The Great DISRUPTER! Who would have thought!

Flossing is the great disrupter!   In the removal of plaque from your teeth there is no better way!  According to the ADA, cleaners that can be used between teeth, such as floss, are extremely important to the health of your gums and teeth.

By flossing twice a day, everyday, you are removing food particles that cannot be reached with your toothbrush no matter how long or hard your brush!  These left-over food particles can and will cause plaque build up in between your teeth!

Plaque? What’s plaque? Plaque is a sticky substance made of food particles and spit that can build up on and between your teeth in between brushings. Plaque build up can be a major problem because there are approximately 500 different bacteria, some good and some not so good, that are mixed in!   Plaque is a major contributor to tooth decay and gum disease! 

Schedule your appointment TODAY and McGlone Dental Care will be glad to show you the correct way to floss and answer any questions that you might have!  

It’s never too late to begin a “Flossing Routine” Twice a Day, Everyday! 

You can check out the article by clicking below.

*https://www.toothwisdom.org/a-z/article/flossing-tips-for-caregivers/

*Information provided by the American Dental Association (A.D.A.)

New Year’s Resolutions

2019 – THIS is the year that I commit to healthy eating, getting in shape, getting my finances in order and visiting the dentist more than I ever have!

Umm … huh?

At McGlone Dental Care, we know it’s about priorities. That’s why we like to think of dentist visits as Happy Smile Visits!

Not everyone includes dental visits as New Year’s resolutions. But just about everyone includes something about smiling more often, being happier and getting healthier. And we want to help you achieve at least those resolutions!

The folks here at McGlone put together an easy-to-follow guide to the New Year of Happy Smiles!

  1. Get to the dentist … we know, we know. Sounds easy, right? But just like the gym, showing up is the hard part. And we make it easy … just call us! Whether you have insurance or not, we make it affordable and comfortable.
  2. Brush your teeth differently … try it for two minutes, two times a day. We PROMISE your mouth will feel better and so will your smile!
  3. Please. We understand flossing is the probably the most misunderstood and underutilized path to a great smile. But it works … just try it … two times a day. Your teeth will thank you.
  4. Cut back on sugar. Heard that before? Of course you have – but here’s an easy tip to make it easier … simply put less sugar in your coffee. You’ll get used to the difference and it will have amazing effects on your teeth, gums and breath!
  5. Quit tobacco. We would be silly to explain why because you have already heard all the reasons. But we wouldn’t be good at our jobs if we didn’t remind you. Mouth cancer sucks. Really.
  6. Buy new toothbrushes every 90 days. They get old … like tires, spinach and milk. You really will feel the difference.
  7. Toothpastes are different. Some are simply better for your teeth – like some spaghetti sauce is better than others. Some mouthwashes, hairsprays and dental flosses are better than others. Use the good stuff.

Don’t worry … we’ll help you through all this … in the next few weeks, we will address each one of these in more detail! Sounds fun, right!

Trust us. We know. Dental advice can be seen as dull and bland. But it doesn’t have to be, and we want to make sure it’s more than that … it’s YOUR smile, after all.

And we’re serious about helping you making it happy and healthy. We are here for you.

A New Year – Healthy SMILE &  A Better You!

https://www.statisticbrain.com/new-years-resolution-statistics/

 

Dentist builds awareness about oral cancer

By Michelle Manchir

When Dr. Josephine Chang Pallotto organized a 5K walk in 2017 to honor the memory of her mother, Susan Chang, who died as a result of a head and neck cancer in 2016, she remembers thinking at the time, “I don’t know what I’m doing.”

She persevered, and dozens of supporters and community members came out to the Lansing, Illinois, event at a public high school and donated money to research for a cure.

On Aug. 25, with some experience under her belt, Dr. Pallotto will again honor her mother through another walk. This time, however, it’s moved near downtown Chicago with support from the University of Illinois at Chicago and the Chicago Dental Society. The ADA will also be represented with a team there.

“This location will reach a lot more people,” said Dr. Pallotto. “This is my way of trying to create awareness on a larger scale.”

Those who recognize Dr. Pallotto’s name may remember seeing her speak at the opening session at ADA 2017 – America’s Dental Meeting in Atlanta. There, she shared the story of her parents’ immigration to the U.S. from Taiwan with nothing but a single suitcase for both of them in tow.

Her mother’s diagnosis, stage IV nasopharyngeal carcinoma, came after Dr. Pallotto graduated in 2011 from the New York College of Dentistry. Moved by her mother’s strength in enduring the illness and treatment, and with the desire to help find a cure for other patients of the disease, Dr. Pallotto organized the 2017 walk, which raised thousands of dollars for research.

