Tuesday, November 18, 2008

Women More Likely to Get Cavities

Our female patient population may be interested in the following article. Apparently women are more prone to cavities than are men, and it has been this way through the ages. Scientists attribute this to reproduction.

Full Article

Stem Cells From Monkey Teeth Can Stimulate Growth And Generation Of Brain Cells

ScienceDaily (Nov. 12, 2008) — Researchers at the Yerkes National Primate Research Center, Emory University, have discovered dental pulp stem cells can stimulate growth and generation of several types of neural cells. Findings from this study, available in the October issue of the journal Stem Cells, suggest dental pulp stem cells show promise for use in cell therapy and regenerative medicine, particularly therapies associated with the central nervous system. (more)

Dirty teeth a health hazard?

(The following article provides good information on the benefits of good oral hygiene. There is not much new here, but it serves to remind and reinforce!)

By Heidi Aiazzi • Staff writer • November 14, 2008

With new dentists coming to town and dental receptionists always very diligent about contacting patients to make sure that they attend their teeth cleaning appointments, it raises the question: how important is dental health?


The answer is that it's more important than most people think.

The main purpose of dental hygiene is to prevent the build-up of plaque, the sticky film of bacteria that forms on the teeth. Poor oral hygiene allows the accumulation of acid-producing bacteria on the surface of the teeth, which demineralizes the tooth enamel, causing tooth decay in the form of cavities. Dental plaque can also invade and infect the gums causing gum disease and periodontitis, and in both conditions, the final effect of poor oral hygiene is the loss of teeth. Many health problems of the mouth, such as oral thrush, trench mouth, bad breath and others are considered an effect of poor dental hygiene. Most of these dental and mouth problems may be avoided just by maintaining good oral hygiene.

Other than the more obvious problems of gum disease, tooth decay and bad breath, new findings show that poor dental health (such as gum disease) is strongly linked to numerous disorders including heart attack, stroke, diabetes and systemic inflammation. Recent research produced evidence that people with gum disease are more likely to suffer a heart attack than those with healthy gums, because oral bacteria and related gum inflammation can cause arterial inflammation, as well as increase plaque build-up and encourage dangerous clotting. Some cardiovascular risk factors, such as C-reactive protein (CRP) and fibrinogen levels, seem to correlate with the amount of gum disease present, suggests data from the Third National Health and Nutrition Examination Survey, collected from over 10,000 people.

Also, dental medicine researchers at the State University of New York have found that severe periodontal disease often accompanies severe diabetes mellitus. They also demonstrated that treating gum infection with antibiotics resulted in better blood-sugar control. They recommended that controlling severe gum infection is "essential for achieving long-term control of diabetes mellitus."

The 80th General Session of the International Association for Dental Research showed that women with moderate to severe periodontal disease during pregnancy are at increased risk of having pre-term babies and babies with low birth weight. The investigators, at the University of North Carolina-Chapel Hill, believe the connection may stem from oral disease triggering increased levels of biological fluids that induce labor.

It's also suspected that periodontal disease may cause respiratory disease, particularly lung infections such as pneumonia, or exacerbate existing respiratory conditions (i.e. chronic obstructive pulmonary disease or COPD). That's because oral bacteria can be breathed into lungs, particularly in people with periodontal disease.

Dental care and regular check-ups are especially important for children; just as important as regular immunization and pediatrician check-ups. Not only will a child learn the importance and procedures for caring for their teeth early in life, it's more likely they will continue to care for their teeth throughout their life, preventing oral, dental and general health problems.

According to the American Academy of Pediatrics (AAP), daily dental cleaning should start as soon as your infant's first tooth appears. Wipe the teeth with a piece of gauze or a damp cloth. Switch to a toothbrush with a fluoride toothpaste as your child gets older. Fluoride is a natural chemical that can be added to drinking water and toothpaste. It strengthens tooth enamel and helps repair early damage to teeth. Because children tend to swallow toothpaste, put only a small amount of fluoride toothpaste on your child's toothbrush and press the toothpaste into the bristles. Taking in too much fluoride while brushing can result in fluorosis (spotting of teeth). Also, check the teeth for early signs of tooth decay. Cavities appear as white, yellow or brown spots or lines on the teeth. Any two teeth that are touching each other should be flossed to prevent a cavity from forming between the teeth. An ideal baby bite should have spaces between the front teeth. If your child's teeth are touching early, this is a sign that dental crowding may occur in the adult teeth that may require future orthodontic care.

