A retired couple came into my East Setauket dental office today for a consult.  They are on a limited income and were worried that I would tell them that they needed new dentures.  His dentures were loose - he kept denture adhesive in his back pocket for frequent application.  Her dentures had fractured, and she kept the dentures in her mouth with difficulty. One of the teeth had fallen out and a clasp on her partial denture had broken off.  New dentures would have been nice but given the couple’s health and financial circumstances, I suggested a denture repair and denture reline at minimal cost.  Were they ever relieved!

For denture repairs and relines, we take impressions and send the dentures to Lab One, an excellent dental laboratory that specializes in dentures and partial dentures. Using our excellent tooth impressions, they reline the dentures and make necessary repairs.  The fit is vastly improved. You should not have to use adhesive if your denture is properly fitted.

I find that denture patients too often do not return for regular checkups.  But regular oral checkups are as important for people without teeth as for people with teeth. Your oral tissues change over time and we need to check that the dentures fit properly.  We also check for oral cancer, fungal and other oral pathologies.

Are your dentures loose? Broken? Missing teeth?  Are you afraid that you will need a new denture? Give us a call at 751-4433 and I’ll see what I can do for you with a denture repair and reline.

I recently came across an excellent article on the Mayo Clinic website at: http://www.mayoclinic.com/health/dental/DE00001.  The article “Oral Health: A window to your overall health,” discusses the connection between oral health and overall health.  It explains that your mouth may harbor the first signs of disease and that diseases of the mouth, such as gum disease, can cause problems in other parts of the body.
Your mouth is loaded with bacteria which can be kept under control with brushing, flossing and regular dental visits. Saliva also defends against bacteria because it contains enzymes that destroy bacteria. But if the bacteria are not kept in control, a gum infection, or periodontitis, can result.  Gum disease may provide bacteria with a means to enter your bloodstream. Dental treatment might also be a means whereby bacteria can enter the bloodstream.
•     Research has shown that heart disease, stroke and clogged arteries may be linked to oral health and periodontal disease.
•    Gum disease has also been linked to premature births.
•    Diabetes increases your risk of gum disease and oral infections. And poor oral health can make your diabetes more difficult to control.  Oral infections can cause your blood sugar to rise, requiring more insulin for its control.
•    People who have HIV/AIDS often exhibit oral manifestations, including ulcers, dry mouth and painful fungal, viral or bacterial lesions. One of the first signs of AIDS may be severe gum infection.
•    The first stages of osteoporosis, or bone loss, may manifest in loss of supporting bone of the teeth, resulting in loose teeth.
•    Other conditions that may first exhibit in your mouth include Sjogren’s syndrome, some cancers, eating disorders, sexually transmitted diseases and substance abuse.

The relationship between your oral health and your overall health provides another good reason to take care of your teeth and gums.  An investment in your oral health is an investment in your overall health!

In 1890, at the start of his second term of office, President Grover Cleveland noticed a rough spot on his palate. A biopsy confirmed a diagnosis of cancer, and surgery was indicated. The Government wanted to keep the President’s health a secret because there was a financial crisis at the time, and they did not want the public to be alarmed.

So the surgery was done in secret while the President was aboard his friend’s yacht traveling up the East River in New York. The surgical team, including a dentist, was sworn to secrecy. Dr. Hasbrouck, a New York dentist, administered the anesthesia. Two teeth were extracted and part of the maxilla was removed. Dr Hasbrouck also constructed an appliance to close the defect caused by the surgery, and the President was able to make a planned address to Congress shortly thereafter.

The President lived for many more years without a recurrence of the oral cancer, and he died in 1908 of a heart attack. The government did not officially acknowledge Cleveland’s oral cancer until 1917. Dentists today, as in Cleveland’s day, play a crucial role in the diagnosis and treatment of oral cancer and post-surgical reconstruction. In my dental office I routinely check my patients for oral cancer. Early treatment of cancerous lesions saves countless lives each year. For more on oral cancer, visit my blog at http://drterryshapiro.com/blog/.

Do you suffer from painful mouth sores, commonly called canker sores, and which dentists call aphthous ulcers? Well, you are not alone. Up to 25% of the population experiences canker sores at one time or another, and we see canker sores frequently in our Suffolk County Dental office. The exact cause of aphthous ulcers is unknown but stress, lack of sleep, trauma to the teeth or mouth, or allergies may all trigger an ulcer, which is a break in the mucous membrane. There are various over-the-counter remedies, but no effective long-term treatment exists.

However a recent study demonstrated that one sublingual tablet per day of vitamin B12 (1,000 mcg) resulted in a significant reduction of aphthous ulcers. Painful ulcers can be soothed by avoidance of spicy food, rinsing with salt water or mouthwash, proper oral hygiene and non-prescription local anesthetic ointments.

Oral Cancer Self-Examination

We do an oral cancer examination and screening for our Long Island dental patients at every dental examination visit. But you can also perform an oral cancer self-examination between your dental visits to check for any early signs of oral cancer. If you are concerned about any of your findings, call us immediately for an evaluation.

Oral Cancer Self-Examination Steps:

1. Press along the sides and front of your neck and feel for any tenderness or lumps. Do the same on your face. Your face and neck are symmetrical, so notice any bumps or swelling.

2. Pull your upper lip up and look for any sores and/or color changes on your lips and gums. Repeat this on your lower lip.

3. Use your fingers to pull out your cheek and look for any color changes such as red, white, or dark patches. Put your index finger on the inside and your thumb on the outside of your cheeks to feel for any lumps. Repeat on the other cheek.

4. Tilt your head back and open your mouth wide to see if there are any lumps or color changes.

5. Grab your tongue with a cotton gauze and examine for any swellings or color changes. Look at the top, back, and each side of your tongue.

6. Look at the underside of your tongue and the floor of your mouth (Touching the roof of your mouth with your tongue during this portion of the exam will allow you to see these areas better). See if there are any color changes or lumps. Using one finger inside your mouth and one finger on the outside (corresponding to the same place), feel for any unusual bumps, swelling, or tenderness.

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Several of my long time Long Island dental patients are taking Fosamax or Boniva to prevent further bone loss. No one wants to lose inches or suffer with broken bones. I prefer to manage with regular weight-bearing exercise, a diet rich in fruits and vegetables and calcium supplements but this is up to you and your physician. There has been a lot of talk in the media about a rare condition called osteonecrosis of the jaw which has been linked to use of bisphosphonate medications.

It is important that you distinguish between the bisphosphonate medications (such as Fosamax, Actonel, Boniva) are taken orally to treat osteoporosis and others (such as Aredia, Bonefos, Didronel or Zometa) which are administered intravenously as part of cancer therapy.

In rare instances, some individuals receiving intravenous bisphosphonates for cancer treatment have developed osteonecrosis of the jaw, or destruction of the jawbone. Still more rarely, osteonecrosis of the jawbone has occurred in patients taking oral bisphosphonates.

Patients currently receiving intravenous bisphosphonates should avoid invasive dental procedures if possible. The risk of osteonecrosis of the jaw in patients using oral bisphosphonates appears to be low, but be sure to let your dentist know if you use any bisphosphonate medication. It is up to you and your physician whether to modify use of the bisphosphonate medication before dental surgery procedures. The consensus is that good oral hygiene and regular dental care will help to lower your risk of developing osteonecrosis.download desperado dvd

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