teeth cleaning

Each year about 800,000 new cases of diabetes are diagnosed.  Even more frightening- the Center for Disease Control reported a 70% increase in diabetes diagnosed in 30-39 year olds from 1990-1998.  In diabetics, the blood glucose level is higher than normal due to a lack of insulin.  Insulin is a hormone produced by the pancreas, the organ that breaks down sugar in our bodies.  Diabetics are typically unable to produce enough insulin or use the body’s natural insulin.  Heart disease, blindness, organ failure, and poor circulation are medical concerns associated with high glucose levels.  However, diabetes also increases the risk of gum disease, which can affect your overall health.

The first stage of gum disease is gingivitis.  Gingivitis occurs when normal bacteria in the mouth are not removed adequately. This causes the gums to become inflamed or swollen. Bacteria grow in plaque, a sticky film that everyone can remove with proper brushing and flossing.  If the plaque is not removed, it hardens into tartar (also known as calculus).  When teeth are not cleaned properly, gums start to bleed while brushing and flossing, a sign of gingivitis. Only a professional cleaning by your dental hygienist or dentist and can remove tartar or calculus.  The dentists and dental hygienists at McCarl Dental Group emphasize preventive oral hygiene. Every patient has unique oral health needs. Some people are more prone to plaque accumulation and need to have their teeth cleaned professionally by a dental hygienist more often than the usually recommended time interval of every six months.

If gingivitis is ignored, more severe gum disease called periodontitis may develop.  Periodontitis causes pockets to form between your teeth and gums.  The gums pull away from your teeth allowing more germs to enter.  The resulting infection may cause bone loss around your teeth which often leads to loose teeth and ultimately results in losing teeth. Missing teeth cause additional health problems.

Research indicates a strong correlation between gum disease and diabetes. Diabetics are more prone to bacterial infections and cannot fight bacterial infections as well as a patient with normal glucose levels.  Common symptoms of oral infections include swelling, pus, pain while chewing or general pain in the mouth, oral sensitivity to temperature and sweetness, and white or red patches within the mouth.

New, studies emphasize the importance of oral health and suggest that gum disease may actually contribute to diabetes.  Serious oral infections like periodontitis can cause unbalanced glucose levels which increase the risk factors for diabetes.

Preventing oral health problems in diabetics is first controlled by regulating diabetes.  Keep a healthy glucose level.  Secondly, brush and floss your teeth properly at least twice daily.  Finally, maintain regular check-ups with your dentist.  Make sure to keep your dentist and hygienist updated on your health condition, medications, and glucose levels.  Dental procedures are best performed when blood sugar is carefully controlled.  Diabetics are typically slower healers, so regulating diabetes allows for a faster healing time.  Remember to eat before heading to the dental office and stick to your normal meal plans afterwards in order to maintain regular blood sugar levels.  If you cannot chew well after the visit, plan an alternative way to sustain your calorie intake.  If you have any concerns about how your diabetes will affect your upcoming dental visit, please contact McCarl Dental Group serving Anne Arundel County and Prince Georges County Maryland to plan your strategy for a healthy smile.

It is not uncommon to see a dramatic increase in dental cavities during college years. A diet high in sugar coupled with changes in personal hygiene are often to blame for the increase in tooth decay.

Tooth decay and dental cavities are caused by bacteria that are normally present in and around the teeth. These bacteria feed off the food you put in your mouth and love sugar. Today’s fast-paced college lifestyle is filled with fast food, sugar-packed coffees and sugary soft drinks. Even diet-sodas are very acidic and increase the predisposition toward cavities because bacteria thrive in an acidic environment. Byproducts of the bacteria in your mouth cause a breakdown of the adjacent enamel, starting a “cavity.”  Another risk factor for cavities are the changes in personal hygiene that often occur during college years.

Symptoms of cavities and tooth decay vary depending on the location and depth of the cavity. When a cavity is in its early stages, there may not be any symptoms. As tooth decay increases, it may cause tooth sensitivity or a toothache, varying degrees of pain when you bite down or when eating or drinking something sweet, hot or cold, visible holes or pits in your teeth, or generalized discomfort or pain in the mouth or jaw. A dental cavity will not get better on its own. If you’re experiencing one or more cavity symptoms, it’s time to see a dentist. At McCarl Dental Group we offer our new dental patients a discount of more than two hundred dollars for their initial dental cleaning , dental exam and necessary x-rays.

“Pit and fissure” cavities are the most common type of cavities. Back teeth or molars have natural grooves, fissures and “pits” on their chewing surface. Pronounced pits, grooves, or fissures retain plaque. Toothbrush bristles cannot reach inside to clean these deep pits and fissures further allowing plaque and tartar to accumulate. During college years, in young adults who do not floss their teeth regularly, we see an increase in interproximal tooth decay causing cavities in-between the teeth. Because of their location, most of the time interproximal cavities can only be seen with an x-ray.
Once a dental cavity is detected, the dentist removes bacteria and decay and fills the cavity to restore strength to the tooth.  In deep cavities, the nerve of the tooth may be affected by the bacteria, requiring additional cleaning of the infected nerve called a “root canal”.  Luckily, this occurs only in the deepest of cavities. Usually there are warning signs, such as a sensitivity to extreme temperatures or to sweet foods.

Preventing Dental Cavities
The first step in preventing cavities is to maintain good oral hygiene to minimize bacterial colonization. It is important to brush twice a day with fluoride toothpaste and floss daily. The use of a fluoride rinse also helps by strengthening tooth enamel. You can also help prevent cavities by eating well-balanced, nutritious meals and limiting snacking. Maintaining your regularly scheduled dental visits for teeth cleaning and fluoride treatment by a dental hygienist not only helps prevent tooth decay, but the dental exam improves the likelihood of early detection of cavities and treatment with a small rather than large filling.

At McCarl Dental Group we recommend college students have dental exams with teeth cleaning by a professional hygienist every six months. We also recommend that young adults use a prescription strength flouride toothpaste. McCarl dentists recommend Colgate PreviDent 5000 Plus prescription-strength fluoride toothpaste.