The AAP recommends that all infants receive oral health risk assessments by six months of age. Infants at higher risk of early dental caries should be referred to a dentist as early as six months of age and no later than six months after the first tooth erupts or 12 months of age. Another thing to keep in mind is that because cavity-causing bacteria can easily be transferred when sharing foods or drink, it is important for parents to care for their teeth too.

A Strong Connection Between Overall Health and Oral Health Means It's Time for Hispanics to Start Focusing on Their Teeth!

The following article stresses the importance of oral health for our Hispanic patients, due to their high rate of diabetes. Of course I feel that all of our patients should be maintaining a daily regimen for optimal oral health!

A Strong Connection Between Overall Health and Oral Health Means It's Time for Hispanics to Start Focusing on Their Teeth!

Friday, November 7, 2008

Causes of Bad Breath

One of the most frequently asked questions Dr. D'Aleo gets is, "What can be done about bad breath?"

In order to combat bad breath, it is important to understand the causes of this undesirable condition. The following article was found at bestsyndication.com and lists many contributing factors associated with bad breath. After reading the list below you may be able to identify factor(s) that are contributing to your bad breath and how to adjust your habits accordingly.

Here are the most common causes of bad breath.

1) Poor oral hygiene:

If oral hygiene is not maintained properly the mouth becomes the seat for millions of bacteria which produce offensive gases by degrading the food debris. Bad breath is severe in those who do not brush their teeth regularly and clean their mouth after every food. Snacks taken in-between meals can also produce bad breath because of improper cleaning.
Bad breath is common in almost all people in the morning on waking. During sleep there is less production of saliva .Saliva has got some antibacterial properties which help to keep the mouth clean. Saliva contains oxygen molecules which are needed to make oral cavity aerobic. So the reduction in it's quantity during sleep makes a favorable condition for anaerobic bacteria.

2) Food habits:

The main cause of bad smell is due to degradation of protein by the bacteria and hence all food products rich in protein favor bad breath. Meat, fish, milk products, eggs, cakes, nuts, pear can cause bad breath. Some food articles can produce particular type of smell which may be unpleasant. Raw onion can produce typical bad smell. It is said that an apple a day keeps the doctor away, a raw onion a day keeps everybody away. Eating groundnuts can also produce bad smell. However if proper cleaning is done smell can be reduced irrespective of the nature of food. Irregularity in timing of food can also produce bad breath. Small food articles taken in between the meals can also produce bad smell.

3) Biofilm:

There is formation of a thin sticky coating called biofilm on the tongue and oral mucosa. This coating is thick on the posterior aspect of the tongue where millions of gram negative bacteria are seen .The thick coating on the tongue is always associated with bad breath. Even a thin biofilm can make anaerobic condition favorable for bacterial proliferation.

4) Dental caries:

This is a destructive process causing decalcification with destruction of enamel and dentine resulting in cavitisation of the tooth. These are produced mainly by the lactobacilli. Food particles are deposited inside these cavities and are putrefied by the anaerobic bacteria producing bad smell. Normal brushing will not remove the food debris easily and hence they are putrefied completely. Caries are common in schoolgoing children and in those who do not maintain proper oral hygiene .Calcium and vitamin deficiency can also predispose caries.

5) Gingivitis:

Gum is a mucus membrane with supporting connective tissue covering the tooth bearing borders of the jaw .The main function of gum is protection .Gingivitis is the inflammation of the gum .Due to various causes gum tissue get infected resulting in swelling, pain and discharge. If the condition becomes worse the infection spread towards periodontal area leading to continuous discharge called pyorrhea. Some times the infection goes deep producing alveolar abscess with discharge of pus. Infection can even reach the bone causing osteomyelitis. All these conditions can produce offensive smell.

6) Gum retraction:

When the gums retract from the teeth a gap is developed which will lodge food particles and cause bad breath.

7) Dental plaques and tartar deposits; Plaques and tartar is deposited mainly in the gaps between the teeth and gum. This will provide shelter for the food debris and bacteria causing bad breath.

8) Ulcerative lesions and coatings:

Almost all ulcerative lesions of the mouth are associated with bad breath. These lesions may be caused by bacteria, viruses, food allergies or due to autoimmune disorders. Apthous ulcer is the commonest among ulcerative lesions. Others are herpes, fungal infections, vincents angina, infectious mononucleosis, scarlet fever, diphtheria, drug reactions. Cancerous ulcers produce severe bad breath. All fungal infections produce white coating (candidiasis). Leucoplakia is a white thick patch on the mucus membrane of the mouth and tongue. It is considered as a precancerous condition. Offensive breath is associated with these conditions.

