocery
Cons
- Difficult to reach some areas of the mouth
- Can cause bleeding if not done routinely
- Can potentially worsen or cause gum sensitivity
- Can be difficult to use or handle
All things considered, however, many dentists consider flossing to be a key part of the oral care regimen. If you find flossing painful or difficult, you should talk to us to explore alternatives and make sure there isn’t a more serious problem.
Water Flossing (aka Waterpikking)
Water flossing requires a device with a tool at the end of a hose connected to a docking station full of water – much like you may have seen before at our office. How does it work? The tool delivers a pressurized fine stream of water into the crevices between teeth and toward gums as guided by the user.
Pros
- Easy to use
- Can reach areas of the mouth that are difficult to reach with traditional floss
- Keeps your hands comparably clean throughout the process
- Certain devices also feature a massage function that can help improve gum health
Cons
- More costly than floss
- Requires countertop or storage space
- Requires electricity and water sources for operation
- Difficult to transport if you’re on-the-go
Some patients who might find the Waterpik to be a great alternative to traditional floss are those with braces or permanent and/or temporary bridges. Patients who damage their gums as a result of using traditional floss should also consider water flossing.
So which flossing method is better?
For now, the question of whether one method is better than the other remains unanswered. Both methods of flossing can lead to better oral health, but the results just have not been researched thoroughly enough compared to each other to make a generalization.
A good thing to keep in mind is that every person’s oral health situation is different, so what works for one person may not work for another. Whichever method you choose, make sure to clean between teeth and along the gum line as thoroughly as possible every day.
Are you curious about water flossing? Want to brush up on how to floss properly? Schedule your next appointment or call us today to stay on top of your dental A-game!
May 23, 2017
As dentists, we spend lots of time educating our patients about the importance of taking care of their mouth, teeth, and gums. On the surface, we want to help you prevent bad breath, tooth decay, and gum disease—all with the goal of helping you protect your teeth as you grow older. In addition to our work, researchers are discovering new reasons to brush, floss, and visit your dentist regularly. They are learning that having a healthy mouth can ward off more serious medical conditions at any stage in your life. An unhealthy mouth may increase your risk of health problems such as preterm labor, poorly controlled diabetes, and even heart attack and stroke.
Take it from Ashley, RDH, one of FDA’s own dental hygienists: “The mouth is a window to the rest of the body,” Ashley explains. “Oftentimes we see changes arise in the mouth before they are evident elsewhere in the body. Maintaining optimal oral health is crucial to overall health. Since the mouth is connected to the body we recognize that chronic inflammation or presence of disease isn’t just localized to the oral cavity, but has the potential to be linked to underlying conditions.”
Just as Ashley explains, your mouth can play a crucial role in learning more about your overall health. In fact, saliva is a great tool that can help detect a variety of substances such as certain cancer markers, cortisol levels, and can even be used to monitor bone loss in those prone to osteoporosis. Saliva is also a main defense against disease-causing organisms as it contains antibodies that can attack both viral pathogens and bacteria. However, saliva can’t always get the job done completely. Over 500 different species of bacteria thrive in your mouth at any given time and constantly form dental plaque. If you don’t brush and floss regularly, this plaque builds up along your gum line, opening the door for additional bacteria to accumulate in the space between your gums and teeth. This build-up leads to gingivitis, and can potentially lead to periodontitis.
Our gums are vascular and full of blood, so infections such as gingivitis and periodontitis can happen quickly. Once that gum layer is disrupted due to brushing, flossing, or an invasive dental treatment, bacteria can enter in the bloodstream, travel to any area of the body and potentially cause inflammation. Inflammation in the heart causes hardened arteries, or atherosclerosis, making it harder for blood to flow to the heart, increasing one’s chance of heart attack and stroke. Oral bacteria can also enter your bloodstream and stick to the lining of diseased heart valves, causing infective endocarditis.
Another important connection between oral health and overall health is that the bacteria connected to periodontal disease, streptococcus sanguis, plays a role in strokes. This bacteria can quickly spread to the heart through the gums, potentially causing a stroke. There is research to suggest that people with gum infections are at an increased risk of stroke and researchers mention that the more severe the infection, the greater the risk of stroke appears to be.
While the American Heart Association says there is no definitive, direct evidence that heart disease can be prevented by working to prevent gum disease, that doesn’t mean that it can’t help. That’s one reason why regular dental check-ups are important at any age.When was the last time you visited us? Schedule an appointment to get your gums checked out today!
