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Dental Health
Alert™ Library

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Dr. James D. Reese
1876 Butler Pike
Conshohocken, Pennsylvania 19428
Email:
JReese1213@aol.com
Phone: (610) 825-1858
Fax: (610) 825-0722
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Problems:
Dry
Mouth In Seniors Poorly
Fitting Dentures
Halitosis (Bad Breath) Lost
Teeth Impact Total Health
Diet and Dental
Health
Discolored Teeth I
Discolored Teeth II |
Gum Disease
Infections in joint replacements
Mouthguards
Easy to see Dental problems
Periodontal Disease -
Silent and Deadly
Poor self-image,
resulting in low self-esteem
Stained, broken, worn, or crooked teeth
Dental
disease during pregnancy |
Problem:
Dry
Mouth In Seniors
Solution:
Topical fluoride rinses More seniors
today have retained their own teeth, avoiding the trauma of removable
dentures. Many are on medications
creating dryness of the mouth as a side effect. Without the natural benefit of
saliva to decrease bacterial action, we see an increase of cavities on the root
surfaces of these patients.
Anyone on a medication causing a dry mouth
should be encouraged to see their dentist for regular dental cleanings and
topical fluoride rinses.
For more information regarding dental
problems of the elderly, please call our office.
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HALITOSIS
(Bad Breath)
Lots of
patients share concern about bad breath.
As a social embarrassment, it's surely near the top of the list. Since mouthwashes won't eliminate the
problem, let's look at some possible reasons for the condition.
Certain foods, such as onions,
garlic, and spices will cause temporary bad breath. Some medical and systemic problems, such as sinusitis, can also
contribute.
But most
causes are local in nature. Bacteria,
plain and simple, are the culprit.
Bacteria do their work in the mouth, lungs, sinuses, and stomach. In the oral cavity, bacteria cause gum
disease.
This
infection is so prevalent today, it's the first dental problem we suspect when
it comes to halitosis. With a thorough
hygiene program, there is a chance to control gum problems and this
particularly awkward side effect.
Less-than-pristine dentures or
bridgework are also a source of odor.
Decay can be another culprit along with "dry mouth" syndrome
(a lot of older people are prone to reduced saliva flow).
For more information regarding bad breath, please
call our office.
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Problem:
Poorly
Fitting Dentures
Solution:
Patients should have their dentures checked at least once a year.
Many denture wearers breathe a sigh of relief when
they get their first pair of dentures, because they think their dental problems
are over. What they soon realize,
however, is that they have just traded some old problems for new ones.
Even the best dentures can't compete with
natural teeth in ability to chew food efficiently and comfortably. As the years go by, the supporting ridges
that remain after teeth have been removed gradually change and get
smaller.
For most patients, the dentures need to be
"relined" or "refitted" every 2-4 years so that the denture
will conform to the changing ridge. A
large change in weight can also alter the shape of the mouth, causing changes
in the fit.
If you have questions about your dentures, please
call our office.
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Problem:
Lost Teeth Impact Total Health
The loss of natural teeth is far-reaching and cannot be resolved by
dentures. (Is blindness resolved by inserting glass eyes?)
Solution:
Keep Teeth
In the past, the loss of teeth was dismissed as a natural part of the
aging process, and dentures were considered a normal sign of old age. While
such ignorance is rapidly becoming a thing of the past, there is still not a
general awareness of the seriousness of edentulism. Multiple tooth loss is
most commonly caused by periodontal disease, i.e.. gum and bone
disease. Periodontal disease has a high statistical correlation with chronic
debilitating disease, such as diabetes, cardiovascular disease and
arthritis. So it is not very surprising that studies now show a shortened
life expectancy by as much as 10 years for persons who have lost their
natural teeth, when compared to those who have kept their teeth.
In addition to longevity, quality-of-life differences are just as
significant. The functional efficiency of dentures has been measured to be
only 20% of that of natural teeth. Can there be any doubt that nutritional
deficiencies will be much more prevalent in those without their natural
teeth? Loss of teeth often causes a feeling of loss of wholeness and a sense
of deterioration and aging. Given these factors, preservation of the natural
teeth is integral to whole-person wellness.
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Diet and Dental Health
Diets low in certain nutrients reduce resistance to oral and dental
infections, that is, periodontal disease (gum disease) and decay. A healthy
immune system is essential to controlling periodontal disease.
