Posts for: March, 2019
After your son or daughter's dental exam, you expect to hear about cavities, poor bites or other dental problems. But your dentist might suggest a different kind of problem you didn't expect—an eating disorder.
It's not a fluke occurrence—a dental exam is a common way bulimia nervosa or anorexia nervosa come to light. That's because the teeth are often damaged by the behaviors of a patient with an eating disorder.
Most of this damage occurs because of purging, the practice of induced vomiting after eating. During vomiting stomach acid can enter the mouth and "wash" against the back of the teeth. After repeated episodes, the acid dissolves the mineral content of tooth enamel and causes it to erode. There's also a tell-tale pattern with eating disorders: because the tongue partially shields the back of the lower teeth while purging, the lower teeth may show less enamel erosion than the upper.
Hygiene practices, both negligent and too aggressive, can accelerate erosion. Anorexics often neglect basic grooming and hygiene like brushing and flossing, which increases the likelihood of dental disease. Bulimia patients, on the other hand, can be fastidious about their hygiene. They're more likely to brush immediately after purging, which can cause tiny bits of the enamel immediately softened by the acid wash to slough off.
In dealing with a family member's eating disorder, you should consider both a short and long-term approach to protect their dental health. In the sort-term the goal is to treat the current damage and minimize the extent of any future harm. In that regard, encourage them to rinse with water (mixed optionally with baking soda to help neutralize acid) after purging, and wait an hour before brushing. This will give saliva in the mouth a chance to fully neutralize any remaining acid. Your dentist may also recommend a sodium fluoride mouth rinse to help strengthen their tooth enamel.
For the long-term, your goal should be to help your loved one overcome this potentially life-threatening condition through counseling and therapy. To find out more about treatment resources near you, visit the National Eating Disorders Association website at nationaleatingdisorders.org. Taking steps to treat an eating disorder could save not only your loved one's dental health, but also their life.
If you would like more information on eating disorders and 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 “Bulimia, Anorexia & Oral Health.”
If there's anything that makes Alfonso Ribeiro happier than his long-running gig as host of America's Funniest Home Videos, it's the time he gets to spend with his family: his wife Angela, their two young sons, and Alfonso's teenaged daughter. As the proud dad told Dear Doctor–Dentistry & Oral Health magazine, "The best part of being a father is the smiles and the warmth you get from your children."
Because Alfonso and Angela want to make sure those little smiles stay healthy, they are careful to keep on top of their kids' oral health at home—and with regular checkups at the dental office. If you, too, want to help your children get on the road to good oral health, here are five tips:
- Start off Right—Even before teeth emerge, gently wipe baby's gums with a clean, moist washcloth. When the first teeth appear, brush them with a tiny dab of fluoride on a soft-bristled toothbrush. Schedule an age-one dental visit for a complete evaluation, and to help your child get accustomed to the dental office.
- Teach Them Well—When they're first learning how to take care of their teeth, most kids need a lot of help. Be patient as you demonstrate the proper way to brush and floss…over and over again. When they're ready, let them try it themselves—but keep an eye on their progress, and offer help when it's needed.
- Watch What They Eat & Drink—Consuming foods high in sugar or starch may give kids momentary satisfaction…but these substances also feed the harmful bacteria that cause tooth decay. The same goes for sodas, juices and acidic drinks—the major sources of sugar in many children's diets. If you allow sugary snacks, limit them to around mealtimes—that gives the mouth a chance to recover its natural balance.
- Keep Up the Good Work—That means brushing twice a day and flossing at least once a day, every single day. If motivation is an issue, encourage your kids by letting them pick out a special brush, toothpaste or floss. You can also give stickers, or use a chart to show progress and provide a reward after a certain period of time. And don't forget to give them a good example to follow!
- Get Regular Dental Checkups—This applies to both kids and adults, but it's especially important during the years when they are rapidly growing! Timely treatment with sealants, topical fluoride applications or fillings can often help keep a small problem from turning into a major headache.
Bringing your kids to the dental office early—and regularly—is the best way to set them up for a lifetime of good checkups…even if they're a little nervous at first. Speaking of his youngest child, Alfonso Ribeiro said "I think the first time he was really frightened, but then the dentist made him feel better—and so since then, going back, it's actually a nice experience." Our goal is to provide this experience for every patient.
