Baby Bottle Tooth Decay

Bad Breath (Halitosis) FAQ

Dental Amalgam: Myths vs. Facts 

Dry Mouth

Is Someone Snoring in Your House?

Mouth Guard FAQ

Oral Cancer FAQ 

To Keep or Not To Keep:  Wisdom Teeth


 

 
 
 

 

 

 

 

 

 

 


 

Baby Bottle Tooth Decay (BBTD) is caused by prolonged contact with almost any liquid other than water. This can happen from putting her to bed with a bottle of formula, milk, juice, soft drinks, sugar water, sugared drinks, etc. Allowing her to suck on a bottle or breastfeed for longer than a mealtime, either when awake or asleep, can also cause BBTD.

When liquid from a baby bottle builds up in the mouth, the natural or added sugars found in the liquid are changed to acid by germs in the mouth. This acid then starts to dissolve the teeth (mainly the upper front teeth), causing them to decay. Baby Bottle Tooth Decay can lead to severe damage to your child's baby teeth and can also cause dental problems that affect her permanent teeth.

But there are steps you can take to prevent Baby Bottle Tooth Decay. Keep these pointers in mind as you care for your child's teeth:

  • Never put your child to bed with a bottle. By 7 or 8 months of age, most children no longer need feedings during the night. Children who drink bottles while lying down also may be more prone to getting ear infections.

     

  • Only give your baby a bottle during meals. Do not use the bottle as a pacifier; do not allow your child to walk around with it or to drink it for extended periods. These practices not only may lead to BBTD, but children can suffer tooth injuries if they fall while sucking on a bottle.

     

  • Teach your child to drink from a cup as soon as possible, usually by 1 year of age. Drinking from a cup does not cause the liquid to collect around the teeth, and a cup cannot be taken to bed. If you are concerned that a cup may be messier than a bottle, especially when you are away from home, use one that has a snap-on lid with a straw or a special valve to prevent spilling.

     

  • Keep your baby's mouth clean. This is an important part of preventing tooth decay. After feedings, gently brush your baby's gums and any baby teeth with a soft infant toothbrush.

     

  • Use water and a soft child-sized toothbrush for daily cleaning once your child has 7 to 8 teeth.

By the time your toddler is 2 years of age, you should be brushing his teeth once or twice a day, preferably after breakfast and before bedtime. Once you are sure your child will spit, and not swallow, toothpaste, you should begin using a fluoride toothpaste. Use a pea-sized amount of toothpaste to limit the amount he can accidentally swallow.

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Bad Breath (Halitosis) FAQ

What causes bad breath?

What you eat affects the air you exhale. Certain foods, such as garlic and onions, contribute to objectionable breath odor. Once the food is absorbed into the bloodstream, it is transferred to the lungs, where it is expelled. Brushing, flossing and mouthwash will only mask the odor temporarily. Odors continue until the body eliminates the food. Dieters may develop unpleasant breath from infrequent eating.

If you don't brush and floss daily, particles of food remain in the mouth, collecting bacteria, which can cause bad breath. Food that collects between the teeth, on the tongue and around the gums can rot, leaving an unpleasant odor. Dentures that are not cleaned properly can also harbor odor-causing bacteria and food particles.

One of the warning signs of periodontal (gum) disease is persistent bad breath or a bad taste in the mouth. Periodontal disease is caused by plaque, the sticky, colorless film of bacteria that constantly forms on teeth. The bacteria create toxins that irritate the gums. In the advanced stage of the disease, the gums, bone and other structures that support the teeth become damaged. With regular dental checkups, you can detect and treat periodontal disease early.

Bad breath is also caused by dry mouth (xerostomia), which occurs when the flow of saliva decreases. Saliva is necessary to cleanse the mouth and remove particles that may cause odor. Dry mouth may be caused by various medications, salivary gland problems or continuously breathing through the mouth. If you suffer from dry mouth, artificial saliva may be prescribed, or using sugarless candy and increasing your fluid intake may be helpful.

Tobacco products cause bad breath, stain teeth, reduce one's ability to taste foods and irritate gum tissues. Tobacco users are more likely to suffer from periodontal disease and are at greater risk for developing oral cancer. If you use tobacco, ask for tips on kicking the habit.

