Use of antibiotics prior to dental procedure in patients with prosthetic joints

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Evidence-based clinical practice guidelines from the American Dental Association Council on Scientific Affairs recently stated that antibiotics are no longer required for most dental procedures in patients with prosthetic joints.   Only some surgical procedures will it still be necessary on an individual basis.

The panel determined that there was no evidence based link between dental procedures and prosthetic joint infection.  The panel also evaluated the complications of antibiotic  resistance, adverse drug reactions and cost involved with antibiotic coverage.

Extreme Exercise Can Affect Oral Health

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Participating in endurance and extreme sports can decrease salivary flow which may increase chance of cavities and periodontal disease.

A research team in Heidelberg Germany conducted a study of 35 triathletes and 35 control participants who exercised less than 5 hours a week.  Even if you are not doing triathlete type of workouts, heavy exercise may be a factor if you are getting cavities or periodontal issues and gums bleeding even with good oral home care.

Published online June11 in Scandinavian Journal of Medicine and Science in sports and reprinted Journal of American Dental Association  Nov 2014

Maternal Vitamin D Levels and Early Childhood Caries may be Linked

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Inadequate Vitamin D levels in pregnant women may be associated with dental caries in their children during the first years of their life, investigators report in a study published online April 21 in Pediatrics.

Prenatal Vitamin D levels may have an influence on the development of baby teeth at the formation of enamel.

Gum Chewing Linked to Headaches in Children

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Chewing gum often is responsible for headaches in young children and teenagers, say researchers in the January issue of Pediatric Neurology.

Thirty patients ranging in age from 6 to 19 years who had chronic migraine or tension headaches and chewed gum between one and six hours per day.

Researchers had the participants discontinue gum chewing for one month and interviewed them.  Nineteen reported that their headaches went away entirely, and seven reported a decrease in the frequency and intensity of headaches.  To test the results, researchers asked 26 of the participants to resume gum chewing for two weeks.  All of the participants reported a return of their symptoms within days.

By advising teenagers with chronic headaches who chew gum to simply stop chewing gum may be a simple and effective solution.

I also offer various dental appliances that can reduce headaches/migraines, TMJ problems for those that clench or grind their teeth.

Cancer Biomarkers Found In Saliva

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Pancreatic cancer biomarkers can be found in saliva according to a new research study.

Researchers examined mice models with pancreatic cancer whose saliva showed evidence of a biomarker for pancreatic cancer.  When researchers inhibited the production of exomes at the source of the tumor, they found the biomarkers no longer appeared in the saliva.

This research is significant because it provides to the mechanism of systemic disease detection in saliva which also substantiates the biological connection between systemic disease and the oral cavity.

*Journal of Biological Chemistry 9/13/2013


New Ceramic Material

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New ceramic materials for CEREC.  I have been utilizing ceramic materials for my patients and my CEREC machine for over 13 years.  A new material by Vita called Enamic is a type of hybrid ceramic/composite with a unique composition that can be utilized in those areas of the mouth where I typically would have recommended a gold restoration previously.

Multivitamin Therapy for Canker Sores (Recurrent Apthous Ulcers)

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Recurrent Apthous Ulcers, also commonly known as "canker sores" is a common disease affecting an estimated 2.5 billion people.  These painful recurring oral ulcers typically last about 7-10 days.

There have been some theories that the ulcers are caused by vitamin deficiencies and can be prevented with multivitamin supplements.

A recent study at the Univeristy of Connecticut Health Center put this theory to the test with multivitamin regimen and placebo.  A total of about 160 patients were followed over a 1 year period.

The conclusion of this study showed that there was no statistical difference between the two groups, and does not recommend multivitamin as a preventive measure for these types of ulcers.

Any questions about these types of ulcers can be answered by our staff when you come in for your dental cleaning appointment and exam.

Importance of Oral Hgyiene

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Taiwanese researchers found that yearly teeth cleanings at the dentist's office may cut the risk of heart attack by as much as 24 percent compared with those who avoid the treatment.  The research was presented to the American Heart Association in Orlando, Floriday in November 2011.

The study found that those who had their teeth scraped and polished by a dentist or dental hygienist also had a 13 percent lower risk of stroke than those who never had their teeth cleaned.  Having your teeth cleaned lowers bacteria in the mouth that can cause chronic inflammation.  Inflammation is associated with the formation of plaque in the blood vessels and hardening of the arteries that can lead to a heart attack or stroke.

Regular checkups and oral hygiene are very important to maintaining your dental and overall health.  Visit our website to schedule an appoinment.

Osteonecrosis of the jaw and dental treatment

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Many patients are concerned about infections causing osteonecrosis of the jaw after taking osteorporosis medications such as Fosomax and Boniva (Biphosphonates).

A recent summary by the American Dental Association Council on Scientific Affairs did an extensive review of the medical literature published May 2008 through February 2011, as well as a panel of expert opinions that relate to dentistry.

The panel concluded that the highest reliable estimate of osteonecrosis induced by taking antiresorptive agents to prevent osteoporosis was 0.10 percent, which is extremely low.  The osteonecrosis usually occurred on cancer patients that were medically compromised and taking IV biphosphonates.  The benefit of antiresorptive therapy far outweighs the low risk of osteoporosis for most patients.

To prevent any potential problems it is recommended to have a good oral health program consisting of sound oral hygiene practices and regular dental care.  Whe extensive work such as extractions need to be performed, we will consult with your physician to minimize any risk factors.

If you have any questions about osteonecrosis discuss this with our staff.  Further information can be found on the article in Journal of American Dental Association, Nov. 2011 p. 1243-1251.

Surprising Secrets to a Great Smile

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Healthy gums are the foundation of a healthy, dazzling smile.  And while brushing and flossing are key, new research shows that eating these five foods can also help keep your gums in the pink. 

1. Salmon: This fish is rich in omega-3 fatty acids, which reduce inflammation all over the body, including the gums.  A study found that people who ate the most omega-3's slashed their risk of gingivitis by up to 20 percent.

2. Strawberries: They're bursting with vitamin C, which builds collagen, an important component of healthy gum tissue.  In fact, people who consume less than 60mg of C each day (the amount in six large strawberries) are 150 percent more likely to develop gingivitis.  But stay away from fizzy vitamin supplement drinks; they have been shown to erode tooth enamel.

3. Whole-grain bread: Whole grains contain iron and B vitamins-nutrients essential to gum health.  One large study found that eating three servings daily reduced the risk of gum disease by 23 percent. Barley, oatmeal, and brown rice count, too.

4. Green tea: Hot or iced, this brew is brimming with antioxidants that kill the bacteria that lead to gingivitis.  Bonus:  The beverage also wipes out the germs that cause bad breath.

5. Pistachios:  These nuts are rich in the antioxidant CoQ10, shown to fight gum inflammation.

Remember, brushing and flossing is key but a healthy diet also aids in maintaining a healthy, bright smile.