If you have questions about your child's dental hygiene routine, call the office or schedule a consultation. You can learn more in the Dear Doctor magazine article “How to Help Your Child Develop the Best Habits for Oral Health.”
Do you grind your teeth? If you're not sure, ask your family—sometimes the sound of teeth grinding against teeth might make enough noise to be keeping them up at night. You might also be waking with sore jaw muscles and joints.
If you suspect you have this habit of involuntarily grinding, gnashing or clenching your teeth, it's a good idea to get it checked. Here are 3 things you should know about this odd habit.
Teeth-grinding more prevalent among children. Children are more likely than adults to grind their teeth in their sleep, thought to be a consequence of their developing swallowing mechanism, but usually grow out of it without any long-term effects. Adults with the habit seem to grind their teeth for different reasons, one of the most significant being a response to high stress. Tobacco could be another factor: users are twice as likely as non-users to grind their teeth. Adult teeth-grinding may also be associated with high caffeine consumption, illicit drug use or Parkinson's Disease, which impairs brain nerve function.
Sleep apnea can be an underlying cause. There's one other major underlying cause to add to that list: obstructive sleep apnea. One international study of thousands of patients from different countries found both high anxiety or stress and sleep-related breathing disorders were two of the most significant risk factors for adult teeth-grinding. It's believed the physical stress generated by these temporary episodes of breathing obstruction occurring several times a night could trigger teeth-grinding.
Teeth-grinding can cause dental problems. While having a teeth-grinding habit doesn't automatically mean you'll have dental issues, your risk can increase dramatically. Due to its chronic nature, teeth-grinding can lead to excessive tooth wear, dental work damage or jaw joint dysfunction. In some extreme cases, it could cause tooth fracture.
If you grind your teeth, your dentist may be able to help by creating a custom-made occlusal guard that can reduce biting forces while you're wearing it. You might also minimize teeth-grinding by quitting tobacco and other lifestyle changes, or getting a better handle on stress management. And if you're also diagnosed with obstructive sleep apnea, getting treatment for that condition will not only improve your overall health, it could help put an end to your teeth-grinding habit.
If you would like more information on bruxism, 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 “Teeth Grinding: Causes and Therapies for a Potentially Troubling Behavior.”
Your family is so important, and you want only the best for them, including dental care. At Cohasset Dental, your family dentists, Dr. Kevin Thomas and Dr. Aaron Chenette provide all the preventive, restorative and cosmetic services your loved ones need. And, best of all, your family dentistry services are located all in one state-of-the-art office in Cohasset, MA.
What your family dentist can do for you
The American Dental Association (ADA) maintains that preventive care is the mainstay of good oral health. Exams, cleanings, fluoride treatments, plastic sealants, X-rays and oral cancer assessments routinely uncover problems and keep them from developing in the first place.
Dr. Thomas and Dr. Chenette ask all their patients to come into the office for a check-up and examination every six months, and yes, that includes babies whose first teeth have arrived. Regular dental care fosters good hygiene habits and healthy, attractive, and long-lasting smiles.
Additionally, if problems do crop up, your family dentist in Cohasset, MA, provides the restorative services you may need. You won't have to drive your children to one dental office and your elderly parents across town to another; everything is right at Cohasset Dental.
The dentists and their team get to know each patient and provide individualized treatment plans. Cosmetic dentistry services, such as Zoom! Whitening, composite resin bonding, porcelain veneers, and crowns enhance the foundation of a healthy smile.
A word about emergencies...
Life happens. A car accident, fall, or sports mishap can damage a smile quickly and cause considerable discomfort. This is especially true for young, active children. If you or a family member chips a tooth, loses a crown, fractures, loses a tooth completely, call your family dentist right away for compassionate first aid advice and an appointment as needed.
If you'd like premier family dentistry services in Cohasset, MA, call our dental office at (781) 383-9393 to schedule an appointment today! For your convenience, we are open Monday through Friday, starting at 7AM.
Dr. Thomas, Dr. Chenette, and their team would love to get to know you and give you a great smile.