Showing posts sorted by relevance for query overall health. Sort by date Show all posts
Showing posts sorted by relevance for query overall health. Sort by date Show all posts

Monday, September 30, 2013

News You Can Use

Oral Health and the Impact on Sports Performance

A study recently published in the British Journal of Sports Medicine looked at the impact of athlete's oral health on their performance at the 2012 London Olympics.  

I have previously posted on the link between oral health and overall health several times.  It has been pretty well established that poor oral health is connected to poor overall health, as seen in the link between heart disease and dental plaque. This new study elaborates on that link, focusing on how poor oral health may be connected to sports performance.

The researchers performed a cross-sectional study on 302 athletes from 25 sports with the athletes coming mostly from Africa, the Americas, and Europe. Poor oral health was found to have substantial effects on the athlete's well-being, training, and performance.  

Most athletes demonstrated high levels of dental caries (cavities), periodontal disease, and dental erosion with 40% claiming it was bothersome, 28% reporting it influenced their quality of life/well-being, and 18% stating it significantly effected their training and performance.

Not only is oral health linked to and indicative of poor overall health but can have detrimental effects to high performing athletes.


Source: http://bjsm.bmj.com/content/early/2013/09/24/bjsports-2013-092891.abstract


R. Eric Emery, DDS
Morgan A. Emery, DDS
Smile Station Dental
2901 Dougherty Ferry Rd, Suite 400
St. Louis, MO 63122
(314)821-7100
smilestationdental.com
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Wednesday, January 7, 2015

News You Can Use

The Oral-Systemic Connection

Continuing the topic of improved oral health for the new year, it is important to note that good oral health is not just for keeping your teeth in good shape but also for good overall health.  

Recent research suggests that the conditions in our mouths are significantly related to different diseases and health problems throughout the body.  For example, gingivitis (later called periodontal or gum disease when advanced) is caused by bacteria that then has access to the bloodstream when the gums bleed.  That bacteria, among others in the mouth, has been linked to several systemic health concerns, such as:

  • Diabetes
  • Heart Disease
  • Stroke
  • Osteoporosis

I have posted on the oral-systemic connection before and how it relates to diabetes, dementia, rheumatoid arthritis, and other health concerns. While more research is needed and currently being done to fully understand the oral-systemic connection, previous studies strongly suggest there is a potent relationship between oral health and overall health. 


Source: http://www.dentaleconomics.com/articles/print/volume-101/issue-6/practice/the-oral-systemic-connection.html


R. Eric Emery, DDS
Morgan A. Emery, DDS
Smile Station Dental 
2901 Dougherty Ferry Rd, Suite 400
St. Louis, MO 63122
(314)821-7100
smilestationdental.com
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Tuesday, March 18, 2014

News You Can Use

Diet and Dental Health

Most people understand the connection between eating healthy and overall health but the effects of a good diet on oral health may not readily understood. A diet of healthy and varied foods from the major food groups is not only good for the body but also for the mouth.

One aspect of diet that is important for oral health specifically is limiting snacks.  Eating snacks is ok, especially if it is a piece of fruit, some vegetables, or a piece of cheese but snacking too frequently can be detrimental.  Foods eaten as part of a meal do less harm to the teeth than those eaten as a snack, primarily because more saliva is produced during a meal to wash away food particles stuck between teeth and lessen the acidity in the mouth that may cause decay. 

Snacking less frequently and choosing healthier options is a good diet choice for both overall health and oral health. Remembering to brush twice daily and floss at least once daily also contribute to better health.


Source: http://www.mouthhealthy.org/en/~/link.aspx_id=BA5088B8D8474C758B83D4E787B54AF2&_z=z


R. Eric Emery, DDS
Morgan A. Emery, DDS
Smile Station Dental

2901 Dougherty Ferry Rd, Suite 400
St. Louis, MO 63122
(314)821-7100
smilestationdental.com
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Thursday, August 9, 2012

News You Can Use

Medical School in VA Adds a Focus on Oral Health

Medical students in the 2014 and 2015 classes at Virginia Tech Carilion School of Medicine are the first in the new groundbreaking program that includes 30 hours of oral health education and clinical practice during the first two years of medical school.

