Teeth are incredibly strong, but like any part of our body, they aren’t invincible. A cracked tooth can occur unexpectedly, causing pain, sensitivity, and frustration. Whether it’s a slight chip or a severe fracture, cracked teeth require prompt attention to prevent further damage. In this blog, we’ll explore the reasons teeth crack and offer tips on how to protect them for a lifetime of healthy smiles.

1. Injury or Trauma

One of the most common reasons for a cracked tooth is physical trauma. This can happen from accidents like falls, car crashes, sports-related injuries, or even biting down too hard on something hard (think popcorn kernels or ice). The force of the impact can cause a tooth to crack, even if it initially seems like only a minor injury.

Protection Tip:

Wearing a mouthguard while playing contact sports or engaging in high-risk activities can significantly reduce your chances of tooth injury. If you’ve had a previous trauma, it’s essential to stay vigilant for any signs of a crack.

Cracked teeth from a biking accident

Cracked teeth after repair

2. Bruxism

Do you have the habit of grinding or clenching your teeth? Bruxism (the medical term for teeth grinding) is another leading cause of cracked teeth. The excessive pressure on your teeth from this behavior can lead to fractures over time. This is especially common at night while you sleep, often without even realising it! However, bruxism can also cause other signs and symptoms, such as headaches, generalised teeth sensitivity and jaw pain. Nocturnal bruxism can also sometimes be a sign of a sleep disorder.

Protection Tip:

If you suspect you grind your teeth, especially at night, visit your dentist for an evaluation. A custom night guard can help protect your teeth from damage and reduce the risk of cracking.

Custom-made mouthguard for tooth grinding

3. Large Fillings

Teeth that have large fillings are more vulnerable to cracking. While fillings are required to restore teeth due to decay, the decay itself will have weakened the structure of the tooth, making it more prone to breaking under stress. This is true when there has been so much decay in the tooth that there is now more filling that tooth structure, or if there are thin parts of the tooth left. Additionally, old fillings can wear down, leaving teeth more susceptible to fractures.

Protection Tip:

If you have large fillings schedule regular dental check-ups to monitor the health of your teeth. Your dentist may recommend replacing older restorations to ensure that your teeth remain strong and intact. They may recommend crowns to replace large fillings as these are less likely to fracture and protect the remaining tooth structure underneath.

Teeth with large amalgam fillings

4. Aging Teeth

As we age, our teeth naturally become more brittle. This is partly due to the natural wearing down of tooth enamel, which protects the teeth from cracks and fractures. Older teeth may also experience changes in the structure of the enamel, leading to an increased risk of cracking.

Protection Tip:

Maintaining good oral hygiene habits, such as brushing with fluoride toothpaste and using a soft-bristled toothbrush, can help protect enamel. Avoiding excessive consumption of acidic foods and drinks is also beneficial for preserving tooth strength.

Tooth with crack into the nerve that had to be extracted

5. Sudden Temperature Changes

Sudden changes in temperature can also lead to cracked teeth. For instance, drinking a hot cup of coffee followed by a cold beverage can cause your teeth to expand and contract, potentially leading to microfractures over time. This stress on the tooth enamel can weaken its integrity.

Protection Tip:

Try to avoid extreme temperature changes, especially when consuming food or drinks that are extremely hot or cold. If you notice heightened sensitivity, it could be a sign that your teeth are becoming more vulnerable to cracks.

6. Cavities or Decay

Tooth decay is another common cause of cracks. When cavities are left untreated, they weaken the structure of the tooth, making it more susceptible to breaking. Usually by the time you notice a cavity, it has already grown quite large.

Protection Tip:

Regular dental check-ups and x-rays are crucial to detect cavities early. Treating cavities before they worsen can prevent tooth fractures and other more severe dental issues down the road.

Regular dental x-rays can help pick up decay

7. Chewing on Hard Objects

Some people have the habit of chewing on non-food items, such as pens, nails, or ice. This constant pressure on your teeth can cause them to crack over time. Even chewing on hard foods like caramel or hard nuts can be damaging if done regularly.

Protection Tip:

Be mindful of what you chew on. Avoid hard objects that can put unnecessary stress on your teeth.

Final Thoughts: How to Prevent Cracked Teeth

Cracked teeth are preventable with the right precautions. Regular dental visits are essential to detect and treat issues before they become more serious. If you’re experiencing tooth pain, sensitivity, or any signs of cracking, don’t wait—schedule an appointment with your dentist right away. They can help determine the cause and suggest the best treatment to restore your smile.

Taking care of your teeth today will help ensure that you continue smiling with confidence for years to come!

At Dentistry On George, we prioritize your oral health and want to help you maintain strong, healthy teeth for life. If you suspect a cracked tooth or are concerned about your dental health, contact us today to schedule an appointment! Let’s keep your smile safe and shining.

The post Why Teeth Crack first appeared on Dentistry on George.

What’s in Toothpaste?

The basic ingredients of toothpaste typically include abrasives, detergents, fluoride, flavors, and humectants. Abrasives like calcium carbonate or silica scrub away plaque and stains, detergents (such as sodium lauryl sulfate) create foam to help dislodge debris, fluoride strengthens tooth enamel, and humectants like glycerol keep the paste from drying out. Together, these ingredients ensure that brushing your teeth isn’t just a ritual but an effective way to maintain oral hygiene.

