Dentures: Holding On or Letting Go?

Dentures: Holding On or Letting Go?

I’m willing to bet that many people have a favorite pair of shoes – worn, comfortable, familiar. But what if those shoes start causing more harm than good? The same can be true for dentures, especially when we cling to them long after they’ve overstayed their welcome. In my years as a dentist, I’ve seen countless patients holding onto ill-fitting dentures. Often, the only reason they were I my office at all is that they were brought in by concerned family members who noticed that their dentures looked more like dancing puppets than teeth.

Holding on to dentures for too long is like driving a car with bald tires. You might convince yourself it’s okay, but the risks lurk beneath the surface. Over time, dentures lose their fit as bone recedes, causing instability and potentially painful sores. And let’s not forget the impact on digestion and even your appearance. That sunken profile you’ve gotten used to? A new, properly fitted denture can restore it, sometimes even shaving years off your look.

The American Dental Association recommends a refresh about every five years. That could be a reline or a remake, to keep your dentures in harmony with your changing mouth. Some scoff at that, claiming their ten-year-old choppers are doing just fine. But here’s the secret: small, incremental changes are much easier to swallow than a giant leap many years down the line. When you update regularly, the transition is seamless, like slipping into a well-worn but freshly polished pair of shoes. When you wait fifteen, twenty, or twenty five years before replacing dentures, getting use to the new set can seem impossible.

Implants offer a revolutionary option for some, anchoring dentures like sturdy roots. But not everyone can or wants to go that route. For them, the choice boils down to two paths: hold on to the familiar, wobbly comfort, or take a leap of faith with new dentures.

Today, I wear a different hat. Experience has taught me to read the situation, to gauge whether my efforts will truly benefit the patient. If stubbornness trumps logic, it might be time to let go of the case, especially if it doesn’t appear that any help will be well received. But for those open to rediscovering the joys of proper fit, improved digestion, and a revitalized smile, I am ready to guide them on that journey.

Holding onto old dentures, like those worn-out shoes, can be tempting. But remember, comfort shouldn’t come at the cost of your health and well-being. Talk to your dentist, explore your options, and embrace the possibility of a brighter, healthier smile. After all, sometimes, letting go is the best way to move forward.

Unlocking the Power of Vitamin A: A Dental Delight! 🌟

Unlocking the Power of Vitamin A: A Dental Delight! 🌟

Welcome to another chapter of our supplement exploration journey—Vitamin A! Beyond its renowned role in vision and immunity, let’s delve into the dental wonders this vitamin brings to the table.

🔍 The Basics of Vitamin A: 🔍

Vitamin A exists in two primary forms: retinoids (found in animal sources) and carotenoids (abundant in colorful fruits and vegetables). These compounds are superheroes for your overall health, but what about your pearly whites?

Dental Benefits of Vitamin A:

Gum Health Guardian: Vitamin A plays a crucial role in maintaining the health of your gums. It supports the integrity of mucous membranes, preventing issues like gingivitis.

Tooth Enamel Ally: Vitamin A contributes to the formation and maintenance of tooth enamel. Strong enamel is your first line of defense against cavities and sensitivity.

Immune Booster: A healthy immune system means your body, including your mouth, can ward off infections. Vitamin A strengthens your immune response, keeping oral infections at bay.

💊 Getting Your Dose: 💊

Natural Sources: Include foods like sweet potatoes, carrots, spinach, kale, and liver in your diet.

Supplements: If needed, opt for Vitamin A supplements, especially if your diet lacks sufficient sources.

🌐 Connecting the Dots: 🌐

Maintaining optimal oral health is a holistic journey, and Vitamin A is your companion in this quest. From supporting gum health to fortifying tooth enamel, its benefits extend beyond skin-deep.

Stay tuned for our next supplement spotlight as we uncover more gems for your health and your smile! Because here at ToothWiz, we believe in the magic of a healthy smile. 😁🌿 #VitaminA #DentalHealth #OralWellness #SupplementSpotlight #ToothWizTips

When was the last time you had a dental exam?

When was the last time you had a dental exam?

Many people believe that since they aren’t experiencing dental symptoms – like tooth pain or bleeding gums – then all must be well.

Unfortunately, a sizable number of dental problems, including cavities and periodontal disease (bone loss around your teeth), just don’t produce obvious symptoms in their early stages.  At least not symptoms that tend to be obvious to patients.

In fact, by the time people the average person experiences pain, his dental issue is typically pretty far along.  And all too often, by then, the problem can also be quite expensive to handle.