Traditionally, medical students received little oral health education. A medical school program that includes and even emphasizes oral health highlights the newly discovered importance of the connection between good oral health and overall health.

This program will include both education and clinical training in several oral health areas including oral exams, oral cancer, oral manifestations of systemic diseases, common oral pathologies, and on-site training in a dental clinic.  All of this will be done within the first two years of medical school. Viriginia Tech is continuing to work on incorporating oral health education for the third and fourth years.

For more information on this groundbreaking curriculum change, follow the link below:





R. Eric Emery, DDS
2901 Dougherty Ferry Rd, Suite 400
St. Louis, MO 63122
(314)821-7100
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Tuesday, March 26, 2013

News You Can Use

Food and Drinks that Can Help Your Smile

Most people know that brushing and flossing are important for a healthy mouth but did you know that certain foods and drinks can help with oral health too? Here are a few:

Green Tea
Not only has green tea been used medicinally for years but it has a higher number of antioxidants than black tea which actually helps to kill cancer-causing free radicals.  Those same free radicals may cause periodontal inflammation.  Green tea has also been known to reduce dental plaque and interfere with the production of hydrogen sulfide, which causes bad breath.

Dairy Products
All types of calcium products can help protect your smile. They are all low in acidity which protects teeth from decay and promotes a healthy oral pH.  Dairy products are also high in calcium and phosphate which helps fortify teeth as well as bones.

Fruits and Vegetables
We were all told to eat our fruits and vegetables growing up but little did we know, there are more reasons to eating them than originally thought. The physical action of eating raw fruit massages the gums and keeps plaque from forming on teeth.  Fruit also contains a lot of vitamin C which is good for overall health and gum health. Additionally, eating raw vegetables helps to keep teeth clean and strong while supporting overall health.

Water
While it is not always considered when thinking about food or drinks that are good for your teeth, water is one of the best.  Water keeps you hydrated but also washes away food particles that may be stuck between the teeth and aids the natural neutralizing effect of saliva.


Source: http://bestdentistnews.com/2012/03/foods-and-drinks-that-can-help-your-smile/#more-777


R. Eric Emery, DDS 
Smile Station Dental
2901 Dougherty Ferry Rd, Suite 400
St. Louis, MO 63122
(314)821-7100
smilestationdental.com
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Monday, February 2, 2015

News You Can Use

Bacteria-Causing Gum Disease May Lead to Oral Cancer Growth

A new study conducted by Case Western Reserve University illustrates a connection between the bacteria that causes gum disease and Kaposi sarcoma-related lesions and tumors. The researchers investigated how the fatty acids produced as a byproduct of the gum disease-causing bacteria lead to the growth of cancerous lesions. 

The goal of the study was to identify who tends to develop this cancer from those that don't develop it. The participants with better overall oral health tended to have less of the fatty acid byproducts.  Additionally, the researchers concluded that the byproducts impacted the replication of the Kaposi sarcoma lesions.  The body is prevented from stopping the growth of the Kaposi sarcoma cells when there are higher amounts of fatty acids. 

This research illustrates another connection between gum disease and overall health issues.  Those that have already been established include the link between gum disease and rheumatoid arthritis, diabetes, heart disease, and other ailments.  Good oral health habits are recommended for both overall and oral health. The full research study can be found in the Journal of Virology.


Source: http://dentistrytoday.com/todays-dental-news/9944-bacteria-causing-gum-disease-may-lead-to-oral-cancer-growth


R. Eric Emery, DDS
Morgan A. Emery, DDS
Smile Station Dental

2901 Dougherty Ferry Rd, Suite 400
St. Louis, MO 63122
(314)821-7100
smilestationdental.com
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Monday, August 6, 2012

News You Can Use

Diagnosing Diabetes in the Dental Chair

Now that I blogged a little bit about the importance of oral health for people with diabetes and how their oral health can be affected by the disease, I'd like to write about an article recently published by the American Dental Association on how diabetes can be diagnosed in the dental chair. 

A recent study on over 600 participants in a dental clinic in Manhattan found that most of the patients that had undiagnosed diabetes or were pre-diabetic tended to have two oral health factors in common.  Almost all of those patients had a similar number of missing teeth and a similar percentage of deep periodontal pockets. Those two factors together allow the dentist to recognize the signs for at-risk individuals earlier which may help the patient to better control their diabetes and may help limit the development of serious complications.