Beyond its cleaning powers, toothpaste plays a crucial role in preventing dental issues like tooth decay and gum disease. The fluoride in toothpaste strengthens enamel and helps repair early signs of tooth decay, while antibacterial agents help fight gum disease-causing bacteria. Some specialized toothpastes even cater to sensitive teeth, whitening, or specific dental conditions.

How Does Toothpaste Prevent Cavities?

Toothpaste prevents cavities primarily through its active ingredient, fluoride. Here’s how fluoride in toothpaste works to protect your teeth:

1. Strengthening Tooth Enamel: Fluoride helps to remineralise and strengthen tooth enamel, which is the outer layer of the tooth. Enamel is susceptible to demineralisation due to acids produced by bacteria in plaque and acids from sugary and starchy foods. Fluoride aids in reversing early stages of enamel damage caused by these acids, making the enamel more resistant to decay.

2. Inhibiting Acid Production: Fluoride inhibits the ability of bacteria in plaque to produce acids that attack tooth enamel. By reducing acid production, fluoride helps to prevent the demineralisation of enamel, which is the first step towards cavity formation.

3. Enhancing Remineralization: Fluoride promotes remineralisation, which is the process of minerals like calcium and phosphate being deposited back into weakened areas of enamel. This remineralisation process helps to repair early, microscopic stages of tooth decay before they progress into cavities.

4. Protecting Against Bacteria: Some toothpastes also contain antibacterial agents which help to reduce the amount of bacteria in the mouth, which can further prevent plaque buildup and reduce the risk of cavities and gum disease.

In addition to fluoride, toothpaste often contains abrasives that help mechanically remove plaque and food particles from teeth when brushing. The combination of fluoride and mechanical cleaning significantly reduces the likelihood of developing cavities when used as part of a regular oral hygiene routine that includes brushing at least twice a day and flossing.

How can toothpaste help with sensitive teeth?

Tooth sensitivity occurs when the underlying dentine of a tooth becomes exposed. Dentine is made up of tiny tubules that lead to nerve endings within the tooth. When these tubules are exposed—whether due to receding gums, enamel erosion, or dental procedures—stimuli such as hot, cold, acidic foods, or even brushing can trigger sharp, temporary pain.

Sensitive toothpaste is formulated to address tooth sensitivity by targeting the root cause of sensitivity. Unlike regular toothpaste, which focuses primarily on cleaning and preventing cavities, sensitive toothpaste contains active ingredients that help alleviate discomfort and protect exposed dentin.

How Sensitive Toothpastes Work

Desensitising Agents: Sensitive toothpastes can contain a range of ingredients such as potassium, calcium sodium phosphosilicate (CSP), strontium, arginine, and stannous fluoride (SnF₂). These compounds work by blocking the pathways to the nerves, thereby reducing sensitivity over time.

Milder Abrasives: To maintain cleanliness without exacerbating sensitivity, these toothpastes use gentler abrasives compared to standard varieties.

Fluoride: Essential for preventing cavities, fluoride is also present in sensitive toothpaste formulations. It helps strengthen enamel and protects against decay, which can contribute to sensitivity.

Specialized Formulas: Some sensitive toothpastes are tailored to specific needs, such as those for whitening or gum health, ensuring you can find one that meets your oral care requirements.

Choosing a fluoride-containing toothpaste that meets your specific dental needs, such as sensitivity or whitening, and brushing correctly for at least two minutes each time, ensures that you’re maximizing the cavity-fighting benefits of toothpaste. Regular dental check-ups and professional cleanings also play a crucial role in maintaining optimal oral health.

Using Sensitive Toothpaste Effectively

For optimal results, follow these tips:

Consistency:

Use sensitive toothpaste consistently as your regular toothpaste to experience ongoing relief. It takes time for the active ingredients to build up and work. Give yourself at least a week before you expect results. Switching and changing to other toothpastes (even another sensitive toothpaste, but with a different active ingredient) can stop the compounds from working effectively.

Technique

• Brush gently using a soft-bristled toothbrush to avoid further gum recession and enamel wear
• We recommended getting an electric toothbrush with a pressure sensor – this will let you know if you are brushing too hard
• Think about massaging the gums, rather than scrubbing them
• Angle the bristles of the toothbrush down towards the gum-line

Consultation

If sensitivity persists or worsens, consult your dentist. It could indicate an underlying dental issue that needs addressing. Tooth sensitivity can mimic other dental issues, such as tooth decay.

How can toothpaste help with specific concerns

Your dentist can also recommend (and provide) toothpastes for specific concerns.

There are pharmacist only high strength fluoride toothpastes, which are recommended for those at higher risk of tooth decay. We also have some dental mousses with calcium and phosphate, which are other elements that make up tooth enamel. Those who are at high risk of decay due to for example, high sugar consumption, dry mouth, reduction in quality of saliva, or specific medical treatment which puts them at higher risk from decay will be recommended these specific products.

There are also specific toothpastes recommended for those with specific gum issues and/or sores in their mouths. These can contain ingredients such as chlorhexidine. In addition, if a reaction or allergy to SLS is suspected, SLS free toothpastes will be recommended.

What about whitening toothpastes

There are few toothpastes out there that actually whiten the teeth. The majority of ‘whitening’ toothpastes contain stronger abrasives that are designed to essentially scratch stains off the teeth. This may help with superficial staining, but may also be too harsh on the tooth enamel and dentine, especially if you suffer from tooth wear and/or gum recession.

