Month: December 2015

Cough syrup and cavities

It’s that time of year when coughs, colds and flu can make your life miserable. And like most people, you’ll probably reach for an over-the-counter medication to ease your symptoms. But did you know that spoonful of medicine could add tooth decay to your list of side effects?

Many cough drops and liquid medications contain a variety of ingredients that make your teeth more susceptible to decay:

  • Ingredients such as high fructose corn syrup and sucrose contribute to decay when the bacteria in your mouth feed on the sugars, breaking them down and forming acids that attack the enamel of your teeth.
  • Ingredients such as citric acid can wear down the enamel of your teeth. In addition, some antihistamine syrups contain low pH levels and high acidity, which can be a dangerous combination for your teeth.
  • The addition of alcohol in some popular cold and cough syrups also has a drying effect on the mouth. Saliva helps to naturally rinse the sugars and acids away from your teeth – so with less saliva present, the sugars and acids remain in the mouth even longer, leading to greater risk for decay.

These risks can be magnified if medication is taken before bedtime. The effects of taking liquid medication before bedtime aren’t much different than drinking juice or soda before bedtime – because you produce less saliva while you sleep, sugar and acids remain in contact with the teeth longer, increasing your risk for decay.

What’s the remedy?

There are things you can do to lessen the effects of the sugars and acids in liquid medication.

  • Take liquid medication at meal times instead of bedtime so that more saliva is produced to rinse away the sugars and acids.
  • Brush your teeth with fluoride toothpaste after taking medication.
  • If you can’t brush, rinse your mouth well with water or chew sugar-free gum after taking liquid medication.
  • Take calcium supplements or use topical fluoride after using liquid medication.
  • If it’s available, choose a pill form of the medication instead of syrup.

Chewing tobacco, boys and baseball

Likely users of chewing tobacco are teenage boys who play baseball. But no matter who is using it, chewing tobacco and other forms of smokeless tobacco can harm oral health.

According to the Academy of General Dentistry (AGD), children, especially boys, may begin using chewing tobacco as early as grammar school. Approximately four percent of boys in grammar school use chewing tobacco. This percentage leaps to 20 percent for high school boys, half of whom develop pre-cancerous white patches in their mouths.

Many boys begin to use chewing tobacco when they become involved in sports, particularly baseball. Researchers believe that young people are influenced by seeing professional baseball players using chewing tobacco at the ballpark or during televised games.

It may be smokeless, but it’s still tobacco

One of the newest forms of smokeless tobacco that is gaining popularity in America is called snus (rhymes with “goose”). It’s a Swedish type of smokeless tobacco that comes in teabag-like pouches that a user sticks between the upper lip and gum, leaves there for up to 30 minutes and discards without spitting.

This form of smokeless tobacco has become more popular because it’s not as messy as chewing tobacco, dipping tobacco and moist snuff, which often cause excess saliva during use. It does, however, still contain the active ingredients of chewing tobacco. Snus products are required to carry one of three warning labels that say the product is either “not a safe alternative to cigarettes,” “may cause mouth cancer” or “may cause gum disease and tooth loss.”

Smokeless tobacco and oral health

Just because chewing tobacco and other forms of smokeless tobacco aren’t smoked as cigarettes does not mean they are harmless, especially when it comes to oral health. In fact, the American Cancer Society, in a study of 116,000 men, found that male smokers who gave up cigarettes for smokeless tobacco still had higher death rates from lung cancer, heart disease and strokes than men who quit all tobacco or never smoked.

Like cigarettes, smokeless tobacco can lead to higher incidences of cavities and oral cancer. A few of the known health dangers of smokeless tobacco include the following:

  • Smokeless tobacco products, just like cigarettes, contain at least 28 cancer-causing chemicals.
  • Smokeless tobacco is known to cause cancers of the mouth, lip, tongue and pancreas.
  • Users also may be at risk for cancer of the voice box, esophagus, colon and bladder, because they swallow some of the toxins in the juice created by using smokeless tobacco.
  • Smokeless tobacco can irritate your gums, causing gum (periodontal) disease.
  • Sugar is often added to enhance the flavor of smokeless tobacco, increasing the risk for tooth decay.
  • Smokeless tobacco typically contains sand and grit, which can wear down teeth.

What you can do

If you are a smoker, a user of smokeless tobacco or a parent with a child or teen whom you suspect may be using tobacco, you can start by understanding that tobacco dependence is a nicotine addiction disorder.

There are four aspects to nicotine addiction: physical, sensory, psychological and behavioral. All aspects of nicotine addiction need to be addressed in order to break the habit. This can mean that tobacco users may need to try several times before they are able to successfully kick the habit.

