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People tend to assume that as dentists, we only care if our patients brush and floss their teeth regularly. While it’s true that we appreciate good at-home dental care, we know that oral health goes beyond brushing and flossing and can be impacted by activities like smoking and vaping.

For that reason, we’d like to discuss with you the harmful effects that electronic cigarettes have on oral health, despite their reputation as a safe alternative.

What is an E-Cigarette?

An e-cigarette refers to a handheld electronic device that creates an aerosol by heating a liquid, typically made of nicotine, propylene glycol, glycerine, and flavourings. E-cigarette users inhale this aerosol, which is called “vaping.”

Why do People Vape?

Many cigarette smokers use vaping as a method to quit smoking. Because e-cigarettes don’t have tobacco in them, vaping has long been thought of as a healthier alternative to smoking. However, studies are beginning to show that it’s not quite a harmless habit.

How Does Vaping Affect My Health?

Just as with smoking, vaping has negative health effects. Despite their lack of tobacco, e-cigarettes still contain nicotine, the highly addictive drug that is found in real cigarettes which causes a number of negative effects when ingested. In one study from the Journal of the Indian Society of Periodontology reported that nicotine may have a significant contribution to the development of both gingivitis and periodontitis. In addition, nicotine use can actually mask the bleeding gums side effect of gingivitis, making it more difficult to be diagnosed.

In one study of habitual e-cigarette users and non-users, e-cigarette users showed increased adrenaline in the heart, and greater oxidative stress; two factors that increase the risk of cardiovascular disease, including heart attacks, gum disease  and strokes. Unfortunately, your heart is not all vaping can harm.

Because the mouth is the first place the vapor goes, it’s also when it’s the most concentrated, and hot. A popular complaint about side effects from using e-cigarettes is “mouth and throat dryness and irritation.” In a separate study, researchers placed mouth cells in a chamber before pumping in e-cigarette vapor to monitor the effects. After just three days, 53% of the mouth cells were dead or dying. By comparison, mouth cells that weren’t exposed to the e-cigarette vapor only had a 2% death rate.

Users have also experienced the extreme danger involved with e-cigarettes overcharging and exploding. Multiple incidents have been reported where e-cigarettes explode while being used , knocking out teeth and damaging tongue, cheeks and lips. Hence requiring extensive dental, cosmetic and surgical repair to restore their once beautiful smile.

How Does Vaping Compare to Smoking?

Because e-cigarettes haven’t been around as long as regular cigarettes, we don’t have long-term research comparing the two. However, in a recent study done by Cancer Research UK-funded scientists, people who swapped cigarettes for e-cigarettes or nicotine replacement therapy had significantly lower levels of toxic chemicals and carcinogens in their bodies.

Many choose to believe that means e-cigarettes are a safe alternative, but that’s not the case. It merely means that potentially, they are less damaging than real cigarettes. However, more research is required before that can be said conclusively.

What About Using E-Cigarettes to Quit Smoking?

It’s all too common for people to replace an addiction with another one. This is true for cigarette addictions as well, many people end up with an e-cigarette addiction as a result. Our professional recommendation is to avoid vaping altogether, as it causes damage to not only your oral health but your overall well-being.

Speaking of cigarettes, it’s very important for smokers to visit their dentist regularly so their oral health can be monitored. Our goal is your complete health, and the end goal with smoking is to quit.

Oral cancer is divided into two categories – those occurring in the oral cavity (your lips, the inside of your lips and cheeks, teeth, gums, the front two-thirds of your tongue and the floor and roof of your mouth) and those occurring in the oropharynx (middle region of the throat, including the tonsils and base of the tongue).

Early detection may result in better treatment outcomes and help keep you or someone you love from becoming one of the 11,230 people whose lives may be claimed this year by the disease. The 5-year survival rate of those diagnosed is approximately 60 percent.

Where Can Oral Cancer Appear?

The oral Fincludes your lips, cheek lining, gums, the front part of your tongue, the floor of the mouth beneath the tongue and the hard palate that makes up the roof of your mouth. The throat (pharynx) starts at the soft part of the roof of your mouth and continues back into your throat. It includes the back section of your tongue, as well as the base where the tongue attaches to the floor of your mouth.

What Are the Symptoms of Oral Cancer?

It’s important to be aware of the following signs and symptoms and to see your dentist if they do not disappear after two weeks. 

• A sore or irritation that doesn’t go away
• Red or white patches
• Pain, tenderness or numbness in mouth or lips
• A lump, thickening, rough spot, crust or small eroded area
• Difficulty chewing, swallowing, speaking or moving your tongue or jaw
• A change in the way your teeth fit together when you close your mouth

Some people complain of a sore throat, feeling like something is caught in their throat, numbness, hoarseness or a change in voice. If you have any of these symptoms, let your dentist know, especially if you’ve had them for two weeks or more.

What Are the Risk Factors for Oral Cancer?

Research has identified a number of factors that increase the risk of developing oral cancers. Men are twice more likely to get oral cancer than women. Smokers and excessive alcohol drinkers older than 50 are the most at-risk. 