There are some toothpastes that contain some whitening products in them, namely hydrogen peroxide. Again, this will lift stains and may maintain whiteness for those who have whitened their teeth before, and even very slightly whiten the teeth However, please bear in mind that when professionally whitening your teeth, we used custom-fitted mouthguards which hold the tooth whitening products as close to the teeth as possible for a minimum of around 30 minutes. A two minute brush with some toothpaste won’t work to the same degree.

Choosing the Right Toothpaste for You

When selecting a toothpaste, consider the following factors:

Specific Ingredients

• If you have sensitivity and worn down teeth (from grinding or over-brushing), look for toothpastes containing calcium sodium phosphosilicate (CSP), strontium, arginine.
• If you have tooth sensivitiy, a dry mouth and have erosion (from dietary acids or reflux), look for toothpastes containing stannous fluoride or phosphate.
• If you have inflamed gums or are at risk of gum disease, look out for antibacterial agents like triclosan or zinc compounds

Try to avoid whitening toothpastes – as the majority of these have abrasives, which can wear the teeth further and cause more sensitivity and yellowing.

Please speak to us for alternative whitening toothpaste recommendations.

Fluoride

Most popular brands will contain either Sodium Fluoride and / or Stannous fluoride. For adult toothpastes this is around 1,450ppm (parts per million).

If you don’t want to use a fluoride toothpaste, look out for xylitol instead.

Other types of toothpastes and mousses.

We can sometimes recommend higher strength fluoride toothpastes. These are good if you have extreme sensitivity, have had dry mouth from medical conditions/treatment (e.g. chemo- and radiotherapy) or have had a lot of decay experience.

Mousses e.g. Tooth Mousse, can also be recommended for people who have low saliva, erosion and sensitivity. When combined with stannous fluoride, studies have shown this combination to provide superior protection against acids from your diet or gastrointestinal system.

Personal Preference

The rest is really personal preference: Such as textures and flavours.

In Summary

Next time you reach for your toothpaste, consider the specific needs of your teeth. Here at Dentistry on George we like to give you individualised and tailored advice specific to your needs. We can certainly recommend the best toothpaste for you. Mishari’s favourites are the Sensodyne range, especially Repair and Protect and the Rapid Relief Extra Fresh.

The post Which toothpaste should I use? first appeared on Dentistry on George.

Bad breath is a common problem to struggle with. In the mornings, it’s normal to experience bad breath, and it will usually go away with a drink of water and brushing your teeth. If the bad breath lasts throughout the day, or several days, there may be an underlying condition. In this article, we’ll go over what causes bad breath, medically called Halitosis, and what treatment is available.

What Causes Bad Breath? The Most Common Culprits

Bad breath is an issue that nobody likes having to deal with. Not only can it feel awkward not knowing if others can smell it, it may also be a source of discomfort to the person suffering from it. You may have a sour taste or dryness in your mouth or feel a constant need to clear your throat. In most cases, there’s a straightforward fix, but sometimes the root cause of the problem lies deeper.

If your bad breath is persistent and doesn’t go away, there may be an underlying medical condition. Many potential issues could be causing it, so if the condition persists, the best course of action is to book a check-up with a qualified dentist. This is especially the case if your teeth are also discoloured and sensitive, or other issues are present. However, here are some of the medical causes that may cause bad breath.

Gum disease

The number one cause of bad breath is gum disease. Without adequate dental hygiene, food particles remain in the mouth, allowing for the build-up of bacteria (plaque). Without regular brushing and oral hygiene, the plaque will begin to build up in pockets within the mouth, forming toxins and irritating the gums.

One of the main symptoms of periodontitis, the severe form of gum disease, is bad breath. If left untreated, gum disease can lead to much more severe symptoms than bad breath. This includes damage to the soft tissue and bone that support your teeth, and eventually tooth loss.

Plaque build-up

Often bad breath is simply due to a build-up of plaque in the mouth, tongue and gums. Plaque is a see-through, sticky film of bacteria that forms on your teeth. It should be removed daily with brushing and flossing, so it doesn’t build up and harden into tartar.

Tooth decay and Infection

Other medical causes for bad breath include tooth decay and infection. A common chain of events is food getting trapped around wisdom teeth, which then become infected due to bacteria. If left unattended for a long time, the infection can then lead to cavities or tooth decay. If you’re experiencing bad breath as well as toothache and mouth sores, it’s time to get a dental check-up.

Dry mouth

Chronic dry mouth may be a symptom of problems with your salivary glands. It can also be a side effect of certain medications and diseases. In addition to bad breath, those suffering from a chronic dry mouth are at a higher risk of gum disease and tooth decay. Saliva protects the teeth, so when it’s lacking, tooth decay and gum disease can advance more rapidly. That’s why it’s crucial to see your dentist regularly if you suffer from a dry mouth.

Other medical causes

• Gut problems – gases in your gut may cause bad breath
• Conditions affecting the mouth, nose and throat
• Extreme diets and anorexia nervosa
• Diabetes

How to Get Rid of Bad Breath?

The best way to treat and prevent bad breath is with good and consistent oral hygiene habits. If the bad breath is not caused by an underlying health issue, it will usually go away with regular brushing and good hydration.

