Gum disease is an inflammation of the tissues that hold your teeth in place. If it is severe, it can destroy the tissue and bone, leading to tooth loss. Gum disease is caused by plaque, a sticky film of bacteria that constantly forms on the teeth. When plaque is not removed it can harden into calculus (tartar). When tartar forms above and below the gum line, it becomes harder to brush and clean well between teeth. That buildup of plaque and tartar can harbor bacteria that lead to gum disease. The first stage of gum disease is called gingivitis, which is the only stage that is reversible.
If not treated, gingivitis may lead to a more serious, destructive form of gum/periodontal disease called periodontitis. It is possible to have periodontal disease and have no warning signs. That is one reason why regular dental checkups and periodontal examinations are so important. Treatment methods depend upon the type of disease and how far the condition has progressed. Good oral hygiene at home is essential to help keep periodontal disease from becoming more serious or recurring. Brush twice a day, clean between your teeth daily, eat a balanced diet, and schedule regular dental visits for a lifetime of healthy smiles.
Teeth grinding, also called bruxism, often occurs unconsciously while you sleep. It can cause serious damage to your teeth and jaw. Although it is often considered to be stress-related, teeth grinding can also be caused by sleep disorders. Your dentist’s choice of treatment will depend on the cause of your grinding, but you may be fitted with a mouth guard to protect your teeth while you sleep.
The temporomandibular joints, or TMJ, are among the more complex joints in your body. Any problem that prevents the TMJ from working properly may result in a painful disorder, also referred to as TMJ disorders or sometimes TMD. The exact cause of a TMJ disorder is often unclear, but possible causes can include arthritis, dislocation, injury and/or problems related to alignment or teeth grinding from stress.
Symptoms can include:
- pain in or around the ear
- tenderness of the jaw
- clicking or popping noises when opening the mouth
If you’re regularly experiencing facial or jaw pain, see your dentist. Exercise, muscle relaxants or physical therapy may help.
Sometimes a cavity is just too deep to be fixed and may require a root canal. Root canal procedures are used to treat problems of the tooth’s soft core, otherwise known as dental pulp. The pulp contains the blood vessels and the nerves of the tooth, which run like a thread down into the root. The pulp tissue can die when it’s infected or injured. If you don’t remove it, your tooth gets infected and you could lose it. During a root canal treatment, the dentist removes the pulp, and the root canal is cleaned and sealed off to protect it. Your dentist may then place a crown over the tooth to help make it stronger and protect it.
If hot or cold foods make you wince, you may have a common dental problem – sensitive teeth.
Sensitivity in your teeth can happen for several reasons, including:
- tooth decay (cavities)
- fractured teeth
- worn fillings
- gum disease
- worn tooth enamel
- exposed tooth root
Sensitive teeth can be treated. Your dentist may recommend desensitizing toothpaste or an alternative treatment based on the cause of your sensitivity. Proper oral hygiene is the key to preventing tooth pain. Ask your dentist if you have any questions about your daily oral hygiene routine or concerns about tooth sensitivity.
Concerns of Patients Age 40-60
The first stage of gum disease is called gingivitis, which is the only stage that is reversible. If not treated, gingivitis may lead to a more serious, destructive form of gum/periodontal disease called periodontitis. It is possible to have gum disease and have no warning signs. That is one reason why regular dental checkups and periodontal examinations are so important. Treatment methods depend upon the type of disease and how far the condition has progressed. Good oral hygiene at home is essential to help keep periodontal disease from becoming more serious or recurring. Brush twice a day, clean between your teeth daily, eat a balanced diet, and schedule regular dental visits for a lifetime of healthy smiles.
Did you know that the average adult between the ages of 20 and 64 has three or more decayed or missing teeth? If you are missing one or more teeth, there are plenty of reasons to correct the problem. For one thing, a large space between your teeth may affect how you speak or eat. Even if it’s not noticeable, a missing molar can affect how you chew. Remaining teeth may shift and in some cases, bone loss can occur around a missing tooth. With today’s advances, you don’t have to suffer from missing teeth.
