Busting 7 Myths about Oral Health

It's essential to know the truth about oral health because bad oral hygiene can lead to tooth decay, tooth loss, and other complications. Oral health can also impact your overall health! There tend to be many misconceptions about oral health, but it's essential you know the facts. Learn the truth behind common dental myths so you know how to take care of your teeth.

Myth #1: 'Sugar-free sodas are better for my teeth'

Just because soda is sugar-free, it doesn't mean it's harmless to your teeth. Sugar surely contributes to tooth decay and cavities, but sugar isn't the only thing. Even sugar-free sodas contain acids and carbohydrates combined with bacteria and saliva to result in plaque, also known as biofilm, buildup. If your teeth are not cleaned regularly, that plaque buildup can lead to tooth decay and gingivitis.

Myth #2: 'Dental health doesn't affect my overall health.'

Oral health is a good indicator of overall health, and poor oral hygiene can increase your risk for disease in other parts of your body. Moderate to advanced gum disease increases the risk of heart disease and is more prevalent among people with diabetes. Bacteria and other germs can spread from the mouth to other areas of the body via blood flow. Bacteria that spread to the heart can cause damage and inflammation.

Myth #3: 'I can wait to see the dentist until it's an emergency.'

With dental health, prevention is vital. Keeping your dental hygiene appointments and check-ups allow your dentist and dental hygienist to spot and treat issues before they become emergencies. As discussed above, you don't want to wait until your dental health affects your overall health.

Myth #4: 'Cavities in baby teeth aren't as serious as cavities in adult teeth.'

Oral health in children is essential, even if they lose their baby teeth. Tooth decay and cavities can impact how adult teeth form under the gums. Also, if kids don't learn how to take care of their teeth while they still have their baby teeth, they will be unlikely to keep good habits once they are older. So, encourage and teach your children to brush and floss daily according to a dental professional's recommendation.

Myth #5: 'Silver dental fillings aren't risky.'

"Silver" fillings are dental amalgam fillings because they are made from a combination of multiple types of metal. They are strong, durable, and long-lasting. However, dental amalgam fillings also contain small amounts of mercury. In large amounts, mercury is toxic. According to the FDA, dental amalgam fillings are safe to use in most children and adults. If you know you have sensitivities or are allergic to tin, copper and other metals, tell your dentist. They can use fillings of another material.

Myth #6: 'Gum disease isn't very common.'

Gum disease is actually widespread. According to a study for the Centers for Disease Control and Prevention (CDC), up to 52 percent of people age 30 and older have gum disease. As we get older, we're naturally more susceptible to infections, including gingivitis and gum disease. For example, 64 percent of adults age 65 and older have gum disease.

Myth #7: 'Pregnant women can ignore bloody gums.'

The American Dental Association (ADA) notes that pregnancy hormones can lead to sensitive and inflamed gums. This condition has been called "pregnancy gingivitis" because dental plaque builds up on the teeth and irritates the gums. Symptoms include red, sore, and bleeding gums.

However, gingivitis doesn't occur in all pregnant women. Brushing your teeth, cleaning between your teeth with floss, water flossers, or interdental brushes daily, and additional dental cleanings will abate bleeding gums. Preventing gingivitis from turning into gum disease is crucial for mom's and baby's health.

We've busted several myths about oral health. Keep up with your daily oral care routine and ask your dentist and dental hygienist for tips about taking care of your teeth. They'll help you sort fact from fiction.

The above article is from colgate.com

Coloman E. Kondorossy, DMD, FAGD, DICOI   
Stephen K. Kondorossy, DMD, MBS  
General Dentists  
1445 Hamilton Street  
Somerset, NJ 08873   
(732) 249-0055   
SomersetImplantDental.com

Antibiotic Prophylaxis: Prosthetic Joints and Orthopedic Implants

If you have had a joint replacement and taken antibiotics before dental work in the past, you may not need to make a trip to the pharmacy before your next procedure. The American Dental Association has found it is no longer necessary for most dental patients with orthopedic implants to have antibiotic prophylaxis to prevent infection.

What Is Antibiotic Prophylaxis?

