Posts for tag: oral health

By Richard H. Lestz DDS, PC
December 06, 2019
Category: Oral Health
Tags: oral health   nutrition  
4WaystoEnjoyHolidaySnackingandStillKeepYourTeethHealthy

‘Tis the season to be merry—and with plenty of edible goodies! During the holidays, families fill their homes with all sorts of delectable treats for friends and loved ones. But there can be unintended consequences with all this joyous feasting, and not just added pounds come January: eating more sugar could increase your risk for dental disease.

We’re not here to throw a wet blanket on your holiday fun. Instead, we have 4 commonsense tips to help you keep your holiday snacking from ultimately causing tooth and gum woes.

Blend in healthier choices. The problem with sugar is that it’s a prime food source of disease-causing oral bacteria. The more sugar available in the mouth, the more these bacteria multiply and increase the disease threat to your teeth and gums. So, try reducing sugar by adding savory treats like nuts or flavored popcorn to your sweeter offerings. And don’t forget cheese and other dairy—eating dairy products along with sweets can help blunt some of sugar’s effect on bacteria.

Avoid “grazing.” While it’s tempting to do so during the holidays, continuous snacking increases the mouth’s acidity, which is like Superman’s kryptonite to your tooth enamel. The longer acid directly contacts your enamel, the more it can soften it and open the door to tooth decay. Saliva neutralizes after-meal acid; but if you’re constantly snacking, you could prevent saliva from completely buffering the acid present. So, limit your snacking time—or better yet, reserve your sweet treats for mealtime.

Don’t neglect your hygiene. The hectic pace of the holidays can interfere with people’s normal routines. Don’t let that happen to your daily practice of brushing and flossing. These essential hygiene tasks clean your teeth of a disease-causing biofilm called dental plaque. Miss a few days and the accumulated plaque could trigger an infection that could damage your gums and ultimately your teeth. You can help avoid this by brushing and flossing every day.

Don’t brush right after eating. The mouth’s acidity naturally increases during and just after eating. As we alluded to earlier, saliva’s on the job getting the mouth back to a more neutral state and reducing the effect of acid on enamel. That takes about an hour, though, and in the meantime your enamel may be in a slightly softened state. If you brush right after eating, you might inadvertently brush tiny bits of enamel. So, wait an hour or so after eating before you brush.

The holidays are all about enjoying friends and family and ringing in the new year. Follow these tips to ensure it’s a healthy and happy one for your teeth and gums.

If you would like more information about dental care during the holidays, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “6 Tips to Help Prevent the Erosion of Tooth Enamel.”

By Richard H. Lestz DDS, PC
November 26, 2019
Category: Oral Health
Tags: oral health   nutrition  
EatingtheRightCarbsHelpsKeepYourGumsHealthy

As with most Western countries, we in the U.S. love our carbs. While fats and proteins make an appearance in our diets, many of us go full-tilt on sugars, starches and fibers.

Regardless of what some diet gurus say, we do need these organic compounds to generate energy for our cells. But carbs can also fuel inflammation: This is a mechanism in the body that isolates and protects healthy tissues from damaged tissues or toxins. Chronic inflammation, though, contributes to systemic conditions like diabetes, heart disease and, yes, gum disease.

And it's not just a matter of too many carbs in your diet. Not all carbs are equal: Some can actually stimulate inflammation, making conditions like gum disease worse. Others, though, might actually help decrease inflammation.

So, in terms of your gum health in particular, how do you know which carbs are better for you and which are worse?

It depends on their ranking on the glycemic index, a measure of how fast the body digests a particular carbohydrate to form glucose, the blood sugar that fuels our cells. The faster the digestion (higher on the glycemic index), the more likely they'll overload the bloodstream with glucose, requiring the release of the hormone insulin to bring the levels back to normal. Continuous insulin increases ultimately lead to higher inflammation.

High glycemic foods include those with added sugar, bakery items made with white flour, white rice or mashed potatoes. But there are also carb foods low on the glycemic scale—most vegetables, greens, beans, nuts and whole grains—whose slower digestive rates avoid the big blood sugar spikes and excessive insulin—and actually hinder inflammation.

So, if you want to control inflammation, reduce your consumption of high glycemic foods like chips, French fries, cookies and similar items. Instead, eat low glycemic foods like apples, bulgur wheat products, oatmeal, and other fruits, vegetables, legumes and nuts.

In short: steer clear of processed foods with added sugar, and indulge yourself in fresh “real” food. These also have the added bonuses of minerals, vitamins and antioxidants that keep your body functioning normally. And that can also make a big difference toward keeping your gums healthy and disease-free.

If you would like more information on diet and 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 “Carbohydrates Linked to Gum Disease.”

By Richard H. Lestz DDS, PC
November 16, 2019
Category: Oral Health
Tags: oral health   nutrition  
AHealthyDietisYourBestSourceforVitaminsandMinerals

The food we eat not only provides us energy, but it also supplies nutrients to help the body remain healthy. The most important of these nutrients are minerals and tiny organic compounds called vitamins.

While all of the thirteen known vitamins and eleven minerals play a role in overall health, a few are especially important for your mouth. For example, vitamins D and K and the minerals calcium and phosphorus are essential for strong teeth. Another mineral, fluoride, helps fortify enamel, which can deter tooth decay.

Other vitamins and minerals serve as antioxidants, protecting us against molecules called free radicals that can damage cellular DNA and increasing our risk of cancer (including oral). Vitamins C and E and the mineral selenium fall into this category, as well as zinc for DNA repair.

