My Blog
By Dr. James Merlo and Dr. Mary A. Merlo-Murison
April 09, 2021
Category: Oral Health
Tags: oral health   pregnancy  
DontAvoidDentalCareWhileYourePregnant

Learning you're pregnant can change your life in a heartbeat—or now two. Suddenly, what was important to you just seconds before the news takes a back seat to the reality of a new life growing within you.

But although many of your priorities will change, there's one in particular that shouldn't—taking care of your dental health. In fact, because of the hormonal changes that will begin to occur in your body, your risk of dental disease may increase during pregnancy.

Because of these hormonal variations, you may find you have increased cravings for certain foods. If that includes eating more carbohydrates (especially sugar), bacteria can begin to multiply in your mouth and make you more susceptible to tooth decay and periodontal (gum) disease.

The hormones in themselves can also increase your risk of gum disease in particular. There's even a name for a very common form of gum infection—pregnancy gingivitis—which affects around two-fifths of pregnant women. If not treated, it could aggressively spread deeper within the gums and endanger both your teeth and supporting jaw bone.

The key to minimizing both tooth decay and gum disease is to keep your mouth clean of dental plaque, a thin bacterial biofilm most responsible for these diseases. You can do this by keeping up daily brushing and flossing and maintaining regular dental cleanings and checkups. Professional dental care is especially important during pregnancy.

You may, though, have some reservations about some aspects of dental care, especially if they involve undergoing local anesthesia. But many medical organizations including the American Congress of Obstetricians and Gynecologists and the American Dental Association recommend dental treatment during pregnancy. Even procedures involving local anesthesia won't increase the risk of harm to you or your baby.

That said, though, elective dental work such as cosmetic enhancements, might be better postponed until after the baby is born. It's best to discuss with your dentist which treatments are essential and should be performed without delay, and which are not. In general, though, there's nothing to fear for you or your baby continuing your regular dental care—in fact, it's more important than ever.

If you would like more information on dental care during pregnancy, 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 “Dental Care During Pregnancy.”

By Dr. James Merlo and Dr. Mary A. Merlo-Murison
March 30, 2021
Category: Dental Procedures
Tags: celebrity smiles   retainer  
TakeItFromTaylorSwift-LosingYourOrthodonticRetainerisNoFun

For nearly two decades, singer-songwriter Taylor Swift has dominated the pop and country charts. In December she launched her ninth studio album, called evermore, and in January she delighted fans by releasing two bonus tracks. And although her immense fame earns her plenty of celebrity gossip coverage, she's managed to avoid scandals that plague other superstars. She did, however, run into a bit of trouble a few years ago—and there's video to prove it. It seems Taylor once had a bad habit of losing her orthodontic retainer on the road.

She's not alone! Anyone who's had to wear a retainer knows how easy it is to misplace one. No, you won't need rehab—although you might get a mild scolding from your dentist like Taylor did in her tongue-in-cheek YouTube video. You do, though, face a bigger problem if you don't replace it: Not wearing a retainer could undo all the time and effort it took to acquire that straight, beautiful smile. That's because the same natural mechanism that makes moving teeth orthodontically possible can also work in reverse once the braces or clear aligners are removed and no longer exerting pressure on the teeth. Without that pressure, the ligaments that hold your teeth in place can “remember” where the teeth were originally and gradually move them back.

A retainer prevents this by applying just enough pressure to keep or “retain” the teeth in their new position. And it's really not the end of the world if you lose or break your retainer. You can have it replaced with a new one, but that's an unwelcome, added expense.

You do have another option other than the removable (and easily misplaced) kind: a bonded retainer, a thin wire bonded to the back of the teeth. You can't lose it because it's always with you—fixed in place until the orthodontist removes it. And because it's hidden behind the teeth, no one but you and your orthodontist need to know you're wearing it—something you can't always say about a removable one.

Bonded retainers do have a few disadvantages. The wire can feel odd to your tongue and may take a little time to get used to it. It can make flossing difficult, which can increase the risk of dental disease. However, interdental floss picks can help here.  And although you can't lose it, a bonded retainer can break if it encounters too much biting force—although that's rare.

Your choice of bonded or removable retainer depends mainly on your individual situation and what your orthodontist recommends. But, if losing a retainer is a concern, a bonded retainer may be the way to go. And take if from Taylor: It's better to keep your retainer than to lose it.

If you would like more information about protecting your smile after orthodontics, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “The Importance of Orthodontic Retainers.”

By Dr. James Merlo and Dr. Mary A. Merlo-Murison
March 20, 2021
Category: Oral Health
Tags: dry mouth  
4ThingsYouCanDoToReduceChronicDryMouth

Have you ever woken up in the morning and felt like your mouth was filled with cotton? We've all had bouts of occasional dry mouth, but the unpleasantness usually goes away after we eat or drink something.

But what if you have dry mouth all the time? In that case, it's more than unpleasant—it could be increasing your risk of dental disease. That's because your dry mouth symptoms are being caused by a lack of adequate saliva. Besides providing antibodies to fight harmful bacteria, saliva also neutralizes mouth acid that can cause tooth decay.

Your decrease in saliva could be caused by smoking or moderate to heavy alcohol consumption. It could also be a side effect of medications you're taking, one reason why older people, who on average take more prescription drugs than other age groups, have a high incidence of dry mouth.