Antibiotic prophylaxis (or premedication) is simply the taking of antibiotics before some dental procedures such as teeth cleaning, tooth extractions, root canals, and deep cleaning between the tooth root and gums to prevent infection. We all have bacteria in our mouths, and a number of dental treatments—and even daily routines like chewing, brushing or flossing—can allow bacteria to enter the bloodstream (bacteremia). For most of us, this isn’t a problem. A healthy immune system prevents these bacteria from causing any harm. There is concern, however, that bacteria in the bloodstream could cause infection elsewhere in the body.

Prior to 2012, premedication prior to dental procedures was common for joint replacement patients, even though there was little evidence to support the practice and experts recommended against its practice for most dental patients. In 2012, the American Dental Association and American Association of Orthopedic Surgeons published updated guidelines, stating that dentists “might consider discontinuing the practice of routinely prescribing prophylactic antibiotics”. In January 2015, the ADA’s Council on Scientific Affairs issued another guideline, which continued to discourage prophylactic antibiotic use for most patients with prosthetic joint implants. Guidelines are re-evaluated every few years to make sure that they are based on the best scientific evidence.

Why Don’t I Need Antibiotic Prophylaxis? 

Based on careful review of the scientific literature, the ADA found that dental procedures are not associated with prosthetic joint implant infections, and that antibiotics given before dental procedures do not prevent such infections.

In fact, for most people, the known risks of taking antibiotics may outweigh the uncertain benefits. Risks related to antibiotic use include nausea, upset stomach and allergic reactions, including anaphylactic shock (a severe allergic reaction that can be life threatening). Other risks include developing antibiotic resistance in bacteria, which can complicate treatment of infections such as strep throat, pink eye and meningitis; as well as increasing the risk of C. difficile infection, which causes diarrhea and other intestinal problems. Patients over 70 years old are also at increased risk of experiencing adverse  reactions to some antibiotics. 

Who Can Antibiotic Prophylaxis Help?

Depending on your personal medical history, you may still be a candidate for premedication. For example, antibiotic prophylaxis might be useful for patients undergoing dental procedures who also have compromised immune systems (due to, for instance, diabetes, rheumatoid arthritis, cancer, chemotherapy, and chronic steroid use), which increases the risk of orthopedic implant infection. It may also benefit others with heart conditions. Always talk with your dentist or physician about whether antibiotic prophylaxis before dental treatment is right for you.

The above article is from mouthhealthy.org

Coloman E. Kondorossy, DMD, FAGD, DICOI   
Stephen K. Kondorossy, DMD, MBS  
General Dentists  
1445 Hamilton Street  
Somerset, NJ 08873   
(732) 249-0055   
SomersetImplantDental.com

Ketosis Breath: When Your Diet Affects Your Oral Health

The ketogenic diet has created buzz in the health community and for good reason. Many have found success in restricting their carb intake so that the body burns fat instead of glucose to lose weight. If you're following a keto diet, you might notice some unpleasant side effects that accompany the positive changes on the scale. For example, so-called ketosis breath is a common complaint. Understanding keto breath is the first step to ensuring your diet doesn't impair your oral health.

Ketosis and Your Breath

If a lower-carb lifestyle is supposedly healthy, then why does it result in foul-smelling breath? The answer is in how your body breaks down fats. After swapping a typical carb-heavy diet for one that promotes fats and protein, your body goes into ketosis. As the University of California, San Francisco explains, ketosis is a process wherein your body begins to burn fat for energy, since glucose stores (your body's preferred source of energy) aren't readily available. While in ketosis, your body converts fat cells into three types of ketones, which are fat byproducts. One of these ketones, called acetone, is essentially unusable for your body's energy stores. 

Therefore, your body releases it via your urine and lungs, notes Medscape. It's acetone that gives your breath that distinctive "ketosis" smell, which, according to Medline Plus, can be compared to an overly sweet, fruity scent.

Keto Diet and Oral Health

When swapping carbs for healthy fats and proteins, your body undergoes several changes. While ketosis breath is often associated with a low-carb lifestyle, the diet may also have a positive effect on your oral health. After all, in avoiding carbs, you're also avoiding processed sugars, which the American Dental Association counts among the worst foods for oral health. Because oral bacteria thrive on sugar, reducing your sugar intake may reduce cavities.

