Your oral health is an important part of your overall health, and this is never more true than during pregnancy.

Good oral health habits not only help prevent oral problems during pregnancy, they also help the health of your unborn child.

What you eat during your pregnancy affects the development of your unborn child — including teeth.

Eating a balanced diet is necessary to provide the correct amounts of nutrients to nourish both you and your child.

Your babys teeth begin to develop between the third and sixth month of pregnancy, so it is important that you receive sufficient nutrients especially calcium, protein, phosphorous, and vitamins A, C, and D.

There is a common myth that calcium is lost from the mothers teeth during pregnancy.

In fact, the calcium your baby needs is provided by your diet, not by your teeth. If your diet does not provide enough calcium, your body will provide this mineral from stores in your bones.

If you have an adequate intake of dairy products the main source of calcium or take any supplements your obstetrician recommends this will help you get the calcium you need.

To help prevent tooth decay and periodontal disease, brush your teeth thoroughly twice a day with fluoride toothpaste to remove plaque. Be sure to clean between your teeth daily with floss or interdental cleaners.

Make regular visits to your dentist during your pregnancy to ensure the best possible health for you and your baby.

While local anesthetics are often used in dental treatment, there is sometimes a need for anti-anxiety agents – such as nitrous oxide – or sedatives to help people relax during dental visits.

Dentists may use these agents to induce “minimal or moderate sedation”.

In this case, the patient reaches a relaxed state during treatment but can respond to speech or touch.

Sedatives can be administered before, during or after dental procedures by mouth, inhalation or injection.

More complex treatments may require drugs that can induce “deep sedation”.

This reduces consciousness and causes a loss of feeling which helps to reduce both pain and anxiety.

Sometimes patients undergo “general anesthesia” where the drugs lead to a temporary loss of consciousness.

A dentist may recommend deep sedation or general anesthesia for certain procedures with children or with adults who have severe anxiety or for people who have difficulty controlling their movements.

While these techniques to control pain and anxiety are used to treat tens of millions of patients safely every year, its important that you let your dentist know anything that might affect your ability to benefit from them for example, tell them about any illnesses or health conditions, whether you are taking any medications and if you’ve had any problems with allergic reactions to medications.

Dental plaque is a film that builds up on your teeth and, if it is not removed through good oral hygiene, it can lead to tooth decay and gum problems.

Over time it can ultimately form a hard, rough sediment known as dental tartar or calculus, which attracts further plaque buildup.

Calculus has to be removed by a trained professional such as a hygienist or dentist.

They may do this by manual tooth scaling or using an ultrasonic device.

If the buildup is light or moderate, the dentist or hygienist may use manual scaling instruments of various shapes and sizes.

If the buildup of tartar and stains is heavy, an ultrasonic cleaner may be used. This may be followed by hand scaling.

Build up of plaque can cause inflammation of the gums leading to breakdown of the connection between the teeth and the supporting structures.

Root planing is a procedure to treat gum disease by thoroughly scaling the roots of teeth to establish a smooth, calculus-free surface.

This treatment may require local anesthesia to prevent pain. Thorough periodontal scaling customarily involves several dental visits

If conditions are more advanced, surgery may be needed for complete debridement of the roots to arrest the disease process.

Some people tend to have more buildup of calculus than others and some may be more prone to periodontal inflammation or the development of tooth decay.

It’s therefore important to follow your hygienist’s advivce on how often to return for regular cleanings – even if your insurance only covers two a year.

Tooth decay or cavities result from destruction of the tooth enamel and can lead to a range of problems from toothache to bad breath.

Cavities occur when foods containing carbohydrates (sugars and starches) such as milk, sugared drinks, cakes or candy are frequently left on the teeth.

Bacteria that live in the mouth thrive on these foods, producing acids as a result. Over a period of time, these acids destroy tooth enamel, resulting in tooth decay.

Many people associate cavities with children but the changes that occur with aging make cavities an adult problem, too.

Recession of the gums away from the teeth, combined with an increased incidence of gum disease, can expose tooth roots to plaque.

