Tuesday, August 15, 2017

Are you afraid of the dentist?

Fighting Dental Fear

Fear that affects one’s ability to seek or receive dental treatment has real consequences. Ignoring gingivitis, gum disease characterized by bleeding, puffy gums, can cause it to progress to periodontitis, advanced gum disease characterized by bone loss in the jaw and loose teeth. Cavities left untreated only get bigger. A sore in the mouth that does not heal may be a sign of oral cancer and ignoring it can be deadly. Neglecting the teeth during pregnancy can result in low birth weight.

Avoiding dental treatment also has financial consequences. A small cavity that could have been treated with fluoride or a filling may end up needing more extensive treatment like a root canal, crown, or other expensive restoration. These treatments also require multiple visits leading to more time off from work. A restored tooth is more likely to need future treatment versus a natural tooth.

Dental fear that prevents a person from getting treatment is recognized as a debilitating phobia called odontophobia. Fear of the dentist or of dental treatment may be related to a person’s tolerance for pain and is often an issue for people who have suffered from abuse. Estimates on the number of people affected by true dental phobia varies widely from 9% to over 30%, however, most people can testify to the fact that going to the dentist for treatment is no walk in the park. 
Dental Fear. (image:ym)

There are a variety of things that may cause dental fear. Some patients may be ashamed that they have waited so long to see the dentist. Aside from being afraid that something is seriously wrong, they fear “the lecture” they may get for not taking care of their teeth. 

Pain is a also common fear. While dentistry has come a long way, it still involves the administration of anesthetic with needles or other methods that can be scary for some people. 

Bad childhood experiences with dental treatment are a cause of fear, too.  People with dental fear have also cited feelings of loss of control during treatment and a general discomfort with the sights, sounds and even smells of a dental office. Some people feel uncomfortable with treatment because they have a strong gag reflex or report feeling like they may choke during dental procedures. 

Whatever the reason, dental fear is real and can be troubling for people. Still, dental treatment and regular dental check ups are absolutely necessary for health.

There are a number of ways to try to cope with dental fear:

Ask questions and discuss your fears with the dentist or dental hygienist. It’s not necessary to reveal your innermost secrets but being upfront about your dental fear will help guide them with your treatment. For example, if you fear the sight of needles, the tray can be covered or they can adjust their approach to keep the needle out of the line of your sight.

Find a dentist and dental hygienist you like and whose staff make you feel comfortable and welcome. 

A dental office’s environment is important. An environment suited to your personality can help you deal with the anxiety you feel when visiting the dentist. Perhaps you favor a soothing environment with soft music or prefer an office with lots of stimuli, like televisions mounted on the ceiling for patient viewing.

Set the mood with music.  Listening to music on headphones during treatment can be very helpful for people who are sensitive to noise.

Wearing sunglasses or goggles while receiving treatment can help with harsh lights.

It is important to set your appointment when you are least likely to be stressed. If rushing to an appointment after a day at work stresses you out, consider making early morning or weekend appointments instead. Dental office staff should be willing to work with you and help keep you on track for your appointments.

Resist the urge to cancel. It is important to keep your appointments since delaying treatment or not going for regular dental hygiene visits is only likely to worsen your dental issue.

Stress reducing methods like guided relaxation techniques and biofeedback, or other professional help like counseling or hypnosis, may help reduce anxiety in the dental setting as well. 

Do you have dental fear? Answer TRUE or FALSE to the questions below:

I hate going to the dentist
I had a bad childhood experience at the dental office
I don’t trust what my dental hygienist tells me
I don’t trust what my dentist tells me
I hate having my teeth cleaned
I frequently cancel appointments for no reason

If you answered TRUE to most of these questions you may have dental anxiety. Think about the reasons you don’t like to or want to go to the dentist and ways you can cope with them. If you are avoiding treatment because of your fear talk to your doctor or dentist to get the help you need.

One of the best ways to deal with dental issues is to not have them in the first place! It is worth the small effort it takes to brush and floss every day.

Sources: http://jada.ada.org/article/S0002-8177(16)30966-7/fulltext; Milgrom, P., Weinstein, P., Heaton, L.J. Treating Fearful Dental Patients: A Patient Management Handbook. 3rd ed. Dental Behavioral Resources.ComSeattle, WA2009; http://www.dentalfearcentral.org/; https://www.health.harvard.edu/blog/dental-fear-our-readers-suggest-coping-techniques-20100825327; 1. Moore R, Birn H. [Phenomenon of dental fear] Tandlaegebladet. 1990;94:34–41. [PubMed]

This blog is not intended to treat or diagnose any illness or condition. Please see your medical or dental professional for treatment and care.

Tuesday, August 1, 2017

Gum Disease and Cancer in Women

If you could reduce your risk of getting cancer by brushing and flossing, would you do it? 

There are two types of gum disease: Gingivitis and Periodontal Disease. Both of these mean that the gums are infected with germs and there is inflammation in the mouth.

Gingivitis is the “reversible” type of gum disease. It is characterized by bleeding, puffy gums and it’s the type commonly discussed on toothpaste commercials. Gingivitis can be reversed with regular brushing and flossing in addition to eating a healthy diet.

Periodontal Disease is an advanced form of gum disease and is what happens over time if you ignore gingivitis. In people with Periodontal Disease, germs in the mouth have increased in amount and changed in type. In an effort to get rid of the germs, the body’s immune system responds by destroying the tiny connective tissues that keep the teeth attached to the gums and by destroying bone levels in the jaw. Periodontal disease is “irreversible” yet it can be controlled with proper treatment. 

People are often unclear about whether they have gum disease yet over 50% of adults have some form of it.

If you have Periodontal Disease, your dentist or dental hygienist may have discussed with you the “pockets” in your gums and recommended “deep” cleanings. You may have been told that you have “receding” gums or you may feel like your teeth have “shifted.”  These simple terms are used to help people understand their gum health, however, Periodontal Disease is a complex and serious condition. It is important to manage periodontal disease before further destruction to the mouth, like tooth loss, occurs.

Avoiding Periodontal Disease may also help to guard against common cancers in women. 

A recent long-term study that followed over 65,000 women revealed that there is an association between certain cancers and Periodontal Disease. The association to esophageal cancer was strongest but it was also evident in cancers of the lung, gallbladder, breast, and skin. Overall, women with Periodontal Disease were 14% more likely to get cancer than women without Periodon
Gum disease, cancer & women yml
tal Disease; 20% more likely for women who are current or former smokers.

Sources: Reuters.com & Medscape; original source article:  bit.ly/2w2vmvi Cancer Epidemiology, Biomarkers and Prevention, published online August 1, 2017

This blog is not intended to treat or diagnose any condition or illness. Please consult your medical or dental professional for treatment.