It might amaze you to discover the types of problems your average dentist encounters every week, many of which you would expect to be painful, but they just aren’t.  They can still result in tooth loss though.

Pretty much anyone who has ever worked in a dental office for any length of time will tell you this is so.  And they will tell you that you can inform some people that they have a problem, but unless it is “real” to them, they just won’t do anything about it.

They may come back a few years later (or maybe sooner) – usually with an emergency – desperately wanting to save the tooth that you told them about earlier.  Of course, by now, it may be too late.  And very often they will have forgotten it was ever discussed at all, because it was never a realistic problem for them to begin with.

Human nature can be funny that way.

So, keeping that in mind, it’s generally a good idea to get checked out by a dentist.  Regularly.

The best news you can hear is that everything looks great.

But sometimes getting a confirmation that you don’t have cavities or gum disease is not the only reason to get a dental exam.  Over the years, I have detected cancer (not just oral cancer) – as well as a host of other non-dental problems – that might have been overlooked had the patient not scheduled an exam.  Obviously, we refer patients to an appropriate specialist for treatment when we discover medical problems outside the scope of dental practice.

Other benefits of getting a dental exam:  I can recall many patients who told me that what they thought were unrelated health problems simply resolved when their oral problems were gotten under control.  These have included digestive problems, low energy problems, elevated blood cell counts, hypertension, and more.

Over the years, some people have told me they don’t want to get a dental exam because they don’t want to discover they have any problems.   I guess that works.

Just maybe not too well.

Your overall health is connected to your oral health.  Take a look at this infographic.  Then think it over. . . .

Why You Need Vitamin P

Why You Need Vitamin P

First of all, what the heck is vitamin P?  First discovered around 1936, the term is hardly used anymore – except maybe euphemistically for Prozac (fluoxetine) – which you definitely don’t need, unless you like playing Russian roulette with your health.  Prozac is widely regarded as one of the most dangerous drugs on the market. More about that some other time, perhaps.

But, real Vitamin P is better known today as a plant classification called flavonoids or bioflavonoids.

[Because of my interest in natural health, I subscribe to a number of health-related newsletters.  One of them (and I recommend this newsletter to anyone interested in sensible health and nutrition) recently reminded me of a subject I have already written about on a number of occasions. Namely, the importance of controlling inflammation, actions one can take to do so, and the nutrients that can assist with this problem. The newsletter I’m referencing here is called Health Alert, by Dr. Bruce West. Much of what follows in this posting comes from that source.  If you are interested in subscribing, their number is 831-372-2103.  I receive no financial benefit by recommending them.  It’s just good information.]

Nevertheless, here’s why real vitamin P is important to your health, and yes, even more specifically – to your dental health:

The cells that line your blood vessels are truly amazing in terms of all the functions they provide.  Their end-result have a great deal to do with how you heal.  But they can’t do their job without the adequate nutrition that they need.  And the prime nutrient required by these cells is vitamin P.  Originally, vitamin P was named for an extract of paprika.  Today, we know it better as bioflavonoids.

But if you are deficient in vitamin P, you are likely suffering from sub-clinical scurvy.

At one time, scurvy was considered deadly.  Today, it is looked upon as an old disease that has been pretty much eradicated.  But the less deadly version – sub-clinical scurvy – can be found in much of the American population.  It’s even possible you may have it.

And while you probably won’t die quickly from scurvy as people did centuries ago, your odds of dying from damage to your blood vessels and the resulting strokes and/or heart attacks are significantly increased.  If you notice your toothbrush looks a little pink when you brush, or if you have outright bleeding gums, or possibly blood stains on your skin as a result of leaking blood (Schamberg disease), or you have been diagnosed with coronary artery disease, blood clots, plaque, stroke, heart attack, deep vein thrombosis, peripheral artery disease, and most other circulatory problems – you are suffering from sub-clinical scurvy and you need vitamin P.

Vitamin P feeds the lining cells of your blood vessels – called endothelial cells – and can restore your health after they have been suffering from a vitamin P deficiency.  That makes vitamin P a natural anti-stroke, anti-clot, and anti-heart attack nutrient.  It will help regenerate your endothelial cells to heal your blood vessels properly. It will even help to keep your blood flowing better (by making them less stick and sludgy) without the many side effects of poisonous blood thinners.