Periodontal disease is an early complication of diabetes and since more people see their dentist on a regular basis than their doctor, having the ability to help diagnose diseases that affect the whole body in the dental chair is another positive to dental visits.  Scheduling regular dental checkups will not only benefit your oral health but could help to keep your overall health in check.


Source: Oral and Dental Care Articles & News |Oral Hygiene, Dental Health Information and Resources | Colgate®


R. Eric Emery, DDS
Smile Station Dental
2901 Dougherty Ferry Rd, Suite 400
St. Louis, MO 63122
(314)821-7100
smilestationdental.com
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Tuesday, August 12, 2014

News You Can Use

Some Healthy Treats May be Harmful

Many people want to eat healthier but may not have the time to prepare healthy snacks so they turn to pre-made, packaged snacks that claim to be healthy.  The problem is, these healthy snacks might not be what they claim. 

While "healthy" versions of snacks such as fruit purees or cereal bars may have less fat or calories than alternatives, they tend to have high sugar content.  The amount of sugar mixed with the acidity level of these snacks create an unhealthy environment in the mouth.  The acidity wears away at the enamel while the sugar invites decay-causing bacteria. 

An example of the high sugar content is the fruit purees that are popular as on-the-go snacks for kids may include up to 11 grams of sugar or more per serving.  Snacks that are labeled "organic with no added sugar" are still high in sugar content.  Fruits contain natural sugars but also contain quite a bit of water which is why they are healthy snacks (the water and fiber from the fruit makes you feel fuller).  When the fruits are pureed or dehydrated, such as raisins, some of the water is removed and the sugars are concentrated.

The high sugar content in these snacks may be detrimental to a child's overall health as well as oral health.  Consuming these snacks once to several times a day may greatly increase the child's overall sugar consumption without parents knowledge.

Doctors and dentists recommend reading food labels before giving a child certain snacks, looking for high sugar or acid content.  Doing research on recommended snacks may be beneficial as well.


Source: http://www.dentistrytoday.com/todays-dental-news/8643-new-snack-may-be-harmful-to-childrens-dental-health 
Source: http://dentistrytoday.com/todays-dental-news/10648-some-healthy-treats-may-be-harmful


R. Eric Emery, DDS
Morgan A. Emery, DDS
Smile Station Dental
2901 Dougherty Ferry Rd, Suite 400
St. Louis, MO 63122
(314)821-7100
smilestationdental.com
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Monday, January 28, 2013

Dental Did You Know

Is Your Mouth Making You Sick?

I have previously posted on the importance of good oral health and the connection it has to good overall health.  The graphic below supports that with statistics from studies illustrating how oral health is connected to different diseases. 



Source: http://www.infographicsarchive.com/health-and-safety/infographic-is-your-mouth-making-you-sick/


R. Eric Emery, DDS
Smile Station Dental

2901 Dougherty Ferry Rd, Suite 400
St. Louis, MO 63122
(314)821-7100
smilestationdental.com
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Monday, June 23, 2014

News You Can Use

The Practice of Oil Pulling

Recently, the practice of oil pulling has gained a lot of media support as a reducing plaque, whitening teeth, and improving oral and overall health. While the technique has been around for years, it may not yield the results promised. 

Oil pulling comes from an ancient folk remedy practiced in India as a holistic Ayurvedic technique. It involves putting a tablespoon of oil (traditionally sesame but others claim to use olive, sunflower, or coconut) in the mouth and swishing it for anywhere between 5 and 20 minutes.  The name comes from the act of pulling the oil through the spaces in the teeth. 

As with most folk remedies, oil pulling has not been empirically studied for its oral health benefits.  Of the few studies conducted, there are clear limitations such as a small sample size, lack of controls, and confounding variables. The American Dental Association released an article in May with an overview of the available studies, coming to the conclusion that there is no current empirical support that oil pulling is beneficial.

In fact, oil pulling may have negative side effects due to having to keep the oil in the mouth for an extended period of time.  Swishing the oil may result in the fats from the oil being asphyxiated into the lungs, causing lipoid pneumonia.  Cases of upset stomach, nausea, and diarrhea have been reported as well.