This year, at least six other similar events are scheduled across the country, said Oral Cancer Foundation president Brian Hill. The money raised benefits oral cancer research.

In many cases, dental offices help support and come out for the events, and there are other instances in which dentists or hygienists help organize the effort.

Mr. Hill, a survivor of stage IV oral cancer, said he is encouraged by organized dentistry’s engagement with creating awareness about oral cancer.

“Dentistry is on the front line of finding oral cancer early,” he said.

To find out more about Dr. Pallotto’s walk or other oral cancer walks, visit OralCancer.org and click on the “events” tab. To view Dr. Pallotto’s oral cancer walk page, visit https://donate.oralcancer.org/event/chicago2018.

The ADA offers dentists resources related to screening for oral cancers.

In 2017, the ADA released a clinical practice guideline for the evaluation of potentially malignant disorders in the oral cavity. To download and read the entire guideline, go to ADA.org/OralCancer.

The ADA Science Institute maintains a webpage on ADA.org about oral cancers, with data about incidence and mortality; information about risk factors, signs and symptoms; as well as links to other resources, including an instructional video demonstrating the patient intraoral and extraoral conventional visual and tactile examination for oral cancer. Visit ADA.organd hover over “Science/Research” and then select “Oral Health Topics.”

*Provided by ADA News https://www.ada.org/en/publications/ada-news/2018-archive/july/dentist-builds-awareness-about-oral-cancer

 

 

Sit, stay, brush: Golden retriever helps teach kids oral hygiene habits in Kentucky

Bowling Green, Ky.— A dentist and community educator, Dr. Matthew Riley knows elementary school students aren’t usually captivated by spiels on oral hygiene.

That’s why he brings his affable partner, a three-year-old golden retriever named Bennett, who helps the message sink in.

For the past year or so, Dr. Riley and Bennett have been making the rounds to grade schools in the south-central parts of Kentucky where he lives and works. There, the two teach children about oral hygiene techniques. The highlight of the show occurs when Dr. Riley brushes Bennett’s teeth.

“He behaves so well and is so inviting to kids,” Dr. Riley said. “I get dog-specific toothpaste. It’s a way to make oral health and oral hygiene interesting and fun.”

Dr. Riley adopted Bennett while he was still in dental school at the University of Louisville School of Dentistry. On snow days, he found time to train the well-behaved boy, which has made the pup a trustworthy – and, yes, adorable – companion for the school programs. Bennett is close to receiving his certification as a therapy dog, Dr. Riley said, and in addition to the school programs also visits the assisted living facility where his mother works and makes regular appearances in Dr. Riley’s dental office.

An associate in Briarwood Dental in Bowling Green, Dr. Riley said he brings Bennett with him to the office when he knows a young patient with a big treatment plan could use the extra comfort (and after he gets permission from the children’s parents or guardians.)

“We have a special harness I put him in, and then he knows he’s going somewhere fun,” Dr. Riley said. “He loves the attention.”

Dr. Riley, who entered private practice right after graduating from dental school in 2016, said visiting classrooms is one way to contribute to community health. He also serves as dental director for his local public health department.

Dr. Riley said he knows the K9 assistance is a little unorthodox, but he thinks having Bennett is a way to make the oral health lessons engaging. Often after visiting a school, Dr. Riley said he hears from parents of students who were eager to brush their teeth that night, citing Bennett’s endorsement.

“It’s hard to teach kids oral health,” he said. “Here you have something that’s fun and exciting that they can remember.”

The effort has drawn attention of media, which featured him on one of his school visits on the local TV news, which was picked up by CNN. The clip has been featured on local news channels throughout the country since then.

The media attention has made Bennett, and Dr. Riley, even more popular in southern Kentucky. Dr. Riley said he’s been getting more and more requests from schools to visit. Dr. Riley said he’s happy to take the requests and will fit in all the visits he can on his days off from practice.

“This allows me to get to those kids I might not otherwise see,” he said.

Provided by ADA News – https://www.ada.org/en/publications/ada-news/2018-archive/may/sit-stay-brush-golden-retriever-helps-teach-kids

Information about Mouthguards

Key points:

  • TMJ disorder dentist DenverMouthguard use has been shown to reduce the risk of sport-related dental injuries
  • An ANSI/ADA standard exists for Athletic Mouth Protectors and Materials
  • The ADA Council on Access, Prevention and Interprofessional Relations and the ADA Council on Scientific Affairs encourage patient education about the benefit of mouthguard use.
  • A product earns the ADA Seal of Acceptance by providing scientific evidence that demonstrates safety and efficacy, which the ADA Council on Scientific Affairs carefully evaluates according to objective requirements.