Bad breath may be the sign of a medical disorder, such as a local infection in the respiratory tract (nose throat, windpipe, lungs), chronic sinusitis, postnasal drip, chronic bronchitis, diabetes, gastrointestinal disturbance, liver or kidney ailment. If your dentist determines that your mouth is healthy, you may be referred to your family doctor or a specialist to determine the cause of bad breath.

Eliminating periodontal disease and maintaining good oral health is essential to reducing bad breath. Schedule regular dental visits for a professional cleaning and checkup. If you think you have constant bad breath, keep a log of the foods you eat and make a list of medications you take. Some medications may play a role in creating mouth odors. Let your dentist know if you've had any surgery or illness since your last appointment.

Brush twice a day with a fluoride toothpaste to remove food debris and plaque. Brush your tongue, too. Once a day, use floss or an interdental cleaner to clean between teeth. If you wear removable dentures, take them out at night. Clean them thoroughly before replacing them the next morning.

Mouthwashes are generally cosmetic and do not have a long-lasting effect on bad breath. If you must constantly use a breath freshener to hide unpleasant mouth odor, see your dentist. If you need extra help in controlling plaque, your dentist may recommend using a special antimicrobial mouthrinse. A fluoride mouthrinse, used along with brushing and flossing, can help prevent tooth decay.


What can I do about bad breath?

Regular checkups will allow your dentist to detect any problems such as gum disease, a dry mouth or other disorders that may be the cause. Maintaining good oral hygiene, eliminating gum disease and scheduling regular professional cleanings are essential to reducing bad breath.

Regardless of what may be the cause, good oral hygiene is essential. Brush twice a day and clean between your teeth daily with floss or interdental cleaners. Brush your tongue, too. If you wear dentures, be sure to remove them at night and clean them thoroughly before replacing them the next morning.

What is the treatment for bad breath?

If your dentist determines that your mouth is healthy and that the odor is not of oral origin, you may be referred to your family physician or to a specialist to determine the cause of the odor and for treatment. Of course, if the odor is of oral origin, as it is in the majority of cases, your dentist can treat the cause of the problem.

If the odor is due to gum disease, your general dentist can either treat the disease or refer you to a periodontist, a specialist in treating gum tissues. Gum disease can cause gum tissues to pull away from the teeth and form pockets. When these pockets are deep, only a professional periodontal cleaning can remove the bacteria and plaque that accumulate. Sometimes more extensive treatment is necessary.

If you have extensive build-up of plaque, an invisible layer of bacteria, your dentist may recommend using a special antimicrobial mouthrinse. Your dentist may also recommend that when you brush your teeth, you also brush your tongue to remove excess plaque.

Where can I get products that will be useful in treating bad breath?

After determining the cause of your halitosis, your dentist will be able to prescribe or recommend those products that can be helpful for you. 

In our office, many patients have found CloSYS II Mouthwash and Toothpaste to be highly effective in treating their bad breath.  Instead of simply masking breath odor, these products have been demonstrated to kill the germs that cause bad breath.

Click here for more information on CloSYS II Products.
 

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Dental Amalgam: Myths vs. Facts

The following information from the American Dental Association corrects much of the misinformation about silver-colored fillings known as amalgam.

Myth: Dental amalgam causes numerous health problems.

Fact: Not true. You should feel very secure that the many organizations responsible for protecting the public's health have said time and time again that amalgam fillings are safe. Those organizations include the World Health Organization, United States Public Health Service, the National Institutes of Health and the Food and Drug Administration.

Myth: There are better materials for treating cavities, but the ADA continues to promote use of dental amalgam because it receives money from amalgam manufacturers through its Seal of Acceptance program.

Fact: Be assured that the ADA does not profit from amalgam, nor does it promote the material. The cost of maintaining the ADA Seal program is financed primarily through ADA member dentist dues.

What the ADA does promote is having patients make informed decisions about their dental care in consultation with their dentist. The choice of a particular filling material is determined in partnership by the dentist and patient, and based upon a variety of considerations, including size and location of the cavity, patient history, cosmetic concerns and cost.