While the practice has been around for many years, there are no peer-reviewed studies that support the benefits of oil pulling.  Many dental professionals do not recommend oil pulling as a supplementary oral health practice and certainly not as a replacement practice.  Brushing twice a day and flossing once is still recommended as the best, most supported practice to help prevent cavities and keep gums healthy.


Source:http://www.ada.org/en/science-research/science-in-the-news/the-practice-of-oil-pulling


R. Eric Emery, DDS
Morgan A. Emery, DDS
Smile Station Dental
2901 Dougherty Rd, Suite 400
St. Louis, MO 63122
(314)821-7100
smilestationdental.com
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Wednesday, July 17, 2013

News You Can Use

Losing Your Teeth Can Damage Your Memory

Last fall, I posted about the link between chewing ability and the risk for dementia but more research has come out that describes how losing your teeth may be linked to absent-mindedness that occurs with old age, going as far as suggesting that tooth loss may be the cause of memory loss.

The previous article gave evidence that suggests the chewing motion of the jaw increases blood flow to the brain.  Recent research elaborates on that finding, stating that the chewing motion and the stimulation of the teeth send sensory impulses to the hippocampus (the part of the brain that forms and retrieves memories).  If you lose teeth over the span of your life, you do not having as many points for sending those sensory impulses which results in more memory loss as the hippocampus is not being stimulated enough to retrieve memories. 

The recent study on this subject found that older adults with more teeth performed significantly better than older adults with less teeth.  The older adults with more teeth performed better on both episodic memory tasks (tasks that involve remembering specific instances) and semantic memory tasks (tasks that involve specific facts). 

Another recent study, published by the European Journal of Oral Sciences and performed by universities in Sweden and Norway, had 273 participants between the ages of 55 and 80.  The average number of teeth for participants was 22 which is ten less than a full dentition.  All participants were put through a series of memory tests.  Researchers found that the number of natural teeth alone accounted for 20% of the variance in episodic recall, 15% of the variance in episodic recognition, and 14% of the variance in semantic memory. 

The reduced blood flow and reduced stimulation from sensory signals combine to influence the memory loss in older adults.  Additionally, denture wearers have a tendency to avoid certain foods, which reduces their intake of vitamins and minerals.  Implants were found to increase the stimulation sent to the brain and aided denture wearers in being able to diversify what they can eat.  A recent study in California also found that older adults who brush their teeth less frequently were significantly more likely to have signs of dementia.  

Maintaining good oral health while brushing twice a day and flossing once are not only good for your overall health but may be protective against memory loss. 




R. Eric Emery, DDS
Morgan A. Emery, DDS
Smile Station Dental
2901 Dougherty Ferry Rd, Suite 400
St. Louis, MO 63122
(314)821-7100
Like us on Facebook!
 

Tuesday, May 7, 2013

News You Can Use

Smoking Linked to Higher Risk for Tooth Loss in Postmenopausal Women

While women tend to be better at brushing, flossing, and getting regular dental checkups, if they are long-time heavy smokers, that may not be enough.  A recent study found long-time heavy smokers have a higher risk of tooth loss and periodontal disease as compared to nonsmokers.  

The study looked at the health histories and dental records of about 1,100 postmenopausal women.  Along with a comprehensive oral exam and an extensive smoking history questionnaire, they found that women who smoked about a pack a day for 26 years were twice as likely to have reported tooth loss and six times as likely to report periodontal disease than nonsmoking postmenopausal women.  

The authors of this study also reported that cigarette smoke accelerates periodontal disease while the chemicals in the smoke increase plaque forming bacteria while reducing the antioxidative ability of saliva.  Nicotine from cigarettes has also been linked to a reduction in bone density which not only effects the teeth but may have detrimental overall health effects as well.  Finally, the study found that women who smoke had lower estrogen levels than those who do not smoke.

Periodontal disease and tooth loss is a significant problem for postmenopausal women as they report having more tooth loss then men of the same age.  This tooth loss can cause dietary issues as well as aesthetic concerns and a reduced overall quality of life making this study even more important.


