Dentures

Dentures are removable appliances that can replace missing teeth and help restore your smile. If you’ve lost all of your natural teeth, whether from gum disease, tooth decay or injury, replacing missing teeth will benefit your appearance and your health. That’s because dentures make it easier to eat and speak better than you could without teeth—things that people often take for granted.

When you lose all of your teeth, facial muscles can sag, making you look older. Dentures can help fill out the appearance of your face and profile. They can be made to closely resemble your natural teeth so that your appearance does not change much. Dentures may even improve the look of your smile.

Types of dentures:

Conventional.
 This full removable denture is made and placed in your mouth after the remaining teeth are removed and tissues have healed, which may take several months.

Immediate.
This removable denture is inserted on the same day that the remaining teeth are removed. Your dentist will take measurements and make models of your jaw during a preliminary visit. You don’t have to be without teeth during the healing period, but may need to have the denture relined or remade after your jaw has healed.

Overdenture.
 Sometimes some of your teeth can be saved to preserve your jawbone and provide stability and support for the denture. An overdenture fits over a small number of remaining natural teeth after they have been prepared by your dentist. Implants can serve the same function, too.

New dentures may feel awkward for a few weeks until you become accustomed to them. The dentures may feel loose while the muscles of your cheek and tongue learn to keep them in place. It is not unusual to experience minor irritation or soreness. You may find that saliva flow temporarily increases. As your mouth becomes accustomed to the dentures, these problems should go away.

Follow-up appointments with the dentist are generally needed after a denture is inserted so the fit can be checked and adjusted. If any problem persists, particularly irritation or soreness, be sure to consult your dentist.

Even if you wear full dentures, you still have to practice good dental hygiene.
Brush your gums, tongue and roof of your mouth every morning with a soft-bristled brush before you insert your dentures to stimulate circulation in your tissues and help remove plaque.

Like your teeth, your dentures should be brushed daily to remove food particles and plaque. Brushing also can help keep the teeth from staining.

Rinse your dentures before brushing to remove any loose food or debris.

Use a soft bristle toothbrush and a non-abrasive cleanser to gently brush all the surfaces of the dentures so they don't get scratched.

When brushing, clean your mouth thoroughly—including your gums, cheeks, roof of your mouth and tongue to remove any plaque. This can help reduce the risk of oral irritation and bad breath.

When you’re not wearing your dentures, put them in a safe place covered in water to keep them from warping.

Occasionally, denture wearers may use adhesives. Adhesives come in many forms: creams, powders, pads/wafers, strips or liquids. If you use one of these products, read the instructions, and use them exactly as directed. Your dentist can recommend appropriate cleansers and adhesives; look for products with the ADA Seal of Acceptance. Products with the ADA Seal have been evaluated for safety and effectiveness.

If you have any questions about your dentures, or if they stop fitting well or become damaged, contact your dentist. Be sure to schedule regular dental checkups, too. The dentist will examine your mouth to see if your dentures continue to fit properly.


This article first appeared on MouthHealthy.org, an A.D.A. website.

Chewing tobacco, boys and baseball

Likely users of chewing tobacco are teenage boys who play baseball. But no matter who is using it, chewing tobacco and other forms of smokeless tobacco can harm oral health.

According to the Academy of General Dentistry (AGD), children, especially boys, may begin using chewing tobacco as early as grammar school. Approximately four percent of boys in grammar school use chewing tobacco. This percentage leaps to 20 percent for high school boys, half of whom develop pre-cancerous white patches in their mouths.

Many boys begin to use chewing tobacco when they become involved in sports, particularly baseball. Researchers believe that young people are influenced by seeing professional baseball players using chewing tobacco at the ballpark or during televised games.

It may be smokeless, but it’s still tobacco

One of the newest forms of smokeless tobacco that is gaining popularity in America is called snus (rhymes with “goose”). It's a Swedish type of smokeless tobacco that comes in teabag-like pouches that a user sticks between the upper lip and gum, leaves there for up to 30 minutes and discards without spitting.

This form of smokeless tobacco has become more popular because it’s not as messy as chewing tobacco, dipping tobacco and moist snuff, which often cause excess saliva during use. It does, however, still contain the active ingredients of chewing tobacco. Snus products are required to carry one of three warning labels that say the product is either "not a safe alternative to cigarettes," "may cause mouth cancer" or "may cause gum disease and tooth loss."

