Newsletter
March 2000 - February 2000

Archive

Your Dentist Has Already Solved the Water Line Problem - March 2000

Questions and concerns over dental water line contamination by "biofilm" heightened by recent news stories are both timely and appropriate.

The answer is 1) that scientific reports have not linked illness to water passing through dental water lines, 2) by following the recommendations of' the American Dental Association (ADA) and the Center for Disease Control (CDC), most likely your dentist has already been routinely using these recommended procedures that are designed to make water line safe for the normal patient and 3) your dentist is probably using one or more of the 25 FDA approved products to further control biofilms in waterlines.

First of all, what are biofilms? Biofilms are microscopic communities that consist primarily of' naturally occurring water microbes (germs) that form on all water-delivery systems, such as faucets, water fountains, shower heads and dental waterlines.

For the normal person, exposure to these common microbes does not necessarily lead to higher risk of disease transmission. In the dental environment, biofilm has not been linked scientifically to illness.

Your dentist likely further reduces presence of biofilms by following the recommendations of' the ADA and CDC. These recommendations include sterilization of all dental equipment and flushing of water lines before and between patients, and installation of anti-retraction valves to prevent back flow where appropriate.

Additionally, your dentist may utilize one or more of some 25 FDA approved products to make the water lines even safer. These products include those that require the installation of a system to irrigate water lines with an antimicrobial solution and those that require the attachment of microfilters to the water lines to screen out biofilm.

Even with all these safety procedures and products in place, you should still feel free to discuss water line issues with your dentist and ask for a tour of the office. Your dentist will welcome the opportunity to show you the methods and means he employs.

It is advisable that persons whose immune systems are severely compromised because of age, smoking, heavy drinking, being a transplant or cancer patient or because of HIV infection inform their dentist. This is because patients with compromised immune systems may have more difficulty fighting off invading germs.

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Predictions for 21st Century The Best is yet to come - February 2000

In the next five to 10 years, innovations in the field of dentistry will continue to escalate but the pace will be quickened dramatically. Here are some changes to come.

  • Instead of restoring teeth with filling materials, enamel may be regenerated by specialized procedures developed from genetic engineering the tooth will become like new. You will not go to the dentist to get a cavity filled, but to have it "healed."
  • It is already possible in some circumstances to treat gum disease by regenerating gum and bone. However, in the not too future regeneration of bone and gums in the treatment of gum disease will be so enhanced by advances in genetic engineering that even loose teeth can be saved and restored to their normal condition.
  • An X-ray machine will make one quick pass around your face and a digitalized three-dimensional image of your teeth will be immediately available to your dentist. All this is done without putting any film in your mouth. The amount of exposure to radiation will be reduced by up to 90 percent. Treatment will be more accurate, conservative and predictable as a result.
  • Lasers will be used to anesthetize teeth and will routinely replace Novocain shots.
  • Great news For gaggers: Impressions of your teeth can be routinely taken by laser-imaging devices that will transmit these 3-D images via the Internet to the laboratory along with the exact color and shade of your teeth.
  • Instead of waiting weeks for your beautiful cosmetic veneer computers will allow your dentist to make the veneer within minutes Your dentist can take a 3-D image of your front teeth and custom design your veneer on a 3-D image of your smile while you look on. When you are happy with the design, the computer will make your veneer within minutes. Within an hour of your arrival, your veneers, crowns or inlay will be ready.
  • Some treatment rooms may be virtual reality showroom so that while you receive dental care, you can experience your favorite vacation resort or your child can go for a theme park ride while getting a cavity healed.
  • In an emergency you can take a digital image of your teeth with a mini digital camera. Then you can send that image via the Internet to your dentist, who then can give you advice as to what should be done and how soon. This is actually possible now, provided you and your dentist are both online.

Exciting things are happening in the field of dentistry on many fronts. No one can absolutely predict the future, but dentistry will be very different even a few years from now.

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Archives
December 1999 - April 1999

Flossing and Brushing May Lower Risk of Heart Disease - December 1999

In a previous column, we discussed the link between dental disease and heart problems shown by epidemiological studies involving literally tens of thousands of patients. New studies at the University of Minnesota and other research facilities shed light on how that connection works.

University of Minnesota researchers found that certain bacterial strains, such as streptococcus sanguis, when injected into rabbits, induced increased blood pressure, faster heart rate and, ultimately, heart attacks.

They postulate that these bacteria cause inflammation of the blood vessels, which, in turn, lead to narrowing of the pathway for blood flow, clot formation and eventual arterial blockage.

Data from other research facilities indicate that some bacteria directly promote clotting in the arteries by mimicking collagen, an important ingredient in the clotting process. This results in platelet clots that can lead to the actual artery-blocking event.

Oral bacteria easily enters the bloodstream where there is gum infection or disease. Thus controlling gum disease through regular dental treatment and home care would reduce bacterial invasion that may lead to heart disease.

Flossing and brushing your teeth now has just as much impact on your overall health as a low fat diet, exercise and tobacco abstinence.

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Floss only the teeth you want to keep - April 1999

Flossing removes plaque lodged between the teeth that brushing alone cannot remove. Lack of flossing can not only lead to decay between the teeth, but also periodontal (gum) disease, the leading cause of teeth loss in adults. Therefore, the only teeth you can afford not to floss are the teeth you do not want to keep.

Flossing and brushing when combined with regular professional care can prevent periodontal disease and minimize the risk factors associated with systemic disease.

The following are some systemic conditions that may be impacted by periodontal disease:

  • People with periodontal disease are one-and-a-half to two times more likely suffer fatal heart attack and three times more likely to suffer a stroke.
  • Diabetes patients with severe periodontitis have difficulty maintaining normal blood-sugar levels.
  • Infected oral tissues with pneumonia bacteria can be inhaled into the lungs where immune defenses fail to keep them out.
  • Mothers of premature babies were seven times more likely to have advanced periodontal disease than mothers whose babies were normal weight at birth.
  • Individuals with artificial joints and heart valves are at an increased risk of suffering a serious infection when periodontal bacteria enter the blood stream.

What is the best type of dental floss for you?

There are different kinds of floss to choose from waxed, unwaxed flavored, tape-shaped or regular. Ask your dentist or dental hygienist what kind is best suited for you.

For hard-to-reach teeth, your dentist can show you how to use a floss-holder. It is Y-shaped with floss strung between two prongs. This may help you to slip the floss through the teeth with ease.

Other interesting products and devises are on the market that simulates floss action. Ask your dentist if any one of these items are appropriate for you and your condition before you make a purchase. Here is the proper way of flossing.

1) Wrap 18 inches of dental floss lightly around your middle finger.

2) Firmly grasp the dental floss with your index finger.

3) Gently slide the floss in between both sides of your teeth and repeat until finished.

4) Form a "C" shape and carefully slide the floss up and down between your tooth and gum line

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