How to treat bad breath at home

1. Carefully brush the teeth and tongue twice a day, for at least 2 minutes each time.
2. Remember to floss daily.
3. Drink plenty of water.
4. Replace your toothbrush at least every 3 months.
5. Mouthwash can also help, but it’s essential to address the root of the problem.

Diet habits can also add to bad breath. Everybody knows how strong the effect of certain foods, such as onion or garlic, is on the breath – but, their effect is only temporary. If this is of concern to you, you may want to cut these foods from your diet. It’s also a good idea to avoid sugary foods, as they’re generally not good for the health of your teeth.

Treating bad breath at the dentist

When visiting your dentist to treat bad breath, the dentist will examine your mouth thoroughly and talk through the issue with you. They will discuss with you any potential causes, including medications you’re taking. When you book a teeth cleaning and check-up, your dentist will also remove any plaque and tartar build-up on your teeth.

If the cause of the bad breath is a decayed or infected tooth, potential treatments include putting in a filling, root canal treatment or, in case of severe decay, tooth extraction.

Are you suffering from bad breath?

Continuous bad breath is not just a minor inconvenience, it can have significant ripple effects on the quality of life. From a dental health perspective, bad breath is an issue to take seriously, as it may be a sign of poor dental hygiene habits or an underlying condition. Poor dental hygiene, in turn, can lead to other health issues, such as gum disease.

If you’re suffering from bad breath, don’t hesitate to contact your dentist for a consultation and a check-up. At Dentistry on George, we offer complete and thorough check-ups that give your dental health the care and attention it deserves.

The post What Causes Bad Breath? first appeared on Dentistry on George.

Bruxism is a term for tooth grinding, which is the involuntary clenching or grinding of teeth. It most commonly happens when you are asleep (sleep bruxism) but can also happen when awake.

Signs and Symptoms of bruxism

• Teeth ache in the mornings
• Teeth can feel sensitive all over
• Sore jaw joints
• Headaches
• Sore neck
• Sleeping partner complains they can hear the teeth grinding during the night
• Stiff jaw on wakening
• Teeth can feel loose

In addition, the pain from a sore jaw joint can radiate to the ears and you can feel like you have ear-ache. If you have ear-ache but your doctor says they look healthy, it is always worth seeing your dentist to rule out a dental or jaw joint problem.

Why do we grind our teeth?

• Stress and anxiety
• Some medications or drug misuse
• Children can grind their teeth as teeth erupt
• Sleep apnoea or other sleep disorders
• Habit

Pain from grinding can be severe.

What can happen in the long-term if I grind my teeth?

• Sensitive teeth
• Chipped teeth that can affect the appearance of your smile
• Teeth that wear down over time – they will start to appear shorter
• Cracked teeth – this can be very painful and if severe can lead to tooth loss
• Fillings which chip and break
• Strain on the jaw joints and supporting muscles
• Teeth can become loose

What’s the difference between sleep bruxism and day-time bruxing?

Sleep bruxism is actually classified as a sleep related movement disorder. Those who brux while sleeping are more likely to have other sleep disorders, like snoring and/or obstructive sleep apnoea. Obstructive sleep apnoea is when there are pauses in breathing during sleeping and is a serious condition. If you are grinding your teeth during the night it is important to get this checked with your dentist.

What do I do if I’m grinding my teeth?

First thing is to make an appointment with your dentist to get this checked out. They will do a thorough exam of your jaw joints and muscles, your teeth and your gums. Those who clench their teeth can have tell-tale signs on their cheeks and gums. The dentist will also need to exam the extent of the damage done to the teeth. If they suspect a sleeping disorder, they will ask more questions about this, do a questionnaire and refer you to a sleep physician if indicated.

The teeth may have lots of crack-lines from the all the pressures put on them from clenching and grinding. This could lead to cracked teeth in the future. The problem with cracked teeth is that they can be like a crack on your windshield – at some point it will get worse and go in any direction. The problem is we don’t know when and in what direction the crack will go. For your teeth this means that the crack could spread down into the nerve of the tooth. This could ultimately mean root canal or loss of the tooth if the crack is too extensive.

If you need to make an appointment to get your tooth grinding checked out, please contact us.

What is the treatment?

First, other medical causes will be ruled out or treated – for example obstructive sleep apnoea or issues with medications.

A hard splint (mouthguard) can help protect
the teeth from the effects of tooth grinding.

Unfortunately we can’t stop you from grinding your teeth. However, we can protect the teeth with the use of a splint – this is a hard plastic mouth-guard that goes over the teeth. It prevents the teeth from meeting in the usual way which can take pressure off the jaw joint and relax the muscles. It also protects the teeth and other dental work (like fillings and veneers) from damage. These are custom-fitted to your mouth and at Dentistry On George we provide hard acrylic splints as studies have shown these are more effective and they last a lot longer. See what Mishari has to say about them in the video below:

VIDEO

Another effective treatment to help loosen up the tight jaw muscles and try and break the habit of clenching and grinding is to see a physiotherapist who specialises in this area. Using both of these treatment options together, we have seen great improvement in our patients’ symptoms and quality of life.

Mishari had been treating a patient with mild discomfort from a tooth that had already had root canal twice. Niggles from the tooth were spreading to the side of the face. Mishari diagnosed tooth grinding/clenching as the source of the pain. The patients saw a head and neck physio and Mishari also made a splint. From wearing the splint and three sessions with the physio, the pain completely disappeared.