Background

The ADA has taken an active stance since the mid-1990s recognizing the preventive value of orofacial protectors, endorsing their use by those who engage in recreational and sports activities; and encouraging widespread use of orofacial protectors with proper fit, including mouthguards.1

Both the ADA Council of Scientific Affairs and the Council on Access, Prevention and Interprofessional Relations recognize that dental injuries are common in collision or contact sports and recreational activities.2 Numerous surveys of sports-related dental injuries have documented that participants of all ages, genders and skill levels are at risk of sustaining dental injuries in sporting activities, including organized and unorganized sports at both recreational and competitive levels. While collision and contact sports, such as boxing, have inherent injury risks, dental injuries are also prevalent in non-contact activities and exercises, such as gymnastics and skating.3-5

The Councils promote the importance of safety in maintaining oral health and the use of a properly fitted mouthguard as the best available protective device for reducing the incidence and severity of sports-related dental injuries. The Councils are committed to oral health promotion and injury prevention for sports participants.

Standards

It is necessary that mouthguards actually perform as required, i.e. to keep teeth safe.  An important step was therefore the work of the ADA with ANSI in developing a standard for Athletic Mouth Protectors and Materials.  However, as recently as 2009, a study of commercially available products found none that met current ANSI and ADA standards for impact attenuation.6

Utilization

It is important for mouthguards to be safe however to be effective, they also have to be used.  Reasons given for why mouthguards are not used include awareness, cost, and lack of requirement for their use.7

Raising Awareness

There have been several “Patient Pages” in JADA to be used by dentists to help engage patients in conversation about mouthguards, facilitating discussion to encourage their use.  Each underscores the importance of mouthguard use and informs consumers about the 3 types that are available – ready-made, boil and bite, and custom made.8-12 

Recent trends to increase ‘realism’ in video games has resulted their incorporating more actual player behaviors including what they do with their mouthguards while at the free throw line.13  While perhaps not the most desirable behavior, it raises the profile and awareness of mouthguards. Further, by having a sport idol model their use, it serves to increase their ‘coolness’ factor.

Overcoming Barriers with the ADA Seal of Acceptance

While still being able to highlight the benefit of custom fit mouthguards, dentists can also recommend the use of over-the-counter mouthguards with the ADA Seal of Acceptance.  Look for the ADA Seal—your assurance that the product has been objectively evaluated for safety and efficacy by an independent body of scientific experts, the ADA Council on Scientific Affairs.  A product earns the ADA Seal for athletic mouthguards by providing scientific evidence, which is evaluated according to objective requirements, demonstrating the safety and efficacy of ready-to-use and mouth-formed (boil-and-bite) mouthguards.

To qualify for the Seal of Acceptance, the company must provide evidence that:

  • The product components are safe for use in the mouth and do not harm or irritate oral soft tissues.
  • Mouth-formed appliances can be prepared by the average person with low risk of injury to oral hard or soft tissues, or damage of orthodontic appliances.
  • The mouthguard is free of sharp or jagged edges.
  • The mouthguard passes tests outlined by the American National Standards Institute/American Dental Association for hardness, ability to resist tearing and withstand impact; as well as a measurement of the amount of water absorbed.14

Comparison finds custom mouthguards made by dentists to perform best;15 having an over-the-counter option that meets ANSI/ADA standards helps with the cost barrier to engagement while still affording the consumer with a safe method of protecting their teeth.

Summary

Dentists are encouraged to ask patients if they participate in team sports or other activities with risks of injury to the teeth, jaw and oral soft tissues (mouth, lip, tongue, or inner lining of the cheeks). The Councils recommend that people of all ages use a properly fitted mouthguard in any sporting or recreational activity that may pose a risk of injury. The Councils also recommend educating patients about mouthguards and orofacial injury risks, including appropriate guidance on mouthguard types, their protective properties, costs and benefits. The key educational message is that the best mouthguard is one that is utilized during sport activities.