The human papilloma virus (HPV), which is sexually transmitted, has also been associated with throat cancers at the back of the mouth. HPV-positive head and neck cancers are related to the rise in throat cancers in non-smoking adults. HPV-positive head and neck cancers typically develop in the throat at the base of the tongue and in the folds of the tonsils making them difficult to detect. Although people with HPV-positive cancers have a lower risk of dying or having recurrence than those with HPV-negative cancers, early diagnosis is associated with the best outcomes. Regular dental check-ups that include an examination of the entire head and neck can be vital in detecting cancer early.  

How Can My Dentist Help Detect Oral Cancer Early?

During your regular exam, your dentist will ask you about changes in your medical history and whether you’ve been having any new or unusual symptoms.

Then, your dentist will check your oral cavity. This includes your lips, cheek lining, gums, the front part of your tongue, the floor of your mouth and the roof of your mouth. Your dentist will also examine your throat (pharynx) at the soft part at the roof of your mouth, including your tonsils, the back section of your tongue and where your tongue attaches to the bottom of your mouth. The dentist will then feel your jaw and neck for any lumps or abnormalities.

What Happens If My Dentist Finds Something Suspicious?

Stay calm. Your dentist won’t be able to tell right away if what he or she is looking at is cancerous, so he or she may refer you for testing. Your dentist might also reexamine you a week or two later to see if questionable spots are healing on their own before recommending additional follow-up. Together, you and your dentist can create the best strategy for diagnosis, treatment and prevention.

What Can I Do to Prevent Oral Cancer?

The most important thing is to be aware of your risk factors. Men are twice more likely to get oral cancer as they get older. If you smoke, drink excessive amounts of alcohol or have a poor diet, changing these habits can decrease the chances of developing oral cancer.

Certain strains of HPV can also put you at risk. The CDC recommends that 11- to 12-year-old boys and girls get two doses of HPV vaccine to prevent cervical and other less common genital cancers. It is possible that the HPV vaccine might also prevent head and neck cancers – since the vaccine prevents an initial infection with HPV types that can cause head and neck cancers – but the studies currently underway do not yet have sufficient data to say whether the HPV vaccine will prevent these cancers. Routine vaccination can be started as early as 9 years of age, according to the CDC. 

If you have had oral cancer before, you may be more likely to develop it again so keep up those regular visits.

https://www.mouthhealthy.org/en/az-topics/o/oral-cancer

Why would I need an x-ray?

Early tooth decay does not tend to show many physical signs. Sometimes the tooth looks healthy, but your dental team will be able to see from an x-ray whether you have any decay under the enamel, any possible infections in the root, or any bone loss around the tooth.

X-rays can help the dental team to see in between your teeth or under the edge of your fillings. Finding and treating dental problems at an early stage can save both time and money.

In children, x-rays can be used to show where the adult teeth are and when they will appear. They are also used in the same way for adults when the wisdom teeth start to come through.

How often should I have x-rays?

If you are a new patient, unless you have had dental x-rays very recently, the dental team will probably suggest having x-rays. This helps them assess the condition of your mouth and to check for any hidden problems. After that, x-rays may be recommended every 6 to 24 months depending on the person, their history of decay, their age and the condition of their mouth.

Who do the x-rays belong to?

X-rays are an essential part of your health records. If you are entitled to copies of your records, you may have to pay for these copies. If you change dentists, your x-rays and records will not usually be needed by your new dentist. However, if they are important, your new dental team will let you know. They will either ask for your permission to send them or ask you to fetch them yourself.

What will an x-ray show?

X-rays can show decay that may not be seen directly in the mouth: for example, under a filling, or between the teeth. They can show whether you have an infection in the root of your tooth and how severe the infection is.

In children, an x-ray can show any teeth that haven’t come through yet, and show the dental team whether there is enough space for the teeth to come through. In adults, it can show any impacted wisdom teeth that may need to be removed, before they cause any problems.

Are x-rays dangerous?

The amount of radiation received from a dental x-ray is extremely small. We get more radiation from natural sources, including minerals in the soil, and from our general environment.

With modern techniques and equipment, risks are kept as small as possible. However, your dental team will always take care to use x-rays only when they need to.

NEW TECHNOLOGY- DEXSHEILD X-RAY SHEILD

The DEXsheild is a black ring that focuses the radiation produced by an X-Ray beam to the exact dimensions of our digital sensors.

When receiving medical, dental, or pharmaceutical care, safety is everyone’s main concern. Adverse reactions, side effects, and allergies can all make a treatment undesirable or unrealistic for your personal needs. As such, our office is always looking for new ways to minimize any potential risks while maximizing our patients’ wellness. Most recently, we have updated our X-Ray safety protocol to include the new DEXsheild radiation shield.

For starters, it is important to note that dental X-rays are an extremely safe and useful diagnostic tool. A standard dental X-ray produces roughly a quarter of the radiation you would receive on any given day. Yearly, it represents a negligible fraction of radiation exposure that our bodies absorb from the sun, consumer electronics, and other sources. At our office, we further minimize any risks by utilizing high-sensitivity digital X-ray sensors, radiation aprons with thyroid collars, and modern X-ray beams. In short, we make sure every patient is safe and protected to standards exceeding those laid out by the ADA and other governing bodies.