We acquire these nutrients primarily in the foods we eat. But for certain people like older adults or pregnant or nursing women a healthy diet may not be enough. Any person who can't get enough of a particular vitamin or mineral should take a supplement to round out their nutritional needs.

If you don't have a condition that results in a nutrient deficiency, you may not see that much benefit from taking a supplement. In fact, taking too much of a dietary supplement could harm your health. For example, some studies have shown ingesting too much supplemental Vitamin E could increase the risk of heart failure or gastrointestinal cancer. And some dietary supplements can interact poorly with drugs like blood thinners or ibuprofen.

The best way to get the vitamins and minerals your body — and mouth — needs is to eat a healthy diet. Dairy products like fortified milk are a good way to get vitamin D, as well as calcium and phosphorus. Fruits and vegetables are a good source of Vitamin C. And while you can take in fluoride from toothpaste or other oral hygiene products, you'll also find it in seafood and tea.

While good oral hygiene and regular dental visits are necessary for dental health, your diet can also make a difference. Be sure you're getting all the nutrients your teeth and gums need.

If you would like more information on the role of diet in oral 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 “Vitamins & Dietary Supplements.”

By Richard H. Lestz DDS, PC
October 17, 2019
Category: Oral Health
Tags: oral health  
TheTriplePartnershipThatCouldSaveaCancerPatientsOralHealth

While the effectiveness of chemotherapy and radiation have contributed to rising cancer survival rates, they can still have an adverse effect on the rest of the body. That includes the mouth: these treatments can damage healthy tissues like the salivary glands. The decrease in saliva flow increases the risk of tooth decay or periodontal (gum) disease.

While overcoming cancer is certainly the patient’s main health priority, it’s important for them to tend to their oral health. The best approach often involves a three-way partnership between patient, dentist and family caregivers all doing their part to keep the patient’s teeth, gums and mouth healthy during cancer treatment.

Here’s what each “partner” can do to protect a cancer patient’s oral health during treatment.

The dentist. To minimize dental disease odds, patients should enter cancer treatment with their teeth and gums in the best shape possible. Before beginning treatment, then, the dentist can assess their oral health status and recommend a treatment plan for any existing disease or condition. The dentist can also monitor a patient’s oral health during the treatment period.

The patient. Patients can do the most to protect their oral health by removing disease-causing plaque buildup with daily brushing and flossing, as well as maintaining their regular schedule of dental cleanings (if possible). They should also attempt to reduce dry mouth, a potential consequence of cancer treatment, by consuming more water and using saliva boosters like Xylitol-sweetened gums and mints. A nutritious diet is also important for protecting oral health.

The caregiver. Many cancer patients depend on family or friends to aid them during treatment. One of the best things a caregiver can do is act as a liaison between the patient and their medical and dental providers. When it comes to oral health, caregivers should be on the alert for any mouth changes including tooth pain, gum swelling or bleeding, foul breath and other signs of disease.

Focusing on oral health can be a daunting challenge for patients during their fight with cancer. But with help from their other partners, they can come out of this fight with their teeth, gums and mouth in good health.

If you would like more information on oral care during cancer treatment, 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 “Oral Health During Cancer Treatment.”

By Richard H. Lestz DDS, PC
June 29, 2019
Category: Oral Health
Tags: oral health  
DoThisforYourDentalHealthBeforeDuringandAfterCancerTreatment

Although cancer treatment has advanced steadily in recent decades, the most used therapies continue to be radiation and chemotherapy to eradicate cancerous cells. And while they often work, both can cause "collateral damage" in healthy tissues near the targeted cells.

This can create a number of indirect consequences for a patient's health, including in the mouth. The salivary glands, for example, can be damaged by radiation treatments aimed at the head or neck. The effect on these glands can interrupt the normal flow of saliva and cause xerostomia or "dry mouth."

Lack of adequate saliva causes more than an unpleasant, sticky mouth feeling. One of saliva's main functions is to neutralize acid that builds up naturally after eating. Without it, high acid levels can cause enamel and root surface erosion and lead to tooth decay.

Cancer treatment can also contribute to gastro-esophageal reflux disease (GERD). This disease causes stomach acid to bypass the natural tissue barriers of the esophagus and enter the mouth. As with dry mouth, the increased acid level from GERD can be just as devastating to enamel—and the damage will be permanent.

To minimize these effects on your dental health, it's important to take proactive steps before, during and after cancer treatment. If at all possible, have any needed dental work performed before you begin radiation or chemotherapy—it's better to start it with teeth and gums as healthy as possible.

During treatment, try to continue regular dental visits to monitor your oral health and receive any needed preventive or therapeutic treatments. Depending on your condition and the advice of your dentist, you may need to increase your visit frequency during this time. Your dentist can help with boosting your saliva production and strengthening your tooth enamel. But you should also practice daily brushing and flossing, drink plenty of water and seek treatment for any resulting GERD symptoms.

Even with the best efforts, though, your teeth and gums may still incur damage while treating your cancer. Fortunately, there are a wide array of materials and procedures that can effectively restore them to health. So, once your treatments are completed consult with a dentist on your options for improving the health and appearance of your teeth and gums.

If you would like more information on caring for your teeth while undergoing intensive medical treatment, please contact us or schedule an appointment for a consultation.



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Richard H. Lestz DDS, PC

Forest Hills, NY Cosmetic Dentist
Richard H. Lestz D.D.S., P.C.
11045 Queens Blvd Ste 109
Forest Hills, NY 11375
(718) 544-9100
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