A low-carb diet may also help reduce inflammation. A study in BMC Oral Health found that a diet low in carbohydrates and high in omega-3 fatty acids resulted in lower rates of gingivitis and inflammation in patients. So while going low-carb may make your breath smell, it may actually help improve your overall oral health.

Freshening Up

If you've noticed that you have keto breath and you still want to continue your keto diet, consider some of these methods to deal with the smell:

• Chew sugar-free gum to help stimulate saliva and freshen your breath.
• Adjust your intake of complex carbohydrates, such as leafy green vegetables and whole grains, while continuing to avoid refined carbs.
• Fill a water bottle and sip throughout the day.
• Continue good oral health habits. A keto lifestyle, while beneficial for oral health, is not a substitute for daily brushing and flossing.
• Add fresh herbs to water and tea. Herbs such as clove, cinnamon, mint and fennel are natural breath fresheners.

Starting and continuing a ketogenic lifestyle should only ever be done with the supervision and approval of a qualified health care professional. While it's true that a keto diet may offer benefits for oral health, it has a few drawbacks as well. By addressing some of the roadblocks, you can make sure that your keto diet is as healthy as it is successful. To keep you on track, lessen the smelly side effects by brushing with Colgate Total Fresh Mint Stripe Gel toothpaste. It has a minty blend of gel and paste that leaves your mouth clean and fresh. 

The above article is from colgate.com

Coloman E. Kondorossy, DMD, FAGD, DICOI   
Stephen K. Kondorossy, DMD, MBS  
General Dentists  
1445 Hamilton Street  
Somerset, NJ 08873   
(732) 249-0055   
SomersetImplantDental.com

Travel: Is Dental Care Abroad Safe ?

If you are planning a trip out of the country it may be helpful to schedule a dental checkup before you leave, especially if you'll be traveling in developing countries or remote areas without access to good dental care. If you’re considering a vacation outside the United States for dental treatment in an attempt to save money, often referred to as "dental tourism," there are some things you should first consider.

Question: Is dental care abroad safe? 
Answer: The procedures, equipment and drugs used by dentists in the U.S. are held to high standards. The U.S. Centers for Disease Control and Prevention has comprehensive guidelines on infection control procedures for dental health-care settings. They exist to prevent the spread of infections, including blood borne illnesses such as hepatitis and AIDS. U.S. dentists must abide by regulations for radiation safety (X-ray equipment and its use) and for proper disposal of biomedical waste. Also, the drugs and dental instruments and materials used by dentists in the U.S. are regulated by the U.S. Food and Drug Administration to ensure that they are safe. These standards are in place for your safety.

Q: What recovery time and follow-up care will I need? 
A: Many dental procedures are surgical in nature and may require months of healing. This should be factored in to your travel plans. Significant dental procedures require follow-up care to make sure everything is healing and functioning properly. Post treatment risks after dental surgical procedures include bleeding, pain, swelling and infection. Continuity of care is important and should be a consideration when making treatment decisions. Establishing a "dental home" provides you with comprehensive oral health care so conditions such as gum disease and tooth decay can be diagnosed at an early stage when treatment is simpler and more affordable. A dentist who knows your case history can provide you with guidance on good oral health habits, preventive oral health services and diagnosis and treatment of dental disease based on your individual needs.

Q: What qualifications are required of dental professionals? 
A: Dentists trained in the U.S. graduate from a dental school accredited by the American Dental Association Commission on Dental Accreditation. In addition, dentists must pass national examinations and meet state requirements before they earn a license to practice. Similar levels of training may exist in the country to which you are travelling, but this may be difficult to determine if that country does not have similar dental regulations.

Q: Will my insurance cover dental procedures in other countries? 
A: If you have insurance for dental care performed outside of the U.S., you should confirm with your insurer and/or employer that follow-up treatment is covered upon your return to the U.S. You should consider arranging follow-up care with a U.S. dentist prior to travel to ensure continuity of care upon your return. If you do not have a dentist in the U.S., you can find an ADA member dentist in your area at ADA Find-a-Dentist. You should confirm with your U.S. dentist and the dental care provider in the other country that the transfer of patient records to-and-from facilities outside of the U.S. is consistent with current U.S. privacy and security guidelines.

