Everyone knows that smoking causes lung cancer, but did you also know that smokers and tobacco users are susceptible to a variety of oral health problems at a faster rate than non-smokers? Smokeless tobacco use in the United States continues to increase each year, according to the Centers for Disease Control and Prevention. It may be smokeless, but it certainly isn't harmless.

You’ve probably seen baseball players chewing or dipping tobacco, but it’s important to know that as soon as you use tobacco products, you risk developing serious health issues, including cancer, heart attack or stroke. You are also more likely to experience any of these oral health problems:

• Gum disease
• Tooth loss
• Loss of bone in the jaw
• Gum recession
• Delayed/impaired healing process after oral surgery or any other treatment
• Decreased success rate of dental implant (tooth replacement) procedures
• Mouth sores
• Loss of your sense of taste and smell
• Bad breath
• Tooth and tongue stains

Quitting tobacco is difficult because all forms of it—cigarettes, cigars and spit (chewing) tobacco—contain nicotine, which is the highly addictive agent in tobacco. If you are interested in protecting your oral health, we strongly recommend you quit using tobacco products! We suggest all tobacco users come in for regular dental check-ups

Whether you went door-to-door trick or treating, attended a party dressed in a clever, silly or scary costume, or simply got together with friends and family to watch scary movies, we hope you had a fun and safe holiday!

We also wanted to give you some Halloween tips for the Best and Worst candies that you could might have received this year, courtesy of the Academy of General Dentistry:

"Worst:
Chewy/sticky sweets, such as gummy candies, taffy, and even dried fruit can be difficult for children and adults to resist, and even more difficult to remove from teeth.
Sour candies are highly acidic and can break down tooth enamel quickly. The good news: Saliva slowly helps to restore the natural balance of the acid in the mouth.
Sugary snacks, including candy corn, cookies, and cake, all contain high amounts of sugar, which can cause tooth decay.

Best:
Sugar-free lollipops and hard candies stimulate saliva, which can help prevent dry mouth.
Sugar-free gum can actually prevent cavities as it not only dislodges food particles from between the teeth but also increases saliva—which works to neutralize the acids of the mouth and prevent tooth decay.
Dark chocolate and its antioxidants, according to some studies, can be good for the heart and may even lower blood pressure."

Taking care of your oral health involves a daily regimen of brushing, flossing, and rinsing to prevent tooth decay and bacterial infections. Though you may have asked us which toothbrush to use, few patients ask about mouthwash.

Different mouthwashes you might choose will have varying effects on your oral health. So which type is best for you?

Gum Health
Antiseptic mouthwashes are designed to reduce the majority of bacteria on and near the gum line. Using an antiseptic mouthwash can help decrease your chances of developing gingivitis. If possible, look for a mouthwash with antibacterial or antimicrobial ingredients.

Fluoride
Fluoride is beneficial for oral health and can help prevent tooth decay. If you drink a lot of bottled water without fluoride, we may recommend that you purchase a rinse with fluoride in it.

Bad Breath
Although mouthwash is designed to prevent bacterial build-up within the mouth, many people use it to combat bad breath. Most mouthwashes will help eliminate the bacteria that cause bad breath, and some are specifically designed to do so.
However, if bad breath is a chronic problem that requires daily treatment with a mouth rinse, contact our office to discuss your symptoms.

Considerations
If you are unsure as to which mouthwash is right for you, contact our office or ask our dentist or dental hygienist at your next appointment. Also, be sure to keep mouthwash out of the reach of children, as it contains alcohol and other substances that could be harmful to them. Avoid letting children under age six use a mouth rinse, and discontinue use if you experience a burning sensation in the soft tissues of your mouth.

Dental X-rays are an essential and invaluable tool to help assist us in evaluating your oral health. With X-rays, we can see what’s happening beneath the surface of your teeth and gums and identify oral health issues otherwise hidden during a visual exam, including:

• small areas of decay between the teeth or below existing restorations (fillings)
• infections in the bone
• periodontal disease
• abscesses or cysts
• developmental abnormalities
• types of tumors

If left untreated, these problems can lead to expensive, time-consuming, and painful conditions, so it’s important to find and treat them early.

