For a significant number of Australians, the missing piece is obstructive sleep apnoea — and they have no idea.

OSA is far more common than most people realise

Obstructive sleep apnoea (OSA) occurs when the airway repeatedly collapses during sleep, causing the body to partially wake in order to restore breathing. These episodes can happen dozens — sometimes hundreds — of times per night, fragmenting sleep and starving the body of oxygen, without the person having any memory of it in the morning.

The prevalence data is striking. Research suggests that approximately one in two men over 40 have moderate-to-severe sleep-disordered breathing. Yet OSA remains significantly underdiagnosed, partly because many people assume it only affects overweight, older men who snore loudly. In reality, OSA presents across a much wider range of body types, ages, and genders — and many people with significant OSA sleep through the night without their partner noticing anything unusual.

The conditions OSA may be driving — or making worse

High blood pressure that won’t respond to treatment

If you or someone you know has hypertension that isn’t responding well to medication, OSA is worth investigating. Each time the airway collapses during sleep, the body undergoes a stress response — heart rate rises, blood pressure spikes, and the sympathetic nervous system activates. Over thousands of episodes per year, this chronic nocturnal stress drives sustained hypertension that can be difficult to manage through medication alone.

Research has shown that successfully treating OSA can lead to meaningful improvements in blood pressure management — sometimes reducing the need for medication.

Heart failure and atrial fibrillation

The links between OSA and cardiovascular disease are now well established. Recent data highlights a significant gap in chronic disease management: up to 80% of patients with heart failure, and approximately 50% of those with atrial fibrillation, have undiagnosed obstructive sleep apnoea.

For patients already managing these conditions, the repeated oxygen desaturations that occur during untreated OSA place additional strain on an already compromised cardiovascular system. Identifying and treating OSA is increasingly considered part of comprehensive cardiac care — yet it is often missed entirely.

Type 2 diabetes and metabolic health

OSA is also considered a likely hidden variable in patients with type 2 diabetes that is difficult to manage. Night-time oxygen desaturation and disrupted sleep architecture affect insulin sensitivity and glucose regulation. For patients who are doing everything their endocrinologist recommends and still struggling to achieve good control, sleep-disordered breathing is worth ruling out.

Mood, cognition, and what gets mistaken for something else

This is perhaps the most underappreciated aspect of OSA — and one that disproportionately affects women.

Symptoms including persistent low mood, poor concentration, memory difficulties, irritability, and emotional flatness are frequently attributed to depression, stress, perimenopause, or simply the demands of a busy life. In a meaningful proportion of cases, these symptoms are driven — at least in part — by disrupted, non-restorative sleep caused by untreated OSA.

One of the key clinical distinctions is the difference between general tiredness and excessive daytime sleepiness. General tiredness — feeling fatigued and flat — is common and has many causes. Excessive daytime sleepiness — the inability to stay awake in passive situations, such as reading, watching television, or sitting in a meeting — is a more specific symptom of disordered sleep architecture and is worth taking seriously.

Brain fog, reduced vigilance, and difficulty sustaining attention also have real-world consequences. For professionals, this affects performance, decision-making, and productivity. For anyone who drives regularly, it is a genuine safety concern.

Why so many people go undiagnosed

OSA is underdiagnosed for several reasons. Many people don’t snore loudly, or sleep alone and have no partner to report disrupted breathing. Some people feel they sleep “fine” — they fall asleep easily and don’t wake frequently — without realising that their sleep is non-restorative at a physiological level.

Women in particular are less likely to be referred for sleep studies, partly because their symptoms more commonly present as fatigue, mood changes, and insomnia rather than the loud snoring and witnessed apnoeas more typically associated with male OSA.

And for people already seeing multiple specialists for chronic conditions, sleep-disordered breathing may simply not be on anyone’s radar.

What can be done — and where your dentist fits in

If you think OSA may be relevant to you or someone in your care, the starting point is usually a conversation with your GP and a referral for a sleep study. We can help arrange this for you. This may be an in-laboratory polysomnography or a home-based sleep test, depending on your circumstances and your physician’s recommendation.

If OSA is confirmed, treatment options include:

CPAP (Continuous Positive Airway Pressure) — a machine that delivers pressurised air through a mask to keep the airway open during sleep. It is highly effective but not tolerated by all patients. Mask comfort, noise, and the practical demands of travelling with equipment mean that adherence can be a real challenge.

Mandibular Advancement Splints (MAS) — a custom-fitted oral appliance made by a dentist that works by gently repositioning the lower jaw forward during sleep, preventing the airway from collapsing. MAS therapy is recommended by sleep physicians as a first-line treatment for mild-to-moderate OSA, and as an alternative for patients with severe OSA who cannot tolerate CPAP.

At Dentistry on George, we provide custom-fitted MAS devices for patients who have been diagnosed with OSA or who are experiencing significant snoring. The device is made from digital scans of your teeth and fitted precisely to your bite. Most patients find it significantly more comfortable and convenient than CPAP, and many report noticeable improvements in daytime energy and alertness within the first few weeks.

Who should consider asking about OSA?

You may benefit from a conversation about sleep-disordered breathing if you:

• Snore regularly, or have been told you stop breathing in your sleep
• Wake unrefreshed despite what seems like adequate sleep
• Experience excessive daytime sleepiness — not just tiredness, but difficulty staying awake in passive situations
• Have high blood pressure that is difficult to control
• Have been diagnosed with atrial fibrillation or heart failure
• Are managing type 2 diabetes and finding it difficult to achieve good glucose control
• Experience persistent brain fog, poor concentration, or mood changes that haven’t responded to other interventions
• Are a woman whose symptoms have been attributed to perimenopause or stress

What to do next

If you think OSA may be relevant to you, the starting point is a conversation with your GP and a referral for a sleep study. We’d encourage you to take this route rather than going directly to a sleep study provider — and here’s why.

Not all sleep study providers are equal, and the pathway you take matters. Some providers are affiliated with CPAP suppliers and will recommend CPAP as the primary or only treatment option, regardless of whether other options might suit you better. For a dentist to provide a mandibular advancement splint (MAS) as part of your OSA management, MAS therapy needs to be specifically recommended or considered in your sleep physician’s report.