What can I do at home to help?

Trying relaxation techniques can help if your
tooth grinding is from stress.

There are some very useful self-care tips you can try.

• Anti-inflammatories if you are able to take them, like ibuprofen
• Sticking to softer foods
• Avoid things like burgers and apples that need you to open your jaw wide
• Avoid chewing gum
• Try to eat evenly on both sides
• Hold a heat-pack to the jaw joints and muscles around it
• Try relaxation techniques to help with any stress (meditation, a warm bath, a nice walk or doing your favourite hobby like reading, cooking or painting)
• Jaw exercises – watch the video below to see how to do these

VIDEO

Final Thoughts

Pain can be from many things and you need to make sure you are seeing a dentist who always looks at the bigger picture. At Dentistry On George we always take a holistic view to patient care. Tooth grinding can be caused by other things like sleep apnoea, but also other symptoms that you might have been putting up with for years, like ear-ache, sore neck and headaches, could be coming from your jaw.

Contact our friendly team to book you assessment today.

The post What Tooth grinding Does To Your Teeth first appeared on Dentistry on George.

This time, we’re talking hormones! Read on to find out how pregnancy and menopause can affect oral health, and vice versa.

Pregnancy

First, things first – it is completely safe to visit your dentist during pregnancy. In fact is actually more important to do so. It’s important not only for mum’s health, but also for the baby. Your dentist knows exactly which medications are safe while you pregnant.

It’s more important than ever to see 
your dentist and take care of your
teeth and gums while pregnant.

But what about dental x-rays?

Dental x-rays are taken to see what is going on inside the tooth, between the teeth and under the gum-line where your dentist can’t see. The provide invaluable information about the state of your dental health and the bone supporting the teeth.

The amount of radiation involved is extremely low. In fact, it is the same as the amount of radiation you would get on a 1-2 hour flight. Therefore,  even if you’re pregnant you can have x-rays taken, although we try to keep them to a minimum during this time.

Gum Disease and Pregnancy

Hormonal changes during pregnancy can make gums more prone to inflammation, bleeding and swelling – what we call pregnancy gingivitis. Excellent home care of your teeth through twice daily brushing, and daily flossing can help control this. Also seeing your dentist for a professional clean will help. Left un-checked it could develop into gum disease and cause further problems.

Studies have shown links between mother’s having gum disease and affects on the birth and the baby. For example, American Nurse reports a study that showed women who had severe gum disease which was left untreated during pregnancy were more susceptible to early labour.

Gum disease has also been linked to low birth weight and preeclampsia.

Undergoing dental treatment is completely
safe while pregnant.

Diet and Morning Sickness

Morning sickness can be very damaging to teeth. This  causes an acidic environment in the mouth , which lowers the pH level in the mouth. This acid causes tooth erosion, which is basically when the tooth starts to dissolve. Acid erosion of the teeth leads to tooth enamel that becomes thin – this causes the teeth to be more sensitive to hot and cold. Thin enamel is more prone to chipping and breaking. In very severe cases, the nerve inside the tooth can be irreversibly damaged.

If you have been sick, don’t brush your teeth afterwards. The acids will have softened the tooth surface and the brushing action could abrade and damage the teeth further. Instead, drink water and rinse with a fluoride mouthwash to help protect the teeth. Other things that help return the acid levels in the mouth to neutral are milk, cheese and yogurt – just look for low sugar options.

The other problem pregnant women face are cravings! Look for healthier options if you get that sugar craving. Increased sugar intake will lead to tooth decay. Try and stick to water and plain milk for drinks and fresh fruit and things like cheese and nuts for tooth friendly snacks.

What about after the baby is born?

Once the baby is born, they will start to share the microbiome of their mother. This includes bacteria from the mouth. Remember that certain bacteria cause tooth decay and gum disease. Therefore, mothers with untreated disease can actually pass these disease-causing bacteria on to their babies.

For all these reasons, it is especially important to visit your dentist during pregnancy to ensure a healthy mouth for the time baby arrives.

Bacteria can travel from mum’s mouth to
baby’s, which can cause tooth decay.

Menopause

Most women undergo menopause between the ages of 47 and 55. If this is you, you might be noticing inflamed gums, burning sensations, altered taste sensations and a dry mouth.

Changes in hormone levels are the culprit. You may notice your gums look shiny, pale to deep red and that they bleed easily. Don’t worry, this can be managed and treated by your dentist.

Those pesky hormones can also cause what we call burning mouth syndrome. This is where you feel your mouth is more sensitive to hot and cold, and things taste a bit strange. You may have a metallic taste. Your mouth may feel like it is burning, like it’s on fire, or it can feel numb and tingly. It can affect inside your mouth like inside the cheeks and tongue, or even your lips. Again your dentist can help with managing this condition.

Menopause can cause problems with a mouth
that feels like it’s burning, tingling or dry.

Something else others may experience is a mouth that feels dry. This is because the amount of saliva produced may be reduced. This can make eating, swallowing and speaking more difficult. The biggest risk for those with dry mouth is an increased risk of tooth decay and gum disease. Saliva in in fact incredibly protective of our teeth. It contains substances that help counteract acids and fight bacteria. It’s very important that you chat to your dentist about your dry mouth. They can recommend products to help not only with the discomfort, but also to protect your mouth from gum disease and tooth decay.

