Our patients often ask us about oil pulling, or ‘swishing’: it’s an alternative treatment purported to rid your body of unwanted bacteria through the process of swishing vegetable oil (mostly coconut oil) around your mouth. Those who swear by the process claim that it whitens teeth, fights bad breath, and gets rid of bacteria stuck in hard to reach places. We totally support alternative wellness, even when it comes to your teeth. Understand that oil pulling may sound like a great alternative oral care solution, but it can never replace brushing and flossing. Here's some real talk about oil pulling and how we think it can be beneficial: What is oil pulling? The process of oil pulling involves putting a tablespoon of liquid vegetable oil, often coconut oil, into your mouth and swishing it around for 20 minutes before spitting it out and brushing it away with a toothbrush and toothpaste. The process gets its name partly from the pushing and pulling of the oil through teeth and mouth, and partly from the way the oil is supposed to pull icky stuff out of your mouth tissues. The longer you push and pull the oil through your mouth, the more microbes are pulled free. The oil needs to be swished around long enough for it to turn a milky white, which indicates that the bacteria has been "pulled" off. After roughly 20 minutes the solution is filled with bacteria, viruses and other organisms; at this point, the person spits out the oil and rinses thoroughly with water. How does oil pulling work? The number of bacteria found in our mouths is usually between 1,000 and 10,000 on each individual tooth. It may sound like a lot, but these guys are tiny! Each of these bacteria have a fatty outer coating, and when they come into contact with another fatty substance, such as oil, they have a tendency to stick to that substance. Since liquid oil has the ability to get into hard to reach areas of the mouth that a toothbrush would miss, it is thought to be able to pick up bacteria that may have otherwise stayed hidden. People that “oil pull” state that it has helped whiten their teeth, alleviate halitosis, and even reduce gingivitis. In many cases, people also claim that it helps “prevent” cavities, as well as relieve gum and tooth sensitivity. What we believe There is clear evidence that many diseases and conditions are influenced by the mouth’s ecology and bacteria, and we understand the topic of oil pulling is valid when patients wonder why oil pulling has been encouraged by dental professionals as a supplemental therapy for patients, especially if we are in the business of “preventing” oral health problems. We support holistic approaches to your oral care. You just have to be smart about it and consider your individual dental health: there are certain types of infections that oil pulling will not resolve, and you have to be aggressive about treating those. It won’t take away raging gum infections or cavities. Oil pulling may remove bacteria, but it doesn't kill bacteria, and that's a big difference. BOTTOM LINE If oil pulling is used alone, without regular brushing and flossing, then no, it is not an effective way to keep your mouth healthy. It will not heal existing decay. However, when used in conjunction with proper daily brushing and flossing habits as a preventive measure, it may improve bad breath, help to decrease staining, and benefit in other ways. If you have dry mouth issues, we absolutely believe pre-bedtime oil pulling can be helpful.
Because developing good habits at an early age and scheduling regular dental visits helps children get a good start on a lifetime of healthy teeth and gums, February is designated for National Children's Dental Health Month. Now in its 63rd year, this month-long national health observance brings together thousands of dedicated dental professionals, health care providers and others to promote the benefits of good oral health to children and adults, caregivers, teachers and many others. Untreated dental care remains one of the most prevalent diseases affecting children and young people’s ability to speak, eat, play and socialize. We believe in innovative oral health education so that parents and children understand the impact of sugar on teeth and the importance of a good oral hygiene regime. A few key lessons include: Teach kids about how sugar impacts their teeth. We might understand it, but it can be hard for children to understand that the fizzy drinks they’re consuming and the sweets they’re eating are directly impacting their oral health. With very young children, delay introducing sugary drinks as long as possible. If they only have milk and water, they don’t want anything else. As they get older, you can discuss the sugar content of products and make your child aware of the risks. Sometimes it comes down to showing children how much sugar is in their food. Encourage oral hygiene by example. Children will understand the importance of tooth brushing if they see their parents taking care of their teeth. There are a few ways parents can help teach kids that looking after their teeth is important from an early age: make it part of your everyday routine, brush before bed and at one other time during the day. Make sure you have time to do this properly with the children. We often advise that children’s brushing should be monitored until they are seven years old. We also prefer that parents get children involved as much as possible. Get them to pick a toothbrush with their favorite character, or play their favorite music while they're brushing (there are even apps for this!) There are also mobile games which you can brush along to ‘kill all the bugs’ which help motivate them. A reward chart to track their brushing habits and also diet habits too are great ways of getting them actively involved. The next big step is to get them to the dentist - something kids can (understandably) get scared about. We'll have tips for calming nerves and preparing your child in an upcoming blog.      