Q: What about travel advisories?
A: The U.S. Department of State issues travel alerts to disseminate information about short-term conditions, generally within a particular country, that pose imminent risks to the security of U.S. citizens. In the spring of 2009, for example, the Department of State issued a travel alert cautioning people to avoid non-essential travel to Mexico because of an outbreak of H1N1 influenza in that country that resulted in a number of deaths. In addition, the alert recommended that travelers check the department's Web site for new travel advisories as well as the Web site of the U.S. Centers for Disease Control and Prevention for any additional information or recommendations.

Bottom line: If you’re considering travelling for dental care, remember, saving money overseas may lead to greater expense to your health and your wallet when you arrive back home. 

The above article is from mouthhealthy.org

Coloman E. Kondorossy, DMD, FAGD, DICOI   
Stephen K. Kondorossy, DMD, MBS  
General Dentists  
1445 Hamilton Street  
Somerset, NJ 08873   
(732) 249-0055   
SomersetImplantDental.com

Leukoplakia: Why do you have white gums?

Below is an excerpt from an article found on crest.com

Leukoplakia: What You Should Know

Leukoplakia is an oral disease where white or gray patches show up on or around the gums, inside of the cheeks, on the bottom of the mouth, and sometimes on the tongue. These patches are the mouth’s reaction to irritation of the sensitive mucous membranes in the mouth.

If you’ve seen these patches in your mouth, you should make an appointment with your dentist or doctor. They can help identify what’s causing it as well as help you treat it.

What Causes Leukoplakia?

Outside of knowing that leukoplakia is the body’s reaction to irritation inside the mouth, there isn’t a specific cause that scientists have identified. However, there are some triggers that can make it more likely.

• Long-term tobacco usage (the most common trigger)
• Long-term alcohol usage
• Broken or ill-fitting dental appliances, fillings, or crowns
• Injury from jagged or broken teeth 
• Underlying diseases like oral cancer or HIV/AIDS

What Are The Symptoms of Leukoplakia?

White or gray colored patches on your gums or tongue, the inside of your cheeks, or bottom of your mouth are a sign of leukoplakia. These patches may be flat or irregularly textured, and can be thickened or hardened in some places. Leukoplakia isn’t usually painful, but it can be sensitive to touch, heat, irritation, and spicy or acidic foods. Unlike some other oral diseases, leukoplakia can’t be wiped or brushed away.

There is also a second kind of leukoplakia called “hairy leukoplakia.” In this variety, the patches are usually on the sides of the tongue and take on a fuzzy appearance.

In some cases, both types of leukoplakia are also accompanied by raised, red lesions, which can be a sign of other diseases.

How to Treat Leukoplakia

The best way to treat leukoplakia is to remove the source of irritation that’s causing it, either by stopping or reducing tobacco and alcohol usage or fixing dental appliances. It’s a good idea to address these issues with the help of your dentist or doctor, since they may want to run tests to rule out underlying illnesses. You will definitely need to see them in the case of hairy leukoplakia since an antiviral medication is required. And though leukoplakia usually heals on its own, you may have to have oral surgery to remove the patches.

To read the entire article visit crest.com

Coloman E. Kondorossy, DMD, FAGD, DICOI   
Stephen K. Kondorossy, DMD, MBS  
General Dentists  
1445 Hamilton Street  
Somerset, NJ 08873   
(732) 249-0055   
SomersetImplantDental.com

Tooth Extraction: Procedure, Healing, & Complications

Below is an excerpt from an article found on crest.com

A tooth extraction is an outpatient procedure performed by a dentist. In some cases pulling teeth (removing a tooth completely from its spot in the jaw bone), may be necessary to preserve or improve your dental health.

Some of the reasons for tooth extraction include:

• Pulling teeth for braces: Preparation for orthodontia (braces and retainers) often involves pulling one tooth or a few teeth.
• Pulling teeth to save space: Wisdom teeth are often removed if there is no space for them in the mouth, or if they become impacted or infected.
• Pulling teeth due to damage or decay: Tooth extraction may be the only option if a tooth is too decayed or damaged to be repaired with a filling or crown.
• Pulling teeth in radiation or chemotherapy patients: If radiation or chemotherapy to the head and neck causes teeth to become infected, pulling teeth may be necessary.