As a dentist, I know that vitamin P is also helpful in your fight against gum disease and tooth loss.  More teeth are lost (worldwide) due to periodontal disease (bone loss around the teeth) than to any other factor.  Vitamin P deficiency has a lot to do with this.  But it doesn’t end there. Because of its direct effects on collagen, vitamin P can also help you with ulcerative colitis, frostbite, arthritis, varicose veins, hemorrhoids, and more.  It is even protective against radiation damage.

But, by far, its main benefit is to the linings of your blood vessels.  And when it comes to your gums that’s crucial.

All kinds of products claim to be able to heal your blood vessels.  Frankly, most of them don’t work.  If you truly want to heal your blood vessels, then the most effective source of vitamin P, by far, is the juice of deep green buckwheat leaves harvested at the time of their peak nutritional content.  Possibly, the most powerful bioflavonoid in buckwheat juice is called rutin.  Now, most of us aren’t going to start an organic garden to grow buckwheat — that we then harvest at the optimal time — and then make juice from the leaves.  And, fortunately, we don’t have to.

One company – Standard Process – does that all for us.  They make the supplement Cyruta-Plus in a tablet that contains all the life force, nutrients, and bioflavonoids of the juice itself.  If you have gum problems, or any of the other problems listed above, 2-4 tablets of Cyruta-Plus 3x daily, would be a good place to start.  Give it one to two months to help repair the damage already caused by what has probably been a long-term deficiency.

If you are not easily convinced and need additional proof (other than observing the results for yourself), you can ask your doctor to have your CRP (C-reactive protein) level checked.  Most people with blood vessel inflammation will have an elevated CRP in their blood.  If this is you, this is an inflammation marker, and your chance of having a heart attack or stroke becomes significantly higher.

You might be tempted to try one of the advertised “super-potent, artery scrubbing” anti-oxidants which are advertised, like reservatrol or ascorbic acid.  Go ahead and try it.  Then have your doctor order a new CRP blood test.  After that treatment fails, try Cyruta-Plus (9 – 12 daily for 30 days) and get one more blood test.  See what happens.  Chances are you will be both shocked, and happy.

Not only will you have helped your gums and teeth, but you will have lowered your risk of heart attack and stroke, you will have helped your joints by improving arthritis, your gut will enjoy better digestion, your skin will thank you, as will your legs.  Plus, the potential for living longer is not a bad result either.

Why You Should Use Common Sense – At Least When It Comes to Oral Health

Why You Should Use Common Sense – At Least When It Comes to Oral Health

Common sense.  Does it seem to you that this has become a rare commodity nowadays?  Possibly, then, it is really uncommon sense that we should be talking about.

The latest example of an affront to logic – at least for me – lies in the latest media challenge to oral health.  This morning various news agencies including The New York Times, suggested that maybe flossing is really overrated.  Apparently, “officials” have never researched the effectiveness of regular flossing.

Now, millions of people are likely to jump on this as a justification for not flossing.  But, in reality, the new media sensation is probably not going to change very much at the end of the day.  Why?  Because I can confidently tell you – based on more than 25-years of personal experience – most people don’t floss anyway.  About all this latest “research” will promote is the possibility that some people will feel just a little less guilty about what others with any sense (common or uncommon) already understand is a pretty good idea.

But, it makes for good press.  Doesn’t it?

Just for the sake of argument, let’s assume that flossing doesn’t remove plaque.  Heck.  Some people fail to remove plaque with a toothbrush.  That doesn’t mean either fails to benefit the patient, if done properly.  I can think of several reasons why flossing helps, though:

  • Passing floss between the teeth sweeps out the contact point between them – meaning the points where they touch. That’s a source of about 30% of all tooth decay.  Your toothbrush typically doesn’t reach those areas, unless you have gaps between your teeth.  Floss does reach those areas.
  • Flossing stimulates blood flow in the gums. One of the body’s first-line mechanisms of defense is to increase blood flow to an affected area.  You are effectively helping your body do this in a controlled manner by flossing.
  • A number of the bacteria under your gums are anaerobic bacteria. That means they don’t grow in room air. So what is a person introducing into the gum pocket when they pull back their gums by flossing?  Could it be . . . air?  Is it possible that the oxygen in the air could kill some of those bacteria as well?

Think about it.

If we can set aside this newly created question of doubt for just a moment, I would propose that you ask yourself the following question:

“Have I ever flossed consistently?”

By this, I mean every day, and it would have to have included doing so for at least two weeks.