Source: http://www.colgate.com/app/CP/US/EN/OC/Information/Articles/ADA/2013/article/ADA-03-Smoking-linked-to-higher-risk-of-tooth-loss-in-postmenopausal-women.cvsp


R. Eric Emery, DDS
Smile Station Dental
2901 Dougherty Ferry Rd, Suite 400
St. Louis, MO 63122
(314)821-7100
smilestationdental.com
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Monday, October 7, 2013

News You Can Use

The Link Between Gum Disease and Rheumatoid Arthritis

Research in the dental field has found a link between many oral problems and other overall health issues. A recent study done at the University of Louisville School of Dentistry found yet another one of those links, between gum disease and Rheumatoid arthritis.

While the link between these two inflammatory health problems has long been thought to exist, the microbiological reason for it was not known.  This new research found that the bacteria responsible for gum disease can worse the arthritis, leading to early onset of the disease and faster progression of it.  This leads to more overall damage to bone and cartilage as well as a more painful experience.

Additionally, the study found those with gum disease had an increased prevalence of Rheumatoid arthritis and that gum disease was twice a prevalent in individuals with Rheumatoid arthritis.  Essentially, the link between the two diseases is bidirectional in that it does not matter which disease appears first, they are both equally likely to lead to the other.

Brushing twice daily and flossing once, as well as regular dental visits are a great way to take steps to reducing your risk for both gum disease and Rheumatoid arthritis


 Source: http://www.sciencedaily.com/releases/2013/09/130912203327.htm


R. Eric Emery, DDS

Morgan A. Emery, DDS
Smile Station Dental

2901 Dougherty Ferry Rd, Suite 400
St. Louis, MO 63122
(314)821-7100
smilestationdental.com
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Thursday, October 2, 2014

News You Can Use

Dental Insurance


So many of our patients are coming in with questions about the changing dental insurance environment and voicing their frustrations with their dental insurance.  The dental insurance environment has changed drastically in the past two years.  Hopefully this information will help answer some questions. 

Medical versus Dental Insurance
Medical insurance is designed to protect you in a worst-case scenario.  You pay a monthly premium but tend to be covered in case something serious comes up, such as an emergency or an unforeseen surgery.  Dental insurance is significantly different.  Instead of having copays and monthly premiums, many dental insurance plans only cover a percentage of certain dental procedures on top of the monthly premiums.  Most plans (although not all plans are this way) cover 100% of preventative care, such as cleanings and x-rays, 80% of basic procedures, such as fillings and root canals, and 50% of major procedures, such as crowns.  Additionally, dental insurance plans tend to have a yearly maximum around $1000 - $2000 that requires the patient to pay the whole amount of procedures done after reaching the yearly maximum. 
Most dental insurance plans cover a percentage of certain dental procedures (that percentage being anywhere from 10% to 100% depending on the procedure and the plan).  That percentage is only covered after the plan’s yearly deductible is met (this usually runs about $50-100 but can be as large as $300-500 for some plans).  Most plans used to cover 100% for preventative treatment; it is now evident that this is no longer the norm.  We are seeing more plans that have dropped their preventative coverage to 80% and their basic coverage to 50%. 

Best Case Scenario
During a good year, you may only need preventative care in the form of cleanings, exams, and x-rays but you will still lose $200 by having dental insurance.  Although these services are typically paid by insurance plans, you would probably still be losing money overall by having the insurance.  For example, two hygiene appointments for the year would amount to about $400 if you paid out of pocket for these services.  The insurance company’s premiums for the year, without needing more than just preventative services, would amount to about $600 alone.

Worst Case Scenario
Now, you might be thinking that insurance may still be worth losing $200 a year if you are covered on the years when you need more than just a check-up.  Unfortunately, that may still be untrue.  Let’s consider a patient who needs two fillings, a root canal, and a crown on top of normal, yearly cleaning appointments.  One would hope that insurance would cover more of those services since you pay about $600 in insurance premiums but the plan also has a yearly maximum of $1000. That means that once you meet the $1000 max, you are stuck paying the rest completely out of pocket.
Although you may receive lower negotiated rates for basic and major services due to insurance, those rates aren’t much lower than the dentist’s normal fee. For example, if the dentist charges $150 for a filling, your insurance company may only have negotiated the rate to $100.  In this case, your exams, cleanings, x-rays, and basic work such as the fillings would most likely utilize your insurance yearly maximum.  That leaves you to pay the $1000-$2000 extra for the crowns and root canals, which is all on top of the $600 in annual premiums.

