Oral Care Goes Beyond Brushing and Flossing

by Gisele Rinaldi Siebold
Area
practitioners Dr. Owen Allison, DMD, Dr. Tammy del Sol, DMD, Dr. Carol Layton, DMD, and
Dr. David Schwartz, DDS, described
some dental, mouth, jaw and sleep care indications to consider beyond regular
brushing and flossing, as well as actions that can be taken to enhance the
mouth and body connection for overall good health.
“Tooth
decay and gum disease are chronic infections and can be controlled or prevented
with adequate oral hygiene and a good diet,” says Layton. “An adequate
compliment of healthy teeth or tooth replacement for mature adults and healthy
oral tissues is priority.”
Allison agrees.
“Talk to your dentist about your options to
replace any teeth that are missing. Each single adult molar that is missing
represents a 15 percent loss of chewing power because the tooth which is above
or below the missing tooth has nothing to bite against,” he says. “Often, this opposing
tooth will begin erupting into the space, which can mess up your bite. The
teeth in front and back of a missing tooth will start tipping into the space,
also changing the bite. The problems are compounded the more adult teeth you
are missing.”
Allison notes, “Another serious problem with
missing teeth is the inability to chew food properly. Chewing food begins the
digestion process and prepares it to enter the stomach. Good nutrition depends
on a functional digestion system, starting with your teeth.”
“Since
digestion and the breakdown of carbohydrates begins in the mouth, lack of
adequate saliva can be a real problem for many adults,” explains Layton. “Causes
of dry mouth can consist of medications, cancer therapies, dehydration and
diseases, including diabetes and autoimmune diseases such as Sjogren’s syndrome
or Crohn’s.”
These
experts agree that poor nasal breathing causes mouth breathing, the number one
risk factor for teeth grinding and non-physiological clenching, which causes
cracks, broken teeth and notches along the gumline. “Airway is king,” explains
Schwartz. “It also causes poor neck posture and shoulder pain, and is a risk
factor for high blood pressure, adding to sleep apnea risks.”
“Stress
and/or use of pharmaceuticals may cause tooth clenching, which can lead to
tooth grinding and cause loss of tooth structure, jaw joint problems and often
pain, and may require the use of oral appliances to protect teeth and jaw
joints,” says Layton. “Those experiencing a compromised airway due to sleep
apnea are at even greater risk. Talk to your dentist if you experience any of
these conditions.”
“Stay
ahead of nasal allergies,” recommends Schwartz. “In the case of a crooked nose
which could hinder proper breathing, consider working with a physician to
determine the possible cause for the crooked shape, as well as treatment
options.”
“When we
think of good oral health, we think of clean teeth, good brushing techniques,
flossing, rinsing and good diet,” says del Sol. “My associate, Dr. Anjali Shah,
and I are bringing focus to a topic that is not very popular, but is slowly
gaining traction in the medical and dental communities: breathing, swallowing
and tongue positioning. This topic is not only relevant for adults, but
also for parents of young children who snore, wet the bed or are even
developing sleep apnea patterns. Seek out a provider who is trained to
recognize the behaviors and symptoms of someone who primarily only breathes
though their mouth.”