References

  1. American Dental Association, Policy Statement on Orofacial Protectors. Transactions; 1995. p. 613.
  2. ADA Council on Access, Prevention and Interprofessional Relations; Council on Scientific Affairs. Using mouthguards to reduce the incidence and severity of sports-related oral injuries. J Am Dent Assoc 2006;137(12):1712-20; quiz 31.
  3. Fasciglione D, Persic R, Pohl Y, Filippi A. Dental injuries in inline skating – level of information and prevention. Dent Traumatol 2007;23(3):143-8.
  4. Knapik JJ, Marshall SW, Lee RB, et al. Mouthguards in sport activities : history, physical properties and injury prevention effectiveness. Sports Med 2007;37(2):117-44.
  5. Kumamoto DP, Maeda Y. A literature review of sports-related orofacial trauma. Gen Dent 2004;52(3):270-80; quiz 81.
  6. Gould TE, Piland SG, Shin J, Hoyle CE, Nazarenko S. Characterization of mouthguard materials: physical and mechanical properties of commercialized products. Dent Mater 2009;25(6):771-80.
  7. O’Malley M, Evans DS, Hewson A, Owens J. Mouthguard use and dental injury in sport: a questionnaire study of national school children in the west of Ireland. J Ir Dent Assoc 2012;58(4):205-11.
  8. For the dental patient. Do you need a mouthguard? J Am Dent Assoc 2001;132(7):1066.
  9. Mouthguards lower dental injuries. J Am Dent Assoc 2002;133(3):278.
  10. For the dental patient. The importance of using mouthguards. Tips for keeping your smile safe. J Am Dent Assoc 2004;135(7):1061.
  11. For the dental patient. Keep sports safe–wear a mouthguard. J Am Dent Assoc 2012;143(3):312.
  12. For the dental patient. Protecting teeth with mouthguards. J Am Dent Assoc 2006;137(12):1772.
  13. Stephen Curry’s mouth guard routine gets video game treatment.  2015.
  14. ANSI/ADA Standard No.99-2001(R2013) Athletic mouth protectors and materials. Chicago: American Dental Association.
  15. DeYoung AK, Robinson E, Godwin WC. Comparing comfort and wearability: custom-made vs. self-adapted mouthguards. J Am Dent Assoc 1994;125(8):1112-8.

ADA Resources

Other Resources

Prepared by: Center for Scientific Information, ADA Science Institute
Reviewed by: ADA Council on Access, Prevention and Interprofessional Relations
Last Updated: October 25, 2016

Disclaimer

Content on ADA.org is for informational purposes only, is neither intended to and does not establish a standard of care, and is not a substitute for professional judgment, advice, diagnosis, or treatment. ADA is not responsible for information on external websites linked to this website.

Aging and Dental Health

Key Points

  • The demographic of older adults (i.e., 65 years of age and older) is growing and likely will be an increasingly large part of dental practice in the coming years.
  • Although better than in years past, the typical aging patient’s baseline health state can be complicated by comorbid conditions (e.g., hypertension, diabetes mellitus) and physiologic changes associated with aging.
  • Older adults may regularly use several prescription and/or over-the-counter medications, making them vulnerable to medication errors, drug interactions or adverse drug reactions.
  • Potential physical, sensory, and cognitive impairments associated with aging may make oral health self-care and patient education/communications challenging. 
  • Dental conditions associated with aging include dry mouth (xerostomia), root and coronal caries, and periodontitis; patients may show increased sensitivity to drugs used in dentistry, including local anesthetics and analgesics.

The Federal Interagency Forum on Aging-Related Statistics projects that by the year 2030, the number of U.S. adults 65 years or older will reach 72 million, representing nearly 20% of the total U.S. population; this is an approximate doubling in number as compared to the year 2000.1 Older adults are, therefore, a growing patient demographic for dental practices. Increased numbers of older adults are retaining their natural teeth compared with previous cohorts.2 According to a 1999-2004 National Health and Nutrition Examination Survey (NHANES), approximately 18% of adults aged 65 years or older with retained natural teeth have untreated caries3 while a 2009-2012 NHANES found that 68% of these patients have periodontitis.4 Consideration of the overall clinical and oral health context of aging patients is important in order to provide optimum dental care.

The health status of adults older than age 65 years can be quite variable, ranging from functional independence to frail or cognitively impaired.5-8 According to the U.S. Administration on Aging, over 40% of noninstitutionalized adults aged 65 years or older assessed their health as excellent or very good (compared to 55% for persons aged 45 to 64 years).9 Most older persons have at least one chronic condition and many have multiple conditions.9 In the time period up to and including 2013, the most frequently occurring conditions among older persons were: hypertension (71%), arthritis (49%), heart disease (31%), any cancer (25%), and diabetes (21%).9 A 2015 report by the World Health Organization listed conditions common to older age, including hearing loss, cataracts and refractive errors, back and neck pain and osteoarthritis, chronic obstructive pulmonary disease, diabetes, depression, and dementia.10, 11