Counseling in the Four Basic Food groups will improve dental health and
general health. The consumption of sugar, especially in sticky forms or in a
baby bottle while sleeping, contributes to the rapid development of dental
decay.
The trace nutrient fluoride, may not be adequately supplied by bottle or
municipal water supplies. Supplementation with oral tablets and topical
application will reduce the incidence of dental decay by more than 60%.
Together, a balanced diet, daily use of fluoride, effective brushing, and
sensible eating habits can reduce the risk of, or even prevent, infectious
dental disease.
Please don’t hesitate to call our office if you need more information on
diet or fluoride supplementation and its relationship to dental health.
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Problem:
Discolored teeth
Solution:
Bleaching
We all lead with our smile. Your smile brightens up each person you meet.
Are you happy with your smile?
One question I ask my patients is: "What would you do to your mouth if
you had a magic wand?" Nine out of ten tell me they would like whiter or
brighter teeth.
Is there a solution?
The answer is yes. Many times the process is relatively simple. Bleaching
teeth, through treatment in the office and/or by home bleaching techniques,
has worked wonders for many patients.
So, if you could use help in brightening your smile, please don't
hesitate to call our office. I am always dedicated to achieving a healthy
smile.
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Problem:
Discolored Teeth
Solution:
Adhesive Dentistry
For over 100 years, dentistry has restored teeth primarily with a
material made of mercury and silver. It has done its job well, although we
have had to live with its weaknesses. Those weaknesses consist of cracking
teeth due to expansion of the material, and restorations turning black as
the silver in the material corrodes.
Now, we have many ways to provide tooth-colored restorations. We can use
adhesives to bond tooth parts that look and act like teeth. We can provide a
bright, healthy and strong smile with these exciting new techniques in
adhesion dentistry.
Please don't hesitate to call me personally if you have any patients who
you believe would benefit from these advancements. Together, we can bring a
smile back to your face.
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Problem:
Gum Disease
Solution:
Detecting Early Symptoms
The American Dental Association says that over 75-80% of all adults have
or will have some form of gum disease
Gum disease, or more correctly called "periodontal disease", is a
bacterial infection in the gums and supporting structures of the teeth. It
can be divided into several categories.
The first stage is called "gingivitis" and is characterized by gum
tissue that is red, puffy, and bleeds easily when touched with a toothbrush,
floss or dental instrument.
The second, third, and fourth stages are initial, moderate, and
advanced "periodontal disease", respectively. These stages are different
from gingivitis because the infection has destroyed the bone supporting the
teeth, causing eventual tooth loss. The treatment is more involved at these
stages, usually consisting of a special cleaning with anesthesia and
sometimes gum surgery.
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Problem:
Infections in joint replacements
can be instigated by severe tooth and gum infection.
Solution:
Thorough dental examination for presence
of tooth and gum infection prior to joint replacement.
Periodontal disease is a commonly occurring oral infection of the adult
population (80% of adults are affected) destroying the bony support of the
teeth. This infection slowly progresses over the lifetime of the patient and
is often manifested in the advanced stage in the senior population. Because
of the lack of any discomfort to the patient until total loss of bony
support to the teeth, many adults are unaware that they have this infection.
However, the bacteria from this bone destroying disease, especially in the
more advanced cases, has been attributed to possible infection of joint
replacements.
Candidates for joint replacements who have not been seen by a dentist in
over a year should be considered for a thorough dental evaluation of their
teeth and gums before surgery. Depending on the severity of the infection,
treatment of gum infections and tooth abscesses may take from two weeks to
two months before the patient reaches adequate health before surgery.
If you have any questions about infection in joint replacements, please
call our office.
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Mouthguards
Why should you wear a mouthguard?
While mouthguards are not mandatory equipment in all sports, their worth is
indisputable. Mouthguards cushion blows to the face and neck. A mouthguard
should be part of every athlete’s gear, no matter the sport. Even adults or
weekend athletes need to protect their smile and preserve their health.
Do: Wear a mouthguard at all times when playing sports. Wear a
mouthguard custom-fitted by your dentist, especially if you wear bridges or
braces.Don’t: Wear removable appliances like retainers when
playing sports.
There are two types of mouthguards:
Custom-made: Designed by a dentist and made on a cast of your teeth.
These cause very little interference with speaking or breathing. They
provide the best protection and fit over braces and fixed bridges. They also
cost more.
Ready-made: Purchased at most sporting goods stores. They are the
least expensive, the least effective, and least comfortable.