Speak to your child directly about the risks associated with all tobacco products, including smokeless ones. If you have friends or relatives who have died of a tobacco-related illness, share the truth about it with your child, and discuss ways your child can say no to tobacco

Caring for your children’s teeth

Start dental visits during infancy

The American Academy of Pediatric Dentistry recommends bringing your child to the dentist before his or her first birthday. At this initial visit, the dentist will:

  • check your child’s teeth for decay and signs of early developmental problems;
  • explain how to care for your child’s teeth; and
  • answer any questions or concerns you might have.

Children should see a dentist every six months. To help your child develop a positive attitude about the dentist:

  • Take your child with you when you go in for a checkup so he/she can get used to the office and its staff.
  • Avoid using negative words such as “needle” and “hurt.”
  • “Play dentist” to familiarize your child with what takes place during a visit.
  • Ask your dentist how he or she explains procedures to children.
  • Answer your child’s questions honestly and sensitively.

Caring for an infant’s teeth

Cleaning a child’s teeth should begin when the first tooth is visible, because teeth are susceptible to decay as soon as they appear in the mouth.

Wipe the baby’s teeth and gums clean after every feeding with a soft, damp washcloth or gauze pad. A leading cause of tooth decay among young children is known as “baby bottle syndrome.” When an infant is allowed to drink from a nursing bottle containing milk, formula or fruit juice during nap time or at night, the baby often falls asleep with the bottle in his or her mouth. Exposure to the sugars and acids in these liquids that pool around the teeth can cause discoloration and decay.

Since breast milk contains sugar, decay also can occur when a baby falls asleep while breast-feeding. To prevent damage to the teeth, clean your child’s teeth after each feeding and, if necessary, give him or her a bottle filled only with water at bedtime or during a nap.

Eating and drinking habits are key to healthy teeth

Studies have shown that children who drink fluoridated water from birth have up to 65 percent fewer cavities, and by the time they become teenagers, many of them still have no tooth decay.

If you live in a community without a fluoridated water supply, you can make sure your kids get their fluoride by using tablets, drops or gel and by having topical fluoride treatments applied at the dental office (to check whether your drinking water contains fluoride, call your local water company or health department). Using a fluoride toothpaste and mouth rinse is also effective.

A balanced diet is also an important contributor to healthy teeth and gums. Children especially need calcium, which helps build strong teeth. Good sources of calcium are milk, cheese and yogurt. Research shows that eating cheese after meals seems to inhibit the effects of decay-causing acids. Avoid snacks containing sugar or starch.

By age 3

Children should be brushing their own teeth under adult supervision. Only a pea-sized amount of toothpaste is necessary. Start flossing your child’s teeth daily when all the primary teeth are in or when teeth are touching each other.

By age 8

Children should be able to brush and floss by themselves, with occasional checks. Turn brushing and flossing into a daily routine — make it fun by giving your child a colorful toothbrush and bubble gum-flavored floss.

With a parent’s guidance and proper personal and professional care, children have a good foundation for maintaining healthy teeth.

Caring for teeth with braces

Braces are often placed in patients between 10 and 14 years of age to correct crooked or overcrowded teeth. “The benefits of braces are many,” says Ken Sutherland, DDS, Delta Dental senior dental consultant. “Straight teeth, an attractive smile, improved dental function and, often, improved overall health are all results of wearing braces.”

Below are some answers to questions about staying comfortable and healthy while wearing braces.

Why is good oral hygiene with braces so important? Food and plaque can get trapped in the tiny spaces between braces and wires, causing decay and enamel stains. Food can also react with the bacteria in your mouth and the metal in the braces to produce a bleaching effect, which can cause small, permanent light spots on the teeth.

How should teeth and braces be cleaned? It is best to brush after every meal and use a floss threader or special orthodontic floss (available at drug stores) at least once a day to clean between braces and under wires. Check your teeth in a mirror to make sure all food particles are gone. If you don’t have your toothbrush with you, rinse your mouth vigorously with water.

How do braces feel? The wires that are used to move teeth into position are usually tightened at each visit to the dentist or orthodontist. This causes pressure on the teeth and some discomfort. Eating soft foods and taking a pain reliever, such as acetaminophen (Tylenol®, for instance), can help. Also, braces can rub against the inside of the lips. If this is a problem, a special wax can be placed on the wires to keep them from chafing (available from your dentist or orthodontist and at drug stores).

How long do braces have to be worn? It depends on how complicated the spacing or occlusion (bite) problem is. Most braces are worn for 18 to 30 months. After the braces are removed, the patient wears a retainer, which is used to maintain the position of the teeth while setting and aligning the tissues that surround the newly-straightened teeth.