[caption id="attachment_1911" align="aligncenter" width="584"] image via Unsplash[/caption] There's nothing like jamming a waxed piece of string between your tightest molars and sliding it back and forth. And who doesn't do that once a day, just as the dentist prescribes? Well, a lot of us. Twenty-seven percent of adults lie to their dentists about how often they floss their teeth, a survey released Tuesday found. Not only that, but more than a third of people surveyed would rather be doing unpleasant chores than flossing their teeth daily. Fourteen percent would rather clean the toilet. Nine percent would rather sit in gridlock traffic for an hour. And 7 percent would rather listen to small children crying on a plane. Actually, that 27 percent sounds awfully low. When we called up Dr. Joan Otomo-Corgel, a periodontist and president of the American Academy of Periodontology, which conducted the survey, she said: "Is that all?"
There's nothing like jamming a waxed piece of string between your tightest molars and sliding it back and forth. And who doesn't do that once a day, just as the dentist prescribes?
She's not the only oral health professional who thinks many patients are fibbing when they say they're flossing. "I am shocked," says Dr. Sally Cram, a periodontist and spokesperson for the American Dental Association, via email. "Given my experience with patients in my practice I thought it would be higher!" Indeed, a similar survey by the dentists' association found that only 4 in 10 Americans floss every day; 20 percent never do. Some people find it so repulsive that they'd rather be doing nearly anything else. "Cleaning the toilet?" Otomo-Corgel laughs. "I don't think so. Maybe ironing." So what makes us hate flossing so much? "It's a lot of work," Otomo-Corgel admits. Though the ADA says it should only take an extra couple of minutes a day, it can seem like an eternity. The floss is hard to get between your teeth. It makes your gums bleed. It's slimy. Tiny particles of food are flung onto your bathroom mirror. And there's no immediate payoff, like the fresh-breath feeling you get from brushing your teeth. The benefits of flossing may be intangible, but they're real. Flossing helps by removing plaque, a sticky film of bacteria and saliva. This goop collects below your gum line and can eventually harden into tartar. If the bacteria cause inflammation, well, that's periodontal disease. Untreated it can lead to receding gums, tooth decay and tooth loss. Periodontal disease is extremely common; one in two people have it, Otomo-Corgel says. But it's preventable with proper oral hygiene. Which means brushing twice a day, flossing once a day and seeing a dentist or periodontist regularly. Flossing correctly, Otomo-Corgel stresses. Bleeding is normal, because it means you're cleaning out infection; pain means you're doing it wrong. The ADA has a step-by-step guide, and even a video on how to floss right. What about alternatives to flossing, for those of us who would rather be in gridlock traffic? Proxabrushes are skinny brushes that fit between teeth. Stim-U-Dent picks or even regular toothpicks may work to remove plaque. But, Otomo-Corgel warns, if your teeth are close together, you'll need to use dental floss. "Flossing is simple once you've learned how," she says. And it's the best way to prevent gum disease, along with regular visits to the dentist. Who, by the way, can tell if you're lying. via NPR
[caption id="attachment_1597" align="aligncenter" width="900"]istockphoto.com istockphoto.com[/caption] It’s the most wonderful time of the year… holiday parties, social occasions galore and, of course, mistletoe! Whether you’re holiday plans are filled with company parties or gatherings with old friends, the last thing you want to do is make an unpleasant impression with bad breathe, teeth stains, or spinach and artichoke dip stuck in your teeth. How can you keep your teeth clean and your breath fresh during your holiday parties and get togethers without going to the bathroom every 5 minutes to check in the mirror or brush your teeth? Here are 3 simple tips: Drink to your health (and your breath). If you want to keep your smile bright, you should avoid drinking soda, black tea, coffee and red wine, which can stain your teeth. If you do drink these, the best way to avoid stains is to rinse your mouth with water immediately after consuming these beverages. Water helps keep bad breath under control because it washes away food particles and bacteria, the primary cause of bad breath. It also helps you avoid “dry mouth,” another cause of bad breath, by staying well-hydrated. Take advantage of the healthy holiday snacks. While the spread at many holiday parties consists of lots of sweets and libations, there are some healthy holiday snacks that can keep your teeth clean and your breathe fresh. Parsley and peppermint are two staples during the holiday season and can be extremely helpful when you’re in desperate need. Parsley is a breath-saver because it contains chlorophyll, a known breath deodorizer. You can also splash a drop of peppermint oil into your sparkling water and you are good to go for hours. We wouldn’t recommend it in your beer though. Keep quick cleaning basics close by. It might be impossible for you to brush your teeth each time you eat or between parties. Portable oral care basics like floss, Whisps, and mouthwash are great ways for a quick freshen up. They can also help remove the bacteria from hidden spaces that can’t be flushed out just by drinking water. Whatever your plans are this holiday, we hope that your days (and your teeth) will be merry and white. Happy Holidays from our entire staff!
[caption id="attachment_1501" align="aligncenter" width="564"]photo via Pinterest photo via Pinterest[/caption]

