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By Donald M Jackson, DDS, PA
February 26, 2019
Category: Oral Health
Tags: dry mouth  
ChronicDryMouthCouldIncreaseYourRiskforDentalDisease

When your mouth is dry, you know it: that sticky, uncomfortable feeling when you first wake up or when you're thirsty. Fortunately, it usually goes away after you eat or drink. But what if your mouth felt like that all the time? Then, it's no longer an irritation—chronic dry mouth could also increase your risk of dental disease.

Chronic dry mouth occurs because of inadequate saliva flow. Saliva plays an important role in preventing dental disease because it neutralizes acid, which can cause the mineral content in tooth enamel to break down and lead to tooth decay. The mouth becomes more acidic right after eating, but saliva can restore its normal pH levels in about an hour—as well as some of the enamel's lost mineral content. Without saliva, your tooth enamel is at greater risk from acid.

While a number of things can potentially interfere with normal saliva production, medication is the most common. More than 500 prescription drugs, including many antihistamines, diuretics or antidepressants, can cause dry mouth. Cancer radiation or chemotherapy treatment and certain metabolic conditions like diabetes or Parkinson's disease can also increase symptoms.

If you are experiencing unusual dry mouth symptoms, see your dentist first for a full examination. Your dentist can measure your saliva flow, check your prescriptions and medical history, and examine your salivary glands for abnormalities. With this more accurate picture of your condition, they can help direct you to the most effective remedies and treatments for the cause.

If medication is the problem, you can talk to your doctor about alternative prescriptions that have a lesser effect on saliva flow. You can also drink more water before and after taking oral medication and throughout the day to help lubricate your mouth. Chewing gums or mints with xylitol, a natural alcohol sugar, can also help: xylitol helps reduce the mouth's bacterial levels, as well as stimulate saliva flow.

Easing your dry mouth symptoms can make your life more pleasant. More importantly, it can reduce your risk of future dental problems caused by a lack of saliva.

If you would like more information on dealing with chronic dry mouth, 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 “Dry Mouth: Learn about the Causes and treatment of this Common Problem.”

By Donald M Jackson, DDS, PA
February 16, 2019
Category: Oral Health
Tags: dental emergency  
3ThingstodotoPrepareforDentalEmergenciesWhileTravelingAbroad

Vacationing abroad can be the trip of a lifetime — or a nightmare if you have a medical or dental emergency while traveling. Dental care in many locations around the world can be limited, expensive or even dangerous.

Here are 3 important things you should to do to prepare for a possible dental emergency during that dream vacation in a foreign country.

Have a complete checkup, cleaning and necessary dental work before you leave. Whoever said, “An ounce of prevention is worth a pound of cure,” must have been a traveler. Better to take care of problems beforehand than have them erupt into an emergency far from home. Be sure especially to have decayed or cracked teeth repaired, as well as any planned dental work like root canal treatments before you go. This is especially important if you’re flying — high altitudes can increase pressure and pain for many dental problems.

Research your destination’s available dental and medical care ahead of time. Standards and practices in other countries can differ from those in the United States, sometimes drastically. Knowing what’s available and what’s expected in terms of service and price will help immensely if you do encounter a health emergency while traveling. A good starting place is A Traveler’s Guide to Safe Dental Care, available at www.osap.org.

Know who to contact if you have a dental emergency. While it may be frightening having a dental issue in a strange place, you’re not alone — there are most likely a number of fellow Americans in your location who can help. Have contact information ready for people you know or military personnel living in your locale, as well as contacts to the American Embassy in that country. And if you’re staying in a hotel, be sure to make friends with the local concierge!

It’s always unsettling to have a dental emergency, but especially so when you’re far from home. Doing a little preparation for the possibility will help lessen the stress if it happens and get you the help you need.

If you would like more information on preparing for dental emergencies while traveling, 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 “Traveling Abroad? Tips for Dealing with Dental Emergencies.”

By Donald M Jackson, DDS, PA
February 06, 2019
Category: Dental Procedures
BobbyBonesDancesHisWaytoDentalDamage

The long-running hit show Dancing with the Stars has had its share of memorable moments, including a wedding proposal, a wardrobe malfunction, and lots of sharp dance moves. But just recently, one DWTS contestant had the bad luck of taking an elbow to the mouth on two separate occasions—one of which resulted in some serious dental damage.

Nationally syndicated radio personality Bobby Bones received the accidental blows while practicing with his partner, professional dancer Sharna Burgess. “I got hit really hard,” he said. “There was blood and a tooth. [My partner] was doing what she was supposed to do, and my face was not doing what it was supposed to do.”

Accidents like this can happen at any time—especially when people take part in activities where there’s a risk of dental trauma. Fortunately, dentists have many ways to treat oral injuries and restore damaged teeth. How do we do it?

It all depends on how much of the tooth is missing, whether the damage extends to the soft tissue in the tooth’s pulp, and whether the tooth’s roots are intact. If the roots are broken or seriously damaged, the tooth may need to be extracted (removed). It can then generally be replaced with a dental bridge or a state-of-the-art dental implant.