This question is particularly directed to someone if they ever had a gum problem like gingivitis or periodontal disease.  Sure, one needs to get rid of tartar and control bacteria as well, but for patients that make the effort to floss (and with only a few qualifications that I can think of), it is almost a sure bet that their gums got better as a result of the daily exercise. First of all, the gums probably bled less afterward.  Not in the beginning – to be sure – but after about two weeks of flossing every day, we typically see positive change.  Breath improves too. An overall sense of well-being is not out of the question either.

When it comes to flossing sporadically, I agree.  It doesn’t help much.  It’s kind of like exercising once or twice a month.  And let’s face it, that’s where most of the population lives when it comes to flossing — once in a blue moon.  Is regular exercise effective, though?  What does your common sense tell you?

Why would I hold on to this idea in the face of “new evidence”?  Well, I have seen flossing help too many times to just call it a coincidence.  Hard core scientists might say “Oh, well, that’s just anecdotal evidence.  It doesn’t stand up to real scientific scrutiny.”  OK.  Then survey practicing dentists.  Let’s see if I’m the only one with that observation and experience.  I doubt it.

I’m not saying flossing is the only thing you need to do to have healthy gums.  It isn’t.  Diet and good nutrition are paramount.  A healthy immune system doesn’t hurt either.  But for Pete’s sake, flossing is cheap, really not all that hard to do once you have practiced it for a while, and it can end up saving you a lot of money in the long run.  With health care costs being what they are, I can’t think of too many actions a person can take that bear as much fruit and keep money in their pockets.

But, if the media has just succeeded in making you feel better about not flossing, then OK. Bully for them. (Heaven knows, they do a top notch job spending most of their time getting people to feel less than great.)

And, I suppose there are other ways to handle tooth loss – which, by the way, happens a lot more from gum disease than tooth decay.

I Never Thought It Would Happen to Me

I Never Thought It Would Happen to Me

I have little doubt that some patients who visit a dentist and are told they have decay, but don’t experience any symptoms, are convinced that someone is trying to pull the wool over their eyes.  There are probably several reasons for this.  Possibly, they had been to some unscrupulous person in the past who suggested they had a problem, when they really didn’t.

I can see how that might create skepticism. I mean, it’s conceivable that sort of thing could happen.

But even if that were the case, I sincerely don’t believe it represents the behavior of a majority of dentists.  Most of the dentists I know genuinely care about what they do and the people they treat.  So maybe these skeptics are just people who don’t trust anyone.  I don’t know.

The reality, though, is that these patients will eventually be in for a big surprise when the you-know-what hits the fan.  Or – and let’s keep this a family column — when the decay hits the nerve.

But that could take a while.

And I believe that could be where some of the problem lies. A  patient tries to use this to their advantage — they want to buy some time.  After all, it’s not really being a “problem” for them in that they don’t perceive anything as being different.  When the problem eventually does occur, I usually hear: “I never thought it would happen to me.”

A doctor detecting treatable decay usually recommends that the patient handle it at their earliest opportunity.

Why? Well, the patient can catch the problem when it is small, when it is less likely to cause post-operative discomfort, and when it will generally cost them a lot less.

But, first, let’s back up a little and explain why it’s possible to have a cavity – several in fact – and have absolutely no symptoms.

Most decay starts on the outer surface of the tooth called the enamel.  It’s roughly 97% mineral in consistency and does not contain nerves.  That means it has no feeling.  Practically zero.  Your dentist could DRILL on that part of the tooth and most of the time you won’t feel it.

Notice that in the earlier paragraph I mentioned “treatable” decay.  Well, when would decay not be treatable right away?  I can’t speak for other dentists, but I typically won’t treat decay when it is confined to the enamel.  Why?  It has the potential to re-mineralize.  In other words, it has the capacity to fix itself – that is, if you don’t continue to do the things that led to the cavity in the first place.  Usually, this is related to your diet, but it can be affected by hormones, or even medications.

Why not mention home care first?  Isn’t that important too?  Of course it is.  It just may not be the most important factor.

Another time a dentist might not treat a cavity could relate to the age of the patient. For a much older patient, there are times when the pain or infection are not likely to come up before the patient passes.  Of course, your dentist doesn’t have a crystal ball on that point.  (Well, probably not.) But, it wouldn’t make sense to recommend treatment in the majority of those cases.

And this takes us back to the nature of a cavity.  They often take a long time to get bigger. (But not always…. Again, no crystal ball here.)  The reason has to do with the hardness of the enamel itself.  Enamel, for you trivia lovers, is the hardest substance in your body.  It’s harder than bone, and that property, along with the lack of sensation, can be problematic.