9) Diseases of the salivary glands:

Saliva is very useful to supply oxygen to all parts of the oral cavity. Even a thin film of coating called biofilm can provide an anaerobic condition in the mouth. Saliva can wet these layers and make an aerobic condition which is unfavorable for the bacteria .Any condition which reduces the production of saliva can increase bacterial activity. Some times the salivary duct is obstructed by stones or tumors. Cancer of the salivary gland is associated with offensive odor. In suppurative parotitis purulant discharge into the mouth causes bad breath.

10) Tonsillitis:

Tonsils are a pair of lymphoid tissue situated in the lateral wall of oropharynx. Inflammation of the tonsil is called tonsillitis. Bad breath is seen in both acute and chronic tonsillitis. Quinsy or peritonsillar abscess can also produce bad breath.

11) Tonsillar plaques and tonsillar fluid:

If bad breath persists even after maintaining proper oral hygiene there is possibility of this condition. Serous fluid secreted from the folds of tonsil is very offensive. Some patients complain that they hawk some cheesy materials from the throat, which are very offensive in nature. These are formed inside the tonsillar crypts which contain thousands of bacteria. In such conditions tonsillectomy gives noticeable relief from bad breath.

12) Pharyngitis and pharyngeal abscess:

Pharynx is a fibro muscular tube which forms the upper part of the digestive and respiratory tract. Inflammation of the pharynx is called pharyngitis, caused mainly by bacteria and viruses. Bad breath is present in pharyngitis along with other signs like cough and throat irritation. Abscesses in the wall of pharynx can also produce offensive discharge of pus in to the throat.

13) Dentures:

Denture users may complain about bad smell due to lodgment of small food debris in between. Proper brushing may not be possible in denture users especially fixed dentures.

14) Tobacco:

Tobacco chewing is associated with bad breath. The smell of tobacco itself is unpleasant for others. Tobacco can irritate the mucus membrane and cause ulcers and coatings. Gingivitis and pyorrhea are common in tobacco chewers. Tartar is deposited on the teeth mainly near the gums. Tobacco chewers get gastric acidity with eructations. All these cause offensive smell.

15) Smoking:

Smokers always have bad smell. It can also produce lesions in the mouth and lungs causing bad breath. Smoking increases carbon dioxide in the oral cavity and reduces oxygen level, causing a favorable condition for bacteria. Smoking reduces appetite and thirst hence acid peptic disease is common in chain smokers.

16) Lesions in the nose and ear:

Bad breath is occasionally seen in sinusitis (infection of para nasal sinuses). In case of post nasal dripping bad breath is common due to the presence of protein in the discharges. These proteins are degraded by the bacteria. Infection in the middle ear with discharge of pus in to the throat through the Eustachian tube (passage from middle ear to the throat) can also cause offensive odor. Chronic rhinitis (infection of mucus membrane of nose) and foreign bodies in the nose can also produce bad smell in the expired air.

17) Diabetes mellitus:

Mostly all diabetic patients suffer from bad breath. Coated tongue, ulcers and coatings in the mouth, increased sugar level in tissues are responsible for halitosis. Bacterial growth in diabetic patient is very faster than non diabetic individuals.

18) Fevers:

Bad breath is common in almost all fevers. Even an acute fever can produce bad breath. Severe bad breath is seen in typhoid .Other infectious diseases like Tuberculosis, AIDS produce bad smell.

19) Fasting and dehydration:

Dry mouth favors bacterial activity. So any condition which produces dryness in the mouth makes the breath offensive. Even though the food particles are known to produce bad breath, fasting can also produce the same. Production of saliva is also reduced during fasting. Chewing and swallowing also helps to keep the mouth clean.

20) Bedridden patients:

Bedridden patients suffer from offensive breath due to thick coating on the tongue. Water intake is also limited in these patients. Regurgitation of food aggravates the condition. Since they talk less aeration in the oral cavity is reduced which favors anaerobic bacteria to become active.

21) Diseases of stomach and esophagus:

Eructation of gas and food produce unpleasant smell. Abnormality in the function of lower sphincter can allow the food to regurgitate upwards causing bad breath. Bad breath is also common in gastritis, gastric ulcer and cancer of stomach.

22) Intestinal diseases:

Bad breath is common in patients suffering from ulcerative lesions of intestine like ulcerative colitis. Other diseases are malabsorption syndrome intestinal tuberculosis, peritonitis.

23) Diseases of lungs:

Lung diseases like pneumonia, lung abscess, chronic bronchitis, bronchiectasis, tuberculosis, lung cancer can produce bad odor during expiration.