Smokeless tobacco and oral health

Just because chewing tobacco and other forms of smokeless tobacco aren't smoked as cigarettes does not mean they are harmless, especially when it comes to oral health. In fact, the American Cancer Society, in a study of 116,000 men, found that male smokers who gave up cigarettes for smokeless tobacco still had higher death rates from lung cancer, heart disease and strokes than men who quit all tobacco or never smoked.

Like cigarettes, smokeless tobacco can lead to higher incidences of cavities and oral cancer. A few of the known health dangers of smokeless tobacco include the following:

Smokeless tobacco products, just like cigarettes, contain at least 28 cancer-causing chemicals.
Smokeless tobacco is known to cause cancers of the mouth, lip, tongue and pancreas.
Users also may be at risk for cancer of the voice box, esophagus, colon and bladder, because they swallow some of the toxins in the juice created by using smokeless tobacco.
Smokeless tobacco can irritate your gums, causing gum (periodontal) disease.
Sugar is often added to enhance the flavor of smokeless tobacco, increasing the risk for tooth decay.
Smokeless tobacco typically contains sand and grit, which can wear down teeth.

What you can do?
If you are a smoker, a user of smokeless tobacco or a parent with a child or teen whom you suspect may be using tobacco, you can start by understanding that tobacco dependence is a nicotine addiction disorder.

There are four aspects to nicotine addiction: physical, sensory, psychological and behavioral. All aspects of nicotine addiction need to be addressed in order to break the habit. This can mean that tobacco users may need to try several times before they are able to successfully kick the habit.

Speak to your child directly about the risks associated with all tobacco products, including smokeless ones. If you have friends or relatives who have died of a tobacco-related illness, share the truth about it with your child, and discuss ways your child can say no to tobacco.

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

Dental Emergencies

Accidents happen, and knowing what to do when one occurs can mean the difference between saving and losing a tooth. Here are some common dental emergencies and how to deal with them. For all dental emergencies, it’s important to visit your dentist as soon as possible. Most dentists reserve time in their daily schedules for emergency patients so be sure to call your dentist and provide as much detail as you can about your condition. If the accident occurs when your dental office is not open, visit your local emergency room.

Question: What do I do if I knock out my tooth?
Answer: For a knocked-out permanent or adult tooth, keep it moist at all times. If you can, try placing the tooth back in the socket without touching the root. If that’s not possible, place it in between your cheek and gums, in milk, or use a tooth preservation product that has the ADA Seal of Acceptance. Then, get to your dentist’s office right away.

Q: What if I crack my tooth? 
A: For a cracked tooth, immediately rinse the mouth with warm water to clean the area. Put cold compresses on the face to keep any swelling down. See your dentist as soon as possible.

Q: If I bite my tongue or lip, how do I treat it?
A: If you bite your tongue or lip, clean the area gently with water and apply a cold compress. See your dentist or go to the emergency room as soon as possible.

Q: How do I treat a toothache? 
A: For toothaches, rinse your mouth with warm water to clean it out. Gently use dental floss to remove any food caught between your teeth. Do not put aspirin on your aching tooth or gums; it may burn the gum tissue. If the pain persists, contact your dentist.

Q: What if I think my jaw is broken? 
A: If you think your jaw is broken apply cold compresses to control the swelling. Go to your dentist or a hospital emergency department immediately.

Q: How do I remove an object that’s stuck in my mouth or teeth?
A: For objects stuck in the mouth, try to gently remove with floss but do not try to remove it with a sharp or pointed instrument. See your dentist or go to the emergency room as soon as possible.

Q: How can I avoid a dental emergency? 
A: There are a number of simple precautions you can take to avoid accident and injury to the teeth:

  1)  Wear a mouthguard when participating in sports or recreational activities.
  2)  Avoid chewing ice, popcorn kernels and hard candy, all of which can crack a tooth.
  3)  Use scissors, NEVER your teeth, to cut things

This article first appeared on MouthHealthy.org, an A.D.A. website.

Questions About Going to the Dentist

Whether you are 80 or 8, your oral health is important. Did you know that 100 million Americans fail to see a dentist each year, even though regular dental examinations and good oral hygiene can prevent most dental disease? Here are some frequently asked questions about going to the dentist.