Here’s why: a cavity is often quite small on the outside of the tooth.  It’s actually difficult for decay to work its way through that hard enamel.  Most of the time it burrows a narrow channel down to the dentin (only a couple of millimeters away) and then it really starts to spread.  Because dentin is softer than enamel, it’s just easier for it to spread more quickly there.  By the way, this additional, and deeper, decay – very often still doesn’t hurt – as long as it is far enough away from the nerve.

Meanwhile, your enamel is, for the most part, continuing to hold its form.  That stuff is hard.  But things are generally hollowing out on the inside of the tooth now — out of sight and out of mind — as the decay continues to spread. Painlessly.

Eventually, your tooth can become very much like an eggshell.

Then one fine day you bite on something, and the hard enamel that was still doing its job holding the form of the tooth caves into the hole below.  It just got too thin.

Now, at this point, does the skeptic understand that he got a cavity?  Sure.  Some of them finally get it.  But for others –no!  It’s more like: “Hey that blowhard dentist was obviously wrong because he talked about me having cavities years ago, and look – I did fine until now.  In fact, I probably just lost a filling!  Jeez, this hole just came out of nowhere.  It’s probably the fault of some earlier dentist.”  (Um, Mr. Skeptic never got the filling though.  Remember?)

“Hey doc, how much is this going to cost me?  $2,400?!!! (For a root canal, buildup and crown.) Are you insane?  Just pull it.”

Now you are going to be missing a tooth, and may lose even more teeth as a result.  Yet, when the doc first mentioned it, that cavity was only going to cost $150.  How can it suddenly become sixteen times more expensive?!

“Rip-off artist.  Seems you can’t trust anyone. . . .”

You CAN Take Care of Your Teeth

You CAN Take Care of Your Teeth

The idea that losing teeth is an inevitable part of aging is a common misconception. While it’s true that tooth loss occurs more frequently among older adults, it’s not a foregone conclusion. With proper oral care and preventive measures, you can keep your natural teeth healthy and strong well into your later years.

Why Tooth Loss Occurs

Tooth loss can be caused by various factors, including:

  • Gum disease: This is the leading cause of tooth loss in adults. Gum disease is an infection that affects the soft tissues around the teeth, eventually destroying the bone that supports them.
  • Tooth decay: This is caused by bacteria that build up on the teeth and form plaque. Plaque produces acids that can erode the enamel, the hard outer covering of the teeth. If left untreated, tooth decay can lead to cavities and eventually tooth loss.
  • Trauma: Injuries to the mouth or teeth can also cause tooth loss.
  • Other health conditions: Certain medical conditions, such as osteoporosis and diabetes, can increase the risk of tooth loss.

Preventive Measures

The good news is that you can take steps to prevent tooth loss and maintain healthy teeth for a lifetime. Here are some key strategies:

  • Practice good oral hygiene: This includes brushing your teeth twice a day for two minutes each time, flossing daily, and using a mouthwash.
  • Visit your dentist regularly: For professional cleanings and checkups.
  • Eat a healthy diet: Limit sugary foods and drinks, which can contribute to tooth decay.
  • Quit smoking: Smoking increases the risk of gum disease and other oral health problems.

In addition to these general recommendations, there are some specific things you can do to protect your teeth as you age:

  • Use a toothbrush with soft bristles: Hard bristles can damage your gums and enamel.
  • Consider using an electric toothbrush: Electric toothbrushes can be more effective at removing plaque and bacteria than manual toothbrushes.
  • Get regular fluoride treatments: Fluoride can help strengthen your teeth and prevent decay.

Myths about Tooth Loss and Aging

There are several common myths about tooth loss and aging. Here are a few of the most prevalent:

  • Myth: Losing teeth is a natural part of aging.
  • Fact: While tooth loss is more common among older adults, it’s not inevitable. With proper oral care, you can keep your teeth healthy for a lifetime.
  • Myth: You don’t need to see the dentist as often as you get older.
  • Fact: It’s important to continue seeing your dentist regularly for checkups and cleanings, even as you get older. Regular dental care can help detect and prevent problems early on.
  • Myth: There’s nothing you can do to prevent tooth loss.
  • Fact: There are many things you can do to prevent tooth loss, including practicing good oral hygiene, eating a healthy diet, and quitting smoking.

Losing teeth doesn’t have to be a part of aging. With proper care and preventive measures, you can enjoy a healthy smile for a lifetime. Talk to your dentist about ways to keep your teeth healthy and strong as you age.

Additional Resources