What about after menopause?

After menopause, many women can suffer with osteoporosis. This is when the bones become thin, weak and fragile. This can also affect the jaw bones. In addition, medications prescribed to treat osteoporosis can have an impact on the jaw bone and consequently healing following dental surgery. If you have been diagnosed with osteoporosis, it’s important to see you dentist. They can assess the bone levels surrounding the teeth and help prevent problems down the track

What should I do?

The key message here is to see your dentist regularly. Don’t suffer through menopause or pregnancy. Your dentist is able to give you tailored advice to your situation and help with recommending products that can help.

If you’re suffering any of the symptoms mentioned above, or are thinking about getting pregnant, are pregnant or going through menopause, please arrange a dental appointment for a check-up.

Our friendly team can take care of you throughout
your pregnancy or if you are suffering the effects
of menopause.

Regular teeth cleaning and check-ups help maintain good oral health and prevent major problems from occurring. Our highly trained dentist and dental assistants do a thorough check of your teeth, gums and mouth, picking up on things before they become an issue.

Call us on 0732111155 , book online or read more here.

The post Women’s Health and Hormones first appeared on Dentistry on George.

A report by the Australian Institute of Health and Welfare, stated that 1 in 2 Australian females have a chronic disease. The most commonly reported by women were mental health issues (19.2%) and cardiovascular disease (18.6%). At the other end of the spectrum we have diabetes (4.6%) and cancer (1.5%). How do these affect the health of our mouths? Let’s have a look.

Mental Health Issues – Stress

Many women feel under a lot of stress. A study by Jayne Hailes reported that around 40% of the Australian women they surveyed had been professionally diagnosed with depression or anxiety. Women aged 18-35 were the most anxious of all the age groups. Nearly half of the women surveyed reported that on several days they can worry excessively, become easily annoyed or distracted and have trouble sleeping.

Nearly half of women surveyed said they
had trouble sleeping.

How stress affects our mouth

With relation to our oral health, too much stress can lead to problems with our teeth, gums and even areas outside of our mouth.

Stress can cause mouth ulcers and cold sores. There are other causes of ulcers so if you are suffering from many ulcers at once, frequently have ulcers or have an ulcer that’s not healing within 10 days, please schedule a visit to your dentist. Iron deficiency is a common cause of ulcers in women.

Stress can also cause us to tense the muscles around our shoulders, face and neck, leading to headaches. We can grind or clench our teeth, which a lot of the time we do subconsciously, or even in our sleep. This can cause wear and damage to the teeth, and even affect the jaw joint, which can be very painful. Getting a proper diagnosis and treatment is important. The treatment can be as simple as some exercises for your jaw, some treatment from a physio and/or a mouthguard to help protect your teeth from the effects of grinding.

Stress and anxiety can cause problems with
cold sires and ulcers. In addition, medication
used to treat depression and anxiety can
cause a dry mouth.

Depression can also lead us to neglect basic habits such as healthy eating, brushing and flossing. Neglecting our oral health can lead to many problems from tooth decay and gum disease.

What should I tell my dentist?

Telling your dentist about the medications you take for depression and anxiety is very important. Many of these medications can lead to a dry mouth. Saliva is so important for protecting your teeth and gums. It contains many substances, from those that are antibacterial, to ones that can actually stop and even reverse early tooth decay. Those with dry mouth are much more likely to suffer from tooth decay and gum disease, and these diseases can progress at an alarmingly rapid rate if left unchecked. Your dentist can help with keeping a close eye on things, and also prescribing or suggesting products that can help.

Cardiovascular Disease

The health of your mouth influences the health of the rest of your body. Inflammation and bacteria in your mouth can affect your heart health. This is because the bacteria and the inflammatory toxins travel through the bloodstream to the heart. In addition, if you already have heart disease, medications for heart health can affect your mouth. Make sure you give your dentist a complete list of the names and doses of all medications you are taking (including complementary medications). This will help the dentist decide on the best treatment for you, including which medications/anaesthetics are safe for you.

Some doctors and surgeons seek dental clearance from the dentist before they proceed with treatment. They want to ensure the mouth and body are infection free before surgery.

Many medications can have implications for
your dental care.

Diabetes

The link between diabetes and oral health has been known for a long time. Diabetics are more prone in general to having infections. This includes infections of the mouth. We have had patients who were unaware they were diabetic, but following a request from the dentist to get this checked out they were diagnosed. This is because the dentist noted many unusual infections of the mouth, including severe gum disease that wasn’t responding well to treatment.

What’s more, it’s not just diabetes that causes problems with the gums. Having gum disease in the first place can also play havoc with your sugar control if you are already diabetes. This is why it’s even more essential for diabetics to get regular dental check-ups.

A healthy smile is part of our overall health.

Cancer

Seeing your dentist after your cancer diagnosis lets your dentist assess your oral health in relation to the proposed cancer treatment. Some treatment may need to be carried out before your cancer treatment begins, either by your dentist or a specialist.

Chemotherapy and radiation therapy slow down the growth of fast growing cells. The cells that line the mouth are some of the fastest growing. For this reason, chemotherapy and radiation therapy slow down the ability of the lining of the mouth to heal itself. In addition, these treatments also affect the balance of bacteria in the mouth. For all these reasons, those undergoing treatment for cancer are more likely to have sores in the mouth, infections and tooth decay.