Question: Why do regular dental visits matter?

Answer: Regular dental visits are important because they can help spot oral health problems early on when treatment is likely to be simpler and more affordable. They also help prevent many oral problems from developing in the first place. Visiting your dentist regularly is also important because some diseases or medical conditions have symptoms that can appear in the mouth.

Here are 15 signs you should see a dentist:

Your teeth are sensitive to hot or cold
Your gums are puffy and/or they bleed when you brush or floss
You have fillings, crowns, dental implants, dentures, etc.
You don’t like the way your smile or teeth look
You have persistent bad breath or bad taste in your mouth
You are pregnant
You have pain or swelling in your mouth, face or neck
You have difficulty chewing or swallowing
You have a family history of gum disease or tooth decay
You have a medical condition such as diabetes, cardiovascular disease, eating disorders, or are HIV positive
Your mouth is often dry
You smoke or use other tobacco products
You are undergoing medical treatment such as radiation, chemotherapy or hormone replacement therapy
Your jaw sometimes pops or is painful when opening and closing, chewing or when you first wake up; you have an uneven bite
You have a spot or sore that doesn't look or feel right in your mouth and it isn't going away.

Q: What if I don’t have any of these symptoms—do I still need to go to the dentist?
A: Yes. Even if you don’t have any symptoms, you can still have oral health problems that only a dentist can diagnose. Regular dental visits will also help prevent problems from developing. Continuity of care is an important part of any health plan and dental health is no exception. Keeping your mouth healthy is an essential piece of your overall health. It’s also important to keep your dentist informed of any changes in your overall health since many medical conditions can affect your oral health too.

Q: What can I expect during a dental checkup?
A: The dentist or hygienist will ask about your recent medical history, examine your mouth and decide whether or not you need x-rays. Depending on your treatment plan, the hygienist may use a special dental instruments to check your gums for gum disease. Your dentist will evaluate your overall dental health and conduct an oral cancer screening by holding your tongue with gauze, checking it and your whole mouth, then feeling your jaw and neck.

Q: How often do I have to go to the dentist? 
A: There is no one-size-fits-all dental treatment. Some people need to visit the dentist once or twice a year; others may need more visits. You are a unique individual, with a unique smile and unique needs when it comes to keeping your smile healthy.

Q: How do I find a dentist? 
A: The American Dental Association offers these suggestions in finding a dentist:

Visit ADA Find-a-Dentist to search dentists in your area.
Ask family, friends, neighbors or co-workers for recommendations.
Ask your family physician or local pharmacist.
If you're moving, your current dentist may be able to make a recommendation.
Call or write your state dental society.

Q: What should I look for when choosing a dentist? 
A: You may want to call or visit more than one dentist before making your decision. Dental care is a very personalized service that requires a good relationship between the dentist and the patient. During your first visit, you should be able to determine if this is the right dentist for you.

Consider the following:

Is the appointment schedule convenient for you?
Is the office easy to get to from your home or job?
Does the office appear to be clean, neat and orderly?
Was your medical and dental history recorded and placed in a permanent file?
Does the dentist explain techniques that will help you prevent dental health problems?
Is dental health instruction provided?
Are special arrangements made for handling emergencies outside of office hours? (Most dentists make arrangements with a colleague or emergency referral service if they are unable to tend to emergencies.)
Is information provided about fees and payment plans before treatment is scheduled?
Is your dentist a member of the ADA? All ADA member dentists voluntarily agree to abide by the high ethical standards reflected in the member code of conduct. You and your dentist are partners in maintaining your oral health. Take time to ask questions and take notes if that will help you remember your dentist's advice.

Here are some tips to help you take care of your smile:

Healthy habits.
   Brushing twice a day for two minutes and flossing daily are essential for everyone, no matter how   unique your mouth is. It’s the best way to fight tooth decay and gum disease.

Build a relationship.
  Continuity of care is an important part of any health plan and dental health is no exception. When your dentist sees you regularly, he or she is in a good position to catch oral problems early. For instance, catching gum disease when it’s still reversible, or cavities when they are small and are more easily treated.

Maintain.
  Keeping your mouth healthy is an essential piece of your overall health. It’s important to keep your dentist informed of any changes in your overall health as well.