Here are some options to replace a lost tooth or teeth. Talk to your dentist about which option is best for you:
- Bridges – anchored to your adjacent teeth, these can be removable or fixed, depending on your mouth, your dentist’s recommendation and your needs.
- Dentures – an option if you’ve lost all or most of your teeth.
- Implants – most similar to a natural tooth.
Everyone’s mouth can be dry sometimes, but if you feel like your mouth is always dry, it may be time to seek treatment. Medications and certain health conditions can lead to dry mouth. A dentist will check your teeth for signs of decay that can result from decreased salivary flow. A physician will test for any underlying disease or conditions that may be causing your dry mouth. Having a dry mouth is not itself serious but taking care of your teeth and gums and regular dental visits are important when living with dry mouth. Without the cleansing effects of saliva, tooth decay and other oral health problems become more common. Patients using oral inhalers for asthma often develop oral candidiasis, an oral fungal infection, and are encouraged to rinse their mouths with water after using the inhaler. Tell your dentist what medications you are taking and any other information about your health that may help identify the cause of your dry mouth.
Oropharyngeal cancer can affect any area of the oropharyngeal cavity including the lips, gum tissue, check lining, tongue, jaw the hard or soft palate and throat. It often starts as a tiny, unnoticed white or red spot or sore or swelling anywhere in the mouth or throat.
During your dental visit, your dentist can talk to you about your health history and examine these areas for signs of mouth and/or throat cancer. Regular visits to your dentist can improve the chances that any suspicious changes in your oral health will be caught early, at a time when cancer can be treated more easily.
The symptoms of mouth or throat cancer can include:
- sores that bleed easily or do not heal
- a thick or hard spot or lump
- a roughened or crusted area
- numbness, pain or tenderness
- a change in the way your teeth fit together when you bite down.
Make sure to tell your dentist about any problems you have when chewing, swallowing, speaking or moving your tongue or jaw. Regular dental check-ups, including an examination of the entire mouth, are essential in the early detection of cancerous and pre-cancerous conditions.
Concerns of Patients Age 60+
The Link Between Medications and Cavities
You may wonder why you’re suddenly getting cavities when you haven’t had them in years. As we get older, we enter a second round of cavity prone years. One common cause of cavities in older adults is dry mouth. Dry mouth is not a normal part of aging. However, it is a side-effect in more than 500 medications, including those for allergies or asthma, high blood pressure, high cholesterol, pain, anxiety or depression, Parkinson’s and Alzheimer’s diseases.This is just one reason why it’s so important to tell your dentist about any medications that you’re taking. Your dentist can make recommendations to help relieve your dry mouth symptoms and prevent cavities. Here are some common recommendations:
- Use over-the-counter oral moisturizers, such as a spray or mouthwash.
- Consult with your physician on whether to change the medication or dosage.
- Drink more water. Carry a water bottle with you, and don’t wait until you’re thirsty to drink. Your mouth needs constant lubrication.
- Use sugar-free gum or lozenges to stimulate saliva production.
- Get a humidifier to help keep moisture in the air.
- Avoid foods and beverages that irritate dry mouths, like coffee, alcohol, carbonated soft drinks, and acidic fruit juices.
- Your dentist may apply a fluoride gel or varnish to protect your teeth from cavities.
Many older adults have gum, or periodontal disease, caused by the bacteria in plaque, which irritate the gums, making them swollen, red and more likely to bleed. One reason gum disease is so widespread among adults is that it’s often a painless condition until the advanced stage. If left untreated, gums can begin to pull away from the teeth and form deepened spaces called pockets where food particles and more plaque may collect. Advanced gum disease can eventually destroy the gums, bone and ligaments supporting the teeth leading to tooth loss. The good news is that with regular dental visits gum disease can be treated or prevented entirely.
According to the American Cancer Society, there are about 35,000 cases of mouth, throat and tongue cancer diagnosed each year. The average age of most people diagnosed with these cancers is 62. During dental visits, your dentist will check for any signs of oral cancer. Regular dental visits are important because in the early stages oral cancer typically does not cause pain and early detection saves lives. Some symptoms you may see include open sores, white or reddish patches, and changes in the lips, tongue and lining of the mouth that lasts for more than two weeks.
Source: American Dental Association
Download original article (.pdf)