Myth: The ADA justifies amalgam use by saying the filling has been around for 150 years.

Fact: When making treatment recommendations, dentists rely on the best-available science and their own clinical experience. Because amalgam has been around so long, the dental profession and scientific community have learned a great deal about its durability, reliability and safety. Just like aspirin, amalgam has withstood the test of time and is still a valued option for patients.

Myth: Removal of amalgam cures some diseases.

Fact: It is unconscionable to lead people to believe that their serious illnesses may improve by undergoing unnecessary dental treatment. In fact, leading medical experts and health organizations have negated such statements and conclusions. For example:

  • "There is no scientific evidence to connect the development of MS or other neurological diseases with dental fillings containing mercury." (National Multiple Sclerosis Society)
  • "According to the best available scientific evidence there is no relationship between silver dental fillings and Alzheimer's." (Alzheimer's Association)
  • "There is no scientific evidence of any measurable clinical toxic effects [of dental amalgam]." (American Academy of Pediatrics)

Myth: Dental amalgam fillings release mercury vapors that are harmful to the body.

Fact:
Minute amounts of mercury vapor (between 1-3 micrograms* per day) may be released from amalgam under the pressure of chewing or grinding, but there is no scientific evidence that such low-level exposure is harmful. In fact, dental materials experts say one would have to have almost 500 amalgam fillings to even see the subtlest symptoms in the most sensitive person.

* 1 microgram is equal to 35.2 billionths of an ounce.

Myth: Dentists cannot tell their patients that amalgam contains mercury.

Fact: Actually, the ADA encourages dentists to discuss the full range of filling options with their patients so together they can decide what is the most appropriate treatment.

Key resources for oral health care information and additional information about amalgam:

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Is Someone Snoring in Your House?

While snorers often do not seem to suffer from snoring themselves (excluding Sleep Apnea Disorder), their spouse and children are often repeatedly disturbed during their sleep cycles.  Unfortunately, left untreated, snoring can produce tensions and even animosity among family members.  Today, however, thanks to extensive research and documented effectiveness, an affordable, custom made SILENT NIGHT snoring prevention device can be prescribed.

What Causes Snoring?  During sleep, the muscles and soft tissues in the throat and mouth relax making the breathing airway smaller.  This decrease in the airway space increases the velocity of air flowing through the airway during breathing.  As the velocity of required air is increased in the constricted space, soft tissues like the soft palate and the uvula vibrate.  These vibrations of the soft tissues in the mouth and throat result in what is called "noisy breathing" or snoring.  I t should also be noted that sleep studies have shown that excess body weight, heavy alcohol consumption and other sedatives have been shown to increase the severity of snoring.  Surgical techniques to remove respiration impairing structures such as the uvula, enlarged tonsils and adenoids have been among the many attempted snoring remedies.  These soft tissue surgical procedures have shown only moderate success rates (e.g. 20 to 40%).  At certain levels of severity, complete blockage of the airway space by the soft tissues and the tongue can occur.  This is called Obstructive Sleep Apnea if the period of asphyxiation lasts longer than 10 seconds.  For the majority of snorers however, the most affordable, noninvasive, comfortable, and effective snoring solution remains the dentist prescribed oral snoring preventive device, such as the SILENT NIGHT. 

How Does the SILENT NIGHT Prevent Snoring?  Snoring research has shown that the custom fabricated dental devices worn at night that move the jaw into a forward position, increase the three dimensional space in the airway tube which reduces air velocity and soft tissue vibration.  By increasing the volumetric capacity of the airway and preventing soft tissue vibrations, snoring is eliminated.  In clinical research studies, these oral devices have exhibited initial snoring prevention success rates of between 70 to 100%.  The SILENT NIGHT device positions the jaw into a forward position by means of special connectors that are attached to transparent flexible upper and lower forms.  The forms are custom laminated with heat and pressure to the dentist's model of the mouth.  The fit is precise and comfortable.

