Posts for: August, 2018
Fans of the legendary rock band Steely Dan received some sad news a few months ago: Co-founder Walter Becker died unexpectedly at the age of 67. The cause of his death was an aggressive form of esophageal cancer. This disease, which is related to oral cancer, may not get as much attention as some others. Yet Becker's name is the latest addition to the list of well-known people whose lives it has cut short—including actor Humphrey Bogart, writer Christopher Hitchens, and TV personality Richard Dawson.
As its name implies, esophageal cancer affects the esophagus: the long, hollow tube that joins the throat to the stomach. Solid and liquid foods taken into the mouth pass through this tube on their way through the digestive system. Worldwide, it is the sixth most common cause of cancer deaths.
Like oral cancer, esophageal cancer generally does not produce obvious symptoms in its early stages. As a result, by the time these diseases are discovered, both types of cancer are most often in their later stages, and often prove difficult to treat successfully. Another similarity is that dentists can play an important role in oral and esophageal cancer detection.
Many people see dentists more often than any other health care professionals—at recommended twice-yearly checkups, for example. During routine examinations, we check the mouth, tongue, neck and throat for possible signs of oral cancer. These may include lumps, swellings, discolorations, and other abnormalities—which, fortunately, are most often harmless. Other symptoms, including persistent coughing or hoarseness, difficulty swallowing, and unexplained weight loss, are common to both oral and esophageal cancer. Chest pain, worsening heartburn or indigestion and gastroesophageal reflux disease (GERD) can also alert us to the possibility of esophageal cancer.
Cancer may be a scary subject—but early detection and treatment can offer many people the best possible outcome. If you have questions about oral or esophageal cancer, call our office or schedule a consultation. You can learn more in the Dear Doctor magazine article “Oral Cancer.”
If you followed the 2018 FIFA World Cup Soccer games, you probably know that one of this year’s biggest surprises was the debut of the team from Iceland—the smallest country ever to earn a chance at the sport’s top prize. But here’s something you may not have known: When he’s not on the field, the team’s coach, Heimir Hallgrímsson, is a practicing dentist! Those two skill sets might not seem like a natural fit… but they came together dramatically at a recent contest.
At a local women’s game last summer, when a player was hit and her tooth was knocked out, Dr. Hallgrímsson took immediate action. “I jumped on the pitch and put the tooth back in, took her to a dental office and fixed it,” he said.
Not everyone has the special training or ability to fix a tooth that has been damaged or knocked out—but there are some simple things that you can do to help an adult who has suffered this kind of injury. Here’s a quick run-down:
- After making sure the person is stable and not otherwise seriously injured, try to locate the tooth.
- Handle it carefully, without touching root surfaces, and clean it gently with water if possible.
- Try to open and gently rinse out the mouth, and find where the tooth came from.
- Carefully place the tooth back in its socket, making sure it is facing the right way, and hold it in place with a soft cloth.
- If the tooth can’t be re-implanted, place it in a bag with a special preservative solution, milk or saliva, or have the person hold it between the cheek and gum—but make sure it isn’t swallowed!
- Rush to the nearest dental office or urgent care facility.
When these steps are followed and the person receives professional treatment as quickly as possible (ideally within minutes), their tooth will have the best chance of being saved. But even if it isn’t possible to preserve the tooth, receiving prompt and appropriate care can make replacing the tooth much easier.
Having Dr. Hallgrímsson on the sidelines was a lucky break for the injured soccer player—and as a coach, just getting to the World Cup is a remarkable achievement. But you don’t need to be a coach (or a dentist) to give first aid in a dental emergency. Taking the right steps can help ensure the best possible outcome… and might even save a tooth!
If you would like more information about emergency dental treatment, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor articles “Knocked Out Tooth” and “The Field-Side Guide to Dental Injuries.”
There is much to contend with as we grow older, including a higher risk for dental disease. One possible contributing factor: dry mouth from a lack of saliva.