By starting with your GP, they can refer you to an independent sleep physician who will assess all appropriate treatment options for your situation — including MAS — and provide a report that opens the door to the full range of care available to you. We’re happy to suggest sleep physicians we work with regularly if that’s helpful.

If you’ve already had a sleep study but aren’t sure what your report says about MAS therapy, bring it along to your appointment with us and we can take a look together.

At Dentistry on George, we see patients in Brisbane CBD who are looking for practical, evidence-based solutions to sleep-disordered breathing — whether that’s snoring affecting a partner’s sleep, or OSA contributing to a broader health picture that hasn’t quite added up.

Call us on 0732111155 or book online to arrange a consultation.

Related reading:

• Snoring and Sleep Apnoea: What Your Dentist Can Do
• The Hidden Risks of Snoring
• Our Snoring and Sleep Apnoea service page

The post Is Sleep Apnoea Making Your Health Harder to Manage? first appeared on Dentistry on George.

Healthy gums are the foundation of a strong, lasting smile. While most people focus on brushing and flossing their teeth, gums often get overlooked. Neglecting gum health can lead to gum disease, tooth loss, and even impact overall health. In this article, we’ll explore why gums are so important, what gum disease is, and why regular professional teeth cleaning is essential. We have a big focus on prevention and general health at our Brisbane CBD dental clinic.

What Are Gums and Why Are They Important?

Gums (gingiva) are the soft tissue that surrounds and supports your teeth. Healthy gums:

• Protect the roots of your teeth and underlying bone.

• Act as a barrier against bacteria.

• Keep teeth stable and prevent them from shifting or loosening.

When gums are unhealthy, they can recede, bleed, and develop pockets where bacteria thrive. This can eventually lead to gum disease (periodontal disease) and, in severe cases, tooth loss.

What Is Gum Disease?

Gum disease is an infection of the tissues surrounding your teeth caused by plaque and tartar buildup. There are two main stages:

1. Gingivitis (early stage)

   • Symptoms: Red, swollen gums that may bleed when brushing or flossing.

   • Often painless, which is why many people don’t notice it.

   • Reversible with professional cleaning and good oral hygiene.

2. Periodontitis (advanced stage)

   • Symptoms: Gum recession, deep pockets between teeth and gums, bad breath, loose teeth.

   • Can lead to tooth loss and affect overall health (linked to heart disease, diabetes, and more).

   • Requires deep cleaning (scaling and root planing) and ongoing periodontal care. This may be done by our Brisbane CBD Dentist or we may need to refer you to a specialist (a periodontist).

Why Regular Teeth Cleaning Helps Prevent Gum Disease

Professional teeth cleaning is more than just polishing your teeth—it’s a critical preventive step for gum health. At our Brisbane CBD dental practice, your dentist or hygienist will:

• Remove plaque and tartar that brushing and flossing miss.

• Check for early signs of gum disease and other oral health issues.

• Offer tailored advice for your smile.

Regular cleaning reduces the risk of gum inflammation, infection, and the need for more extensive treatments later.

Special Considerations for Gum Health

Certain areas are particularly important to keep clean to prevent gum disease:

• Along the gumline where plaque tends to accumulate.

• Around dental work, including crowns, bridges, implants, and veneers.

• Hard-to-reach back teeth.

Maintaining these areas with professional care ensures gums stay strong and healthy, even if you have cosmetic or restorative dental work. At our Brisbane CBD dentist clinic, we take extra care when cleaning around veneers or dental implants to protect your investment and keep your smile looking its best.

Next Steps

If you haven’t had a dental checkup recently, or if your gums bleed or feel tender, it’s time to book a consultation. In our next blog, we’ll explore preventive versus deep cleaning, explaining the treatments available for maintaining healthy gums and managing gum disease.

📞 Call us on (07) 3211 1155  or
💻 Book your appointment online here

Your smile deserves the care of a gentle Brisbane CBD dentist—we look forward to seeing you soon.

The post Why Healthy Gums Matter first appeared on Dentistry on George.

At Dentistry on George, we know that your dental health is directly connected to your overall wellbeing. From heart health to sleep quality, what’s happening in your mouth can affect nearly every part of your body. That’s why it’s essential to stay on top of your dental care—not just for a confident smile, but for a healthier, more productive life.

Here’s how your oral health impacts your body, and how our Brisbane dental team can help you stay at your best.

🦷 1. Gum Disease and Heart Disease: A Hidden Connection

Did you know that untreated gum disease can increase your risk of heart disease and stroke? Bacteria from inflamed gums can enter your bloodstream, contributing to plaque buildup in arteries and triggering chronic inflammation.

At Dentistry on George, we help detect and treat periodontal disease early, protecting both your oral and cardiovascular health.

✅ Brisbane Pro Tip: Regular dental cleanings, brushing, and flossing all help to keep your heart healthy.

🌡️ 2. Oral Health and Diabetes: A Two-Way Street

People with diabetes are more prone to gum infections, and severe gum disease can make it harder to manage blood sugar levels. This creates a dangerous cycle where oral health and diabetes worsen each other.

We work closely with diabetic patients to manage their oral health effectively and prevent long-term complications.

✅ Brisbane Pro Tip: If you have diabetes, visit your Brisbane CBD dentist regularly to monitor and manage gum health.

🧠 3. Confidence, Mental Health, and Your Smile

Your smile plays a huge role in your confidence and mental wellbeing. Issues like tooth loss, bad breath, or discoloured teeth are associated with anxiety and even depression.

We offer cosmetic dentistry in Brisbane—from whitening to veneers—to restore your confidence and help you feel great about your smile.

✅ Brisbane Pro Tip: A confident smile can improve your professional image and mental health—ask us about cosmetic treatment options.

🤰 4. Pregnancy and Oral Health: What Brisbane Mums Need to Know

Hormonal changes during pregnancy can increase your risk of gum disease, which has been linked to preterm birth and low birth weight. That’s why regular dental care is essential during every stage of pregnancy.

We provide safe and gentle dental care for expecting mums in Brisbane.

✅ Brisbane Pro Tip: Schedule a dental check-up during your pregnancy to prevent complications and maintain your health and read our previous blog on dental health during pregnancy.

🌬️ 5. Respiratory Health and Your Mouth

Oral bacteria can travel to the lungs, potentially leading to respiratory infections like pneumonia, especially in older adults or those with existing health issues.

