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Monday, April 26, 2010

Salivary Glands

Q: Where does saliva come from?

A: Saliva, a mixture of water, mucous and other substances, is secreted into your mouth through your salivary glands. You have three pairs of major salivary glands - the parotids, which are the largest and are in your cheeks; the sublingual, which are under your tongue, and the submandibular, which are under your jaw. Additionally, numerous minor glands inside your lips and cheeks also contribute to what is normally a steady, small flow of saliva. The presence of - and sometimes just the anticipation of - food, can stimulate the glands to produce a heavy amount, hence the descriptive phrase "mouth-watering."

Saliva has many functions. The most important is to moisten the food we eat so that we can shape it into a ball, called a bolus, for swallowing. Saliva also helps us taste food. Our taste buds react only to moist food. Saliva also is important in helping to fight tooth decay. It helps your tongue wash away food particles and because saliva is slightly alkaline, it neutralizes some of the acids produced in your mouth by bacteria.

Patients who have had cancer in the head and neck region and have received radiation therapy are at risk for developing xerostomia or chronic dry-mouth. This happens because the function of their salivary glands has been reduced due to this treatment. Patients who are on a variety of medications can also develop this problem as a side effect or from the interaction of multiple medications. When this happens, patients are at risk for developing a higher rate of decay and may benefit from a fluoride preventive program. Chips Dental Associates has an excellent program to help these patients. Additionally there are many saliva replacement products available. If you are suffering from chronic dry-mouth or think you are, ask your hygienist or one of the doctors the next time you visit Chips Dental Associates for more information and some samples.

Brought to you as a community service by Chips Dental Associates, LLC.

For more information or questions, please visit www.chipsdentalLLC.com

Monday, April 19, 2010

Does Gum Disease Affect my Overall Health

Q: Does Gum Disease affect my overall health?


A: Current literature suggests a strong relationship between gum disease or periodontal disease and overall health. There are relationships between gum disease and heart disease, diabetes, pregnancy outcomes, kidney function, and even Alzheimer's disease.

Periodontal disease is a chronic infection inside the gums. The disease has a hereditary component but is also contageous. The hereditary component is immune mediated and is a shortfall of certain functions of the immune system. This allows bacteria to infiltrate this delicate area and slowly breaks down the tissues that connect your tooth to your mouth. The contageous component shows up in families or couples. The exchange of the virulent bacteria through utensils and personal contact will inocculate those closest to you and potentiate the process of developing periodontal disease.


The following diagram shows the progression of the disease from healthy gums and tissues through advanced periodontal disease. It was taken from an ADA pamphlet published about Periodontal disease.

The scientific research indicates that patients with periodontal disease are twice as likely to have heart disease. The internal cells of the blood vessels become disfunctional in the presence of chronic inflammation. Periodontal disease is a form of chronic inflammation which therefore leads to disfunction of these cells in the blood vessels and the development of atherosclerosis (hardening of the arteries). Atherosclerosis is a risk factor for coronary artery and cardiovascular disease.


Patients with diabetes are at higher risk for developing periodontal disease. Their immune system is less able to handle the chronic inflammation and therefore their tissues are more succeptible to this disease. With good oral hygiene and regular check-ups there is no additional risk, however when proper oral hygiene protocol and regular check-ups are not maintained, the risk of developing periodontal disease increases significantly. This maintenance can help patients with diabetes to better maintain their blood sugar levels as well.


There are higher risks of lower birth weight and pre-term birth in patients with periodontal disease. There is a documented relationship between the periodontal status of an expectant mother and her newborn baby's weight as well as the incidence of premature birth. This simply means that if you are expecting, it's important to maintain your oral hygiene for the health of your child. Regular check-ups and good oral hygiene will help to reduce this risk.


It is clear that kidney function and Alzheimer's disease are both related to periodontal disease, however the link is still being studied. The link is particularly noticeable in patients with impaired kidney function or if they are on dialysis.


Another relationship to realize is that each of these diseases can have a multiplier effect on your risk of developing the other. For example, a patient with uncontrolled diabetes and rampant periodontal disease will be at much higher risk of having heart disease.


Most Physicians are not trained to recognize the signs of periodontal disease, recognizing the diseases associated with periodontal disease can be an important method of screening patients who are at risk for periodontal disease. If your Physician diagnoses you with one of these other diseases it would be beneficial to schedule a periodontal screening with Chips Dental Associates. The staff at Chips Dental Associates are highly trained at recognizing the signs of periodontal disease and can help you to maintain your oral and overall health.


Brought to you as a community service by Chips Dental Associates, LLC.


For more information or questions, visit www.chipsdentalLLC.com

Monday, April 12, 2010

A Primer on New Dentures

Q: What are some common problems with new dentures?

A: New dentures are most likely going to feel a bit awkward for the first few weeks. The muscles of your cheeks and tongue have to learn to keep them in place. Soreness and irritation are also not uncommon at the beginning. Eating will also take a little getting used to. Dr. Chips will probably suggest you start off with soft foods cut into small pieces. As you become more comfortable, you can return all your favorites to your diet.

You might also find pronouncing certain words to be challenging. Reading out loud and repeating the troublesome words can help. Dr. Chips will advise you on how long to wear your dentures. At the outset, he may recommend that you wear them most of the time, including while sleeping. After an initial adjustment period, your dentist will most likely want you to remove your dentures at night.

For whatever minor inconveniences your new dentures might cause, just remember that they are going to improve your smile and help you eat properly. The Drs. Chips will be able to answer whatever other questions you may have about dentures. Many patients are very happy with a new set of dentures as tooth replacement therapy, however make sure that you investigate all of your options before deciding upon which tooth replacement is the best for you. Crowns, bridges, implants and partials are all acceptable and beneficial for replacing any teeth that are in poor condition and in need of replacement.

Brought to you as a community service by Chips Dental Associates, LLC.

For more information or questions, please visit www.chipsdentalLLC.com

Monday, April 5, 2010

Dental Care and Overall Health

Q: Does dental health carry implications beyond the mouth?

A: The simple answer to this is a resounding YES. Studies have shown that taking good care of your teeth and gums can lower your risk for heart disease. Researchers have found that people who suffer from gum disease, also called periodontal disease, are twice as likely to suffer from coronary artery disease as those without gum disease. The bacteria that breed under the gums can spread to other parts of the body, including the blood vessels of the heart.

Also, earlier this year, the journal of Obstetrics and Gynecology cited the case of a California woman who had a stillborn birth. Doctors determined that the baby's stomach and lungs contained the same strain of oral bacteria that the 35-year-old mother had in her untreated gum disease.

It's not uncommon for pregnant women to experience bleeding gums as a result of hormonal changes. If you're in that situation, check with the Drs. Chips about the cause of bleeding. For the rest of us, it's a good idea to talk with the Drs. Chips and your primary care physician about the importance of oral health in overall well-being.

Brought to you as a community service by Chips Dental Associates, LLC.

For more information or questions, visit www.chipsdentalllc.com