Breathing Is Easier With A SILENT NIGHT  SILENT NIGHT devices do not interfere with breathing through the mouth.  Even in cases of congested nasal passages the device prevents snoring and allows uninhibited oral breathing.  Small movements of the jaw are possible while wearing the SILENT NIGHT device.  This movement potentially helps minimize stiffness in the joints of the jaw in the morning.  The SILENT NIGHT may produce a slight sensation of the jaws being out of alignment upon wakening.  This feeling is due to lymphatic fluid buildup in the jaw joint that occurs overnight and will rapidly subside in minutes.  SILENT NIGHT devices help promote deeper., more restful sleep by preventing snoring.

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Mouth Guard FAQ

I don’t play football or hockey. Do I need a mouth protector?

Anyone who participates in a sport that carries a significant risk of injury should wear a mouth protector. This includes a wide range of sports like basketball, baseball, gymnastics, and volleyball.

Mouth protectors, which typically cover the upper teeth, can cushion a blow to the face, minimizing the risk of broken teeth and injuries to the soft tissues of the mouth. If you wear braces or another fixed dental appliance on your lower jaw, your dentist may suggest a mouth protector for these teeth as well.

What are the advantages of using a mouth protector?

Accidents can happen during any physical activity. A mouth protector can help cushion a blow to the face that otherwise might result in an injury to the mouth. A misdirected elbow in a one-on-one basketball game or a spill off a bicycle can leave you with chipped or broken teeth, nerve damage to a tooth or even tooth loss. A mouth protector can limit the risk of such injuries as well as protect the soft tissues of your tongue, lips and cheek lining.

A properly fitted mouth protector will stay in place while you are wearing it, making it easy for you to talk and breathe.

Are there different types of mouth protectors?

There are three types of mouth protectors:

  • stock;
  • boil and bite;
  • custom-fitted.

Stock mouth protectors are inexpensive and come pre-formed, ready to wear. Unfortunately, they often don’t fit very well. They can be bulky and can make breathing and talking difficult.

Boil and bite mouth protectors also can be bought at many sporting goods stores and may offer a better fit than stock mouth protectors. They should be softened in water, then inserted and allowed to adapt to the shape of your mouth. If you don’t follow the directions carefully you can wind up with a poor-fitting mouth protector.

Custom-fitted mouth protectors are made by your dentist for you personally. They are more expensive than the other versions, but because they are customized they can offer a better fit than anything you can buy off the shelf.

I wear braces. Can I use a mouth protector?

A properly fitted mouth protector may be especially important for people who wear braces or have fixed bridge work. A blow to the face could damage the brackets or other fixed orthodontic appliances. A mouth protector also provides a barrier between the braces and your cheek or lips, limiting the risk of soft tissue injuries.

Talk to your dentist or orthodontist about selecting a mouth protector that will provide the best protection. Although mouth protectors typically only cover the upper teeth, your dentist or orthodontist may suggest that you use a mouth protector on the lower teeth if you have braces on these teeth too.

If you have a retainer or other removable appliance, do not wear it during any contact sports.

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Oral Cancer

 
I recently noticed a white patch in my mouth that won’t seem to go away. Should I be concerned?

Any mouth sore that persists for more than a week should be examined by your dentist. Leukoplakia is a thick, whitish-color patch that forms on the cheeks, gums or tongue and is caused by excess cell growth. It is common among tobacco users and can also result from irritations such as ill-filling dentures or a habit of chewing on one's cheek. The danger of leukoplakia is that it can progress to cancer. Your dentist may want to take a biopsy if the leukoplakia appears to be threatening.

How can I help prevent oral cancer?

 Eliminate any risk factors such as tobacco and alcohol and regularly visit your dentist. Periodic dental exams allow early detection and appropriate treatment if cancer develops. If at any time you notice any changes in the appearance of your mouth or any of these signs and symptoms, contact your dentist at once:

  • A persistent sore or irritation that does not heal

     
  • Color changes such as the development of red and/or white lesions

     
  • Pain, tenderness or numbness anywhere in the mouth or lips

     
  • A lump, thickening, rough spot, crust or small eroded area

     
  • Difficulty in chewing, swallowing, speaking or moving the jaw or tongue

     
  • Change in bite

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To Keep or Not to Keep: Wisdom Teeth

 

Wisdom teeth, also known as third molars are the last teeth to erupt. This occurs usually between the ages of 17 and 25. There remains a great deal of controversy regarding whether or not these teeth need to be removed. It is generally suggested that teeth that remain completely buried or un-erupted in a normal position are unlikely to cause harm. However, if these impacted teeth are in an abnormal position (which can be seen on an x-ray), their potential for harm should be assessed.