Talk about it!
  Only your dentist can determine what the best treatment plan is for you. Have questions about your oral health or certain dental procedures? Start a conversation. Ask your dentist to explain step-by-step. Dentists love having satisfied, healthy patients.

Q: What is the difference between a DDS and a DMD?
A: If you’re looking to find a dentist you may notice that while most are listed with a “DDS”, some may be listed as “DMD”. They both mean the same thing—your dentist graduated from an accredited dental school. The DDS (Doctor of Dental Surgery) and DMD (Doctor of Dental Medicine) are the same degrees. Dentists who have a DMD or DDS have the same education. The level of education and clinical training required to earn a dental degree, and the high academic standards of dental schools are on par with those of medical schools. Upon completion of their training, dentists must pass both a rigorous national written exam and a state or regional clinical licensing exam in order to practice. In order to keep their licenses, they must meet continuing education requirements for the remainder of their careers so that they may stay up to date on the latest scientific and clinical developments.

Paying for Dental Care

Paying for dental care is a concern of many. Not everyone can afford dental insurance and not all businesses offer dental benefits. Assistance programs vary from state to state. Locate your state on this list and contact your state dental society to find out about care in your area. Another possible source of lower-cost dental care is a dental school clinic. Generally, dental costs in school clinics are reduced and may include only partial payment for professional services covering the cost of materials and equipment. Your state society should be able to tell you if there is a clinic in your area.
For more resources, please visit the National Institute of Dental and Craniofacial Research, U.S. Department of Health and Human Services or the Association of State and Territorial Dental Directors.

Are you over 60 or the caregiver of an older adult in need of dental care? Visit Oral Health America's Tooth Wisdom for a list of the resources available in your state. Additionally, the Children's Health Insurance Program (CHIP) provides free or low-cost health coverage for more than 7 million children up to age 19. CHIP covers U.S. citizens and eligible immigrants.

Below is a list of common questions about dental insurance:

Q: How does a dental plan work?
A: Almost all dental plans involve a contract between your employer and an insurance company. The amount your plan pays is agreed upon by your employer with the insurer.

Q: What does my insurance pay for?
A: What's covered by your dental plan is based on how much your employer pays into the plan. Usual, customary and reasonable charges (UCR) are the maximum amounts that your plan covers. These standards are set by your insurance company. Any portion of a dental bill not covered by your plan is your responsibility.

Q: What do I have to pay for?
A: Your dental plan may not cover conditions that existed before you enrolled in their plan, often called pre-existing conditions. Treatment may still be necessary for some conditions. Each dental benefit plan also has its own guidelines for which treatment is “dentally necessary.” If a procedure falls into this category, you may have to pay out-of-pocket. This does not mean the treatment is not necessary. It simply means your insurance provider defines it that way. There is an appeals process available should your dentist consider a procedure necessary that is not covered by your benefit plan. Although you may be tempted to decide on your dental care based on what insurance will pay, always remember that your health is more important than the price tag. The least expensive option is not always the best.

Q: How do I pick my dentist?
A: Your plan may want you to choose dental care from a list of preferred providers (dentists who have a contract with the dental benefit plan). “Preferred” refers to the insurance companies choices. If you choose to receive dental care from outside the preferred provider group, you may have higher out-of-pocket costs.

Q: How does financing work?
A: Financing may involve the use of a credit card. Make sure you understand what the monthly payment requirements will be before you decide on this option. Typically there are two types of financing offers: No Interest and Low Interest. "No Interest” payment plans are more commonly offered by healthcare credit cards. They typically give you a short time period to pay your balance (six to eighteen months). With these plans you must pay at least the monthly minimum and pay off the balance in the time offered. If you don't interest charges will be added. “Low Interest” payment plans are typically longer term, sometimes up to five years. Payments are divided into equal monthly payments and should be paid off every month. Interest charges will be placed on your account beginning on the original purchase date.

Make sure you understand how credit finance plans work before you decide on a specific plan. Only finance what you can afford, pay on time and make sure you read, fully understand and keep copies of anything you are asked to sign. Take the time to understand your options and obligations and you can improve your financial and oral health.

Have You Been Naughty or Nice to Your Teeth?

Hermey, D.D.G.

