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General Dentistry Frequently Asked Questions

Q. Why do you need to have regular dental care check-ups?

A. Regular check-ups are needed to monitor your overall dentistry health. In addition to checking for cavities, your dentist examines the health of your entire mouth and surrounding soft tissues, checking for pre-cancerous or cancerous lesions, oral sores, and gum disease.

Your oral health is connected with your general health. General dentistry check-ups can alert the dentist to other medical conditions that have symptoms in the mouth such as diabetes, nutritional deficiencies, and hormonal irregularities. Regular dental visits are vital to prevent tooth decay, gum disease, and other conditions affecting your mouth.

Q. What can you do to feel more relaxed during a dental appointment?

A. With the combination of modern anesthetics and new technology and techniques, many procedures only have minimal discomfort or are now entirely painless. Dental care providers want their patients to have maximum comfort and approach their treatments with a relaxed attitude.

There are a number of ways to increase relaxation:

• Tell the dental staff your concerns. Studies have shown that talking about your fears of possible discomfort actually reduces pain.
• Use visualization to picture yourself relaxed, or repeat messages that have a calming effect.
• Play your favorite music on a Walkman you bring with you (some dental offices are equipped with walkmans, too.)
• Arrange a signal with the dental staff, such as raising your hand, if you need a break or feel discomfort.

Some dental offices are now offering patients new options for stress-relief: hypnosis, self-hypnosis instructions, relaxation tapes, soft lighting, warm gel-filled eye masks, scented candles, and massaging pillows. These are helpful in reducing stress and anxiety in dental patients. Be sure to avoid the use of stimulants such as caffeine prior to your visit.

Q. Aromatherapy has a relaxing effect for many people. Is this effective for patients undergoing dental treatment?

A. Research studies conducted at Case Western Reserve University have noted that the use of aromatherapy has a significant positive effect on anxious dental patients. Two-thirds of the patients receiving aromatherapy were more calm and relaxed than those patients without exposure to the scented fragrance oils.

Dentists are concerned about your comfort. Ask your dental provider if aromatherapy is available in the office, or if you can bring your own for your dental visit. Essential fragrance oils are available in health food stores, spas, and some grocery and drug store outlets.

Q. Are dental patients who are considered at risk for bacterial infections advised to take antibiotic medication prior to their appointments?

A. Certain medical conditions, such as heart valve problems or a recent total joint replacement, are considered at risk for infection at the site of the cardiac abnormality or joint replacement. This infection results from bacteria from the mouth entering the bloodstream and working its way to these vulnerable areas.

Consequently, dental care procedures likely to result in bleeding from the gums or mucous membranes will require patients to take antibiotics prior to that procedure. Such procedures could include, but are not limited to, extractions, implant surgery, incision and drainage for oral infection, and professional teeth cleaning.

Guidelines have been established by the American Heart Association and the American Dental Association to provide dentists and physicians with information regarding appropriate regimens for antibiotic therapy. It also outlines those situations when antibiotic therapy is or is not indicated.

There also are other medical conditions warranting antibiotic therapy prior to dental procedures. Be sure to update your dentist regarding your medical history. Your dentist and/or physician will advise you of any special needs.

Q. Where can you receive dental services if you do not have the money to cover the related expense?

A. If you do not have eitherdental insurance or the money to pay for general dentistry visit, you should inquire about financial aid from various sources within your community.

You may need to make several calls, but the local dental society, the local public health department, or social service agencies may be able to direct you to sources of assistance. Also, check local hospitals, dental schools, and outreach clinics that may be able to provide dental services at a reduced fee.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Oral Health Care And Menopause

When women enter menopause, changing hormone levels bring about a variety of symptoms and raise new oral health issues. Women and their doctors must consider the entire range of physical and emotional health implications, including their oral health.

Bone Loss and Oral Health

As natural levels of estrogen decline, women may find themselves at risk for loss of bone density. Jawbones are no different; these structures hold our teeth in place, and loss of jawbone density can lead to tooth loss.

When women lose teeth, there are other immediate considerations. One is the potential loss of nutrition, as people with fewer teeth or with problem teeth tend not to eat well. Second is the loss of confidence or self-esteem that results from any cosmetic changes to our bodies. And third, the financial cost of replacing one or more teeth can stretch even the best-planned budget.

Gum Disease and Tooth Decay

Hormonal changes also can have an impact on the health of gums and teeth. Women may find that their gums become inflamed and bleed easily, and may discover that their teeth are more cavity-prone. Both gum disease and tooth decay can result in losing teeth, another good reason to consider your oral health during this significant time of your life.

Signals of Change

Women may notice a burning sensation or dryness in their mouths. They also may discover that these changes cause food to taste different, leading to a loss of appetite. Be alert to an appetite loss that persists, particularly if you begin to lose weight.

If gums become inflamed or bleed easily, alert your dentist who will check for early signs of gum disease. A receding gum line may indicate bone loss in your jaw, so ask your dentist to examine your mouth and jaw carefully.

Preventive Medicine

Both you and your doctor should discuss prevention techniques, including calcium and vitamin D supplements, and replacement therapy for hormones. These are personal decisions that vary from woman to woman, and your doctor is best equipped to advise you.

What you can do is pay attention to your nutritional needs. Make sure you eat a wide assortment of healthy foods. Fruits and vegetables provide essential vitamins, minerals, and other nutrients. Exercise also is important to maintain your oral health and a healthy lifestyle.

Finally, keeping tabs on your emotional health as you enter menopause is important. A healthy outlook on life enables women to value themselves and seek the care required including: maintaining good oral health, seeing the doctor and dentist regularly, and focusing on healthy eating and exercise.

By Brian J. Gray, DDS, MAGD, FICO