Manual Toothbrush/PROS:

  • Thoroughly clean teeth with proper brushing technique. Brushing only takes 2 minutes and you can most definitely keep your teeth at a grade A+ level with a manual toothbrush.
  • Multiple toothbrush styles, bristles, heads and colors to choose from. You have the ability to choose soft bristles if you have sensitive gums, and a smaller head if you have a smaller mouth. Some brands even make special prints on toothbrushes for children. Nevertheless, you’ll never be short of options with manual toothbrushes.
  • Easy to travel with. All you need is a toothbrush case and you’re all set to go for your trip. No need to worry about batteries or charging outlets.
  • No batteries or charging.
  • Inexpensive and often free whenever you make a trip to your dentist. Keep in mind that you should ditch your toothbrush after about 3 months of use.
Manual Toothbrush/CONS
  • More work.
  • No timing. Manual toothbrushes require you to guess how long your brushing session will last (unless you set a two-minute timer).
Electric Toothbrush/PROS:
  • Easy to use. With a powered toothbrush, all you need to do is place the toothbrush at a 45° angle and let the toothbrush do all the work.
  • Less work for better results. Studies have shown that electric toothbrushes do a better job of cleaning your mouth and removing plaque and gingivitis.
  • More fun to use for children. Children like to take the easy way out on chores. If a child never brushes their teeth because they don’t want to, try having them use an electric toothbrush. It’s less work, it tickles their teeth, and the timer will let them know they’re all done! It’s a lot easier (and more fun).
  • Built in timer. Electric toothbrushes use a built in timer that stops the toothbrush once two minutes are up; no more guessing!
Electric Toothbrush/CONS:
  • Charging. You’ll either have to charge your toothbrush or replace its batteries.
  • Cost. Electric toothbrushes cost significantly more than a manual toothbrush. There are several types of powered toothbrushes but be prepared to pay more than you usually do.
  • Not as easy to travel with. Traveling with an electric toothbrush can be a hassle. They are bulky and bringing a charger along doesn’t help with room constraints.
  • Easy to break. Dropping your toothbrush can be fatal. You have to be more careful whenever using an electric toothbrush.
One last thing to point out: there have been a few studies that prove electric toothbrushes remove statistically significant more plaque compared to manual toothbrushes and are better at fighting gum disease. Despite the studies, your oral health will remain healthy (despite which type of toothbrush you use) as long as you consistently take care of your teeth. If you are on the fence of buying a powered toothbrush, talk to Dr. Clark the next time you come in for a cleaning. Studies http://www.dentalcare.com/media/en-US/research_db/pdf/Page31_2580.pdf http://www.webmd.com/oral-health/news/20050419/study-advantage-seen-in-electric-toothbrushes Resource: Jefferson Dental Clinic

How Does Chemotherapy Affect the Mouth?

Chemotherapy is the use of drugs to treat cancer and other diseases. These drugs kill cancer cells, but they may also harm normal cells, including cells in the mouth. Side effects include problems with your teeth and gums; the soft, moist lining of your mouth; and the glands that make saliva, as well as an increased likelihood of cold sores and other mouth infections.

It’s Important to Know Side Effects in the Mouth Can be Serious

  • The side effects can be painful and make it hard to eat, talk, and swallow.
  • You are more likely to get an infection, which can be dangerous, when you are receiving treatment.
  • If the side effects are bad, you may not be able to keep up with your cancer treatment. Your doctor may need to cut back on your treatment or may even stop it.

What Mouth Problems Does Chemotherapy Cause?

The problems depend on the chemotherapy drugs and how your body reacts to them. You may have these problems only during treatment or for a short time after treatment ends.
  • Painful mouth and gums
  • Dry mouth
  • Higher risk of cavities
  • Burning, peeling, or swelling tongue
  • Infection
  • Change in taste

Why Should I See a Dentist?