If you've seen the holiday TV special, Rudolph the Red-Nosed Reindeer, then you know that Hermey the Elf is very excited about becoming a dentist. Now, Hermey has been designated a DDG, or Dental Do Gooder, by Dr. Maxine Feinberg, ADA president, for promoting good dental health to his friend Rudolph the Red-Nosed Reindeer and everyone in the North Pole. He loves teeth and he thinks everyone should know how to take care of them.

Here is a Healthy Teeth Checklist that Hermey uses so he can remember how to keep his mouth healthy. Moms and Dads, you can print out this checklist to help your kids remember to take care of their teeth too!

✓ Brush your teeth two times a day for two minutes. Even the boss elf brushes his teeth for two minutes, two times a day!

✓ Eat healthy snacks. Like fruits and vegetables. It’s not good for your teeth when you eat sticky candy or sugary cookies.

✓ Avoid drinking sodas, juices and sports drinks with a lot of sugar. Rudolph and Santa’s Sleigh Team always drink lots of water with fluoride in it. That’s why they have such strong, healthy teeth.

✓ Protect your teeth by wearing a mouthguard whenever you play any sports. Rudolph and the reindeer never play games without wearing their mouthguard!

✓ Visit your dentist. Just like Hermey, your dentist wants to help you take care of your teeth. Going to the dentist and getting your teeth cleaned is very important. Why? Because yucky plaque can stick to your teeth and make a hole in your tooth. This is called a cavity. Hermey doesn’t want you to have a cavity because it can make your tooth hurt.

Remember it’s never too late to be nice to your teeth. A healthy mouth is good for your whole body. Now that’s the kind of joy that makes Santa Ho-Ho-Ho!

This article first appeared on MouthHealthy.org, an A.D.A. website. Here is the link.

Holiday sweets can be tough on teeth

The winter holidays are known for sweet treats and tempting goodies, but that doesn't mean that you have to end up at the dentist with cavities in January.

How do sweet foods and drinks cause cavities?

When you eat sugary foods or drinks, naturally occurring bacteria in the mouth feed on the sugar and create acids as a by-product. These acids then wear down the tooth enamel, making it weaker and more susceptible to tooth decay as well as a host of other problems, including gingivitis.

Snacking on sweets throughout the day or during an extended period of time (such as at a holiday party) is especially harmful, since damaging acids form in the mouth every time you eat a sugary snack and continue to affect the teeth for at least 20 minutes afterwards.

"Snacking on sweets and sugary beverages throughout the day can increase the chance of tooth decay and gum disease," says Ken Sutherland, DDS, a senior Delta Dental dentist consultant. "Brushing and flossing after snacks definitely reduces bacteria."

Simple steps for holiday oral care

The best way to avoid cavities while still enjoying your holiday indulgences is to practice good oral hygiene. Here are some tips to help:

• Eating sugary or carbohydrate-rich foods as part of a balanced meal is better than eating them alone. The body produces more saliva to help digest larger meals, which washes away more food and helps neutralize harmful acids before they can attack teeth.
• Foods that take a long time to chew can damage teeth. That's because sticky foods, including nutritious choices like raisins, dates and dried fruit, hold acid against teeth longer than do other foods. Try to limit your consumption of these foods.
• After consuming high-acid food (fruits) or drinks (wine), rinse with water before brushing your teeth to prevent tooth erosion from the acids.
• Keep a toothbrush and travel-size toothpaste handy (for example, in your pocket or purse or store these in the glove compartment of your car) so that you can brush right after eating at holiday parties. An added benefit is that you are less likely to eat after you brush your teeth, so you may end up eating less at parties.
• If you're unable to brush your teeth after eating, rinsing your mouth thoroughly with water or chewing sugar-free gum will help to wash away food particles, produce more saliva and neutralize acids in your mouth

"Brush up" on your technique

Use your holiday vacations to spend more time brushing your teeth. If you're relaxed or have more free time during the day or with your morning or nightly routine, you can use the time to brush more thoroughly and develop better oral care habits.

It isn't necessary to brush vigorously to get your teeth clean. What's important when brushing your teeth is not how hard you scrub, but that you use the proper technique and that you do a thorough job. And that takes time. Dentists recommend that you brush your teeth for two to three minutes to get the most thorough cleaning.

If you get into the habit of brushing for two to three minutes every morning, every night and after every meal during the holidays, you may keep those good habits when your regular routine resumes.

Article provided by Delta Dental Insurance.