If the roots are healthy but the pulp is exposed, the tooth may become infected—a painful and potentially serious condition. A root canal is needed. In this procedure, the infected pulp tissue is removed and the “canals” (hollow spaces deep inside the tooth) are disinfected and sealed up. The tooth is then restored: A crown (cap) is generally used to replace the visible part above the gum line. A timely root canal procedure can often save a tooth that would otherwise be lost.

For moderate cracks and chips, dental veneers may be an option. Veneers are wafer-thin shells made of translucent material that go over the front surfaces of teeth. Custom-made from a model of your smile, veneers are securely cemented on to give you a restoration that looks natural and lasts for a long time.

It’s often possible to fix minor chips with dental bonding—and this type of restoration can frequently be done in just one office visit. In this procedure, layers of tooth-colored resin are applied to fill in the parts of the tooth that are missing, and then hardened by a special light. While it may not be as long-lasting as some other restoration methods, bonding is a relatively simple and inexpensive technique that can produce good results.

If you would like more information about emergency dental treatment, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor articles “The Field-Side Guide to Dental Injuries” and “Knocked Out Tooth.”

By Donald M Jackson, DDS, PA
January 27, 2019
Category: Oral Health
Tags: mouthguards  
WanttoKeepEnjoyingWinterSportsWearaMouthguard

What's your favorite winter sport? For some, it's all about swooshing down a snowy trail on skis, a board, or a sled. For others, the main attraction is skating at an ice rink or a frozen pond. If you're more of an indoors athlete, you may enjoy a fast-moving game of basketball or a round of squash. Or, you might take a turn on a climbing wall or a trampoline.

What do all these activities have in common? They're fun, they're great exercise…and they all come with a risk of injury to your teeth.

It's easy to see how a collision on snow or ice could result in a blow to the mouth. But did you know that basketball (along with hockey) is among the sports with the highest risk of facial injury? What's more, many "non-contact" sports actually have a similar risk.

Located front and center in the face, the incisors (front teeth) are the ones most likely to sustain injury. Unfortunately, they are also the most visible teeth in your smile. With all of the advances in modern dentistry, it's possible to restore or replace damaged teeth in almost any situation—but the cost can be high, both for present restoration and future preservation. Is there a better alternative?

Yes! It isn't sitting at home—it's wearing a custom-made mouthguard when there's a risk of facial injury.

Most people don't ski or play hockey without protective gear like a helmet. A mouthguard can effectively protect against dental injury that might otherwise be serious. Available here at the dental office, a custom mouthguard is made from an exact model of your own teeth, so it's comfortable to wear and fits perfectly—but no safety equipment can work if you don't use it!

So whether you like to hit the trails or the gym this winter, don't forget to bring a custom-made mouthguard. It's a small piece of gear that can save you from a big headache!

If you would like more information on mouthguards, please contact us or schedule a consultation. You can learn more by reading the Dear Doctor magazine articles “Athletic Mouthguards” and “An Introduction to Sports Injuries & Dentistry.”

By Donald M Jackson, DDS, PA
January 17, 2019
Category: Dental Procedures
Tags: dental implants   dentures  
Implant-SupportedDenturesCouldBoostYourJawboneHealth

People have depended on dentures for generations—and they still do. That's because they work, both in restoring dental function and a smile marred by missing teeth.

But they have one major drawback related to bone health. That's because living bone has a life cycle: as older cells die, new ones form to take their place. The pressure generated when we chew stimulates this growth. But when this stimulus goes missing along with the teeth, the cell replacement rate slows and bone volume and density gradually diminishes.

Traditional dentures can't transmit this chewing pressure stimulus. And because they rest directly on the gum ridges, they can adversely affect the underlying bone and actually accelerate bone loss.

But implant technology potentially solves this bone loss problem with dentures by using implants rather than the gums to support them. It's a two-fold benefit: first, the implants relieve much of the irritation to the gums and bone caused by traditional dentures. Primarily, though, the implants themselves can slow or even stop continuing bone loss.

Most implants are made of titanium, not only because it's compatible with the body, but also because it has an affinity with bone. Over time bone cells grow on the titanium post imbedded in the jawbone. This process not only creates stability and durability, it can improve bone health.

In recent years dentists have incorporated implants with dentures to create two exciting treatment options. With one option, the dentist installs two or more implants in the jaw, to which a specially fitted removable denture can be attached. You would still have the ease of removing the denture for cleaning, while gaining greater stability and a reduced risk of bone loss.

The other option is a fixed denture (or bridge) attached permanently to implants. For this option, a patient's jawbone must be adequate and healthy enough to support at least four to six implants. A fixed denture is also often costlier and more complex than a removable denture, but it can feel more like real teeth. It also promotes better bone health too.

Although both options are more expensive than traditional dentures, they can pay dividends for long-term dental health. Implants could help you enjoy your new dentures and resulting smile for a long time to come.

If you would like more information on dental implant-supported restorations, 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 “Overdentures & Fixed Dentures.”





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