Physiologic changes that are age related include changes to cellular homeostasis, including regulation of body temperature and blood and extracellular fluid volumes; decreases in organ mass; and decline in or loss of body system functional reserves.5, 12 Changes to the gastrointestinal system include decreases in intestinal blood flow and gastric motility and increased gastric pH. Renal, cardiovascular, respiratory, central nervous, and/or immune systems may show decreased function (e.g., decreases in glomerular filtration, cardiac output, lung capacity, sympathetic response, cell-mediated immunity).12 These changes may have an effect on medication absorption and metabolism or an individual’s sensitivity to certain medications (See “Medication Considerations”).13

Physical changes associated with aging include decreased bone and muscle mass.12 Osteoarthritis may result in limitations in mobility.14Visual changes may include age-related macular degeneration, presbyopia, cataracts, glaucoma, or diabetic retinopathy.5, 14 Patients may experience age-related hearing loss, which may affect their ability to communicate.5, 14 Postural reflexes can become dampened, and falls become more common in elderly individuals.5, 12, 13 

Older adults may also demonstrate a spectrum of cognitive acuity, ranging from not at all affected to mild cognitive impairment to frank dementia.5 Dementia is a syndrome characterized by progressive deterioration in multiple cognitive domains, severe enough to interfere with daily functioning.5, 14 Older patients with poor cognitive health will have difficulty managing medications, medical conditions, or other self-care, including dental hygiene.14

According to data from NHANES, 39% of people aged 65 years and older reported using 5 or more prescription drugs (“polypharmacy”) in the prior 30 days during the year 2011 through 2012.15 Ninety percent of people 65 years of age and older reported using any prescription drug in the prior 30 days.15 The high prevalence of polypharmacy among older adults may lead to inappropriate drug use, medication errors, drug interactions or adverse drug reactions.5, 13 The average older adult takes 4 or 5 prescription drugs; in addition, these individuals may also be taking 2 or 3 over-the-counter (OTC) medications.13 A review of older dental patients’ medical history and current medications, both prescription and OTC medications/supplements,16, 17 should be done regularly.5, 13

Drugs most commonly prescribed in elderly patients include “statin” drugs for hypercholesterolemia; antihypertensive agents; analgesics; drugs for endocrine dysfunction, including thyroid and diabetes medications; antiplatelet agents or anticoagulants; drugs for respiratory conditions (e.g., salbutamol); antidepressants; antibiotics; and drugs for gastroesophageal reflux disease and acid reflux.13 The most frequently taken OTC medications by older adults include analgesics, laxatives, vitamins, and minerals.13

Older adults frequently show an exaggerated response to central nervous system drugs, partly resulting from an age-related decline in central nervous system function and partly resulting from increased sensitivity to certain benzodiazepines, general anesthetics, and opioids.13, 18 The American Geriatrics Society has published a 2015 update to the Beers Criteria for potentially inappropriate medication use in older adults.19 Beers Criteria potentially inappropriate medications have been found to be associated with poor health outcomes, including confusion, falls, and mortality. One change of note to the 2015 Beers Criteria includes the addition of opioids to the category of central nervous system medications that should be avoided in individuals with a history of falls or fractures.19

General

Xerostomia affects 30% of patients older than 65 years and up to 40% of patients older than 80 years; this is primarily an adverse effect of medication(s), although it can also result from comorbid conditions such as diabetes, Alzheimer’s disease, or Parkinson’s disease.5, 8, 20Xerostomia, while common among older patients, is more likely to occur in those with an intake of more than 4 daily prescription medications.5 Dry mouth can lead to mucositis, caries, cracked lips, and fissured tongue.8 Recommendations for individuals with dry mouth include drinking or at least sipping regular water throughout the day5, 8and limiting alcoholic beverages and beverages high in sugar or caffeine, such as juices, sodas, teas or coffee (especially sweetened).8 

Older adults are at increased risk for root caries because of both increased gingival recession that exposes root surfaces and increased use of medications that produce xerostomia; approximately 50% of persons aged older than 75 years of age have root caries affecting at least one tooth.2, 21, 22 Ten percent of patients 75 to 84 years of age are affected by secondary coronal caries; this is likely related to the prevalence of restorations in the older population.20 Adoption of good oral hygiene, which includes use of rotating/oscillating toothbrushes, and the use of topical fluoride (i.e., daily mouth rinses, high fluoride toothpaste and regular fluoride varnish application), as well as attention to dietary intake have been recommended in the literature.8, 20, 22

Because cardiovascular disease is common among older individuals, it has been suggested by Ouanounou and Haas that the dose of epinephrine contained in anesthetics should be limited to a maximum of 0.04 mg.13 The authors13 recommend that even without a history of overt cardiovascular disease, the use of epinephrine in older adult patients should be minimized because of the expected effect of aging on the heart. They recommend monitoring blood pressure and heart rate when considering multiple administrations of epinephrine-containing local anesthetic in the older adult population.13