Keeping your mouth clean with regular dental visits helps protect your respiratory system.

✅ Brisbane Pro Tip: Don’t skip your routine dental cleanings—your lungs will thank you.

💤 6. Snoring, Sleep Apnea, and Custom Dental Appliances

Do you snore or feel tired during the day, even after a full night’s sleep? You could be suffering from obstructive sleep apnea (OSA)—a condition linked to serious health risks like heart disease and high blood pressure.

At Dentistry on George, we offer custom-made oral appliances that gently reposition your jaw to keep your airway open during sleep. These are a comfortable, effective alternative to CPAP for many patients with mild to moderate OSA.

✅ Brisbane Pro Tip: If you or your partner notices loud snoring or gasping during sleep, talk to our team about a sleep assessment and oral appliance therapy.

🛡️ 7. The Broader Picture: Systemic Diseases and Oral Health

Oral health issues have also been linked to:

• Stroke
• Osteoporosis
• Kidney disease
• Alzheimer’s disease

By maintaining good oral hygiene and visiting your Brisbane CBD dentist regularly, you can help prevent systemic diseases and promote whole-body health.

✅ Brisbane Pro Tip: Brushing, flossing, and regular dental check-ups are powerful tools in disease prevention.

🏙️ Why Choose Dentistry on George – Your Brisbane CBD Dental Experts

Located conveniently in the heart of Brisbane, Dentistry on George is dedicated to helping busy professionals take control of their oral and overall health. Whether you need preventive care, cosmetic enhancements, or treatment for sleep issues, we’re here to help.

Our experienced Brisbane dental team provides personalised care in a relaxed, modern environment. We understand your time is valuable, and your health is priceless.

📅 Book Your Brisbane Dental Appointment Today

Your mouth is the gateway to your body—don’t let oral health issues hold you back. Invest in your health, performance, and confidence by booking your next appointment at Dentistry on George.

📞 Call us on (07) 3211 1155
📅 Book online
📍 Visit us in the heart of the Brisbane CBD at Level 12, 239 George Street, Brisbane City

The post The Link Between Oral Health and Overall Health: Why Brisbane Professionals Can’t Ignore Their Smile first appeared on Dentistry on George.

In this updated blog, we’ll talk about why it’s so important to visit your dentist before, during, and after cancer treatment, including how certain treatments can impact your oral health. By addressing potential dental issues early, you can avoid complications that might disrupt your treatment and ensure your mouth stays healthy throughout your cancer journey.

Why You Should See a Dentist Before, During, and After Cancer Treatment

According to the Cancer Council, one in two Australians will be diagnosed with cancer by the age of 85. As difficult as it may be, it’s important to understand that a dentist plays a key role in cancer treatment. For example, a dentist can spot signs of oral cancer early, identify any pre-cancerous conditions, and help manage the side effects of cancer treatments.

Here’s why seeing a dentist at each stage of your cancer journey is essential:

1. Pre-Treatment Check-Up: Before you start cancer treatment, seeing your dentist for a full check-up is essential. Cancer treatments, including chemotherapy, radiation, and certain medications, can significantly affect your mouth. By visiting your dentist beforehand, you can address any potential issues, like tooth decay or gum disease, and make a plan for any dental work that might be needed before you start your treatment. This proactive approach can help prevent infections, pain, or dental complications down the line.
2. During Treatment: Cancer treatments can cause a variety of oral health problems. Side effects like dry mouth (xerostomia), mouth sores, difficulty swallowing, and an increased risk of infection can be common. Regular dental visits during treatment can help address these problems early, reducing the risk of complications. For example, dentists can recommend specific mouthwashes to manage dry mouth or perform regular cleanings to prevent infection.
3. Post-Treatment: Once your cancer treatment is over, ongoing dental care remains crucial. Radiation therapy, chemotherapy, and certain medications can leave long-term effects on your oral health, such as damage to the salivary glands or an increased risk of cavities. Continuing with regular check-ups will help keep your mouth healthy, monitor any changes, and address any ongoing issues that may arise as a result of treatment.

How Cancer Treatment Can Affect the Mouth

Different types of cancer treatments have different effects on the mouth. Here’s how chemotherapy, radiation therapy, and other treatments can impact your oral health:

• Radiation Therapy to the Head and Neck: Radiation can reduce blood supply to the jawbones, making it harder for them to heal if an infection occurs. It can also damage the salivary glands, leading to dry mouth, which increases the risk of cavities and gum disease. Additionally, those who undergo radiation in the head and neck region are at risk of osteoradionecrosis (ORN), a condition where the jawbone dies due to insufficient blood flow. It’s crucial to see your dentist before starting any radiation therapy to the head and neck, and also to let your medical team know if you’ve had any teeth removed in the 4 weeks before your radiation treatment.
• Chemotherapy: Chemotherapy targets rapidly dividing cells, which can lead to damage to the healthy cells in your mouth, causing sores, ulcers, and discomfort. It can also reduce your sense of taste, cause dry mouth, and increase the risk of oral infections. When your immune system is compromised due to chemotherapy, dormant infections in your mouth could flare up, potentially leading to complications that delay or disrupt your cancer treatment.

Bisphosphonates and Their Impact on Oral Health

Bisphosphonates are commonly prescribed to treat cancer-related bone issues, such as bone metastases or bone pain. These medications help prevent fractures and manage pain by reducing bone loss. However, they can have side effects on your mouth, most notably osteonecrosis of the jaw (ONJ), a condition where the jawbone starts to deteriorate. This condition is more likely to occur if you undergo invasive dental treatments (like tooth extractions or implants) while on bisphosphonates.

Because of this, it’s crucial to see your dentist before starting bisphosphonates. Your dentist will assess your oral health, provide preventive care, and address any existing issues. This way, you can reduce your risk of developing ONJ and ensure your mouth remains healthy throughout your treatment. It’s important to let your medical team know if you have had any teeth removed in the 4 weeks prior to starting on bisphosphonates.