What is an Impacted Wisdom Tooth ?

A tooth becomes impacted due to lack of space in the dental arch and its eruption is therefore prevented by gum, bone, another tooth or all three. Lack of space occurs because our jaws are often too short, we do not loose teeth through decay as frequently as in the past, and our diet is such that our teeth do not wear down as much.

                          

What are the Indications for Removing Wisdom Teeth ?

Wisdom teeth generally cause problems when they erupt partially through the gum. The most common reasons for removing them are:

Decay - Saliva, bacteria and food particles can collect around an impacted wisdom tooth, causing it, or the next tooth to decay. It is very difficult to remove such decay. Pain and infection will usually follow.

Gum Infection (Pericoronitis) - When a wisdom tooth is partially erupted, food and bacteria collect under the gum causing a local infection. This may result in bad breath, pain, swelling and trismus (inability to open the mouth fully). The infection can spread to involve the cheek and neck. Once the initial episode occurs, each subsequent attack becomes more frequent and more severe.

Pressure Pain - Pain may also come from the pressure of the erupting wisdom tooth against other teeth. In some cases this pressure may cause the erosion of these teeth.

Orthodontic Reasons - Many younger patients have had prolonged orthodontic treatment to straighten teeth. Wisdom teeth may cause movement of teeth (particularly the front teeth) when they try to erupt and this will compromise the orthodontic result.

Prosthetic Reasons - Patients who are to have dentures constructed should have any wisdom tooth removed. If a wisdom tooth erupts beneath a denture it will cause severe irritation and if removed, the patient will need to have a new denture constructed as the shape of the gum will have changed.

Cyst Formation - A cyst (fluid filled sac) can develop from the soft tissue around an impacted wisdom tooth. Cysts cause bone destruction, jaw expansion and displacement or damage to nearby teeth. The removal of the tooth and cyst is necessary to prevent further bone loss. Rarely, tumors may develop within these cysts or the jaw may fracture if the cyst grows very large.

Why Should an Impacted Wisdom Tooth be Removed if it Hasn't Caused any Trouble?

Impacted wisdom teeth are almost certain to cause problems if left in place. This is particularly true of the lower wisdom teeth. Such problems may occur suddenly, and often at the most inconvenient times.

When is the Best Time to Have my Wisdom Teeth Removed?

It is now recommended by specialists that impacted wisdom teeth be removed between the ages of 14 and 22 years whether they are causing problems or not. Surgery is technically easier and patients recover much more quickly when they are younger. What is a relatively minor operation at 20 can become quiet difficult in patients over 40. Also the risk of complications increases with age, and the healing process is slower.

Travel to Inaccessible Places

If you are going to an area where specialist dental services are not available and your wisdom teeth are impacted, it may be advisable to have them removed beforehand.

Should a Wisdom Tooth be Removed When an Acute Infection (Pericoronitis) is Present?

Generally, no. Surgery in the presence of infection can cause infection to spread and become more serious. Firstly, the infection must be controlled by local oral hygiene, antibiotics and sometimes the extraction of the opposing wisdom tooth.

 

The Pro's and Con's of Wisdom Tooth Removal

Some Pro's of Removing a Wisdom Tooth:

  • Wisdom teeth may be hard to access with your toothbrush or floss. Over time, the accumulation of bacteria, sugars and acids may cause a cavity to form in the tooth. If it is not restored with a filling, the cavity may spread and destroy more tooth structure causing severe consequences to the tooth and surrounding supportive structures.
  • Due to the difficulty of keeping these teeth clean with your daily home care (brushing and flossing), bacteria and food debris remaining on the wisdom teeth may present a foul smell-causing bad breath.
  • A wisdom tooth that is still under the gums in a horizontal position (rather than a vertical position) may exert pressure to the surrounding teeth, causing crowding and crooked teeth. This also may occur if there is not enough space in the mouth for the wisdom tooth. This may warrant braces to repair the damage.
  • A wisdom tooth that is still under the gums may become irritated. The gum tissue that lays over the tooth may harbor food debris and bacteria that gets trapped under the gum, resulting in an infection in the gums.