The DEXsheild fits into our current safety standards by narrowing the beam of radiation that the patient is exposed to. We have always used devices called collimated X-ray beams. Here, a thick metal tube essentially focuses the radiation produced by the beam on the oral region. While the sensor can detect and develop an image, the rest of your body is largely unexposed to any X-rays. The DEXsheild works by taking the place of a standard targeting ring (the red, blue and yellow rings we have on the outside of the sensor holders) and blocking the released radiation to the exact dimensions of the sensor. It essentially functions as a secondary safety apron, but for your mouth!

X-rays represent an indispensable tool at any dental office. The information provided from a few quick photographs can give us a fantastic perspective into if a tooth is healthy, why it might be hurting, or what we can do to repair it. We also understand that many patients are concerned about radiation exposure and want to know how we are keeping them safe. If you have any questions or concerns about ANY of our safety protocols, please give us a call. Our patient’s safety is our primary concern and we are happy to alleviate any of your worries!

https://www.thousandoaksfamilydentistry.com/blog/tag/dental+x-ray

What is a cracked tooth?

A cracked tooth is a tooth that has become broken.

Do all teeth crack in the same way?

No. Teeth can crack in several different ways:

Cracked tooth

This is when a crack runs from the biting surface of the tooth down toward the root. Sometimes it goes below the gum line and into the root. A cracked tooth is not split into two parts but the soft, inner tissue of the tooth is usually damaged.

Craze lines

These are tiny cracks that affect only the outer enamel of the tooth. They are common in all adult teeth and cause no pain. Craze lines need no treatment.

Cracked cusp

The cusp is the pointed part of the biting surface of the tooth. If a cusp becomes damaged, the tooth may break. You will usually get a sharp pain in that tooth when biting.

Split tooth

This is often the result of an untreated cracked tooth. The tooth splits into two parts. Vertical root fractures are cracks that start in the root and go up towards the biting surface.

Why do teeth crack?

Many things can cause teeth to crack, such as:

• Excessive tooth grinding can put the teeth under enormous pressure.
• Large fillings weaken the tooth.
• Chewing or biting on something hard: for example ice, boiled sweets, fruit stones or meat bones.
• A blow to the chin or lower jaw.
• Gum disease, if there has been a bone loss. This could make the teeth more likely to suffer from root fractures.
• Sudden changes in mouth temperature.

What Are Some of the Causes of a Cracked Tooth?

There are a number of reasons that a tooth might crack. These reasons include:

• Biting down on hard foods like ice, hard candies, and nuts
• Stress that leads to jaw clenching or grinding
• Chewing unevenly
• Loss of tooth structure due to wear or large fillings
• Exposure to temperature extremes (such as eating hot food and then immediately washing it down with an ice-cold glass of water)
• Brittleness of teeth following a root canal

What Are Some Signs that I May Have Cracked My Tooth?

Unfortunately, identifying a cracked tooth on your own may be difficult. Oftentimes, there is a vertical hairline fracture that may be nearly invisible to the human eye. Sometimes, these tiny cracks cannot even be seen on X-Rays. However, there are 5 warning signs of a cracked tooth of which you should be aware:

1. Tooth pain when biting or chewing. This can be a good indicator of a cracked tooth; although you might not experience the pain every time you eat. It may only occur when you eat certain foods or bite down in a certain way.
2. Lack of constant pain. Unlike a cavity or an abscess, the pain of a cracked tooth is sporadic. If you are not experiencing chronic pain, you are likely to have a tooth fracture.
3. Increased sensitivity. You may notice that you experience pain when biting into hot foods or drinking cold liquids. Possibly, you may even experience sensitivity when eating sticky, sweet, or sour foods as well. Increased sensitivity may be a sign of a cracked tooth.
4. Infection. At times, a cracked tooth can lead to an infection in the gum line around the area of the fracture. This infection would look like a small bump on the gum near the tooth.
5. No visible signs. Often with a cavity, you can spot signs of decay. For instance, you might see a dark spot on the tooth’s surface or a hole where the enamel has eroded. If you are experiencing tooth pain but you cannot see any obvious sign, this may be another indicator that you have a cracked tooth.

How is a Cracked Tooth Treated?

Treatment for a cracked tooth depends on the location and severity. Tiny cracks are common and typically do not even require any treatment. However, cracks that affect the cusp of a tooth may require a treatment procedure – possibly a crown.

Roughly 20% of cracked teeth require a root canal, and in some severe cases, the cracked tooth may need to be removed altogether. In that case, we can replace the tooth with an implant or a bridge.

What Should I Do If I Discover a Cracked Tooth?

Early treatment is important with a cracked tooth. If treatment is delayed, the crack will worsen and may result in tooth loss.

https://akronsmile.com/blog/5-signs-cracked-a-tooth/