Why Ongoing Dental Visits Are Vital

Cancer treatment can lead to a variety of oral health challenges. Here are some of the most common issues and how your dentist can help:

1. Dry Mouth: Many cancer treatments can cause dry mouth, which makes it difficult to eat, talk, and swallow. It also increases the risk of tooth decay and gum disease. Your dentist can provide treatments like fluoride therapy, saliva substitutes, or mouthwashes to help alleviate dry mouth symptoms.
2. Increased Risk of Infection: With treatments like chemotherapy and radiation, your immune system may be compromised, making it easier for infections to take hold. A dentist can identify early signs of infection and treat them promptly to prevent them from becoming more serious.
3. Difficulty Eating and Talking: Mouth sores, ulcers, and a dry mouth can make eating and speaking painful. A dentist can recommend products to soothe these symptoms, such as gels or mouthwashes, and suggest dietary changes to help manage discomfort.
4. Preventive Care: Regular dental cleanings and fluoride treatments are essential during cancer treatment. Dentists can apply high-strength fluoride varnishes to help protect your teeth from decay and provide professional cleanings to prevent gum disease.

How a Dentist Can Help During Treatment

A dentist’s primary goal is to keep your mouth healthy and free of infection during cancer treatment. They will:

• Conduct regular check-ups to monitor your oral health
• Provide professional cleanings and fluoride treatments
• Treat any issues, such as sores or infections, promptly
• Offer advice on how to care for your mouth at home, including tips for managing dry mouth and preventing cavities

For those who wear dentures, a dentist can help manage any discomfort or fit issues that may arise during treatment.

Final Thoughts

Cancer treatment takes a toll on the body, and the mouth is no exception. Whether you are taking bisphosphonates, undergoing chemotherapy, or receiving radiation, it’s crucial to prioritize dental care throughout your treatment. By seeing your dentist before, during, and after treatment, you can ensure your oral health is monitored and managed, reducing the risk of complications and helping you stay comfortable throughout your cancer journey.

Taking a proactive approach to your dental health not only helps prevent infections and discomfort but also supports your overall well-being as you navigate through your treatment. Don’t overlook the importance of dental care — it could make all the difference in keeping your mouth healthy and helping your treatment go smoothly.

For more information, you can also refer to the Cancer Council’s “Mouth Health and Cancer Treatment” resource here.

If you are a new patient to our practice, check out our new patient offers here.

📞 Call us on (07) 3211 1155
📅 Book online
📍 Visit us in the heart of the Brisbane CBD at Level 12, 239 George Street, Brisbane City

The post Why You Should See Your Dentist During Cancer Treatment first appeared on Dentistry on George.

How Menopause Affects Your Teeth and Gums

During menopause, decreased estrogen levels can impact oral tissues, saliva production, and bone density. Some common effects include:

• Gum disease (gingivitis or periodontitis): Hormonal changes can make gums more sensitive, inflamed, or prone to infection.

• Dry mouth (xerostomia): Reduced saliva increases the risk of tooth decay, bad breath, and oral discomfort.

• Tooth sensitivity: Changes in gum and bone support can make teeth more sensitive to hot or cold foods.

• Bone loss and jaw health: Menopause can accelerate bone density loss, which may affect the jaw and support for teeth.

Understanding these risks is the first step in maintaining your oral health during this stage of life.

What is MRONJ?

Medication Related Osteonecrosis of the Jaw (MRONJ) is a rare but serious condition which can occur when exposed bone does not heal properly in a person taking certain medications. One of these classes of medications are  known as bisphosphates, which are commonly prescribed for osteoporosis. These include drugs such as alendronate (Fosamaz), risendronate (Actonel), Ibandronate (Boniva) and zolendronic acid (Reclast). Another osteoporosis medication that can cause MRONJ is denosumab (Prolia).

These drugs help with osteoporosis as they prevent the bone removing cells from removing bone, therefore increasing bone density. Our bone is constantly remodeling itself – laying down new bone, and resorbing old bone (a bit like our skin). They increase the bone density, in an attempt to counteract the loss of bone density that occurs after menopause.

However, when a tooth is removed, it is removed from the bone. In normal healing, the bone cells will lay down new bone, and resorb the old bone. This is how the socket heals. If this process is interrupted due to these osteoporosis medications, we can end up with sockets that do not heal – MRONJ.

MRONJ can sometimes occur spontaneously, if for example there is trauma to the gum and the bone underneath is exposed – this can happen with ill-fitting dentures, for example.

How to prevent complications

Prevention is always better than cure. It’s ideal to have a full dental examination before starting on these osteoporosis medications. This way, any teeth that may be required to be extracted in the next few years or so, can be removed before starting on the medication. In addition, any teeth which could cause problems can be filled or crowned, to try and prevent them needing to be removed.

In addition, your dentist can work with instigating a preventive programme with you, as more than ever, once on these drugs, it’s important to not need any teeth removed! This may include things like more regular teeth cleanings, or starting on specialised toothpaste formulations.

Tips for Maintaining Oral Health During Menopause

• 1. Maintain Regular Dental Check-Ups

  Visiting your Brisbane CBD dentist every six months is crucial. Regular check-ups help detect early signs of gum disease, cavities, and other oral health issues before they become serious.

  2. Focus on Gentle but Thorough Oral Hygiene

  • Brush at least twice a day with fluoride toothpaste.

  • Floss daily to remove plaque and prevent gum inflammation.

  • Consider an antibacterial mouth rinse if recommended by your dentist.

  3. Stay Hydrated and Combat Dry Mouth

  Drinking water regularly, using saliva substitutes, or chewing sugar-free gum can help reduce dry mouth symptoms and protect against tooth decay.

  4. Maintain a Balanced Diet

  A diet rich in calcium, vitamin D, and protein supports both oral and bone health. Limiting sugary foods and acidic drinks helps prevent cavities and enamel erosion.

  5. Discuss Dental Options with Your Dentist

  If menopause-related changes affect your smile, your dentist in Brisbane CBD can discuss treatments to maintain comfort and aesthetics. Options may include:

  • Professional cleaning and periodontal care

  • Tooth restoration for sensitive or worn teeth

  • Cosmetic solutions like veneers or whitening if desired

Why Choose Dentistry on George in Brisbane

At Dentistry on George, we understand the unique oral health challenges women face during menopause. Our gentle, patient-focused approach ensures you receive care that is both effective and comfortable. From preventive care to cosmetic dental treatments, we’re here to help you maintain a healthy, confident smile through every stage of life.

