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oral health

For Better Breath: Brush Your Tongue!

“All those bumps and grooves on your tongue are a haven for bacteria and could be contributing to your bad breath because of the gases they give off, says Dr. Matthew Messina, a consumer advisor for the American Dental Association. It’s important to take care of the tongue in addition to regular brushing and flossing.”-from Colgate.com

The front portion of the tongue is pretty self-cleansing, however, the back portion can often collect more bacteria. You can use a toothbrush or a special tongue scraper. Tongue scrapers come in various designs.

Some tips:

1-Clean any area where there is a coating. This is usually found on the back portion of your tongue.

2- Be gentle. Don’t go too far back and stick to the center of the tongue and not the sides which are more delicate and prone to injury. If you have a sensitive gag reflex a tongue scraper will probably work better for you.

3- Do it daily. Just like brushing and flossing, frequency is key. Oral bacteria are constantly reproducing. Once you start doing it daily, you may find that your mouth just doesn’t seem as clean without doing it

Seeking Treatment for Gum Disease is an Important Step for Good Overall Health

Dr. Todd Britten cites recent scientific studies when urging patients to seek gum disease treatment before periodontal disease begins affecting overall health.

Dr. Todd Britten, a periodontist in Clearwater, Florida, cites recent scientific studies to help educate people about the connection between unhealthy gums and different systemic health conditions. Citing the ever-increasing studies linking periodontal (gum) health to overall systemic health, Dr. Britten continues to educate his patients about the benefits of seeking gum disease treatment before it begins affecting overall health.

Dr. Britten states that recent research demonstrates that inflammation may be responsible for the association between periodontal disease and other diseases. Dr. Britten states, “There is strong evidence linking periodontal disease to several systemic diseases, such as diabetes and cardiovascular disease as well increasing the risk factors and complications of other diseases such as osteoporosis, respiratory disease, stroke and even cancer.”

A recent study in an October 2016 report in the Journal of Periodontology titled “Periodontal Disease and Incident Lung Cancer Risk: A Meta-Analysis of Cohort Studies,” (attached) found that individuals with periodontal disease have an increased risk of developing lung cancer. Study participants with other risk factors such as frequent alcohol use, smoking, and diabetics demonstrated even a slightly increase in lung cancer risk and that women with periodontal disease are more likely than men to develop lung cancer. A related cohort study stated that oral bacteria may be involved in the development of cancer cells in the lungs, while another study indicates successful treatment of periodontal disease may lead to a substantially reduced lung cancer risk. “This report can be added to the body of literature that associates periodontal disease with other conditions in the body, including diabetes and heart disease,” says president of the American Academy of Periodontology (AAP) Wayne A. Aldredge, DMD. “While additional research is needed on the possible links between lung cancer and periodontal disease, we know for sure that taking care of your teeth and gums can reduce periodontal disease risk and possibly the risk of other systemic conditions.”

A 2013 consensus report from the American Academy of Periodontology (AAP) and the European Federation of Periodontology (EFP) finds that periodontal health may play an important role in the management of diabetes. The report outlines clinical recommendations for dental professionals to use when treating people with diabetes and emphasizes the importance of annual comprehensive periodontal evaluations (CPE) as part of an effective diabetes management program. The consensus report is based on a large body of scientific evidence that suggests periodontal health may be helpful in controlling diabetes.

“There are many studies which provide evidence indicating a relationship between periodontal disease and several other systemic diseases, including chronic kidney disease, cognitive impairment, obesity, chronic kidney disease and metabolic syndrome. A new study has even revealed a relationship between chronic periodontitis and lacunar infarct, a type of cerebral small vessel disease that can lead to a stroke.” Dr. Britten wants patients to know that while additional research is required to gain a more thorough understanding of many of these relationships between systemic disease and periodontal health, patients should be aware that the associations do exist.

Periodontal disease affects one of every two Americans age 30 and older and is 2.5 times more prevalent than diabetes. Caused by an inflammatory reaction to a bacterial infection below the gum line, periodontal disease can lead to swelling, irritation, receding gums, and tooth loss if left untreated. Dr.Britten’s Clearwater, Florida practice offers many disease treatment options, including traditional or laser gum surgery, replacing missing or diseased teeth with implants, scaling and root planning, and periodontal regenerative procedures such as bone grafting and tissue grafting.