Cognitive Limitations Affecting Dental Care and Self-Care

Patients with severe cognitive impairment, including dementia, are at increased risk for caries, periodontal disease, and oral infection because of decreased ability to engage in self-care.14 Education of the caregiver, as well as the patient, is an important part of the prevention and disease management phase of dental care.5, 14

Communication during the dental appointment may be challenging when the older adult has cognitive impairments. It is recommended that the number of people, distractions, and noise in the operatory be minimized when providing care to a patient with dementia, although a trusted caregiver in the room may provide reassurance to the patient.23 Patients should be approached from the front at eye level and use of nonverbal communication, such as smiling and eye contact, is important.23 The dentist should begin the conversation by introducing himself or herself. Because a patient with cognitive limitations may become overloaded with information easily, instructions should be simple and sentences short, such as, “Please open your mouth.”23

Because cognitive impairment or dementia can affect a patient’s ability to follow instructions following oral surgery, it is recommended that practitioners ensure local hemostasis (i.e., sutures, local hemostatics, socket preservation techniques) prior to dismissal from the dental practice.14

Dentate patients with cognitive limitations should be encouraged to brush their teeth two or more times daily; use of an electric or battery-operated toothbrush should be considered.14 The same oral care routine should be followed consistently, as possible.14 In patients with removable prosthetic devices, the device(s) should be removed, inspected, and cleaned before bed and returned to the mouth in the morning.14

Physical and Sensory Limitations Affecting Dental Care and Self-Care

Patients with Hearing Loss:  Dental care providers should speak slowly, clearly, and loudly when talking with older patients to enhance hearing and understanding.23 It is important to make sure that speaking loudly and slowly does not introduce a patronizing or condescending tone of voice.23 Yellowitz in The ADA Practical Guide to Patients with Medical Conditions14 advises the following in communicating with patients with hearing loss and/or hearing aids:

  • In patients who read lips, face the patient while speaking, speak clearly and naturally; and make sure your lips are visible (remove mask). Be at the same level as the patient.
  • Gain the patient’s attention with a light touch or signal before beginning to speak. Be sure the patient is looking at you when you are speaking and avoid technical terms. Use written instructions and facial expressions.
  • Inform the patient before starting to use dental equipment or when equipment is changed, resulting in an altered experience, e.g., vibrations from a low-speed versus a high-speed handpiece. 
  • In patients with hearing aids, minimize background noise when speaking. Avoid sudden noises and putting your hands close to the hearing aid(s). Patients may want to adjust or turn off the hearing aid(s) during treatment.
  • Written and illustrated materials and websites can be used to help explain dental information, procedures, and postoperative instructions


Patients with Visual Loss:  Age-related visual impairment, such as cataracts, glaucoma or presbyopia, can diminish a person’s ability to process nonverbal conversational cues that frequently are communicated visually.23 Ensure the patient can clearly see demonstrations and read written materials, including appointment cards and instructions.14 The following tools and strategies14 can assist visually impaired older adults in the dental office:

  • Large-print magazines in the waiting room
  • Good lighting throughout the office; add spot/task lighting in areas used for completing forms
  • Large print on prescription bottles
  • Install blinds or shades to reduce glare
  • Use contrasting colors on door handles, towel racks, and stair markers

Patients with Physical Limitations/Loss of Mobility:  Osteoarthritis or rheumatoid arthritis in the hand, fingers, elbow, shoulder, and/or neck can affect a person’s ability to maintain good quality oral health self-care.14 Modification of manual toothbrush handles (e.g., with Velcro® straps or attaching a bicycle handlebar grip) or use of an electronic toothbrush with a wide, grippable handle can help accommodate for lost mobility.14 Floss holders or interdental cleaners/brushes can aid in cleaning between teeth.14Increasing the frequency of dental cleanings and examinations can help promote optimal maintenance of oral hygiene.

Prepared by: Center for Scientific Information, ADA Science Institute
Last Update: June 14, 2017

Disclaimer
Provided by ADA.org – Content on ADA.org is for informational purposes only, is neither intended to and does not establish a standard of care, and is not a substitute for professional judgment, advice, diagnosis, or treatment. ADA is not responsible for information on external websites linked to this website.

Easing Dental Fear in Adults

What Causes Dental Phobia and Anxiety?

If you fear going to the dentist, you are not alone. Between 9% and 20% of Americans avoid going to the dentist because of anxiety or fear. Indeed, it is a universal phenomenon.