If you go to the dentist before chemotherapy begins, you can help prevent serious mouth problems. Side effects often happen because a person’s mouth is not healthy before chemotherapy starts. Not all mouth problems can be avoided but the fewer side effects you have, the more likely you will stay on your cancer treatment schedule. It’s important for your dentist and oncologist to talk to each other about your cancer treatment. Be sure to give your dentist your oncologist’s phone number.

When Should I See a Dentist?

You need to see the dentist at least two weeks before your chemotherapy begins. If you have already started chemotherapy and didn’t go to a dentist, see one as soon as possible. You should also see a dentist as recommended or needed during and after treatment.

What Will the Dentist and Dental Hygienist Do?

  • Check your teeth and gums.
  • Take X-rays if necessary.
  • Take care of mouth problems - especially infected teeth which may cause problems later.
  • Show you how to take care of your mouth to prevent side effects.

What Can I Do To Keep My Mouth Healthy?

See a dentist before you start cancer treatment. Ask about whether you may need artificial saliva, fluoride, and/or other rinses. Once your treatment starts, look in your mouth every day for sores or other changes. These tips can help prevent and treat a sore mouth. LEARN MORE about your oral care during cancer treatments. Resource: Delta Dental
TMJ HeadachesNearly everyone on occasion experiences a throbbing headache that interferes with concentration at work or school, or saps the joy from the day. But sometimes the source of that headache can be surprising. For many people, the pain that emanates from the head can be traced back to their teeth, their bite relationship and the alignment of the lower jaw. With many headaches, the cause could be the temporomandibular joint, or TMJ: the place at the front of the ear where the lower jaw and the temporal bone on the side of the head meet. Sometimes the bite and the lower jaw are out of alignment, putting additional strain on muscles, which leads to the headaches. And for many, TMJ headaches aren’t going away because people try to mask the pain with medication rather than correct the underlying cause. But how do you know a headache is caused by TMJ? Here are a few things to watch:
  1.  Your bite feels off. The TMJ’s position is dictated by where our teeth come together in our bite. So if your bite feels off or your teeth don’t fit together well, there’s a good chance your TMJ joints are off, too.
  2. You have pain around your forehead, temples, back of head or radiating down your neck. Ninety percent of pain comes from muscle: if your muscles are not functioning well because of fatigue from supporting one or both of your TMJ joints in an improper position, they produce pain. It’s much like when you exercise or work hard and feel muscle pain later. The only difference is that TMJ is more subtle and chronic.
  3. You have forward head posture. Our heads are supposed to be centered over our shoulders. If yours is in front of your shoulders when you are upright, you have “forward head posture.” That relates to your bite and your airway. The human head weighs about eight to 10 pounds; the farther forward it is off the center axis, the more strain it places on neck muscles and vertebrae.
  4. You snore. Snoring is a red flag that respiration during sleep is disturbed, Abeles says. Several factors can lead to snoring, but one of the most important is the position of the lower jaw, he says. If your lower jaw is a little too far back, then the tongue is farther back as well.
If TMJ is the root of your migraine pain, we have treatment options available. Make sure you tell Dr. Clark about your discomfort during your next visit. source: Dr. Fred Abeles, author of the book “Break Away: The New Method for Treating Chronic Headaches, Migraines and TMJ Without Medication” (www.FredAbeles.com)  
[caption id="" align="alignright" width="228"] Photo credit: Dreamstime.com[/caption] A lot of people believe that they have already fully comprehend what osteoporosis is all about and what they can do to either prevent or cure the condition. Osteoporosis refers to a disease characterized by extremely fragile and less dense bones. The main causes of the problem are aging, menopause, and lack of Vitamin D and calcium. Recent advancements in research have shed new light on the entire condition, showing clear reasons for its existence and what sufferers can do to treat it. Osteoporosis is a condition worth worrying about because there are predictions that state its ability to affect more than half of the people in America who will be older than age 50 by the year 2020. New research and studies show more relevant information from the process of diagnosing osteoporosis, to preventing and treating it. Bone health, osteoporosis, and calcium intake In the past few years, there are a few studies that report conflicting findings about the effectiveness of calcium supplements mainly utilized for prevention of fractures and improvement in bone health. The reason behind this is that there are also findings that show the ability of these supplements to increase a person's risk of suffering from heart diseases and attacks. According to Douglas C. Bauer, a professor of epidemiology, biostatistics, and medicine, osteoporosis is a result of the lack of calcium consumption, and it has become a common disease among people in the U.S. He further added that it greatly affects the elderly, especially if their intake of calcium is less than their required daily dosage. However, he also stated that it is necessary to follow a high-calcium diet instead