If radiation to the head and/or neck region is proposed, this can have a long-term affect on the jaw bones. Before treatment, your dentist should do a thorough check and get any treatment done that could pose a problem later.

Final thoughts

If you are feeling nervous or suffering with anxiety regarding your dental care and/or medical condition, please speak with your dentist and/or doctor. They can help with strategies and possible medications to help. Don’t let a fear put you off seeking treatment as this will be more detrimental to your health.

Call our friendly team on 0732111155 to find out more.

Look out for our next blog where we’ll look deeper at women’s dental health, in particular, the role hormones play in affecting our mouths.

The post Women’s Health & Dentistry first appeared on Dentistry on George.

So what is gum disease?

Gum disease is essentially inflammation and infection that affects the gums and supporting bone around the teeth. It is actually one of the most common diseases worldwide and more people lose teeth through gum disease than from anything else (this includes tooth decay, broken teeth or trauma).

Bacteria are responsible. The bacteria irritate our gums. This is because our body recognises them as a foreign object and starts trying to defend itself. Loads of cells rush to the area, which is what causes inflammation – your gums may swell and bleed when touched. In these early stages, we call it gingivitis.

Some signs of gum disease are red, puffy and bleeding gums. However, there can be no symptoms at all.However, some people’s immune systems take it too far, and the body basically starts the process of trying to get rid of this foreign object and anything else in the way. When gum disease progresses to what we call periodontitis, the connections between the tooth and the gum start to get destroyed, including the bone around the tooth. The tooth will start to get loose, and over time, when treatment is not sought, the tooth will become so loose it can fall out.

What’s worse, the inflammation in your gums produces inflammatory toxins. These bacteria and toxins travel from below the gum-line through the blood stream around the body. This is why gum disease can actually affect so many other parts of the body.

Why is treating gum disease important?

Gum disease is inflammation and infection. It can cause bleeding gums. If you had inflammation, infection and bleeding somewhere other than your mouth, it’d be cause for concern. Your mouth is no different.

There are many links between gum disease and other health conditions. These include heart disease, stroke, cancer, diabetes, Alzheimer’s and dementia, pregnancy complications, diseases of the lungs, rheumatoid arthritis, erectile dysfunction, osteoporosis and obesity. That’s quite a list! Lets look at a few in more detail.

There are known links between gum disease
and heart disease and stroke.

Heart Disease & Stroke

The inflammatory toxins and bacteria can travel from the gums though the blood-stream to the heart and brain. Experts believe that the swelling that hardens arteries in heart disease and stroke and the swelling that occurs in the gums during gum disease may be related. (1)

Reducing the amount of damaging bacteria in the body, including those involved in gum disease, will reduce the risk of heart disease. However, remember that heart disease is caused by many factors. Keeping your mouth healthy with brushing and cleaning between your teeth, regular trips to the dentist, diet and exercise will all help improve your general health.

A healthy lifestyle – diet, exercise and regular 
dental check-ups – will keep you healthy.

Links between gum disease and heart health have been known for over a century:

• People with gum disease are twice as likely to have heart disease. (1)
• Those diagnosed with a stroke caused by blocked blood vessels in the brain are more likely to have gum disease. (1)
• The presence of common problems in the mouth including gum disease, cavities and missing teeth were as good at predicting heart disease as were cholesterol levels. (1)
• If you already have heart disease, or have suffered from a stroke, it’s more important than ever to make sure you are seeing the dentist regularly.

Heart health and gum health go hand in hand.

Cancer

Research suggests that advanced gum disease and some forms of cancer are linked. Research published in June 2008 in the Lancet Oncology found that men with a history of gum disease are 14% more likely to develop cancer than men with healthy gums. (2)

What’s more startling is that men with periodontal disease are actually 49% more likely to develop kidney cancer, 54% more likely to develop pancreatic cancer and 30% more likely to develop blood cancers.

There are links between gum disease and
cancers in men.

There has also been a link between prostate health and gum health. Men with gum disease indicators (red, swollen or tender gums) as well as inflammation in the prostrate have higher levels of PSA that men with only one of these conditions. A 2015 study from Case Western Reserve University showed that men treated for gum disease reduced the inflammation in the prostate. (1)

There have been links between gum disease and breast cancer in women, but further research is required. One study found that 14% of women with gum disease had an increased risk of cancer. (1)

Diabetes

Diabetics are 2-4 times more susceptible to gum disease. (1)

The link between gum disease and diabetes actually goes in both directions:

• Those with diabetes are more likely to have gum disease
• Having gum disease can cause problems regulating glucose levels in diabetics.

Bacteria in the mouth love sugar! Therefore, diabetics who can’t control their sugar levels actually provide an environment where bacteria thrive. This causes worsening of the gum disease and therefore worsening of the glucose control. It’s a viscous cycle.

Alzheimer Disease and Dementia

Research has shown that those who have had chronic gum disease for 10 or more years increase their risk of developing Alzheimer’s by 70%. (1)

The exact link is not know, but one theory is that the bacteria in the mouth travel to the brain, triggering the body’s immune system to attack, which in turn kills brain cells.

Read more here.

Pregnancy Complications

Pregnant ladies are more susceptible to problems with their gums due to changing hormone levels.

