Clare Dental has gone green

After 11 years we thought it was time for a colour change.

What hasn’t altered is our commitment to providing a wide variety of quality dental care to our patients of all ages.

We look forward to seeing you all soon.

Diabetes Awareness

At Clare Dental we are committed to a professional and experience approach in maintaining good oral health for our patients with diabetes.

Here are some of the reasons why it is important to maintain regular visits if you have diabetes:

-Having diabetes places you at a greater risk of gum disease.

-Gum disease often goes undetected so it is crucial that you understand the signs and come in if you see any of the following:

-Red or swollen gums

-Bleeding when brushing or flossing

-Bad Breath

Below are several ways that you can help prevent gum disease:

-Brush your teeth twice a day

-Floss or use interdental brushes to clean between your teeth daily

-If you have dentures remove and clean then each night before you got to sleep

-Regular Dental visits

-Do not smoke

Please call us to schedule your  thorough dental  examination.

Specialist Orthodontist

On the 9th of September we welcomed

Dr Andrew Tindall, specialist orthodontist to our rooms with assistant Wendy.

He will be consulting once a month on a Tuesday.

Mouthguard Awarness

Have you got your mouthguard for the sport season?

Professionally made mouth guards are highly recommended for athletes who play contact sports.

Mouth guards should be worn during training as well as during games.

They are available in a wide range of shades, including multi colours to suit your team.

All that is required is a short appointment to take some impressions.

So why not give us a call and ensure that you are doing everything you can to protect your teeth while playing sport!

Welcome Sophie

The Team at Clare Dental warmly welcomes Sophie Hogarth to our Practice.

 She is our locum Oral Health Therapist whilst Michelle Hogg is on maternity leave.

Sophie also works part time on Norwood Parade.

Congratulations!!

                                                                                    

Congratulations to Michelle, Kent & Lucy

 On the safe arrival of  Xavier James Willoughby

7lb 11/2 oz

49cm long

Thursday 8th May

All doing very well

Tooth-wear: Erosion

Erosion is tooth-wear caused by chemical dissolution of tooth structure. Risk factors for dental erosion include:

  • Acidic diets (soft drinks, cordial, fruit juice, sports /energy drinks, vinegar, citrus fruits, tomatoes, some alcohols)
  • Reflux (GORD)
  • Vomiting
  • Exposure to acids at a work environment

You are also at higher risk if you:

  • have had previous tooth wear such as tooth brush abrasion or attrition/grinding of teeth
  • if you have a dry mouth from smoking or medications/ medical conditions

Ways to manage erosion:

  • Identify what is causing the erosion first
  • Limit the number of acidic beverages or have it with a meal (not sipping it constantly throughout the day)
  • Rinse with water after an acid attack
  • Drink acidic drinks through a straw
  • Refrain from brushing your teeth fir at least 1 hour after exposure to acid
  • Increase salivary flow (chewing sugar free gum, salivary stimulants/substitutes)
  • Increase daily fluoride exposure (spit your toothpaste out but don’t rinse it off your teeth, drink plenty of tap water)
  • Seek medical attention to get any reflux  conditions or eating disorders under control
  • Speak to one of our friendly dental practitioners today for more tips and tricks!

3 Australians Diagnosed With Oral Cancer Every Day!

Did you know that each and every day, three Australians are being diagnosed with oral Cancer? Not only are these numbers alarming, survival rates are low, as oral cancers are normally only detected once the cancer is advanced.

Here are some importnant tips on how you can reduce your risk of being one of those people.

Smoking – If you are a smoker, talk to your dentist or doctor today about how this habbit not only effects your geneeral health but also your oral health. It might be enough to help you quit.

Alcohol – Drinking more than four standard drinks a day increases your risk of oral cancer so be sure to drink in moderation.

Sun Exposure – As most people are aware, exposure to the sun for long periods can increase your risk of cancer.Don’t forget to apply sunscrren to your lips, avoid being outdoors in the middle of the day when the UV rays are at thier highest and always wear a hat.