Waiting to Get Insurance or Services
            It may seem like a good idea to wait to get dental insurance until you really need it but insurance companies have a clause for individuals who do just that.  There is what is called a “waiting” or “probationary” period where they will not cover certain services for the time period after you get the insurance.  Most plans will not cover crowns or any other major work for at least twelve months after getting the insurance and for some plans this also includes basic work like fillings or root canals (which are often needed in emergency situations).   
            Waiting to get the services may not be such a good idea either.  Many of the situations that require a crown or other major work are cases in which it is impossible or possibly detrimental to your overall health to wait.  For example, if a tooth were cracked, crowning it is a way to reduce the pain it is causing, as well as strengthen the tooth to prevent possible future fracture.  If the tooth were to fracture it often times fractures in such a way that the fracture extends up under the bone level where it can no longer be reached and fixed, therefore the tooth has to be extracted and then you are looking at trying to replace that tooth, which could many anything from removable partial dentures to fixed bridges to implants, none of which are inexpensive options.  Insurance companies know that certain services are unavoidable, hence the reason they have the waiting periods to discourage people from getting the insurance only when they need major work.

Closing Thoughts
            Dental insurance is continually changing and not necessarily to the benefit of the patient.  Many individuals have begun to see how having dental insurance may not be beneficial, but instead may cost more money and cause more headaches.  This post is in no way intended to persuade readers to refrain from going to the dentist but is instead to discuss the current field of dental insurance. As always, it is recommended that individuals brush twice a day and floss once as well as engage in other activities that help keep your oral health on track so as to not need the more invasive dental procedures.
We, as providers, often receive complaints about a patient’s dental insurance and the coverage they receive for the dental treatment they need.  While we will try to answer the questions to the best of our ability, sometimes your insurance carrier is the best place to go for an answer.  If you are not happy with the answer you receive from carrier, you should take your questions and concerns to the Human Resources Department of your employer.  Dental insurance plans and their benefits are chosen by the employer.  If the employer does not know of coverage issues, they will not be able to select a plan that better covers the needs of their employees,



Source: Fontinelle, A. (2014). Should you bite on dental insurance. In Investopedia .


R. Eric Emery, DDS
Morgan A. Emery, DDS
2901 Dougherty Ferry Rd, Suite 400
St. Louis, MO 63122
(314)821-7100
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Monday, June 2, 2014

News You Can Use

Red Wine May Function as a Cavity Fighter

Studies have illustrated the benefits of a glass of red wine for overall health but a recent article published in American Chemical Society's Journal of Agricultural and Food Chemistry suggests that a glass of red wine may also function as a cavity fighter.  Red wine contains antioxidants and polyphenols which reduce the biofilm, or the layer of bacteria that forms over teeth, in the mouth.

The researchers exposed biofilm bacteria to red wine with and without alcohol as well as to water.  The red wine decreased the formation of the biofilm regardless of whether or not it contained alcohol while the water did nothing.  While the effect of red wine on biofilm may need more research, the results from the current study illustrate the oral health effects of a glass of red wine.


Source: http://www.sciencedaily.com/releases/2014/05/140521133617.htm


R. Eric Emery, DDS
Morgan A. Emery, DDS
Smile Station Dental
2901 Dougherty Ferry Rd, Suite 400
St. Louis, MO 63122
(314)821-7100
smilestationdental.com
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Tuesday, May 26, 2015

News You Can Use

Frequently Asked Questions: What is Dentistry?

For the next few posts, I thought I would touch on some frequently asked (or more regularly, frequently thought) questions that patients may have.  Many of these questions are pretty basic but may help you to better understand why seeing a dentist on a regular basis, along with routine oral hygiene, is important.

