Posts for: July, 2018
Summer is the time for many children to experience the fun and freedom of sleepaway camp. Along with greater independence, camp brings increased responsibility for kids to take care of themselves, including taking care of their oral health.
Two keys to dental health are a balanced diet and good oral hygiene, but camp life may tempt kids to overdo the kinds of food they don’t often indulge in at home. For most campers, enjoying s’mores around the fire is a given, but these marshmallowy treats pack a punch in the sugar department. In fact, a single s’more has half the daily limit of sugar recommended by the World Health Organization—and if the sweet treat’s name is any indication, no one stops at just one! Because sticky marshmallows are a central ingredient, they are worse for the teeth than many other sweets; the goo adheres to the surface of the teeth and gets stuck between teeth and braces, increasing the potential for tooth decay. Add in plenty of opportunities to consume sugary drinks and other treats throughout the week, and sleepaway camp can be a less-than-ideal environment to maintain good oral health, especially since brushing and flossing may not be a high priority with so much else going on.
You can help your camper feel more invested in their oral hygiene routine by involving them in as many preparations as possible, such as making a list of items to pack and shopping together for dental supplies. These can include a travel toothbrush with a case and a travel-sized tube of fluoride toothpaste—or a package of pre-pasted disposable toothbrushes. And don’t forget dental floss! You may also wish to include gum sweetened with xylitol, a natural sweetener that helps fight cavities. This could come in handy for those times your child gets too busy to brush.
Consider scheduling a teeth cleaning for the downtime after your child gets home from camp and before the start of the new school year, just in case your child wasn’t the most diligent about oral hygiene while away—and to ensure that they begin the new school year in the best oral health.
If you would like more information about how your child can maintain good oral health, please call our office to schedule a consultation. You can learn more in the Dear Doctor magazine articles “How to Help Your Child Develop the Best Habits for Oral Health” and “The Bitter Truth About Sugar.”
The March 27th game started off pretty well for NBA star Kevin Love. His team, the Cleveland Cavaliers, were coming off a 5-game winning streak as they faced the Miami Heat that night. Less than two minutes into the contest, Love charged in for a shot on Heat center Jordan Mickey—but instead of a basket, he got an elbow in the face that sent him to the floor (and out of the game) with an injury to his mouth.
In pictures from the aftermath, Love’s front tooth seemed clearly out of position. According to the Cavs’ official statement, “Love suffered a front tooth subluxation.” But what exactly does that mean, and how serious is his injury?
The dental term “subluxation” refers to one specific type of luxation injury—a situation where a tooth has become loosened or displaced from its proper location. A subluxation is an injury to tooth-supporting structures such as the periodontal ligament: a stretchy network of fibrous tissue that keeps the tooth in its socket. The affected tooth becomes abnormally loose, but as long as the nerves inside the tooth and the underlying bone have not been damaged, it generally has a favorable prognosis.
Treatment of a subluxation injury may involve correcting the tooth’s position immediately and/or stabilizing the tooth—often by temporarily splinting (joining) it to adjacent teeth—and maintaining a soft diet for a few weeks. This gives the injured tissues a chance to heal and helps the ligament regain proper attachment to the tooth. The condition of tooth’s pulp (soft inner tissue) must also be closely monitored; if it becomes infected, root canal treatment may be needed to preserve the tooth.
So while Kevin Love’s dental dilemma might have looked scary in the pictures, with proper care he has a good chance of keeping the tooth. Significantly, Love acknowledged on Twitter that the damage “…could have been so much worse if I wasn’t protected with [a] mouthguard.”
Love’s injury reminds us that whether they’re played at a big arena, a high school gym or an outdoor court, sports like basketball (as well as baseball, football and many others) have a high potential for facial injuries. That’s why all players should wear a mouthguard whenever they’re in the game. Custom-made mouthguards, available for a reasonable cost at the dental office, are the most comfortable to wear, and offer protection that’s superior to the kind available at big-box retailers.
If you have questions about dental injuries or custom-made mouthguards, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “The Field-Side Guide to Dental Injuries” and “Athletic Mouthguards.”
Acquired Immune Deficiency Syndrome (AIDS) jolted our collective consciousness in the 1980s. The deadly disease caused by the human immunodeficiency virus (HIV) had no known cure and, at the time, no effective treatment.
HIV is a retrovirus, a virus with a genetic makeup and reproduction system differing from other kinds. After taking up permanent residency in the body, HIV begins “hijacking” the replication process of cells in the body's immune system and replacing it with a copy of its own. This destroys the cells' ability to protect the body from hostile organisms. As the virus affects more and more cells, the patient's condition ultimately develops into AIDS.
An estimated 35 million people worldwide (1.2 million in the U.S.) are currently infected with the virus. Thanks to new antiretroviral drugs, though, HIV can be kept from accelerating into AIDS. While their condition remains serious, many HIV positive patients can now live long and relatively normal lives. Even so, having the virus requires them to pay close attention to their health, including their mouth.
Even while stalled from becoming AIDS, HIV can still cause oral problems for 30 to 80% of patients. The fungal infection candidiasis (also known as thrush) is the most common of these problems, which appears as lesions, cracking skin or creamy white patches on the tongue or palate that easily bleed. Patients also have higher risks for dry mouth, oral cancer and periodontal (gum) disease.
HIV positive patients must practice diligent daily oral care and see their dentist for checkups regularly. Prevention, early diagnosis and treatment can keep gum disease and other damaging conditions under control. Monitoring oral health is also important because certain mouth conditions could be an early sign the infection is entering a new advanced stage in the body that requires additional attention.
Keeping vigilant in all aspects of health is a way of life for someone with HIV. Such vigilance, though, can help them maintain a healthy mouth and even prolong their life.