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Cancer Treatment-Related Complications In The Mouth Each year about 400,000 people with cancer develop treatment-related complications in the mouth ranging from lesions to chronic dry mouth to bone disintegration. If serious, these complications can be life threatening. While many are unavoidable, some can be prevented or minimized. It is recommended that whenever possible, a pre-therapy dental evaluation with a full set of mouth x-rays be performed. Any decay, gum disease and abscesses should be treated, if time permits, prior to chemotherapy and/or radiation therapy. Even patients who have no pain or dental disorders need a thorough cleaning. The goal should be to have the patient's mouth in optimal health prior to beginning anti-cancer therapy. Crisis Treatment Many people don't see a dentist on a regular basis. They go only when they feel they have a problem. We call this "crisis treatment" as opposed to "preventive treatment". While these patients may feel they are saving money, it usually ends up costing much more in both dollars and time. The reason for this is that most dental problems don't have any symptoms until they reach the advanced stages. An example is tooth decay. We hear all the time, "Nothing hurts...I don't have any problems". But tooth decay doesn't hurt! Until, that is, it gets close to the nerve of the tooth. Then a root canal and crown are usually necessary, instead of the small filling, which could have been placed several years ago when the cavity was small. We can usually detect a cavity 3-4 years before it may develop any symptoms. It is not uncommon to see a patient with a tremendous cavity and they have never felt a thing! Dental Disease During Pregnancy 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. 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. Dry Mouth 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 effect should be encouraged to see their dentist for regular dental cleanings and topical fluoride rinses. Infections in Joint Replacements Can Be Instigated By Severe Gum Problems A thorough dental examination for presence of tooth and gum infection is recommended 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. Lost Teeth Impact Total Health In the past, the loss of teeth (edentulism) 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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Family First Dental Center of Leesburg |
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General & Family Dentistry |
703-777-1515 |