Some Con's of Removing the Wisdom Teeth:

  • Depending on the size shape and position of the tooth, removal can vary from a simple extraction to a more complex extraction. With a simple extraction, there is usually little swelling, bruising and/or bleeding. More complex extraction will require special treatment which may result in more bruising, swelling and bleeding. However, your dental professional will provide you with post treatment instructions to minimize these side effects.
  • Following an extraction, a condition called "dry socket" may occur. If the blood clot that formed in the extraction area becomes dislodged, it exposes the underlying bone. This condition is very painful, but resolves after a few days. It is preventable by following the post treatment instructions provided by your dental professional.
  • The longer you wait and the older you get, there is the potential for more problems to occur. This is because as you get older, the bone surrounding the tooth becomes more dense, making the tooth more difficult to remove. The healing process may also be slower.

 

Post Operative Care

Do Not Disturb the Wound - In doing so you may invite irritation, infection and/or bleeding. Chew on the opposite side for the first 24 hours.

Do Not Smoke for 12 Hours - Smoking will promote bleeding and interfere with healing.

Do Not Spit or Suck Through a Straw - This will promote bleeding and may dislodge the blood clot, which could result in a dry socket.

Control of Bleeding - If the area is not closed with stitches, a pressure pack made of folded sterile gauze pads will be placed over the socket. It is important that this pack stay in place to control bleeding and to encourage clot formation. The gauze is usually kept in place for 30 minutes. If the bleeding has not stopped once the original pack is removed, place a new gauze pad over the extraction site.

Control of Swelling - After surgery, some swelling is to be expected. This can be controlled through the use of  cold packs, which slow the circulation. A cold pack is usually placed at the site of swelling during the first 24 hours in a cycle of 20 minutes on and 20 minutes off.

After the first 24 hours, it is advisable to rinse with warm saltwater every two hours to promote healing. (one teaspoon of salt to eight ounces of warm water).

Medication for Pain Control - Anti-inflammatory medication such as Aspirin or Ibuprofen are used to control minor discomfort following oral surgery. Stronger analgesics may be prescribed by the dentist if the patient is in extreme discomfort.

Diet and Nutrition - A soft diet may be prescribed for the patient for a few days following surgery.

Following the removal of your wisdom teeth it is important that you call your dentist if any unusual bleeding, swelling or pain occurs. The first 6-8 hours after the extraction are typically the worst, but are manageable with ice packs and non-prescription pain medication. You should also plan to see your dentist approximately one week later to ensure everything is healing well.

 It is very important to talk to your dentist about extraction procedure, risks, possible complications and outcomes of the removal of these teeth. The actual extraction may be done by a dentist or it may be referred to an oral surgeon, who is a specialist. This decision is based on the dentist’s preference and the unique features of each individual case. If you are unsure about whether or not to proceed  with the treatment suggested by your dental professional, it is a good idea to get a second opinion. If you decide after consulting with a dentist to not have any teeth extracted, they should be monitored at every dental visit

                              Thanks to  The Wisdom Tooth Home Page.

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Dry Mouth

 

What do I need to know about dry mouth?

Everyone has a dry mouth once in a while--if they are nervous, upset or under stress.

But if you have a dry mouth all or most of the time, it can be uncomfortable and can lead to serious health problems.

Dry Mouth...

  • can cause difficulties in tasting, chewing, swallowing, and speaking
  • can increase your chance of developing dental decay and other infections in the mouth
  • can be a sign of certain diseases and conditions
  • can be caused by certain medications or medical treatments

Dry mouth is not a normal part of aging. So if you think you have dry mouth, see your dentist or physician--there are things you can do to get relief.

What is Dry Mouth?

Dry mouth is the condition of not having enough saliva, or spit, to keep your mouth wet.