Tooth roots are covered with cementum, a softer tissue than enamel. They are susceptible to decay and are more sensitive to touch and to hot and cold. The majority of people over age 50 have tooth-root decay.

Decay around the edges of fillings is also common to older adults. As many of them did not benefit from fluoride and modern preventive dental care when they were younger, they often have a number of dental fillings.

Over the years, these fillings may weaken, fracture and leak around the edges.

Bacteria accumulate in these tiny crevices causing acid to build up which leads to decay.

You can help prevent tooth decay by following these tips:

- Brush twice a day with fluoride toothpaste
- Clean between your teeth daily with floss or interdental cleaner
- Eat nutritious and balanced meals and limit snacking

Its also worth asking your dentist about supplemental fluoride, which strengthens your teeth, and about dental sealants, a plastic protective coating which is applied to the chewing surfaces of the back teeth to protect them from decay.

In addition, its important to visit your dentist regularly for professional cleanings and oral examination.

Your child should have their first trip to the dentist by the time they are 18 months old and it’s good to make the process as easy as possible for them from the start.

Dental staff are used to dealing with young children and they will know how to make them feel comfortable.

Sometimes, children under three may be treated on the parent’s lap. In this case, the parent sits in the dental chair facing the dentist, and the child is on their lap.

The dentist will tell the child what he or she is going to do in terms they can understand. They will usually have fun dental toys they can use to help.

They will start with an oral examination checking the teeth present and looking at the development of the jaw, gums and soft tissues.

Naturally, as in any new situation, some children are initially unsettled but this is usually short-lived as they get used to it.

Parents can help by ensuring they are calm and relaxed as any anxiety will transfer to the child.

With older children, the parents may stay in the background though sometimes children behave better when the parent is not in the room!

Work with your children and your dentist to find the best way of ensuring they get the treatment they need with minimum worries for everyone.

You probably don’t give too much thought to the saliva in your mouth but, if you think of it like a bloodstream you’ll realize how important it is.

Like blood, saliva helps build and maintain the health of the soft and hard tissues.

It removes waste products from the mouth and offers first-line protection against microbial invasion that might lead to disease.

Saliva is derived from blood and therefore can also be used to detect disease.

Saliva enhances enamel protection by providing high levels of calcium and phosphate ions. It contains the minerals that maintain the integrity of the enamel surface and helps protect against caries.

When salivary flow is reduced, oral health deteriorates – much in the same way body tissues suffer if blood circulation is disrupted.

Patients with dry mouths (xerostomia) experience difficulty chewing, speaking and swallowing. A major cause of dry mouth is medication – almost eighty percent of the most commonly prescribed medications lead to dry mouth.

Chewing gum after a snack or meal stimulates salivary flow, clearing food from the mouth and neutralizing plaque acid.

Your saliva is important to your oral health both for preventing disease and in helping to diagnose problems.

If you have missing teeth, you dont just have to rely on crowns, conventional bridges and dentures.

Many people are now choosing dental implants as the best way to restore their smile and solve dental problems.

Implants are placed below the gums during a series of appointments. They fuse to the jawbone and provide a base for individual replacement teeth, bridges or a denture.

As they are fused to the bone, they offer greater stability. And, because they are integrated into your jaw, your replacement teeth will feel more natural.

This secure fit often also makes them more comfortable than other solutions.

In order to have implants, you need to have healthy gums and adequate bone to support the implant.

To find out whether you could be a candidate for dental implants, talk to your dentist about what they could do for you.

Removable partial dentures usually involve replacement teeth attached to plastic bases, connected by metal framework.

They attach to your natural teeth with metal clasps or precision attachments. Precision attachments generally look better than metal clasps and are nearly invisible.

Crowns may be required on your natural teeth to improve the fit of a removable partial denture.

When you first get a partial denture, it may feel awkward or bulky. But you will gradually get used to wearing it.

It will also take a bit of practice to get used to inserting and removing the denture. It should fit into place easily and you should never force it.

Your dentist may suggest that you wear your partial denture all the time at first. While it will be uncomfortable for a while, it will help you identify if any parts of the denture need adjustment.