Tooth Extraction Procedure: Getting a Tooth Pulled

When you undergo a tooth extraction procedure, your dentist will numb the area with a local anesthetic. You may also receive an anti-anxiety medication or an intravenous sedative. If the dental extraction involves an impacted tooth, the tooth may be broken into pieces before it is removed.

Pulling teeth falls into two basic categories: simple and surgical. Here’s what to expect from each:

• Simple: A simple tooth extraction involves the removal of a tooth that is visible in the mouth. This could mean removing a badly damaged or decayed tooth, or removing teeth prior to getting braces. General dentists can do simple tooth extractions. When you undergo simple tooth extraction, you will receive local anesthesia. In addition, some dental professionals administer anti-anxiety medication or use conscious sedation for simple cases of pulling teeth. In most cases, over-the-counter pain medication is sufficient for pain management after these procedures.
• Surgical: Surgical tooth extraction is an operation by an oral surgeon involving removal of teeth that are not visible in the mouth, because they have not come in or because the tooth has broken off. Individuals with special medical conditions may receive general anesthesia when pulling teeth involving surgery. You may also receive prescription pain medication for use immediately after surgical teeth-pulling procedures.

Tooth Extraction Healing and Recovery

After any type of tooth extraction, be sure to follow your dental professional’s instructions for oral care, including the following tips:

• Eat Soft Foods: Stick primarily to liquids until any anesthesia wears off, and then limit your diet to soft foods for the first few days after a tooth extraction.
• Take care of your teeth: Don’t brush the teeth immediately next to the area of tooth extraction on the first day after the procedure, but do brush the rest of your teeth. Two days after a tooth extraction, get back to a good oral care routine.

Tooth Extraction Complications

“Dry socket” occurs in approximately 3-4% of teeth pulling cases. If a blood clot fails to form in the hole after pulling teeth, or if the blood clot breaks off too soon, the underlying bone is exposed, creating a dry socket. This condition can be painful and should be treated as soon as possible with a medicated bandage to promote healing.

Other potential problems associated with pulling teeth include:

• Sore Jaw: Your jaw may be sore due to anesthesia or to the strain of keeping your mouth open during the procedure.
• Numb Lips and Chin: If the reason for pulling teeth was removal of lower wisdom teeth, your lower lip or chin may be numb for several months if a nerve in that area (the inferior alveolar nerve) was traumatized.
• Infection: Infection is always a possibility after pulling teeth, but it is unlikely in individuals who have healthy immune systems.

To read the entire article visit crest.com

Coloman E. Kondorossy, DMD, FAGD, DICOI   

Stephen K. Kondorossy, DMD, MBS  

General Dentists  

1445 Hamilton Street  

Somerset, NJ 08873   

(732) 249-0055   
SomersetImplantDental.com

Top Dental Symptoms: Toothache

If your mouth or jaw hurt, it could be from a toothache. Toothaches usually indicate a cavity but they can also signal gum disease. In some cases, a toothache is a sign of an abscess or impacted tooth. A toothache should be evaluated by a dentist right away to determine the cause of the problem and prevent the tooth from dying.

Above article from: MouthHealthy.org

Coloman E. Kondorossy, DMD, FAGD, DICOI   
Stephen K. Kondorossy, DMD, MBS  
General Dentists  
1445 Hamilton Street  
Somerset, NJ 08873   
(732) 249-0055   
SomersetImplantDental.com

Treatment Options for Tooth Sensitivity

The best way to find out why a tooth is sensitive is to have dental professional examine you. They can look for the signs of dentin exposure, and run tests to determine what the true cause of the sensitivity is. Sometimes, the sensitivity is due to a cavity or gum disease - these can be treated to address the sensitivity. Other times, the cause of the sensitivity is because the enamel has been lost through abrasion or erosion, or the gums have receded, causing the roots to be exposed.

What Can Be Done?
If the sensitivity is due to a cavity, a restoration can be placed. If gum disease is the cause, the dental professional can perform a thorough cleaning of the area.

However, if the cause is from dentin being exposed, then there are a number of professional and at home treatments that can be used to reduce the sensitivity.