The first question is: What is dentistry? Dentistry is the study, diagnosis, prevention, and treatment of diseases, disorders, and other conditions in the oral cavity.  Dentistry is not limited to the mouth but includes the teeth, gums, jaw, and surrounding tissue.  It is becoming widely understood that good oral hygiene is necessary for good overall health, making dentistry increasingly important.

Dentistry is typically practiced in a team approach, promoting continuity of care in a setting that is comprehensive, convenient, efficient, and cost-effective.  The dental team includes the dentists, dental assistants, dental hygienists, and lab technicians.  Dentists have either a DDS (Doctor of Dental Surgery) or DMD (Doctor of Medical Dentistry) degree that indicates their completion of at least 4 years of post-undergraduate education at an ADA (American Dental Association) accredited institution. 

The next post in this series will include information on what a dentist is and what exactly they do.


Source: http://www.ada.org/en/about-the-ada/dentists-doctors-of-oral-health


R. Eric Emery, DDS
Morgan A. Emery, DDS
Smile Station Dental

2901 Dougherty Ferry Rd, Suite 400
St. Louis, MO 63122
(314)821-7100
smilestationdental.com
Like us on Facebook!



Tuesday, February 4, 2014

News You Can Use

Wisdom Teeth: To Remove or Not to Remove?

Knowing when to get your wisdom teeth can be tricky.  There seems to be an ongoing debate among dentists about the best age and circumstances for getting them taken out.  Deciding to extract the third molars (AKA wisdom teeth) is not as cut and dry as many people believe.  Several factors come into play such as:
  • The Health of the Second Molar: Overall, adults have 32 teeth in their mouth.  The second molars are the ones directly in front of the wisdom teeth and the health of those second molars is an important aspect to consider when deciding to keep or remove the wisdom teeth.  Wisdom teeth do not always come in like other teeth do, sometimes they are straight but other times they come in at an angle, encroaching on the second molar's space.  Research suggests that second molars can be negatively effected by the eruption and presence of wisdom teeth depending on the state of the second molar when the wisdom tooth erupted. That research has also suggested that the effect the wisdom teeth will have on the second molars is influenced by the age of the patient.  A teenager with the same circumstances as a 30 year old may be effected differently by the wisdom teeth.
  • Presence of Gum Disease: Gum disease around the second molar before the eruption of the wisdom tooth has been correlated with increased bacterial growth and worsening gum disease for the second molar.  Even if the wisdom teeth are impacted, they have negatively effect the gum disease around the second molars. Consequently, studies have shown a decrease in bacterial growth around the second molar after the extraction of the wisdom teeth.
  • Age: Research has suggested that age effects complications and recovery after the removal of wisdom teeth as well as the health of the wisdom teeth if chosen to not remove them.  Removing the wisdom teeth seems to be less complicated with a quicker recovery time if the patient is younger due to the wisdom teeth not having a fully formed root.  As previously mentioned, age influences the amount of gum disease around the second molars which is exacerbated by the wisdom teeth. Wisdom teeth also have a higher incidence of cavities due to be harder to clean.  The number of cavities in the wisdom teeth tends to increase as a patient gets older. 
  • Dental Crowding: Many people blame dental crowding on the presence of wisdom teeth.  While that cannot be confirmed through research (as researchers are not sure which comes first, the crowding or the effects of the wisdom teeth), it is clearer that wisdom teeth may have some effect on dental crowding.
Traditionally, panoramic x-rays were used to evaluate the positioning of the wisdom teeth and help the dentist decide whether or not to remove them.  While panoramic x-rays provide a good full-mouth view, cone beam x-ray technology allows the dentist to see minute details in a 3D image.  The extra details that are present in a cone beam x-ray further allow the dentist to suggest the need to as well as the best time for the patient to have wisdom teeth removed.  




R. Eric Emery, DDS
Morgan A. Emery, DDS
2901 Dougherty Ferry Rd, Suite 400
St. Louis, MO 63122
(314)821-7100
Like us on Facebook!

Monday, January 12, 2015

News You Can Use

The Vicious Cycle of Dental Anxiety

In 2007, Australian researchers looked into the effect of dental anxiety on dental visits with the hypothesis being that the more anxiety a person exhibits about going to the dentist, the less often that person will go.