Also known as xerostomia, dry mouth occurs when the salivary glands secrete less than the normal two to four pints a day. Saliva performs a number of functions, but perhaps the most important for dental health is as an acid neutralizer. Within a half hour to hour after eating, saliva can restore the mouth's normal pH level to prevent acid from softening tooth enamel. When there isn't enough saliva, acid levels stay high leading to erosion of the enamel. This vastly increases the chances for tooth decay.
Although there are several causes for dry mouth, one of the more common is as a side effect from certain medications. It's estimated over 500 drugs — many taken by seniors — can cause dry mouth, including diuretics for high blood pressure and heart failure, antidepressants, and antihistamines. Some diseases like diabetes or Parkinson's may also reduce saliva flow, as well as radiation and chemotherapy.
If you've developed chronic dry mouth, there are some things that may help restore adequate saliva flow. If medication is the cause you can talk to your doctor about an alternative medication or add a few sips of water before swallowing the pills and a full glass afterwards. You should also drink plenty of non-caffeinated beverages (water is the best) during the day and cut back on sugary or acidic foods. And a cool-air humidifier running while you sleep may also help keep your mouth moist.
We may further recommend an over-the-counter or prescription stimulant for saliva. For example, xylitol, a natural alcohol sugar that's found in many gums and mints, has been found to stimulate saliva and reduce the risk of tooth decay as an added benefit.
Last but not least, be sure to brush and floss daily to remove disease-causing plaque and see us at least twice a year for cleanings and checkups (if your mouth is very dry, three to four times a year is a better prevention program). Managing chronic dry mouth along with proper oral hygiene will help ensure your mouth continues to stay healthy as you grow older.
If you would like more information on the causes and treatment for dry mouth, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Dry Mouth.”
Find out why root canal therapy is required and whether or not you might need one.
Protecting and preserving your smile should always be your top priority; however, sometimes problems do occur and they require your immediate attention. Are you dealing with a toothache or sudden tooth sensitivity? Does something just not feel “right” but you can’t put your finger on it? If so, our Philadelphia, PA, dentists, Dr. Steve Gilbert and Dr. Carlos Velez, are here to help you decide whether you need to come in for a checkup.
It’s important not to ignore telltale signs that a problem is brewing. After all, dental problems won’t just go away without proper care. In fact, they will cause even more damage if left alone. This is why you should call your emergency dentist in Philadelphia when symptoms flare up. The most obvious sign that you might need a root canal is sudden dental pain. Maybe you woke up to a throbbing, aching tooth, or maybe you notice some pain and discomfort only when chewing. No matter the type or severity of your pain, if you are experiencing a toothache then you need to have the issues addressed as soon as possible.
Of course, the affected tooth may be more sensitive, too. You may notice that the tooth experiences lingering discomfort when it comes in contact with extreme hot or cold. If that refreshing glass of iced tea or your morning cup o’ Joe is giving you dental problems all of a sudden then it’s time to visit your dentist.
Along with dental pain and sensitivity, you may also notice that the gums surrounding the tooth are red, puffy, and maybe even tender to the touch. While these symptoms can also be indicative of gum disease or other problems, if these symptoms only affect the pained tooth then you could be dealing with an infected tooth.
What does a root canal do?
A root canal is meant to remove the source of the infection and bacteria lying inside the tooth. Decay, direct trauma to the tooth and even an infection can affect the health of the dental pulp, a soft-tissue structure that lies within the tooth. Once the pulp is infected it will need to be removed. If the pulp is infected and isn’t removed the infection can spread to neighboring teeth and the jawbone, causing serious damage. By getting a root canal when you need it you can protect your smile and prevent a tooth extraction.
If you are dealing with a toothache it’s important that you get the urgent dental care you need. Gilbert Dental Care, located in the center city area of Philadelphia, PA, is ready to tend to all of your dental needs, whether urgent or not. Call us today to find out what we can do for your smile.