Book Your Appointment Today

Don’t let menopause impact your oral health. Contact Dentistry on George, your trusted Brisbane dentist, to schedule a check-up or discuss personalized care for your smile.

The post Menopause and Oral Health: Essential Tips for Women to Protect Their Smile first appeared on Dentistry on George.

Pregnancy is another stage when hormonal changes can significantly affect dental health. During pregnancy, the body’s hormone levels fluctuate drastically, with elevated levels of progesterone and estrogen that affect the mouth and gums. In addition, change in habits like diet (food aversions and cravings) and morning (anytime) sickness can have effects on the mouth.

Pre-Conception

It’s a good idea to visit your dentist before becoming pregnant. This allows any dental issues to be treated early, helping to prevent problems during pregnancy. In addition, if there are any elective treatments such as cosmetic dentistry and/or tooth whitening, this should be done before becoming pregnant.

During Pregnancy

• Pregnancy Gingivitis: This is one of the most common dental issues during pregnancy. It occurs due to hormonal changes that make the gums more sensitive to plaque and bacteria. The result is swollen, red, and bleeding gums. Pregnancy gingivitis typically resolves after childbirth, but if left untreated, it could lead to more serious gum disease.
• Pregnancy Epulis: These non-cancerous growths, also known as pregnancy granulomas, can develop on the gums due to hormonal changes. They appear as red, swollen lumps and can cause discomfort. While they are typically harmless and usually disappear after giving birth, they should still be monitored by a dentist.
• Sickness: “morning” sickness can also have an effect on the health of the teeth and gums. Being sick will lower the pH of the mouth, which in turn can lead to overgrowth of certain bacteria, and can also essentially start to soften the tooth enamel.
• Changes in diet: food cravings, or just being off certain foods or constantly feeling nauseous can affect your diet when pregnant. If you are switching to more sugary foods and drinks, this can have an effect on your teeth and gums.

What you can do to help

Regular dental care is not only safe during pregnancy, it’s encouraged!

1. Book your dental appointments: routine dentistry is perfectly safe during pregnancy. The best time to visit is during the 2nd trimester as most women tend to feel better at this point, and are comfortable lying in the dental chair.
2. Continue brushing twice a day with fluoride toothpaste and floss daily.
3. Use a soft toothbrush: If your gums are sensitive or bleed, try using a soft-bristled toothbrush.
4. Avoid tobacco products: Smoking can worsen gum disease and harm your baby.
5. Nausea and vomiting: If you are dealing with morning sickness, rinse your mouth with water, sodium bicarb mouth rinse or a fluoridated toothpaste to help neturalise acids. Avoid brushing your teeth immediately after vomiting to avoid enamel damage.
6. Diet: ensure you are eating plenty of calcium rich foods, avoid sugary snacks and acidic drinks and drink plenty of plain water.

Although pregnancy can be the hormone roller-coaster, we’re here to help. Contact us if you need further information or to make an appointment. If you are new to the practice, we start you off with a comprehensive new patient consultation and examination.

The post Women’s Dental Health: Pregnancy first appeared on Dentistry on George.

Puberty: A Time of Growth and Change

Puberty is one of the first significant hormonal changes a person experiences, and it can bring a variety of dental challenges. As the body transitions into adulthood, there is a surge in hormones like estrogen and progesterone. These hormonal fluctuations can influence both the health of teeth and gums.

• Sensitive and Bleeding Gums: During puberty, your body may react to higher hormone levels by producing swollen, sensitive, and bleeding gums. This can be exacerbated by poor oral hygiene or plaque buildup.
• Increased Risk of Cavities: Hormonal changes during puberty can also affect saliva production, sometimes leading to a dry mouth, which increases the risk of tooth decay. Saliva usually helps neutralize acids and wash away food particles, so a lack of it can contribute to plaque buildup and decay.

Menstruation

The post Women’s Dental Health & Hormones: Puberty & Menstruation first appeared on Dentistry on George.

What is Snoring and Obstructive Sleep Apnoea?

Snoring occurs when the flow of air through the mouth and nose is partially blocked during sleep, causing the tissues in the throat to vibrate. While it may seem benign, persistent snoring can be a sign of a more serious condition called obstructive sleep apnoea (OSA).

Obstructive Sleep Apnoea (OSA) is a sleep disorder characterised by repeated interruptions in breathing during sleep due to the relaxation of throat muscles and tissues, which block the airway. These interruptions can last from a few seconds to minutes and can occur numerous times per hour. The condition leads to fragmented sleep and can result in daytime fatigue, cardiovascular issues, and other health problems.

Dental Implications of Snoring and OSA

Impact on Oral Health:

• Dry Mouth: Mouth breathing, which is common in individuals with snoring and OSA, can lead to dry mouth. This dry environment is less conducive to the natural protective mechanisms of saliva, increasing the risk of tooth decay, gum disease, and bad breath.
• Dental Wear and Tear: The grinding of teeth (bruxism), which can sometimes accompany sleep disorders, may result in enamel wear, cracked teeth, increased sensitivity, and the need for restorative dental treatments.

Identification and Diagnosis:

• Oral Examination: Dentists can often identify signs of OSA during routine exams. Observations may include a large tongue, enlarged tonsils, or a narrow airway. Additionally, dental professionals may notice signs of bruxism or other stress-related conditions that often accompany sleep disorders.
• Sleep Studies: While dentists cannot diagnose OSA definitively, they can refer patients to sleep specialists for sleep studies to confirm the diagnosis. These studies are crucial for determining the severity of OSA and formulating an effective treatment plan.

Treatment Options:

• Oral Appliances: One of the most common dental interventions for OSA is the use of mandibular advancement devices (MADs). These custom-made devices help reposition the lower jaw and tongue to keep the airway open during sleep. MADs can also be an effective alternative for those who cannot tolerate Continuous Positive Airway Pressure (CPAP) therapy.
• Behavioural and Lifestyle Modifications: Dentists can offer guidance on lifestyle changes that may alleviate symptoms, such as weight loss, smoking cessation, and changes in sleep position.
• Collaborative Care: Dental professionals often work in conjunction with sleep specialists, ENT doctors, and other healthcare providers to manage OSA comprehensively. This multidisciplinary approach ensures that all aspects of the patient’s health are considered in the treatment plan.

