Why dry mouth can be a problem and what to do about it

Your saliva plays an important role in your oral health and reduced saliva flow can lead to health problems.

Reduced saliva flow can lead to a dry mouth and this is a common problem among older adults.

It can be caused by various medical disorders and is often a side effect of medications such as antihistamines, decongestants, pain killers and diuretics.

Dry mouth can be associated with various problems such as a constant sore throat, burning sensation, problems speaking, difficulty swallowing, hoarseness or dry nasal passages.

Drying irritates the soft tissues in the mouth, which can make them inflamed and more susceptible to infection. Without the cleansing effects of saliva, tooth decay and other oral health problems become more common.

So, if dry mouth is not treated, it can damage your teeth.

Without adequate saliva to lubricate your mouth, wash away food, and neutralize the acids produced by plaque, extensive decay can occur.

Your dentist can recommend various methods to restore moisture. Sugar-free candy or gum stimulates saliva flow, and moisture can be replaced by using artificial saliva and oral rinses.

How Osteoporosis medications can affect your dental health

Osteoporosis is a disease that weakens bones and increases the risk of fractures.

It affects about 10 million Americans – of whom 8 million are women – and another 34 million are at risk of developing it.

So this is a disease that affects more women than cancer, heart disease and stroke combined.

But what does it have to do with your dental care?

Well, many people in these categories are treated with a group of prescription drugs called oral bisphosphonates. Studies have reported that these drugs reduce bone loss, increase bone density and reduce the risk of fractures.

But some people have been alarmed and confused by recent news reports about oral bisphosphonates because of uncommon complications that have been linked to these drugs.

The drugs have been associated with osteonecrosis of the jaw (ONJ), a rare but potentially serious condition that can cause severe destruction of the jawbone.

The true risk posed by oral bisphosphonates remains uncertain, but researchers seem to agree that it appears very small.

Given the risks associated with osteoporosis and the proven benefits of oral bisphosphonate therapy, you should not stop taking these medications before discussing the matter fully with your physician.

If your physician prescribes an oral bisphosphonate, it’s important to tell your dentist so that your health history form can be updated.

In this case, some dental procedures, such as extractions, may increase your risk of developing ONJ, so your dentist needs to be able to take your full health picture into account.

Making your teeth look better with veneers

Everybody wants the best smile possible and there’s no need to have it spoiled by gaps in your teeth or by teeth that are stained or badly shaped.

Whether the problem was caused by nature or by an injury, you may be able to have a veneer placed on top of your teeth to restore or improve your smile.

Veneers are thin, custom-made shells crafted from tooth-colored materials designed to cover the front side of teeth.

Your dentist will usually make a model of your teeth and the veneers will be made by a specialist dental technician.

A small amount of enamel has to be removed from your teeth to accommodate the shell so having veneers is usually an irreversible process.

In order to make the most of your veneer, your dentist may suggest that you avoid foods and drinks that could discolor them, such as coffee, tea or red wine.

It’s also possible that veneers might chip or fracture.

But, for many people, veneers are well worth it as they give them a completely new smile.

Root canal treatment

Root canal therapy is an important treatment that can save a tooth with a diseased nerve and which in the past would probably have needed to be removed.

Inside each tooth is the ‘pulp’ which runs like a thread down through the root and provides nutrients and nerves to the tooth. It is the soft tissue that contains nerves, blood vessels and connective tissue.

If the pulp is diseased or injured, the pulp tissue dies.

The most common cause of pulp death is a cracked tooth or a deep cavity. Both of these problems can let bacteria enter the pulp.

So, if you don’t remove it, your tooth gets infected and you could lose it.

After the dentist – or endodontist (a dentist who specializes in problems of the pulp) – removes the pulp, the root canal is cleaned and sealed off to protect it. Then your dentist places a crown over the tooth to help make it stronger.

Most of the time, a root canal is a relatively simple procedure involving one to three visits with little or no discomfort.

Your restored tooth could last a lifetime, if you continue to care for your teeth and gums and enjoy regular checkups.

How removable partial dentures can help you

Removable partial dentures usually involve replacement teeth attached to plastic bases, connected by metal framework.

They attach to your natural teeth with metal clasps or precision attachments’. Precision attachments generally look better than metal clasps and are nearly invisible.

Crowns may be required on your natural teeth to improve the fit of a removable partial denture.

When you first get a partial denture, it may feel awkward or bulky. But you will gradually get used to wearing it.

It will also take a bit of practice to get used to inserting and removing the denture. It should fit into place easily and you should never force it.

Your dentist may suggest that you wear your partial denture all the time at first. While it will be uncomfortable for a while, it will help you identify if any parts of the denture need adjustment.

After making adjustments, your dentist will probably recommend that you take the denture out of your mouth before going to bed and replace it in the morning.

With a denture, eating should become a more pleasant experience compared to having missing teeth.

But, initially, you’ll need to eat soft foods cut into small pieces. And avoid foods that are extremely sticky or hard.

Some people with missing teeth find it hard to speak clearly so wearing a partial denture may help. However, you’ll probably need to practice certain words at first to get completely comfortable.

While it can take a little getting used to initially, a partial denture can help you enjoy your food with less worries.

Making living with dentures easy and comfortable

Your dentures were made to fit you precisely and, if they are cared for properly, they do not change shape.

But you may sometimes find that they can become loose due to natural changes in the gums and bone supporting them. As the jawbone begins to shrink, so do the gums.

If you find your dentures no longer fit properly, see your dentist as soon as possible so adjustments can be made.

Trying to change the fit of your dentures yourself can damage them and make them unrepairable so this would be a costly experiment!

Ill-fitting dentures repaired at home can also irritate the gums, tongue and cheeks.

In an emergency, you could use denture adhesives to keep the dentures stable until you are able to see the dentist.

Even if you no longer have your natural teeth, it’s still important to see your dentist regularly for an oral examination.

The dentist will examine your mouth to check for any problem with the gum ridges, the tongue and the joints of the jaw, as well as screen for oral cancer.

For a variety of reasons, many older adults are more susceptible to oral diseases, including oral cancer. About 95 percent of all cancers are found in people over age 40. However, many of these cancers are treatable if detected early.

Oral tissues are also checked for signs of other diseases that can first manifest themselves in the mouth.

Living with dentures can be comfortable if you continue to care for your oral hygiene and make regular visits to your dentist for a checkup.

How cosmetic dentistry can change your smile – and your life

Modern cosmetic dentistry has created many opportunities that did not exist before for people to improve their appearance and change the way they feel about themselves.

Although cosmetic dentistry really did not exist a few years ago, it now attracts interest from a wide range of people.

There are few people who don’t want to improve their appearance by making their teeth straighter and whiter so that they look better when they smile.

New technology and procedures have created many more opportunities for dentists to help patients look better.

One of the most important opportunities for doing this is porcelain veneers.

These are custom-made wafers that the dentist places over the front of the teeth to repair damage and make them look better.

They can overcome many cosmetic dental problems such as whitening stained or discolored teeth, closing gaps between teeth or correcting a crooked smile without the need for braces.

They can also cover up chips and imperfections so that the smile looks much better.

Another important cosmetic trend is the increased use of white fillings.

White fillings now are more lifelike than ever and they last longer than previously.

They have become the material of choice for many dentists as they blend in with teeth and look better.

If you feel your smile is less than perfect, talk to your dentist about how it could be better.