Please call our office if you would like to "play it safe!" and wear a
comfortable mouthguard and protect your teeth.
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Problem:
Some dental problems are easy to see!
Solutions:
See the dentist!
One of the easiest problems to spot is a build-up of plaque. Plaque is
the soft, sticky layer of bacteria, which is constantly forming on the
teeth. Usually it is invisible to the naked eye, but when a person is not
brushing adequately, it can build up to where it appears to be a thick
whitish coating on the teeth at the gum line. If not removed, it can lead to
gum disease.
Another potential problem, which is easy to spot, is missing teeth. Many
patients assume that if they are still able to eat, they are O.K. But very
often, losing just one tooth can lead to the loss of support, and teeth
begin to drift into the empty space, causing a change in the bite. It also
forces the remaining teeth to carry an additional load, sometimes past their
ability to adapt. In most cases, when even one tooth is lost, the remaining
teeth suffer and are more likely to be lost as well.
We specialize in the treatment of problems such as these. Call our office
for the care you need.
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Problem:
Periodontal Disease - Silent and Deadly
Solution:
Care and Concern with the Dentist’s Help
Periodontal disease can go on for years without pain and
without detection unless specific examination procedures are
performed. Visual oral examination by itself (even by a dentist) will not
reliably detect periodontal disease until it has reached an advanced stage.
Early detection and adequate diagnosis require measurement of pockets
(the crevice between the tooth and gum) with a periodontal probe. Effective
prevention and treatment is available, but the damage caused as the
disease progresses is irreversible.
Early detection and treatment is critical to prevent tooth
loss and disfigurement. Although the procedure is simple, painless and
requires only a few minutes, millions of American adults have never had it
done.
Signs of periodontal disease - bleeding gums, redness of gum tissue,
swelling of gums around the teeth, breath odor, receding gums, mobility of
teeth.
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Problem:
Poor self-image, resulting in low
self-esteem.
Solution:
A Proud Smile Helps
The appearance of the teeth has a dramatic effect on both the person's
attractiveness to others and on their own self-image and self-esteem.
Studies have shown that a person's appearance will have a strong effect on
their social and career success, by influencing how others perceive them.
While the appearance of the teeth is one of the most important
contributors to facial beauty, it is also probably the most often neglected
when improvements to appearance are sought. A person with low self-esteem
connected to their facial appearance, can often be greatly helped by
cosmetic dental procedures.
Dental make-overs have become more common, less invasive, and more
effective in correcting deformities and cosmetic dental problems. The effect
of these procedures can be nothing short of dramatic both in terms of
appearance and also in terms of correcting, at least partially, personality
deficiencies caused by poor self-image. Ugly teeth are no longer a matter of
fate; they are now becoming a matter of choice.
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Problem:
Stained, broken, worn, or crooked teeth
Solutions:
Porcelain Veneers
Porcelain veneers are often used for the same reasons as bonding (to
lighten stains, close gaps and even alter crooked or malformed teeth). They
are considerable more durable and stain resistant than bonding.
The veneer is actually a thin piece of porcelain similar in size to a
fingernail. Once it is "bonded" onto the tooth it becomes extremely strong.
It also blends in with the remaining tooth structure so that it is
unnoticeable to the naked-eye. Once in place, it looks, feels, and functions
just like a regular tooth.
Porcelain veneers can be utilized to change the shape and color of a
single tooth or if necessary, revamp an entire smile. Porcelain veneers can
also be used to correct teeth that have been worn from clenching and
grinding.
Please call for a free cosmetic consultation. You may ask any questions
you have about the benefits of porcelain veneers.
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Problem:
Dental disease during pregnancy
Solution:
A dental evaluation and preventive dental
care
Many mothers have experienced gum disease, dental pain and/or tooth
extraction during or shortly after their pregnancy. This is often seen as
being a "normal" side effect of being pregnant. However, dental disease,
which is an infection of the teeth and/or gums, is not "normal" for any
patient.
There are three basic events that happen during pregnancy which make the
patient more susceptible to dental disease. First, hormonal changes may make
the gums more susceptible to gum disease. Second, pregnant women tend to eat
smaller, more frequent meals, exposing their teeth and gums to sugars and
acids more often. Third, cravings for "junk foods" and inadequate oral
hygiene pose an increased threat to the teeth and gums.
Pregnant women should be advised to schedule a dental evaluation and
receive preventive dental care. Personalized oral hygiene instruction should
also be given to fight disease and promote overall good health for the
mother and her baby.
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