Dental phobia is a more serious condition than anxiety. It leaves people panic-stricken and terrified. People with dental phobia have an awareness that the fear is totally irrational, but are unable to do much about it. They exhibit classic avoidance behavior; that is, they will do everything possible to avoid going to the dentist. People with dental phobia usually go to the dentist only when forced to do so by extreme pain. Pathologic anxiety or phobia may require psychiatric consultation in some cases.

Other signs of dental phobia include:

  • Trouble sleepingthe night before the dental exam
  • Feelings of nervousness that escalate while in the dental office waiting room
  • Crying or feeling physically ill at the very thought of visiting the dentist
  • Intense uneasiness at the thought of, or actually when, objects are placed in your mouth during the dental treatment or suddenly feeling like it is difficult to breathe

Fortunately, there are ways to get people with dental anxiety and dental phobia to the dentist.

What Causes Dental Phobia and Anxiety?

There are many reasons why some people have dental phobia and anxiety. Some of the common reasons include:

  • Fear of pain. Fear of pain is a very common reason for avoiding the dentist. This fear usually stems from an early dental experience that was unpleasant or painful or from dental “pain and horror” stories told by others. Thanks to the many advances in dentistry made over the years, most of today’s dental procedures are considerably less painful or even pain-free.
  • Fear of injections or fear the injection won’t work. Many people are terrified of needles, especially when inserted into their mouth. Beyond this fear, others fear that the anesthesia hasn’t yet taken effect or wasn’t a large enough dose to eliminate any pain before the dental procedure begins.
  • Fear of anesthetic side effects. Some people fear the potential side effects of anesthesia such as dizziness, feeling faint, or nausea. Others don’t like the numbness or “fat lip” associated with local anesthetics.
  • Feelings of helplessness and loss of control. It’s common for people to feel these emotions considering the situation — sitting in a dental chair with your mouth wide open, unable to see what’s going on.
  • Embarrassment and loss of personal space. Many people feel uncomfortable about the physical closeness of the dentist or hygienist to their face. Others may feel self-conscious about the appearance of their teeth or possible mouth odors.
  • The key to coping with dental anxiety is to discuss your fears with your dentist. Once your dentist knows what your fears are, he or she will be better able to work with you to determine the best ways to make you less anxious and more comfortable. If your dentist doesn’t take your fear seriously, find another dentist.
  • If lack of control is one of your main stressors, actively participating in a discussion with your dentist about your treatment can ease your tension. Ask your dentist to explain what’s happening at every stage of the procedure. This way you can mentally prepare for what’s to come. Another helpful strategy is to establish a signal — such as raising your hand — when you want the dentist to immediately stop. Use this signal whenever you are uncomfortable, need to rinse your mouth, or simply need to catch your breath.


* Information courtesy of www.webmd.com/oral-health

McGlone Dental Care is officially open in the Rosedale/Harvard Gulch neighborhood!

We are open for business and our building remodel is beautiful. If you are in the neighborhood, please stop in for a tour. We will be hosting an open house soon, so check back for details about that.

This morning our first patient was Father Ronald Cattany. Before we started his dental service, he blessed all of us and our building by walking through the entire building; including the bathroom & closets, outside of the building and parking lot blessing our new space with Exorcised Holy water. He even blessed all of our cars. It was a magical moment for Dr. Greg McGlone and his staff. There may have even been a few tears shed!

Please follow us on Facebook – https://www.facebook.com/McGloneDental/ for more updates about our move, the building remodel and upcoming events, including the addition of some other services and featured artists to our menu of offerings.

Jaw-dropping facts about TMJ/TMD disorders

Understanding TMJ/TMD Disorders

TMJ disorder dentist DenverMore than 15 percent of American adults suffer from chronic facial pain, such as jaw pain, headaches or earaches.

The source of these aches and pains may be related to one or both of the temporomandibular (TM) joints. Located on each side of the head, these joints work together, with a complex system of muscles, ligaments, discs and bones, to make different movements for chewing and speaking.

What is TMD?

Temporomandibular Disorder (TMD) refers to a variety of conditions that affect TM joints, jaw muscles and facial nerves. TMD may occur when the jaw twists during opening, closing or side-motion movements. People with TMD may experience these symptoms:

  • pain in or around the ear
  • headaches and neck aches
  • tenderness of the jaw or jaw muscles
  • jaw pain or soreness that is more prevalent in the morning or late afternoon
  • jaw pain when chewing, biting or yawning
  • difficulty opening and closing the mouth
  • clicking or popping noises when opening the mouth
  • sensitive teeth when no other dental problems can be found

TMD affects more than twice as many women (particularly those of childbearing age) as men and is the most common non-dental related chronic facial pain.