Studies have shown that women who have severe gum disease which is left untreated during pregnancy are more susceptible to early labour. (3)

Gum disease has also been linked to low birth weight and preeclampsia.

It’s more important than ever to 
visit the dentist while pregnant.

Once the baby is born, they will start to share the microbiome of their mother. This includes bacteria from the mouth. Remember that certain bacteria cause tooth decay and gum disease. Therefore, mothers with untreated disease can actually pass these disease-causing bacteria on to their babies.

For all these reasons, it is especially important to visit your dentist during pregnancy.

What should I do if I’m worried about my gums?

If you are worried about your gums (they are sore, bleeding, look red or puffy) please arrange a dental appointment for a check-up.

Regular teeth cleaning and check-ups help maintain good oral health and prevent major problems from occurring. Our highly trained dentist and dental assistants do a thorough check of your teeth, gums and mouth, picking up on things before they become an issue.

Call us on 0732111155 , book online or read more here.

Make an appointment to have your teeth and 
gums checked.

Keep an eye out for our next blog, where we will discuss the signs and symptoms of gum disease, and what you can do about it.

Sources

1  https://fightgumdisease.com.au/total-health/

2  https://www.perio.org/consumer/cancer-link

 3 https://www.myamericannurse.com/does-periodontal-disease-contribute-to-preterm-birth/

The post Fighting Gum Disease Part 1 – Why Gum Health Matters first appeared on Dentistry on George.

Diabetes affects almost 1.5 million people in Australia, which is 7.6% of the population. In fact, Australia has one of the highest rates of type 1 diabetes in the world.  Each year 640 children and adults are admitted to hospital because the early symptoms of type 1 diabetes are not recognised (1). Type 1 diabetes can be fatal if not diagnosed in time. There are almost half a million people who are living with type 2 diabetes but don’t know it (1).

The first signs and symptoms of diabetes can start in the mouth…

This is why regular dental examinations are so crucial. Early diagnosis of any disease means a more favourable outcome. The most common problems in the mouth of people with diabetes are:

• gum disease
• gum abscesses/infections
• tooth decay
• fungal infections such as thrush
• mouth ulcers
• taste disturbances
• a dry, burning mouth (low saliva levels).

If you have diabetes, having blood glucose levels above the target range increases the risk of dental problems.

Gum Disease

Gum disease is more common and more severe in people with poorly controlled blood glucose levels. In fact, you are 2 to 3 times more likely to have gum disease if you have high blood glucose levels. This is due to a lower resistance to infection and a reduced healing capacity.

It is important to look after your oral health and control your blood glucose levels to prevent dental disease. Treating gum disease can actually improve blood glucose levels in people living with diabetes, and people with optimal blood glucose levels respond very well to dental treatment.

Gingivitis – redness and bleeding are the first
signs of gum disease.

Read more about gum disease and general health.

Gum disease also puts you at risk of other diseases, including Alzheimer’s Disease, which we covered in a previous blog.

Tooth Decay

When your blood glucose levels are high, you will have more glucose in your saliva and a dry mouth. A dry mouth alone increases your risk of tooth decay, but pair this with increased glucose in your saliva (glucose is a food source of plaque bacteria which cause decay), and your risk of tooth decay will sky-rocket. These plaque bacteria are also responsible for gum disease, which can lead to sore swollen gums, but also can progress silently, without you knowing about it, until the teeth become loose.

Infections

High blood glucose levels can cause bacteria to grow, allowing infections to develop quickly and making them more difficult to treat. Even if you don’t have any teeth and wear dentures, you can still have gum infections.

Fungal mouth infections such as thrush appear as white, and sometimes red patches in the mouth. These patches can get sore and turn into ulcers. It is important to get any white/red patches and any mouth ulcers that last longer than 10 days checked by your dentist.

Well-controlled blood glucose levels help to avoid thrush. If you wear dentures, make sure to take them out at night to help the gums get a rest and prevent infections. Smoking also increases the risk of infections.

Advanced gum disease leading to infection
and loose teeth.

How do my teeth affect diabetes?

Those with poor oral health are more likely to have poor general health. A healthy mouth can actually help with controlling blood sugar levels. Studies show that gum disease (which is an infection, with inflammation) can actually contribute to higher blood glucose levels.

Make sure to get your gum health checked regularly, along with professional treatments by your dentist. Great home care with regular brushing and flossing will reduce infection and can help to improve blood glucose levels

How do I keep my mouth healthy?

There are several things you can do to reduce dental problems.

• Keep blood glucose levels within your target range. Talk to your doctor and diabetes educator about how to achieve this.
• Brush and floss your teeth every day. Brush your teeth twice a day with fluoride toothpaste and a soft toothbrush.
• See your dentist at least once a year. Tell your dentist you have diabetes and what medications you are taking.
•  Don’t smoke. If you do smoke, try and quit. If you feel you can’t give up smoking on your own, ask for help – talk to your doctor or call the Quitline on 137 848.
•  Make healthy food and drink choices. Enjoy a wide variety of nutritious foods and limit foods and drinks that are high in added sugars. Choose water as the best everyday drink. (3)

Make sure to get your regular check-ups
and cleans.

Sources:

(1) Diabetes Queensland

(2)  NDSS (February 2016) National Diabetes Map

(3) NDSS

The post Diabetes and Oral Health first appeared on Dentistry on George.