In Office Procedures:

• Fluoride varnish can be applied to exposed areas, strengthening the enamel and dentin
• Fluoride foam or gel can be placed into a mouth tray; you then sit with this in your mouth for 3-5 minutes, providing the teeth with a high concentration of fluoride to strengthen the areas
• Bonding agent, the material used to stick tooth colored restorations to teeth, can be used to seal the dentin surface and provide a barrier to the stimuli that cause sensitivity

At Home:

• Use a very soft bristle tooth brush, with low abrasive tooth paste
• Brush correctly and do not over brush
• Use a tooth paste specially formulated to soothe the nerve endings in the tooth
• Use a high concentration fluoride toothpaste (given to you by the dental professional) to strengthen the tooth surface

There are a number of treatments available, and your dental professional can help you find those that will work best, depending on your situation. Always seek a dental professional's help - do not try to diagnose this problem yourself. It may be the sign of something more serious, and only a dental professional can tell you what it really is.

To read the entire article visit Colgate.com

Coloman E. Kondorossy, DMD, FAGD, DICOI   
Stephen K. Kondorossy, DMD, MBS  
General Dentists  
1445 Hamilton Street  
Somerset, NJ 08873   
(732) 249-0055   
SomersetImplantDental.com

Tooth Cavities

Tooth cavities aren't uncommon - but with the right dental health know-how, you can help prevent them. It all starts with proper brushing, daily flossing, and fluoride. Get the details right here.

What Causes Tooth Cavities?
Cavities are holes in the teeth resulting from acid attack. They generally start in the enamel, but can spread to the softer inner layer of the tooth. Tooth cavities are caused by decay that can occur when foods containing carbohydrates become trapped between teeth, and are not completely removed with brushing and flossing. Bacteria living in the mouth digest these foods, generating acidic byproducts that can eat away at tooth enamel.

Help Prevent Tooth Cavities
Fluoride, which is found in most public drinking supplies, some mouth rinses, and Crest toothpastes, helps prevent tooth cavities by slowing the breakdown of enamel and speeding up the remineralization process. Check with your dental professional to see if your drinking water is fluoridated. If it isn't, he or she may recommend that you use high concentration fluoride treatments.

To help strengthen weak spots in tooth enamel, and help prevent the early stages of tooth decay, brush regularly with a fluoridated toothpaste, floss daily, and visit your dental office regularly for professional cleanings.

Above article from: Crest.com

Coloman E. Kondorossy, DMD, FAGD, DICOI   
Stephen K. Kondorossy, DMD, MBS  
General Dentists  
1445 Hamilton Street  
Somerset, NJ 08873   
(732) 249-0055   
SomersetImplantDental.com

Tooth Anatomy

What Are the Different Parts of a Tooth?

• Crown- the top part of the tooth, and the only part you can normally see. The shape of the crown determines the tooth's function. For example, front teeth are sharp and chisel-shaped for cutting, while molars have flat surfaces for grinding.
• Gumline- where the tooth and the gums meet. Without proper brushing and flossing, plaque and tartar can build up at the gumline, leading to gingivitis and gum disease.
• Root- the part of the tooth that is embedded in bone. The root makes up about two-thirds of the tooth and holds the tooth in place.
• Enamel- the outermost layer of the tooth. Enamel is the hardest, most mineralized tissue in the body - yet it can be damaged by decay if teeth are not cared for properly.
• Dentin- the layer of the tooth under the enamel. If decay is able to progress its way through the enamel, it next attacks the dentin - where millions of tiny tubes lead directly to the dental pulp.
• Pulp- the soft tissue found in the center of all teeth, where the nerve tissue and blood vessels are. If tooth decay reaches the pulp, you usually feel pain.

What Are the Different Types of Teeth?
Every tooth has a specific job or function (use the dental arch in this section to locate and identify each type of tooth):

• Incisors- the sharp, chisel-shaped front teeth (four upper, four lower) used for cutting food.
• Canines- sometimes called cuspids, these teeth are shaped like points (cusps) and are used for tearing food.
• Premolars- these teeth have two pointed cusps on their biting surface and are sometimes referred to as bicuspids. The premolars are for crushing and tearing.
• Molars- used for grinding, these teeth have several cusps on the biting surface

 

The above article is from: Colgate.com

Coloman E. Kondorossy, DMD, FAGD, DICOI   
Stephen K. Kondorossy, DMD, MBS  
General Dentists  
1445 Hamilton Street  
Somerset, NJ 08873   
(732) 249-0055   
SomersetImplantDental.com