The authors of the study surveyed over 6,000 people ages 16 and older from all over Australia while accounting for age and sex.  The results indicated that there is, in fact, a self-perpetuating relationship between dental anxiety and reduced number of dental visits.  

Those who exhibited higher anxiety regarding dental visits tended to put off going to the dentist for regular check-ups which resulted in more emergency visits when the patient was in pain or had another oral health issue (which is referred to as symptom-driven treatment).  Overall all, 29.2% of people with dental anxiety reported delaying regular dental visits, poor overall oral health, and increased likelihood of symptom-driven treatment as compared to the 11.6% of people who did the same but reported no dental anxiety.

The tendency for those to delay regular dental visits because of dental anxiety may perpetuate that fear of the dentist as putting off check-ups leads may increase the work that needs to be done at each appointment.  By going regularly, patients may actually decrease the more expensive (and possibly anxiety-provoking) procedures.  

Dental anxiety is a very real struggle for many people.  I have blogged before on some tips to reduce dental anxiety as well as alternative therapies for dental fear


Source: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1784087/?tool=pmcentrez


R. Eric Emery, DDS
Morgan A. Emery, DDS
Smile Station Dental 

2901 Dougherty Ferry Rd., Suite 400
St. Louis, MO 63122
(314)821-7100
smilestationdental.com
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Monday, July 1, 2013

News You Can Use

Oral Piercings Pose Significant Risk to Oral Health

While in our society piercings may be used as a type of self-expression, oral piercings pose a risk to overall oral health.  Not only can they interfere with speech, chewing, and swallowing, but they can injure the gums as well as crack or create sensitive teeth and damage fillings. Common symptoms after piercing include pain, swelling, and an increase in saliva.  Although not common, serious infections due to the piercing may occur, including hepatitis and endocarditis (which is an inflammation of the tissue surrounding the heart).

Oral piercings may increase the risk for other problems as well.  The individuals who pierce have no standardized and may have little to no knowledge of anatomy and physiology, leaving the potential for the piercing to hit a blood vessel or a nerve.  If this happens, uncontrollable bleeding or nerve damage may result. Even after the piercing has healed, the presence of the jewelry can still effect oral health. 

Metal jewelry in the mouth can create sores on the surrounding tissue which may pose a serious risk for those with metal allergies. The metal jewelry also may crack, scratch, or cause teeth to become sensitive.  There are plastic jewelry substitutes and while that may reduce the risk, it cannot eliminate it entirely. The damage done to the gums and other tissue from the jewelry moving back and forth can be quite extensive and may require the need for reconstructive surgery to correct it.  Additionally, the damage caused by the oral piercing may result in tooth loss.

If you have an oral piercing, it is imperative that you check the tissues that come in contact with the piercing on a regular basis. It is also suggested that individuals consult with a dentist before getting an oral piercing so he/she may be fully informed before committing to the decision. Brushing with fluoride toothpaste twice a day, flossing once, avoiding sugary drinks, and maintaining regular dental checkups are all increasingly important for those with oral piercings. 


Source:http://www.dentaltribune.com/articles/news/usa/13693_california_dental_association_says_oral_piercings_pose_significant_dangers_to_oral_health.html


R. Eric Emery, DDS
Smile Station Dental
2901 Dougherty Ferry Rd, Suite 400
St. Louis, MO 63122
(314)821-7100
smilestationdental.com
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Monday, December 2, 2013

Notes From the Dentist

The Implementation of Dental Caries Index

Dr. Morgan and I are pleased to announce that we have now started implementing the use of a caries index.  The caries index will be a short assessment done quickly before or after a hygiene visit. 

The way a caries index works is that is looks at the number of teeth with decay, the number of teeth missing due to decay, the number of teeth with fillings, and the patient's overall oral health habits.  This assessment gives us a rating that will aid us in deciding the interval of X-rays we recommend for each patient. 

The overall goal is to individualize the X-ray protocol for each patient based on the caries condition in the mouth.  This new assessment may help save you time and money while continuing to allow us to offer you the best service we can.


R. Eric Emery, DDS
Morgan A. Emery, DDS
Smile Station Dental

2901 Dougherty Ferry Rd, Suite 400
St. Louis, MO 63122
(314)821-7100
smilestationdental.com
Like us on Facebook!