Should any foods be avoided? Yes. Sweets, soda and other sugary and starchy foods can promote tooth decay and gum disease. Sticky and chewy foods (caramel, taffy, chewing gum, dried fruits) can stick to braces and be difficult to remove. Biting and chewing hard foods, such as some candies and nuts, ice, beef jerky and popcorn, can break wires and loosen brackets. Avoid damaging wires on the front teeth by cutting carrots, apples and other crunchy, healthy foods into bite-sized chunks before eating them.

Pediatric Dentistry of Ft. Myers to sponsor movie nights

alliance-for-the-arts-logo-redesign-by-brilliant-lens

Pediatric Dentistry of Ft. Myers, Dr. Tim Verwest, DMD will sponsor family movie nights at the Alliance for the Arts for the 2016 season. This is the second consecutive year the dental practice has sponsored. All funds collected go to support the children programming at the Alliance for the Arts.

Family movie night at the Alliance for the Arts begins Friday, January 22 at 7PM with a screening of Peanuts. “We enjoyed the partnership last year and think it will be a success this year  as well,” said Dr. Tim Verwest, DMD of Pediatric Dentistry of Ft. Myers.

The series continues Friday, February 19 at 7PM with Home, Friday, and concludes on March 18 at 8PM with Epic.

The Alliance for the Arts proudly supports artists and art organizations in our area as the state designated Local Arts Agency for Lee County.  For more information on family movie night, visit www.artinlee.org.

Pediatric Dentistry of Ft Myers, Dr. Tim Verwest, DMD, continues to provide pediatric dental care to children for the last 24 years. Areas of service include comprehensive dental exams, cleanings, composite fillings, dental hygiene education, extractions, fluoride treatments, sealants, sedation dentistry, space maintainers, x-rays and tooth nerve treatment. For more information, visit www.DrVerwest.com or (239) 482-2722.

Baby pacifiers: Pros and cons

Should parents let their infant use a pacifier? According to the Academy of General Dentistry (AGD), there are benefits as well as a downside to baby pacifiers.

On the positive side, pacifiers provide a source of comfort to infants. Pacifiers can also assist in reducing the incidence of Sudden Infant Death Syndrome, or SIDS, according to the AGD. Because babies with pacifiers sleep less deeply than those who sleep without pacifiers, they can be aroused from a deep sleep that could result in the stopping of breathing.

The downside of pacifiers is the effect they can have on the growth and development of the teeth and mouth. Prolonged pacifier use can cause changes in the shape of the roof of the mouth, prevent proper growth of the mouth and create problems with tooth alignment. Parents who give their baby a pacifier should consider these points:

  • Restrict pacifier use to when the infant needs to fall asleep.
  • Look for a pacifier with ventilation holes in the shield, as they permit air passage. This is important if the pacifier accidentally becomes lodged in the child’s throat.
  • Always clean the pacifier before giving it to a child.

Breaking the pacifier habit

The AGD recommends that children stop using pacifiers by age two. (Up until that age, any alignment problem with the teeth or the developing bone is usually corrected within six months after pacifier use is stopped.)

Breaking the habit is not always easy. Here are a few suggestions for helping a child wean from the pacifier:

  • Dip the pacifier in white vinegar.
  • Pierce the top of the pacifier or cut it shorter to reduce sucking satisfaction.
  • Leave it behind on a trip.

Always throw away a used pacifier; it is not sanitary for another child to use or to save.

Pediatric Dentistry of Ft. Myers Office Tour

An apple a day may keep the dentist away

Dietary habits of schoolchildren encourage an increase in sugar intake leading to a greater risk of cavities, reports the Academy of General Dentistry.

Over a 15-month period, researchers tracked the dietary habits and monitored the teeth of preschool children before and after the start of school. Results show that decayed, missing or filled teeth and initial cavities of the children jumped from 9.7 (at age five) to 15.3 cavities (at age six), an increase of 5.6 cavities within one year. Over the length of the study, the percentage of cavity-free schoolchildren dropped from 23 to 19 percent.

The easiest way parents can help children prevent tooth decay and cavities at school is to monitor their eating habits. For example, parents can offer their children healthy snack alternatives, such as apples, bite-size carrots or other foods that are naturally sweet, and instruct children to avoid candies, chocolate, caramels, chocolate milk and other foods that contain refined sugar. Cavity-causing organisms feed on sugar and turn it into acid, which attacks tooth enamel and causes tooth decay. Sticky, chewy candy especially can linger on teeth throughout the day. If children do happen to eat sugary snacks at lunch, they should brush and rinse with water or eat a piece of fruit to help clean teeth surfaces and gums.

Also, parents should find out what their child’s school lunch program offers. If programs do not offer healthy alternatives, talk to the school about incorporating healthy lunches or snacks.