The technical term for drymouth is Xerostomia

Symptoms Include...

  • a sticky, dry feeling in the mouth
  • trouble chewing, swallowing, tasting, or speaking
  • a burning feeling in the mouth
  • a dry feeling in the throat
  • cracked lips
  • a dry, tough tongue
  • mouth sores
  • an infection in the mouth

Why is saliva so important?

Saliva does more than keep the mouth wet.

  • It helps digest food
  • It protects teeth from decay
  • It prevents infection by controlling bacteria and fungi in the mouth
  • It makes it possible for you to chew and swallow

Without enough saliva you can develop tooth decay or other infections in the mouth. You also might not get the nutrients you need if you cannot chew and swallow certain foods.

Some people feel a dry mouth even if their salivary glands are working correctly. People with certain disorders, like Alzheimer's disease, or those who have suffered a stroke, may not be able to feel wetness in their mouth and may think their mouth is dry even though it is not.

What causes Dry Mouth?

People get dry mouth when the glands in the mouth that make saliva are not working properly. Because of this, there might not be enough saliva to keep your mouth wet. There are several reasons why these glands (called salivary glands) might not work right.

  • Side effects of some medicines. More than 400 medicines can cause the salivary glands to make less saliva. Medicines for high blood pressure and depression often cause dry mouth.
  • Disease. Some diseases affect the salivary glands. Sjögren's Syndrome, HIV/AIDS, diabetes, and Parkinson's disease can all cause dry mouth.
  • Radiation therapy. The salivary glands can be damaged if they are exposed to radiation during cancer treatment.
  • Chemotherapy. Drugs used to treat cancer can make saliva thicker, causing the mouth to feel dry.
  • Nerve damage. Injury to the head or neck can damage the nerves that tell salivary glands to make saliva.

What can be done about Dry Mouth?

Dry mouth treatment will depend on what is causing the problem. If you think you have dry mouth, see your dentist or physician. He or she can try to determine what is causing your dry mouth.

  • If your dry mouth is caused by medicine, your physician might change your medicine or adjust the dosage.
  • If your salivary glands are not working right but can still produce some saliva, your physician or dentist might give you a medicine that helps the glands work better.
  • Your physician or dentist might suggest that you use artificial saliva to keep your mouth wet.

What can I do?

  • Sip water or sugarless drinks often.
  • Avoid drinks with caffeine, such as coffee, tea, and some sodas. Caffeine can dry out the mouth.
  • Sip water or a sugarless drink during meals. This will make chewing and swallowing easier. It may also improve the taste of food.
  • Chew sugarless gum or suck on sugarless hard candy to stimulate saliva flow; citrus, cinnamon or mint-flavored candies are good choices.
  • Don't use tobacco or alcohol. They dry out the mouth.
  • Be aware that spicy or salty foods may cause pain in a dry mouth.
  • Use a humidifier at night.

Tips for keeping your teeth healthy

Remember, if you have dry mouth, you need to be extra careful to keep your teeth healthy. Make sure you:

  • Gently brush your teeth at least twice a day.
  • Floss your teeth every day.
  • Use toothpaste with fluoride in it. Most toothpastes sold at grocery and drug stores have fluoride in them.
  • Avoid sticky, sugary foods. If you do eat them, brush immediately afterwards.
  • Visit your dentist for a check-up at least twice a year. Your dentist might give you a special fluoride solution that you can rinse with to help keep your teeth healthy.

 

For more information on Sjogren's Syndrome...

Sjögren's Syndrome is a major cause of dry mouth. You can get information about dry mouth related to Sjögren's Syndrome from:

Sjögren's Syndrome Clinic
National Institute of Dental and Craniofacial Research
Building 10, Room 1N113
10 Center Drive MSC 1190
Bethesda, MD 20892-1190
Tel: 301-435-8528
http://wwwdir.nidcr.nih.gov/dirweb/gttb/sjogrens/SjogrenIndex.asp

Sjögren's Syndrome Foundation, Inc.
Suite 530
8120 Woodmont Avenue
Bethesda, MD 20814
Tel: 301-718-0300 or
800-475-6473
http://www.sjogrens.org