Why Dental Professionals Matter

Dental professionals are uniquely positioned to identify early signs of sleep disorders due to their frequent observations of oral health issues that can be linked to snoring and OSA. They play a crucial role in:

• Early Detection: By recognizing signs and symptoms related to sleep disorders, dentists can initiate timely referrals to sleep specialists.
• Customised Solutions: Dentists can provide personalised treatment plans and oral appliances tailored to the individual needs of patients with sleep disorders.
• Patient Education: Educating patients about the potential connections between their oral health and sleep patterns empowers them to seek appropriate care and make informed decisions.

Conclusion

Snoring and obstructive sleep apnoea are not merely sleep disturbances; they are conditions that can have significant repercussions for overall health and well-being. From a dental perspective, recognising the signs, understanding the implications for oral health, and providing appropriate interventions can make a meaningful difference in the management of these conditions. By addressing these issues proactively, dental professionals can help patients achieve better sleep and improve their quality of life.

If you suspect you have a sleep disorder or are experiencing symptoms like snoring, consult your dentist. They can help identify potential issues, guide you through treatment options, and collaborate with other healthcare professionals to ensure comprehensive care.

Your oral health is closely linked to your overall health, and addressing sleep-related issues is a crucial step towards a healthier, more restful life.

References

1. American Academy of Sleep Medicine (AASM)
   • AASM provides comprehensive information on sleep disorders, including obstructive sleep apnea. Visit their website for resources and guidelines.
   • Website: aasm.org
2. American Dental Association (ADA)
   • The ADA offers insights into the role of dental professionals in diagnosing and managing sleep disorders.
   • Website: ada.org
3. National Heart, Lung, and Blood Institute (NHLBI)
   • NHLBI provides detailed information on obstructive sleep apnoea, its symptoms, and treatments.
   • Website: nhlbi.nih.gov
4. Sleep Foundation
   • The Sleep Foundation offers articles on snoring, sleep apnoea, and the role of dental devices in managing these conditions.
   • Website: sleepfoundation.org
5. International Journal of Dental Sleep Medicine
   • This journal focuses on the intersection of dental health and sleep medicine, including articles on the use of oral appliances for sleep apnoea.
   • Website: ijdsm.org
6. American Academy of Dental Sleep Medicine (AADSM)
   • AADSM provides resources for dental professionals regarding the management of obstructive sleep apnoea and other sleep-related disorders.
   • Website: aadsm.org

The post Understanding Snoring and Obstructive Sleep Apnea: A Dental Perspective first appeared on Dentistry on George.

Chronic inflammation in our mouths is associated with other inflammatory processes in our body, including cardiovascular disease, diabetes, dementia, pregnancy complications and respiratory problems.

Therefore, keeping our mouths healthy is about far more than a winning smile – it can help us live long and healthy lives. Read on to find out more.

What is Gum Disease?

Gum disease is the overall term used to describe both gingivitis and periodontitis. The suffix ‘itis’ means inflammation. Think of arthritis (inflammation of the joints), dermatitis (inflammation in the skin) or bronchitis (inflammation of the bronchi of the lungs). Therefore gingivitis is inflammation of the gingivae, which is the medical term for gums. The periodontium are the supporting structures of the teeth – namely the bone, and the fibres that attach the teeth to the bone. It is these structures that essentially hold the teeth in place. Periodontitis is inflammation of these structures.

Gingivitis is early gum disease, when the inflammation is contained with the gums. Left untreated, it can progress to periodontitis, which is where this inflammation spreads to the underlying structures and affects the attachment of the teeth.

So, what causes all this inflammation? Plaque. Plaque is the build up of bacteria which form a sticky layer on the teeth and gums, especially the join where the teeth and the gums meet. Some of this bacteria causes inflammation in the gums.

Inflamed gums

Signs and Symptoms of Gum Disease

Common symptoms of gingivitis include:

– gums that are tender

– gums that bleed when you brush or floss

– gums that look red

– gums that look puffy or swollen

– bad breath

Gum disease can cause bad breath

If left untreated, gingivitis can progress to affect the underlying supporting structures of the tooth (the periodontium). We call this stage of gum disease periodontitis. The periodontium includes the bone and the structures that attach the tooth to the bone. As this attachment is lost you can have:

– teeth that start to drift/move position

– recession of the gums

– teeth that become sensitive to hot/cold/sweet as the root surface of the tooth is exposed

– teeth that start to become mobile and may feel loose

– swellings/abscesses in the gums

– pus coming from the gums

– bad breath

The  problem with gum disease is that it can progress without you being aware of it. The underlying attachment of the teeth is below the levels of the gums. Attachment loss cannot be assessed without measurement from the dentist and/or x-rays. Therefore, regular dental examinations and screening for gum disease are key.

Calculus build-up between the teeth and under the gum-line

However, if you have not been to the dentist for a while and are worried about any of the above symptoms, don’t delay and book a dental examination. Gingivitis is easy to treat; periodontitis is harder. The earlier we can catch the signs of gum disease and start treatment, the better the outcomes.

Risk Factors

Factors that increase the risk of gum disease:

• Poor oral hygiene, meaning the plaque on the teeth is not thoroughly removed daily
• Poor diet – one high in sugars, which increase the rate at which plaque accumulates and/or low in nutritional foods
• Dry mouth –which means less saliva to wash away plaque
• Smoking, vaping, chewing tobacco and/or users of other nicotine products
• Diabetes
• Other immunological issues
• Hormonal changes, such as in pregnancy and menopause
• Genetics
• Stress levels

How gum disease is diagnosed

Screening for gum disease

At your dental examination the dentist will always carry out a screening for gum disease. We do this by walking a special probe with measurement markers around each tooth, measuring the depth of the ‘pocket’ between the tooth and the gum, while looking for bleeding, pus and noting any calculus (hardened plaque). We give each section of the mouth a score of between 0 and 4.

Where there is no bleeding, no calculus and a pocket between the tooth and gum of less than 3.5mm – this is score 0. If we get scores of 3 or 4 (pockets over 3.5mm and over 5.5mm respectively) we need to do a more thorough assessment.

As this screening is done at each examination, we can pick things up early. A small pocket of 4mm will be easier to treat than a deep pocket of 7mm for example.