To read more about the findings in recent American Academy of Periodontology reports, visit http://www.perio.org/perio.org/consumer/EFP_AAP_Workshop_Proceedings and to learn more about effects of periodontal disease and treatment options, please visit Dr. Todd Britten’s website at http://www.clearwater-periodontist.com.

Britten Periodontics is a periodontal practice offering patients personalized dental care in periodontics, laser therapy and implant dentistry for Clearwater, Florida. Dr. Todd Britten received his Bachelor of Science and Doctorate of Dental Medicine and Master’s Degree and Certificate in Periodontology and Implant Dentistry at the University of Florida. He is a Diplomate of the American Board of Periodontology. He has completed extensive continuing education coursework, including training at the Pankey Institute, Pikos Institute for Advanced Bone Grafting, Misch International Implant Institute and LANAP Institute for advanced Laser Dentistry. His Professional Associations and Memberships include American Board of Periodontology, American Academy of Periodontology, American Dental Association, Florida Association of Periodontists, Academy of Osseointegration, Upper Pinellas County Dental Association, Pinellas County Dental Association, Top Dentist 2015, Florida West Coast Dental Association and he completed extensive training at the Institute of Advanced Laser Dentistry. Dr. Britten is part of the one percent of dental professionals offering the FDA cleared laser procedure for gum disease treatment.

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Exciting breakthrough: diabetes screening in the dental chair

Did you know?

Your dentist or dental hygienist may be able to tell if you have diabetes before you even know you do? Clues in the mouth, medical symptoms you are experiencing and reporting to them, and even a chairside test done right in the dental office can help your dentist determine that further testing for diabetes is necessary

A dentist can examine your mouth for clues of diabetes. There are signs in the mouth associated with diabetes:

-Periodontal disease
-Dental caries
-Burning mouth syndrome
– Oral candidiasis (common in those with poor glycemic control)
-Salivary dysfunction
-Neurosensory disorders
-Soft tissue abnormalities such as stomatitis or lichen planus
-Xerostomia
(Source: http://clinical.diabetesjournals.org/content/32/4/188.full)

Also, a patient that has 26% of periodontal pockets measuring 5 mm’s or greater or 4 or more missing teeth (not including the third molars), has a 72% chance of having a metabolic challenge. Diabetes is considered a metabolic disease.

Patients often see their dentist or dental hygienist more often than any other healthcare professional. Make sure to answer their questions thoroughly and accurately about your health.

Health risk factors for diabetes:

– Overweight or obese – BMI greater than 25
– High blood pressure
– Familial history of diabetes
– High cholesterol
– History of heart disease
– Other symptoms or complaints may include thirst, urinating frequently, constant fatigue, weight loss (Type 1), blurred vision, and uncontrolled infections even within the mouth (poorly controlled Type 2 diabetics).

Effective January 1, 2018, a chairside diabetes HbA1c (Hemoglobin A1c) test may be able to be performed by your dentist right in their office if they suspect diabetes or prediabetes. A patient with a test result of 5.7 or greater indicates a 92% chance the patient is metabolically challenged. At this point, your dentist can refer you to a physician for further testing.

Periodontal disease and diabetes have a direct effect upon one another. It is important to Dr. Britten to improve not only the oral health, but the overall health of each and every one of his patients. For more information on oral health and diabetes contact us at 727-586-2681.

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What Happens When Your Mouth is Too Dry

Dry mouth (reduced saliva, also known as xerostomia) is a problems because it creates a:
 
-Higher risk of cavities, because saliva neutralizes and buffers acids in the mouth caused by foods and bacteria, as well as cleanses the teeth
-Increased risk of oral infections
-Decreased sense of taste and enjoyment of food
-Bad breath
Causes of dry mouth
 
Medications seem to account for a substantial portion of dry mouth cases, especially among the elderly. Over 400 agents in drugs affect salivary levels, with evidence that the risk of xerostomia rises with the number of medications.
 
o Commonly used medications include those for those for acne, allergies (antihistamines), anxiety, asthma, depression, diarrhea, high blood pressure, incontinence, nausea, obesity, Parkinson’s disease. Other contributors are muscle relaxants and sedatives.
o Damage to salivary glands (Due to chemotherapy, radiotherapy, neck surgery)
o Dehydration (may be due to fever, sweating, vomiting, diarrhea, loss of blood)
o Habits, such as consumption of tobacco or methamphetamines (“meth”), breathing with mouth open, snoring.
o Diabetes, anemia, hypertension
 