Finally, parents should consider professionally-applied sealants as another way to protect children’s teeth from cavities. Sealants, a thin coating of bonding material applied over a tooth, act as a barrier to cavity-causing bacteria. They can be put on as soon as the child’s first permanent molars (back teeth) appear.

5 tips to keep teeth healthy over the holidays

No matter how much you love your dentist, he or she probably doesn’t top the list of people you want to spend quality time with over the holidays. Follow these five tips to steer clear of emergency trips to the dentist’s office this season.

1. Don’t crack nuts with your teeth.

Although protein found in nuts helps keep muscles and bones strong, you shouldn’t test the strength of your teeth by shelling nuts with them. The hard surface of most nutshells can cause serious tooth and gum damage, and may even crack teeth. Your safest bet? Shell nuts before snacking on them.

2. Pass on chewy treats.

Holiday candy platters are often loaded with treats that can harm your teeth. Sticky substances cling to tooth enamel and encourage tooth decay, and thick candies like caramel and taffy can even yank out fillings. Eat these sweets sparingly and along with other foods to help keep the treats from sticking to your teeth.

3. Use proper tools to open packages and bottles.

We know you’re excited to rip into that gift from your great aunt, but your teeth are not the right tools for the task. Gripping a package or stubborn bottle cap with your teeth can crack them, possibly requiring a root canal procedure and a crown for repair. Give your mouth a great gift – reach for scissors or a bottle opener instead.

4. Avoid chewing on hard candy or ice cubes.

Crunching on ice or hard candy can lead to cracked or chipped teeth, which are painful and pricey to treat. Whether you’re enjoying a sweet or finishing the ice in your holiday cocktail, let it dissolve naturally in your mouth. Better yet, skip these items altogether. Ice can cause discomfort for sensitive teeth, and hard candies promote tooth decay.

5. Say “no” to nail biting.

The holidays can be stressful, but biting your nails won’t bring relief. Anxious nibbling is bad for both fingernails and teeth. Experts have linked the habit to teeth grinding, clenching, jaw problems, facial pain and sensitive teeth. If you get the urge to chew, distract yourself for a minute or two and see if the feeling goes away. If that doesn’t work, consider buying bitter-tasting polish that’s designed to dissuade you from putting your nails anywhere near your mouth.

Be sure to check these tips twice to stay off your dentist’s naughty list this season!

Holiday sweets can be tough on teeth

The winter holidays are known for sweet treats and tempting goodies, but that doesn’t mean that you have to end up at the dentist with cavities in January.

How do sweet foods and drinks cause cavities?

When you eat sugary foods or drinks, naturally occurring bacteria in the mouth feed on the sugar and create acids as a by-product. These acids then wear down the tooth enamel, making it weaker and more susceptible to tooth decay as well as a host of other problems, including gingivitis.

Snacking on sweets throughout the day or during an extended period of time (such as at a holiday party) is especially harmful, since damaging acids form in the mouth every time you eat a sugary snack and continue to affect the teeth for at least 20 minutes afterwards.

“Snacking on sweets and sugary beverages throughout the day can increase the chance of tooth decay and gum disease,” said Dr. Kevin Sheu, managing dental consultant for Delta Dental. “Brushing and flossing after snacks definitely reduces bacteria.”

5 tips to stay cavity-free

Keep cavity-causing bacteria in check by adding these strategies to your holiday routine.

  • Balance out your sweets with other foods. Eating sugary and carb-rich foods as part of a balanced meal can lessen their impact on your teeth.
  • Choose sweets that don’t stick around. Instead of sticky foods that get on and in between your teeth, go for items that dissolve quickly, limiting their contact with your enamel. For example, swap out caramels and candy canes with plain dark chocolate.
  • Brush afterwards. Always keep a toothbrush to brush away foods and plaque after you eat. If you’re consuming foods or beverages that are high in acid, like oranges and wine, make sure to wait 30 minutes. Acid can soften the enamel, so brushing too soon can actually damage your teeth.
  • Stay prepared. You’ll have no excuse to skip brushing and flossing if you always keep a toothbrush, travel tube of toothpaste and container of floss in your bag or car.
  • Rinse to refresh. When you can’t brush, rinse your mouth with tap water to wash away food particles and bacteria.

Use your holiday vacations to spend more time brushing your teeth. If you’re relaxed or have more free time during the day or with your morning or nightly routine, you can use the time to brush more thoroughly and develop better oral care habits.

It isn’t necessary to brush vigorously to get your teeth clean. What’s important when brushing your teeth is not how hard you scrub, but that you use the proper technique and that you do a thorough job. And that takes time. Dentists recommend that you brush your teeth for two to three minutes to get the most thorough cleaning.

If you get into the habit of brushing for two to three minutes every morning, every night and after every meal during the holidays, you may keep those good habits when your regular routine resumes.