What causes TMD?

  • Arthritis
  • Improper bite (how teeth fit together)
  • Jaw dislocation or injury

Stress and TMD

Stress is thought to be a factor in TMD. Even strenuous physical tasks, such as lifting a heavy object or stressful situations, can aggravate TMD by causing overuse of jaw muscles, specifically clenching or grinding teeth (also known as bruxism).

What can I do to treat TMD?

Diagnosis is an important step before treatment. However, because the exact causes and symptoms of TMD are not clear, diagnosing these disorders can be confusing. At present, there is no widely accepted, standard test to correctly identify TMD.

Other dental conditions, such as a toothache or sinus problems, can cause similar symptoms. Scientists are also exploring how behavioral, psychological and physical factors may combine to cause TMD.

In about 90 percent of the cases, says the Delta Dental Plans Association, your description of symptoms, combined with a simple physical examination of face and jaw by your dentist, provides useful information for diagnosing these disorders.

Your dentist may also take x-rays and make a cast of your teeth to see how your bite fits together, or may request specialized x-rays for the TM joints. Your complete medical history may be reviewed, so it is important to keep your dental office record up-to-date.

Your dentist will recommend what type of treatment is needed for your particular problem or refer you to a specialist, such as specially trained facial pain experts. You may also want to check with your physician about TMD-type symptoms.

Your dentist may also recommend one of the following:

Modify the pain. This can mean resting the joint, taking a non-steroidal anti-inflammatory drug, such as aspirin or ibuprofen, or applying moist heat to the painful areas.

Practice relaxation techniques. Biofeedback or relaxation training may help to manage stress. Your dentist may prescribe a nightguard to prevent your teeth from grinding during sleep.

Fix poorly aligned teeth. Your dentist may suggest some adjustment, including orthodontic treatment, to correct teeth alignment.

If you think you have TMD

Keep in mind that for most people, discomfort from TMD will eventually go away whether treated or not. Simple self-care practices, such as exercising to reduce teeth-clenching caused by stress, can be effective in easing TMD symptoms.

If more treatment is needed, it should be conservative and reversible. Avoid, if at all possible, treatments that cause permanent changes in the bite or jaw. If irreversible treatments are recommended, be sure to get a reliable second opinion.

Many practitioners, especially dentists, are familiar with the conservative treatment of TMD.

Pain clinics in hospitals and universities are also a good source of advice and second opinions for these disorders.

Always check your specific dental benefits coverage before undergoing any dental treatment.

Information courtesy of the Academy of General Dentistry and the American Dental Association.

What Does Soda Do to Your Teeth?

If you’re like about one-half of the American population, you drink at least one sugary drink on a daily basis — and there’s a good chance it’s soda. Drinking high-sugar soft drinks is most commonly associated with obesity, type 2 diabetes, and weight gain. But sodas can also have ill effects on your smile, potentially leading to cavities and even visible tooth decay. 

Teenage Life

Men are more likely to drink soda and sugary drinks. Teenage boys drink the most and get about 273 calories from them per day. That number only falls to 252 calories in their 20s and 30s.

How Soft Drinks Hurt Your Teeth

When you drink soda, the sugars within interact with bacteria in your mouth to form acid. This acid attacks your teeth. Both regular and sugar-free sodas also contain their own acids, and these attack the teeth too. With each swig of soda, you’re starting a damaging reaction that lasts for about 20 minutes. If you sip all day, your teeth are under constant attack. 

Erosion and Cavities

There are two main dental effects of drinking soda: erosion and cavities.

Erosion begins when the acids in soft drinks encounter the tooth enamel, which is the outermost protective layer on your teeth. Their effect is to reduce the surface hardness of the enamel.

While sports drinks and fruit juices can also damage enamel, they stop there. 

Soft drinks, on the other hand, can also affect the next layer, dentin, and even composite fillings. This damage to your tooth enamel can invite cavities. Cavities, or caries, develop over time in people who drink soft drinks regularly. When combined with poor oral hygiene, the results can be disastrous.

Mountain Dew Mouth

Perhaps one of the most extreme examples of the dental effects of soft drink consumption is known as “Mountain Dew Mouth,” a phenomenon most common in Central Appalachia. This condition is caused by very high consumption of soft drinks, including its namesake, Mountain Dew.

Those who suffer from it experience visible tooth decay, as acids from the soda essentially eat away the enamel to leave behind disturbing results.

Learn more about “Mountain Dew Mouth” »

Unfortunately, children are most at risk for suffering the teeth-damaging effects of soft drinks, as their vulnerable enamel is not fully developed.

*Information courtesy of  www.healthline.com