Treatment of dry mouth should target its causes. For example, if your dry mouth is caused by medication, then an alternative medication or dosage change may help.
If a medication change or a health condition cannot be addressed to help with dry mouth, you can help promote saliva in the following ways:
• Sipping water or sugarless drinks often and during meals
• Avoiding drinks with caffeine, such as coffee, tea, and some sodas
• Professional recommendation for oral care products that will assist in moisturizing the mouth
• Chew sugarless gum or suck on sugarless hard candy to stimulate saliva flow citrus, cinnamon or mint-flavored candies are good choices
• Avoid tobacco or alcohol, which dry out the mouth
• Minimize spicy or salty foods, which may cause pain in a dry mouth
• Avoid sugar and acidic foods
• Using a humidifier at night
 
It is important to perform daily and effective removal of plaque, which is the main preventable cause of cavities and gum disease.
 
We have also found in our practice that a combination of over the counter Biotene products (gels, rinses, sprays, lozenges), a product available via prescription called Neutrasal, and PerioSciences’ Anti-Oxidant Gel can also be helpful for our patients suffering from dry mouth. For more information, call us today at 727-586-2681 or visit our website at www.brittenperio.com

Diabetes Awareness Month: Why your dentist might be the first one to suspect diabetes

Did you know that 90% of pre-diabetics are unaware of their condition and 25% of Type II diabetics are unaware they have the disease? Many patients see their dentist or dental hygienist more often than they see their primary care physician. This is particularly true for people with periodontal (gum) disease, who require more frequent dental hygiene visits or gum treatments. Your dentist or dental hygienist should take a thorough medical history at each visit.  Some of the things they should look for which could indicate diabetes or prediabetes. Risk factors that indicate a potential for diabetes or pre-diabetes include:

  • Overweight or obese – BMI greater than 25
  • High blood pressure
  • Familial history of diabetes
  • High cholesterol
  • History of heart disease
  • Other symptoms or complaints may include thirst, urinating frequently, constant fatigue, weight loss (Type 1), blurred vision, and uncontrolled infections even within the mouth (poorly controlled Type 2 diabetics).

There are also dental clues that may indicate diabetes.

  • A patient that has 26% of periodontal pockets measuring 5 millimeters or more or 4 or more missing teeth (not including wisdom teeth), has a high chance of having a metabolic problem – and diabetes is a metabolic problem.
  • Periodontal disease
  • Dental caries
  • Burning mouth syndrome
  • Oral candidiasis (common in those with poor glycemic control)
  • Salivary problems or dry mouth
  • Neurosensory disorders
  • Soft tissue abnormalities such as stomatitis or lichen planus
  • Dry mouth

A chairside diabetes HbA1c (Hemoglobin A1c) test may soon be able to be performed in our practice, or if you have had a recent test with your doctor showing a result of 5.7 or greater indicates a 92% chance the patient is metabolically challenged. At this point, the patient should be referred to their physician.

If you are concerned about your oral health or are experiencing symptoms in your mouth or health that could be related to diabetes, contact us today 727-586-2681.

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Smoking: What Happens to Oral Health

Smoking is notoriously dangerous to your health. While the health risks of smoking are well known, you may be surprised to learn that smoking can dramatically impact the health and condition of your teeth and gums. Smoking can aggravate some of the most common oral health problems such as bad breath or gum disease and is a risk factor for oral cancer.

Periodontal Disease

While gum disease can be present for a variety of reasons, smoking can dramatically worsen its symptoms. If a person smokes, he or she may be much more likely to develop tartar buildup, bleeding gums, and other symptoms associated with periodontal disease. When your dentist spots the early signs of gum disease in your smile, quitting smoking can help to slow down the progression of your symptoms.

Oral Cancer

Oral cancer is another serious health concern that is associated with tobacco use. A person who uses tobacco will be at much greater risk of developing oral cancer in his or her lifetime. Smoking during cancer treatment can also lead to the spread of cancer cells to the throat, larynx, or other areas of the mouth. Even smokeless tobacco products have been determined to contribute to the growth of cancer cells in certain patients.

Implant Issues

A person who smokes is also at risk of experiencing issues with his or her dental implants. Dental implants are used to replace broken or missing teeth. Since smoking can contribute to bone loss and other oral health problems, a dental implant may fail when it is placed in the mouth of a person who smokes.

Dr. Todd Britten can address any concerns that you may have about smoking and your oral health. Call us today 727-586-2681.
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