Dental X-rays are extremely safe, and our team is certified in the proper use of our digital X-ray equipment. The amount of radiation that you are exposed to from dental X-rays is very small compared to your daily exposure from things like atmospheric radiation and naturally-occurring radioactive elements, as well as medical X-rays you may have gotten at your doctor’s office or hospital. In fact our digital system dramatically decreases the already minimal amount of exposure even further. We try to be as conservative as possible when prescribing x-rays but do need them to see what is going on where our eyes can't see.

If you suffer from dental anxiety, a visit to our office might seem like a daunting prospect. Perhaps you had a bad experience in the past, but whatever the reason, please know that at our office, there is nothing to be afraid of. We understand you may be anxious about receiving dental treatments, and we’re here to help you have a comfortable, pain-free experience that will put your fears to rest.

You’re not alone!
A 1984 study that appeared in the Journal of the American Dental Association reported that up to 75% of all adults in the United States have some degree of dental anxiety. This includes five to ten percent whose dental anxiety is so severe that they try to avoid a dentist’s office at all costs.

Treatment
If you experience dental anxiety, it is important to let our office know in advance, so we can provide you with the dental care you need with an added touch of TLC. We can assist by explaining behavioral techniques for relaxation, by administering nitrous oxide (laughing gas), or by prescribing a relaxing medication prior to your dental procedure.

Perhaps you don't even know you grind your teeth. Maybe a spouse or loved one woke you up in the middle of the night and made you aware of what was happening.

For many people, teeth grinding is a habit and a mechanical reflex; when they’re awakened and informed they were grinding their teeth, they have no recollection of it at all. According to the American Dental Association, this is the nightly situation for roughly ten percent of Americans. From young children to the elderly, teeth grinding, known in the dental community as bruxism, is a serious concern.

Many people who grind their teeth in their sleep have no idea they're doing it. In fact, when they wake up in the morning they feel no jaw pain and their teeth are fine: if it hadn’t been for someone telling them about it, the teeth grinding would have gone unnoticed.

There are other people, however, who wake up with jaw pain, shoulder and neck pain, and headaches. Teeth grinding can cause a host of dental complications. From cracked teeth and receding gums to a misaligned jaw, teeth grinding is not something to take lightly.
Preventive measures are the key to combating bruxism, and our office can set you on the path to a healthy and safe night sleep.

The Reasons for Teeth Grinding

There are many reasons for teeth grinding. For some people, it’s a habit they acquired when they were a child and never grew out of. On the other hand, some research claims that the condition is related to stress, anxiety, or some other type of psychiatric issue.

Still other studies point to everything from poor muscle control or over-eating before bed to gastro-esophageal issues. However, the root cause of the teeth grinding is less important than identifying preventive measures against it.

Common solutions to teeth grinding include:
• Wearing a protective nightguard
• Stress management techniques
• Medications and muscle relaxers

When you make an appointment at our office, we will assess your situation and determine what the best course of action is. Teeth grinding is a dental concern that can cause serious health issues down the road, so be sure to take preventive measures today.

If you have, or are at risk for, gum disease (also known as periodontal disease) then you probably know about the traditional treatments that your dentist has to offer. Thanks to advances in technology, there are several options for treatment such as periodontal surgery, laser therapy and other non-surgical methods. However, according to the American Academy of Periodontists, non-surgical methods don't work for every situation. Also, not everyone is comfortable with these procedures due to possible pain, side effects and medicines that may be used in the process. Fortunately, nature has provided a solution in the form of a naturally occurring substance called xylitol.

Xylitol is a natural sugar found in the fibrous part of many plants including plums, strawberries, raspberries, and birch trees. Beth Israel Deaconess Medical Center reports that xylitol can reduce unhealthy oral bacteria that are responsible for causing cavities and gum disease. Due to xylitol’s unique structure, it doesn't break down the way that regular sugar does and it helps keep a neutral pH balance in your mouth. Regular consumption of xylitol will prevent harmful bacteria from sticking to your teeth and gums, thus decreasing your chance of developing, or worsening, gum disease.