Treatment Options

Scale and clean

The most effective means of treatment is in educating you to care for your teeth and gums at home. We can do scaling and cleaning here at the practice, but if this is not maintained at home, any treatment will not work. It’s what you do every day, day in day out, that makes the biggest different.

Other options for gum disease include non-surgical treatments such as professional tooth scaling and cleaning, and deep scaling to get down into those deeper pockets. Deep scaling will usually be carried out under local anaesthetic and is more involved than a straightforward scale and clean.

Scaling is when we remove the hardened build-up of plaque that forms on the teeth and root surfaces – known as calculus. This can form around the necks of the teeth, and also down under the gum on the root surfaces of the teeth. This needs to be removed and the tooth/root surface left smooth, to limit the accumulation of further plaque. When plaque is left in place and not removed by home care (brushing, flossing, interdental brushes), it calcifies on to the teeth and must be removed by a dental professional. This is why your home care is so important.

Interdental brushes

For more advanced periodontal disease, referral to a specialist – a periodontist – may be required for more in-depth treatment, which may also include surgical options.

Prevention

As always, prevention is better than cure! Prevention includes your home care. Thorough daily plaque removal is essential. This is done by brushing not just the teeth, but the gums as well. In addition, we must remove plaque from between the teeth with floss and interdental brushes. Your dentist can help ensure that you have the correct technique, as it can be tricky!

This is also why regular dental visits are important. Not only do we screen for gum disease, but we can also give you tailored oral hygiene advice. Advising the products and techniques that are good for you. In addition, regular professional teeth cleanings will remove calculus, making it easier for you to maintain at home.

Flossing demonstration

Connection Between Gum Disease and Overall Health

As mentioned, there are links between gum disease and systemic conditions.

Diabetes

This link can go both ways. Those with diabetes are more likely to have gum disease. But interestingly, those with gum disease have actually improved their diabetic control by having their gum disease treated

Heart disease

Those with gum disease are twice as likely to have heart disease.

Lung diseases

Untreated periodontal disease can result in bacteria from the mouth entering the lungs and causing respiratory disease such as pneumonia. The chronic inflammation from gum disease can also worsen lung diseases that also have chronic inflammation such as COPD and asthma.

Oral hygiene products

Alzheimer’s Disease

Again, studies have shown the link between bacteria in the mouth and these bacteria in the brain. You can read more here

Cancer

Research has found an increase risk in men with gum disease and kidney, pancreatic and blood cancers. In addition, other research found that in women, those with a history of periodontal disease were at 14% greater risk of developing any cancer.

Our overall sense of health and wellbeing can also be compromised if we have inflamed and bleeding gums and are worried about bad breath and loose teeth.

In Summary…

In summary, a healthy mouth is not just isolated to your mouth. The health of your mouth can affect the health of your whole body. It’s therefore important to ensure daily effective and thorough removal of plaque and regular dental visits to maintaining good oral hygiene and hence good health!

If you are overdue your dental examination, it’s not too late to book in! At your exam, we not only check your teeth, but will assess your gums. We have a strong focus on prevention and educating you to take care of your teeth and gums at home. If you are new to our practice, you can schedule a new patient comprehensive examination.

If you do have more advanced gum disease and need further assessment and treatment, we will get this organised for you. Treating gum disease early is the key to prevent tooth loss, and other health complications.

The post Understanding Gum Disease and Periodontitis: A Complete Guide first appeared on Dentistry on George.

A cancer diagnosis brings a lot of moving parts — and dental care is often one of the first things people postpone. We understand why. But in many cases, staying on top of your oral health (or completing a few key dental steps before treatment begins) can help reduce the risk of dental pain, infection, and urgent problems during treatment.

This article explains:

• why dental care matters before and during cancer treatment

• what types of dental treatment are often suitable (and what is usually postponed)

• how timing works for chemotherapy and dental procedures

• what to do if you develop tooth pain or an infection during treatment

• how certain medications can change dental planning

Important: This is general information only and isn’t a substitute for personalised medical advice. Your oncology/haematology team’s guidance comes first, and your dentist may liaise with them when planning care.

Why dental care matters during cancer treatment

Cancer treatment can affect the mouth and immune system in ways that increase the chance of dental problems becoming urgent. Depending on the type of treatment, people may experience:

• mouth ulcers and soreness (mucositis)

• dry mouth and a higher risk of tooth decay

• gum inflammation and bleeding

• increased infection risk (particularly when white blood cell counts are low)

• increased bleeding risk (particularly when platelet counts are low)

• slower or more complicated healing after dental surgery

The goal of dental care in this context is straightforward: reduce the risk of infection and complications, keep you comfortable, and avoid preventable emergencies.

Before treatment: should you see a dentist?

If you can, yes — especially before chemotherapy, radiotherapy, or major cancer surgery

A pre-treatment dental appointment is often recommended because it gives time to:

• identify and address active infection

• stabilise teeth that are likely to flare up during treatment

• plan care around your medical schedule

• put a prevention plan in place (particularly for dry mouth and decay risk)

How far in advance should you see a dentist?

If timing allows, a few weeks before treatment is ideal, especially if extractions or other procedures requiring healing are needed. Sometimes treatment starts quickly — in that case, dental care focuses on priority issues rather than “everything at once.”

What your dentist will usually prioritise before treatment

This commonly includes:

• treating active infection or severe tooth pain

• stabilising cavities and broken teeth

• addressing gum infection or inflammation

• smoothing sharp edges that can irritate the mouth

• providing preventative advice (fluoride, dry mouth support, hygiene adjustments)

“I’ve just been diagnosed — should I cancel my appointment?”

Often, no — it may simply need to be adjusted.

Even if you’re starting treatment soon, your appointment can still be useful for:

• checking for infection or dental problems that could worsen

• taking baseline photos/x-rays if needed

• creating a simple prevention plan to reduce decay and soreness

• coordinating timing with your treating team where appropriate

If you’re unsure, the best approach is to tell us what treatment you’re starting and when, and we can advise whether to proceed as planned, modify the visit, or reschedule strategically.

Can you go to the dentist while on chemotherapy?