So, what can you do to alleviate chronic dry mouth?

Watch what you eat and drink. Certain foods and beverages can worsen chronic dry mouth. Try to avoid or limit alcohol and caffeinated drinks like coffee, tea or soft drinks, as well as salty or spicy foods.

If you use tobacco, quit. Tobacco, especially smoking, can dry out your mouth, as well as damage your salivary glands. Abstaining from tobacco can alleviate dry mouth and help prevent dental disease.

Drink more water. Simply drinking water ensures your body has an ample supply for producing saliva. It's also beneficial for your dental health in general, as it can help buffer your mouth's acid levels and rinse away food remnants that could become food for bacteria.

Speak to your doctor. If you suspect a drug that you're taking may be causing dry mouth, discuss with your doctor alternative medications that may minimize this side effect. Simply changing prescriptions could alleviate your dry mouth symptoms.

You can also try saliva stimulants, both over-the-counter and prescription, to help your mouth produce more saliva. And be sure you also keep up daily habit of brushing and flossing to clear away bacterial plaque and lower your risk of dental disease.

If you would like more information on protecting your mouth from dental disease, please contact us or schedule an appointment for a consultation.

By Dr. James Merlo and Dr. Mary A. Merlo-Murison
March 10, 2021
Category: Oral Health
Tags: oral health  
4TipsforMaintainingHealthyToothEnamel

Enamel is the hardest substance in the human body, and for good reason—it's your teeth's first line of defense against wearing and harmful oral bacteria. But although enamel can “take a licking and keep on ticking,” it can lose its mineral content, soften and eventually erode to expose the teeth to bacteria.

Here are 4 tips for protecting your enamel so it keeps on protecting you.

Practice sound brushing techniques. Brushing is necessary for removing bacterial plaque that can trigger dental disease. But how you brush could prove not only ineffective, but also harmful to your enamel. So, be sure you're brushing all tooth surfaces, but not too forcefully or too often (twice a day is enough)—otherwise, you could wear down enamel and damage your gums.

Wait to brush after eating. The acid levels in the mouth go up during eating, causing an immediate softening of enamel. But saliva then goes to work neutralizing acid and helping to restore enamel's mineral content. Since it takes saliva about thirty minutes to an hour to complete this task, wait on brushing at least that long. Otherwise, you might remove tiny traces of temporarily softened enamel.

Avoid eating right before bed. While we sleep, our saliva flow decreases until we wake up. If you eat just before bed, you may not be giving your saliva enough time to neutralize acid before it “goes to sleep” with you for the night. So, give your saliva ample time to neutralize any remaining acid by not eating anymore at least an hour before you turn in.

Limit drinking acidic beverages. Some of our favorite drinks—sodas, energy and sports drinks, and even some juices—can be high in acid. To protect your enamel, reduce your consumption of these types of beverages in favor of water or milk (the calcium in the latter will also benefit your enamel). When you do drink acidic beverages, use a straw to minimize contact of the fluid with your enamel.

Healthy and strong enamel is the key to healthy and strong teeth. It's worth taking these steps to protect this important defense against destructive tooth decay.

If you would like more information on personal dental care, 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 “6 Tips to Help Prevent the Erosion of Tooth Enamel.”

By Dr. James Merlo and Dr. Mary A. Merlo-Murison
February 28, 2021
Category: Oral Health
Tags: oral health   nutrition  
EatingtheRightFoodsCanBoostYourEffortstoPreventDentalDisease

You're more apt to lose teeth because of periodontal (gum) disease and tooth decay than any other cause. But neither of these bacterial diseases have to happen: You can prevent them through daily brushing and flossing and twice-a-year dental cleanings.

But that's not all: You can also boost your dental care practices by eating foods that strengthen and protect teeth. On the other hand, a poor diet could reduce the effectiveness of your oral hygiene practices in preventing tooth decay or gum disease.

A diet that might lead to the latter is often high in refined sugar (sucrose), often added to processed foods and snacks to improve taste. But sucrose is also a top food source for oral bacteria, increasing their numbers when it's readily available. A higher bacterial population greatly increases your risk for tooth decay or gum disease.

On the other hand, certain foods benefit your overall dental health. Fresh fruits and vegetables, for example, are filled with nutrients and minerals like vitamin D or calcium that strengthen teeth against disease. And although they can also contain natural sugars, these don't pose the same problems as added sucrose due to the plant fiber you consume with them.

Dairy foods can also help you maintain healthy teeth and gums. Milk and cheese contain minerals like calcium and phosphorus, and a protein called casein, all of which strengthen teeth against decay. The enzymes in cheese stimulate saliva, which in turn neutralizes mouth acid and prevent it from harming enamel.

Some foods are also natural sources of fluoride, a mineral that strengthens tooth enamel. One example is black tea, which also, along with green tea, contains antioxidants that protect against cancer.

The best strategy for “tooth-friendly” nutrition is to pursue a diet that's high in fiber-rich natural foods and low in sugar-added processed foods. In practice, you'll want most of your diet to consist of fresh fruits and vegetables and low-fat dairy food, while minimizing foods with added sugar.

Following this kind of diet will certainly benefit your overall health. But it will also make it easier for you to prevent dental disease and keep your teeth and gums healthy.

If you would like more information on how nutrition can boost your dental health, 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 “Nutrition & Oral Health.”





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