After making adjustments, your dentist will probably recommend that you take the denture out of your mouth before going to bed and replace it in the morning.

With a denture, eating should become a more pleasant experience compared to having missing teeth.

But, initially, youll need to eat soft foods cut into small pieces. And avoid foods that are extremely sticky or hard.

Some people with missing teeth find it hard to speak clearly so wearing a partial denture may help. However, youll probably need to practice certain words at first to get completely comfortable.

While it can take a little geting used to initially, a partial denture can help you enjoy your food with less worries.

Today’s subject describes how to respond to an unexpected tooth fracture or injury.  Mouth guards are the best way to protect teeth and avoid oral injury during sports and recreational activity, but accidents do happen on and off the playing field. What you do in the first 30 minutes following a mouth injury can make all the difference in whether you can save or loose a tooth which has been knocked out (“avulsed”).

If a tooth is knocked out, call me immediately (248) 419-4508 to make an emergency appointment.  If you are out of town or too far away from Southfield, locate the closest dentist or emergency room and get there as quickly as possible.  Time is of the essence!  If we can get the tooth reimplanted within 1 hour of the time it was knocked out there is a good chance it can reattach itself to the supporting tissues successfully. After an hour out of the mouth the success rate drops off rapidly.

Following an accident, retrieve the tooth and you may or may not rinse it very gently and briefly with water to remove dirt but do not clean the tooth. Be careful hold the tooth by the crown (the part you can see in the mouth) and avoid touching the root end (the part that is under the gum) of the tooth. Wrap the tooth in damp gauze or a clean piece of damp cloth and drop it into a small container with a lid. Cover the tooth with saline (salt water) or milk and secure the lid’s container to keep the tooth moist and secure on the way to the ER or dentist’s office. Sometimes you can place the tooth back in the socket where it may have a better chance of surviving.  A last resort is to just place it in your mouth and tuck it between your gum and your cheek.

Oral injuries can bleed profusely. Use pressure from a towel, washcloth or clean T-shirt to stop the blood flow. Do not swish water vigorously or touch the site of the avulsed (missing) tooth.  Ibuprofen (Motrin) or Tylenol and an icepack will help with pain and control swelling.  Larger cuts and lacerations will need assessment and may require stitches.

When you need help call my Southfield Dentist office at (248) 419-4508.  If additional physical injury is involved, call 911 for emergency assistance.

That’s all for today,

Mark w Langberg, DDS
26206 West 12 Mile Road #303, Southfield, MI 48034
(248) 419-4508
www.‎drlangberg.com

National health studies estimate that up to 57% of people in the U.S. don’t see a dentist regularly.  The Washington Department of Health states that 164 million hours of work are lost each year in the U.S. due to dental disease.  These lost wages and the overall effect on the nation’s economy runs into the billions of dollars.  Additionally, according to a study by Western Reserve University, 51 million school days are lost by students due to tooth/oral pain.

I Mark W Langberg, DDS, FAGD have been highly trained to make adult oral sedation dentistry treatment available at my office to help treat the estimated 30% of the population who avoids dental care due to fear.  Most of these people can be safely and effectively treated with the assistance of oral sedatives.  Patients who were once anxious and fearful — and put off having their dental work completed — can receive their dental care while they are totally relaxed and comfortable.

Oral sedation dentistry can help reduce the mounting economic costs and repercussions of untreated dental disease.  It enables patients to overcome their dental fear and allows them to receive care in the most comfortable and efficient way possible.  Additionally, oral sedation enables me to perform more dentistry in a single visit, meaning fearful patients don’t have to return as many times to complete their treatment, saving time, money, and anxiety!

Feel free to contact me for more information if you or someone you know is staying away from the dentist due to fear or anxiety.  There is a growing number of adults who have conquered their dental fears through the calming and relaxing effects of oral sedation dentistry, and we are ready and able to help!

Until next time,

Mark w Langberg, DDS
26206 West 12 Mile Road #303, Southfield, MI 48034
(248) 419-4508
www.‎drlangberg.com