24) Liver disorders:

Liver diseases like hepatitis, cirrhosis, can cause halitosis. Gall bladder diseases with vomiting also causes unpleasant odor.

25) Psychiatric patients:

Bad breath is common in psychotic patients due to poor hygiene, irregular food habits, less water intake and.

26) Somatisation disorder:

This is a psychiatric disorder characterized by the presence of a physical symptom that suggest a medical illness .These patients come with physical complaints like pain, nausea difficult respiration, bad smell. This condition is diagnosed after detailed examination of the patient with all investigations. Since this is a psychiatric disorder it has to be managed with a psychological approach.

Monday, October 6, 2008

Treats to AVOID this Halloween

Halloween Horror: California Dental Hygienists Issue Warning About the Dangers of Sour Candy

Popular New Generation of Candy Almost Like Eating Battery Acid

GLENDALE, Calif., Oct 06, 2008 (BUSINESS WIRE) -- Looking for a really frightening costume to wear for Halloween this year? How about dressing up as a piece of sour acid candy, which attacks teeth like Freddy Kreuger goes after his victims?
While this new generation of candy is highly popular, most of it contains acid levels so high that it approaches the ph level of battery acid, according to the California Dental Hygienists' Association (CDHA), which today issued a statewide warning to parents about the dangers of sour candy.

"This Halloween, we are advising adults to think twice about buying sour candies for trick-or-treaters," said Erika Feltham, a Registered Dental Hygienist and CDHA member who has studied this issue for more than a decade. "We also are encouraging parents to comb through their child's bag at the end of the night to remove sour acid candies and replace them with a small piece of non-sour sugarless candy or gum."

Sour candy comes in dozens of varieties and forms including hard, soft, chewy, gummy, gels, liquid sprays, crystals, foam sprays, powders, cotton candy and chewing gums. Most people think this type of candy is safer because it has less sugar, said Feltham, but they don't know that the acid content is toward the extreme end of the acidic spectrum.
"It is not at all surprising that this candy is a contributing factor to acid erosion," she said. "With repeated exposure and frequency, sour candy can also lead to a host of oral health problems, including increased cavities, tooth sensitivity, staining, soft-tissue sensitivities and loss of shine."
Because of this, CDHA is offering the following tips for this Halloween:

  • -- Avoid, limit or seriously reconsider choosing or eating candy labeled "sour or tart";
  • -- Remember that "sour" means "acid," which is bad for teeth;
  • -- Look for the following acids on the back label of ingredients and avoid them: citric, lactic, malic, tartaric, fumaric, adipic, ascorbic;
  • -- Don't be fooled by "concentrated fruit juice extracts," which is a code phrase for ingredients that can be highly acidic;
  • -- If you choose to consume sour candies, rinse your mouth with water immediately afterwards to reduce the damaging effects from the acids;
  • -- DO NOT brush your teeth directly after eating sour candy as the toothbrush and toothpaste are abrasive. This will scratch and will remove more of the already softened enamel.

"Most consumers and even many dental professionals are so focused on eliminating sugar that they haven't paid attention to the newer and more serious candy ingredients containing multiple acids," said Feltham, who believes the problem is so bad that the Food & Drug Administration (FDA) should require warnings on all sour acid candies.

"These acids are what make the sour candies so tart and appealing," she said, "but also what makes teeth more susceptible to oral diseases."

The California Dental Hygienists' Association (CDHA) is the authoritative voice of the state's dental hygiene profession. The organization was established 20 years ago when two regional associations merged to form a unified professional group. CDHA represents thousands of dental hygienists throughout the state and is dedicated to expanding opportunities for the profession and access to care for all Californians.

SOURCE: California Dental Hygienists' Association
Copyright Business Wire 2008 End of Story

Our First Post

So much has been going on that I thought it might be a good idea to start a blog. As many of our patients already know, we are in the process of building a brand-spanking new office. It will be larger than the old one, with technology that is state of the art in the dental community.

I stopped in the new place, located at 1506 Broadway in Hewlett (Zip is 11557 for those of you who may want to Google map it) with my network guys. We were working out details on the wiring for computers, monitors, telephones, and even speakers for satellite radio!

The roughing for the electric and plumbing is nearly completed. Very neat, very nice work. If anyone is looking for a commercial contractor drop me an email and I will give you the contact info for the gentleman orchestrating the construction aspect of this project. So far, we couldn't ask for more!

In addition to news about the new construction we will also keep you guys posted on news in the dental and general health community.