In many cases, yes — but it depends on:

• the type of chemotherapy and where you are in the cycle

• your current blood results (especially infection and bleeding risk)

• whether the dental treatment is routine, urgent, or invasive

What to tell your dentist

It helps to share:

• your cancer treatment type (chemotherapy, radiotherapy, immunotherapy, targeted therapy)

• your treatment dates (or approximate schedule)

• your medication list (including bone-strengthening medications)

• any recent blood test results if available

• any history of infections, fevers, or hospital admissions during treatment

Your dentist may recommend liaising with your treating team before invasive care — this is normal and is done for safety.

What dental treatment is usually appropriate during treatment?

Every situation is individual, but the general approach is:

Often suitable (when you’re medically stable)

• dental examination

• simple fillings or repairs

• smoothing sharp edges

• denture adjustments

• gentle cleaning (where appropriate)

• urgent care focused on stabilising pain and infection risk

Sometimes suitable (case-by-case)

• root canal treatment (often preferred over extraction when feasible)

• gum treatment, depending on comfort and bleeding risk

• minor procedures if timing and blood results are suitable

Usually postponed unless urgent

• elective cosmetic dentistry

• extensive treatment plans that can safely wait

• implants

• extractions and other surgery (unless necessary)

Flossing demonstration

Can you have a dental cleaning during chemotherapy?

Sometimes — and when it’s appropriate, it can be beneficial. The key is that it should be gentle, comfortable, and medically appropriate. If you have mouth soreness, ulcers, or a tendency to bleed easily, your dentist or hygienist may modify what they do and focus on comfort and prevention.

Can you have dental work done while on chemo?

This is one of the most common questions we hear. The answer is: sometimes, and it depends on the type of dental work.

• Non-invasive care can often be done with minimal risk.

• Invasive care (particularly extractions) requires more planning because infection risk, bleeding risk, and healing capacity can be affected.

If dental work is needed during treatment, the safest plan is usually one that:

• keeps procedures as conservative as possible where clinically appropriate

• times treatment around periods of lower risk

• coordinates with your treating team if needed

Can you get a tooth pulled while on chemotherapy?

Sometimes it’s necessary, but dentists generally try to avoid extractions during chemotherapy unless the tooth can’t be stabilised.

If an extraction is required, planning usually considers:

• infection risk and healing capacity

• bleeding risk

• timing within the treatment cycle

• whether alternative options (such as root canal treatment) could control the problem without surgery

If you develop facial swelling, fever, or rapidly worsening symptoms, seek urgent medical advice.

Toothache or infection during chemotherapy: what to do

If you develop tooth pain or signs of infection during treatment, don’t wait and hope it settles.

Seek advice promptly if you notice:

• increasing toothache

• swelling of the gum, face, or jaw

• a “pimple” on the gum, pus, or a bad taste

• fever, chills, or feeling unusually unwell

The priority is to control infection and keep you safe, which may involve dental treatment, coordination with your medical team, or referral depending on your overall health status.

How soon after chemotherapy can you have dental work?

There isn’t a one-size-fits-all timeline. Recovery varies depending on:

• the chemotherapy regimen and duration

• your immune recovery

• ongoing medications that affect healing or infection risk

A practical way to think about it:

• simple dentistry may be possible earlier

• invasive procedures generally wait until your treating team is confident your body is ready for healing and infection control

If you’re planning significant dental work after chemo, it can help to book a consultation early so you can map out a safe sequence and timing.

Does chemotherapy affect teeth?

Chemotherapy doesn’t usually “damage teeth” directly, but it can increase risk factors that lead to dental problems, including:

• dry mouth → higher decay risk

• mouth soreness → brushing becomes difficult

• changes in appetite/diet → more frequent snacking

• changes in oral bacteria and immune response

Radiotherapy to the head/neck can have more direct long-term effects on saliva and decay risk, and it can influence how dentists approach extractions and oral surgery.

Medication considerations: bisphosphonates/denosumab and dental surgery

Some patients take medications that affect bone turnover, such as bisphosphonates or denosumab (used in some cancer care and in osteoporosis). These medications can increase the risk of medication-related osteonecrosis of the jaw (MRONJ), particularly after extractions or other invasive jaw procedures.

This does not mean you can’t have dental treatment — it means planning matters:

• prevention is a priority

• treatment may be more conservative where appropriate

• surgical decisions may require additional coordination and discussion

If you are on these medications, tell your dentist as early as possible.

Practical mouth care tips during treatment

Small changes can make a big difference.

For dry mouth

• sip water regularly

• use saliva gels/sprays if needed

• avoid alcohol-based mouthwashes

• ask your dentist about high-fluoride toothpaste if you’re at higher risk of decay

For a sore mouth or ulcers

• use a soft toothbrush and gentle technique

• avoid spicy/acidic foods if they sting

• ask your treating team about suitable mouth rinses if pain is significant

For decay prevention

• brush twice daily with fluoride toothpaste

• clean between teeth daily if comfortable

• try to reduce frequent sugary snacks/drinks (especially if dry mouth is an issue)

Brisbane CBD appointments

If you’re undergoing cancer treatment and you’re based in Brisbane, we can help you plan dental care around your medical schedule.

At Dentistry on George (Brisbane CBD) we can:

• assess and stabilise dental issues before treatment where time allows

• help manage dental pain or infection during treatment (with appropriate coordination)

• support prevention strategies for dry mouth, ulcers and decay risk

If you’re in active treatment, let us know:

• your treatment dates (or next cycle date), and

• any relevant medications (especially bisphosphonates/denosumab)

This helps us schedule appropriately.

You can book online for your dental assessment or treatment. For new patients to our practice, please check our new patients page

FAQs

Can you go to the dentist while on chemo?
Often yes, but timing and medical stability matter. Non-invasive care is generally easier to schedule than surgery.

Can you have dental work done while on chemo?
Sometimes. Your dentist will weigh the urgency of treatment against infection/bleeding risk and healing capacity.

Can you have a dental cleaning during chemotherapy?
Sometimes. A gentle clean may be appropriate depending on comfort and bleeding risk.

How soon after chemo can you have dental work?
It depends on recovery and your medical plan. Invasive work often waits until your team confirms you’re ready to heal safely.

Can a dentist tell if you have cancer?
Dentists may notice unusual changes and refer you for assessment, but diagnosis requires appropriate medical investigation.

The post Dental Care During Cancer Treatment first appeared on Dentistry on George.