Diet – Consuming a diet low in vegetables increases your risk of oral cancer. Ensure you eat plenty of fruit and vegetables high in antioxidants, as a  minimum of eight serves per week compared to three serves will decrease your risk of oral cancer by 50%.

Human Papilloma Virus (HPV) – Oral cancer can be linked to HPV, a virus that is known to cause warts on the genital regions and cervical cancer. New research suggestes that HPV that is spread from the genital areas to the oral cavity can increase the risk of oral cancer. Speak to your GP today about getting vaccinated against HPV and if you notice a change in your lips or mouth, such as a spot or sore, seek the help of a dentist as soon as possible.

Regualr Dental Visits – The first person to usually detect oral cancer is your dentist. Therfore increasing your visits could save your life!

For more infomration, please visit the Australian Dental Association website.

Do you suffer from a dry mouth?

Inside Dental Assisting

May/June 2011, Volume 7, Issue 3                                                                         

Published by AEGIS Communications

Xerostomia

The Prevalent Dry Mouth Syndrome

Xerostomia, commonly called dry mouth, is a condition of oral dryness. In many, but not all cases, it is caused by reduced or absent saliva flow due to impaired salivary gland function. While oral dryness may not sound serious, xerostomia can in fact be a contributing factor in a number of oral health problems, including increased risk of plaque, tooth demineralization, dental caries, dental erosion, oral yeast infections, and ulcers of the tongue.1,2

Saliva: A Quick Review

Saliva is secreted from the parotid, submaxillary, sublingual and minor mucous glands of the mouth. Healthy saliva is viscous, clear, and watery. It contains two types of protein secretions: a serous secretion that contains the digestive enzyme ptyalin, and a mucous secretion that contains a lubricating fluid called mucin. Saliva also contains potassium, bicarbonate, chloride, and sodium ions that help remineralize teeth, as well as a number of antimicrobial agents, such as lysozymes, lactoferrins, and immunoglobins.3,4

Salivary function is mediated primarily by receptors that are located in the salivary glands (Figure 1). When these receptors are stimulated, flow of saliva increases.4 Many of the medications that have been linked to xerostomia hinder function of these receptors, reducing salivary production and volume.

Common Causes of Xerostomia

Medications/Medical Treatments

More than 400 commonly prescribed drugs in the United States can cause xerostomia.3,5 Some medications—such as sedatives, antidepressants, antihistamines, opiates, antipsychotics, anti-Parkinson agents, and antianxiety agents—interfere with the function of salivary gland receptors, reducing salivary production and volume.3,5

Others, such as antihypertensives and diuretics, interfere with the body’s salt, water, and electrolyte balance. This changes the composition of saliva so it contains less of the lubricating agent mucin, as well as low concentrations of ions needed in remineralization. Polypharmacy—taking multiple medications everyday—has also been associated with dry mouth, with the risk being the highest when more than three different drugs are taken daily.3,5

Cancer treatments, such as chemotherapy, or radiotherapy to the head and neck, can also cause dry mouth if the treatment has affected salivary glands. Sometimes affected salivary glands maintain some functional ability, but sometimes cancer treatments can destroy them completely.6

Systemic Diseases and Other Health Conditions

A number of systemic diseases have been linked to impairments in saliva secretion or compositional changes in saliva. These include autoimmune diseases such as Sjögren’s syndrome, rheumatoid arthritis, autoimmune thyroiditis, and systemic lupus erythematosus; chronic infections such as hepatitis C virus (HCV) and human immunodeficiency virus (HIV); and hormonal conditions such as diabetes or menopause.3,7

Other conditions that have been implicated in dry mouth include eating disorders such as bulimia or anorexia nervosa; neurological disorders such as depression, bipolar disorder, Bell’s palsy, or cerebral palsy; and local salivary diseases such as salivary gland cancer, salivary duct stones, or salivary gland infections.3,7 Chronic use of alcohol and other drugs, such as cannabis and methamphetamines, have also been linked to xerostomia.3,7-9

Who Is Most at Risk?