Here are some additional benefits that xylitol provides for your oral health:

• Helps to reduce plaque formation
• Helps to reduce the development of cavities and aids in repairing them
• Increases saliva which helps to repair damaged enamel

Preventing Gum Disease
To maintain optimum oral health, a minimum of six grams is necessary to notice the benefits, but more than ten to 12 grams a day is no more effective than 20 grams. To prevent gum disease, make sure that you consume an appropriate amount of xylitol throughout the day in five to six doses, not all at once. Drinking water, with one to two teaspoons of granulated xylitol stirred in, is an effective way to get the recommended amount. Do this in addition to your usual brushing and flossing routine.

Eliminating Gum Disease
Xylitol is anti-bacterial and will help to make the harmful bacteria disappear and over time the pockets that you've developed in your gum line will heal and recede back to their normal condition. Since you already have a higher level of bacteria in your mouth, you'll want to be sure to get in at least ten grams of xylitol each and every day in addition to maintaining a good brushing and mouth rinsing routine. Use a toothpaste with xylitol, a mouthwash that is highly effective at killing bacteria, and floss daily. As your final step, you should drink some water with a few grams of xylitol, chew a piece of gum or eat a candy with xylitol. Make sure that you get your xylitol in small, frequent doses throughout the day in order to gain the most benefit.

Tips and Warnings

• To get enough xylitol, try eating xylitol candies and chewing gum made with 100 percent xylitol or drinking xylitol mixed with water.
• Consuming too much xylitol in a given day, usually more than 20 to 30 grams, often causes diarrhea and stomach discomfort.
• While it's perfectly safe for human consumption, xylitol is lethal to dogs. Be sure to keep your xylitol in a cupboard or high shelf so that your canine friends can't get to it.

Most people know that visiting the dentist is an essential part of caring for their teeth. Regular checkups and cleanings are, of course, very important. But what some people don't realize is that good dental hygiene starts long before you get to the dentist's office. You may be saying, "I know, it starts with my toothbrush and floss." But actually, oral health begins even before that. A healthy smile starts at your grocery store.

Dental checkups can detect problems early on and address them, but only good nutrition can give your teeth and gums the healthy foundation they need. If your diet is rich in tooth-friendly nutrients, you will be less prone to gum disease, tooth decay, and even jawbone loss.

So, which nutrients are the most important? Here are a few tooth-building superstars.

Calcium:
We all know that calcium builds strong bones and teeth. Most expectant mothers are even aware that the calcium-rich foods they eat during pregnancy will ensure that their babies develop strong, healthy teeth later on. But did you know that calcium is important to your teeth long into adulthood?

On its "Milk Matters" page, the National Institutes of Health tells us that calcium can protect teeth against decay. Furthermore, a 2001 study published by the US National Library of Medicine found that elderly people who had adequate amounts of calcium in their diets were more likely to retain their teeth as they aged.

Good sources of calcium include yogurt, cheeses, milk, and leafy green vegetables. If you can't get an enough calcium from your diet alone, talk to your doctor about adding a calcium supplement.

Vitamin D:
Vitamin D is sometimes called the sunshine vitamin because your skin can synthesize it during exposure to sunlight. Vitamin D could also be called the healthy smile vitamin. It not only helps your teeth, but it also keeps your gums healthy. Another study published by the National Library of Medicine has shown a connection between low levels of dietary vitamin D and gingivitis. People in the study who had more of the vitamin in their diets had healthier gums.

While most of us get plenty of vitamin D from sun exposure, people who live farther from the equator may need to take a supplement during the winter months.

Vitamin C:
Long ago, British sailors were called "Limeys" because their superiors made them eat limes on long ocean voyages. Why? Because limes are rich in vitamin C and without it, the sailors got scurvy and often lost their teeth. While there's little danger of developing scurvy today, a study in the year 2000 of people who ranged in age from 20 to 90, showed that vitamin C is still necessary for healthy gums. People in the study who had the lowest dietary intake of this essential vitamin were at the highest risk of gum disease.

Vitamin C is perhaps the easiest of vitamins to get from your diet. Rich sources include strawberries, apricots, oranges, lemons and, of course, limes. Red and yellow peppers also have lots of vitamin C, as do tomatoes and brussel sprouts.
Never put off regular dental checkups and cleanings, but in between appointments, watch your diet. Making sure these essential nutrients are a part of your daily intake will ensure that your teeth and gums are as healthy as they can be.