of relying on supplements. The reason behind such a recommendation is that calcium supplements also carry a few adverse side effects. Among the common side effects are minor constipation, increased risk of developing kidney stones, and indigestion. Recent studies also show that calcium supplements increase one's chances of a heart attack. In fact, a nonrandomized study conducted by JAMA’s Internal Medicine just this year figured out that more than 11,000 deaths related to cardiovascular diseases are connected to the increased and continued intake of calcium supplements. This is the main reason why a lot of experts recommend increasing calcium intake through foods rich in calcium. Choose to eat dairy products with high calcium content, instead of instantly taking the supplement. Food products fortified with extra calcium such as broccoli and kale can also help. If the intake of calcium supplement cannot be prevented, then it is best to discuss the decision with your doctor. This can help in figuring out if there are any complications to this move. Osteoporosis and its effects on oral and dental health Osteoporosis is a health condition that greatly affects the bones, since the disease weakens them and makes them capable of breaking easily. Note that aside from negatively hampering overall health and well being, osteoporosis also has a direct relationship on oral and dental health. One should realize that the disease can hamper or damage jawbones. It also triggers dental and oral health issues, including gum or periodontal diseases and loss of teeth. The dental and oral effects of osteoporosis tend to affect more women than man. This holds true for women who are already on their menopausal phase, unless they regularly use a therapy designed to replace lost hormones and balance them. It should also be noted that even if someone has no teeth and does not wear dentures, the effects of osteoporosis can still affect dental and oral health. Bone weakness and loss may also affect the body ridges that hold dentures in the proper position, resulting in poor-fitting dentures. Studies also show that sufferers of the disease are at risk of requiring new dentures more often than those who have strong, healthy bones. Osteoporosis has a major impact on the part of the jawbone supporting the teeth. Studies show that a loss in this bone is most likely to cause tooth loss or mobility. Female sufferers of osteoporosis also have a higher likelihood of experiencing tooth loss or mobility than nonsufferers. Low bone density in the jaw triggered by osteoporosis can also lead to other dental issues. For instance, women suffering from osteoporosis are most likely to experience difficulties linked to ill-fitting or loose dentures. The results of various oral and dental surgical procedures are also less than desirable for these women. The best way to handle this problem is to avoid delaying or postponing dental treatments. Regular dental visits are essential in correcting problems in oral and dental health caused by weak bones. A healthy lifestyle is necessary in strengthening and maintaining good bone health. Effective tips in optimizing bone health include eating a well-balanced diet, containing high amounts of Vitamin D and calcium, and performing regular physical activities. The best exercises that are beneficial in strengthening bones are jogging, weight training, dancing, and walking. Another tip is to avoid excessive smoking and alcohol consumption. Remind your patients to immediately report problems to your dental office related to receding or detached gums, ill-fitting or loose dentures, and loose teeth. Osteoporosis and the life span of women Based on new reports and studies, especially the ones published and reported by the International Osteoporosis Foundation, women live longer life spans than male sufferers. However, the quality of living of these women will be seriously and adversely affected if they do not take necessary action to protect their bone health. Studies show the vulnerability of postmenopausal women to bone fractures and osteoporosis. Currently, about 200 million women suffer from osteoporosis. Estimates and studies prove that at least one in every three women who are older than 50 will deal with bone fractures due to osteoporosis. Solutions linked to preventing and managing fracture and osteoporosis are now introduced to women, especially postmenopausal ones. The reason behind this is that women who are older than 50 and serve as breadwinners of their family or caregivers of society need to prioritize the improvement of their bone health. It would be impossible for these women to continue in their roles if their bones were not in good condition. Researchers also emphasize the need to do a few things that are valuable in preventing the disease as early as possible. It is crucial to take all the necessary actions designed to boost bone health upon reaching menopause. Note that menopause is a critical stage to perform preventive techniques and measures that fight muscle weakness and bone loss leading to falls, fracture, and osteoporosis. Menopause is also the stage when the resorption of bones exceeds their formation. This triggers the immediate decline in bone mass, further leading to increased bone loss and triggering osteoporosis. This disease can cause bones to become weak and porous. It also increases the vulnerability of bones to fractures. Encourage your patients to take action to strengthen their bones, increase their intake of calcium-rich foods, and regularly visit a specialist to have their bone structure checked to ensure that this will never be a threat to their health and quality of life. Resource: Dentistry IQ