The elderly tend to be most at risk for dry mouth. This isn’t because age itself causes the condition, but rather because this age group is more likely to have systemic diseases and health conditions linked to xerostomia. The elderly are also more likely to be taking medications, and engaged in polypharmacy.3

Particular attention should also be paid to women between the ages of 40 and 60, since they are undergoing hormonal changes as they transition to menopause that affect salivary gland function, inducing dry mouth.10 This group is also most at risk for the autoimmune condition Sjögren’s syndrome (SS), the most common disease that causes xerostomia. In SS, the body’s immune system attacks secretory glands (such as the salivary glands and tear glands), so they lose their ability to produce sufficient lubricating fluid. This causes dryness of all mucosal linings of the body, including the mouth, eyes, and digestive tract.3,7,11

Medications to Help Patients Manage Dry Mouth

While the ideal scenario is one in which you could help a patient identify the underlying cause of dry mouth and take steps to minimize the cause, this may not always be possible. In addition to helping patients manage their symptoms with the tips recommended above, some may benefit from medications that substitute saliva or increase salivary flow.

Over-the-counter saliva substitutes are products that mimic saliva to replace moisture, and make the mouth feel more lubricated. Many are also formulated to supply calcium, phosphate, and fluoride ions, to counteract the demineralization and increased caries risk that accompanies dry mouth. Studies have found that they also help decrease plaque levels, and reduce gingivitis and oral yeast infection risk.13 These come in the form of sprays, lozenges, or mouthwashes.

Another type of medication that may help some patients with dry mouth—depending on if their salivary glands are still able to function—is a salivary stimulant. These include over-the-counter lozenges and tablets; and prescription medications, such as pilocarpine and cevimeline, which activate the receptors to increase saliva production.14

References

1. Fox PC. Xerostomia: recognition and management. Dent Assist. 2008;77(5):44-48.

2. Guggenheimer J, Moore PA. Xerostomia: etiology, recognition and management. J Am Dent Assoc. 2003;134(1):61-69.

3. Fejerskov O, Kidd E, eds. Dental Caries: The Disease and Its Clinical Management. 2nd ed. 2008; Oxford, United Kingdom: Blackwell Munksgaard.

4. Du Toit DF, Nortje C. Salivary glands: applied anatomy and clinical correlates. SADJ. 2004;59(2):65-74.

5. Sreenby LM, Schwartz SS. A reference guide to drugs and dry mouth–2nd edition. Gerodontology. 1997;14(1):33-37.

6. Jensen SB, Pedersen AM, Vissink A, et al. A systematic review of salivary gland hypofunction and xerostomia induced by cancer therapies: prevalence, severity and impact on quality of life. Support Cancer Care. 2010;18(8):1039-1060.

7. von Bültzingslöwen I, Sollecito TP, Fox PC, et al. Salivary dysfunction associated with systemic diseases: systematic review and clinical management recommendations. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;103(Suppl 1):S57.e1-15.

8. Versteeg PA, Slot DE, van Velden U, van der Weijden GA. Effect of cannabis usage on the oral environment: a review. Int J Dent Hyg. 2008;6(4):315-320.

9. Hamamoto DT, Rhodus NL. Methamphetamine abuse and dentistry. Oral Dis. 2009;15(1):27-37.

10. Agha-Hosseini F, Mirzaii-Dizgah I, Mirjalili N. Relationship of stimulated whole saliva cortisol level with the severity of a feeling of dry mouth in menopausal women. Gerodontology. 2010;15: Epub ahead of print.

11. Pedersen AM, Bardow A, Nauntofte B. Salivary changes and dental caries as potential oral markers of autoimmune salivary gland dysfunction in primary Sjogren’s syndrome. BMC Clin Pathol. 2005;5(1):4.

12. National Institute of Dental and Craniofacial Research. National Institutes of Health. Dry Mouth. Available at: http://www.nidcr.nih.gov/OralHealth/Topics/DryMouth/DryMouth.htm. Accessed February 1, 2011.

13. Montaldo L, Montaldo P, Papa A, et al. Effects of saliva substitutes on oral status in patients with Type 2 diabetes. Diabet Med. 2010;27(11):1280-1283.

14. Wick JY. Xerostomia: causes and treatment. Consult Pharm. 2007;22(12):985-992.